The first deployment was in Eldoret, Kenya in February 2006 followed by the PIH-supported hospital in Rwinkwavu, Rwanda in August 2006 and Richmond Hospital in the KwaZulu-Natal province of South Africa later that year. As of March 2010, OpenMRS is in use in at least 23 developing countries (mostly in Africa) and it has been used to record over 1 million patient records around the world. Most deployments are run by independent groups who carry out the work on the ground with technical support and training provided by the core team of OpenMRS developers, and other implementers. There have been four annual OpenMRS meetings in South Africa, organized by Chris Seebregts, who also leads the OpenMRS implementers community. Shorter meetings were held in Boston in May 2009, and a developer training in Indianapolis in February 2010. There are five known deployments supporting clinical care in the US - three in Indianapolis, one in Los Angeles, and one in Maryland. OpenMRS use will be expanded in Haiti to assist with the patients recovering from the January 2010 earthquake. In Nigeria, Institute of Human Virology is pushing for OpenMRS penetration in public and private clinics. The institute had a pilot of OpenMRS in 2011 to manage HIV/AIDs patients' records in 27 health facilities, the outcome of the pilot was overwhelming. In 2013, the institute decided to scale-up on OpenMRS and scale-down paper-based systems in all its over 400 health facilities and sub-partners' facilities. There has been tremendous progress in this scale-up.