CommitteelifeThe <strong>SICOT</strong> Finance Committee ReportDr Thami Benzakour | Chairman <strong>of</strong> <strong>the</strong> Finance CommitteeThe present"<strong>SICOT</strong> FinanceCommittee" wasappointed in Istanbulin September2005. This committeeis composed<strong>of</strong> five statutory members: Pr<strong>of</strong>Maurice Hinsenkamp as <strong>SICOT</strong> SecretaryGeneral, Pr<strong>of</strong> Patricia Fucsas <strong>SICOT</strong> Treasurer, Pr<strong>of</strong> Rocco P.Pitto as Editorial Secretary, Pr<strong>of</strong>Jean-Pierre Courpied as Editor <strong>of</strong><strong>the</strong> International OrthopaedicsJournal and Pr<strong>of</strong> Cody Bünger asPresident Elect.The three additionalmembers appointed among <strong>the</strong><strong>SICOT</strong> National Representativesare Pr<strong>of</strong> Bartolome T.Allende, Pr<strong>of</strong>Keith D-K Luk and Pr<strong>of</strong> GershonVolpin.The role <strong>of</strong> <strong>the</strong> Finance Committee,as indicated in <strong>the</strong> Constitutionand bylaws, is to review <strong>the</strong>financial implications and consequenceson <strong>the</strong> treasury <strong>of</strong> all activitiesand projects <strong>of</strong> <strong>the</strong> Societyand to assess <strong>the</strong> budgets <strong>of</strong><strong>SICOT</strong>, <strong>the</strong> <strong>SICOT</strong> Foundation, and<strong>the</strong> <strong>SICOT</strong> Conferences andCongresses.The committee alsohas to review <strong>the</strong> use <strong>of</strong> funds, <strong>the</strong>investments and <strong>the</strong> transactions,as well as making recommendationsto <strong>the</strong> Board <strong>of</strong> Directorsand to <strong>the</strong> International Council.Procedures: <strong>the</strong> Finance Committeeis used to working closelywith <strong>the</strong> <strong>SICOT</strong> Head Office tokeep itself informed <strong>of</strong> major businessdevelopments and to improve<strong>the</strong> quality <strong>of</strong> reporting and financialcontrol as recommended by<strong>the</strong> International Council.The first Finance Committeemeeting was held in Buenos Airesbefore <strong>the</strong> 2006 Annual InternationalConference. Referring to ouragenda, we reviewed <strong>the</strong> <strong>SICOT</strong>annual statements for 2005 and<strong>the</strong> <strong>SICOT</strong> budget for <strong>2007</strong>.For <strong>the</strong> 2006 Treasury report,we had to look into <strong>the</strong> Society’sfinancial accounts and statementswhich KPMG had previously auditedfor 2005.Globally, <strong>the</strong> result for 2005 wasa pr<strong>of</strong>it <strong>of</strong> EUR 24,875; and <strong>the</strong> totalbalance sheet representedEUR 2,306,839. The operatingresults and <strong>the</strong> total revenues hadimproved. However, <strong>the</strong> expectedoperating surplus was not reached.Thus, <strong>SICOT</strong> has been unable tocontinue investing in initiatives toimprove membership.Meanwhile, <strong>the</strong> congress activitiescontributed to a reduction <strong>of</strong><strong>the</strong> operating deficits. Thus,without any congress activity, <strong>the</strong>global operating deficit would havebeen EUR 134,210 higher. Thisamount represents <strong>the</strong> differencebetween <strong>the</strong> congress income and<strong>the</strong> congress expenditure.Therefore,it seems obvious that"organizing meetings remains a viableactivity for <strong>SICOT</strong>; and withcautious and thrift management, itrepresents a reliable source <strong>of</strong>much needed income”.The portfolio <strong>of</strong> EUR 1,268,298invested over <strong>the</strong> last four years isaimed at ensuring protection frommarket fluctuations. Our reservesare quite stable at EUR 1,840,489.The <strong>2007</strong> operating budget aimsat restoring <strong>the</strong> financial balanceand containing costs. More detailedinformation can be found in <strong>the</strong> reports<strong>of</strong> <strong>the</strong> Treasurer and <strong>the</strong> SecretaryGeneral.In conclusion, <strong>the</strong> Finance Committee’stask is to analyse <strong>the</strong> incomestrategy, working methodsand staffing policies,as well as o<strong>the</strong>rtrends and <strong>issue</strong>s to avoid any deficitand to ensure a healthy <strong>SICOT</strong>financial state.■The recommendations<strong>of</strong> <strong>the</strong> Finance Committeemembers:1. Reduce operating expenses> Head Office> Revisit travel subsidies> Revisit presidential dinnersubsidies2. Increase income> Reduce risk and increase return byengaging o<strong>the</strong>r banks for our investment> Increase membership> Ensure a positive balance for allscientific meetings through strictbudgetary controlpage 8
Hospital under fire: <strong>the</strong> experience<strong>of</strong> <strong>the</strong> Western Galilee Hospitalin IsraelPr<strong>of</strong> Gershon Volpin | National Delegate <strong>of</strong> IsraelWorldwidenewsWestern GalileeHospital <strong>of</strong> Nahariyais located innor<strong>the</strong>rn Israel,about 10 kilometresfrom <strong>the</strong>border with Lebanon.Weserve 450,000 residents <strong>of</strong><strong>the</strong> Western Galilee, 50% <strong>of</strong> whomare Jews and 50% are Muslims,Christians and Druze.Over <strong>the</strong> past 30 years, ourhospital has been threatened manytimes by rockets launched into nor<strong>the</strong>rnIsrael.Four years ago, we constructeda new surgery building and underneathit an underground hospital.The underground hospital has a capacity<strong>of</strong> 450 beds and an undergroundnetwork <strong>of</strong> roads enablesambulances to access <strong>the</strong> hospitalfacilities. Most <strong>of</strong> <strong>the</strong> undergroundfacilities are also protectedagainst biological and chemicalwarfare with an elaborateair filtering system.When <strong>the</strong> war startedon 12 July 2006 and <strong>the</strong>rockets began falling, all patientswere evacuated to<strong>the</strong> underground hospitalwithin three hours. During<strong>the</strong> month-long war, 800rockets fell on Nahariyaalone and several fell in <strong>the</strong>fields surrounding ourhospital.On 28 July,a rocket hit <strong>the</strong> fourthfloor <strong>of</strong> <strong>the</strong> surgery wing, causingsevere damage to <strong>the</strong> ophthalmologydepartment, leaving a gapinghole in <strong>the</strong> wall and destroying patients’rooms and medical equipment.Thedamage was estimatedat about USD 200,000. Fortunately,<strong>the</strong>re were no injuries since all patientsand medical staff had beenevacuated to <strong>the</strong> underground facilities.Despite <strong>the</strong> constant sirens andattacks, we managed to continuewith routine medical and surgicalcare.About 2,400 patients wereadmitted to our hospital duringthat month. Some <strong>of</strong> <strong>the</strong> orthopaedicpatients were elderly peoplewho had fallen while running toshelters and had to be admitted tohospital with various types <strong>of</strong> injuries.Patients being treated in <strong>the</strong> underground hospital1,858 patients were treated by<strong>the</strong> hospital staff during <strong>the</strong> monthlongwar.All patients were transferredfrom ambulances or helicoptersto special trauma emergencyrooms, according to <strong>the</strong>severity <strong>of</strong> <strong>the</strong> injury. 947 <strong>of</strong> <strong>the</strong>m(about 51%) had symptoms <strong>of</strong>psychological trauma and weretreated in a special emergencyroom, separated from <strong>the</strong> physicallyinjured patients.The remainingpatients had various degrees<strong>of</strong> injuries as follows: 839 patientshad mild injuries such as shrapnellacerated wounds <strong>of</strong> <strong>the</strong> body orclosed simple fractures <strong>of</strong> limbs; 42patients had moderate injuries suchas open comminuted fractures <strong>of</strong>limbs, extensive s<strong>of</strong>t t<strong>issue</strong> injuries,amputation <strong>of</strong> limbs; and 18 patientshad multiple trauma includingchest and abdominal injuries,vascular and head injuries.Some had associated compoundfractures <strong>of</strong> limbs.Twelve patients,two <strong>of</strong> <strong>the</strong>mfrom <strong>the</strong> same family, died<strong>of</strong> rocket injuries.For contact:volpinger@yahoo.com■page 9