Surgery and Healing in the Developing World - Dartmouth-Hitchcock
Surgery and Healing in the Developing World - Dartmouth-Hitchcock Surgery and Healing in the Developing World - Dartmouth-Hitchcock
10 72 Surgery and Healing in the Developing World Figure 1. A 10 cm crystalline silicon solar cell before encapsulation in a module. (Photo by R. Mitchell, courtesy NREL/PIX.) (less than one kilowatt) photovoltaic systems at small rural health clinics. Perhaps the most important application for PV at these clinics is that of reliable and stable electric power for vaccine refrigeration and maintenance of the vaccine cold chain. Vaccines must be consistently stored at temperatures between 0 o and 8 o C to retain their potency. There are now over 5000 PV-powered vaccine refrigerators in use worldwide. Unlike absorption refrigeration, fueled by propane or kerosene, PV-powered refrigerators are compressor-based and allow enhanced temperature stability for long-term vaccine storage. The technology is mature and endorsed by the Expanded Programme on Immunization of the World Health Organization. 2 The next most important applications of PV in these clinics are lighting and water disinfection. The need for lighting is obvious. But the water issue is often over-looked. The World Health Organization attributes thousands of deaths daily to water borne illnesses. 3 While there are several commonly used chemical methods for small-scale water disinfection, e.g., chlorine and iodine compounds, they often produce unwanted taste and odor and require long processing times. Faster, more effective, and more agreeable water disinfection processing can be obtained by electrical methods. These include ozone treatment and ultraviolet light exposure. Ultraviolet light irradiation easily deactivates bacteria and viruses, and there is no risk of over-dosage. Water disinfection systems specifically designed for use with PV are readily available and quite inexpensive. Photovoltaic systems use photovoltaic cells (commonly known as solar cells) to convert sunlight directly into electric current (Fig. 1). The PV technology is inherently noiseless, pollution-less, and involves no moving parts. Others candidates for providing stand-alone remote electric power include wind turbine (windmill) systems and small hydro-powered (micro-hydro) systems. There have been a number of successful deployments of these technologies to power remote clinics. This is particularly true with wind power coupled to a diesel or PV system to form a hybrid power system. However, both wind and hydro systems are electromechanical in nature and require the upkeep of rotating machinery including electric generators. Additionally, their applicability is highly geographically dependent—many areas of the world do not have the required wind or running water resource. For these reasons, they are not as elegant a solution for many remote clinic-size energy requirements as that provided by the photovoltaic option. Indeed, many remote clinics will not need more than 2000 watt-hours (2 kWh) of electric energy per day. With this in mind, the present chapter will focus on the description and explanation of small stand-alone photovoltaic power systems suitable for remote health care facilities. The sun radiates immense power, i.e., energy per unit time. Most of the sunlight reaching the earth’s surface has a wavelength between 300 and 2000 nm. (By com-
Establishing Electrical Power in Remote Facilities for Health Care parison, the visible spectrum is between 400 and 700 nm.) Because of the great distance between the earth and the sun, the intensity of the sun’s radiation is greatly attenuated by the time it reaches the earth. At the earth’s surface at sea level on a clear day, when the sun is near the zenith, the incident power density (watts/cm 2 ) is about 100 mW/cm 2 . This is equivalent to 1 kW/m 2 . At elevations of 2000 meters above sea level, the power density can be as high as 120 mW/cm 2 . As the elevation increases, more and more of the solar insolation is in the energetic blue end of the spectrum. (This is why people easily get sunburns when they travel into mountainous regions.) In remote locations with frequent sunny days, the generation of electric power through photovoltaics becomes very attractive. As an example, in central Uganda, the average daily solar insolation (illumination intensity) on an annual basis is about 6.5 kWh/ m 2 . If that sunlight falls on a 1 m 2 photovoltaic system with an overall system efficiency of 10%, a total of about 0.65 kWh of energy per day would be recovered for useful work. This would be sufficient to drive five 20-watt high-efficiency compact fluorescent lamps for six and a half hours per day. Many sunny (not necessarily tropical) parts of the world are well-suited for PV remote electrification. Certain tropical areas can experience less average sunlight during the year than many cooler areas on the globe. An example is the coastal region of Equador. Though it is positioned on the equator, this region averages only 4.0-4.5 kWh/m 2 /day due to inclement weather. By comparison, southern Mongolia at 45 o north latitude is cool and windy, but averages 5.0-5.5 kWh/m 2 /day because of the very dry cloudless conditions. Maps of average daily incident solar energy are readily available. 5 The heart of any photovoltaic system is the solar cell. Solar cells are large-area semiconductor devices. They are governed by physical principles similar to those seen in transistors and other devices common to the microelectronics industry. The first solar cells were fabricated and extensively studied in the mid 1950s at Bell Telephone Laboratories. Those cells were made from silicon wafers and had sunlight-to-electricity power conversion efficiencies of about 6%. Modern cells are about 15% efficient. Today, solar cells are used to generate electric power in a variety of remote terrestrial environments. 5 The most common applications are water pumping in isolated villages (Fig. 2), as well as village lighting and telecommunications (Fig. 3). In 2003, worldwide production of photovoltaics for terrestrial use came to about 744 megawatts. The photovoltaics industry worldwide is growing quickly. Because the power density of sunlight is low, the power output of an individual commercial silicon solar cell is only about 3 watts per cell. And the voltage output of an individual commercial cell is only about 0.5 to 0.6 volts. These characteristics are insufficient for most practical applications. To deal with this, cells must be electrically connected together to yield a useable output power and voltage. This connection takes the form of a module (Fig. 4). Most modules have 33 to 72 cells. However, the largest module now on the market has over 100 cells and produces over 300 watts of power. The module structure also provides mechanical support for the cells and protection from such environmental hazards as hail stones and water ingression. The module is the minimum deployable photovoltaic unit. Commercial photovoltaic power is always sold in the form of modules, and never as individual cells. A group of modules is referred to as an array (Fig. 5). In their brochures and marketing literature, photovoltaic module manufacturers quote prices in terms of cost per watt ($/W) for the module. The end-user can buy modules directly from a module manufacturer; but more commonly, business is done by way of a system integrator. A system integrator obtains the modules and all of the associated module mounting, 73 10
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Establish<strong>in</strong>g Electrical Power <strong>in</strong> Remote Facilities for Health Care<br />
parison, <strong>the</strong> visible spectrum is between 400 <strong>and</strong> 700 nm.) Because of <strong>the</strong> great<br />
distance between <strong>the</strong> earth <strong>and</strong> <strong>the</strong> sun, <strong>the</strong> <strong>in</strong>tensity of <strong>the</strong> sun’s radiation is greatly<br />
attenuated by <strong>the</strong> time it reaches <strong>the</strong> earth. At <strong>the</strong> earth’s surface at sea level on a clear<br />
day, when <strong>the</strong> sun is near <strong>the</strong> zenith, <strong>the</strong> <strong>in</strong>cident power density (watts/cm 2 ) is about<br />
100 mW/cm 2 . This is equivalent to 1 kW/m 2 . At elevations of 2000 meters above sea<br />
level, <strong>the</strong> power density can be as high as 120 mW/cm 2 . As <strong>the</strong> elevation <strong>in</strong>creases,<br />
more <strong>and</strong> more of <strong>the</strong> solar <strong>in</strong>solation is <strong>in</strong> <strong>the</strong> energetic blue end of <strong>the</strong> spectrum.<br />
(This is why people easily get sunburns when <strong>the</strong>y travel <strong>in</strong>to mounta<strong>in</strong>ous regions.)<br />
In remote locations with frequent sunny days, <strong>the</strong> generation of electric power through<br />
photovoltaics becomes very attractive. As an example, <strong>in</strong> central Ug<strong>and</strong>a, <strong>the</strong> average<br />
daily solar <strong>in</strong>solation (illum<strong>in</strong>ation <strong>in</strong>tensity) on an annual basis is about 6.5 kWh/<br />
m 2 . If that sunlight falls on a 1 m 2 photovoltaic system with an overall system efficiency<br />
of 10%, a total of about 0.65 kWh of energy per day would be recovered for<br />
useful work. This would be sufficient to drive five 20-watt high-efficiency compact<br />
fluorescent lamps for six <strong>and</strong> a half hours per day. Many sunny (not necessarily tropical)<br />
parts of <strong>the</strong> world are well-suited for PV remote electrification.<br />
Certa<strong>in</strong> tropical areas can experience less average sunlight dur<strong>in</strong>g <strong>the</strong> year than<br />
many cooler areas on <strong>the</strong> globe. An example is <strong>the</strong> coastal region of Equador. Though<br />
it is positioned on <strong>the</strong> equator, this region averages only 4.0-4.5 kWh/m 2 /day due to<br />
<strong>in</strong>clement wea<strong>the</strong>r. By comparison, sou<strong>the</strong>rn Mongolia at 45 o north latitude is cool<br />
<strong>and</strong> w<strong>in</strong>dy, but averages 5.0-5.5 kWh/m 2 /day because of <strong>the</strong> very dry cloudless conditions.<br />
Maps of average daily <strong>in</strong>cident solar energy are readily available. 5<br />
The heart of any photovoltaic system is <strong>the</strong> solar cell. Solar cells are large-area<br />
semiconductor devices. They are governed by physical pr<strong>in</strong>ciples similar to those<br />
seen <strong>in</strong> transistors <strong>and</strong> o<strong>the</strong>r devices common to <strong>the</strong> microelectronics <strong>in</strong>dustry. The<br />
first solar cells were fabricated <strong>and</strong> extensively studied <strong>in</strong> <strong>the</strong> mid 1950s at Bell<br />
Telephone Laboratories. Those cells were made from silicon wafers <strong>and</strong> had<br />
sunlight-to-electricity power conversion efficiencies of about 6%. Modern cells are<br />
about 15% efficient. Today, solar cells are used to generate electric power <strong>in</strong> a variety<br />
of remote terrestrial environments. 5 The most common applications are water pump<strong>in</strong>g<br />
<strong>in</strong> isolated villages (Fig. 2), as well as village light<strong>in</strong>g <strong>and</strong> telecommunications<br />
(Fig. 3). In 2003, worldwide production of photovoltaics for terrestrial use came to<br />
about 744 megawatts. The photovoltaics <strong>in</strong>dustry worldwide is grow<strong>in</strong>g quickly.<br />
Because <strong>the</strong> power density of sunlight is low, <strong>the</strong> power output of an <strong>in</strong>dividual<br />
commercial silicon solar cell is only about 3 watts per cell. And <strong>the</strong> voltage output of<br />
an <strong>in</strong>dividual commercial cell is only about 0.5 to 0.6 volts. These characteristics are<br />
<strong>in</strong>sufficient for most practical applications. To deal with this, cells must be electrically<br />
connected toge<strong>the</strong>r to yield a useable output power <strong>and</strong> voltage. This connection takes<br />
<strong>the</strong> form of a module (Fig. 4). Most modules have 33 to 72 cells. However, <strong>the</strong> largest<br />
module now on <strong>the</strong> market has over 100 cells <strong>and</strong> produces over 300 watts of power.<br />
The module structure also provides mechanical support for <strong>the</strong> cells <strong>and</strong> protection<br />
from such environmental hazards as hail stones <strong>and</strong> water <strong>in</strong>gression.<br />
The module is <strong>the</strong> m<strong>in</strong>imum deployable photovoltaic unit. Commercial photovoltaic<br />
power is always sold <strong>in</strong> <strong>the</strong> form of modules, <strong>and</strong> never as <strong>in</strong>dividual cells. A<br />
group of modules is referred to as an array (Fig. 5). In <strong>the</strong>ir brochures <strong>and</strong> market<strong>in</strong>g<br />
literature, photovoltaic module manufacturers quote prices <strong>in</strong> terms of cost per watt<br />
($/W) for <strong>the</strong> module. The end-user can buy modules directly from a module manufacturer;<br />
but more commonly, bus<strong>in</strong>ess is done by way of a system <strong>in</strong>tegrator. A system<br />
<strong>in</strong>tegrator obta<strong>in</strong>s <strong>the</strong> modules <strong>and</strong> all of <strong>the</strong> associated module mount<strong>in</strong>g,<br />
73<br />
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