Kids Operating Room and Smile Train roll out solar surgery system to improve care of children in Nigerian hospitals

  • Kids Operating Room and Smile Train successfully install solar surgery systems in 23 hospitals across Nigeria
  • The Solar Surgery system ensures reliable power for medical equipment during surgeries, addressing frequent power cuts
  • Initiative boosts patient safety and surgical outcomes, and reduces carbon emissions
  • Partnership aims to upgrade more than 30 paediatric theatres across Africa by 2025

Kids Operating Room (KidsOR), the Scottish charity dedicated to ensuring every child has access to safe surgery in low- and middle-income countries (LMICs), and Smile Train, the world’s largest cleft-focused charity, announce the successful implementation of the Solar Surgery system in 23 hospitals across Nigeria.

In their groundbreaking partnership, the two organisations are taking significant strides to enhance surgical care in Nigeria through the creation of new surgical facilities, training of local surgical teams, and now the deployment of solar powered operating theatres to ensure every child has access to a safe operation, free from the risks of power outages.

Solar panels have been installed on the roofs of the operating facilities in Nigeria, charging smart battery units that power vital medical equipment in an operating room. This innovative approach combats the frequent power cuts experienced in many African hospitals, ensuring uninterrupted care and better outcomes for patients.

The system monitors what power is needed by the surgical team and provides that directly from the panels, meaning children across Nigeria are now having operations powered entirely by the sun. However, the system can seamlessly switch to a blend of solar and battery power on cloudy days and can go on to provide 8-hours of continuous use into the night. Only when there is no sunlight, and the reserve is being depleted will the system start to pull power from the local grid. 

The partnership between KidsOR and Smile Train promises to deliver reliable power to Nigerian hospitals, improving patient safety and improving surgical results while also reducing the carbon emissions of the facilities – setting a sustainable standard for medical treatment across Africa.

Globally, one in 700 babies are born with a cleft lip and/or palate. Sadly, many of these children miss out on the vital reconstructive surgery they need, which can lead to challenges in eating, breathing, and speaking. Smile Train is the world’s leading charity focused on transforming the lives of these children and recently announced supporting their 2 millionth cleft surgery.

Nkeiruka OBI, Vice-President and Regional Director, Africa of Smile Train, commented: “Erratic power supply is a norm in Nigeria, like most developing countries. Interruption of power during a surgical procedure could jeopardise the life of the patient. It is not a desirable experience.  

“By harnessing clean and renewable solar energy, which by the way we have in abundance in this part of the world, surgical teams can confidently operate critical medical equipment and ensure that children with clefts can receive safe, timely surgeries regardless of power outages.  

“The solar-powered theatre is a game changer, in transforming healthcare delivery across Africa, especially in areas where unreliable power limits access to safe surgical care. 

“With each solar-powered theatre, we take a step closer to universal access to safe surgery, amplifying the impact on children, families, and entire communities. Smile Train and KidsOR’s partnership truly serves as a model on how meaningful collaboration and innovation can overcome healthcare challenges and drive sustainable change across the continent.”

David Cunningham, CEO of KidsOR, commented: “Our partnership with Smile Train is making a life changing difference to children in developing countries across the globe. In Nigeria, and across Africa, we are working with Smile Train to pave the way for a future where no child has to fear a power outage as a significant risk to their life during an operation.

“In Nigeria, we will shortly have moved 30 operating rooms onto the exciting Solar Surgery system, which means surgical facilities across the country will be able to operate at full capacity and are no longer restricted by frequent power outages.”

Return of pre-departure tests for travellers heading to UK as Omicron numbers rise

  • Nigeria to be added to the travel red list from 4am Monday 6 December following 21 cases of Omicron reported in England which are linked to travel from this country, with 134 UK cases now reported in total
  • In light of emerging evidence on the Omicron variant, from 4am on Tuesday 7 December anyone aged 12 and above wishing to travel to the UK will need to show a negative pre-departure test (LFD or PCR) as close as possible to departure and not more than 48 hours before to slow the importation of the new variant
  • Government working at pace to expand Managed Quarantine Service capacity, but passengers are advised that hotel bookings may be limited as new hotels are onboarded
  • These are temporary measures that have been introduced to prevent further Omicron cases from entering the UK, and will be examined at the three-week review point on 20 December

From 4am tomorrow – Monday 6 December – UK and Irish citizens and residents arriving from Nigeria must isolate in a government-approved managed quarantine facility for 10 days, and receive two negative PCR tests, as further precautionary action is taken against the Omicron variant.

Currently, the vast majority of cases in the UK have clear links to overseas travel from South Africa and Nigeria, and over the past week, 21 Omicron cases reported in England originate from Nigeria.

A temporary travel ban will therefore be introduced for all non-UK and non-Irish citizens and residents who have been in Nigeria in the last 10 days, meaning they will be refused entry into the UK. This does not apply to those who have stayed airside and only transited through Nigeria while changing flights.

Last weekend, 10 countries were added to the red list and it was announced that all vaccinated passengers arriving in the UK must take a day two PCR tests and self-isolate until they receive a negative result. Since then, the geographical spread of Omicron has increased considerably, with 37 countries around the world now reporting Omicron cases and over 134 cases identified in the UK.

New analysis conducted by the UK Health and Security Agency (UKHSA) indicates that the window between infection and infectiousness may be shorter for the Omicron variant, which increases the efficacy of pre-departure testing as it is more likely to identify positive cases before travel.

In light of this emerging evidence and the changing global picture with regards to the spread of Omicron, from 4am on Tuesday, anyone wishing to travel to the UK from countries and territories not on the red list must also show proof of a negative PCR or lateral flow (LFD) pre-departure test, taken no earlier than 48 hours before departure. This applies to vaccinated passengers and children aged 12 and above.

Airlines will be required to check for pre-departure tests alongside a completed passenger locator form, and passengers will not be allowed to board a flight without providing evidence of a negative test result.

Given the reduced incubation period of the Omicron variant, passengers are advised to take the pre-departure test as close as possible to their scheduled departure to the UK and no earlier than 48 hours before travelling.

These additional measures are vital to delaying the import of additional cases and slow the rise in cases within the UK.

However, as the Prime Minister set out on 27 November, all temporary measures will be reviewed after three weeks to ensure that they remain necessary and proportionate, and this will take place on 20 December.

Secretary of State for Health and Social Care, Sajid Javid, said: “We knew this winter would be challenging but the arrival of a new variant means we must further strengthen our defences.

“As our world-leading scientists continue to understand more about the Omicron variant we are taking decisive action to protect public health and the progress of our COVID-19 vaccination programme.

“I urge everyone to do their bit to slow the spread by following the new travel rules, wearing masks where mandatory and most importantly getting the booster jab when called.”

Anyone arriving from Nigeria before 4am Monday [6 December] will be advised and strongly encouraged to isolate at home, and their household should also self-isolate for 10 days starting with their arrival in England.

Affected individuals will be contacted and offered free PCR tests to be taken on day 8 after their arrival.

Transport Secretary, Grant Shapps, said: “Following developments in the past week, the science shows that we must be cautious in guarding against this new variant and so, while we appreciate this will be difficult for the travel sector, it’s important we prioritise public health.

“As we learn more about the Omicron variant, we will review these temporary measures to ensure they continue to be proportionate and necessary to protect public health.”

Analysis by the UKHSA suggests there is strong indication of Omicron presence in Nigeria, and several cases identified in the UK are linked to travel from Nigeria. The country also has very strong travel links with South Africa, for example Nigeria is the second most popular flight destination from Johannesburg.

The UKHSA continues to monitor the situation closely, in partnership with scientific and public health organisations across the world, and government is working collaboratively with the WHO and countries around the world to better understand the new variant and possible mitigations.

Travellers should not attempt to travel to the UK from a red list country without a Managed Quarantine Service (MQS) booking, as they will not be able to board a flight and could be subject to a fixed penalty notice at the UK border.

The government’s advice is to keep checking the CTM website as there are significant number of cancellations happening which will free up rooms.

The MQS has contracted several new hotels to enter service this week, in response to the likely numbers of UK residents who will want to travel from Nigeria before Christmas.

British nationals in Nigeria should check Foreign, Commonwealth and Development Office (FCDO) travel advice and follow local guidance. The FCDO will continue to offer tailored consular assistance to British nationals in country in need of support overseas on a 24/7.

The UK government is clear it will take further ‘decisive action’ if necessary to contain the virus and new variant.

The change, informed by a UK Health Security Agency risk assessment, will also take effect in Scotland.

Transport Secretary Michael Matheson said: “It is essential we take steps now to keep people safe, protect the roll out of the booster programme and reduce the chances of unsustainable pressure being placed on the NHS over the winter.

“We have always said it may be necessary to quickly implement fresh measures to protect public health in Scotland, particularly with regards to international travel, and these restrictions are proportionate and necessary to that aim.

“We fully understand the impact the changes will have on staff and businesses in the travel and aviation sectors, particularly as the new variant came at a time when we were beginning to see some signs of recovery.  We will not keep the restrictions in place any longer than is necessary.”

International travel and quarantine restrictions are in place to protect the wider public health.

Countries currently on the red list are: Angola, Botswana, Eswatini, Lesotho, Malawi, Mozambique, Namiba, South Africa, Zambia, Zimbabwe.

Pre-departure tests are currently required for red list arrivals and unvaccinated travellers from all countries of origin.  This change extends the pre-departure test requirement to vaccinated travellers and requires all pre-departure tests to be no later than two days before departure.

Nigerian hospital reports surge in child ops thanks to KidsOR charity

A hospital Operating Room for children in the capital of Nigeria, which was newly installed in August 2019 thanks to a Scottish-based charity, has managed to increase the number of paediatric operations carried out by more than two-thirds in just a year.

From July 2018 to July the following year, 229 operations on children at the National Hospital in Abuja were carried out. Then, thanks to Kids Operating Room, a new Operating Room was installed in August 2019. This new Operating Room has enabled the surgical team in Abuja to undertake 381 operations from September 2019 to September last year – a staggering rise of more than 66 per cent.

Commenting on the difference that the new Operating Room has made, Dr Olubunmi Majekodunmi, the hospital’s Chief Paediatric Surgeon, said: “Having a KidsOR Operating Room has made surgeries far more effective. We have paediatric-sized instruments and do not have to struggle with larger ones meant for adult surgeries.

“As for the children, they move into an Operating Room filled with beautiful wallpapers and exciting toys and are so engaged that they do not even realise when they are put under anaesthesia. But, most importantly, our backlog of patients which used to involve a waiting list of a year or sometimes more, has been cleared.

“The relief on the faces of parents when they realise that their kids can have surgeries within a few days – enough time for pre-operative preparation – is priceless. Thank you KidsOR for such a tremendous gift!”

Rosemary Mugwe, Africa Director at KidsOR, said: “The Surgical Team at National Hospital were carrying out fantastic work before KidsOR came on board; however, they lacked specialist paediatric equipment to provide safe, quality surgery.

“We were happy to provide the tools – metaphorically and literally – to give them even greater capacity to help the children of Abuja. And we are delighted to learn of the large increase in the number of operations being carried out meaning that children do not have to wait for life saving or life changing surgery.”

The charity’s research also revealed that the percentage of wound infections decreased from 1.3 per cent to 0.29 per cent during the year after the new Operating Room was installed. This figure represents the percentage of surgical cases in which the patient developed a surgical infection and is another quality of surgery measure.

KidsOR is a Scottish global health charity with bases in Edinburgh, Dundee and Nairobi with an ambition to provide all children around the world with access to safe surgery.

The charity also funds training of surgeons and anaesthesia providers and works with National Ministries of Health to develop sustainable healthcare services.