enamel cross encircled by a green laurel crown. Recipients are also presented with a parchment diploma of the award and, from 1927, a miniature version of the medal that could be more easily worn. The medal and a diploma are usually presented by the head of state at a ceremony in their own country, which is required to have "a formal character, in keeping with the founders' wishes". Sets of medals In 2007, the 41st set of medals were awarded to 35 recipients from 18 countries. In 2009, the 42nd set of medals were awarded to 28 recipients from 15 countries, including one for the first time to a nurse in Afghanistan, Sister Anisa In 2011, the 43rd set of medals were awarded to 39 recipients from 19 countries, including for the first time to two Kenyan nurses, as well as to the first recipient from the Central African Republic - Sylvie Ngouadakpa. In 2013, the 44th set of medals were awarded to 32 recipients from 16 countries, including one posthumously to Khalil Dale MBE, a delegate from the British Red Cross. In 2015, the 45th set of medals were awarded to 36 recipients from 18 countries, including one posthumously to a Sierra Leonian nurse, Mr Morison Musa, who had worked in an Ebola treatment centre. In 2017, the 46th set of medals were awarded to 39 recipients from 22 countries, including one to Rear Admiral Sylvia Trent-Adams, the Acting Surgeon General of the United States. Roselyn Nugba-Ballah was the first ever Liberian recipient of the medal, due to her work in the Ebola epidemic. In 2019, the 48th set of medals were awarded to 29 nurses from 19 countries, including one to Captain Felicity Gapes, a New Zealand Red Cross nurse. In 2021, the 49th set of medals were awarded to 25 nurses from 18 countries, including two posthumously to: Bernadette Gleeson, an Australian nurse, and Arasta Bakhishova, an Azerbaijani nurse. See also List of awards honoring women References Medals of the International Red Cross and Red Crescent Movement Awards established in 1912 1912 establishments in England Florence Nightingale Awards honoring women Nursing awards