MADJID SAMII

Africa100

This time, the living legend of Neurosurgery -Prof. Majed Samii- is not coming into the scene because of skull base difficult cases. On this occasion, Prof. Samii (WFNS Honorary President) is unveiling the history of one of the most successful projects of WFNS Foundation: Africa 100. Or how the vision of a 90’ WFNS President is making a reality the dream of implementing Neurosurgery in Africa.

Prof. Madjid Samii

The history of Africa100 goes back to the year 1997.

In that year, I became President of WFNS, and I have asked all five 2nd Vice Presidents of different continents to prepare a report about the neurosurgical condition in each continent.

The report of the 2nd Vice President from Africa Dr. Abdeslam El Khamlichi was shocking. He reported that in entire Sub Sahara countries in Africa with a population with more than 500 Mio inhabitants there have only been 74 neurosurgeons working. Many countries did not even have one neurosurgeon.

My personal goal was primarily how I can change this catastrophic condition in Africa. I was convinced it is important to educate young African medical doctors in neurosurgery in order to increase the number of neurosurgeons.

The previous education of African doctors in Europe or North America was not successful. After education, all African remain in their education countries.

In order to avoid this brain drain and achieve brain gain for Africa, I have decided to educate African young medical doctors first in North Africa under the condition that they can go back home after their education.

I have created a WFNS Foundation to support the education. In one of our A/C meetings I have announced the creation of WFNS Foundation to support education of neurosurgery in developing countries, particular in Africa. My idea has been extremely supported by Dr. Martin Rodriguez.

I am thankful to Dr. Abdeslam El Khamlichi who started to negotiate with the Moroccan government and University for getting officially permission and some support to accept education of young neurosurgeons from other African countries

I was very pleased to travel to Rabat and take part in the ceremony of official inauguration of the reference center of WFNS, with my signature and the signature of the president of the University.

In short time, we could observe that slowly but surely the number of colleagues who have been supported by WFNS Foundation was increasing in Rabat.

And as we have expected, all educated neurosurgeons turned back to their countries and started to establish neurosurgical departments.

The educated African neurosurgeons in Rabat or in other departments in North Africa when they go back home, they will face many difficulties starting neurosurgery. For neurosurgery our instrumental sets and also using microscope was fundamental. Therefore I have tried to build a neurosurgical instrumental set for the price of 3.000 USD together with help of Aesculap Company to donate for the start of neurosurgery in Africa.

Additionally I had asked ZEISS Company to organize an operative microscope limited to 10.000 USD, which we could donate as well for beginning of neurosurgery. These prices have not been changed during the last 20 years. Therefore I am thankful to Aesculap and ZEISS Company.

According to the fact that the population in Africa was increasing, these few neurosurgeons we have trained by WFNS Foundation could not cover the need of neurosurgical activities.

In one of our A/C meetings in 2011 I was criticizing the members of A/C meeting about the activity for not enough increasing the number of education for Africa for giving service to the people.

The President of WFNS Peter Black looked at me and told me we need someone as ambassador for Africa who can dedicate himself for this further development of education in Africa. In the same time he told me “why should not be you our ambassador for Africa”.

It was a large discussion among all members of A/C meeting, and they have tried to convince me to accept this responsibility.

In the position as ambassador for Africa, I had immediately two major ideas.

One was Africa100.

I wanted to start with 100 candidates for neurosurgical residency to force and increase the number of neurosurgeons as soon as possible in Africa.

This project needed a complete support of senior African neurosurgeons. We had already some existing neurosurgical societies which were acting in different regions separately.

I was full of hope I could convince all my African colleagues and friends to come together and support my suggestion for general cooperation in all Africa.

In February 2012 I have invited my African senior colleagues from different regions in Nairobi. It was one of the most important historical events of neurosurgery in Africa.

I gave a long emotional speech to motivate my colleagues for creation a strong and unique voice of Africa as continental African neurosurgical society for future projects. After some discussion, all my African colleagues have promised me to establish CAANS and support the project Africa 100.

A committee for Africa100 with outstanding and geographically located neurosurgeons has been founded as following:

Professor Abdeslam El Khamlichi from Morocco

Professor Gilbert Dechambenoit from Ivory Coast

Professor Kazadi Kalangu from Zimbabwe

Dr. Raji Mahmud from Nigeria

Dr. Mahmood Qureshi from Kenya

and later

Professor Abderrahman Sidi Said from Algeria

Professor Graham Fieggen from Cape Town / South Africa

As secretary of this committee, Dr. Mahmoud Qureshi  has in agreement with all other members designed application guidelines for the candidates and announced the project cross African countries.

The profound activities have started and the reference centers for his education have been extended every year:

Morocco (Fez, Casablanca, Marrakech)

Algeria 

Egypt (Cairo)

Senegal (Dakar)

Nairobi

China 

In the meantime a large number of candidates have been fully educated and another number of candidates are still in education in different years. All the candidates are coming from following countries:

Democratic Republic of Congo, Guinea Conakry, Cameroon, Malawi, Niger, Benin, Tanzania, Mauritania, Chad, Burundi.

It is important to emphasize that the priority of education was focused to those countries in Africa in which no neurosurgeon or only 1 to 3 neurosurgeons were working.

As ambassador for Africa I am thankful to the members of the Africa100 committee and all colleagues who have accepted to take care of this education program.

I am also thankful to all sponsors in Germany and also from Taiwan, developed by the former President Yong-Kwang Tu, as well as some members of China INI Union, who have not only accept the education of the candidates but also financed their education.

I hope very much that in close future we will reach our goal with 100 well educated neurosurgeons in Africa under the umbrella of WFNS Afica100.