inCET: international Community based health Emergency preparedness Training Example: A bus full of children has an accident and many passengers have sustained serious injuries. Nearest health facility is many miles away. The disaster site is surrounded by local people--many of them shop keepers, transport workers and by-standers. There is confusion and chaos in the time that uniformed services arrive. Many lives that can be saved may be lost. What is required urgently is for the local people to do the following, all are addressed by interCEPT training: 1. Provide accurate and necessary information to the next level of responders and authorities so that they can be properly mobilised: communication 2. Use the available helpers to provide assistance : leadership, risk assessment and avoidance 3. Rescue and transfer the injured and ill people : rescue, transport skills and chain of survival 4. Differentiate seriously ill / injured patients from those less affected : triage Introduction: All communities experience health emergencies, but the consequences are worse in developing countries. Preventable loss of life, limb and earning from fire, flood, epidemic, and accident, is considered almost unavoidable in disadvantaged areas. Often, help does not reach in time. Infrastructural change is slow. Unlike the catatrophic events, every-day small-scale health emergencies do not receive international attention and assistance. Yet, the economic and personal impact of common emergencies exceeds that of the dramatic ones. Local communities deal with health emergencies in different ways. The proposed programme seeks to capitalise on the strengths and skills within the local community to mitigate the health effects of emergencies. The pilot project complements existing initiatives including those concerned with mellinium development goals (MDGs). It focuses on competencies within the population. Appropriate training can empower the by-standers and first responders achieve the best immediate survival and salvage outcome of victims in a health emergency. Rationale: Developing countries are rich in social, cultural and human capital. Arguably, there is more community spirit and willingness to assist others. With the advent of the MDG agenda, attention is being applied to sustainable and local strategies for the improvement in the response and resileince of societies to fundamental problems. Whilst the established illnesses such as AID / HIV, malaria, tuberculosis, industrial injuies and malnutrition correctly retain the focus, the more immediate issues from acute health emergencies can also be addressed. The CEPT programme is founded on the awareness that in any emergencies, arising from virtually any cause there three types of victims: 1. those who can not be helped with limited resources 2. those who do not require immediate assistance and 3 those who will benefit from appropriate deployment of available facilities. CEPT training also recognises the following truths: the by-standers, transport workers and local responders from the community are often the first to become aware of a health emergency. Their good intension and hard work is constrained by lack of certain skills. CEPT addresses these gaps.