MSF Canada Annual Report 2003

MSF Canada Annual Report 2003

Cover Photo: Afghanistan Š Sebastian Bolesch

MSF Charter Médecins Sans Frontières is a private international organization. Most of its members are doctors and health workers, but many other support professions contribute to MSF’s smooth functioning. All of them agree to honour the following principles: Médecins Sans Frontières offers assistance to populations in distress, to victims of natural or manmade disasters and to victims of armed conflict, without discrimination and irrespective of race, religion, creed or political affiliation.

Médecins Sans Frontières observes neutrality and impartiality in the name of universal medical ethics and the right to humanitarian assistance and demands full and unhindered freedom in the exercise of its functions.

Médecins Sans Frontières’ volunteers promise to honour their professional code of ethics and to maintain complete independence from all political, economic and religious powers.

As volunteers, members are aware of the risks and dangers of the missions they undertake and have no right to compensation for themselves or their beneficiaries other than that which Médecins Sans Frontières is able to afford them.

2 Annual Report 2003 Liberia Š Andrew Schechtman

President’s message Last summer the long forgotten conflict in Liberia flashed briefly across our television screens. The streets of Monrovia, already swollen with displaced people seeking refuge from the fighting in the countryside, had erupted in fighting. While most international personnel rushed to evacuate, MSF teams stayed put. Unable to safely move about the city, they quickly converted their house and office into a field hospital to deal with the influx of wounded. There in the former living room and in the courtyard, they set up operating rooms to treat the wounded and makeshift wards to house the sick. Outside the walls of their compound the battle for the city raged on. These international volunteers and their Liberian colleagues exemplify for me the true spirit of MSF. In other parts of the world, we have struggled to gain access to victims in need of the very medical care that saved so many lives in Liberia. Armies and rebel groups often demonstrate a blatant disregard for the principles of international humanitarian law, and the right of civilians to access medical help. We continue to witness a politicization of aid that ties humanitarian assistance with political aims and goals. MSF spoke out against this trend in Afghanistan, in Angola and more recently in Iraq. We will continue to speak out in order to insist on the independence of humanitarian action. Acts such as providing medicine to those dying of malaria, food to malnourished children or clean water to refugees are not political, nor should their delivery be linked to any particular ideology. They are instead profoundly human acts that form the true basis of independent humanitarian action.

Another battle continued to preoccupy our teams of field workers this year: the battle to ensure access to essential medicines for our patients. This highly successful campaign has its roots in the frustration and anger our doctors and nurses felt at not having the basic tools to treat their patients.

Medicines were either too expensive, non-existent or out of production.

Working together with a broad coalition of groups, the campaign has made many important gains. Now some of these gains made at the level of the

World Trade Organization (WTO) are at risk of being lost. The Free Trade Area of the Americas (FTAA) agreement is currently being negotiated and threatens to again put private profit ahead of public health. We encourage our government to stand firm on the commitments Canada made at the WTO, and keep intellectual property rights out of the FTAA. Last fall, MSF welcomed the announcement of a generic medicines bill, signalling Canada’s intention to be a world leader in the production of low-cost medicines for people in developing countries. Our excitement was short-lived.

When we reviewed the details of the bill, it became clear it contains several flaws. These flaws will effectively prevent medicines from getting to those who desperately need them, and will instead simply protect corporate interest. The rest of the world is looking to Canada for leadership with this legislation, and it is vital we get it right. Not to do so is a contradiction of one of the key values we hold as Canadians: the basic right of access to health care.

As health workers, and as humanitarians, we refuse to accept the status quo when the status quo equals death for so many of our patients. We continue to insist on the right to bring neutral, non-politicized aid to victims of conflict and disease. We insist on the right to effective, affordable medicines for our patients. As Canadians, we bring this message home and seek to engage other Canadians in the work. And Canadians have joined with us in these efforts by signing petitions, writing to their members of parliament, educating themselves on the issues, and supporting us financially. This solidarity of Canadians from all walks of life is vital to what we do, and provides us with inspiration to continue.

Leslie Shanks President, MSF Canada

Annual Report 2003 3

Kenya Š Roger Job 4 Annual Report 2003

Executive Director’s message Every day we see humanitarian action under fire. Sometimes it is obvious.

When young men with guns in rural war-torn Liberia stop our mobile clinics at checkpoints, demanding money or drugs to let us pass, the threat to our work, our volunteers and our national staff is clear. Usually they let us through – because they know the health services we provide save lives. But when they don't we are denied access to the people we want to help, and, much to our frustration, our humanitarian action is constrained.

Sometimes the threat to our medical-humanitarian work is less apparent – or at least, less immediately threatening than a man with a gun slung over his shoulder. Political leaders do not want us to see what is happening in their jurisdiction, and so they may try to keep us out by creating impossible bureaucratic restrictions, as happened in pre-war Iraq. Or they declare a region unsafe and prevent us from entering, as was the case in early 2003 in Pool Region of Congo. Governments have many tools to make sure humanitarian assistance does not reach the people who need it.

It is too simple to paint these forces as monolithic, however, because there are always those who are concerned about the welfare of their people.

So MSF finds allies and negotiates safe access before we can actually do what we want to do – provide medical services to people in need. Then, because our volunteers and national staff are so committed, because they improve the health of the people we serve, as MSF swings into action we are accepted by communities and our work becomes easier.

Sometimes western governments get in the way of humanitarian work.

When military forces in an occupying army undertake humanitarian acts this confuses the role of foreigners in a country in conflict. MSF opposes any mix of military and humanitarian action. Like it or not, in a war soldiers are legitimate military targets. Humanitarian workers are not. When military personnel become involved in the delivery of humanitarian aid, not only do they remain targets but humanitarian workers and the people receiving their help risk becoming military targets too. We have seen this dangerous mixture of so-called military-humanitarianism in Iraq and Afghanistan, with the result that humanitarian workers in both countries were assassinated last year and humanitarian relief efforts severely curtailed.

As well, humanitarian agencies that rely on government donations to carry out worthwhile work can find their efforts constrained by a donor government’s definition of humanitarian crisis. Too often, government humanitarian aid is dictated by political interests. The United States, for example, allocated millions of dollars to Iraq after the American invasion, even though Iraq was and is a relatively wealthy country. At other times, when the media shines a spotlight on a disaster or a war, governments jump on the bandwagon and make money available, often at the expense of ongoing and forgotten conflicts like Chechnya, Burundi or Somalia.

Since MSF has the support of thousands of donors in Canada and around the world, we are not restricted to those places where donor governments want us to work. MSF works where our doctors and nurses find the greatest medical needs, and that work is a long chain of solidarity and support, from the donor here at home, to the doctors and nurses caring for a patient in a forgotten village in Zambia or a teeming shantytown in Brazil.

For us at MSF, 2003 meant continued pressure for the release of Arjan Erkel, one of our volunteers from Holland. Arjan was freed on April 11, 2004, after being held hostage for 607 days in the Russian republic of Dagestan, where we were providing health care to Chechen refugees.

Solidarity is vital to our work. We are all struggling to make the world a better place, one person, one village, one community at a time. Canadians are part of that solidarity. As people from around the world share problems, tackle the health issues confronting our patients and their communities, new ideas, new understanding, new relationships grow. This is solidarity in the humanitarian cause. This is MSF.

David Morley Executive Director, MSF Canada

Annual Report 2003 5

Patient profiles

When you support MSF, your donation binds you directly with the people we help, the people you help. Together we reach out to those suffering the ravages of war, disasters and looming or existing health crises. Our commitment to fighting the AIDS pandemic is but one example. The stories you see here are from a central clinic in Bukavu, Democratic Republic of Congo, where HIV-positive patients receive life-prolonging medicine. By eliminating the perception that being HIV-positive is a death sentence, these treatments encourage patients and others to break the silence. Healthy patients who return to normal lives are living testaments of the program’s success, beneficiaries of your support of our collective goals. We would like you to meet some of the people you have helped.

6 Annual Report 2003

Photos © MSF

Bangengenze

Being HIV-positive sent waves through Bangengenze’s family. When he started getting sick he could no longer run his business. He has five children and they had to stop going to school because there wasn’t enough money for the fees, not enough at times even for food.

Bangengenze came to the clinic in July of 2003 to undergo treatment for tuberculosis, an opportunistic infection which greedily latched on to his compromised immune system. He is now on prophylactics and feeling much stronger.

He wants to work again, to have an occupation. He wants his children to go back to school.

Josephine

When Jacqueline began treatment at the clinic in 2003, she was already very weak.

She got pregnant while in the program and now a second life was directly threatened. But she soon learned that something could be done. During childbirth, MSF gave Jacqueline drugs to prevent mother to child transmission of HIV. Soon after, she gave birth to a healthy baby boy. She named him Tshitshi, after one of the local staff members in charge of food distribution at the clinic.

Jacqueline and Tshitshi

Henriane and Margarite

When you meet Josephine you know you are meeting a powerhouse. She tested positive for HIV four years ago and was one of the first patients in the program to undergo antiretroviral (ARV) treatment.

At the time she was, as she puts it, “as death.” She couldn’t walk and her daughter and son had to care for her. At 50 years of age, ARV treatment has changed her world.

Now she volunteers her time and strength at the clinic, distributing food to other patients and even doing laundry. She is president of the patients group. Josephine would like to have her own business some day. Her son and daughter are very happy and say they would give MSF a cow if they had one!

Innocent eyes belie what this three-yearold girl has lived with in her short years.

Henriane has been coming to the clinic with her mother Margarite since December 2002.

Both are HIV-positive. Margarite lost her job because she is HIV-positive. She hopes to find work elsewhere but she feels that many employers won’t hire her because of her disease. When she first arrived, Henriane weighed only seven kilograms. She now receives supplementary feeding rations as part of the clinic’s nutritional program, and is also receiving prophylactic drugs to prevent opportunistic infections. The medicines she receives at the clinic go a long way to give her at least some of the energy every active three-year-old needs.

Annual Report 2003 7

Project profiles

The following project profiles highlight the countries and projects MSF Canada funded in 2003. The number of international volunteers and national staff indicated represents all members of MSF teams working on different projects in the country profiled, and not only the staff in the project MSF Canada funded.

Our financial support comes from both private donors and institutional donors, including the Canadian International Development Agency (CIDA).

8 Annual Report 2003

Afghanistan

Angola

BASIC HEALTH CARE, IDPS AND NUTRITION International staff: 107 National staff: 1,380 $350,000

BASIC HEALTH CARE AND NUTRITIONAL ASSISTANCE International staff: 125 National staff: 1,866 $1,368,005

As international attention on Afghanistan waned in 2003, security for ordinary Afghans worsened and assistance stagnated. As in 2002, hundreds of thousands of displaced Afghans attempted to return home, but faced the harsh reality of ongoing violence, economic ruin and lack of access to basic services. Nearly a million people returned to Kabul – most of which still lies in ruins – where MSF provided some medical care, blankets and tents as winter approached. Other returnees had to congregate in camps like Mashlak, near Herat, where they are entirely dependent on outside assistance. In this and other camps, MSF provided primary health care, water and sanitation systems, vaccinations, nutritional care, and helped treat tuberculosis.

The peace agreement signed by government and rebel forces in April 2002 led to great improvements in security throughout Angola. However, the humanitarian situation remains acute for many. Millions of displaced persons remain vulnerable since entire villages were razed and health infrastructure ruined.

Many people still have little or no access to enough food, basic health-care services or water and sanitation facilities. Angola continues to suffer some of the world's worst child and maternal mortality rates. Millions of landmines left in the ground continue to maim and take lives while hampering humanitarian organizations’ access to populations in need, access already restricted by poor roads and destroyed bridges.

Elsewhere, MSF’s activities include focused maternal/child health care, mobile clinics, feeding programs, support to hospitals, and treatment for diseases such as leishmaniasis and respiratory illnesses. MSF also works directly with women, who often face difficulty accessing health services owing to traditions and women’s status, by making home visits using women practitioners.

In response to the ongoing crisis, MSF continues one of its largest interventions, providing essential medical and nutritional care in most of Angola’s 18 provinces. In the isolated village of Cuimba, MSF assists residents and displaced people by supplying drugs and medical materials to the main health facility, carrying out minor rehabilitation and working closely with Angolan medical staff to deliver quality medical care. Mobile teams also visit surrounding villages to address common diseases such as scabies, offer basic health services and transfer more serious cases back to Cuimba. In Menongue, MSF also runs mobile clinics to reach rural and isolated people and supports health centres – including the paediatric ward in the hospital, as children are particularly vulnerable to common diseases such as malaria, diarrhoea and respiratory infections. In Matala, MSF also assists displaced and resident populations by supporting the main health facility and running supplementary and therapeutic feeding centres.

Unfortunately, MSF’s activities in Afghanistan are increasingly jeopardized by direct attacks on aid workers. MSF publicly denounced this trend and the tendency of coalition forces and some nongovernmental organizations to blur the distinction between military and humanitarian action. This lack of distinction places the motives of humanitarian workers under suspicion and increases the likelihood they will be targeted. MSF was forced to evacuate several of its project sites in 2003 due to insecurity, including Zhare Dasht camp near Kandahar, where 40,000 displaced persons depend entirely upon outside assistance for food, shelter, water and health care.

MSF has been present in Angola since 1983.

MSF has been operating in Afghanistan since 1980.

Annual Report 2003 9

Bangladesh

Burundi

HEALTH CARE FOR ROHINGYA REFUGEES International staff: 11 National staff: 135 $95,000

SUPPORT TO PRIMARY AND SECONDARY HEALTH SERVICES IN RUYIGI International staff: 61 National staff: 697 $424,302

Caught between persecution in their own country and the refusal of Bangladesh to grant refugee status, the Rohingya refugees have been in homeless limbo for more than a decade. This year, the Bangladeshi government stepped up pressure to repatriate the Rohingya refugee population to Myanmar as it sent thousands of them back across the border. Through personal testimony, MSF has learned that many Rohingya have been returned to Myanmar against their will, that they are frequently intimidated and harassed to leave, and that as minority Muslims they fear returning to Myanmar to face the same violence and persecution they fled.

Approximately 19,000 of the 250,000 original refugees remain in Bangladesh. They generally live in poor circumstances, in overcrowded spaces with insufficient water and food. They are barred from growing food or working outside the camps, and last year 58 per cent of the children suffered from chronic malnutrition. In September 2003, the Ministry of Health, together with the United Nations, took over health services for the remaining refugees.

MSF pulled out after 11 years of providing basic health care, running nutritional programs, bearing witness to the plight of the Rohingya and advocating for a humane and dignified solution to their predicament. As MSF left the camps, the message was reiterated that those now charged with caring for the Rohingya bear the responsibility of providing adequate protection and medical care for the refugees.

Extreme violence including widespread rape and killing, forced work, destruction of property and looting characterize Burundi’s 11-year war. After violent clashes that continued throughout most of 2003, the government of Burundi signed a ceasefire agreement with the main rebel group in November. Although other rebels did not recognize the deal, the security situation took a decided turn for the better and prompted a major humanitarian challenge as hundreds of thousands of refugees in neighbouring countries began making their way home.

In Ruyigi province, through which the bulk of returnees pass, MSF delivers primary and secondary health care. The Ruyigi team supports several health centres and a referral hospital. MSF activities include surgical work, paediatric care, treatment of sexually transmitted diseases and psychosocial care for those living with HIV/AIDS. Sexual violence in Burundi is widespread and acute and MSF has therefore paid particular attention to this problem, not only through medical activities but in advocating for prevention and proper treatment of victims.

MSF also spoke out about the government’s malaria treatment protocol that demanded the use of less effective drugs to which the parasite had grown resistant. After months of lobbying, the government introduced the far more effective artemisinin-based combination therapy (ACT) as first-line malaria treatment. MSF has since been working to make ACT available throughout the country.

MSF has worked in Burundi since 1992.

10 A n n u a l R e p o r t 2 0 0 3

Central African Republic (CAR) EMERGENCY ACCESS TO HEALTH CARE International staff: 7 National staff: 44 $306,280

After two failed attempts in 2002, former general Francois Bozizé led a successful coup d’état in March 2003. Although relative calm ensued, the violence and destruction from six months of intense fighting preceded by years of internal strife produced a massive humanitarian crisis. More than a million people were displaced in the months before the March coup, many of whom fled north into neighbouring Chad. In their desperation, many people ate their seeds and thus missed the planting season. This led to widespread malnutrition. Looting and destruction of property — including health infrastructures — were rampant, particularly in the north where many civilians were cut off from basic health services. Much of MSF’s work in 2003 was assisting displaced persons in Bangui and elsewhere in CAR, as well as in neighbouring Chad.

The combined lack of food, shelter and health care left many people particularly vulnerable to disease outbreaks. MSF responded to measles epidemics through mass vaccination campaigns in April, October and November in the northern provinces of Ouham Pendé and Ouham. MSF also answered to an outbreak of shigellosis, again in the northern provinces, lasting from June to October, and continues to maintain epidemiological surveillance for other diseases such as meningitis, hepatitis E and viral hemorrhagic fever.

In addition to these emergency responses, MSF also supports health centres, runs mobile health clinics, operates both a therapeutic feeding centre for malnourished children and a sleeping sickness program, and treats victims of sexual violence.

Chad SUPPORT TO REFUGEES FROM CENTRAL AFRICAN REPUBLIC International staff: 30 National staff: 56 $400,000

Six months of intense fighting preceded by years of chronic conflict in Central African Republic (CAR) culminated in a successful coup d’état in March of 2003. Violence, looting and destruction before and after the coup prompted a mass exodus from northern CAR into southern Chad. Some people made it to camps, others dispersed in villages whose populations sometimes more than tripled. Ongoing violence, reprisal killings, destroyed crops, ruined villages and decimated infrastructure deter the refugees from returning home. Many of them remain without adequate assistance in southern Chad.

MSF responded to this crisis by establishing temporary camps, providing medical care and reacting to disease outbreaks such as cholera, measles and meningitis for both refugees and the overburdened Chadian communities who accepted them. MSF has been providing water, shelter and medical assistance at Goré and Danamadji camps but is fast reaching the limits of its resources.

Thus many other refugees beyond MSF’s reach are not receiving sufficient care. Malnutrition, for example, was on the rise months after the main wave of refugees crossed into Chad because people had missed the planting season, had no seeds to plant, and agencies responsible for providing food rations had delivered far less than the required amounts. MSF has repeatedly called upon the international community to mount a more adequate response to this emergency. International attention on the plight of refugees in Chad has been so scant that MSF identified it as the most underreported crisis of 2003.

MSF has been working in Chad since 1981.

MSF has been present in CAR since 1997.

A n n u a l R e p o r t 2 0 0 3 11

Canadians on mission 2003 In 2003, MSF sent Canadians on a record 156 missions to more than 30 countries around the world. A total of 49 people were first-time volunteers. The average length of mission was four months. However, many projects and positions needed a longterm commitment and so 46 volunteers stayed in their mission country for more than one year. The average age of expatriate staff was 40, with the youngest being 24 years old and the most senior 70 years old. We are grateful to these hard-working Canadians for being another integral part of MSF. Afghanistan 1 Kathleen Bochsler Émilie Chagnon Alexandra Conseil David Croft Mike Fark Johanna Geraci Judy McConnery Chentale de Montigny Tanguy Paquot Michel Plouffe Patrick Robitaille Anu Sharma Darryl Stellmach

Chris Carter Tama Cross Erin Culley Ivan Gayton Dale Greene Pierre Kronstrom Bruce Lampard Michelle Milne Alnaaze Nathoo Jason Peat Dominique Proteau François Riffaud Claude Trépanier

Chad 5 Angola 2 Dany Châteauvert Danielle Morin Gabriele Pahl Hélène Poliquin

Bangladesh 3 Violet Baron

Burundi 4 Kyra Abbott Francine Bélisle

12 A n n u a l R e p o r t 2 0 0 3

Randy Bareham André Fortin Sylvain Groulx Clea Kahn Dolores Ladouceur Philippe Mougeot Jean-François Nouveaux Patrice Richard Carmen Thibault Caroline Tourigny

Democratic Republic of Congo 6 Maryse Bonnel Yves Cantin Alexandra Conseil Sophie-Geneviève Gagnon Sylvain Groulx Thomas Kelley Reine Lebel Maureen Mayhew Josée Pepin Patricia Simpson Clive Strauss Heather Thomson David Tu Julienne Turcotte

Daniel Smutylo Jody Thomas Selig Wilansky

Georgia 8 Dale Greene

Guinea 9 André Munger Michel Paradis

India 10 Sidne Maddison James Squier

Ivory Coast 13

Mauritania 16

Alain Calame Lia Copeland Moya Crangle Vincent Echavé Serena Kasparian Thierry Petry Dominique Proteau Julia Puttergill Jangh Bhadur Rai Katiana Rivette Jon Soehl Vanessa Van Schoor Frederick Wiegand Richard Zereik

Marisa Cutrone

Serena Kasparian Jennifer Weterings

Myanmar 17

Russia 22

Marilyn Abraham Stephanie Faubert

John McNern Ben Reentovich

Nepal 18

Sierra Leone 23

Pierre Kronstrom Robert Parker Gillian Small

Adrienne Carter Kevin Coppock Tama Cross Johanna Geraci Joe Leberer Nima Rabbani

Isabelle Aubry Frank Boyce Anders Lonnqvist Marie-Hélène Mayrand Cheryl McDermid Michel Plouffe

Nicole Fulton Joanne Liu

Iran 11 Yvan Marquis

Kenya 14 Françoise Goutier

Johana Amar Jérôme Aubin Joni Guptill Marilyn Hurrell Reine Lebel Yvan Marquis Theo Murphy Anu Sharma Patricia Simpson

Chantal Chabot Lia Copeland Nancy Dale Steve Dennis Janice Kopinak Jean-Sébastien Matte Marie-Hélène Mayrand David Michalski Tiffany Moore Kathleen Skinnider

Tajikistan 28 Randel Bareham

Somalia 24

Iraq 12 Ethiopia 7

Nigeria 19

Sudan 27

Palestinian Territories 20 Lynne Chobotar

Liberia 15 Wei Cheng Sylvain Groulx Maya Harari Joe Leberer Jean-Sébastien Matte Brian Ostrow Marie Skinnider

Republic of Congo 21 Gilles Beaucage Frédéric Beaudoin Lindsay Bryson Claudette Chayer Mario Cusson Tammy Hinsche

Sylvain Deslippes Mario Fortin Sharon Janzen Nicola Woolley

Uganda 29 David Johnston Karin Sutherland

Uzbekistan 30 South Africa 25

Aloma Boyce

Peter Saranchuk

Zimbabwe 31 Sri Lanka 26 Adam Childs Doug Kittle Chris Warren

Mariam Adam

22

8

30 28

12

20

11

1 18

3

5 9

27

19

7

13

23

17

10

16

24 26

15 29 21

6 4

2

31

25

14

Colombia

Costa Rica

PRIMARY HEALTH-CARE SUPPORT International staff: 37 National staff: 126 $100,000

COSTA RICA REGIONAL OFFICE International staff: 1 National staff: 1 $100,000

One of the longest-standing conflicts in the world continued to take a devastating toll on ordinary Colombians in 2003. Despite an agreement to disarm one of Colombia’s right-wing paramilitary groups, government and rebel clashes continued with civilians caught in their midst. An estimated three million people have been displaced in this conflict. Hundreds of thousands have sought refuge in urban areas where they face overcrowding, acute poverty, rape, gang violence, exploitation, hunger and disease. Those caught in rural areas are isolated and vulnerable to attacks and extortion and often lack basic health care as health facilities are few and far between, regularly looted and their staff attacked.

Diseases such as malaria, leishmaniasis, tuberculosis, diarrhoea and respiratory infections as well as malnutrition chronically affect the vulnerable populations. MSF runs programs to support health centres and hospitals to treat the sick and injured while placing emphasis on particular groups at risk through maternal/child health care and psychological support to those suffering the effects of this ongoing war. MSF also runs mobile clinics and responds to outbreaks of communicable diseases, often in areas where no other health services are available. Unfortunately, even these basic services are frequently denied as warring parties block MSF from reaching those in need. Attacks on humanitarian workers are not uncommon and hinder access to some areas where the risk of attack is too high. In such areas, the risk to civilians is even higher and, in the absence of international aid workers, the violence goes unchecked.

As international attention turned elsewhere in 2003 the humanitarian crisis in Colombia persisted. MSF thus highlighted this situation as among the most underreported humanitarian stories in the media in 2003.

MSF has been working in Colombia since 1985.

14 A n n u a l R e p o r t 2 0 0 3

In 1992, MSF established a regional office for emergency preparedness and response in San José, Costa Rica. The office supports all MSF missions in Latin America in preventive efforts and emergency response. MSF teams offer training workshops on emergency related topics, monitor and update emergency stock, and carry out rapid assessment missions. Using a regional network of contacts, MSF consistently provides rapid assistance in manmade and natural disasters throughout Latin America. The regional office also works with five other organizations to maintain the Regional Centre for Information and Disasters in San José. This centre houses thousands of documents, technical reports and specialized magazines used for training and communication.

MSF activities in Latin America include environmental sanitation, community education, rehabilitation, improvement of drinking water systems, prevention of sexually transmitted diseases, and a focus on treating HIV/AIDS patients.

MSF also assists refugees who return to their countries of origin and has responded to dozens of emergencies in the region over the last several years.

MSF has been present in Latin America for more than 15 years.

Democratic Republic of Congo (DRC) HEALTH SUPPORT IN EASTERN DRC International staff: 158 National staff: 1,600 $825,000

Although peace was struck in Democratic Republic of Congo in June 2003, with hopeful signs of an end to the five-year international war, violence and insecurity continued to characterize large parts of eastern DRC. Ethnic clashes, recruitment of child soldiers, widespread looting, rape and violence continued unchecked, adding to the devastating human toll of this war in which more than three million people died between 1998 and 2001 alone. According to testimony gathered by MSF field teams, international humanitarian law has been repeatedly and egregiously violated in eastern DRC. There are many different groups and factions involved in the conflict, all of whom are guilty of harming civilians, often deliberately targeting them. Despite the expansion of the United Nations peacekeeping force’s mandate in 2003, many civilians live under a constant threat of violence. MSF has repeatedly drawn attention to the lack of protection and humanitarian action in eastern DRC in an effort to prompt a more adequate response from the international community.

El Salvador HIV/AIDS International staff: 6 National staff: 24 $350,000

MSF’s activities in El Salvador came to a close in 2003 after more than four years of work in the country. MSF’s primary focus was on HIV/AIDS, targeting segments of the population that suffer particularly high prevalence rates. In San Salvador, MSF focused on preventing mother to child transmission of HIV and provided treatment to nearly 300 mother-child pairs. MSF also targeted sex workers, primarily through health education on the spread of HIV/AIDS and condom distribution. Hands-on activities ended mid-year. However, MSF continued advocating to the Ministry of Health and other actors to improve access to quality care for HIV-positive women, children and other vulnerable groups, and to promote proper voluntary testing and counselling. Before closing the mission at year’s end, MSF also provided extra training for staff in several health facilities in treating and preventing HIV/AIDS. MSF worked in El Salvador from 1983 to 1992, during the civil war, and returned at the end of 1998 in response to hurricane Mitch.

The combination of a ruined health-care system and the difficulty aid workers face when negotiating safe passage to remote and insecure areas leaves millions of people without access to adequate health care. MSF operates one of its largest missions in DRC, with activities using nearly the full spectrum of MSF expertise. MSF supports primary and secondary health facilities, water and sanitation activities, and nutritional programmes, as well as emergency response and targeted programmes aimed at diseases like malaria, sleeping sickness, tuberculosis and HIV/AIDS. In Katanga province, MSF delivers basic health-care services to displaced persons and isolated communities through mobile clinics, supports health centres and a hospital, runs therapeutic and supplementary feeding programmes and manages a cholera treatment camp.

MSF also remains emergency prepared and in June of 2003 vaccinated 30,000 children in response to a measles outbreak.

MSF has been active in DRC since 1981.

A n n u a l R e p o r t 2 0 0 3 15

Honduras

Iraq

HIV/AIDS International staff: 12 National staff: 44 $400,000

HEALTH-CARE SUPPORT PROGRAMME International staff: 20 National staff: 108 $555,000

More than half the cases of HIV/AIDS in Central America are in Honduras, where the prevalence of infection is among the highest in the world outside Africa. Rates are as high as 14 per cent in certain vulnerable groups, many of whom cannot access proper treatment owing to a persistent stigma against infected people as well as government policies aimed at prevention rather than treatment. MSF has thus been working closely with the Ministry of Health and civil society groups to emphasise the importance of treatment and has led the way in developing a comprehensive HIV/AIDS program. MSF supports a hospital in La Ceiba and a clinic in Tela, both near the northern coast of Honduras where HIV/AIDS rates are the highest in the country.

Activities focus on comprehensive care, including quality treatment using antiretroviral drugs (ARVs), and psychosocial support integrated with local nongovernmental organizations and communities.

One of the main factors aggravating the spread of HIV/AIDS in Honduras, as in other poor countries, is that the price of ARVs has typically been prohibitively expensive for most of the population. MSF has therefore linked the Honduras project to its international Access to Essential Medicines Campaign, the focus of which is to get the prices of essential medicines lowered so more people can afford them and benefit from them.

MSF has been working on HIV/AIDS in Honduras since 1998.

16 A n n u a l R e p o r t 2 0 0 3

More than a decade of comprehensive UN-imposed sanctions against Iraq hit the most vulnerable segments of the population hardest. Health-care services steadily declined and children in particular suffered the effects of an increase in malnutrition-related diseases. International assistance to these populations was severely curtailed by Iraqi government policies. MSF operated in Iraq from 1988 until 1992, when the Iraqi government refused to renew MSF visas.

Since that time, the government has demanded unacceptable conditions for working in Iraq that would essentially undermine MSF’s charter by compromising the principles of independence and impartiality.

In the run up to the U.S.-led invasion of Iraq in April 2003, MSF began preparing for the worst by placing emergency teams in Kuwait, Jordan, Syria, Turkey and Iran. MSF finally negotiated access back into Iraq in March 2003 and immediately undertook a thorough assessment of health structures.

MSF began supporting emergency surgery in Baghdad, assisting several health centres, and improving water and sanitation facilities in Sadr City, and in Basra and Missan provided drugs, supplies and supervision to 16 health facilities.

In this politically charged context, civilians live in constant fear and insecurity and humanitarian workers take significant risks to provide assistance.

On April 2, 2003, two members of MSF’s team in Iraq were abducted. They were released nine days later, but the incident highlights the risk of operating as a neutral and impartial actor in the midst of this highly politicized conflict where westerners, regardless of their motives, may be perceived as linked to the invading force and thus targeted.

Ivory Coast

Laos

EMERGENCY MEDICAL ASSISTANCE IN WESTERN IVORY COAST International staff: 57 National staff: 454 $707,750

HIV/AIDS IN SAVANNAKHET PROVINCE International staff: 5 National staff: 23 $200,000

War broke out in Ivory Coast in September 2002 with harsh consequences for civilians, particularly in the north and the “Wild West,” where Ivorian and Liberian militia engaged in widespread looting, rape and other forms of violence, burning villages and causing general destruction. Many people lost their homes and their means of survival and were cut off from basic services, including health care. Many fled on foot, travelling long distances that sometimes took them across international borders. Others escaped into the bush where they were generally safer but unable to harvest their crops or plant new ones, leading to a cycle of malnutrition that hit children hardest.

The combination of insecurity and a crumbling health system left many people without access to health services, particularly in the north and west.

MSF thus expanded previous activities to include emergency medical care on both sides of the front line for residents and displaced persons. MSF supports hospitals focusing on emergency care including surgery, aids health centres, and brings primary care to people in isolated or insecure places through mobile clinics. Therapeutic and supplementary feeding centres provide urgent nutritional care to malnourished children. MSF maintains active surveillance and emergency preparedness, and responded to a measles outbreak near the Liberian border with a mass vaccination campaign.

Health indicators in Laos are among the lowest in southeast Asia. A weak health infrastructure and scarce medicines make it difficult for people to access quality health services, particularly since most of them live in rural areas. One of the major emerging health risks for Laotians is HIV/AIDS, though official recognition of the problem underestimates its severity.

MSF’s program fills a gap in the Laotian system by providing quality treatment and support for people infected with HIV/AIDS. MSF supports the main hospital in the southern province of Savannakhet, engaging in a wide range of HIV/AIDS related activities. MSF provides medicines, including antiretroviral drugs, and trains health workers not only to deal with HIV/AIDS but also to integrate the diagnosis and treatment of other sexually transmitted diseases and opportunistic infections such as tuberculosis. The program also includes voluntary testing and counselling as well as psychosocial care and follow-up with HIV/AIDS patients. MSF also reaches into the community through a system of home-based care, and promotes greater social and official awareness and acceptance of those living with the disease.

MSF first worked in Laos in 1989, accompanying Laotian refugees returning home from Thailand after the communist regime reopened the borders.

MSF has been operational in Ivory Coast since 1990.

A n n u a l R e p o r t 2 0 0 3 17

Liberia

Mexico

EMERGENCY HEALTH-CARE PROGRAMME International staff: 44 National staff: 300 $383,778

BASIC HEALTH CARE, NEGLECTED DISEASES EDUCATION International staff: 6 National staff: 22 $310,000

Although MSF maintained activities in Liberia throughout 2003, war escalated to the point that insecurity prevented international aid workers from accessing populations in most parts of the country. In June and July, when three successive rebel attacks on Monrovia forced most international actors to evacuate the country, MSF maintained reduced teams and provided emergency primary and secondary health care as well as water and sanitation activities wherever possible. Schools, stadiums and even MSF homes became makeshift hospital wards and outpatient departments.

A peace deal was struck between the two main rebel forces (LURD and MODEL) and the government in August. A government of national unity was installed and international peacekeepers began to deploy. All of this led to improved security conditions. As the security situation eased, MSF expanded its medical programs in Monrovia and was able to move out to Buchanan, Liberia’s second largest city, and eventually to other areas. As MSF gained access to isolated areas, the extent of suffering was revealed. Civilians had been and in many cases were still being subjected to brutal violence and degradation. Villages were burned and destroyed, people were forced to flee their homes, families were torn apart, children forcibly recruited into military service, women raped, and crops, livestock and valuables were systematically looted or sometimes simply destroyed. MSF immediately began providing basic health services through fixed and mobile clinics, supporting hospitals and providing nutritional assistance through therapeutic and supplementary feeding centres. MSF also vaccinated children in response to a measles outbreak and remains prepared to respond to other diseases such as cholera and yellow fever.

MSF has been in Liberia since the beginning of war in 1990.

18 A n n u a l R e p o r t 2 0 0 3

In the state of Chiapas, years of neglect and poverty fomented a grassroots rebellion centred on indigenous rights, culminating in the Zapatista uprising of 1994. With the disbanding of the military wing of the Zapatista movement in August of 2003 and a marked decrease in state-sponsored repression, tensions in Chiapas have eased. However, years of marginalization, inefficient health systems and Zapatista self-exclusion from state services have left many rural and indigenous peoples without access to adequate health care.

In 2003, MSF projects in Chiapas and Guerrero states focused on delivering basic health care to isolated communities through mobile clinics and home visits, with emphasis on maternal/child health care, nutritional screening and vaccination. However, as tensions ease and other actors step in to provide medical services, MSF has shifted priorities in Mexico. Part of phasing out current MSF activities meant extra emphasis on training health staff to carry on work and rehabilitating several health structures. MSF has now begun to turn its attention toward building awareness and formulating a response to two neglected diseases in Mexico: chagas and trachoma. MSF also remains prepared to respond to natural and manmade emergencies.

MSF first worked in Mexico in 1994 and has had a continuous presence since 1997.

Nepal

Republic of Congo

BASIC HEALTH CARE AND PSYCHOLOGICAL SUPPORT International staff: 18 National staff: 39 $380,000

TRYPANOSOMIASIS (SLEEPING SICKNESS) IN BOUENZA International staff: 31 National staff: 287 $550,000

Maoist rebels launched an insurgency against government forces in Nepal in early 1996. Since then, the chronic conflict has claimed thousands of lives and substantially weakened the health system. In August 2003, the Maoists withdrew from a seven-month ceasefire, sparking renewed and sharply heightened violence on both sides in which civilians were the main victims.

Late in 2003, the government added fuel to this already inflamed conflict by arming civilians in villages and encouraging them to resist the Maoists.

MSF began operations in Nepal in January 2003. In Jumla district, MSF provides medical services in government and Maoist-controlled areas. MSF supports the government hospital in Jumla town and extends services to rural health posts in Maoist territory up to four hours walk away. MSF is delivering essential basic health care to isolated people and also providing transport for patients, many of whom would not otherwise be able to access secondary health services. MSF also works with a local nongovernmental organization in Nepalganj to provide shelter and psychological support to women fleeing the conflict in Jumla and other areas.

Unfortunately, by late in the year, the government of Nepal began to manipulate MSF and other NGOs for political gain. Fearing that MSF’s assistance might aid the rebel movement, the government has attempted to curtail MSF activities. MSF staff face difficulties in obtaining proper work visas and access to Maoist-controlled areas is hindered. In Rukum district, for example, government restrictions limit MSF to assisting only a small number of health posts.

In March 2003, the government and the main rebel group (the Ninjas) reaffirmed their commitment to peace and agreed to a ceasefire, ostensibly ending a year of hostilities in Republic of Congo. Immediate improvements in the general security environment followed the agreement, but tensions began to build again as the disarmament process was delayed. Security incidents increased, making MSF’s work more risky and reducing access to populations where the international community’s humanitarian response is already comparatively weak. The humanitarian needs, however, demand greater attention as violence directed against civilians is frequent and deadly diseases often go unchecked.

In Bouenza, MSF’s project focuses on combating trypanosomiasis.

“Sleeping sickness” does not affect large portions of the population, but it is deadly for those who contract it and the government’s national protocol for treatment is inadequate. Official first-line treatment uses drugs so toxic that one in 20 patients dies from the side effects. MSF’s program is geared towards screening tens of thousands of people in rural areas and offering treatment with adequate medicines. MSF also advocates to raise international awareness of this neglected disease and to push for the production of more effective medicines.

MSF has been working in Republic of Congo since 1997.

A n n u a l R e p o r t 2 0 0 3 19

Sierra Leone

Sudan

SUPPORT TO PRIMARY AND SECONDARY HEALTH CARE International staff: 92 National staff: 717 $350,000

HEALTH-CARE SERVICES IN SOUTHERN SUDAN International staff: 127 National staff: 1,853 $1,135,000

Sierra Leone continues along the challenging road to reconstruction after 11 years of devastating civil conflict. Many people, including residents, returnees and refugees from neighbouring Liberia remain vulnerable and without access to proper medical services. Displaced persons in camps in eastern Sierra Leone are frequently subjected to rape and other forms of violence. MSF provides medical and psychological care to victims of sexual violence in the camps, and runs sexual and gender-based violence workshops aimed at increasing community involvement in combating the problem of sexual violence. In other parts of Sierra Leone, MSF supports eight hospitals and more than 30 clinics. Through mobile clinics and a system of home visits, MSF is also able to bring basic health care to many who might otherwise receive little or none. MSF also responds to disease outbreaks such as yellow fever, lassa fever and measles through vaccination campaigns, and fights malnutrition through therapeutic and supplementary feeding programs.

In an effort to improve the country’s malaria treatment plan, MSF helped conduct a malaria study. The results showed that current first-line treatments are far less effective than artemisinin-based combination therapy (ACT). MSF has thus been pressuring the government to adopt ACT and adjust the national malaria treatment protocol accordingly.

MSF began working in Sierra Leone in 1986.

20 A n n u a l R e p o r t 2 0 0 3

During the past 20 years of war in southern Sudan, as many as two million people have died and many others have been subjected to brutal violence, rape, looting and destruction of crops and homes. Approximately 80 per cent of the population of southern Sudan have been displaced from their homes.

In September 2003, the government of Sudan and the rebel group SPLA/M struck a peace deal. Though threatened by insecurity in the north, the auspicious deal appears to be leading to improvements in the security situation in southern Sudan.

Despite this progress, many people in southern Sudan continue to live in extreme poverty and remain vulnerable to hunger and disease. Kala-azar (leishmaniasis), endemic to the region, runs in cycles that peaked in 2003 and reached epidemic proportions. Malnutrition, also particularly acute in 2003 owing to a serious food crisis in April, exacerbated the impact of kalaazar. Malaria also hit southern Sudan particularly hard this year.

Hunger and disease combined with woefully inadequate health facilities leave many people highly vulnerable in southern Sudan. Since 1988, MSF has been providing nutritional relief and basic health care, running programs targeting specific diseases and responding to outbreaks of communicable diseases. In the region of Western Upper Nile, MSF’s mission addresses primary health care through in- and outpatient services, and targets treatment of kala-azar and tuberculosis while remaining emergency-prepared.

A Refugee Camp in the City: On Assignment

The idea to produce an educational kit was borne from the fact that many youth were unable to attend the fully booked A Refugee Camp in the City exhibition that travelled throughout Canada in 2001. The kit was developed, produced and tested with Canadian educators, subject specialists, nongovernmental organizations working with refugees, federal government departments who work with refugees, and youth.

Through interviews with volunteers at A Refugee Camp in the City exhibit, interviews with youth who came to Canada as refugees, and internet dialogue, the two students in the video learn about life in a refugee camp and prepare a school assignment based on their research. The video is broken down into four cuts, with topics that include: Displaced People, Basic Human Needs, Refugee Camp Life, and Health Care.

A 60-page teacher’s guide was also produced as a companion to the video. It has 15 lesson areas, including: The Use of Words; Forced to Leave; Finding Refuge; Life Inside the Camp; Refugees Coming to Canada; Canada’s Role at Home and in the World; and From Refugee to Canadian Leader.

Russia © MSF

In October of 2003 MSF Canada launched A Refugee Camp in the City: On Assignment. The educational kit, a combination of video and teacher’s guide, was created to foster better understanding in young Canadians about the hardships experienced by millions of displaced people in the world every day.

Arjan Erkel freed April 11, 2004. Arjan Erkel has been freed. He is now safe at home in Holland with his family.

The MSF volunteer and Head of Mission in Dagestan, was taken hostage on Aug. 12, 2002 and was held for a total of 607 days.

Arjan was reunited with his father, Dick Erkel, at the Moscow airport on April 11. Dick Erkel flew out on a Dutch military flight that was specifically dispatched to bring Arjan back to Holland.

Father and son were reunited and then flew home together.

MSF heard news of Arjan's release when representatives received a call at 3 a.m. local time on April 11 from a group called the Veterans of Foreign Intelligence (VFA). The Erkel family was immediately informed.

The production of the kit was funded by grants received from the Ontario Trillium Foundation, the Multiculturalism Program of the Department of Canadian Heritage, the Government of Canada, and the International Development Research Centre.

During the nearly 20 months of his capture, Canadians rallied with others around the world to show their support for efforts to secure Arjan’s release. In 2003, more than 450,000 people worldwide signed a petition calling for his immediate liberation.

The Globe and Mail newspaper donated space for ads urging people to sign the petition, and authors such as Margaret Atwood, Michael Ondaatje, Karen Connelly and Ronald Wright joined the appeal.

By understanding the realities of displaced people, MSF believes we can mitigate racism and promote tolerance towards refugees in our own home society.

MSF is delighted Arjan is now safe with his family after this ordeal.

A n n u a l R e p o r t 2 0 0 3 21

Access to Essential Medicines Campaign Raising awareness and bringing down barriers in the name of access for all

Ethiopia © Jean Marc Giboux

We disseminated and collected over 16,000 petitions, including thousands from our donors, urging the Canadian government and G8 leaders to fulfill commitments to fight infectious diseases. Our advocacy and petition on the theme Medicine Shouldn’t Be A Luxury culminated in a march on Parliament Hill on May 20, 2003, when, together with members of the Global Treatment Access Group (GTAG), we handed our petitions to the Prime Minister’s Office.

As a medical humanitarian organization, it is fundamentally unacceptable to MSF that access to essential medicines is increasingly impossible, particularly for the most common global infectious diseases. The Access to Essential Medicines Campaign pushes to lower the prices of existing medicines, to bring abandoned drugs back into production, to stimulate research and development for diseases that primarily affect the poor, and to overcome other barriers to access.

In 2003, our returned field volunteers, staff, board members and volunteers across Canada participated in many activities – from street theatre to presentations before Parliament – in attempts to reach the campaign objective: to provide new tools to respond to the needs of neglected patients and to positively impact on medical practices, within and outside MSF projects.

22 A n n u a l R e p o r t 2 0 0 3

Since the monumental Doha Declaration in 2001, in which countries in the World Trade Organization unequivocally recognized that access to medicines should have primacy over commercial interests, we have encouraged countries to interpret the treaty in a manner that protects public health and promotes access to medicines for all.

In summer and autumn this year we worked to try to ensure that national legislation take full advantage of available trade flexibilities for access to medicines, and that regional agreements, such as the Free Trade Area of the Americas (FTAA), do not trade away health.

Unexpectedly, in October, the Canadian government heeded the call to incorporate trade flexibilities into national legislation, announcing that Canada would amend its patent act to allow for export of generic medicines to poor countries. This presented a significant opportunity for MSF Canada to insist the government make an effective amendment.

As a result of MSF Canada’s campaign activities, through our collaboration with GTAG members, and with the government’s efforts to amend our patent law, an increasing number of Canadians became aware of and indignant about the lack of access to life-saving medicines for poor people.

Our activities are stepping stones to the urgent accomplishment we hope to make in the near future: sustainable, long-term solutions to achieve medicines for all.

Bill C-9 patent law Will Canada protect patents over patients?

South Africa © Christian Schwetz

The bill also excludes developing countries – such as Iraq and Iran – from importing Canadian generic drugs.

On Feb. 26, 2004, Médecins Sans Frontières presented its concerns with Bill C-9 (an amendment to Canada's Patent Act and Food and Drugs Act) to the House of Commons Standing Committee on Industry, Science and Technology. MSF told the committee the proposed bill was unacceptable and would fail to save the lives of patients in developing countries.

Currently at stake in Bill C-9 is a clause that would limit the types of drugs that can be exported. Some fixed-dose combination antiretroviral drugs, recommended by the World Health Organisation for people living with HIV/AIDS, do not even appear on the list, for example.

MSF was relieved however, when the Canadian government decided in April of 2004 to remove the most contentious clause, known as “right of first refusal,” which would have invited anti-competitive strategies from multinational pharmaceutical companies. This clause was finally recognized by the government as protectionist of brand-name interests and was removed after months of intense lobbying by MSF and other Canadian and international nongovernmental organizations.

Also removed was a clause that allowed only a government of a developing country — or an agent of that government — to enter into a contract with a Canadian generic manufacturer. Non-governmental organizations such as MSF, United Nations’ organizations, and the International Committee of the Red Cross, will now be permitted to contract generic companies to import generic medicines.

The Liberals plan to introduce before the federal election a final version of Bill C-9 to the House of Commons. This is an incredible opportunity for Canada – to be the first G8 country to implement legislation that allows developing countries access to affordable medicines from Canadian generic drug producers. However, if the bill is introduced with its remaining flaws, the legislation still threatens to merely reinforce a life-threatening status quo: patents over patients.

A n n u a l R e p o r t 2 0 0 3 23

Auditors’ report

To the Members of Doctors Without Borders Canada/ Médecins Sans Frontières Canada

We have audited the statement of financial position of Doctors Without Borders Canada/Médecins Sans Frontières Canada as at December 31, 2003 and the statements of operations, changes in net assets and cash flows for the year then ended. These financial statements are the responsibility of the Organization's management. Our responsibility is to express an opinion on these financial statements based on our audit.

Except as explained in the following paragraph, we conducted our audit in accordance with Canadian generally accepted auditing standards. Those standards require that we plan and perform an audit to obtain reasonable assurance whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation.

In common with many non-profit organizations, the Organization derives revenue from donations, the completeness of which is not susceptible of satisfactory audit verification. Accordingly, our verification of this revenue was limited to the amounts recorded in the records of the Organization and we were not able to determine whether any adjustments might be necessary to donations, excess of revenue over expenses, assets and net assets.

In our opinion, except for the effect of adjustments, if any, which we might have determined to be necessary had we been able to satisfy ourselves concerning the completeness of the revenue referred to in the preceding paragraph, these financial statements present fairly, in all material respects, the financial position of the Organization as at December 31, 2003 and the results of its operations and its cash flows for the year then ended in accordance with Canadian generally accepted accounting principles. As required by the Canada Corporations Act, we report that, in our opinion, these principles have been applied on a basis consistent with that of the preceding year.

The comparative figures for 2002 were reported on by another firm of chartered accountants.

Chartered Accountants Toronto, Canada March 5, 2004

24 A n n u a l R e p o r t 2 0 0 3

Médecins Sans Frontières Canada / Doctors Without Borders Canada Incorporated under the laws of Canada

Statement of Operations

Statement of Financial Position

Year ended December 31, 2003, with comparative figures for 2002

2003

December 31, 2003, with comparative figures for 2002

ASSETS Current assets: Cash and cash equivalents Accounts receivable [note 2] Prepaid expenses

Investments [note 3] Capital assets [note 4]

$ 3,138,682 1,310,014 24,544 549,762 5,023,002 62,335 $ 5,085,337

LIABILITIES AND NET ASSETS Current liabilities: Accounts payable and accrued liabilities Deferred contributions [note 5]

Net assets: Invested in capital assets Unrestricted

2002 (Restated-Note 11)

$ 863,158 36,671 899,829

62,335 4,123,173 4,185,508 $ 5,085,337

$ 4,491,418 2,401,584 13,537 496,250 7,402,789 54,960 $ 7,457,749

$ 1,334,690 559,526 1,894,216

54,960 5,508,573 5,563,533 $ 7,457,749

REVENUE: Support from Canadian International Development Agency [note 6] Donations Support from MSF Holland More Than Bandages [note 5] Interest income Other

2003

2002 (Restated-Note 11)

$ 4,014,276 9,379,108 – – 98,208 171,748 13,663,340

$ 3,025,291 8,987,955 900,000 321,625 104,153 42,991 13,382,015

10,049,352 1,041,572 1,198,879 55,689 12,345,492

7,949,438 1,014,867 707,514 321,625 9,993,444

372,942 2,322,931 2,695,873 15,041,365 Excess of revenue over expenses (expenses over revenue) $ (1,378,025)

315,447 1,979,057 2,294,504 12,287,948 $ 1,094,067

EXPENSES: Program services: Emergency and medical projects [note 6 and 7] Public education [note 8] Program support and development [note 8] More Than Bandages [note 5]

Supporting services: Management and general [note 8] Fundraising [note 8]

See accompanying notes to financial statements.

See accompanying notes to financial statements.

On behalf of the Board:

Dr. Leslie Shanks President, MSF Canada

Christopher Doll Director

A n n u a l R e p o r t 2 0 0 3 25

Statement of Changes in Net Assets

Notes to Financial Statements 2002

2003

Year ended December 31, 2003, with comparative figures for 2002

Adjusted net assets, beginning of year [note 11] Excess of revenue over expenses (expenses over revenue) Purchase of capital assets Net assets, end of year

Invested in Unrestricted captal assets

Total

Total

$ 5,508,573

$ 54,960 $ 5,563,533 $ 4,469,466

(1,342,956) (42,444) $ 4,123,173

(35,069) (1,378,025) 1,094,067 42,444 – – $ 62,335 $ 4,185,508 $ 5,563,533

See accompanying notes to financial statements.

Statement of Cash Flows Year ended December 31, 2003, with comparative figures for 2002

2003

Cash provided by (used in): OPERATING ACTIVITIES Excess of revenue over expenses (expenses over revenue) $ (1,378,025) Amortization of capital assets which does not involve cash 35,069 Change in non-cash operating working capital: Accounts receivable 1,091,570 Prepaid expenses (11,007) Accounts payable and accrued liabilities (471,532) Deferred contributions (522,855) (1,256,780) INVESTING ACTIVITIES Sale (purchase) of investments, net Purchase of capital assets

Increase (decrease) in cash and cash equivalents Cash and cash equivalents, beginning of year Cash and cash equivalents, end of year See accompanying notes to financial statements.

26 A n n u a l R e p o r t 2 0 0 3

2002 (Restated-Note 11)

$ 1,094,067 24,225 (749,837) 2,527 996,084 107,225 1,474,291

(53,512) (42,444) (95,956)

1,000 (37,129) (36,129)

(1,352,736) 4,491,418 $ 3,138,682

1,438,162 3,053,256 $ 4,491,418

Year ended December 31, 2003

Doctors Without Borders Canada/Médecins Sans Frontières Canada ("MSF Canada") actively commenced operations on January 1, 1992. MSF Canada offers assistance to populations in distress, victims of natural or manmade disasters and victims of armed conflict, without discrimination and irrespective of race, religion, creed or political affiliation.

MSF Canada is a registered charity under the Income Tax Act (Canada) and, while registered, is exempt from income taxes.

1. Significant accounting policies: These financial statements have been prepared in accordance with Canadian generally accepted accounting principles. The significant accounting policies are summarized as follows: (a) Cash and cash equivalents: Cash and cash equivalents consist of cash on hand and short-term investments with original maturities of less than 90 days. (b) Investments: Investments are recorded at market value. (c) Revenue recognition: MSF Canada follows the deferral method of accounting for contributions. Unrestricted contributions are recognized when received or receivable if the amount to be received can be reasonably estimated and collection is reasonably assured. Donations are recognized on a cash basis since pledges are not legally enforceable claims. Externally restricted contributions are recognized as revenue in the period in which the related expenses are incurred. (d) Capital assets: Capital assets consist of office equipment and leasehold improvements. These costs are capitalized and amortized on a straight-line basis using an estimated useful life of three years. (e) Contributed materials and services: Doctors and other volunteers contribute a significant amount of time in support of MSF Canada.

However, as this time cannot be easily valued, contributed services are not recognized in the financial statements. Contributed materials are also not recognized. (f) Use of estimates: The preparation of financial statements requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the year. Actual results could differ from those estimates.

Notes to Financial Statements (continued) 2. Accounts receivable: 2003 2002 $ 999,289 $ 1,312,617 – 696,000 146,209 130,863 97,422 63,988 67,094 198,116 $ 1,310,014 $ 2,401,584 Donations receivable represent donations made to MSF Canada up to and including December 31, 2002, but received and receipted by MSF Canada in January 2003.

Donations receivable Canadian International Development Agency MSF Holland Other MSF organizations Other

3. Investments: Investments represent a variable rate Dow Jones Industrial Average Linked Deposit Note from a chartered bank with a minimum annualized compounded rate of return of 2.83% and a maturity date of November 2, 2006.

4. Capital assets:

Office equipment Leasehold improvements

Cost $ 203,532 3,274 $ 206,806

Accumulated ammortization $ 142,842 1,629 $ 144,471

2003

2002

Net book value $ 60,690 1,645 $ 62,335

Net book value $ 54,960 – $ 54,960

5. Deferred contributions: Deferred contributions represent funds received for special projects (2003 - Educational Video on Refugees, 2002 - More Than Bandages). The continuity of this balance is as follows: 2003 2002 Deferred contributions, beginning of year $ 559,526 $ 452,301 Receipts from MSF Germany – 274,773 Receipts from other sources 21,562 154,077 Program expenditures (138,968) (321,625) Refund of unspent amount (405,449) – Deferred contributions, end of year $ 36,671 $ 559,526

6. Canadian International Development Agency ("CIDA"): MSF Canada solicits funds for projects being undertaken by MSF worldwide from CIDA. CIDA funds a number of these projects and grants the funding to MSF Canada. MSF Canada retains between 4% and 5% (2002 - 5% and 7-1/2%) of the CIDA funds to cover its project co-ordination, administration and overhead costs. MSF Canada enters into an agency agreement with the operational MSF section that will carry out the project and passes on the CIDA funds to that section. At the conclusion of the project, the operational section accounts for the funds to MSF Canada. MSF Canada reviews these accounts and presents them to CIDA. To the extent that the funds are not fully spent, they are returned by the operational section to MSF Canada and by MSF Canada to CIDA. 2003 2002 New grants recognized as revenue $ 4,014,276 $ 3,025,291 Grants disbursed by country: Angola $ 1,074,285 $ 594,745 Bangladesh 95,000 142,500 Burundi 424,302 – Côte d'Ivoire 708,613 – Democratic Republic of Congo 475,000 691,600 Liberia 563,778 306,375 Sierra Leone – 480,700 Sri Lanka – 285,000 Sudan 475,000 380,000 Other - nutritional indicators workshop in Washington – 791 $ 3,815,978

$ 2,881,711

The grants disbursed are included in program services expenses - emergency and medical projects.

For the year ended December 31, 2003, the difference between net grants recognized as revenue and grants disbursed represents project coordination, administration and overhead expenses totalling $198,298 (2002 - $143,580).

A n n u a l R e p o r t 2 0 0 3 27

Notes to Financial Statements (continued) 7. Emergency, medical, nutrition and health projects by country: 2003 Projects funded by CIDA [note 6] $ 3,815,978 Afghanistan 350,000 Angola 293,720 Armenia – Central African Republic 306,280 Chad 400,000 Colombia 100,000 Congo - Brazzaville 550,000 Costa Rica 100,000 Russia 28,648 Democratic Republic of Congo 350,000 El Salvador 350,000 Honduras 400,000 India – Iraq 555,000 Liberia 10,000 Mexico 310,000 Nepal 380,000 Palestinian Territories – Laos 200,000 Sierra Leone 350,000 Sudan 660,000

Other: Access to essential medicines Memory Project

539,726 – $ 10,049,352

9. Commitments:

2002 $ 2,881,711 658,987 937,850 100,000 280,000 – 166,500 – 150,000 – 883,000 333,000 300,000 185,000 –

– 185,000 – 15,800 – 333,000 333,000 183,940 22,650 $ 7,949,438

8. Expenses: MSF Canada has allocated its common expenses equally to the following accounts: Public education Program support and development Management and general Fundraising

28 A n n u a l R e p o r t 2 0 0 3

25% 25% 25% 25%

MSF Canada has commitments for its leased premises and equipment. The future minimum annual lease payments are as follows: 2004 $ 150,000 2005 24,000 2006 13,000 $ 187,000 10. Fair values of financial instruments:

The fair values of cash and cash equivalents, accounts receivable, and accounts payable and accrued liabilities approximate their carrying values due to the short-term nature of these instruments.

The fair values of investments are based on quoted market values, as disclosed in note 3.

11. Restatement of deferred contributions:

Prior year figures have been adjusted to reflect restricted funds that were unspent at December 31, 2002. The respective amounts have been restated as follows: As previously reported As restated Deferred contributions $ 405,449 $ 559,526 Net assets – unrestricted 5,662,650 5,508,573 Other revenue 197,068 42,991 Excess of revenue over expenses 1,248,144 1,094,067

THANK YOU. The following names are some of the many people whose extraordinary generosity has helped MSF provide independent medical care to marginalized people around the world. In 2003, more than 58,000 Canadians donated financially, organized fundraising events and assisted us with our activities. From the medical teams in the field and the people for whom we provide care, we wish to thank each one of you, our donors, for supporting our operations and the work of MSF. 1000 Islands Duty Free 1155599 Ontario Limited 1444660 Ontario Ltd 1447769 Ontario Inc 9012-0593 Québec Inc 9062-9726 Québec Inc

A

A Different Drummer Books Anjum Abedi Arnold B. Aberman Patricia Ackermann Stephen Adams Nancy Addison Neill K. J. Adhikari John & Merilyn Adler Vipin Aggarwal Afzal & Shalla Ahmad Ahmed R Docrat Professional Corporation David Aikenhead Jasmine T. Akbarali Sherlynn Akitt Yvon Albert Peter W. Alberti Eris E. Albright Martin & Joyce Albright Paul Albright Nancy Aldrich Timothy W. Alexander Lois M. Alger George Alig All Charities Campaign Janet Allemang David John Allen Della Allen Rae Allen James & Rojeanne Allworth Michael B. Alms Aysel Alpay Alpine Value Drug Mart Alsace Enterprise Ltd Maxime Amar Alexander & Barbara Ames Ams Industries Limited George R. M. Anderson Gloria J Anderson Kirk Anderson Christine M. Andress Paul Anglin Carolyn Archibald Susan Archibald Betty M. Argue Karin Arkinstall

Marion Armstrong Monique Arnoldi Loris Aro Monique Villanueva Arquint Arriscraft International Jill Susan Arthur Iain Arthy Olaf & Deirdre C. Arzheimer Ascot Computing Inc. Amin Ashadali William Ashwell Jacquelyn M. Asp Michael Assels David Atkins Donald & Barbara Atkins Wendy A. Atkinson Katherine Austin Jean S. Austreng Axis Pharmacy Carol Ayers Mary Jodi Ayers

B

Rudy Baay Bryan Bacon Edith Bacon Bacon Basketware Limited Marion Baechler Robert F. Bailey Christian Baillargeon Alex & Yolande Baillon Harriet Bain Ronald Baines Suppinder Bains Jennifer E. Baird Wilhelmina E. Bakkenes Kenneth Balderson Baldor Motors & Drives Virginia Baldwin Henry Balen Balfour Books G. L. Ball Barbara Balmer Mary Balogh Claude F. Bandel Wallace Bankert Ted Baran Barbados Nurses Association of Canada Graeme Barber Richard Barber Michael Barden A. E. Barker Barking Dog Studios Ltd. Patricia Lynn Barnes Brigid Barnett Mary Barr

Elizabeth M. Barrett Mary Barry Kevin Bartlett Norman R. Bartlett Gerald W. Bartram Mary Bartram John P. Bartucz Florence Barwell Anne Basin Dora Basmajian Marion G. Bassett Helen E. Bastaja James A. Tony Bates Suzanne Baudouin Walter Bauer Steven Baum Bax Investments Ltd. Ian F. G. Baxter Larry Milosevic & Anna Bayley George & Pauline Beagley Alma Bealle Jim Bean John Beatty Lucille Beaudet G. Beaurivage Althea Bebington Colin Scott Beech Gary Beemer Berthe Bélanger Jeanne Bélanger Margaret Belcher Marcelline Beliveau Marilynne Louise Bell Michèle Trottier & David Bell Stella E. Bell Marguerite Bellemare Jean Belshaw Carla Beltrami Ben & Hilda Katz Charitable Foundation Mark H. Ben-Aron Margaret E. Benne Bennett Family Foundation Paul Bennett Penny C. Benson Paul Bentley Ted & Louise Bentley Georges Bergeron Rolande Bergeron Paul Bernards Sasha R. Bernatsky Mark S. Berner Claude & Mary Ann Bernier Neil R. Berrington

Jean E. Berry Roland Bertin Jim Bertram Margaret M Bertrand Alma Bérubé Bruce Wilson & Mies Bervoets Denis J. Bettson Perry Seafield Beverley Susan Bexton Kevin D. Z. Bezanson Shiraz & Nurjehan Bharmal Madan & Raksha Bhayana Arif Bhimji Carol Bickell Pierre-Claber & Peggy Bide Bronia Bielecki Michael Bietenholz Jean-Luc Bigras Mervyn Billinghurst Kenneth H. Bilski Sonja Bird Jean C. Bishop Saleha Bismilla Monika Bittel John & Janet Blachford Ann M. Black Gloria I. Black Mary W. Black Naomi Black Dianne Blackburn Betty Blackwell Sean & Kirsten Blaine F Rou Blair R. F. Blair Joan Blakslee Alfred Bleichert John Blenkinsop Graeme Dempster & Daccia Bloomfield Mark Blumberg Laura Blumenthal Helene L. Blunt BOC Canada Limited Peter Boczar Boeckh Capital Co Ltd. Margaret Bogue Harald Bohne Edward J Bond Frances R. Bonney Gene & Judy Bonny Anne Book Ann Booker Oliver Boot E Roger Boothroyd Valerie F Boras

Anne Bordeleau Borden Ladner Gervais Foundation Herman A. Borkent Anne-Marie Borthwick Yvonne Bosch Hedley T. Boschma Marie-Louise Boshouwers John & Myrna Bosomworth Randy & Melinda Boston Florence Boswell Gary Bota Margaret Botterell Paul & Françoise C. Bouchard Raoul Boulakia Susan Bouley Jacques Bourduas Louis A. Bourgeois Roland Bourneuf Jean Bowen A. Bowers Dona R. Bowers Norma Jean Bowie David Bowman Laurel Bowman Betsy Boyce J Edward Boyce Gwen Boyle Gloria Bradshaw Jocelyn N. Braithwaite Patricia Braithwaite Rollin Brant Agnes E. Bregg Peter Bremner Lynne Brennan Mrs Brenninkmeyer Albert Breton Réjane Bricault Nicole Brière James Brierley James Duncan Brierley Brimstone Holdings Limited Marta Brisco Rob Brison Fernand Brisson Evelyn Bromley Martin & Jane Brooks Frederick Brooks-Hill Alexander J & Trish Brown Catherine E. Brown James & Theresa Brown James G & Karen I. Brown Janie Brown Joanne N. Brown Margaret Brown Peter T & Lillian Cathy Brown Beverley Browne O Marion Browne Viola I. Bruggeman Micheline Brunelle Theodore Bruseker Frederick & Jane Bryans Edward Bryant Graham & Cicely Bryce R Vernon Bryden Shirley Buchan Finlay Buchanan

Joshua Buchanan Rosemary Buchanan T. B. Buchanan Ely Buckland Buckland Southerst Gallery Leon D. Budreau Chris Buller Brenda Bullock-Paget Burgener Research Inc. Moria A. Burke Patricia E. Burn Edna M. Burnard David J. Burnett Helen Burns Margaret J. Burns Chris & Sel Burrows Paul W Burrowes Grant & Alice Burton Brian Bury Ellen Busby Janet E. Bush Richard Bushey Nicholas Busing Anita Butani Allan J. Butler C. Butler Martin & Jennifer Butler Jenifer Butterfield Frank Butty G. Murray Buzza

C

C. L. Copland Family Foundation Adrian Cabilio Mary Calder The Calgary Foundation R. M. Callad Brian Callahan C. Jean Cameron Christopher Cameron Jane L. Cameron M. Landman & A. Cameron Margaret Cameron Margaret Cameron Mary P. Cameron Reid S. Cameron Patrick Campana David Campbell Geraldine Campbell H. V. Campbell Marina Campbell Marlene Campbell Melanie Campbell Paul Campeau Patricia Campolongo Canadian Friends Service Committee Canadian Geographic Enterprises Charles John Canning Patricia D. Cantwell Kevin M. Carbyn Marjorie Cardey Simon Carette Helen F. Carew Susan Carey Mavis Cariou David Carle-Ellis

Don Carmichael Dorothy Caron David Carr Sheila Carrothers Janet Carruthers Raffaela Caruso Alan R. Casey Catherine Wilson Foundation Caulfeild Parents Advisory Council Peter Cavelti Jeffrey Cavill Janet Ruth Cawley Roger & Yvonne Cawthorn Central United Church Chandler Chaddah Pierre Chamberland Barbara L. Chan Doris Chan Linda Chan Rebecca Chan Nancy Chance Verna I. Chandler Peter Chang Alan Chan-McLeod Ben Chapman Orval K. Chapman Kelley Charlebois Peter Charleson Nicole Charron Susan Chater Marilyn Chechik Charanjit Cheema Paul Chefurka Anne Chellas Chemtech Int'l Inc. Pierre Le Bouder & Erika Cheng Victor Cheng Howard Cherniack Leanne Palylyk Children's Foundaton Curtis Chipman Patricia M. Chipperfield Christ Church Christ Church Flamborough David & Valerie Christie John Christie Geralyn Christmas Church of St Francis inthe-wood CIBC Commercial Banking Jan Ciborowski Cimel Ltd Citizenship & Immigration Canada CJAD Holdings Ltd. Brenda Clark Rosalyn Clark Stephen L. Wood & Deborah J. Clark William Clarke Joan D. Clayton John & Pattie Cleghorn Pauline A. Cleveland Clinique Med Monchamp Norma F. Clouston Ruth Cluley

Allan Lloyd Coates Pat Cochrane J. M. Cockburn Judith Cockman Constance Rose Cohen Thomas & Elizabeth Cohen J. Brian Colburn Philip Cole Tony Coleman T. Collette Frank Collins Jane L. Collins L. Christine Collinson Harrietta Colwell Community Foundation for Greater Toronto Marion E. Compagnon Concertmasters Inc Kathleen Connors Paul Conroy John & Helene Conway Kanur Srinivasan & Gerald A. Conway Larry Cook Marilyn E. Cook Bruce Sharron & Teresa Cooney Catherine M. Copeland Eleanor Copeland Patricia A. Coppard Bernard Corazza Barbara Corlis Douglas V. Cormack Mark Cornfield Anthony Morris & Wanda Corns Simonne Cornwall André Corriveau Robert Cosbey Yvon Côté David Counts Douglas Courtemanche Peter H. E. Courtenay Daniel Cout Joyce V. Coutts Ruth M. Cowan Edgar R. Cowtan Anne Coyle Paul Cragg Frances M. Craig James E & Verna L. Craig Elizabeth Craigie B. P. Cramer Patricia Cravioto Marjorie C. Crawford Nick Crawford Denis W. H. & Joan B. Creighton Adrien Crevatin Patrick D. Crofton F. Barry M. Cromarty Catherine E. Cronin Ramona Cronin Robert J. Cronin Susan Croskery Dallas Cullen Elizabeth Culpeper Elaine Cumming

A n n u a l R e p o r t 2 0 0 3 29

Margaret I. Cumming Frank L Cushing David N. M. Cuthbert Verna Cuthbert Ruth Cuthbertson Dorothy Cutting Judith N. Cutts

D

Helen Dagg Danielle Dalpe Katrina S. Daniel Mark & Rita Daniel Marjorie Danton B. J. Danylchuk Thérèse Daoust-Pickett Michel Daris Lily Dashwood Marie Daveluy-Gordon Jane Davidson Alice K. Davies J. Davies Lee-Anne Davies Nans E. J. Davies Beverly Davis Claytus Davis Henry Davis Judith Davis Nicholas Davis Penelope M. Davis Douglas Davison Till A. Davy C. R. S. Dawes Mike Dawes Mahomed F. Dawood W. A. Dawson J. D. Day Peter & Carolyn Day Bessie M. Dayfoot Alceo De Anna Danielle M. De Banne Mavis De Girolamo Caroline De Gruchy Guy & Beryl de Margerie Mike De Seve John R. Deakins Jean-Philippe & Claudine Dechelle Donald Deeprose Laura Delahaye Debbie DeLancey Peter DeLancey Eric Deland Hubert Delaquis Margaret Delemere Alison Delosky Demolition Equipment Ltd. David & Sandra Densmore Diana M. Denton The Derick Brenninkmeyer Charitable Foundation Guy Desgreniers Marie Desmarais Gaston Desormeaux Murray Deverell S. Dewan Luc & Simone Dewavrin Terry Dewhurst Melanie Dewildt

30 A n n u a l R e p o r t 2 0 0 3

Gerald M. Deyo Ed Dick Paula Dickie N. Dickins Archibald E. Dickson George & Darlene Dimsdale Diners Club International Dinyar Dinshaw Diocese of London Florine Dion Yves Dion Francine Dionne Disus Inc Karl Dittmann Stuart B. Doak Muriel Dobbie Zohra Docrat Norma H. Doherty Barry Dollman Adrian & Marylin Domingo Leela M. Domingo Rob Morrison & Cindy Donaldson Ruth Donnelly Donner Canadian Foundation Emma Donoghue Bob & Barbara Donovan Lee Doran Lucille Doucette Carol Douglas Ross R. & Margaret E. Douglas Douglas Gill Limited George Dovey Dr. D. L. Webber Inc. Dr. Tim Peacock Inc. T. Reginald Driscoll Abbé Gabriel Dubé Thérèse Dubois Morency Duchastel Rose Emma Duchesne Sydney Duder Dudinks Show Garden Robert Wolfe & Jacalyn Mary Duffin Alison Dugan Margaret Duke Charles Dundon G. Dunlop Jane H. Dunn M. Dunn Tim H. Dunn Michel I. P. Dunne Deborah Dunton Jean-Charles Dupin Gemma J. Durand Timothy J. Durrant Brian Dusting Margaret Dutli Donald R. Dyck John & Florence Dyck Melany Dyer Corinne Dyke Dave Dyson

E

E Roleplay Donald Eagles Elizabeth C. Eaton Donald H. Eby ECS School Inc. Maria Edelman Robert L. Edgar Roger L. Edmonds Edmonds Landscape & Construction Services Limited The Edward M Bronfman Family Foundation Brian Mennell & Linda Edwards Edwards Charitable Foundation Frances W. Edye Douglas Eggins Alexander Ehman Eiproc Foundation Andrea Eisen Harry Eisenhauer Mary Angela El-Bardeesy Thomas H. Elderhorst Jennifer Ellenton Joyce Elliott Lyyli Elliott Murray & Monica Elliott & Family Charles D. Ellis Alejandro Elorriaga Emmanuel Anglican Church EnCana Corporation Endla & John Gilmour Foundation Katharine Wilson English Heather-Anne S. Enns Environics International Ltd. Brian Erickson Gaalen L. Erickson Bernd A. Esche Frank P. Estey The Etta I. Jackson Charitable Foundation William & Joyce Eull David G. Evans

F

Jocelyn Ann Fagan Robin Fairfull-Smith Dr. Frederick Fairman Famous Magazine Famous Players Media Inc. Andrea Farmer Gordon M. Farquharson Kenneth G. Farquharson Bruce Martin & Debbie Farrell Thomas Fath Lucien L. Faucher Deborah Lee Faulkner William P. Fay Joyce Fearnside John D. Fearon Fédération des infirmières et infirmiers du Québec Moise Fefer Felician Sisters of St Francis

Mary Feltmate Norman D. Fenn Evelyn Fenwick Werner Ferch George Ferdinands Guy Ferland Anne Bergman & Vincent J. Fernandez Audrey Fernie Mary Ferracin Joe Ferrara Franco Ferrari Lucy Ferrier Nancy Fietsch Marguerite Brunet Filion Robin A. Fillingham Karina Findler The First Narayav Congregation Jim Firstbrook Peter Fisher Fitzhenry Family Foundation David Fitzpatrick Flashcut Editing Fleming Foundation Florence Nightingale Elementary School Ralph Fluit Margo R. Fluker Bernard & Diana Flynn Michael S. Fogel Fondation Denise et Robert Gibelleau Fondation Thomas-Léon Tremblay Che-Kao Fong Pierre Fontaine Norah Foord Nicholas Forbath Robert Forbes Joan Ford C. F. & H. E. Forestell Bill Forsyth Julia Fortin Cynthia J. Foster-Gibson Foundation For Youth Four Seasons Hotel Limited Leslie Fournier John G. Fowler Beverley Fox Gordon C. Foy Frame & Associated Maria Franceschetti Chris Frank Aubrey Franklin Rosalind Franklin Caroline Fraser Nancy Fraser Wendy & Don Fraser Fraternité Ste-Elisabeth OFS Jonathan Freedman Catherine Freeman Gwynneth French Robert & Sara French Lucienne Frenette Frères de Saint-Gabriel du Canada

Lucile Freynet Sydney & Constance Friedman Camille Hancock Friesen Helena Friesen Judith Frise Frogware Inc. Peter J. Froud John Fuerst Thomas & Sylvia Fukami Betty I. Funston Maria Furlin Michael H. Futrell

G

Michel Gabrini D Boyce Gaddes Eugénie Gagné Caroline Gagnon Éric Gagnon Hélène Gagnon Lester Gagnon Nicole Gagnon Odile B. Gagnon Paul M. & Maureen E. Gagnon C Jane Gainer Laurel A Montrose & Reagan Gale Gloria Gallagher Romayne Gallagher Dorothy Gallie Joe Gallo Geneviève M. Gamache Fergus & Susan Gamble Julio A. Garcia Terry Gardner Gaston René de Cotret Jason Gatzke Sharon P. Gauthier Shirley Gavlas Stanley Gavlick Mieczyslawa Gawlak Annemarie Geahel Dr. Val Geddes David & Eleanor D. Geen Stewart & Donna Geen Hélène Genest Lala Genevieve Jane Haley Gent Gerald Lazarenko Prof. Corp.

Joan Geramita Russell E. Germain Joan Gerrits Paul & Evelyn Gervan Krikor Ghanaghounian Abhijit Ghose Kathryn Giaschi Heide M. Gibbs Tom & Carolyn Gibbs Aimee O. Gibson Constance C. Gibson Julia C. Gibson Gerard M. Gilbert Brent D. Gilday Juliet Gill W A & Stephanie G. Gillberry Myles & Mary-Lynne Gillespie

Paula M. Gilroy Michel Gingras Ron A. Gira Dominique Giroux Gerald Gish Larry Gleason Global Mechanic Media Inc. Lorraine Gloster Hans Gmoser J. Ernest Gnass Allan Godfrey Barbara Godkin Mary Goldak Mark A. & Louise Golding Arthur & Jacqueline Goldman Ellen L Good A. L. Goode Russell Goodfellow David A. Goodings Beverly Goodwin Kamala-Jean Gopie Kevin Goranson Greg A. Moran & Mindy Gordon J. Gorman Patricia Gorman Martin Gotfrit Wayne & Ingrid Gowan Angela Goyeau Lennox Grafton D. Graham Donald A. Graham Joan Graham John Graham Karen Graham Kerr Graham Mary Graham Nita H. Graham Ruth A. Graham Anne Grajpel P. E. Granger Rita Granger John & Judith Grant Kathleen & Gordon Gray Evan Green Henry Green Janet E. Green Leslie & Marion Green Reesa Greenberg H Charles Greene Robin Greene Susan Greer Frances Gregory Robin & Terry Gregory Birgit Gremmen William N. Grey Grey Sisters Immaculate Conception John & Sylvia Griffith Richard & Margaret Griffiths Colin Grimson Robert Grist Marlyn Grodde Elizabeth Groen Robert Groh Nick Groocock Gary Groot

John Gross Zack Gross Peter & Doreen Gruber Rudolph Gruber Mats Gruen Jennifer Gruner A. R. Grynoch Suzanne Gumpert Catherine Robin Gunn Joni Guptill Jim Gurd Kathryn E. Guthrie

H

Anne Haalboom Martin R. Haase Mary E. Habgood Linda Hadley-Piscopo Sonja Hagemann Huma Haider Jawwad Haider Hal Industries Inc. Leonard Hale David Hall G. C. Kathleen Hall John D. Hall Frank Hallett David & Wendy Hamblin Donald Hambrick Linda Hames Cord Hamilton Elizabeth D. Hamilton Gavin Hamilton John C. & Kathleen Hamilton Julie G. Hamilton Mallory Hamilton Robert Hamilton John D. Hammett William Hammond David Hampton Marion P. Handcock Muriel Hankey D. Barbara Hanmer Katherine Hannah Ian Hansen Lorrie M. Hansen Constance E. Hardy Lorraine Hardy Louise Haridge William Norman Harries Adam Harrington Larry Harrington Lea Harrington David Harris Norah L. Harris Robert D. Harris Stephen Harris John Harrison Len Hart Trevor D. Harterre Stuart Harvey Jacqueline Harvie Reg Hashizume Derek Hasler Barbara Hawkins Bart Hawkins Kreps John A. Hayes Ian & Anne Françoise Hayman

George Haynal Ray Haythornthwaite Kathryn-Jane Hazel The Hazel Bradley Investment Corporation Limited June C. Headford Donald Heald George Hearn Raymond M. Hébert Pamela J. Heerema S. A. Heiberg Mark Heinzl Linda Heller Stella Pasion & Richard Helyar William Hemens Anne Henderson Donna A. Hendrick F. Joan Henriksen Stephen F. Henry The Henry & Bernice Kaufmann Foundation Maria Herendy Heritage Office Furnishings Ltd. C. P. Herman Judith Herz Brian Hester Nancy Hetherington-Peirce Claude G. Heywood Marilyn Hickey Walter Hickling Richard Hicks W. & E. J. Higginson Amanda J. Hill John B. Hill Robert D. Hill Stephen J. Hill Hillcroft Pharmacy John Hillier Tim R. Hillson Michael Hinchey Mohamed K. Hirji Sandra Hirowatari Adam P. Hitchcock Robert E. Hnatowich Brian Ho Claire Louise Hobbs George R. B. Hodgson Julie Hodgson Walter Hoe Peter Hoemberg John Hofer Tracy Logan & John Hogg Kathleen Anne Hogle T. M. Holden Joan Omson & M. D. Hollenberg Myrtha Hollinger Dale Holmberg D. S. Holmes Ken & Anne Marie Holmes Marion Holmes William R. Holmes Donna Holton Beland H. Honderich Tommy Hong

Bruce & Cheryl Hooey Doris Hopkins Edward C. Hopper Margaret Hopwood William & Mary Horan Christopher Horley Gordon M. Horne Gertrude Hornick John Hortop Ruth Houle C. Stuart & Mary Houston Robert J. Howard Roger Howard Thelma Howard Don McMurtry & Gloria Howe Frances Howey Howick Foundation Winifred G. Hoyer C. P. Huber Doris I. & Norma Huber E. Lois Hubert Philip G. Hughes Gavin Hui Lawrence & Betty Hui Gillian Humphreys Judith H. Humphries W. B. G. Humphries H. K. & B. M. Hung Alice Hunt David G. Hunt Paul L. Hunter William S. Hunter William J. & Kay E. Hunter Huntsville Animal Hospital Aleck Hutchinson Bruce & Mary Hutchinson N T Hutchinson Robert J. Hutchison Robert Hutton Hien Thi Huynh Gordon & Evelyn Hyde The HYDRECS Fund Hydro One

I

Monti Iaffaldano IBM Employees' Charitable Fund Jarome Iginla Imaginus Canada Limited Diana Imrie Jay C. Biskupski & Catherine Imrie Judith Louise Ince Infogest Direct Marketing Ingersoll District Collegiate Institute Alan M. Inglis Richard & Daphne Ingram Ruth-Anne Ingram Bob McArthur & Harumi Inokuchi Interlynx Relocation Management Limited International HouseUniversity of Guelph Frank P. Invidiata Bonnie & Stephen Ip

Neil Ironside Michael Irvine James Irwin Milton & Alice Irwin Willem Van Iterson Sumi Iwamoto Natasha Iyer Margaret Izatt

J

J. S. Cheng & Partners Inc. J. V. Clark School J. W. McConnell Family Foundation J. Y. Liao Professional Corporation J. C. Akin Architect Leslie Jack Maruja Jackman Mildred I. Jackson Leon Jacobs Donald & Diane Jacquest Jacson Power & Electric Angle James Miroslav Jancewicz Maria Jankovic Hart Jansson Jarmain Family Dan & Wendy Jarvis John S. Jarvis Jitske Jaspers Christine Jeffrey Peter & Judith Jekill Peggy Jessome The Joan & Clifford Hatch Foundation Joan Ford Charitable Society Michèle Joanisse H. W. Joel David Johannson Mona M. Johns Arnold L. Johnson Fred Johnson Suzanne Johnson B. Lynn Johnston D. R. Lukin Johnston Michael Johnston Patrick Johnston C. & Kenneth Johnstone Adrian Jones Carolyn Jones Christopher M. Jones David G. Jones Eleanor & Peter Jones Lanice K. Jones Jordan Station United Church Annelise O. Jorgensen V. Elaine Joughin Kwok Kit Wah Joyce James Julien Louise Julien Jon Just Mahesh Juthani

K

The K. M. Hunter Charitable Foundation Kalcyon Inc. Michal Kantoch Firdaus F. Kapadia John Kapsalis Camron Karpiak Jolanta A. M. Karpinski Amir Kassam Saleem Kassam Kassim Tanker Brokers Ltd. Kate Walker & Company Ltd. Anthony & Carol F. Kay Jonathan Kay Robert Kay John F. Keating John & Kathie Keating Mike & Barbara Keilhauer Diana Kelland A. Keller Daphne Kellett Martin Kellman Margaret Kellow Christine Kelly William Kelly Brian Kennedy Audrey Kenny Oliver Kent Phyllida Kent Thomas W. Kent Marilyn Kerfoot Audrey Kerr Gillian P. Kerr Hassen C. Keshavjee Keys Direct Marketing & Communications Inc. Charles Khabouth Aliya Khan Roya Khaze Joginder S. Khera Binh Khong Robert M. Kilborn Elizabeth Kilbourn Douglas Bradley & Mary Killoran Byong Kim Jin-Sook Kim Meredith Kimball Susan Kimpton Elizabeth A. King Gordon & Mary King Ronald J. King Susan Kingsley Gary W. Kingston William Kippen Dave & Jane Kirchmann Gary Kirk Robert W. Kirk Barbara Kirkaldy J. Kitchen Albert Klassen Klaus Car Parking Systems Marina Klein Martin Klein Rona Klein Helga A. Klein-Parker Alan Knight Bill Knight

Royce W. Knight Robert A. & Hilda Knighton Mary Knox Marion D. Koch Eliot & Carolyn Kolers Uriel Kolet Gregory Konigshaus Kootenay Fellowship of Reconciliation Marianna Korman Jack & Mary Judith Kornblatt Dave Kos Koskie Monsky Barristers & Solicitors Marina Kovrig Roman I. Kozak Gerhard & Gertrude Krapf Judith Kreps Hawkins Richard Kroeker Scott Kroeker Philippe Kruchten Germaine S. Kruk Dale Krupicz Susan Kruusi Mary Ann Kubica Juergen Kuehnen Ernst Kuhlmann Jan S. Kutcher Will Kymlicka W. M. Kyson

L

L. M. Erickson Radiology Ltd. La commission scolaire du Val-des-Cerfs Laurette Lachance Normand Lacharité Jacques Lafleur Alexandre Cabral & Martine Lafortune Lucille Lafrance Ed Lai Toni Laidlaw Michael Laine M. P Laing D. R. Laird Ali Lakhani Phillip Lalande Alain L. Laliberté Nicole Laliberté Chin-Fui Lam Bernard Lamarre Benita Lambert Shirley M. Lamont Stuart K. Landon Claude Landry Le Chi Lang Philippe Langlois Anne Lanting A. Laperrière Jocelyne S. Lapointe Marie-Claire Laporte-Touzin Lara Drummond Foundation François Laroche Russell H. Latuskie Godwin K. Lau Katherine Lau Kwok T. Lau

Mary W. Laurence Laurence S Hollands MD Ltd. John G. Laurie Emile J. & M. Bernice Lautard Andrée Lauzon Katherine Joanne Lawrence Monique Layton Shirley Leahy Gail Leary Barbara E. Leblanc Mona Leblanc Claire Leclerc Ernest Leclerc Liguori & Thérèse Leclerc Desmond Leddin C. Lynn Leduc Nesta B. Leduc Bradd Hart & Corinna Lee Brent & Jennifer Lee Helen Lee Hyun-Taek Lee Janet Tin Fung Lee Michael Lee Ruth S. Lee Rosalind & Louis Lefeber Hugh P. Legg Rowena V. Leivo Bernard Lekien Paul Leliveld Bruce Lemer Peter Lemmer Susan Lendrum Joseph P. Leong-Sit Leah Lepage Les charités des Soeurs du Sauveur Inc. Les Filles de Jésus TroisRivières Les Filles de Marie de-L'Assomption Les Soeurs de Sainte-Anne du Québec Les Soeurs des Saints Noms de Jésus et de Marie du Québec Gilles Lesage Marthe Lesage Gauthier Alexandra J. Leslie G. M. & J. A. Leslie Jean Lessard Rino Lessard Tanya Leverette Kurt & Enid Levy S. R. Lewar A. H. Lewis Joanne Lewis John R. Lewis Scott Lewis Simon Lewis Judith Leykauf Howard Li Janice Y. Liao Lido Wall Systems Inc. Dr. & Mrs. Charles Liebe Poh Moey Lim Bruce Lin

Douglas R. Lincoln Robert Lindegger Rita Lindenfield George Linder Jane Lindsay Blair Lipkind Nick Liristis Ruth Liston Janet Little W. John Livesley Réal Lizotte Evelyn Lloyd Elizabeth Lo Foster M. Lo Daphne J. Lobb Harry Locke A. Waldemar Loewen Todd A. Loewen Mary Lofthouse Eugene & Maureen Logel Patricia Loggie Jonathan Lomas Maggie Long Longford Equipment International Ltd. David Lord Pat Cunningham & Andrea Lorenz Margrith Loretz Laura Lounder The Lowidt Foundation Vladimira Ludvik Helen Ludwig Walter Ludwig Jay Lundy Jean-Pierre Lussier James H. Lutz Tim Lynham John Lee & Lynne Girvan-Lee Lori Lyons Peter Lyons Marjorie J. Lyons-Colling

M

Paul Maas Stephen McCattery & Karen MacCormack Sheila MacDermott Andrew C. MacDonald David Macdonald Frederick & Eleanor MacDonald William MacDonald Elizabeth A. MacDougall Garry MacDougall Lennis R. Macfadyen Lois MacGibbon Donald MacGregor Duncan & Susan MacGregor Malcolm MacInnes Cortlandt J. G. Mackenzie Paul MacKenzie David Maclaren Jill MacLean Margaret E. MacLean H. Philip MacLennan Roderick J. MacLennan Bob Macleod

Gerard MacLeod Sheila A MacMahon Leslie MacMillan Margaret MacMillan John & Gail MacNaughton Rose E. MacNeil Daniel MacPhee Flora Macquarrie Isabel MacRae Macromedia Canada Ltd. Margaret C. MacTaggart David Madge Allen Magee Lois Magee William M. Maguire Tom Mahan Patrick M. Mahoney Dominique Mailhot Christine Mains Maureen Mair Maison Générale du précieux sang Maison Mère SNJM Maison Suray Inc. Mary Majka Hay Boon & Martha Rosalind Mak Stephen Makuch Karen Malcolm Colin Mallet William J & Lynda Malouin Ruth Helen Mandel Paul & Elsje Mandl Ishrat Manji Mike Manley-Casimir Alan Manney Mary Manocchio Erica Mantay Manulife Financial Maple Grove Colony Ltd. Jefferson & Sally Mappin Judith W. Mappin Ethel B. March Louise Marchand Martin & Connie Marger Eric Margolis Barbara Markman Henry Marks David A Wunker & Anne Marriott Michael A. C. Marriott Cheryl P. Marshall Elizabeth A. Marshall Estelle I. Marshall Kenneth G. Marshall Stewart & Sunny G. Marshall Henry & Dorothy Martens D. L. Martin Jacques Martin John Sanderson & Maryjane Martin Joseph William Martin K. Martin Richard A. Martin Heidi Martins Eileen Marvin Antoine Masbanji Tom Mascaro

Robert Mask Elizabeth Mason B. Mason Masonville Dental Centre Luke Mastin Claudio Mastracci M. K. Mathen Peter Matley Matrix Benefit Services Limited Lucy Matsuba Mary Matthews Ronald Matthews W. L. Matthews Lisa Matthewson Gary J. & Carol A. Mattie Douglas May Ron Mayer Anatol Mazurenko Edward & Rena McAdam Shirley McAlary Mary B. McAlpine Michael H. McCarthy Donald J. McCartney Sean McClenahan William G. McCloskey Connie McCluskey Douglas McConney James McCormack E. Kathleen McCully Elizabeth McCurley R Sheldon McCutcheon Bruce Stratton & Valerie McDonald Louise McDonald Paul F. McDonald Scott Evan McDonald Garry McDonnell John A & Myrna McDonnell Don McDonough D. I. McDougall Marion McDougall Sandra McFarlane J. Peter McGeer Gladys & Gerald McGeough B. McGilvray Paul & Jean McGrath Ronan McGrath Barbara McGregor Margaret R. McGregor William J. McGuinty Francis M. McGurk Mary McInerney R. McInnes Robert S. & Betty McInnes Grant McIntosh Mary G. McIntosh Ron & Sylvia McIntosh Brenda McIntyre Caroline McIntyre James McKee Ken E. McKee Diane McKelvey Johanna McKenzie Graeme McKillop Katherine D. McKinnon Martin & Deborah McKneally John McLaine

A n n u a l R e p o r t 2 0 0 3 31

Catherine D. McLean Catherine McLean Michael McLean John McLennan Lori McLeod Barbara McLorg C. McMann Milton L. McManus Jim McMillan S. McMillan Peter J. McMurray Jack Knetsch & Patricia McNeill Donald McQueen Sylvia McTavish Diana M. McVitty Mary Marsh McWhinney MDS Inc Meadowlark Resources Corporation Diane Medcalf Clara A. Meenan David Megginson Upender K Mehan Bill & Judy Mekdrum Z H Mellick K. & Manisha Melwani Barbara Mennie Robert James Menzies Joseph A & Elizabeth K. Mercier Normand Mercille Daryl Merrett Oliver & Dorothee Merton Monique Messier Patrick J. & Anne Metcalfe Peter Metcalfe John S. Meyer The MI Group Ltd. Corporate Office Irfan A. Mian Michael E Brett Ltd. Terese M. Michon Stephen R. Middleton Midland Seafoods Inc. Ronald D & Sandi Mielitz David A. Miller John A. Miller Mary E. Miller Donald Milligan Keith Mills William Mills Margaret Millson E. Milne Muriel Milne J. C. D. Milton Grant & Marilyn Minard Anne Minas Margo Mingay F & R Mistry Alex S. Mitchell Jacqueline Mitchell Valerie Mitchell Anne Moffatt Catherine Moffatt Doreen E. Moggey Ishmael Mohamed Moiibus Charitable

32 A n n u a l R e p o r t 2 0 0 3

Foundation Frank J. Molnar Monastère du Carmel Susann Mongrain William S. M. Monk Carolyne Montgomery Lois Montgomery Arne Mooers Bill Moore Jennifer Moore Lori A. Moore Mark Moore Oliver Moore Patricia Moore Paul M & Laura Moore G. Mooring Hugh Moreland Jacques Morin Pierre-André Morin Pauline Morissette David Morley Brad J. Morris Brian Morris Catherine Morris John Morris Raymond & Anne Morris Beverly A. Morrison Bob & Denise Morrison Kathleen Morrison William & Bernadette Morrison Leanne Moses Glenn Mosher Bill & Cecilie Moss Motion Clothing Co Ltd. The Motz Family Foundation Francis Moul Richard Moulton Richard Moxon Rick Bennett & Moyna Krusell Gregory G. Mudry Brahm Muhlstock Yusuf Mukaddam Frances Mullen John C. Mullen Eric Muller Betty-Joyce Mullin Mashkoor Munim Jean-François Munn Elizabeth Munroe Catherine Murphy Derek Murphy Gordon J. Murphy Michael R. Murphy H. Eileen Murray Laura Murray Laurence C. Murray Mildred Murray The Musicians Of Nova Scotia Charles Mustard Ken & Marion Muth Kathleen Mylchreest

N

Susan Nameth P. Nanji Nanometrics Inc. Peter & Hazel Nares Rosemary Nash Antonio & Angela Natalizio National Wood Products Judith M. Neamtan Ricky Nedd Melbourne A. Neily Austin S. Nelson Foundation Robert Nelson Jean Neveu Warren Newcombe Patrick Newman Éric-Viet Laperrière-Nguyen Graham & Nadine Nicholls Dorothy E. Nicholson Paul Nickle Brenda D. Nicklin Brent A. Nicolle Dave Nightingale Jan & Jana Nigrin Svetlana Ninkovic Nipigon District Memorial Hospital Margaret A. Nisbet Norco Products Ltd. Norman & Margaret Jewison Charitable Foundation Nortel Institute for Telecommunications Patricia North Northview Elementary School Ezekiel Norton Norwich Plastics Nancy Norwood C. John Nott D. Merilyn Nourse Mike & Sandra Novielli Ronald Nunn

O

Karl E Oberdieck Helen Obrian David O'Brien Margaret O'Brien Martha O'Brien Mary O'Brien Obsidian Media Dermot J.A. O'Carroll Nancy O'Coin Anne O'Conner Jerome O'Connor Michael O'Connor Paul O'Connor Mark & Terri O'Grady Miki O'Kane Pearl Olafson Helen M. Oldham Barend G. Olivier Hugh O'Mahoney Geraldine O'Meara Patrick O'Neill R. O'Neill Geneviève Onysko OPG Employees' & Pensioners' Charity Trust

Kenneth Oppel Susan E. O'Reilly Ann Ormrod O'Shanter Development Co. Ltd. Jane O'Shea Susie Osler Krystyna Ostrowska Edwin Ozua

P

Ansuya Pachai Pacific Network Services Ltd. Samuel Packer Alfred L.J. Page Hector R. Palermo Christopher R. T. Palmer C. A. Panaoiti Gabrielle Paré Christopher & Marg Parfitt Agnes Parisloff A. Parker Neil & Sharon Parkinson Tony Parmar Jo-Ellen Parry Rick Partridge Janos Pataki Nima Patel J. Susan Pater Margot Paterson Susan H. Patten H. Anthony Pattinson Professional Corporation Gail Kathryn Payne Greg Payne John H. Pearson Ron Pearson David Peat Peel District School Board Yousouf A. Peerbaye Sumithra A. Peeris Robert Pegrum L. Conrad Pelletier John R. Pellettier Robert Penkala Irmgard Penner Michael J. Perchinsky Sophia Perros Isabelle J. Perry Katherine F Perry Thomas Perry Ted Perz Diether & Heidi Peschken Wiebke Peschken Terry D. Petch H Douglas Peter Peter Fox Shoes Ltd. James & Greta Peters Robin Peters Thomas H. Peters Barbara Peterson Shannon Piedt & Michael Peterson Thierry Petry Susan C. Petryk Cuong Duc Pham Tuong-Vi Pham Martin Pham-Dinh

Peter Phibbs Jean-Marc Philibert Charles Philion Philla Investments Inc. Michael Phillip Peter D. Phillips Robert Phillips Lawrence Philps Michel A. Picard Don Piercy Dorothy I. Piercy Vincent & Josephine Pignataro Ralph & Edna Pilgrim Carmelle M. Pilon Ed Pinto Alice Piotte John C. Pirie Darryl Pittman Placements Damifran Inc. Doug Plant Hélène Platt K. Yvonne Playle Michel Plomteux Ernest & Lucy Poggemoeller Point Grey Research Inc. Charles-Albert Poissant Alexander Polkovsky William Pollard Cristian Popa Lawrence R. Port Port Elgin United Church Heather Potter Annemarie & Bob Powell Powell & Bonnell Design Inc. Brian Power A. V. Prasad Birendra Prasada Paul & Lilia Prescod Christine Preto Beatrice G. Prevey Suzanne Prévost Bryan Price Lisa Price Jerilynn Prior Mark E. Prior Procept Associates Ltd. Margaret Procter Professional Association of Interns & Residents of Ontario Professional Employees Association Professional Software Developers Inc. Progressive Rehab Inc. Juliet Promnitz Marie-Andrée V. Provencher Provincial Employees Community Services Fund Jacqueline K. Prowse Frances Prychidny Barbara Prystawa Stewart O. Pugsley David Purchase Janet Purchase Roger A. Purnell Eric & Marjorie Putt

Q R

Saba Qayyum Queen's University, Sociology Dept.

Michael Quinn Anwar Qureshi

Jan M Raczycki Paul Radelet-Beaudry Mary Rae Cyrille & Véronique Ragoucy Robert Raine Sylvia Ramacieri Jane Randhawa Pramila Rao Henny Rappaport Eva Rappoport Rolf Ratte Ravenwood Resources Inc. Sally Ravindra Robert Rawlinson Ray Plastics Ltd. Alice M. Raymond Linda Read Yves Rebetez Steven Garmaise & Susan Rebick M. Reddecliff Michael & Deborah Reddington Elizabeth Ruth Redelmeier Ernest Redelmeier Family Donald & Ruth Redmond Tony Redpath Michael & Aurora Reford Lesley J. Regnier Regulvar Inc. Nadene Rehnby Barbara Rehus Anna C. Reid Gordon Reid William Reimer Reinhold Rehabilitation Services Ltd. Norman Reisman Religious Society of Friends - Coldstream Meeting Kim Rempel Aleen Rennie George H. Renninger Christian Reuter Rodger & Paola Reynolds Ali Rezaki Lizette Rice Bruno Richard Koichi Abe & Shelley R. Richards David I Richardson Rosalind C. Richardson Eric Richer-Laflèche Florence Richler Hugh Richmond Beatrice Riddell Robin & Jillian Ridington Elizabeth Riehm Ingrid Rinaldi Timothy J. Rindlisbacher Gérard Ringuette

John C & Kathleen N. Risk Sharon E. Ritmiller Bryan Robb Nicola Robbie James Robbins Kenneth B. Robbins Margaret H. Robbins Jean-Guy Roberge Norma Roberge The Robert E. Enos Foundation Ronald Roberts Geanine Robey Chris Robinson R. Glen & Diane Robinson Stuart C. Robinson Cécile Robitaille Marc Robitaille Jim & Beatrice Robson Brian Holgate & Carles Roch-Cunill Paula Rochman Denise T. Rochon R Stephen & Phyllis Jane Rodd Wilson & Judith Rodger C. Lawrence Rodgers Harry Roe Celia D. Rogers Dorothy Rogers Laurier Rondeau J. Louise Rooke Rosaire Tremblay Trucking Inc. Rosedale United Church Women Anna M Rosenberg Aileen Ross D. A. Ross David Henry Ross Frederick Ross Grace Ross Heather Ross Helen Ross Ian & Barbara Ross Margo Ross Rotary Club of Palgrave Rotary Club of Whitby Sunrise Frank Rothe Jean Lucien Rouleau Janice Routledge Réjean Roy Roy Legumex Inc. Royal Bank Financial Group Foundation Catherine H. Rublee Patricia Rucker Joan Ruckpaul Lesley A. Ruggles Kamal Rungta Marianne T. Russell William Russell John Rustenburg Clara Rutsch Isabel W. Ruttle Roger Ryan Ryerson United Church

S

James V. Sabourin Tica Saldanha Mark Salton Irene Sam Cathy Sambrook Marjorie L. Sandercock The Sanderling Foundation Sandpiper Management Inc. W. T. Sargent Sarnia Muslim Association Ambrose & Elizabeth Saunders Louis & Jennifer Saunders Patricia Sautner Adil Sayeed Ralph Sayle Diana M. Scandrett Louise Schaap Hans W. Schaedel Ulrich Schaffer Fred & Kathleen Keating Schloessinger Judy Kaye Schmidt Renee D. Schmitz Roy Schofer Matt Schofield C Anne Scholefield The School Sisters of Notre Dame Marilyn Schooley Virginia Schuler Michael Schull Denise Boucher Schumacher Margrit Schuster Jeffrey Schwan Gerd Schwarzkopf Alison M. Scott Charles Scott Collenette Scott Helen E. Scott Sean Scotvold Joel S. Sears Basil & Gillian Seaton George E. Sedgwick Andrew Sefton Jane Dywan Segalowitz John M. Sehmer Stuart N. Seigel John Selles Ross Glenfield & Vamini K. Selvanandan Eric A. & Melanie Semlacher Wynton Semple Barbara Senchuk John S. Senn Ruediger & Barbara Seyen Sgaga Clinic of Rehab Med. Philip Sganos Stan Shabason P. & Chekkera Shammi Charles & Shirley Shanks Leslie Shanks Janet Sharkey Sadhana R. Sharma Satyendra Sharma ShawCor Ltd. Sandra Shearer F. Elizabeth Sheehan

Finbarr Sheehan Margaret Shelton Ellen Shepherd George Sheppard Vanessa Sheppard Janet Sheridan Betty L Sherman Elizabeth A. Sherwin Barbara Shettler Margaret A. Shirley Poneh Shoamanesh Naju Shroff Janet Shute Brian J. Shuter Douglas & Barbara Sibley Sarjit K. Siddoo Side Track Cafe Clarice Siebens Jean Sigouin Carolyn Simmons Charles Simmons Hugh Simmons John D. & M. S. Simmons Kiri Joan M. Simms T. A. Simons Linda Simpkins Lana Simpson Louise E. Sims Richard H. Sims Bill Sinclair Donald B Sinclair Gerald A. Sinel Harpal Singh Santokh Singh David & Laura Singleton Sisters of Providence of St. Vincent de Paul The Sisters of Saint Ann The Sisters of St Joseph of Hamilton Kirsti E. Skaret Daniel Slattery Alan & Linda Slavin Richard Slorizone M. Jane Smale Leonard Schein & Barbara Small F. H. George Smallshaw Suzanne M. Smart Grace Smeltzer Ariane France Smith Brian K Smith Photography Bryar E. Smith Carole Smith Christine Smith Frazer & Helen Smith Heather Smith M. Smith Nancy E. Smith R. Smith Reta Smith Rosemary Anne Smith Sheila Smith Vernon E. Smitz Meredith Smye Basil Sniher Susan Snowdon Society of the Sacred Heart

(Canada) Nanci Soderlund Soeurs de la Ste-Famille de Bordeaux Soeurs de St-Joseph de St-Vallier Soeurs Missionnaires de l'Imm-Conception Soeurs Notre-Dame du Saint-Rosaire Miriam Sokvitne J. Solomcoe Mark Soltysiak Zahid Somani Kevin Song Mary-Lou Soper Todd Sorokan Lois Sparling Martha Spears Werner & Barbara Sperling Willi Sprenger V. Arlene Sproule Louise St. Amand St. George School St. Mary's Church (Kerrisdale) St. Paul The Apostle Cwl. St. Peter's UCW St. David's Outreach Fund St. Paul Guarantee Insurance Company St. Peter's UCW Colin Stairs Robert Stalker R. L. Stanfield John C. Stanley Stanstead College Christopher Statham Amelita Steadman Margaret Steckley Harold T.H. Steed Donna-Lynne Steeves Carl Stef Helen Steinkopf David & Verna Stelfox Rakel Stephanian Susan Stephenson Oscar & Marion Sterk Richard J. Stern Ernest E. & Margaret Sterns Jim W.S. Stevens Lynn Stevens Mary Stevens Lisa Stevenson Donald & Carole Stewart Douglas Stewart Ward & Lee Stewart Sophie St-Hilaire Fern Stimson Robert G. Stirling Carol Stoddart Johannes Stoffelsma Judy Storey Steve Storm Virginia Storr Keith Stotyn Danny Straathof Stratford Area World Aid

The Strow Foundation Clint Strowger Nancy Stuart-Stubbs Therese Stukel Sam & Barbara Stupp Irwin Stutt Terry Suggitt Arzu Suleman James Sullivan Sumas Environmental Services Inc. Sun Life Financial Superior Tofu Ltd. David Sutherland David Sutherland Gerald D. Sutton Sheron Ann Svitorka Bill Sward Swedecan Designs Inc. Claire Sweetman Ken Swenerton & Mary Frey Michael Swidinsky James & Judith Swift Swim Media Inc. Chiara Switzer

T

John M. Tainsh Larry & Alison Talarico J. Talayco Agnes Tam John K.W. Tam Caroline Taran Jeannine Tardif-Hébert C. Elizabeth Tate Janice Tate Laura Tate Crystal M. Taugher L. Tauveron Christopher Taylor Elizabeth Taylor Eva-Maria Taylor Lillian Taylor Michael & Moya E. Taylor Patrick Taylor TD Canada Trust Laura Teich Telepresence Systems Inc. Raymond Tellier Temple Street Productions Ltd. Terra Tepper L. Ter Berg Yoka Terbrugge Terry Good Property Management Michael J. Tessler Diane Tetley Tetrad Computer Applications Inc. Daniel Thau-Eleff Theatre Anywhere Jean-Maurice Therien Yasmin Thobani David Thomas Nancy Thomas Peter & Helen Thomas Tom Hegan & Suzanne Thompson

Doreen Thomsen Anthony & Rita Thorpe Sarah Tichenor Jo E Tickle Wendy Tilby Yit Fun Ting Joan Tivy Binh To Keng-Choo Toh Anna T. Tomiak Darrell J. Tomkins Mary McNeal Tomlinson Shirley C. Toner Craig Toomey Anthony Toonders Jo-Ann D. Toop Toronto Community & Neighborhood Services Emile Toupin John & Pamela Towers Bruce Towler Barry Towson Rhea Tregebov Diana Tremain Francine C. Tremblay R. Tremblay René Tremblay Estelle Trépanier Eric Trigg Albert E. Trites Sally Trofanenko Ronald Trojcak Margaret M. Tromp Helen Trotter Paul Trotter Jacqueline Trottier Jacqueline Trudeau David Trueman Katherine Trumper Karen A. Truscott Tucknuck Holdings Inc. Lynne Tuer Tula Foundation John Tulloch Valerie Tung Elizabeth Turcotte Peter Turk Daniel Turko Turkstra Lumber Co. Ltd. Elaine Turnbull Helen Turner J. Richard Turner Andrew Turzansky Joel J. Twiss Jennifer Twyman Mike Tyers

U

Fred C. Ullman Union Copy United For Peace Nanaimo United Way Centraide Ottawa-Carleton United Way of Calgary & Area United Way of Greater Toronto United Way of Halifax Region United Way of Saskatoon

United Way Of The Lower Mainland United Way of York Region Universal Dyers University Catholic Community John Uppington Ursuline Sisters of Bruno Ursulines Of St. Angela's Convent Eric Uyttewaal

V

Manfred Vaegler Pierre & Mireille Vaillancourt Mark Vale Eric M. Webber & Farah Valimohamed Charlene Valiquette D. Valk Gerard Vallee Kenneth Van Ameyde W. & M. Van Buuren Robert Van Dijken Constance van Eeden A. M. & E.J. Van Goudoever Van Pro Decorating Ltd. Carolyn Van Schagen Occo V. Van Tijn Vancouver City Savings Credit Union Vancouver Foundation John & Alie Vander Meulen Jacob & Colleen Vanderheide Svea Vatch Kenton Vaughan Fred Veenstra Marilyn Venney P. Richard Verbeek Godelieve Verhaeghe Johanna P. Verhulst Mark Verlinden Jacqueline Verly Bruce & Joanne Veroba Danielle Guilbert & Elio Vettesse André Vézina Rollande Vézina Lucile Couture Vézina Gérard Vibien The Victoria Foundation Victorian Epicure Inc. Cecile Viel-Varga Sheila Viinikka Mohan Vijay Marion Vincett Adrian H. Vis Henry & Elisabeth Vis Voilà Events Kimberley Seaman Volk Margareta Von Rudloff Harry & Anne Voortman Elizabeth Vorobej

W

W. M. Thompson Ltd. Ernest Wade Ian & Joan Waid Waladi Child Education Fund Of Toronto Carol Walker Joseph Walker Mike Walker Susan Walker Barbara Wallace Jane Wallace-Brown Maurice Walsh Peter & Louise Walter Michael Ward Justine Warkentin Suzanne Warner Warner Home Video (Canada) Ltd. Jane Warren Patricia A. Warshawski Mavis Waters G. Douglas Watson Gloria K. Watson Sheila Watson William Watson Lucienne Watt Lynn Watters Wendy C. Weaver Justin Webb Winifred M. Webb Orrin Webber Viola Webster Simon Wedel Claire Weeks Jon G. Weinheimer Doreen Weir Ariela Weisfeld J. Welch Beverley Jane Wells Ernest Wesolowski Erlaine West G. Roger West West Coast Software Ltd. WestCan Treks Beverly Westman Sarah Westwood Mark G. Whalen Michael Whatling Ted Wheeler Chris G. Whelan Linda Whelpdale Florence Whitby Gordon & Judith White Laurie White Mary White Brian Cook & Cynthia Whitehead Cora Whitehead Hugh R. Whiteley Jim Whitestone Dennis M. Whitfield Joe Whitney H. R. Whittall Eva Whitwell John Whitworth Robert A. Whyte Arthur G. Wiebe Sandra Wieland

Joel Wiesenfeld Chuck Wightman Keith Wilcox Audrey L. Wild Mary E. Wiley David Wilford Kathryn R. Wilkins Andrew Wilkinson Frances Wilkinson George & Helen Will Elizabeth C. Willekes Geraldine Williams Peggy Williams Ron & Joyce Williams Susan Williams Ted Williams Alice Williamson Richard & Lois Wills Christine M. Wilson David Wilson Debra Wilson G. Donald Wilson Marcia Wilson Mark Wilson Muriel Wilson Patricia F. Wilson Paula Wilson Phillip E. Wilson Thomas Wilson James Windsor Doris Winkler Theodore Winston Carol Winter Alfred Wirth Raymond J.R. Wiss Alan J. Witherspoon Walter B. Witowski Gerry Wolfe Ingo Wolfert Women of Wolfville Benjamin S. Wong Eric YL Wong Lai Ha Wong Fay Wood Gordon G. Wood Lucille Wood Tanya Wood James T. Woodger Geoffrey & Micheline Wormell James Worthington R. M. Would Christine Wozney Colin E. Wright David Wright Helene Wright Rina J. Wright Robert & Portia Wright Valerie A. Wright Felix Wu Rob Wu

Mansing Yeung Chris Yli-Luoma Morden Yolles Natalie P. Young R Gary Young Stan Yurkowski Brian Yuskow

Z

John Zachariah Elisse Zack Elena Zanetti Nathalie Zaquine-Castello Dan Zazelenchuk Bernard Zelechow Ali Zentner Amy Zierler Karl & Agnes Zimmerman Zinterer Construction David W Ziriada Jan L. Zwicky and to all our other donors who wish to remain anonymous.

Estates We extend our thanks to the following individuals who remembered the medicalhumanitarian work of MSF in their wills: Vivienne Dodge Jean I. Fraser Harold Edgar Frid Elizabeth Halliday Gillespie Evelyn Mary Glendenning Charles T. Haddrell Eleanor Hart Jack Keller Sally May Longfield Elaine Melamed Margery J. Warren Frank J. Wolff Marion Wolstein

Y

Ronald B. & Vivian J. Yarwood Chi Hi Yau Dunkan Yeats Gary Yemen Diana Yenson

A n n u a l R e p o r t 2 0 0 3 33

Board of Directors Leslie Shanks MD, President Ben Chapman Christopher Doll, Treasurer Ann Duggan MD Jeff Elzinga Eleanor Fitzpatrick Eric-Viet Laperrière-Nguyen MD Joanne Liu MD Lisette Luykx MD David Morley, Executive Director

MSF Canada

w w w. m s f . c a

720 Spadina Avenue, Suite 402 Toronto, Ontario, M5S 2T9 Tel: (416) 964-0619 Fax: (416) 963-8707 Toll Free: 1-800-982-7903 E-mail: msfcan@msf.ca www.msf.ca

Western Canada office 45 Dunlevy Avenue, Suite 230 Vancouver, B.C. V6A 3A3 Tel: (604) 732-0673 Fax: (604) 732-0671 E-mail: msfvancouver@msf.ca

Québec office 342 Sherbrooke Est, Suite 2 Montréal, Québec H2X 1E6 Tel: (514) 845-5621 Fax: (514) 845-3707 E-mail: msfqc@msf.ca