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4th16th –
19th November 2011
TRAINING FOR RURAL SURGERY
Conference Secretariat
Chairman: Dr Oluyombo A Awojobi
Secretary: Dr R O Tijani
Awojobi Clinic Eruwa,
Eruwa, Oyo State,
NIGERIA
email:oluyombo2@yahoo.co.uk
mobile phone: +234 802 420 1501
ORIGIN OF THE INTERNATIONAL FEDERATION OF RURAL SURGERY
by Dr R D Prabhu, President, IFRS 2005-09
Rural surgery, as we define it now, has existed ever since
man has been treated for illness. After all, simply put,
rural surgery is the affordable surgical care nearer the
homes of patients. Despite the progress of times and the
medical sciences, changes in the philosophy of commerce and
the increased importance given to earning more money have
marginalized the poor and the rural communities from the
benefits of advanced medical and surgical care. Yet as in
the past, there now are some dedicated doctors and surgeons
who function as rural surgeons, in almost all the countries,
barring a few.
In India, the national body of surgeons was only interested
in promoting the advances in surgery, irrespective of its
affordability by the common man. Needs of surgery for rural
communities and the poor received only the lip sympathy.
This attitude continued for years until one President of the
Association of Surgeons of India (ASI), Dr. Rangabhashyam
thought that ASI must look into the needs of its rural
surgeon members. Succeeding President, Dr Udwadia, went even
further and highlighted the importance of rural surgery for
the country. The interest of ASI ended there.
At such a time, Dr. Balu Sankaran, retired Director General
of Health Services of India and Dr N H Antia, pioneer
plastic surgeon and member of advisory body for national
health policies, joined hands with another six rural
surgeons and launched the Association of Rural Surgeons of
India (ARSI) in
November 1992. Starting of ARSI was hailed by many senior
surgeons from India and abroad. Many surgeons from far away
countries like Australia, US and Canada even became overseas
members of ARSI.
ARSI promotes need-based, affordable, multi-specialty
surgical care, with available manpower and infrastructures
in rural communities and in poor urban communities. It
believes that with the basic qualification of medicine like
MB,BS, it is possible to perform life-saving and important
emergency surgical procedures from all the branches of
surgery.
The German Society for Tropical Surgery (DTC) evinced
interest in the activities of the ARSI. DTC itself practices
and promotes rural surgery and even sponsors training of
surgeons from developing nations in rural surgical
procedures. Soon, surgeons from other countries like Holland,
United States,
Canada, Australia, Bangladesh, UK, African countries like
Tanzania, Uganda, Kenya, Nigeria, and even Cuba began
participating in the annual conferences of the ARSI. Latin
Americans too showed interest but language barrier came in
their (and our) way.
It became clear that Rural Surgery is a global phenomenon
even in many developed countries. Rural surgeons from many
far away countries showed interest in the activities of
ARSI. Seeing such global interest in rural surgery, Dr
Thomas Moch and Dr. Gabriela Holoch from DTC conceived the
idea of
forming an International Society of Rural Surgery (ISRS),
devoted to rural surgery so that the philosophy may make
affordable health care available to many more communities.
Dr J K Banerjee from ARSI seconded it. The idea received
unanimous support from the ARSI. During the 11th annual
conference of ARSI in September 2003 in New Delhi, the
proposal of forming the international society was discussed
in detail. Dr N H Antia and Dr R R Tongaonkar also supported
the proposal.
Dr Thomas Moch from the DTC Germany and Dr Moses Okech from
Kenya and Dr P L Kibatala from Tanzania, all of whom were at
the Delhi conference, welcomed the idea.
After the conference, Dr Moch and Dr Banerjee sat down and
drafted the first guidelines for its formation which were
circulated through the newsletter of ARSI. This was formally
accepted at the next conference in Sivakasi, Tamil Nadu the
next year where Dr. Peter Reemst of Holland was also present.
The 13 th annual conference of the ARSI was a combined
meeting of ARSI, Association of Surgeons of Rural India, a
section of ASI, and it was also considered to be the first
conference of the International Society of Rural Surgery. It
was held in September 2005, in Ujjain, M.P. India. Delegates
from Tanzania, Uganda, Kenya, Germany, Holland and USA,
participated in it.
The society proposed was a federation of associations of
rural surgeons of different countries and it was to devote
itself to promote health care of the unreached in each
country. This health care may include, as far as possible,
affordable, appropriate, multi-specialty, essential surgery,
overcoming the constraints and poor infrastructure.
During the meeting in Ujjain on 25th September 2005 ( which
was considered to be the first general body meeting of the
new society), delegates unanimously accepted the proposal of
forming an international society. It was named International
Federation of Rural Surgery, or IFRS. The draft document of
memorandum and rules and regulations were also accepted and
the office bearers were elected for their first two-year
term. The first office bearers of the IFRS were:
President: Dr. R. D. Prabhu (India)
Vice President: Dr. P.L.Kibatala (Tanzania)
Hon. Secretary: Dr. Thomas Moch (Germany)
Jt. Secretary: Dr. J.K.Banerjee (India)
Treasurer: Dr. Peter Reemst (Holland)
Directors
Dr. K. Dakshinamoorthy (India)
Dr. Vincent Mubangizi (Uganda)
Dr. John Wachira (Kenya)
Dr. Randall Zuckerman (USA).
Dr. Kibatala from District Designated Hospital, Ifakara,
Tanzania and Dr. Zuckerman from the Bassett Healthcare, and
Mithoefer Centre for Rural Surgery, New York, U.S.A. were
co-opted members on the board as they did not belong to any
association of rural surgeons in their country. However they
were soon to organise one in their own country.
The first Members (national associations of rural surgeons)
of the IFRS were the ARSI (India), ASRI (India), DTC (Germany)
and Holland Group of Surgeons.
The DTC (Germany) has been generous enough to bear the
initial administration and communication costs, if any, of
IFRS. The subscriptions, fees etc were to be decided upon by
the new office bearers.
Please log on to the website www.ifrs-rural.com for more
information about the IFRS.
ABOUT THE ASSOCIATION OF RURAL SURGICAL PRACTITIONERS OF
NIGERIA
Nigeria could claim to have given the blueprint of primary
health care delivery to the world 15 years ahead of the
World Health Organization’s Alma Ata Declaration on the same
subject. In 1963, the Faculty of Medicine, University of
Ibadan, initiated this momentous programme, based at Igboora
in rural Ibarapa District of Oyo State, South Western
Nigeria. Professor (now Emeritus) T O Ogunlesi, OFR was the
first director for fifteen years. Although a cardiologist,
he is better known as a community physician.
In an attempt to provide the surgical component of the
programme in the late seventies, the Department of
Obstetrics and Gynaecology and the Department of Surgery of
the University College Hospital, Ibadan sent registrars on
monthly rotation to the District Hospital, Eruwa – the only
hospital in the district at the time. In 1975, this
arrangement was strengthened by the appointment of the late
Dr C A Pearson, a Briton, as the Chief Medical Officer of
the programme resident in Igboora and was further boosted in
1983 when Dr O A Awojobi, a general surgeon and an alumnus
of University of Ibadan, took up appointment at the District
Hospital, Eruwa an employee of Oyo State Government. Due to
bureaucratic bottlenecks, he resigned in 1986 to set up a
private practice, Awojobi Clinic Eruwa in Eruwa town.
In 1980, Dr Pearson and other notable Nigerian general
practitioners founded the Faculty of General Medical
Practice (Family Medicine) of the National Postgraduate
Medical College of Nigeria, NPMCN, in Lagos.
The Association of Family Physicians of Nigeria (AFPON) was
launched in 1998 to promote Family Medicine which is the
medical specialty that endeavours to provide comprehensive
primary and secondary care (including rural surgery) to the
entire family unit from birth to old age. It aims to address
the most frequent medical/surgical problems in the
population and can be considered a specialty of common
diseases. They are trained to treat patients in the context
of the entire family.
The Fellows of the Faculty were to operate at the primary
and secondary levels of the health care pyramid and there
were 116 Fellows by examination as at September 2007. All
who were still in Nigeria were based in urban centres or
tertiary institutions. There was none in a rural/urban slum
setting where most of the families reside - the gap being
filled creditably by the medical officers who were in the
vanguard of the formation of the Faculty.
The disillusionment of the young doctors in the long
training period and the insufficient training posts for the
various fellowships of the NPMCN are serious deterrents to
young doctors seeking to improve their skill and knowledge.
It was against this backdrop that four general surgeons who
were in or had supported rural practice (Prof S K Gyoh, Prof
E Alufohai, Dr A C Sagua and Dr O A Awojobi) decided to
co-opt their junior colleagues in rural/urban slum practices
for the inauguration of the Association of Rural Surgical
Practitioners of Nigeria, ARSPON, that took place in the
home of Prof S K Gyoh in Gboko, Benue State on 12th January
2008. Present at the inaugural meeting were Prof S K Gyoh,
Drs E R Saliu, A O B Adenuga, M H Adabanija, A C Sagua, Dr F
N Atsen, O J Fatokun, Tule Terver Zua, Dzer Hembe, O Ajose,
A Idoga, Pevkyaa Yandev, A Ikparen, Yaji Samuel, Amah
Anselom, A Rijam and O A Awojobi. Apologies were received
from Prof E A Alufohai , Drs A O Windapo, J K Ladipo, (Mrs)
M A Ladipo, and R O Tijani One of the main aims of the
association is to provide training opportunities for doctors
to acquire surgical
skills in a short period that will enable them provide safe
and affordable surgery to the rural/urban slum poor using
appropriate technology that is time tested, scientifically
sound and culturally acceptable. This will be achieved in
collaboration with relevant training colleges and
universities.
We have had three national conferences held in rural
practices of members: Dr A O B Adenuga’s Layo Model
Hospital, Ikire, Osun State in 2008, Dr J I Umunna’s Jasman
Hospital Limited, Udo-Izihinite, Imo State in 2009 and Dr P
Yandev’s TBT Hospital, Gboko in 2010. The first conference
had an international flavour with the attendance of Dr
Fassil Gebreegziabher from Tanzania. An innovation we have
brought into conference literature is the publication in
full the text of all the papers and guest lecture delivered
on
the occasion (www.ifrs-rural.com). This will constitute a
resource for continuing professional education.
In November 2009, a 50-man contingent attended the joint
conference of the International Federation of Rural Surgery,
IFRS and the Association of Rural Surgeons of India, ARSI
that took place in Pipalia, Rajahstan. During this
conference, ARSPON was admitted into IFRS, Dr Awojobi was
elected the
secretary of IFRS and honoured with the fellowship of ARSI;
Prof O O Ajayi and Dr J I Umunna were elected directors of
IFRS. Nigeria won the bid to host the 4th conference of IFRS
in November 2011.
It is hoped that in the nearest future, Nigerians who live
in the rural areas will have access to affordable and safe
surgical care and the Family Physicians would move out of
tertiary institutions and provide the necessary service and
leadership at the primary and secondary levels where they
truly belong.
ABOUT
AWOJOBI CLINIC ERUWA
Awojobi Clinic Eruwa, ACE, was founded in the rural town of
Eruwa, Oyo State, Nigeria on 26th October 1986 by Dr and Mrs
O A Awojobi. The couple had worked in the government
District Hospital, Eruwa from 1983. However, due to
bureaucratic bottlenecks, they resigned to set up ACE.
Dr Awojobi is a rural surgeon and Mrs Awojobi, a
radiographer. Both received their training exclusively at
the University College Hospital, UCH, Ibadan.
With the monumental support of the people of Eruwa and the
guidance of their teachers, ACE started off in rented
apartments but moved to the 20 acre permanent site in August
1990. This piece of land was donated to ACE by the
traditional ruler and his people.
At ACE, appropriate technology has been adopted in the
provision of water and energy supply and the fabrication of
several hospital equipment like the manual haematocrit
centrifuge, the operating table, the water distiller and
autoclave that are powered by maize cob furnace, atraumatic
suture and the pedal suction pump.
In the building industry, they have fabricated the portable
concrete mixer, sandcrete mixer and vibrator for moulding
interlocking cement blocks. This endeavour has reduced the
cost of setting blocks in building houses by forty per cent.
In 2001, through a letter from Dr J K Banerjee of the
Association of Rural Surgeons of India, ARSI, to their
teacher, Prof O O Ajayi, the Awojobis attended the 9th
conference of ARSI that took place in Puri, Orissa State.
This interaction and the attendance of the Awojobis at the
second conference of IFRS in Ifakara, Tanzania in 2007
eventually led to the formation of ARSPON and her
affiliation with IFRS.
Dr and Dr Mrs Shipra Banerjee visited ACE in February 2009
on their way to the conference of the West African College
of Surgeons that took place in Conakry, Republic of Guinea.
Dr Awojobi has been supported in no small measure by a
senior colleague and mentor, Dr B G K Ajayi, an
ophthalmologist and alumnus of UCH, ibadan, who extended his
urban-based practice by single-handedly funding the building
of the ultramodern Akef El Maghraby Eye Clinic adjacent to
ACE in 2008 at a cost of 70 000 US dollars. Dr Ajayi had
been using the facilities at ACE since 2001.
Since 2008, ACE has been in close collaboration with
OPERATION HERNIA, OH, a UK based NGO headed by Prof Andrew
Kingsnorth and Dr Awojobi is the coordinator of OH missions
in Nigeria.
OH assisted in upgrading another theatre in the clinic with
two air conditioners and the generator that powered them,
provided three diathermy machines, four sets of surgical
instruments and a portable electric autoclave. Each mission
brought a lot of surgical materials and other equipment like
the pulse
oxymeter and electric suction machine which had been left
behind for the use of the clinic. The services of all
members of the missions had been rendered ex gratis.
OH missions have created the opportunity of training
Nigerian doctors and surgeons to perform the Lichtenstein
mesh repair of inguinal hernias. In this regard, the
assistance of Dr R Tongaonkar of ARSI who generously donated
a large amount of the affordable Indian mesh is acknowledged
and appreciated.
Each OH mission has brought the other benefits of medical
tourism in the form of revenue generation for the local
hotel industry (where members of the mission stay) and the
good will generated from the reports of the visiting teams
to their respective employing institutions in Europe.
Members of the missions have indicated their willingness in
building another operating theatre complex and recently, a
member of the mission, Mr John Pickering, has raised the sum
of £1 300 to install solar powered electricity supply in the
clinic. The local transportation system and cafeterias have
benefitted from the increased number of patients coming from
the cities, towns and villages.
OH has used its website (www.operationhernia.org.uk) to
increase the profile of ACE and its unique way of delivering
health care to the rural populace on the global health map
such that foreign medical students,
surgical trainees and specialists have spent varying periods
of two to four weeks in the clinic.
During the combined IFRS/ARSPON conference, OH will conduct
a mission from 14th to 18th November 2011.
TENTATIVE PROGRAMME
Wednesday 16v th November 2011 – Arrivals and Cultural Night
Thursdayv 17 th November 2011 – Symposium, Scientific
Session, Opening Ceremony, Cultural Night
Friday 18v th November 2011 – Tour of Awojobi Clinic Eruwa,
Scientific Session, Annual/Biennial
General Meetings, Cultural Night.
Saturday 19v th November 2011 – Departure
REGISTRATION
Please register at the email address of the conference
secretariat.
The registration fee for delegates and accompanying person(s)
is 100 US dollars per person and is
payable on arrival at the conference venue. It covers
accommodation, conference materials, meals and
transportation from Lagos to Eruwa and back to Lagos.
YOU ARE WELCOME TO RURAL NIGERIA!!
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1- 6 - 2011 |
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INVITATION to the
World Congress of Cardiology Scientific Sessions 2012 |
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Dear Flavio Burgarella,
On behalf of the Scientific Programme Committee of the World
Congress of Cardiology 2012 to be held in Dubai, United Arab
Emirates from 18-21 April, we are pleased to invite you to
be a part of this important global meeting.
The scientific programme will feature almost 200 invited
sessions with major emphasis on the prevention and treatment
of cardiovascular disease on a global scale and will attract
a strong and distinguished international faculty of experts.
In recognition of your contribution to the field of
cardiovascular medicine, we would be honored if you would
accept to speak and/or chair the following session(s):
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INVITATION(S)
World Congress of Cardiology Scientific
Sessions 2012
SPEAKER POSITION(S):
Date: 21 April 2012
Session Time: 10:30-12:00
Location: Session room Sheikh Maktoum Hall
B, Zone 2
Session title: 7714 Cardiac rehabilitation
and secondary prevention. How to increase it
in developing countries? (Symposium)
Your presentation: Strategies to develop
cardiac rehabilitation and prevention in
Africa
Starting time of your presentation: 11:14
End of your presentation: 11:31
N.B.
If you are participating in a ‘How To’, ‘Meet
The Experts’ or ‘Workshop’ session, the timing
of each specific presentation is not indicated.
During these sessions the speakers will give
brief talks followed by open discussion until
the end of the session.
The length of each
session is 90 minutes. |
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From: Dr.
Eduardo Rivas Estany <erivas@infomed.sld.cu>
Date: Thu, Jul 29, 2010 at 6:53 AM
Subject: CV Congress in Santa Clara, Cuba, 2011.
Flavio Burgarella, M.D.
Executive Director
HFATW
Bergamo, Italy.
Dear Flavio,
By this means I’d
wish to ask you for the possibility to include In the web
page of “Heart Friends Around The World” (HFATW) the
announcement of the following scientific activities that
will be held in the city of Santa Clara, Cuba, next year:
- IV
Cuban Congress of Cardiovascular Surgery
-
I Symposium of
Cardiovascular Paradoxes
-
III Workshop on
Cardiovascular Risk
These scientific
activities, with international participation, will be held
in Santa Clara, Villa Clara, Cuba, from 13 – 15 October,
2011.
Webpage:
http://promociondeeventos.sld.cu/cardiocirugia2011/
There is under
organization a very interesting scientific program and also
a very attractive touristic program in this city of the
central part of the island of Cuba.
The colleagues and
friends of the Organizing Committee wanted to add this
information in our HFATW webpage, perhaps also with a link.
It will be my
pleasure to see you again in Oporto, Portugal, next
December, during the annual meeting of HFATW (Cardiology
Update 2010).
I thank you very
much for your attention,
Warmest regards,
Eduardo.
Prof. Dr. Eduardo Rivas Estany
President HFATW,
Institute of
Cardiology and Cardiovascular Surgery
Apdo. Postal 4109, Vedado
Havana 10400, Cuba.
erivas@infomed.sld.cu
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University of Cape Town
Department of Medicine
Medical School Observatory 7925
Cape Town South Africa
Telephone: +27 21 406-6200/6197
Facsimile: +27 21 448-6815
01 September 2009Invitation to the
9TH PASCAR Congress & 2ND All Africa Conference on Heart
Disease, Stroke and Diabetes
Dear Dr. Burgarella
Following the very successful 8th PASCAR
Congress (First All Africa Heart Stroke and Diabetes)
Meeting in Nairobi, Kenya, in May, 2007, we are extremely
delighted to invite you to Abuja, Nigeria, for the joint 9th
PASCAR (Pan African Society of Cardiology) Congress and the
NCS Annual Conference of the Nigerian Cardiac Society,
taking place at the Abuja Sheraton Hotel and Towers, from
27-30 September, 2009.
This multidisciplinary meeting on heart disease, stroke and
diabetes will be addressing challenges in Africa in respect
of these conditions. The meeting will offer delegates
opportunities for professional development and for
networking.
Information on Abstract submission, Registration for the
Conference, Hotel Accommodation, and Programme can be
obtained at the PASCAR website (www.pascar.co.za)
and from:
samuel_odion@hotmail.com,
faiza.pearce@uct.ac.za
We look forward to your full participation in the meeting at
Abuja, Nigeria
Best wishes
Yours Sincerely
Martin Aghaji
President, NCS
Albert G.B. Amoah
President, PASCAR
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From:
ingrid tortolero <ingridtortolero@hotmail.com>
Date: 2009/8/2
Subject: SALUDOS y ALGUNAS FOTOS!!!
Estimado Dr Burgarella:
Ante todo un cordial saludo. Me permito enviarle estas fotos de nuestro
paso por la ciudad de León. Fué realmente una buena cita de reconocidos
médicos, cardiólogos y de otras áreas de la medicina que enrriquecieron
esa convocatoria, pero sobre todo estuvo presente el sentimiento noble y
sincero de la amistad. (Amigos del corazón).
Espero que podamos encontrarnos de nuevo,
Un abrazo y mis respetos,
Ingrid Tortolero |
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Medicine and Spirituality
Flavio Burgarella*, Sarah
Burgarella*
* Heart Friends Around The
World (HFATW), Via S. Orsola 5, 24122 Bergamo, Italy
Spirituality is a complex and
interdisciplinary part of the human experience. It includes aspects both
philosophical and inherent to emotional behaviour. Philosophical aspects
include the search for the person's sense of the purpose and truth of
life, and for beliefs and values in which he/she lives. Aspects of
emotional behaviour include a sense of hope, love and belonging, of
inner peace and consolation. Establishing a positive relationship
between doctor and patient is crucial to discuss spiritual issues, and
allocating the appropriate time to the matter is very important too. The
evaluation of the spiritual resources of the patient may be manifested
in the anamnestic debate and the initial conversation and may open the
way for more in-depth interviews. During this evaluation of spirituality,
issues like the fear of the unknown and the search for hope are
important items with which the patient is compared to his/her spiritual
dimension. Doctors can begin to incorporate spirituality into medical
practice by studying the problem scientifically, applying the techniques
for the assessment of spirituality, and by therapeutic intervention.
Scientific studies include the evaluation of the connection between
spirituality and health and the planning of further studies to clarify
its effects. It is always important to keep the mind open to new ways of
learning, considering that there will be always things that cannot be
understood. Therapeutic interventions include considerations on the
spirituality of the patient and recommendations on prevention, health
education, treatment and anything that might help the healing process.
Although it is not easy to measure, the physician's ability to provide
the necessary compassion and connection, so that the patient can feel
the doctor truly present and participating, is an important therapeutic
intervention. Medicine can make a significant contribution to the
integration between Science and Spirituality.
Corresponding authors’ contact
information:
burgarella.hfatw@gmail.com,
sarah.burgarella@gmail.com
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From: Prof.
Shahryar A. Sheikh, Past President, WHF
Date: Mon,
Jul 27, 2009 at 6:17 PM
Subject:
World Heart Federation Annual Report 2008
Dear Flavio,
We are delighted to inform you
that our
Annual Report for 2008 is now available online.
Thanks to collaborative efforts and continued support from you our
member, the year 2008 included many notable events: the World Congress
of Cardiology in Buenos Aires, which exceeded all expectations with over
17,000 delegates in attendance; the continued growth of World Heart Day
and the Go Red for Women campaigns; and the development of our work on
tobacco control and healthy lifestyles for children.
We would like to take this
opportunity to thank you for the role you played in contributing to the
success of the World Heart Federation and your commitment to the
prevention and control of cardiovascular disease worldwide. We wish
Professor Pekka Puska, who has now taken over the Presidency, every
success during his term and look forward to working with you in 2009.
With kind regards,
Shahryar A, Sheikh, MD, PhD
Past President
Helen Alderson Chief Executive
Officer
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Subject:
Congress in
Beijing 2010
From: Flavio Burgarella
Date: Tue, Jun 30, 2009 at 11:14 PM
To: "sponsorship@worldheart.org"
<sponsorship@worldheart.org>
Bergamo, Italy,
30.06.2009
on behalf of
the Board of Directors of Heart Friends Around The
World,
www.hfatw.org, I'd like to ask You the possibility
to run a booth, free of charge, at the World Congress of
Cardiology, in Beijing, China, 2010.
We had similar
opportunity in the previous World Congress, in Berlin,
Sidney, Barcelona, Buenos Aires (Dr. Oratio Faella is my
good friend, and he gave us this opportunity in 2008).
I remind that we are International Members of the World
Heart Federation and we working toghether with Shanty
Mendiss in WHO to promote the Prevention and
Rehabilitation of Coronary Heart Diseases in the
Developing Countries. I remain.
Thank You and
Best regards
Founder and
Executive Director
Heart Friends
Around the World.
____________________________
From:
World Congress of Cardiology <sponsorship@worldheart.org>
Date: Tue, Jul 7, 2009 at 5:33 PM
To: Flavio Burgarella
Dear
Sir,
Thank you
for contacting us and for your request for a free
booth during WCC Scientific Sessions China. I am
pleased to confirm that all member organizations of
the World Heart Federation, as part of their
membership, will automatically be contacted in the
Autumn of this year offering each member
organization the chance to participate in WCC 2010.
Rest assured that your interest in a WHF members
booth has already been noted. Details have yet to be
100% finalized, however, we look forward to
communicating with you closer to the time and making
you aware of the special exhibition package that
will be offered to WHF members.
Thank you
in advance for your interest, on-going support and
understanding.
Best
wishes
Alan Cole
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