Healthcare · Rehabilitation · Recovery
The medical arm of Comprehensive Disaster Response Services

Twenty years of care, counted one patient at a time.

Permanent clinics in Pakistan. Emergency medical missions on three continents. More than a million documented patient contacts since 2006 — and a new program placing rehabilitation and recovery equipment where almost none exists.

1,154,379
Patient contacts
Documented since March 2006
2
Permanent clinics
Open continuously since 2010 & 2014
7
Countries with medical missions
Across three continents
20
Years with IMANA & APPNA
Joint missions since 2005
Medical camp in progress
Doctor examining a child at a CDRS medical camp
Clinicians treating patients at a field camp
Relief supplies being unloaded
Medicines distributed to a family
IMANA volunteer physicians at work, Swat
Rohingya refugee health response, Cox’s Bazar
Surgical team at the Mother & Child Health Center, Swat
Patient receiving treatment in a CDRS ward
Newborn care at the Mother & Child Health Center
Care delivered

Every patient contact, counted and reconciled.

CDRS has recorded patient contacts continuously since 26 March 2006 — by facility, by mission, disaggregated by age and sex. These are the totals from that record.

1,154,379
Total patient contacts
26 March 2006 – 3 July 2026
564,284
Children aged 14 and under
48.9% of everyone treated
648,303
Women and girls
56.2% of everyone treated
124
Missions & reporting periods
Each separately documented

Where the care was delivered

AJK earthquake health network
13 rural health centres, basic health units and first aid posts · 2006–2012
420,211
Permanent clinics
Swat 158,008 · Karam Bagh 139,105 · both still open
297,113
Flood relief missions
2010, 2011, 2012, 2014, 2022 and 2025
225,977
Displaced-population relief
Mardan, Swabi, Charsadda and Bannu
157,017
Free medical camps
Eye, dental, orthopedic surgery, artificial limbs, gynaecology
53,059
Shangla & Mansehra earthquake camps
2015–2016
1,002
Total patient contacts
1,154,379

Who we treated

293,907
25.5%
Boys, 14 and under
270,377
23.4%
Girls, 14 and under
377,926
32.7%
Women, 15 and older
212,169
18.4%
Men, 15 and older

Nearly half of everyone CDRS has treated was a child, and more than half were women or girls — a direct consequence of building mother-and-child facilities where none existed.

Consultation in progress — clinician with mother and child, MCHC Swat
Consultation at the Mother & Child Health Center, Swat
19
IMANA physician camps at Swat
40,632 patients treated by visiting volunteer physicians since 2019
55
Hospital beds to Mayo Hospital
Delivered for the Lahore COVID-19 ward, 2020
9
Equipment categories to Nishtar Hospital
Ventilators, ICU beds, echo Doppler, ECG, high-flow respiratory therapy and more, 2024–2025
13
Health facilities established after 2005
Built and staffed across Azad Jammu & Kashmir
Figures are drawn from the CDRS All-Time Patient Contacts Report and reconcile exactly to its facility-level totals. Full records are available to partners on request.
Our network

Where we work, and what we've done there.

Choose a country, filter by the kind of work, and hover any point.

Legend — click to filter
MCHC Swat — exterior or ward
CDRS Mother & Child Health Center, Swat

CDRS Mother & Child Health Center

Swat, Khyber Pakhtunkhwa · continuous since 2010
158,008 patient contacts
Karam Bagh clinic — children waiting or consultation
Children waiting at the Karam Bagh child clinic, Kharian

Chaudhry Mushtaq Child Clinic

Karam Bagh, Kharian, Punjab · continuous since 2014
139,105 patient contacts
Medical partnerships

We work with the organizations that can vouch for us.

North American physician associations, teaching hospitals and welfare trusts — most of these relationships are active today.

Islamic Medical Association of North America

20 years · active

Joint disaster response since the 2005 earthquake, plus the Haiti earthquake field hospital. IMANA physician volunteers run recurring camps at our Swat center — most recently May 2026 — and deployed with us on the 2025 Buner flood mission.

Association of Physicians of Pakistani Descent of North America

20 years · active

Partner on the 2005–2009 earthquake missions, the 2010 floods and the 2020–2021 COVID-19 response, plus specialist dental camps in Swat.

NMCAA

Nishtar Medical College Alumni Association

2023 – 2026

Procured ventilators, ICU beds, echo Doppler, high-flow respiratory therapy and compression limb therapy for Nishtar Hospital. Also backed its Autism Center and Psychiatric Research Centre.

MAYO

Mayo Hospital, Lahore

2020

Delivered 55 hospital beds for the COVID-19 ward.

FIRST
HOPE

The First Hope Center, Lahore

2025 – 2026 · active

Program funding and donor engagement.

OBAT

OBAT Helpers

2017 – 2018

Medical volunteers, medicines and a community health center for Rohingya refugees in Bangladesh.

BSDK
TRUST

Brig. Sahib Dad Khan Welfare Trust

2014 – present · active

Co-operates our Karam Bagh child clinic in Kharian.

PAK
ARMY

Pakistan Army

2017, 2025

Joint medical camps including the 2025 Astore Valley mission in Gilgit-Baltistan.

Share to Care Foundation

2022

Community clinic established in Chitral.

WALI
TRUST

Wali Welfare Trust

2012 – 2017

Long-running free eye camp program across Swat and Gujrat.

FTZ

Fatima Tu Zahra Mother & Child Hospital

2023

Medical equipment and supplies to expand maternal capacity.

Leadership

The same team since the earthquake.

Founder Todd Shea responded to 9/11, Hurricane Katrina and the Sri Lanka tsunami before arriving in Pakistan in 2005 — and staying.

Meet the team
Todd Shea in the field — portrait, working, not posed
Todd Shea, founder of CDRS, at a CDRS facility
Timothy Todd Shea
Founder
Zafar Iqbal
Chairman
Salman Rafique
Chief Executive Officer
Dr. Khalil A. Khan
Country Director
Aam Azam
President, Friends of CDRS USA & Europe
The next chapter

We can treat a spinal injury. Then we send the patient home to a country with almost no rehabilitation at all.

Across every country where CDRS works, the gap between people who need rehabilitation and the capacity to provide it is among the widest on earth. Donated recovery equipment does more here than almost anywhere else it could go.

Rehabilitation or mobility care — physiotherapy session, wheelchair patient, or artificial limb camp
Mobility and recovery care at a CDRS facility
2.4B
People need rehabilitation worldwide
WHO Rehabilitation 2030
<1/10k
Rehab professionals per 10,000 people
Pakistan, Bangladesh and neighbours
~1,000
Strokes per day in Pakistan
About 600 survive into recovery
6.8
Rehab units per million in Bangladesh
Only 6.2% of them are rural
Priority countries

Where donated recovery equipment goes furthest.

Priority

Pakistan

240M+ people · 0.54 physiotherapists per 10,000

An estimated 27 million people live with disability, served by roughly 14,000 physiotherapists nationwide. Falls from height (30%) and road traffic dominate spinal injury, and paraplegia is the majority presentation at rehabilitation admission.

People with disability27M+
Physiotherapists nationwide~14,000
Living with stroke effects~4M
SCI admissions with paraplegia70–90%
Priority

Bangladesh

~173M people · 0.88 hospital beds per 1,000

Spinal cord injury runs 15–40 per million a year, mostly young rural men injured by falls (45%) and road traffic (26%). Low back pain is the country's leading cause of disability. Nearly 70% of spinal injury patients come from rural areas with no local rehabilitation at all.

Annual SCI incidence per million15–40
Adults with musculoskeletal conditions30.4%
Adult low back pain prevalence19.4%
SCI patients from rural areas69.2%
Stroke prevalence per 1,00011.4
Under evaluation

Other geographies

Additional countries under assessment

CDRS has delivered medical missions and equipment across three continents. Several further geographies are being assessed for rehabilitation equipment placement, each against the same three tests before it is named publicly.

Documented rehabilitation shortfallRequired
Accountable local clinical partnerRequired
Logistics and maintenance capacityRequired
Equipment program

How a donated machine becomes a treated patient.

A dedicated gifts-in-kind program for therapeutic, rehabilitation and pain-recovery equipment, running on the same logistics that have moved medical supplies into disaster zones for twenty years.

What we accept

Therapeutic recovery and hydro-massage systems, physiotherapy and mobility equipment, pain-management devices and patient-handling equipment — each reviewed for clinical fit and serviceability.

Where it goes

Affiliated hospitals, rehabilitation units and outpatient clinics, prioritising facilities serving spinal injury, stroke recovery, chronic pain and low-mobility patients.

How placement works

Review, written acceptance, customs and delivery, installation with staff orientation, then placement confirmation with photographs and facility attestation.

How impact is reported

Facilities report patient throughput and equipment uptime periodically. Donors receive placement records and utilization summaries.

Data sources
  1. CDRS All-Time Patient Contacts Report, 26 March 2006 – 3 July 2026, facility-level records maintained by CDRS.
  2. WHO, Rehabilitation 2030 initiative — global rehabilitation need.
  3. Pakistan 2023 Census; World Bank population and land area data.
  4. UNHCR — 2022 Pakistan monsoon floods, 33 million people affected.
  5. UN / UNHCR and humanitarian sector reporting — Rohingya refugee population, Cox's Bazar.
  6. Epidemiology of Spinal Cord Injury in Bangladesh, Centre for the Rehabilitation of the Paralysed, 2011–2016 (n=2,184).
  7. Prevalence of musculoskeletal conditions and related disabilities in Bangladeshi adults, BMC Rheumatology (2020).
  8. Low back pain in the Bangladeshi adult population: a cross-sectional national survey (2022).
  9. Prevalence and risk factors of stroke in Bangladesh: nationwide population-based survey (2022).
  10. Health-related quality of life in post-stroke patients, Frontiers in Stroke (2024) — rehabilitation unit density.
  11. World Physiotherapy workforce density, Pakistan (2026).
  12. WHO (2014) disability estimates for Pakistan; Growing Burden of Stroke in Pakistan.
  13. Quality of life after stroke in Pakistan (2016) — stroke prevalence estimate.
  14. Epidemiology of Spinal Cord Injury in Pakistan, Paraplegic Centre Peshawar (2017).
  15. Maldives 2022 Census (Washington Group Short Set); Maldives Situational Analysis on the Rights of Persons with Disabilities (2025).
  16. Disability and the achievement of Universal Health Coverage in the Maldives, PLOS One (2022).
  17. World Bank / WHO Global Health Observatory — hospital bed and physician density.