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Taha Kass-Hout, MD, MS Director, Global Public Health and Informatics ICT   Developments  in Mobile Technology  for   Global Public Health:  InSTEDD  Collaboration Tools Innovative Support to Emergencies, Diseases, and Disasters Photo credit: IRMA (Integrated Risk Management for Africa) Mekong Basin Disease Surveillance (MBDS)  Information Communication and Technology  Forum April 2 nd –3 rd , 2009 Mukdahan Province, Thailand Channe Suy, MCA Product Manager
Late Detection and Response DAY CASES Opportunity  for control
Early Detection and Response DAY CASES Opportunity  for control
Public Health Measures ,[object Object],[object Object],[object Object],[object Object],Background
Public Health Measures 1000  Malaria  infections (100%) 50  Malaria  notifications (5%) Specificity / Reliability Sensitivity / Timeliness ,[object Object],[object Object],[object Object],[object Object],Get as close to the bottom of the pyramid as possible Urge frequent reporting:  Weekly    daily    immediately
Public Health Measures Time ,[object Object],[object Object],Health care hotline Signal as early  as possible
[object Object],[object Object],Making Mobile Technologies Work for Health
Growth of Mobile Technologies Dzenowagi, WHO, 2005
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Internet Penetration in Asia Pacific Countries Nigel Collier, BioCaster:  http://biocaster.nii.ac.jp   http://www.internetworldstats.com/stats3.htm#asia
UNCTAD Handbook of  Statistics 2004 Urban – Rural Population, SE Asia (2002) Dzenowagi, WHO, 2005
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Making Mobile Technologies Work for Health  Dzenowagi, WHO, 2005
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Making Mobile Technologies Work for Health  Dzenowagi, WHO, 2005
[object Object],[object Object],[object Object],[object Object],[object Object],Current Challenges Kaplan,  Globalization and Health 2006, 2:9 doi:10.1186/1744-8603-2-9 , 2006
The  InSTEDD TECHNOLOGY  Platform ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Open source software for closing the global collaboration gap
How It Works – All Team Communication ,[object Object]
3 dead chickens Need supplies All is well Out of syringes Or… Field to HQ Communication
You Can Use GeoChat over Mobile Phone or Web
And these messages appear on a map… Messages : on the left panel are all of the messages coming into GeoChat from all the groups you have    , with the most recent at the top.  Which group?  At the bottom of each message, it tells you WHEN the message was sent and from which group it was sent.  Filters : click here to show all the groups you are a member of.    the groups you want to view on the map.
[object Object],[object Object],You can view the messages from one person by clicking on their message on the left panel (A) or by clicking on their icon on the map (B).  And from here you can communicate with the team
GeoChat ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gateway Settings  Setup RSS Feed
GeoChat   Ideas for the Future ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GeoChat   Ideas for the Future ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GeoChat Avian Influenza Exercise: Stung Treng Province, Cambodia, October 13-15, 2008 Geochat Training conducted by the InSTEDD Team Least and worst case pandemic scenario played by  Dr. Sovann Ly, Deputy Dir., Cambodia MoH
GeoChat Avian Influenza Exercise: Stung Treng Province, Cambodia, October 13-15, 2008 SE Asia Region (Source: Wikipedia) The Komphun rural Health Center serves over 7000 population in the Stung Treng and neighboring provinces.  Geochat Group  n % Blue1 ( simulated  cross-border—Champasak)  4 7.5 Green1 (Kampot)  4 7.5 Green2(Takeo)  2 3.8 Green3 (Kompong Speu)  2 3.8 Green4 (Ratanakiri) 0 0 Green5 (Mondulkiri)  2 3.8 Green6 (Kampong Cham)  3 5.7 Yellow1 (Rapid Response Team)  6 11.3 Yellow2 (Provincial Health and Reference Hospital)  18 34 Yellow3 (Authorities)  7 13.2 Yellow4 (Others)  5 9.4 Cell phone use during the Avian Influenza Exercise: Stung Treng Province, Cambodia, October 13-15, 2008
GeoChat Avian Influenza Exercise: Stung Treng Province, Cambodia, October 13-15, 2008 General messages exchanged among field workers, first responders, authorities, and government officials at CDC and provisional levels. GeoChat Message Khmer Translation (using English characters) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Total Messages (exercise only) Exchanged during the morning of the AI Simulation Exercise,  October 15, 2008, Stung Treng, Cambodia
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Examples Using GeoChat
FIELD SIMULATION EXERCISE
Signup to GeoChat Send SMS: Name*mcbt To  08 7723 1939
Signup to GeoChat: Join a Group GeoChat: 0877231939 Syntax: NAME*GROUP GeoChat group SMS to join a group MSGL Shang Gra La Field Surveillance Team Yang-Lee*MSGL Chan*MSGL MAFT Atlantis Field Surveillance Team Natsu*MAFT Zheng*MAFT MCBT Cross-Border Collaboration Team Yin*MCBT Kang*MCBT
Chan Yang-Lee Natsu Zheng Dr. Yin Dr. Kang Cross-Border Collaboration Shang Gra La Field Team Atlantis Field Team
SHANG GRA LA FIELD TEAM ,[object Object]
Yang-Lee Message 4 dead chicken in Curry village Belongs to Shang Gra La Field Surveillance Team (MSGL) Sends Message to Shang Gra La Field Surveillance Team (MSGL)
Chan (SGL lead)  Message 3 dead chicken in Jasmine and Rose villages Belongs to Shang Gra La Field Surveillance Team (MSGL) Cross-Border Collaboration Team (MCBT) Sends Message to Shang Gra La Field Surveillance Team (MSGL)
[object Object],ESCALATING THE SITUATION
Chan (SGL lead) Message Several dead chicken in Jasmine, Curry and Rose villages Belongs to Shang Gra La Field Surveillance Team (MSGL) Cross-Border Collaboration Team (MCBT) Sends Message to Cross-Border Collaboration Team (MCBT)
[object Object],CROSS-BORDER COLLABORATION
Dr. Kang Message Suspect AI in Jasmine, Curry and Rose villages Belongs to Cross-Border Collaboration Team (MCBT) Sends Message to Cross-Border Collaboration Team (MCBT)
Dr. Yin Message AFT team lead, please report any dead chicken in Atlantis Belongs to Cross-Border Collaboration Team (MCBT) Sends Message to Cross-Border Collaboration Team (MCBT)
Natsu (AFT lead) Message We will investigate immediately Belongs to Atlantis Field Surveillance Team (MAFT) Cross-Border Collaboration Team (MCBT) Sends Message to Cross-Border Collaboration Team (MCBT)
[object Object],ATLANTIS FIELD TEAM
Natsu (AFT lead) Message AFT Team, please report any dead chicken Belongs to Atlantis Field Surveillance Team (MAFT) Cross-Border Collaboration Team (MCBT) Sends Message to Atlantis Field Surveillance Team (MAFT)
Zheng Message 10 dead chicken in Durian village and 12 in Coconut village Belongs to Atlantis Field Surveillance Team (MAFT) Sends Message to Atlantis Field Surveillance Team (MAFT)
[object Object],ESCALATING THE SITUATION
Natsu (AFT lead) Message Many dead chicken in Coconut and Durian villages Belongs to Atlantis Field Surveillance Team (MAFT) Cross-Border Collaboration Team (MCBT) Sends Message to Cross-Border Collaboration Team (MCBT)
[object Object],CROSS-BORDER COLLABORATION
Dr. Kang Message Suspect AI outbreak in Jasmine, Curry, Rose, Coconut and Durian villages Belongs to Cross-Border Collaboration Team (MCBT) Sends Message to Cross-Border Collaboration Team (MCBT)
Dr. Yin Message I am going to alert MBDS immediately Belongs to Cross-Border Collaboration Team (MCBT) Sends Message to Cross-Border Collaboration Team (MCBT)
Acknowledgements
Through funding from
Thank You! InSTEDD 400 Hamilton Avenue, Suite 120 Palo Alto, CA 94301 USA +1.650.353.4440 +1.877.650.4440 (toll-free in the US) [email_address] Cambodia, Photo taken by Taha Kass-Hout, October 2008  “ this pic says it all- our kids are all the same- they deserve the same ”,  Comment by Robert Gregg on Facebook, October 2008

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ICT Developments in Mobile Technology for Global Public Health: InSTEDD Collaboration Tools

  • 1. Taha Kass-Hout, MD, MS Director, Global Public Health and Informatics ICT Developments in Mobile Technology for Global Public Health: InSTEDD Collaboration Tools Innovative Support to Emergencies, Diseases, and Disasters Photo credit: IRMA (Integrated Risk Management for Africa) Mekong Basin Disease Surveillance (MBDS) Information Communication and Technology Forum April 2 nd –3 rd , 2009 Mukdahan Province, Thailand Channe Suy, MCA Product Manager
  • 2. Late Detection and Response DAY CASES Opportunity for control
  • 3. Early Detection and Response DAY CASES Opportunity for control
  • 4.
  • 5.
  • 6.
  • 7.
  • 8. Growth of Mobile Technologies Dzenowagi, WHO, 2005
  • 9.
  • 10. UNCTAD Handbook of Statistics 2004 Urban – Rural Population, SE Asia (2002) Dzenowagi, WHO, 2005
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16. 3 dead chickens Need supplies All is well Out of syringes Or… Field to HQ Communication
  • 17. You Can Use GeoChat over Mobile Phone or Web
  • 18. And these messages appear on a map… Messages : on the left panel are all of the messages coming into GeoChat from all the groups you have  , with the most recent at the top. Which group? At the bottom of each message, it tells you WHEN the message was sent and from which group it was sent. Filters : click here to show all the groups you are a member of.  the groups you want to view on the map.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23. GeoChat Avian Influenza Exercise: Stung Treng Province, Cambodia, October 13-15, 2008 Geochat Training conducted by the InSTEDD Team Least and worst case pandemic scenario played by Dr. Sovann Ly, Deputy Dir., Cambodia MoH
  • 24. GeoChat Avian Influenza Exercise: Stung Treng Province, Cambodia, October 13-15, 2008 SE Asia Region (Source: Wikipedia) The Komphun rural Health Center serves over 7000 population in the Stung Treng and neighboring provinces. Geochat Group n % Blue1 ( simulated cross-border—Champasak) 4 7.5 Green1 (Kampot) 4 7.5 Green2(Takeo) 2 3.8 Green3 (Kompong Speu) 2 3.8 Green4 (Ratanakiri) 0 0 Green5 (Mondulkiri) 2 3.8 Green6 (Kampong Cham) 3 5.7 Yellow1 (Rapid Response Team) 6 11.3 Yellow2 (Provincial Health and Reference Hospital) 18 34 Yellow3 (Authorities) 7 13.2 Yellow4 (Others) 5 9.4 Cell phone use during the Avian Influenza Exercise: Stung Treng Province, Cambodia, October 13-15, 2008
  • 25.
  • 26.
  • 28. Signup to GeoChat Send SMS: Name*mcbt To 08 7723 1939
  • 29. Signup to GeoChat: Join a Group GeoChat: 0877231939 Syntax: NAME*GROUP GeoChat group SMS to join a group MSGL Shang Gra La Field Surveillance Team Yang-Lee*MSGL Chan*MSGL MAFT Atlantis Field Surveillance Team Natsu*MAFT Zheng*MAFT MCBT Cross-Border Collaboration Team Yin*MCBT Kang*MCBT
  • 30. Chan Yang-Lee Natsu Zheng Dr. Yin Dr. Kang Cross-Border Collaboration Shang Gra La Field Team Atlantis Field Team
  • 31.
  • 32. Yang-Lee Message 4 dead chicken in Curry village Belongs to Shang Gra La Field Surveillance Team (MSGL) Sends Message to Shang Gra La Field Surveillance Team (MSGL)
  • 33. Chan (SGL lead) Message 3 dead chicken in Jasmine and Rose villages Belongs to Shang Gra La Field Surveillance Team (MSGL) Cross-Border Collaboration Team (MCBT) Sends Message to Shang Gra La Field Surveillance Team (MSGL)
  • 34.
  • 35. Chan (SGL lead) Message Several dead chicken in Jasmine, Curry and Rose villages Belongs to Shang Gra La Field Surveillance Team (MSGL) Cross-Border Collaboration Team (MCBT) Sends Message to Cross-Border Collaboration Team (MCBT)
  • 36.
  • 37. Dr. Kang Message Suspect AI in Jasmine, Curry and Rose villages Belongs to Cross-Border Collaboration Team (MCBT) Sends Message to Cross-Border Collaboration Team (MCBT)
  • 38. Dr. Yin Message AFT team lead, please report any dead chicken in Atlantis Belongs to Cross-Border Collaboration Team (MCBT) Sends Message to Cross-Border Collaboration Team (MCBT)
  • 39. Natsu (AFT lead) Message We will investigate immediately Belongs to Atlantis Field Surveillance Team (MAFT) Cross-Border Collaboration Team (MCBT) Sends Message to Cross-Border Collaboration Team (MCBT)
  • 40.
  • 41. Natsu (AFT lead) Message AFT Team, please report any dead chicken Belongs to Atlantis Field Surveillance Team (MAFT) Cross-Border Collaboration Team (MCBT) Sends Message to Atlantis Field Surveillance Team (MAFT)
  • 42. Zheng Message 10 dead chicken in Durian village and 12 in Coconut village Belongs to Atlantis Field Surveillance Team (MAFT) Sends Message to Atlantis Field Surveillance Team (MAFT)
  • 43.
  • 44. Natsu (AFT lead) Message Many dead chicken in Coconut and Durian villages Belongs to Atlantis Field Surveillance Team (MAFT) Cross-Border Collaboration Team (MCBT) Sends Message to Cross-Border Collaboration Team (MCBT)
  • 45.
  • 46. Dr. Kang Message Suspect AI outbreak in Jasmine, Curry, Rose, Coconut and Durian villages Belongs to Cross-Border Collaboration Team (MCBT) Sends Message to Cross-Border Collaboration Team (MCBT)
  • 47. Dr. Yin Message I am going to alert MBDS immediately Belongs to Cross-Border Collaboration Team (MCBT) Sends Message to Cross-Border Collaboration Team (MCBT)
  • 50. Thank You! InSTEDD 400 Hamilton Avenue, Suite 120 Palo Alto, CA 94301 USA +1.650.353.4440 +1.877.650.4440 (toll-free in the US) [email_address] Cambodia, Photo taken by Taha Kass-Hout, October 2008 “ this pic says it all- our kids are all the same- they deserve the same ”, Comment by Robert Gregg on Facebook, October 2008