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12th European Public Health Conference 2019–01: Parallel Programme 99

align health-related big data research with established regula- The importance of ensuring artificial intelligence and
tory frameworks such as data protection regulation, regulation machine learning can be understood at the human
on human subject research and ethics review. Based on this level
analysis, suggestions will be made on how to maximise the Sudha Ram

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benefits of big data for public health while minimizing ethical S Ram1
risks. 1
College of Management, University of Arizona, Tucson, USA
Contact: sram@email.arizona.edu
Cloud-computing and precision medicine: Big data With rapid developments in big data technology and the
offers big opportunities prevalence of large-scale datasets from diverse sources, the
Alain April healthcare predictive analytics (HPA) field is witnessing a
dramatic surge in interest. In healthcare, it is not only
A April1
1
Department of Software and IT Engineering, ETS University, Montreal,
important to provide accurate predictions, but also critical to
Canada provide reliable explanations to the underlying black-box
Contact: alain.april@etsmtl.ca models making the predictions. Such explanations can play a
Research on large shared medical datasets and data-driven crucial role in not only supporting clinical decision-making
research are gaining fast momentum and provide major but also facilitating user engagement and patient safety. If users
opportunities for improving health systems as well as and decision makers do not have faith in the HPA model, it is
individual care. Such Open Data can shed light on the causes highly likely that they will reject its use. Furthermore, it is
of disease and effects of treatment including adverse reactions extremely risky to blindly accept and apply the results derived
side-effects of treatments, while also facilitating analyses from black-box models, which might lead to undesirable
tailored to an individual’s characteristics, known as persona- consequences or life-threatening outcomes in domains with
lized or precision medicine. Precision medicine treatments will high stakes such as healthcare. As machine learning and
take personalization to the next level and be effective for artificial intelligence systems are becoming more capable and
individual patients based on their genomic, environmental, ubiquitous, explainable artificial intelligence and machine
and lifestyle factors. High-throughput sequencing technologies learning interpretability are garnering significant attention
and open databases have made precision medicine possible but among practitioners and researchers. The introduction of
up to now only large research centres could handle the large policies such as the General Data Protection Regulation
scale technology needed for its processing. Aside from issues (GDPR), has amplified the need for ensuring human
such as user trust, data privacy, transparency over the control interpretability of prediction models. In this talk I will discuss
of data ownership, and the implications of data analytics for methods and applications for developing local as well as global
personal privacy with potentially intrusive inferences, recent explanations from machine learning and the value they can
advances by Berkeley using open source Big Data technologies provide for healthcare prediction.
and Cloud Computing Services has allowed precision medicine
studies to be conducted by small and agile research labs and
researchers around the world.

4.D. Workshop: MigHealthCare - strengthening


Community Based Care to minimize health
inequalities
Organised by: Mig-HealthCare consortium and NGOs from ten countries across Europe (Greece, France,
Chair persons: Pania Karnaki - Greece, Allan Krasnik - EUPHA (MIG) Malta, Germany, Austria, Italy, Cyprus, Spain, Sweden and
Contact: alejandro.gil.salmeron@uv.es Bulgaria). The overall objective of Mig-HealthCare is to
Over the past few years, a large number of refugees, migrants improve health care access for vulnerable migrants and
and asylum seekers have reached the south-eastern points of refugees, support their inclusion and participation in
entry of the EU, challenging health and social systems of European communities and reduce health inequalities. The
bordering countries with a spillover effect to the rest of the EU. project’s specific objectives are:
Refugees, asylum seekers and migrants are at higher risk of  Describe the current physical and mental health profile of
poverty and social exclusion compared to the local popula- vulnerable migrants and refugees including needs, expecta-
tions, while the different vulnerable groups face diverse tions and capacities of service providers.
barriers when accessing health services. In many cases they  Develop a roadmap and toolbox for the implementation of
do not receive appropriate health and social care that best community based care models, following an assessment of
meets their needs. Furthermore, in the EU MS, different existing health services and best practices.
practices apply to health and social care delivery for migrants/  Train community service providers on appropriate delivery
refugees. Research has shown the importance of community- of health care models for vulnerable migrants and refugees.
based models to improve health care access of vulnerable  Pilot test and evaluate community based care models which
migrants and refugees. Such models include elements of good emphasize prevention, physical and mental health promo-
communication, cultural awareness, sensitivity and respect for tion and integration.
the diverse cultural and ethnic backgrounds by community The project results are presented on behalf of the Mig-
health care staff as well health education and primary HealthCare consortium.
healthcare services. Key messages:
Mig-HealthCare - strengthening Community Based Care to  The overall objective of Mig-HealthCare is to improve
minimize health inequalities and improve the integration of health care access for vulnerable migrants and refugees.
vulnerable migrants and refugees into local communities, is a  The Mig-HealthCare project focuses on developing a
3-year project, launched in 2017, with the financial support of roadmap to facilitate the effective implementation of
the European Commission. It is implemented by a consortium community care models.
of 14 partners among them universities, national authorities

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