The latest update we have received from Kira in the Gambia follows a familiar pattern - another day, another life saved, and a salutary reminder why healthcare sits alongside education as a priority for the African Oyster Trust.
"On the evening I arrived back in The Gambia, I dropped off my bags and was
heading out for a quick supper before a much needed early night.
"As I drove across the little dirt track towards the Courtyard Cafe, I saw a big group of people in front of me. In their midst was a young man of maybe 20 struggling to carry a young teenage boy of perhaps 12 or 13 piggy back style. Perhaps he has hurt his foot, I thought.
"When I reached them it was obvious that the teenager was very ill indeed. He was deathly pale and almost unconscious. Malaria, they said. We are trying to take him to the clinic. Just then he vomitted all over the man carrying him.
"Since the nearest clinics are around 5 miles away, I offered them a lift. While they found a plastic bag to serve as a sick bowl, I telephoned Auntie Sally, the very capable head nurse at Sukuta Clinic, to tell her I was bringing an emergency case.
"Travelling by car meant we got there in under 10 minutes. Who knows how long it would have taken them to walk!
"I pulled in in front of their ambulance, which already looked full of patients
and ready to leave, despite remonstrations from the driver. Fortunately, Auntie Sally was there to meet us. She took one look, gave the boy an injection and put him on a drip and then loaded him into the ambulance to be transferred to RVTH in Banjul. I was so relieved that I'd blocked them from leaving earlier.
"While his brother filled in paperwork, the boy briefly opened his eyes and held onto my hand, obviously very scared. I wished them luck and asked the brother to let me know how they got on in Banjul.
"Cerebral malaria can kill within 8 hours so I fervently hoped that they'd got
him onto treatment in time.
"Three days later, I was delighted when the same boy walked in to my compound. He'd been in hospital all that time and had just been released but wanted to come immediately to thank me before going home. A very humbling experience.
"In the meantime, talking to Ansumana at our own Jappineh Health Centre, I learn that it has been a very bad season for malaria. Perhaps because of the late and heavy rainy season. Last month they treated over 400 patients there. By far the biggest number ever. At times they were two or even three to a bed.
"I am SO happy that Jappineh Health Centre is there to treat all those people. My experience with the young boy reminded me that before the clinic was opened, the people of Jappineh area had to travel for at least 20 kilometres to get to medical help. Many of them, I am sure, did not make it.
"Now, thanks to the many generous donations, they have health care on their doorstep and am ambulance too which can whisk them off to Soma in minutes."
The News Diary is a regular account of all that is happening at The African Oyster Trust. Please pop back for regular updates, follow us on Twitter or sign up for our RSS feed to have the latest news sent straight to your computer!
The news diary is written by a number of people close to the work of the African Oyster Trust, including founder James Holden, his co-directors, trustees and volunteers.