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Child Surgeries at Risk: Anesthesia Drug Crisis Looms
22 Jun
Summary
- Child surgeries are threatened as critical anesthetic runs out by 2027.
- Hospitals face huge costs replacing older, cheaper anesthesia machines.
- Underfunding in anesthesia systems exposed across sub-Saharan Africa.

Hospitals in sub-Saharan Africa are confronting a significant crisis as halothane, the main anesthetic used for child operations, is projected to be depleted by the end of 2027. This essential drug, favored for its affordability compared to alternatives like sevoflurane, is rapidly running out due to the closure of its last manufacturing plant in 2023.
The impending shortage has revealed substantial underfunding in the region's anesthesia infrastructure. Many facilities require new machines, costing tens of thousands of dollars each, and healthcare workers need retraining for updated anesthetic agents. This transition imposes millions of dollars in costs on already strained health budgets, exacerbated by recent cuts in foreign aid.
This situation poses a serious risk to the surgical capacity in Africa, a continent with the world's youngest population. While some authorities are responding positively, the overall challenge is immense, with calls for increased government budgeting and ownership of the problem. The World Federation of Societies of Anaesthesiologists urged African governments in 2024 to budget for this transition, but responses have been insufficient for the required timeline.