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Neurosurgeon responsible for care of eight million patients

In Sierra Leone, Dr. Alieu Kamara is the sole neurosurgeon, a role that previously left no hope for many according to Professor Kehinde Oluwadiya of the University of Sierra Leone Teaching Hospital Complex.

Brain Specialist Overseeing 8 Million Surgical Cases
Brain Specialist Overseeing 8 Million Surgical Cases

Neurosurgeon responsible for care of eight million patients

In a groundbreaking development, Sierra Leone, a West African nation with a population of approximately 8 million, has gained access to neurosurgery for the first time. This significant milestone was made possible through the efforts of California-based nonprofit Mission:Brain and international partners, who supported Dr. Alieu Kamara, the country's first and only neurosurgeon as of January 2025 [1][3][4].

Born in a small village in eastern Sierra Leone, Dr. Kamara's resolve to become a doctor was solidified when he witnessed a friend's broken arm with no means of treatment. After honing his skills operating on patients with broken bones and fractures at Connaught Hospital, he recognised the need for neurosurgical expertise to address head and spine injuries [2].

April Sabangan, CEO of Mission:Brain, saw the potential in Sierra Leone and committed to a sustainable partnership, making it Mission:Brain's biggest capacity-building project yet. This partnership led to the training of 24 nurses in neurotrauma patient management and the establishment of a Sababu fund for indigent patients [5].

The government of Sierra Leone also played a crucial role, working to develop more sustainable systems, such as a dedicated neurosurgery ward and purchasing a CT scanner for Connaught Hospital. Spine and neurosurgical instrument sets were donated by Park's network and transported to Sierra Leone via Mercy Ships [6].

Dr. Kamara's journey to becoming a neurosurgeon included a 12-year stint in Jilin, China, where he earned both an MD and a Ph.D. in orthopedic surgery before returning to Sierra Leone in 2020 [7]. His practice at Connaught Hospital consists of two operating rooms shared by all surgical specialties, three rotating anesthesiologists, and a team of nursing staff [8].

The first-ever spine surgery in Sierra Leone was performed on Morie Abibu, a 56-year-old man paralysed from the neck down due to a mass growing at the base of his skull, pressing against his spinal cord. The mass was causing Abibu's slow suffocation [9]. Dr. Kamara is treating Abibu at Connaught Hospital, and the operation was supported by surgeons from Stanford and a neurosurgeon based in Morocco [10][11].

The collaboration between Mission:Brain, international partners, and Dr. Kamara has filled a critical healthcare gap in Sierra Leone, providing hope and care where previously there was none. This historic milestone marks a significant step forward in the country's healthcare system.

[1] Mission:Brain [2] The Neurosurgeon Who Came Home [3] First Neurosurgery in Sierra Leone [4] Morie Abibu's Story [5] 24 Nurses Trained in Neurotrauma Patient Management [6] Instrument Donations [7] Dr. Alieu Kamara's Background [8] Surgical Ward at Connaught Hospital [9] Morie Abibu's Condition [10] Stanford Surgeons Visit [11] Moroccan Neurosurgeon Offers Training

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