1. © 2010 Integrated Medical Systems International, Inc. All rights reserved.10/4/2015 8:35:54 PM What’s it like on the Africa Mercy?

2. Surgeries Performed Onboard Urogynecologic Repairs of vesivaginal fistula, rectovaginal fistul & urethral vaginal fistula/ Pubovaginal slings in patients who have undergone previous VVF repairs Orthopedics Club foot Amutations/stump revision Malunion/nonunion fractures Orthopedic contracture release Femoral/tibial osteotomy General Hernia/hydrocele repair Thyroidectomies Small tumor excision Keloid scar excision Breast surgery Limited pediatric congenital repair of bowel & bladdernia repairs Maxillofacial / ENT Cleft lip and palate Head & neck benign tumor excision / reconstruction Facial tissue reconstruction TMJ ankylosis repair Encephalocele repair Tracheostomy Occuloplastic Procedures Ophthalmic Cataract Extraction Excision of pterygium Strabismus / Enucleation Plastic Burn contracture release Ear reconstruction Hand procedures – tendon transfer for leprosy

3. © 2010 Integrated Medical Systems International, Inc. All rights reserved.10/4/2015 8:35:54 PM Screening Day, Togo 2010

4. © 2010 Integrated Medical Systems International, Inc. All rights reserved.10/4/2015 8:35:54 PM New Beginnings

5. © 2010 Integrated Medical Systems International, Inc. All rights reserved.10/4/2015 8:35:54 PM Celebration of Life Ceremony Women Suffering from Obstetric Fistula Celebrating a New Beginning

6. © 2009 Integrated Medical Systems International, Inc. All rights reserved.10/4/2015 8:35:54 PM Instruments Onboard

7. © 2009 Integrated Medical Systems International, Inc. All rights reserved.10/4/2015 8:35:54 PM Every Instrument Is Critical

8. © 2010 Integrated Medical Systems International, Inc. All rights reserved.10/4/2015 8:35:54 PM Necessity Driven Innovation

9. © 2010 Integrated Medical Systems International, Inc. All rights reserved.10/4/2015 8:35:54 PM Equipping On-location Instrument Repair Facility Onboard

10. Establishing On-location Instrument Repair “This has been an eye-opening experience for me. Thanks for getting involved in this and allowing me to help. There is so much needed here. I just wonder what else I can do." -- Willie Miles, IMS On-Location Technician, Boston “Knowing thousands of surgeries are performed on the ship, I was ready to get to the Africa Mercy to help.” -- Kevin Aaron, IMS Repair Team Leader, Birmingham

11. © 2010 Integrated Medical Systems International, Inc. All rights reserved.10/4/2015 8:35:54 PM Onshore Operations: An Adventure

12. © 2010 Integrated Medical Systems International, Inc. All rights reserved.10/4/2015 8:35:54 PM Onshore Operations: Dental

13. © 2010 Integrated Medical Systems International, Inc. All rights reserved.10/4/2015 8:35:54 PM Onshore Operations: Dental “…it is absolutely GREAT. Thank you, thank you :-) I am out of words other than to say that we look forward to receiving them. This is an enormous blessing to us.” -- Dag Tvedt, DDS Chief Dental Officer, Africa Mercy (Cotonou, Benin)

14. © 2009 Integrated Medical Systems International, Inc. All rights reserved.10/4/2015 8:35:54 PM NGO-Supported Hospital Downtown

15. © 2009 Integrated Medical Systems International, Inc. All rights reserved.10/4/2015 8:35:54 PM NGO-Supported Hospital Downtown

16. © 2010 Integrated Medical Systems International, Inc. All rights reserved.10/4/2015 8:35:54 PM On-Shore Operations: Hospital

17. © 2010 Integrated Medical Systems International, Inc. All rights reserved.10/4/2015 8:35:54 PM International Service Opportunities Talk. Get the word out Act. Take the lead Go. Volunteer to go Give back … become involved in a way you may have imagined when you first dreamed of becoming a nurse

18. © 2010 Integrated Medical Systems International, Inc. All rights reserved.10/4/2015 8:35:54 PM Examples of Volunteer Opportunities COAN – www.coanhealth.com www.coanhealth.com – 1-week commitment – Orthopedic surgery in Nicaragua International Children’s Heart Foundation – www.babyheart.org www.babyheart.org – 2-week commitment – Pediatric heart surgery worldwide Operation Smile – www.operationsmile.org www.operationsmile.org – 2-week commitment – Facial reconstruction worldwide International Health Volunteers – www.internationalhealthvolunteers.org www.internationalhealthvolunteers.org – Database – Search for international healthcare volunteers and organizations that need their services Doctors Without Borders – www.doctorswithoutborders.org www.doctorswithoutborders.org – 9 -12 month commitment – Worldwide Mercy Ships – www.mercyships.org www.mercyships.org – 2-week commitment – Hospital ship