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    IRD

    Aamir Khan

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    Innovations in International Health NetworkMeeting

    13 - 14 July,2007

    Aamir Khan, MD, PhD

    Affiliation Founder and Chief Scientist, IRD

    Director & Associate, Center for CommunityDevelopment, 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

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    Innovations in International Health NetworkMeeting

    13 - 14 July,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

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    Innovations in International Health NetworkMeeting

    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. ofSussex, UK

    Professional Interests Sexual Health Poverty Alleviation

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    Innovations in International Health NetworkMeeting

    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 andInternational Development

    Professional Interests

    International health

    Infectious diseases

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    D-Lab

    Amy-Smith

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    Innovations in International Health NetworkMeeting

    13 - 14 July,2007

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    Mobile Phone Technologies for Health in the DevelopingWorld

    Luis Sarmenta

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    Luis F. G. Sarmenta13-14 July 2007

    Mobile Phone Applications for HealthInnovations in International Health

    for Health in the DevelopingWorld

    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 Technologiesfor Health in the Developing World?

    General Applications Areas(for Present and Future)

    Traditional Tele-medicineand Tele-health

    Mobile-accessible healthrecords and databases

    Educational / InformationalTools and Services

    Reporting, Monitoring,Surveying, Epidemiology

    Alerts Mobile and Connected

    Medical Devices

    Personal Healthcare andHealth InformationManagement

    Phones as Tools

    Suggestions for New Work

    Multi-sided Services

    provide value to consumers, sothat their payments will sustainthe service, and subsidizemonitoring, research, and datamining (or reality mining) bycentral health authorities orresearchers

    Well-KnownTechniques/Solutionsin New Places, for New Diseases

    apply to new diseases, and in new places

    New Connected Medical Devices with special focus on affordable

    technologies for 3rd world

    Developing Toolkits enable people (e.g., academics)

    to develop their own applications

    with special focus on immediateusability in 3rd world

    Some Already ExistingApplications

    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., fromcameraphone)

    Educational/Informational tools andservices

    Disease Prevalance Monitoring/Mapping

    Drug Compliance and MedicationReminders

    Adverse Event Reporting and Monitoring

    SMS interface to Prescriptions System

    Appointment Reminders and other Alerts fromdoctors to patients

    Continuous Activity Monitoring with mobiledevice, Detection of unusual patterns, andReality Mining of data

    Heart/Oxygen/Glucose monitoring

    Personal Medical and Wellness Diary and

    Calculation tool Phones as tools to connect and coordinate

    health workers

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    Luis F. G. Sarmenta13-14 July 2007

    Mobile Phone Applications for HealthInnovations in International Health

    For patients (parents) 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

    For doctors / health care workers / pharmacists help calculate growth chart percentiles help calculate and record prescriptions (and diagnoses)

    help record baby development, vaccinations, etc. help report disease prevalence to central authorities

    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

    For researchers and health authorities

    Gather stats of baby heights and weights across the country immediately 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 real-time 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 todetect and map outbreaks

    (Note that stats might be informal but can still be useful. More formal studies can bedone on top of the existing system, with a subset of doctors.)

    Idea:Baby Mobile Blog

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    Luis F. G. Sarmenta13-14 July 2007

    Mobile Phone Applications for HealthInnovations in International Health

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

    currently working on TDF-funded MDR-TB system, among other things

    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 banksupply monitoring system via SMS

    MIT AITI and CSAIL Imara affiliated projects (Eric Mibuari and MartinMbaya)

    Potential funders Microsoft

    Nokia

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    Partners in Health

    Hamish Frazer

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    Partners In Health EMR Projects

    Partners In Health (PIH) provides health care insome of the poorest communities in Haiti, Peru,Rwanda, Lesotho, Malawi and Russia

    We have developed electronic medical record

    systems to support the management of chronicdiseases such as HIV and drug resistant TB

    These systems are designed to operate in veryresource poor environments with limited staff

    and electrical supplies We are also carrying out evaluation studies ofinformation systems in resource poorenvironments

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    Key Functions

    PIH EMR systems are designed to support multiplekey 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

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    OpenMRS

    PIH is developing a new open sourcearchitecture for EMR systems for use indeveloping countries

    This is in collaboration with the Regenstrief

    Institute in Indiana and the medical ResearchCouncil in South Africa

    The system uses a data dictionary to allowextension 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 andHaiti

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    Eliminating Congenital Syphilis

    Sarah Hawkes

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    Eliminating Congenital Syphilis throughEliminating Congenital Syphilis throughUniversal Access to Screening andUniversal Access to Screening and

    TreatmentTreatment

    Sarah Hawkes, MD, DTM&H, PhD

    London School of Hygiene and Tropical

    Medicine

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    OverviewOverview

    The burden of disease The problem

    The solutions?

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    Estimates of Maternal Syphilis Seroprevalence

    Overall prevalenceOverall prevalence 1.76% -1.76% - Estimation ofEstimation of2,156,3042,156,304 womenwomen

    Global estimated number of infants born with congenitalGlobal estimated number of infants born with congenital

    syphilis issyphilis is 700,000-1,500,000700,000-1,500,000

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    Universal access to screening?Universal access to screening?

    Pregnant women

    Access ANC

    Have syphilis test

    Receive adequate

    treatment on time

    Partner also treated

    Remain uninfected at delivery

    Syphilis control in community

    Accessible services

    On-site testing available,

    Utilised,integrated

    Drugs and trained staff available

    Women deliver at health facility;

    and are screened and treated

    Partner accessible, willing

    The Supposed To Syndrome The Possible Solutions

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    The solutionsThe solutions

    Policies (present) Programmes (possibilities for intervention)

    Pregnant women (advocacy) Partners (power/gender nexus)

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    The Impacts of Climate Change on Human Health

    Emmanuel Matsika

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    Emmanuel Matsika

    University of Zambia

    School of EngineeringDepartment of Mechanical

    Engineering

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    Academic Qualifications

    M. Eng. (Thermofluids)

    B. Eng. (Mechanical Engineering)

    P.G. Dip. (Management Studies)

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    Experience andSpecialisation

    ZCCM Ltd, UNZA, CEEEZ, PESAD

    Coordinated several projects in

    engineering and social fieldsThermofluids applications

    Automobile Engineering

    Energy and Environment

    Climate Change (Mitigation and

    V&A)

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    Cambridge-Palo Alto Medical Device Cluster

    Jose Gomez-Marquez

    am r ge a o o

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    am r ge- a o oMedical Device Developer

    ClusterDriven by inventive spirit to launch appropriate

    and disruptive devices for global healthBottom Up Design, Top Down Medical Guidance

    3 Product Development Teams Propelledby 20062007 MIT IDEAS Competition

    Expanded global collaboration to sustainmomentum

    Regional universities, 3 international health centersin South America, Central America, and Tanzania, andCambridge area research and business institutions

    Network of diversified skills and expertise

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    Invention Aisle

    New Dots

    SafePilot

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    Where Were At2 companies, 5 science projects

    RecruitmentFunding: grants/investment

    New OpportunitiesExtreme affordability in orthopedics and mobilityTelepathology

    Basic vital sign monitoring (bedside and village center): PulseOx, ECG, Glucose, Neonatal, Delivery

    Fablabs and on-demand medical instrumentationNovel drug deliverySouth-South collaboration

    Yours!

    Relationship management

    Doctors WithoutBorders

    CARE

    Draper

    Young InventorsInternational

    UNICEF

    BienmoyoFoundation

    [email protected]

    Skype:josegm

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    AHEAD

    Irving Williams

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    Saving Lives

    Uplifting the Masses thru Health

    and Goodwill Programs

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    What We Do

    AHEAD accomplishes its goals through four

    kinds of programs. Primary Health Care

    Teen Action Program for HIV/AIDSPrevention

    Education and Vocational

    Training Alternative Energy

    C ll i

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    Collecting Water

    Collecting Water

    Testing Water

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    Water Pasteurization

    Workshop

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    Institute for Vaccine Safety

    Johns Hopkins Bloomberg School of Public Health

    Saad B Omer

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    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

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    Research 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

    38

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    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, Introductionto International Health

    39

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    Thank You!

    40

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    Developing World Prosthetics Goutam Reddy

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    Developing World Prosthetics

    July 13, 2007Goutam ReddyInnovations in International Health

    Developing World Prosthetics is a non-profit organization that designsand improves prosthetic limbs, orthotic braces, fitment devices andmobility aids for developing nations.

    We are partnered with the Jaipur Foot Organization, and seek toincrease our connection to other organizations working on mobilityaids 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.

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    Jaipur Foot Organization

    16,000 limbs / year

    16 centers in India

    More than 20

    countries Afghanistan,Bangladesh, DR,Rwanda, Vietnam,Sudan, etc

    Treated approx 1million disabilitiessince 1975

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    MIT Class Spring 06(D-Lab) 5 students

    Sand Casting Sytem

    fitment of patients 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

    MIT D-Lab: Vac-Cast Sytem

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    Thank You