Aamir Khan

Aamir Khan, MD, PhD
• Affiliation – Founder and Chief Scientist, IRD – Director & Associate, Center for Community Development, Karachi Johns Hopkins University • Training – Medical school at Aga Khan University, Karachi – Public health training at Johns Hopkins, Baltimore • Professional Interests – Vaccines and vaccine preventable diseases – Technology for public health Network Innovations in International Health 13 - 14 July,
Meeting 2007

Saira Khowaja, MS
• Affiliation – Social Mobilization Coordinator at the center for community development, IRD – Project coordinator HIV Mapping Project in 12 urban cities in Pakistan • Training – BA from Univ. of Rochester in Chemistry and Psychology – MS at Columbia University in Social Administration and Planning • Professional Interests
– Poverty Alleviation and Health
Innovations in International Health Network Meeting 13 - 14 July, 2007

Minal Rahimtoola, MA
• Affiliation – Program Analyst at the Center for Community Development, IRD • Training – BA from the Univ. of Virginia in Political Science – MA in governance and development from the Institute of Development Studies at the Univ. of Sussex, UK • Professional Interests – Sexual Health – Poverty Alleviation
Innovations in International Health Network Meeting 13 - 14 July, 2007

Ismat Lotia, BS
• Affiliation – Research Assistant at the Center for Community Development, IRD • Training – BS from the McGill University in Biology and International Development • Professional Interests – International health – Infectious diseases
Innovations in International Health Network Meeting 13 - 14 July, 2007



Innovations in International Health Network Meeting

13 - 14 July, 2007

Mobile Phone Technologies for Health in the Developing World

Luis Sarmenta

for Health in the Developing World

Background on me: Luis Sarmenta
  

(Ph.D. EECS, MIT 2001)

Research Scientist, MIT CSAIL Adjunct Lecturer, Ateneo de Manila University, Philippines Founder, Ateneo Java Wireless Competency Center, and BlueBlade Technologies, Inc.

Question: How can we use Mobile Phone Technologies for Health in the Developing World?
Some Already Existing Applications
 

General Applications Areas (for Present and Future)

Suggestions for New Work

“Traditional” Tele-medicine and Tele-health Mobile-accessible health records and databases Educational / Informational Tools and Services Reporting, Monitoring, Surveying, Epidemiology Alerts Mobile and Connected Medical Devices Personal Healthcare and Health Information Management Phones as Tools
Luis F. G. Sarmenta 13-14 July 2007

Multi-sided Services

Remote health counseling (e.g., via SMS) Tools for Doctors to access patient tests, charts, medications, and to monitor patients Remote Diagnosis / Analysis via text, picture, or video info (e.g., from cameraphone) Educational/Informational tools and services Disease Prevalance Monitoring/Mapping Drug Compliance and Medication Reminders Adverse Event Reporting and Monitoring SMS interface to Prescriptions System Appointment Reminders and other Alerts from doctors to patients Continuous Activity Monitoring with mobile device, Detection of unusual patterns, and “Reality Mining” of data Heart/Oxygen/Glucose monitoring Personal Medical and Wellness Diary and Calculation tool Mobile Phone Applications for health workers
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provide value to consumers, so that their payments will sustain the service, and “subsidize” monitoring, research, and data mining (or “reality mining”) by central health authorities or researchers

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Well-Known Techniques/Solutions in New Places, for New Diseases
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apply to new diseases, and in new places with special focus on affordable technologies for 3rd world enable people (e.g., academics) to develop their own applications with special focus on immediate usability in 3rd world

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New Connected Medical Devices

Developing Toolkits

 

Health Phones as tools to in International Health Innovations connect and coordinate

Idea: Baby “Mobile Blog”

For patients (parents)
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Mobile blog for baby (with both personal and medical use) records medical info, e.g., length, weight, vaccinations, prescriptions, developmental milestones, etc. records personal info, e.g., pictures, videos, personal milestones, etc. access to useful parenting and baby health informational articles help help help help calculate growth chart percentiles calculate and record prescriptions (and diagnoses) record baby development, vaccinations, etc. report disease prevalence to central authorities

For doctors / health care workers / pharmacists
   

For both

Value of knowing all these things are recorded and conveniently recorded

vs. writing them down in a paper “baby book” that can get lost

 

More accurate calculations and information More accurate and convenient prescription system Gather stats of baby heights and weights across the country immediately
 

For researchers and health authorities

Previously, paper-based gathering of stats can take months With location-based stats, it can be used to pinpoint places where there is more malnutrition, for example

Gathering stats on prescriptions and diagnoses can also indirectly provide realtime monitoring of diseases

e.g., detect districts where there is a high rate of prescriptions for diarrhea medicine

Can also enable direct reporting of certain diseases to allow authorities to detect and map outbreaks  (Note that stats might be “informal” but can still be useful. More formal studies can be done on top of the existing system, with a subset of doctors.) Mobile Phone Applications for Health Luis F. G. Sarmenta Innovations in International Health 13-14 July 2007

Resources (My Contacts)
 

Myself (based at MIT) Philippines (Ateneo de Manila University)

AJWCC and BlueBlade, Inc.
  

extensive experience producing commercial SMS, MMS, and J2ME apps partnership with Smart Communications (largest telco) has done work with a medical informatics company (e.g., J2ME for medical surveying) currently working on TDF-funded MDR-TB system, among other things

ECCE (led by Greg Tangonan, formerly from Hughes Research)

Kenya (MIT, U. of Nairobi, etc.)

EPROM (Nathan Eagle, Media Lab)
 

focuses on teaching, developing new applications, and research existing work includes disease prevalence mapping for malaria, and blood bank supply monitoring system via SMS

MIT AITI and CSAIL Imara –affiliated projects (Eric Mibuari and Martin Mbaya)

Potential funders

Microsoft Luis F. G. Sarmenta  Nokia 13-14 July 2007

Mobile Phone Applications for Health Innovations in International Health

Partners in Health

Hamish Frazer

Partners In Health EMR Projects
• Partners In Health (PIH) provides health care in some of the poorest communities in Haiti, Peru, Rwanda, Lesotho, Malawi and Russia • We have developed electronic medical record systems to support the management of chronic diseases such as HIV and drug resistant TB • These systems are designed to operate in very resource poor environments with limited staff and electrical supplies • We are also carrying out evaluation studies of information systems in resource poor environments

Key Functions
• • • • • • PIH EMR systems are designed to support multiple key functions: Clinical care and quality improvement Tracking and following up patients on treatment Monitoring and reporting Drug supply management Research Low cost clinical imaging and radiology

• PIH is developing a new open source architecture for EMR systems for use in developing countries • This is in collaboration with the Regenstrief Institute in Indiana and the medical Research Council in South Africa • The system uses a data dictionary to allow extension to new data types, simple creation of new forms and accurate reporting across sites • OpenMRS is currently in use in Rwanda, Kenya, Lesotho, South Africa, Zimbabwe, Tanzania and Haiti

Eliminating Congenital Syphilis

Sarah Hawkes

Eliminating Congenital Syphilis through Universal Access to Screening and Treatment

Sarah Hawkes, MD, DTM&H, PhD London School of Hygiene and Tropical Medicine


• The burden of disease • The problem • The solutions?

Estimates of Maternal Syphilis Seroprevalence
Overall prevalence 1.76% - Estimation of 2,156,304 women Global estimated number of infants born with congenital syphilis is 700,000-1,500,000

Universal access to screening?
The ‘Supposed To’ Syndrome
Pregnant women Access ANC Have syphilis test Receive adequate treatment on time Partner also treated Remain uninfected at delivery

The Possible Solutions
Syphilis control in community Accessible services

On-site testing – available, Utilised, integrated
Drugs and trained staff available Partner accessible, willing Women deliver at health facility; and are screened and treated

The solutions

• • • •

Policies (present) Programmes (possibilities for intervention) Pregnant women (advocacy) Partners (power/gender nexus)

The Impacts of Climate Change on Human Health Emmanuel Matsika

Emmanuel Matsika
University of Zambia School of Engineering Department of Mechanical Engineering

Academic Qualifications
  

M. Eng. (Thermofluids) B. Eng. (Mechanical Engineering) P.G. Dip. (Management Studies)

Experience and Specialisation
 

   

ZCCM Ltd, UNZA, CEEEZ, PESAD Coordinated several projects in engineering and social fields Thermofluids applications Automobile Engineering Energy and Environment Climate Change (Mitigation and V&A)

Cambridge-Palo Alto Medical Device Cluster Jose Gomez-Marquez

Cambridge-Palo Alto Medical Device Developer Cluster
Driven by inventive spirit to launch appropriate

and disruptive devices for global health Bottom Up Design, Top Down Medical Guidance 3 Product Development Teams Propelled by 2006–2007 MIT IDEAS Competition Expanded global collaboration to sustain momentum
 Regional universities, 3 international health centers

in South America, Central America, and Tanzania, and Cambridge area research and business institutions

Network of diversified skills and expertise

SafePilot Invention Aisle

New Dots

Where We’re At 

2 companies, 5 science projects  Recruitment  Funding: grants/investment  Relationship management Bienmoyo UNIC Young Inventors

Foundation Draper

EF International 617.674.7516 Doctors Without CARE Skype: josegm Borders

New Opportunities
 Extreme affordability in orthopedics and mobility  Telepathology  Basic vital sign monitoring (bedside and village center): Pulse

Ox, ECG, Glucose, Neonatal, Delivery  Fablabs and on-demand medical instrumentation  Novel drug delivery  South-South collaboration  Yours!

AHEAD Irving Williams

Saving Lives

Uplifting the Masses thru Health and Goodwill Programs

What We Do
AHEAD accomplishes its goals through four kinds of programs. ■ Primary Health Care ■ Teen Action Program for HIV/AIDS Prevention ■ Education and Vocational Training ■ Alternative Energy

Collecting Water

Collecting Water

Testing Water

Water Pasteurization Workshop

Institute for Vaccine Safety Johns Hopkins Bloomberg School of Public Health Saad B Omer

Saad B. Omer, MD MPH PhD
Associate Director, Institute for Vaccine Safety Assistant Scientist, Department of Intl. Health Johns Hopkins Bloomberg School of Public Health

• • • • • • • • Countries: Brazil, Guatemala, Ethiopia, India, Pakistan, Uganda, Bangladesh, South Africa, & United States Vaccine trials – Polio, Influenza Large-scale surveillance – Measles (>1000,000 screened), Pneumococcal disease Vaccine refusal Spatial epidemiology – RSV, Pertussis HIV clinical trials – Drug regimens to prevent MIT in breastfeeding populations ART Adherence Genomics of vaccine safety

Policy & Teaching
• Policy
– Pandemic influenza planning and preparedness

– Laws and mandatory vaccine requirements – Global health governance

• Teaching
– Vaccine Development and Application – Spatial Epidemiology Module –Tropical Medicine Summer Institute – Lectures/sessions:
• General Preventive Medicine Residency Program, Introduction to International Health


Thank You!


Developing World Prosthetics

Goutam Reddy

Developing World Prosthetics
Developing World Prosthetics is a non-profit organization that designs and improves prosthetic limbs, orthotic braces, fitment devices and mobility aids for developing nations. We are partnered with the Jaipur Foot Organization, and seek to increase our connection to other organizations working on mobility aids for the rest of the world. We leverage a strong connection to the Massachusetts Institute of Technology (MIT) and its engineering students, classes, and facilities.
July 13, 2007 Goutam Reddy Innovations in International Health

Jaipur Foot Organization
• • • 16,000 limbs / year 16 centers in India More than 20 countries
– Afghanistan, Bangladesh, DR, Rwanda, Vietnam, Sudan, etc…

Treated approx 1 million disabilities since 1975

MIT D-Lab: Vac-Cast Sytem
• MIT Class Spring ’06(D-Lab) • 5 students • Sand Casting Sytem
• fitment of patient’s residual limb • saves $2 / patient • no wasted material • cuts fitment time from 5 hrs to 10 min.

• Vacuum Pump
• Portable • Lightweight • Human Powered • Locally Available Parts • Cheap • Easy to use

Thank You