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Viewing cable 08NIAMEY1170, MEDICAL FACILITIES IN NIGER IN CRITICAL CONDITION

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Reference ID Created Released Classification Origin
08NIAMEY1170 2008-12-19 10:30 2011-08-25 00:00 UNCLASSIFIED//FOR OFFICIAL USE ONLY Embassy Niamey
VZCZCXYZ0002
RR RUEHWEB

DE RUEHNM #1170 3541030
ZNR UUUUU ZZH
R 191030Z DEC 08
FM AMEMBASSY NIAMEY
TO RUEHC/SECSTATE WASHDC 4768
INFO RUEHBP/AMEMBASSY BAMAKO 0477
RUEHAR/AMEMBASSY ACCRA 0504
RUEHDK/AMEMBASSY DAKAR 1952
RHMFISS/HQ USAFRICOM STUTTGART GE
UNCLAS NIAMEY 001170 
 
DEPT FOR M/MED 
 
SIPDIS 
 
SENSITIVE 
 
E.O. 12958: N/A 
TAGS: AMGT AMED CASC EAID NG
SUBJECT: MEDICAL FACILITIES IN NIGER IN CRITICAL CONDITION 
 
1. (SBU) SUMMARY:  The newly-arrived FSHP has completed her tour of 
medical facilities in Niamey to assess availability of emergency 
care.  Aging equipment and lack of repair facilities in country have 
resulted in extremely limited capabilities to support basic testing. 
 Immediate medical evacuation would be essential in any 
life-threatening emergency.  END SUMMARY 
 
2. (SBU) The FSHP completed facility visits to the National and 
Military Hospitals as well as Gamkalley Clinic, which is a private 
not-for-profit facility in Niamey.  The radiology capacities in all 
three facilities are experiencing critical equipment failures.  MRI 
capacity in Niger is currently nonexistent.  The country's sole CT 
scanner at the National Hospital is nonfunctional at present and 
there is no plan in place to undertake the necessary repairs.  Two 
of the three x-ray machines at the National Hospital are also out of 
service.  The hospital engineer voiced his concerns about the 
reliability of the one operable x-ray machine.  Equipment failure of 
the sole functioning machine would leave this 700+ bed hospital 
without any x-ray capabilities.  According to the engineer, the 
capacity of all radiological equipment at the National Hospital is 
tenuous due to chronic power fluctuations, extreme heat, and dust 
infiltration.   The National Hospital is the referral center for 
virtually all local private and public facilities in country. 
 
3. (SBU) The Military Hospital has similar issues and is currently 
deferring to the National Hospital for radiologic diagnostic 
procedures.  The staff radiologist indicated that maintenance and 
repair problems have left the Military Hospital without ultrasound 
capability and unreliable x-ray capabilities.  Existing equipment at 
the Military Hospital was donated by the U.S. military years ago. 
 
4. (SBU) Niamey's premier private facility is Gamkalley Clinic.  The 
clinic has provided medical support to the diplomatic community 
since its establishment in 1965.  Prior to the assignment of an FSHP 
to Niamey, the Embassy relied exclusively on Gamkalley Clinic for 
medical support.  The clinic continues to provide emergency back- up 
for the Embassy.  The facility includes a two-bed intensive care 
unit with trained staff and limited radiology and ultrasound 
capability.   In 2007, the French Ministry of Foreign Affairs, which 
had historically provided financial support to the clinic, withdrew 
its funding.  Since that time, Gamkalley has struggled to maintain 
services and remain solvent.  The Medical Director recently 
requested an appointment with the Embassy to discuss equipment needs 
in an effort to identify new sources of support.   The most pressing 
need is replacement of an ultrasound machine; however, even the 
clinic's X-ray equipment is more than 30 years old.  Future 
break-downs could leave the clinic unable to locate necessary 
replacement parts or repair the equipment.  Unable to provide 
adequate services, the clinic's continued operation could be 
endangered. 
 
5. (SBU) Local radiologic equipment failures have grossly impacted 
the health and safety of every citizen in country.  The resident 
expatriate community (diplomats, business persons, Peace Corps and 
NGO personnel, etc.)has no reliable alternative sources of medical 
support locally and would be dependent on immediate medical 
evacuation in a life-threatening emergency. 
 
ALLEN