Dr. Devashish J. Anjaria, surgeon and amateur photographer took this photograph during his ISHI mission to the Philippines in February 2011.
"During a recent surgical mission with a humanitarian non-profi t organisation, International Surgical Health Initiative, to the island of Negros Occidental in the Philippines, I was reminded of how wasteful the western world can be. One day of operating for our mission generated the equivalent trash of 1 week for the entire district hospital in Sagay City. For the staff at this hospital, nothing was "disposable", and nothing was wasted. An example of this is how they reuse semi-rigid intravenous fluid bags as syringe and sharps receptacles in the operating theatre."