Question: The games presided over by the Comité international des Jeux méditerranéens are held how often?

Context paragraphs:
1924 Summer Deaflympics: The First International Silent Games, or First International Games for the Deaf, now referred to retroactively as the 1924 Summer Deaflympics, were the inaugural edition of the Deaflympics.  The Games were held in Paris, France, from 10 to 17 August 1924, as an equivalent to the Olympic Games for deaf athletes.  They were organised on the initiative of deaf Frenchman Eugène Rubens-Alcais, who, just after the Games, co-founded the Comité International des Sports des Sourds with other "deaf sporting leaders".  (Rubens-Alcais had previously founded France's first sports federation for the deaf and mute, in 1918.)  The 1924 Games were "the first games ever" for athletes with a disability, preceding the World Wheelchair and Amputee Games in 1948, which became the Paralympic Games in 1960 but which did not include events for deaf athletes.

2009 Mediterranean Games: The 2009 Mediterranean Games, officially the XVI Mediterranean Games (Italian: "XVI Giochi del Mediterraneo" ) and commonly known as Pescara 2009, was a multi-sport event held in Pescara, Italy, from 26 June to 5 July 2009.  It was governed by the International Committee of Mediterranean Games (ICMG) (French: "Comité international des Jeux méditerranéens" ).  A total of 3,368 athletes (2,183 men and 1,185 women) from 23 National Olympic Committees (NOCs) participated in the Games.  Montenegro participated for the first time at the Mediterranean Games, after their independence in 2006.  The program included competitions in 24 different sports, including three non-Olympic sports – bocce, karate, and water skiing – and golf, which will be reinstated as an official Olympic sport in 2016 Summer Olympics.  Water skiing was introduced as a demonstration sport.  Two disabled sports, athletics and swimming, were also contested in the Games.  Italy became the first nation to host the Mediterranean Games three times, having previously hosted them in Naples (1963) and Bari (1997).

Comité international des Jeux méditerranéens: The Comité international des Jeux méditerranéens, CIJM ("International Committee of Mediterranean Games" in English), is the organization of the National Olympic Committees who presides, regulates and organizes the Mediterranean Games.

Deaflympics: The Deaflympics (previously called "World Games for the Deaf", and "International Games for the Deaf") are an International Olympic Committee (IOC)-sanctioned event at which deaf athletes compete at an elite level.  Unlike the athletes in other IOC-sanctioned events (the Olympics, the Paralympics, and the Special Olympics), the Deaflympians cannot be guided by sounds (e.g., the starter's guns, bullhorn commands or referee whistles).  The games have been organized by the "Comité International des Sports des Sourds" (CISS, "The International Committee of Sports for the Deaf") since the first event.

Mediterranean Games: The Mediterranean Games are a multi-sport games held usually every four years, between nations around or very close to the Mediterranean Sea, where Europe, Africa, and Asia meet.  The games are under the auspices of the International Committee of Mediterranean Games (CIJM).

World Deaf Badminton Championships: The World Deaf Badminton Championships are organized by Comité International des Sports des Sourds since 2003.  They are held every four years.

2013 Mediterranean Games: The 2013 Mediterranean Games (Turkish: "2013 Akdeniz Oyunları" ), officially known as the XVII Mediterranean Games ("XVII Akdeniz Oyunları"), was an international multi-sport event held in the tradition of the Mediterranean Games, as governed by the International Committee of Mediterranean Games (ICMG) (French: "Comité international des Jeux méditerranéens" ).  The host city of the Games was Mersin, Turkey, as announced after an on-line poll conducted on 23 February 2011 by the ICMG.  The games were held from 20 to 30 June 2013.  Mersin is the second city in Turkey after Izmir to host the Mediterranean Games.  All 24 member National Olympic Committees (NOCs) of the ICMG participated in the Games.  The official programme for the Games is featuring events in 27 different sports.

Comité International des Sports des Sourds: Comité International des Sports des Sourds (CISS) is the apex body organizing international sports events for the deaf, particularly the Deaflympics (previously called World Games for the Deaf).  It is also called the International Committee of Sports for the Deaf.

International Committee of Architectural Critics: The International Committee of Architectural Critics (French: "Comité International des Critiques d'Architecture" , Spanish: "Comité Internacional de Críticos de Arquitectura" - CICA) is a non-profit organization of international architecture critics, and was founded in Mexico City on October 26, 1978, during the 13th World Kongress of the Union internationale des architectes (UIA).  The CICA is headquartered nearby the UIA in Paris.  Paris was also the residence of Pierre Vago, who was head of the organization for years.  The seat of the secretary was originally located in Buenos Aires, residence of Jorge Glusberg, but can be transferred per decret to any other place worldwide according to the residence of the chairmen.

General Conference on Weights and Measures: The General Conference on Weights and Measures (French: "Conférence générale des poids et mesures" – CGPM) is the senior of the three Inter-governmental organizations established in 1875 under the terms of the Metre Convention (French: "Convention du Mètre" ) to represent the interests of member states.  The treaty, which also set up two further bodies, the International Committee for Weights and Measures (French: "Comité international des poids et mesures" – CIPM) and the International Bureau of Weights and Measures (French: "Bureau international des poids et mesures" – BIPM), was drawn up to coordinate international metrology and to coordinate the development of the metric system.

Supporting paragraphs: Mediterranean Games Comité international des Jeux méditerranéens
Answer: every four years