TEDGlobal 2007
Seyi Oyesola: A hospital tour in Nigeria
Dr. Seyi Oyesola Nijerya'da bir hastaneyi geziyor
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Dr. Seyi Oyesola gelismemis ulkelerdeki saglik hizmetinin ic parcalayici halini gozden geciriyor. Hazirladigi fotograf turu sadece dusuk teknolojili, bagis techizatlari olan Nijerya'daki bir universite hastanesinde temel saglik hizmetleri vermenin zorluklarinin farkina varmamizi sagliyor.
Seyi Oyesola - Doctor
Physician Seyi Oyesola co-developed the "Hospital in a Box" -- a pop-up, portable, solar-powered OR for off-grid medicine in Africa and elsewhere. But, he says, Africa needs more than new tools to heal itself. Full bio
Physician Seyi Oyesola co-developed the "Hospital in a Box" -- a pop-up, portable, solar-powered OR for off-grid medicine in Africa and elsewhere. But, he says, Africa needs more than new tools to heal itself. Full bio
Double-click the English transcript below to play the video.
00:18
Just to put everything in context,
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Konuyu bir baglam icinde ele almak icin
00:20
and to kind of give you a background to where I'm coming from,
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ve size benim nereden geldigim hakkinda biraz bilgi vereyim
00:24
so that a lot of the things I'm going to say,
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Soyleyecegim bir cok sey
00:26
and the things I'm going to do --
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ve yapacagim seyler
00:29
or things I'm going to tell you I've done --
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veya yaptigimi soyleyecegim seyler bununla ilgili
00:31
you will understand exactly why and how I got motivated to be where I am.
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Neden ve nasil burada olmaya motive oldugumu anlayacaksiniz
00:38
I graduated high school in Cleveland, Ohio, 1975.
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Cleveland'da 1975 yilinda liseden mezun oldum.
00:42
And just like my parents did when they finished studying abroad, we went back home.
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Ve anne-babamin yurtdisi tahsini bitirdiginde yaptigini yapip yurda geri dondum
00:48
Finished university education, got a medical degree, 1986.
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1986'da universite egitimimi tamamlayip tip derecesi aldim
00:53
And by the time I was an intern house officer,
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cerrahi uzmanligimi yaparken
00:57
I could barely afford to maintain my mother's 13-year-old car --
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maddi gucum anca annemin 13 yillik arabasini kullanmama yetiyordu
01:02
and I was a paid doctor.
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ve maasli bir doktordum
01:06
This brings us to why a lot of us, who are professionals,
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iste bu yuzden biz profesyoneller
01:10
are now, as they say, in diaspora.
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simdi diaspora dedikleri seyin bir parcasiyiz
01:14
Now, are we going to make that a permanent thing,
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Simdi bunu kalici hale getirecegiz
01:17
where we all get trained, and we leave, and we don't go back?
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yani biz egitim alip, ayrilip bir daha geri donmeyecek miyiz?
01:24
Perhaps not, I should certainly hope not --
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Belki degil, umut ederim ki degil
01:27
because that is not my vision.
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Cunku, bu benim vizyonum degil
01:31
All right, for good measure, that's where Nigeria is on the African map,
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Pekala, Afrika haritasi uzerinde Nijerya'nin yaklasik nerede olduguna bakalim
01:37
and just there is the Delta region that I'm sure everybody's heard of.
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iste orada herkezin duydugundan emin oldugum Delta bolgesi
01:42
People getting kidnapped, where the oil comes from,
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insanlarin kacirildigi ve petrolun geldigi yer
01:46
the oil that sometimes I think has driven us all crazy in Nigeria.
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o petrol ki bazen Nijerya'daki herkezi cildirttigini dusunuyorum
01:51
But, critical poverty: this slide is from a presentation I gave
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fakat, ciddi fakirlik, su yansi benim verdigim bir sunumdan
01:54
not that long ago. Gapminder.org tells the story of the gap
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uzun zaman once degil. Gapminder.org aradaki farki anlatiyor
02:00
between Africa and the rest of the world in terms of health care.
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Afrika'da ve dunyanin geri kalani arasindaki saglik hizmetinin
02:04
Very interesting.
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cok ilginc
02:07
How many people do you think are on that taxi?
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Su takside kac kisi var sizce?
02:11
And believe it or not, that is a taxi in Nigeria.
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ister inanin ister inanmayin, bu Nijerya'da bir taksi
02:14
And the capital -- well, what used to be the capital of Nigeria -- Lagos,
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Baskentte, yani bir zamanlarin Nijerya baskenti Lagos
02:17
that's a taxi, and you have police on them.
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bu bir taksi ve icinde polisler var
02:20
So, tell me, how many policemen do you think are on this taxi? And now? Three.
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simdi, soyleyin bana sizce bu takside kac polis var? ve simdi? Uc.
02:28
So, when these kind of people -- and, believe me, it's not just the police
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Yani, bu insanlar ve inanin bana sadece polisler degil
02:33
that use these taxis in Lagos. We all do. I've been on one of these,
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Lagos'ta taksileri kullaniyolar, hepimiz kullaniyoruz. ben de bunlarin bir tanesinin icindeydim
02:38
and I didn't have a helmet, either.
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ve ben de kask kullanmiyordum
02:41
And it just reminds me of the thought of what happens when one of us
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ve bu bana su dusunceyi hatirlatiyor: eger birimiz
02:49
on a taxi like this falls off, has an accident and needs a hospital.
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takside bir kaza gecirir ve hasteneye gitmesi gerekirse
02:55
Believe it or not, some of us do survive.
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ister inanin ister inanmayin, bazilarimiz hayatta kaliyor.
02:59
Some of us do survive malaria; we do survive AIDS.
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bazilarimiz sitmaya ve AIDS'e ragmen hayatta kaliyor
03:03
And like I tell my family, and my wife reminds me every time,
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ve aileme de soyledigim, ve karimin bana surekli hatirlattigi su
03:07
"You're risking your life, you know, every time you go to that country."
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sen o ulkeye her gittiginde hayatini tehlikeye attigini biliyorsun
03:11
And she's right. Every time you go there,
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ve karim hakli. oraya her gittiginizde
03:14
you know that if you actually need critical care --
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biliyorsunuz ki gercekten yogun bakima ihtiyaciniz olursa
03:19
critical care of any sort -- if you have an accident --
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herhangi bir cesit yogun bakim - eger bir kaza gecirirseniz
03:22
of which there are many, there are accidents everywhere --
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ki, kazalar her yerde cokca olur
03:26
where do they go?
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kazayi gecirenler nereye gider?
03:29
Where do they go when they need help for this kind of stuff?
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soyle sorunlar icin bir yardima ihtiyac duyduklarinda nereye giderler?
03:34
I'm not saying instead of, I'm saying as well as,
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bunlarin yerine demiyorum bunlar icin de
03:37
AIDS, TB, malaria, typhoid -- the list goes on.
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AIDS, tuberkuloz, sitma, tifo liste uzayip gidiyor
03:43
I'm saying, where do they go when they're like me?
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sunu soyluyorum, benim gibi insanlar nereye gidiyorlar?
03:47
When I go back home -- and I do all kinds of things,
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Ulkeme geri dondugumde, ben cok cesitli isler yapiyorum
03:50
I teach, I train -- but I catch one of these things,
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ders veriyorum, egitiyorum fakat su hastaliklarin birine yakalanirsam
03:54
or I'm chronically ill with one of those, where do they go?
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veya su kronik hastaliklardan birini tasiyorsam, nereye gidebilirim?
04:00
What's the economic impact when one of them dies or becomes disabled?
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hastalardan biri olur yada sakat kalirsa ekonomik etki ne olur?
04:06
I think it's quite significant. This is where they go.
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bence cok onemli. Hastalar nereye giderler?
04:10
These are not old pictures and these are not from some downtrodden --
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Bunlar eski resimler ya da cok fakir ve ezilmislerin resimleri degil
04:14
this is a major hospital. In fact, it's from a major teaching hospital in Nigeria.
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bu buyuk bir hastane. Aslinda, bu Nijerya'daki buyuk akademik hastanelerden biri
04:20
Now that is less than a year old, in an operating room.
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1 yildan kisa bir sure once, bir ameliyathane
04:25
That's sterilizing equipment in Nigeria.
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Bu Nijeryada bir sterilizasyon makinasi
04:28
You remember all that oil?
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bu yagi hatirladiniz mi?
04:30
Yes, I'm sorry if it upsets some of you, but
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Evet, bu resimlerle bazilarinizin keyfinizi kacirdiysam kusura bakmayin
04:34
I think you need to see this. That's the floor, OK?
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Bence, bunu gormelisiniz. Bu zemin. Tamam mi?
04:38
You can say some of this is education.
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Sunu soyleyebiliriniz bu konu egitimle de ilgili
04:40
You can say it's hygiene. I'm not pleading poverty.
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Hijyen diyebilirsiniz. Ben fakirligi savunmuyorum
04:44
I'm saying we need more than just, you know, vaccination,
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Dedigim su, bizim asidan
04:50
malaria, AIDS, because I want to be treated
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sitma, AIDS'ten korunmamizdan fazlasina ihtiyacimiz var. Ben tedavi edilmek istiyorum
04:53
in a proper hospital if something happens to me out there.
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uygun bir hastanede eger basima orada birsey gelirse
04:56
In fact, when I start running around saying,
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Aslinda, kosusturmaya ve etrafimdakilere
04:58
"Hey, boys and girls, you're cardiologists in the U.S.,
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beyler ve hanimlar siz ABD'de kardiyoloji uzmanisiniz demeye basladigimda
05:01
can you come home with me and do a mission?"
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benimle ulkeme gelip onemli bir hizmet verir misiniz? diye sordugumda
05:04
I want them to think, "Well there's some hope."
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onlarin "bir umut var" diye dusunmelerini istiyorum
05:06
Now, have a look at that. That's the anesthesiology machine.
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Simdi suna bakin. Bu bir anestezi makinasi
05:09
And that's my specialty, right?
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Bu benim uzmanligim, degil mi?
05:11
Anesthesiology and critical care -- look at that bag.
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Anestezi ve yogun bakim. Su torbaya bakin
05:15
It's been taped with tape that we even stopped using in the U.K.
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bizim birlesik krallik'ta artik kullanmadigimiz bir bantla bantlanmis,
05:19
And believe me, these are current pictures.
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ve inanin bana, bunlar guncel resimler
05:22
Now, if something like this, which has happened in the U.K.,
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Simdi, bunun gibi birsey birlesik krallik'ta olmus
05:27
that's where they go. This is the intensive care unit in which I work.
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iste hastalarin oldugu yer. Burasi benim calistigim yogun bakim bolumu
05:32
All right, this is a slide from a talk I gave
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Pekiyi, bu benim onceki konuslarimdan bir yansi
05:37
about intensive care units in Nigeria,
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Nijerya'daki yogun bakim bolumlari hakkinda
05:41
and jokingly we refer to it as "Expensive Scare."
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ve alayli bir sekilde biz buna "pahali panik" deriz
05:46
Because it's scary and it's expensive, but we need to have it, OK?
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Cunku, korkunc ve pahali ama bizim ona ihtiyacimiz var.
05:54
So, these are the problems.
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Ve, bunlar problemler.
05:57
There are no prizes for telling us what the problems are, are there?
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Problemin ne oldugunu soyleyene bir odul vermiyorlar, degil mi?
06:01
I think we all know. And several speakers before
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Sanirim hepimiz bu problemleri biliyoruz, benden onceki konusmacilar
06:04
and speakers after me are going to tell us even more problems.
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ve benden sonrakiler bunlari ve hatta fazlasini soyleyecekler
06:08
These are a few of them. So, what did I do?
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Bunlar sadece bazilari. Peki ben ne yaptim?
06:12
There we go -- we're going on a mission.
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Iste, onemli bir hizmet vermeye gidiyoruz
06:15
We're going to do some open-heart surgery. I was the only Brit,
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Acik kalp ameliyati yapacagiz. Ben tek Britanyaliydim
06:19
on a team of about nine American cardiac surgeons,
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Takimdaki diger dokuz kisi Amerikali kardiyoloji cerrahlari,
06:24
cardiac nurse, intensive care nurse.
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kardiyoloji hemsiresi ve yogun bakim hemsiresiydi
06:26
We all went out and did a mission and we've done three of them so far.
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Onemli bir hizmet icin yola ciktik ve simdiye kadar uc acik kalp ameliyati yaptik
06:31
Just so you know, I do believe in missions, I do believe in aid
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Ben boyle hizmetlere inaniyorum, insani yardima inaniyorum
06:35
and I do believe in charity. They have their place,
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ve yardimseverlige inaniyorum. Yeri geldiginde cok onemli.
06:38
but where do they go for those things we talked about earlier?
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Hastalar boyle seyler icin nereye gidecekler
06:43
Because it's not everyone that's going to benefit from a mission.
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Cunku herkes onemli hizmetten faydalanamiyacak
06:48
Health is wealth, in the words of Hans Rosling.
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Hans Rosling'in soyledigi gibi saglik zenginliktir
06:51
You get wealthier faster if you are healthy first.
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Eger baslangicta saglikliysaniz daha cabuk zenginlesirsiniz
06:57
So, here we are, mission. Big trouble.
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Iste, hizmet, buyuk bir sorun
07:01
Open-heart surgery in Nigeria -- big trouble.
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Nijeryada acik kalp ameliyati - buyuk sorun
07:04
That's Mike, Mike comes out from Mississippi.
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Bu Mike, Mike Mississippi'den geliyor
07:07
Does he look like he's happy?
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Mutlu biri gibi mi gorunuyor
07:09
It took us two days just to organize the place, but hey,
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Iki gunumuzu aldi bu yeri duzenlemek, iste
07:13
you know, we worked on it. Does he look happy?
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Bildiginiz gibi, calistik. Mutlu gozukuyor mu?
07:18
Yes, that's the medical advice the committee chairman says,
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Evet, komite baskanin verdigi tibbi tavsiye
07:20
"Yes, I told you, you weren't going to be able to,
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Evet, size dedigim gibi beceremiyeceksiniz
07:22
you can't do this, I just know it."
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yapamazsiniz, biliyorum
07:24
Look, that's the technician we had. So yes, you go on, all right?
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bakin, bu bizim teknisyenimiz. Evet, devam et, tamam mi?
07:29
(Laughter)
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Gulusmeler
07:30
I got him to come with me -- anesthesia tech -- come with me from the U.K.
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Onu ben getirdim. Anestezi teknisyeni, Birlesik Kralliktan geldi
07:34
Yes, let's just go work this thing out.
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Evet, hadi su isi bir halledelim
07:38
See, that's one of the problems we have in Nigeria and in Africa generally.
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Goruyorsunuz, bu bizim Nijeryada ve de genel olarak Afrika'daki problemlerimizden biri
07:42
We get a lot of donated equipment.
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Biz bir cok bagis alet-makina aliriz
07:44
Equipment that's obsolete, equipment that doesn't quite work,
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Bazi makilar cok eskimis, bazi makinalar calismiyor
07:47
or it works and you can't fix it. And there's nothing wrong with that,
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veya calisiyor ama ayarlanamiyor. Bunda garip birsey yok
07:51
so long as we use it and we move on.
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kullanabildigimiz kadar kullanip, isimize bakiyoruz
07:54
But we had problems with it. We had severe problems there.
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fakat sorunlarimiz oluyor. Ciddi sorunlar
07:56
He had to get on the phone. This guy was always on the phone.
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Bu adam telefonla konusmak zorunda idi. O surekli telefon basindaydi
07:59
So what we going to do now?
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Peki, simdi ne yapacagiz
08:01
It looks like all these Americans are here and
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Bu Amerikalilar burada ve
08:03
yes, one Brit, and he's not going to do anything --
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evet, bir Britanyali, hic birsey yapmiyor,
08:07
he thinks he's British actually, and he's actually Nigerian,
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O kendini aslinda Britanyali saniyor, aslinda Nijaryali
08:09
I just thought about that.
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Bunun hakkinda dusundum
08:11
We eventually got it working, is the truth,
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Gercek su ki, sonucta isi basardik
08:13
but it was one of these. Even older than the one you saw.
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bunlardan sadece biri. Gorduklerinizden bile eski
08:17
The reason I have this picture here, this X-ray,
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Bu resmi buraya koymamin nedeni, bu X-rey filmi
08:20
it's just to tell you where and how we were viewing X-rays.
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nerede ve nasil X-rey filmlerine baktigimizi gostermek
08:26
Do you figure where that is? It was on a window.
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Bunun neresi oldugunu anladiniz mi? Pencere
08:29
I mean, what's an X-ray viewing box? Please.
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Yani, X-rey filmi tetkik kutusu nedir? Lutfen...
08:34
Well, nowadays everything's on PAX anyway.
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Neyse, bugunlerde hersey Görüntü Arşivleme ve İletişim Sistemlerinde zaten
08:37
You look at your X-rays on a screen and you do stuff with them,
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Siz X-rey filmlerine ekranda bakip uzerlerinde calisiyorsunuz
08:41
you email them. But we were still using X-rays,
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email atiyorsunuz. Fakat biz hala eski X-rey filmleri kullaniyoruz
08:43
but we didn't even have a viewing box!
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fakat bizim uygun bir tetkik kutumuz bile yok
08:45
And we were doing open-heart surgery.
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ve biz acik kalp ameliyati yapiyorduk.
08:47
OK, I know it's not AIDS, I know it's not malaria,
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Tamam, biliyorum AIDS degil, biliyorum sitma da degil
08:49
but we still need this stuff. Oh yeah, echo --
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fakat bizim hala buna ihtiyacimiz var. Ah evet yanki
08:53
this was just to get the children ready and the adults ready.
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bu sadece cocuklari ve yetiskinleri hazirlamak icin
08:57
People still believe in Voodoo. Heart disease,
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Insanlar hala vuduya inaniyor - kalp hastaligi
09:00
VSD, hole in the heart, tetralogies.
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VSD, delik kalp, dortleme
09:04
You still get people who believe in it and they came.
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Hala bunlara inanan insanlarla karsilasacaksiniz, size geleceklerdir
09:07
At 67 percent oxygen saturation, the normal is about 97.
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%67 oksijen derisiminde, normali yaklasik 97
09:12
Her condition, open-heart surgery that as she required,
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Onun sartlarinda, acik kalp ameliyati gerekliligi
09:15
would have been treated when she was a child.
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cocuklukta ortadan kaldirilabilirdi
09:18
We had to do these for adults. So, we did succeed and we still do.
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Bunlari yetiskinler icin yapmak zorunda kaldik. Ve basardik ve hala basariyoruz
09:22
We've done three. We're planning another one in July
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Simdiye kadar 3 tane yaptik. Temmuz'da bir tane daha yapmak istiyoruz
09:25
in the north of the country. So, we certainly still do open-heart,
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Ulkenin kuzeyinde. Yani kesinlikle acik kalp ameliyati yapmaya devam ediyoruz,
09:29
but you can see the contrast between everything that was shipped in --
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fakat, su zitligi gorebilirsiniz nakil edilen herseyle
09:34
we ship everything, instruments. We had explosions
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biz herseyi, aletleri sevk ederiz - patlamalar gorduk
09:38
because the kit was designed and installed by people who weren't used to it.
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cunku takimlar ehil olmayan kisiler tarafindan tasarlandi ve kuruldu
09:45
The oxygen tanks didn't quite work right.
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Oksijen tupleri dogru durust calismadi
09:47
But how many did we do the first one? 12.
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fakat, ilkini kac kere yaptik? 12.
09:51
We did 12 open-heart surgical patients successfully.
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12 acik kalp ameliyat hastasini basariyla tedavi ettik
09:55
Here is our very first patient, out of intensive care,
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Iste ilk hastamiz. Yogun bakimda.
09:59
and just watch that chair, all right?
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ve dikkat edin su koltuga, tamam mi?
10:02
This is what I mean about appropriate technology.
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Bu benim uygun teknoloji dedigim sey
10:06
That's what he was doing, propping up the bed because the bed simply didn't work.
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Yaptigi sey su, yatagi destekliyor cunku yatak calismiyor
10:12
Have you seen one of those before?
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Bunlardan hic daha once gormus muydunuz?
10:15
No? Yes? Doesn't matter, it worked.
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Hayir? Evet? Farketmez. Oldu.
10:18
I'm sure you've all seen or heard this before:
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Eminim bunu daha once gordunuz ya da duydunuz.
10:20
"We, the willing, have been doing so much with so little for so long --
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Biz, bir istekle, uzun zamandir cok kucuk imkanlarla buyuk isler basariyoruz
10:24
(Applause)
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Alkislar...
10:25
-- we are now qualified to do anything with nothing."
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Biz hic yardim almadan herseyi yapma yetkinligimiz var
10:29
(Applause)
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Alkislar...
10:32
Thank you. Sustainable Solutions -- this was my first company.
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Tesekkur ederim. Surdurebilir cozumler - bu benim ilk ekibim.
10:37
This one's sole aim is to provide the very things that I think are missing.
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bunun tek amaci en cok ihtiyac duyulanlari saglamaktir.
10:42
So, we put my hand in my pocket and say, "Guys, let's just buy stuff.
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Boylece, elimizi cebimize attik ve dedik ki, Hey, hadi birseyler satin alalim
10:46
Let's go set up a company that teaches people, educates them,
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Egitim ve ogretim veren bir ekip kuralim
10:50
gives them the tools they need to keep going."
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onlara calisabilmleri icin aletleri saglayan bir ekip
10:53
And that's a perfect example of one.
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Ve bu mukemmel bir ornek
10:55
Usually when you buy a ventilator in a hospital,
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Genelde, biz bir hastaneye solunum cihazi aldigimiz zaman
10:57
you buy a different one for children,
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cocuklar icin ozel bir cihaz aliriz
11:00
you buy a different one for transport. This one will do everything,
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Hasta nakilleri icin ozel bir cihaz. Bu her durumda kullanilabilir,
11:03
and it will do it at half the price and doesn't need compressed air.
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hem de maliyeti yari yariya ve sikistirilmis hava olmadan kullanilabilir
11:05
If you're in America and you don't know about this one, we do,
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Eger siz Amerika'da yasiyorsaniz, bunu bilmezsiniz. Biz biliyoruz
11:08
because we make it our duty to find out
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cunku bir cikis yolu bulmayi gorev edindik
11:11
what's appropriate technology for Africa -- what's appropriately priced,
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Afrika'ya uygun teknoloji nedir? Neyin fiyati uygun?
11:16
does the job, and we move on. Anesthesia machine:
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Ne is gorur ve devam edelim. Anestezi makinasi,
11:20
multi-parameter monitor, operating lights, suction.
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coklu parametreli monitor, isletme isiklari, emme
11:23
This little unit here -- remember your little 12-volt plug in the car,
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Bu kucuk unite -- arabanizdaki kucuk 12-volt bujiyi hatirlayin
11:27
that charges your, whatever, Game Boy, telephone?
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arabanizi dolduran, ner neyse - Game Boy, telefon?
11:31
That's exactly how the outlets are designed.
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Prizler de tam olarak boyle tasarlaniyor
11:34
Yes, it will take a solar panel. Yes a solar panel will charge it.
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Evet, gunes paneli is gorebilir. Evet, bir gunes paneli doldurur
11:38
But if you've got mains as well, it will charge the batteries in there.
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Fakat, eger ana boru kurarsaniz, oradaki pilleri de doldurabilirsiniz
11:43
And guess what? We have a little pedal charger too, just in case.
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ve tahmin edebilir misiniz? bir kucuk pedal doldurucumuz da var gerekirse
11:47
And guess what, if it all fails,
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ve tahmin edin, eger butun bunlar basarisiz olursa
11:49
if you can find a car that's still got a live battery
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eger calisan bir pili olan araba bulabilirseniz
11:52
and you stick it in, it will still work. Then you can customize it.
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takin ve calisiyor. Sonra ihtiyaclariniza uygun degisiklikler yapabilirsiniz.
11:57
Is it dental surgery you want? General surgery you want?
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istediginiz bir dis ameliyati mi? Genel cerrahi mi istersiniz?
12:00
Decide which instruments, stock it up with consumables.
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Aletlere karar verin, sarf malzemeleriyle doldurun.
12:06
And currently we're working on oxygen -- oxygen delivery on-site.
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Su siralar oksijen uzerinde calisiyoruz. Oksijen sevkiyati.
12:15
The technology for oxygen delivery is not new.
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Oksijen sevkiyati teknolojileri yeni degil
12:24
Oxygen concentrators are very old technology. What is new,
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Oksijen yogunlastiricilar cok eski teknoloji. Yeni olan
12:29
and what we will have in a few months, I hope,
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ve birkac ay icinde sahip olacagimiz, umarim,
12:31
is that ability to use this same renewable energy system
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bu ayni yenilenebilir enerji sistemini kullanabilme yeterliligi
12:34
to provide and produce oxygen on site. Zeolite -- it's not new --
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gerekli yerde oksijeni uretebilmek icin. Zeolite - yeni degil -
12:41
zeolite removes nitrogen from air and nitrogen is 78 percent of air.
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Zeolite havadaki nitrojeni ayristiriyor ve nitrojen havanin %78'i
12:48
If you take nitrogen out, what's left? Oxygen, pretty much.
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eger nitrojeni cikarirsaniz, geriye ne kalir? Oksijen
12:53
So that's not new. What we're doing is applying this technology to it.
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Yeni degil. Bizim yaptigimiz teknolojiyi uygulamak.
12:57
These are the basic features of my device, or our device.
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Bunlar cihazimin ya da cihazimizin temek ozellikleri
13:01
This is what makes it so special.
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Bunu ozel kilan sey.
13:03
Apart from the awards it's won,
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Kazandigi oduller disinda
13:05
it's portable and it's certified. It's registered, the MHRA --
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tasinabilir ve serifikali, kayitli MHRA
13:09
and the CE mark, for those who don't know, for Europe, is the equivalent
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ve CE isareti, bilmeyenler icin birlesik devletlerdeki
13:12
of the FDA in the U.S.
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FDA'in Avrupa'daki karsiligi
13:16
If you compare it with what's on the market, price-wise,
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Eger bunu piyasadakilerle karsilastirirsaniz fiyat olarak,
13:20
size-wise, ease of use, complexity ...
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buyukluk olarak ve kullanim kolayligi ve karmasiklik olarak
13:25
This picture was taken last year.
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Bu resim gecen sene cekildi
13:27
These are members of my graduating class, 1986.
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Bunlat benim mezuniyetimde sinif arkadaslarim, 1986
13:31
It was in this gentleman's house in the Potomac,
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Bu su beyfendinin Potomac'taki evindeydi
13:33
for those of you who are familiar with Maryland.
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Maryland'i bilenler icin soyledim
13:37
There are too many of us outside and everybody,
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Cogumuz disaridayiz ve herkes,
13:41
just to borrow a bit from Hans -- Hans Rosling, he's my guy --
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Hans'tan aldigim kucuk birsey - Hans Rosling, adamim
13:47
if the size of the text represents what gets the most attention,
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Eger harf buyuklugu en cok neyin dikkat cektigini gosteriyorsa
13:52
it's the problems. But what we really need are African solutions
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Burada problem var. Bizim Afrikali cozumlere intiyacimiz var.
13:57
that are appropriate for Africa -- looking at the culture,
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Afrikaya uygun - kulture bakin
14:00
looking at the people, looking at how much money they've got.
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insanlara bakin, ne kadar paralari olduguna bakin
14:04
African people, because they will do it with a passion, I hope.
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Afrikalilar, bunu bir tutkuyla yapacaklar, umut ediyorum,
14:09
And lots and lots of that little bit down there, sacrifice.
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ve kucuk bir seyden cokca lazim: fedakarlik
14:13
You have to do it. Africans have to do it,
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Bunu yapmak zorundasiniz. Afrikalalilar bunu yapmak zorunda
14:16
in conjunction with everyone else.
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digerlerinin yardimiyla.
14:18
Thank you.
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Tesekkur ederim
14:20
(Applause)
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Alkislar
ABOUT THE SPEAKER
Seyi Oyesola - DoctorPhysician Seyi Oyesola co-developed the "Hospital in a Box" -- a pop-up, portable, solar-powered OR for off-grid medicine in Africa and elsewhere. But, he says, Africa needs more than new tools to heal itself.
Why you should listen
Beyond high-visibility illnesses like HIV/AIDS, Dr. Seyi Oyesola points out that common, survivable ailments and injuries -- burns, trauma, heart attacks -- kill thousands of Africans each year because basic medical care can be so hard to get. To help bring surgical care to every region of the continent, Oyesola co-developed CompactOR, or the "Hospital in a Box": a portable medical system that contains anesthetic and surgical equipment. The operating suite is light enough to be dropped into inaccessible zones by helicopter, and can be powered by solar panels.
Although the Hospital-in-a-Box may save lives, Oyesola reminds us that with meager pay and inadequate facilities, there is still little incentive for medical professionals to remain in Africa. Proper education and technical training could pave the way for more, and more capable, new physicians to learn and stay in Africa -- and start the healing of the continent.
Seyi Oyesola | Speaker | TED.com