HEALTH EMERGENCIES IN THE COMMUNITY: PROPOSAL FOR EVALUATION AND MITIGATION : FOR COMMENT and QUESTIONS on inCET Mortality and morbidly from health emergencies causes much hardship, suffering and economic loss in the community. Severe injuries as well as illnesses are responsible. Research shows that adverse effects can be reduced by simple but correct and prompt response. Uniformed services cannot always provide immediate service in all cases and adequate infrastructure is often lacking. A centre of medical excellence in the country is ideal for implementing an outreach programme that brings better health to the community. interCEPT (international Community based Emergency Preparedness Training) addresses these issues on a not-for-profit basis with the help of senior international experts: Details from IHCI,Tel / fax: +44(0)1707852118 mobile: +44(0)7850996376 email: chief@jmap.com inCET in summary: Key individuals within the local community are trained to recognise the effects of serious illness and injury, to identify those in the greatest need before help arrives (triage). The participants learn methods to gain control of the event and to make use of available resources (leadership). They are able to communicate with uniformed services and assist in transfer / transport of people. The participants are also given a brief understanding of the specific health emergency risks in their area. The recipients are encouraged to record and audit the effects of their training. The inCET approach is scientifically validated and fundamentally different from first aid, life support, health and safety courses and intended to complement these skills. INTRODUCTION: 1. Data indicates that over 30 percent of deaths from trauma are preventable by prompt and correct treatment. In most cases high and expensive technology is NOT required. The standards and principles of care are well established in courses such as ATLS, PHTLS etc. for many years. Difficulty arises in developing countries due to lack of infrastructure and uniformed prehospital services. Usually these are replaced and provided locally by and within the community. The service is often inconsistent and unscientific. A similar situation exists with reference to common but life threatening illnesses such as meningitis, severe dehydration and diabetic acidosis.