The Order's hospitaller assistance has played an important role throughout the centuries, in the case of the Constantinian Order this can be tracked as far back as to the Crusades. The Order also played a prominent role in assisting the sick and injured during both the First and Second World Wars.
Today, the dynastic orders financially supports and its members volunteer with the transportation and support of the sick and infirm to pilgrimage sites including Lourdes and most recently, in September 2002, to San Giovanni Rotondo - the tomb of the canonized Saint and capuchin friar, Padre Pio da Pietrelcina. During the latest pilgrimage, the Order supported a large group of disabled children from across Italy who visited the many of the sites associated with the stigmata saint and participated in numerous prayer sessions and masses.
The latest pilgrimage took place under the personal patronage of TRH The Duke and Duchess of Castro and in the presence of the then Grand Prior, His Eminence Mario Francesco, Cardinal Pompedda.
In 2004, the Constantinian Order and the Carabinieri Corps of Italy jointly organised an important humanitarian mission to Nassiriyah in Iraq. This charitable activity in favour of the Iraqi people is part of the wider National Peacekeeping Military Operation “Ancient Babylon” of the Italian Military Forces in Iraq. The Constantinian Order alone succeeded in donating medical and other equipment totalling more than €700,000 in an effort which was approved by HE The Hon Franco Frattini, Italian Minister of Foreign Affairs. Minister Frattini in a message sent to the Order welcomed the co-operation with the Constantinian Order. The joint-operation was carried out under the lead of Constantinian knight Leonardo Albanesi, Major of the 7th “Trentino Alto Adige” Carabinieri Regiment and by Commander Arrigo Sabarbaro. The generous participation of so many knights and dames from Northern Italy represented the continuation of the Constantinian Order's prominent role in humanitarian and hospitaller assistance. Shortly before the departure of the ship ‘Romea' a religious ceremony was held in Molfalcone harbour by HE Mgr Arnaldo Greco, Constantinian Chaplain.

The Constantinian Order regularly finances and donates ambulances to the care of the sick and infirm. The senior officers of the Grand Magistry, including TRH The Duke and Duchess of Castro, together with delegation officials also pay regular visits to hospitals and hospices around the world, which receive support from the dynastic orders.
In Great Britain and Ireland for example, TRH The Duke and Duchess of Castro, paid visits to Ealing General Hospital in West London in November 2001 and to the City of Dublin Skin and Cancer Hospital in November 2002 with the Lord Mayor of Dublin. Cardinal Pompedda also visited the Dublin hospital in May 2004.
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