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One Bullet Stories
-The Human Face of Small Arms Violence-
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One  Bullet Story 1: Nairobi, Kenya

Authors: Dr. Walter Odhiambo,  Prof. Symon Guthua, and Paul Saoke, IPPNW Kenya



We present the story of a 17-year old Congolese boy referred to Nairobi University Hospital for surgical treatment and  management of a gunshot injury to the face …



































The son of a diamond prospector, he was suspected to have diamonds by rebel soldiers, who shot him in the face in anger after they failed to get any from him.
He was fortunate to receive first aid treatment, but had to travel to Nairobi for proper medical care - a journey of 300 km through Uganda by road!





























It took him over one year to raise the money from family and friends for travel and treatment.
During this period he kept his mouth, which was disfigured by the bullet, covered with a handkerchief in public. His mandible and maxillary  bones were shattered by the bullet.























An implant was required to replace the lost  jaw fragment. Dr. Odhiambo and his colleagues spent 9 hours in the operating theater.
A stainless steel bone plate needed to be inserted into the mandible.
























After 9 hours of surgery, the initial damage of the bullet had been repaired - at least the physical damage...
Five days after surgery, the optical result was this.












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Total costs of one bullet:

Travel expenses from injury site in Congo
Pre-admission hotel expenses
Surgeon and nurses
9 Hours of theatre time    
9 Hours of theatre drugs
Reconstruction plate
Post-operative care

=$6,000

+ psychological & social costs…like post-traumatic stress disorder

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$6,000 = 1 bullet Injury or...

...One year of primary education for 100 children in Kenya

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Full immunizations for 250 Kenyan children

...1.5 years education for a medical student in Kenya

...10 years of daily Ugali meal for an average Kenyan family of six

  1. Patamule Lampanya – The boy who traveled all the way from DR Congo to Nairobi in pursuit of surgical reconstruction after gunshot to the face and whose story inspired the first One Bullet Story, for consenting to the use of his pictures and story in this campaign.
  2. University of Nairobi Maxillofacial Surgery department and the hospital staff for providing the theatre facilities and recovery ward for our patient.
  3. The Embassy of Finland in Nairobi for sponsoring the initial One Bullet Story campaign in Kenya.
  4. IPPNW Central office (Aiming for Prevention) for refining and adopting the OBS as its official small arms campaign tool.
  5. Canadian office of foreign affairs

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