Taha Kass-Hout, MD, MS Director, Health Informatics and Biosurveillance COLLABORATION TECHNOLOGY FOR PUBLIC HEALTH AND HUMANITARIAN ACTION AND GLOBAL DEVELOPMENT Innovative Support to Emergencies, Diseases, and Disasters Photo credit: IRMA (Integrated Risk Management for Africa) Co-sponsored CDC's National Center for Health Marketing, the U.S. Department of Health and Human Services, Georgia State University Department of Communication, the Pew Internet & American Life Project, and the National Public Health Information Coalition. CDC Focus On Users: Underserved Populations March 2-3, 2009

WHAT KINDS OF TECHNOLOGIES WILL HELP US ADAPT TO A CHANGING WORLD AND PREPARE FOR THE UNEXPECTED ? Banda Aceh, Indonesia, 2004

WHAT KINDS OF TECHNOLOGIES WILL HELP US ADAPT TO A CHANGING WORLD AND PREPARE FOR THE UNEXPECTED ?

IN OUR OPINION, COLLABORATION MAKES ALL THE DIFFERENCE You and the diverse groups you now need to work with join forces, share your data, and keep each other in sync. Information flows rapidly, securely, reliably, up, down, and sideways . You work together to analyze the data stream, identify patterns, and synthesize it into actionable information. The response is agile, coordinated, efficient, and effective

IN OUR OPINION, COLLABORATION MAKES ALL THE DIFFERENCE

You and the diverse groups you now need to work with join forces, share your data, and keep each other in sync.

Information flows rapidly, securely, reliably, up, down, and sideways .

You work together to analyze the data stream, identify patterns, and synthesize it into actionable information.

The response is agile, coordinated, efficient, and effective

A FEW REASONS WHY IT SELDOM DOES … Harsh field conditions Slow, unreliable networks Hot, tired, overloaded responders Low signal-to-noise ratio Data trapped in silos Disincentives for cooperation Lack of good tools for emergent collective action How to include the local community?

Harsh field conditions

Slow, unreliable networks

Hot, tired, overloaded responders

Low signal-to-noise ratio

Data trapped in silos

Disincentives for cooperation

Lack of good tools for emergent collective action

How to include the local community?

The InSTEDD TECHNOLOGY Platform InSTEDD Mesh4X: Share Data Across All Boundaries MESH4X lets you integrate applications, devices, and information seamlessly into a shared, synchronized, distributed data mesh InSTEDD GeoChat: Take Decisive Action in Response GEOCHAT lets you engage and coordinate with everyone who needs to be involved, linking headquarters, field, and the local community InSTEDD Evolve: Synthesize Data into Actionable Information EVOLVE lets you and your team monitor and collaborate around diverse data streams to detect, analyze, triage and track critical events as they unfold Open source software for closing the global collaboration gap

InSTEDD Mesh4X: Share Data Across All Boundaries

MESH4X lets you integrate applications, devices, and information seamlessly into a shared, synchronized, distributed data mesh

InSTEDD GeoChat: Take Decisive Action in Response

GEOCHAT lets you engage and coordinate with everyone who needs to be involved, linking headquarters, field, and the local community

InSTEDD Evolve: Synthesize Data into Actionable Information

EVOLVE lets you and your team monitor and collaborate around diverse data streams to detect, analyze, triage and track critical events as they unfold

GeoChat 1.0 Fully-Inclusive Mobile Comms Geospatially-aware group messaging service for mobile field coordination Using GeoChat during an Avian Influenza Community Response Exercise

GeoChat Features : Create, join, and participate in chat groups using SMS, email, or a web client on the surface of a map Location information in messages is automatically extracted, so that you can see who said what, when, and where International SMS gateway, Twitter gateway, and local gateway options Full SMS command line interface Public, private, and anonymous group configurations Broadcast alerts to the entire team Relay RSS/ATOM feeds of critical data over SMS Gateway Settings Setup RSS Feed

Features :

Create, join, and participate in chat groups using SMS, email, or a web client on the surface of a map

Location information in messages is automatically extracted, so that you can see who said what, when, and where

International SMS gateway, Twitter gateway, and local gateway options

Full SMS command line interface

Public, private, and anonymous group configurations

Broadcast alerts to the entire team

Relay RSS/ATOM feeds of critical data over SMS

GeoChat Features : Twitter has over 120 million subscribers. Its an unproven, consumer platform for crisis coordination, or alerting, but for citizen reporting it has been measured to lead the news by a significant margin. Source: http://www.telegraph.co.uk/scienceandtechnology/technology/twitter/4269765/New-York-plane-crash-Twitter-breaks-the-news-again.html

Features :

Twitter has over 120 million subscribers. Its an unproven, consumer platform for crisis coordination, or alerting, but for citizen reporting it has been measured to lead the news by a significant margin.

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) Does anyone have a car? We need medicine We need PPEs Who is the head of village? Family needs food I need mazut (gasoline) No gathering allowed at Pagoda Is market open? Is school open? I need an ambulance Can we help? What can we do to help? Do you have extra medicine? Yes, we have extra medicine Do you have enough medicine? No, we don’t have any medicine Can we get help with Quarantine Teu nak na mean lan te? Yeun trov ka thnam Yeun trov ka PPE Nor na chea prathean phom? Cruosa trov ka aha Knhon trov ka mazut Men anugnat ouy mean ka choub chum nov wat Te phsa boeuk reu nov? Te sala boeuk reu nov? Knom trov ka lanpet Teu mean avey ouy yeung chhouy te? Ter yerng ach chuoy avey ban? Ter neak mean thnam bonthem te? Bat yerng mean thnam Ter neak mean thnam krob kran te? Te yerng khmean thnam te Ter yerng ach tor tuol chumnuoy pi Quarantine te? Total Messages (exercise only) Exchanged during the morning of the AI Simulation Exercise, October 15, 2008, Stung Treng, Cambodia

Does anyone have a car?

We need medicine

We need PPEs

Who is the head of village?

Family needs food

I need mazut (gasoline)

No gathering allowed at Pagoda

Is market open?

Is school open?

I need an ambulance

Can we help?

What can we do to help?

Do you have extra medicine?

Yes, we have extra medicine

Do you have enough medicine?

No, we don’t have any medicine

Can we get help with Quarantine

Teu nak na mean lan te?

Yeun trov ka thnam

Yeun trov ka PPE

Nor na chea prathean phom?

Cruosa trov ka aha

Knhon trov ka mazut

Men anugnat ouy mean ka choub chum nov wat

Te phsa boeuk reu nov?

Te sala boeuk reu nov?

Knom trov ka lanpet

Teu mean avey ouy yeung chhouy te?

Ter yerng ach chuoy avey ban?

Ter neak mean thnam bonthem te?

Bat yerng mean thnam

Ter neak mean thnam krob kran te?

Te yerng khmean thnam te

Ter yerng ach tor tuol chumnuoy pi Quarantine te?

GeoChat Ideas for the Future Features: Import additional data layers Upload your own KML layer and combine with GeoChat conversations [e.g., flooded areas, destroyed buildings] Sync structured data onto the map via HTTP or SMS Group management via SMS for field Gateway with plugged-in phone support for international characters /if the phone supports them/ A US short code in summer (we cant promise dates)

Features:

Import additional data layers

Upload your own KML layer and combine with GeoChat conversations [e.g., flooded areas, destroyed buildings]

Sync structured data onto the map via HTTP or SMS

Group management via SMS for field

Gateway with plugged-in phone support for international characters /if the phone supports them/

A US short code in summer (we cant promise dates)

GeoChat Ideas for the Future Features: Offline client for disconnected operations Pluggable encryption Sensor integration PDA client Social Networking Integrated Analytics – tag clouds, machine learning, entity extraction, clustering, etc. Radio integration? Voice? Video?

Features:

Offline client for disconnected operations

Pluggable encryption

Sensor integration

PDA client

Social Networking

Integrated Analytics – tag clouds, machine learning, entity extraction, clustering, etc.

Radio integration? Voice? Video?

Mesh4X 1.0 Adaptive Data Mesh Integration Features : Fuse diverse applications, data sources, and devices Synchronize data automatically between databases, files, websites, desktop software, PDAs, maps, and the Cloud… Synchronize via HTTP or SMS Detect conflicts automatically Available in both .NET and Java Open standards: Microsoft FeedSync, RSS/ATOM, XForms, RDF A synchronization framework for seamless information sharing A synchronization framework for seamless information sharing Mesh4x Framework

Features :

Fuse diverse applications, data sources, and devices

Synchronize data automatically between databases, files, websites, desktop software, PDAs, maps, and the Cloud…

Synchronize via HTTP or SMS

Detect conflicts automatically

Available in both .NET and Java

Open standards: Microsoft FeedSync, RSS/ATOM, XForms, RDF

Mesh4X 1.0 Benefits: Database, device, application and platform independent Make changes anywhere. See the changes everywhere. Socio-politically neutral, “masterless” architecture Distributed, redundant storage Sync without Internet Work disconnected Mesh4x High-Level Architecture: The Mesh4X – Epi Info™ Prototype

Benefits:

Database, device, application and platform independent

Make changes anywhere. See the changes everywhere.

Socio-politically neutral, “masterless” architecture

Distributed, redundant storage

Sync without Internet

Work disconnected

Mesh4X 1.0 Mesh4X – Epi Info™: Peer-to-Peer Synchronization Cloud Synchronization Peer-to-Peer or Cloud Map Synchronization Peer-to-Peer Synchronization Cloud Synchronization

Mesh4X – Epi Info™:

Peer-to-Peer Synchronization

Cloud Synchronization

EVOLVE 1.0 Collaborative Event Warning & Decision Support Human Expertise. Machine Learning. Evolve your Understanding. Evolve: Collaborative Event Warning & Decision Support

Evolve 1.0 Features: Create collaborative workspaces, invite colleagues, subscribe to data sources you choose to monitor Interact securely with your team to sift through the data stream for emerging events Annotate items with tags, comments, ratings, links, locations, files, alerts, and other social metadata Autonomous agents perform data fusion, feature extraction, classification, tagging, geo-coding Integrated hypothesis formation, visualization, machine learning

Features:

Create collaborative workspaces, invite colleagues, subscribe to data sources you choose to monitor

Interact securely with your team to sift through the data stream for emerging events

Annotate items with tags, comments, ratings, links, locations, files, alerts, and other social metadata

Autonomous agents perform data fusion, feature extraction, classification, tagging, geo-coding

Integrated hypothesis formation, visualization, machine learning

Evolve 1.0 Benefits: Detect emerging critical events sooner and enable your team to take the right action earlier. Allow human experts and autonomous agent-based analytic services to augment one another’s efforts. Pattern detection algorithms learn from past events – and your team’s characterization of them – to improve performance the next time around. Fully extensible open source platform allows you to incorporate your own data sources, services, and embedded modules.

Benefits:

Detect emerging critical events sooner and enable your team to take the right action earlier.

Allow human experts and autonomous agent-based analytic services to augment one another’s efforts.

Pattern detection algorithms learn from past events – and your team’s characterization of them – to improve performance the next time around.

Fully extensible open source platform allows you to incorporate your own data sources, services, and embedded modules.

Thank you Taha Kass-Hout, MD, MS 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

Thank you

Taha Kass-Hout, MD, MS

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]