Adventist Hospital and ADRA (Adventist Development and Relief Agency) using volunteer staff, Operation Open Heart expanded internationally to Tonga, Nepal, Vanuatu, Papua New Guinea, Fiji, China, Mongolia, Solomon Islands, Vietnam, Myanmar, Cambodia, Rwanda, Philippines and Tanzania. The range of surgery types expanded to From Cardiac surgery, the projects have expanded to include cleft lip and palate reconstruction, burns surgery, uterine prolapse surgery, women's health, orthopaedic reconstruction surgery and primary health care. Team members have been honoured by medals and awards from various countries for their service. In any way Operation Open Heart represents the worldwide medical missions of the Seventh-day Adventist Church. Kiribati In 2003 Kiribati issued a stamp depicting the London (Port Camp) Seventh-day Adventist Church on Kiritimati or Christmas Island. Philippines In February 2005, the Philippine Postal Corporation issued a 6p stamp (domestic letter rate) commemorating the 100 year anniversary of the Seventh-day Adventist Church entering the Philippines. The stamp is based on a 1967 painting "God watches over Manila" by O.T. Navarra that hung in an Adventist hospital and depicts Jesus with his arms stretched out over the cityscape. In addition to the painting the stamp includes elements super imposed over the painting including the denomination, church name and logo, a church building located in the North of the country, the years 1905–2005. The stamp was designed by long time Philippines post office employee Alfonso Divina who is also an Adventist member. Leomer Batulayan managed the process of getting the stamp approved and issued. Belatulayan was the former director of the Adventist Development and Relief Agency in the Philippines, Brazil In 2005 Brazil overprinted stamps to recognize a country-wide Adventist Pathfinder Camporee. A 2009 stamp issued in Brazil featured the Central Adventist Church of Curitiba. The 2200 seat structure was recognized for its innovative architecture and design. Chile In 2006, the Chilean Postal Corporation issued a three stamp set (images) that commemorated the 100th anniversary of Universidad Adventista de Chile also known as Chile Adventist University. Each shows buildings in the history of the school. The stamps marked one of the first times any South American national government has officially recognized the Adventist Church. Cayman Islands The 2007 Cayman Islands Christmas stamps featured stained glass windows of six island churches. The 80c stamp is the window from the East End Seventh-day Adventist Church. Montserrat A 2011 Christmas release by Montserrat featured the refurbished New Enenezer Seventh-day Adventist