Taha Kass-Hout, MD, MS Director, Health Informatics and Biosurveillance COLLABORATION   TECHNOLOGY   FOR   PUBLIC HEALTH  ...
<ul><li>WHAT KINDS   OF   TECHNOLOGIES   WILL   HELP US   ADAPT   TO A   CHANGING WORLD   AND   PREPARE   FOR THE   UNEXPE...
<ul><li>IN OUR OPINION,  COLLABORATION   MAKES   ALL   THE   DIFFERENCE </li></ul><ul><li>You and the diverse groups you n...
A   FEW   REASONS  WHY  IT   SELDOM   DOES … <ul><li>Harsh field conditions </li></ul><ul><li>Slow, unreliable networks </...
The  InSTEDD TECHNOLOGY  Platform <ul><li>InSTEDD Mesh4X:   Share Data Across All Boundaries </li></ul><ul><ul><li>MESH4X ...
GeoChat 1.0   Fully-Inclusive Mobile Comms Geospatially-aware group messaging service for mobile field coordination  Using...
GeoChat <ul><li>Features : </li></ul><ul><li>Create, join, and participate in chat groups using SMS, email, or a web clien...
GeoChat <ul><li>Features : </li></ul><ul><li>Twitter  has over 120 million subscribers. Its an unproven, consumer platform...
GeoChat Avian Influenza Exercise: Stung Treng Province, Cambodia, October 13-15, 2008 SE Asia Region (Source: Wikipedia) T...
GeoChat Avian Influenza Exercise: Stung Treng Province, Cambodia, October 13-15, 2008 General messages exchanged among fie...
GeoChat   Ideas for the Future <ul><li>Features: </li></ul><ul><li>Import additional data layers </li></ul><ul><ul><li>Upl...
GeoChat   Ideas for the Future <ul><li>Features: </li></ul><ul><li>Offline client for disconnected operations </li></ul><u...
Mesh4X 1.0   Adaptive Data Mesh Integration <ul><li>Features : </li></ul><ul><li>Fuse diverse applications, data sources, ...
Mesh4X 1.0 <ul><li>Benefits: </li></ul><ul><li>Database, device, application and platform independent </li></ul><ul><li>Ma...
Mesh4X 1.0 <ul><li>Mesh4X – Epi Info™: </li></ul><ul><li>Peer-to-Peer Synchronization </li></ul><ul><li>Cloud Synchronizat...
EVOLVE 1.0   Collaborative Event Warning & Decision Support  Human Expertise.  Machine Learning.  Evolve your Understandin...
Evolve 1.0 <ul><li>Features: </li></ul><ul><li>Create collaborative workspaces, invite colleagues, subscribe to data sourc...
Evolve 1.0 <ul><li>Benefits: </li></ul><ul><li>Detect emerging critical events sooner and enable your team to take the rig...
<ul><li>Thank you </li></ul><ul><li>Taha Kass-Hout, MD, MS </li></ul><ul><li>400 Hamilton Avenue, Suite 120 </li></ul><ul>...
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Collaboration Technology for Public Health and Humanitarian Action and Global Development.

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CDC Focus On Users: Underserved Populations March 2-3, 2009...
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.

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  • Collaboration Technology for Public Health and Humanitarian Action and Global Development.

    1. 1. 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
    2. 2. <ul><li>WHAT KINDS OF TECHNOLOGIES WILL HELP US ADAPT TO A CHANGING WORLD AND PREPARE FOR THE UNEXPECTED ? </li></ul>Banda Aceh, Indonesia, 2004
    3. 3. <ul><li>IN OUR OPINION, COLLABORATION MAKES ALL THE DIFFERENCE </li></ul><ul><li>You and the diverse groups you now need to work with join forces, share your data, and keep each other in sync. </li></ul><ul><li>Information flows rapidly, securely, reliably, up, down, and sideways . </li></ul><ul><li>You work together to analyze the data stream, identify patterns, and synthesize it into actionable information. </li></ul><ul><li>The response is agile, coordinated, efficient, and effective </li></ul>
    4. 4. A FEW REASONS WHY IT SELDOM DOES … <ul><li>Harsh field conditions </li></ul><ul><li>Slow, unreliable networks </li></ul><ul><li>Hot, tired, overloaded responders </li></ul><ul><li>Low signal-to-noise ratio </li></ul><ul><li>Data trapped in silos </li></ul><ul><li>Disincentives for cooperation </li></ul><ul><li>Lack of good tools for emergent collective action </li></ul><ul><li>How to include the local community? </li></ul>
    5. 5. The InSTEDD TECHNOLOGY Platform <ul><li>InSTEDD Mesh4X: Share Data Across All Boundaries </li></ul><ul><ul><li>MESH4X lets you integrate applications, devices, and information seamlessly into a shared, synchronized, distributed data mesh </li></ul></ul><ul><li>InSTEDD GeoChat: Take Decisive Action in Response </li></ul><ul><ul><li>GEOCHAT lets you engage and coordinate with everyone who needs to be involved, linking headquarters, field, and the local community </li></ul></ul><ul><li>InSTEDD Evolve: Synthesize Data into Actionable Information </li></ul><ul><ul><li>EVOLVE lets you and your team monitor and collaborate around diverse data streams to detect, analyze, triage and track critical events as they unfold </li></ul></ul>Open source software for closing the global collaboration gap
    6. 6. 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
    7. 7. GeoChat <ul><li>Features : </li></ul><ul><li>Create, join, and participate in chat groups using SMS, email, or a web client on the surface of a map </li></ul><ul><li>Location information in messages is automatically extracted, so that you can see who said what, when, and where </li></ul><ul><li>International SMS gateway, Twitter gateway, and local gateway options </li></ul><ul><li>Full SMS command line interface </li></ul><ul><li>Public, private, and anonymous group configurations </li></ul><ul><li>Broadcast alerts to the entire team </li></ul><ul><li>Relay RSS/ATOM feeds of critical data over SMS </li></ul>Gateway Settings Setup RSS Feed
    8. 8. GeoChat <ul><li>Features : </li></ul><ul><li>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. </li></ul>Source: http://www.telegraph.co.uk/scienceandtechnology/technology/twitter/4269765/New-York-plane-crash-Twitter-breaks-the-news-again.html
    9. 9. 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
    10. 10. 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) <ul><li>Does anyone have a car? </li></ul><ul><li>We need medicine </li></ul><ul><li>We need PPEs </li></ul><ul><li>Who is the head of village? </li></ul><ul><li>Family needs food </li></ul><ul><li>I need mazut (gasoline) </li></ul><ul><li>No gathering allowed at Pagoda </li></ul><ul><li>Is market open? </li></ul><ul><li>Is school open? </li></ul><ul><li>I need an ambulance </li></ul><ul><li>Can we help? </li></ul><ul><li>What can we do to help? </li></ul><ul><li>Do you have extra medicine? </li></ul><ul><li>Yes, we have extra medicine </li></ul><ul><li>Do you have enough medicine? </li></ul><ul><li>No, we don’t have any medicine </li></ul><ul><li>Can we get help with Quarantine </li></ul><ul><li>Teu nak na mean lan te? </li></ul><ul><li>Yeun trov ka thnam </li></ul><ul><li>Yeun trov ka PPE </li></ul><ul><li>Nor na chea prathean phom? </li></ul><ul><li>Cruosa trov ka aha </li></ul><ul><li>Knhon trov ka mazut </li></ul><ul><li>Men anugnat ouy mean ka choub chum nov wat </li></ul><ul><li>Te phsa boeuk reu nov? </li></ul><ul><li>Te sala boeuk reu nov? </li></ul><ul><li>Knom trov ka lanpet </li></ul><ul><li>Teu mean avey ouy yeung chhouy te? </li></ul><ul><li>Ter yerng ach chuoy avey ban? </li></ul><ul><li>Ter neak mean thnam bonthem te? </li></ul><ul><li>Bat yerng mean thnam </li></ul><ul><li>Ter neak mean thnam krob kran te? </li></ul><ul><li>Te yerng khmean thnam te </li></ul><ul><li>Ter yerng ach tor tuol chumnuoy pi Quarantine te? </li></ul>Total Messages (exercise only) Exchanged during the morning of the AI Simulation Exercise, October 15, 2008, Stung Treng, Cambodia
    11. 11. GeoChat Ideas for the Future <ul><li>Features: </li></ul><ul><li>Import additional data layers </li></ul><ul><ul><li>Upload your own KML layer and combine with GeoChat conversations [e.g., flooded areas, destroyed buildings] </li></ul></ul><ul><ul><li>Sync structured data onto the map via HTTP or SMS </li></ul></ul><ul><li>Group management via SMS for field </li></ul><ul><li>Gateway with plugged-in phone support for international characters /if the phone supports them/ </li></ul><ul><li>A US short code in summer (we cant promise dates) </li></ul>
    12. 12. GeoChat Ideas for the Future <ul><li>Features: </li></ul><ul><li>Offline client for disconnected operations </li></ul><ul><li>Pluggable encryption </li></ul><ul><li>Sensor integration </li></ul><ul><li>PDA client </li></ul><ul><li>Social Networking </li></ul><ul><li>Integrated Analytics – tag clouds, machine learning, entity extraction, clustering, etc. </li></ul><ul><li>Radio integration? Voice? Video? </li></ul>
    13. 13. Mesh4X 1.0 Adaptive Data Mesh Integration <ul><li>Features : </li></ul><ul><li>Fuse diverse applications, data sources, and devices </li></ul><ul><li>Synchronize data automatically between databases, files, websites, desktop software, PDAs, maps, and the Cloud… </li></ul><ul><li>Synchronize via HTTP or SMS </li></ul><ul><li>Detect conflicts automatically </li></ul><ul><li>Available in both .NET and Java </li></ul><ul><li>Open standards: Microsoft FeedSync, RSS/ATOM, XForms, RDF </li></ul>A synchronization framework for seamless information sharing A synchronization framework for seamless information sharing Mesh4x Framework
    14. 14. Mesh4X 1.0 <ul><li>Benefits: </li></ul><ul><li>Database, device, application and platform independent </li></ul><ul><li>Make changes anywhere. See the changes everywhere. </li></ul><ul><li>Socio-politically neutral, “masterless” architecture </li></ul><ul><li>Distributed, redundant storage </li></ul><ul><li>Sync without Internet </li></ul><ul><li>Work disconnected </li></ul>Mesh4x High-Level Architecture: The Mesh4X – Epi Info™ Prototype
    15. 15. Mesh4X 1.0 <ul><li>Mesh4X – Epi Info™: </li></ul><ul><li>Peer-to-Peer Synchronization </li></ul><ul><li>Cloud Synchronization </li></ul>Peer-to-Peer or Cloud Map Synchronization Peer-to-Peer Synchronization Cloud Synchronization
    16. 16. EVOLVE 1.0 Collaborative Event Warning & Decision Support Human Expertise. Machine Learning. Evolve your Understanding. Evolve: Collaborative Event Warning & Decision Support
    17. 17. Evolve 1.0 <ul><li>Features: </li></ul><ul><li>Create collaborative workspaces, invite colleagues, subscribe to data sources you choose to monitor </li></ul><ul><li>Interact securely with your team to sift through the data stream for emerging events </li></ul><ul><li>Annotate items with tags, comments, ratings, links, locations, files, alerts, and other social metadata </li></ul><ul><li>Autonomous agents perform data fusion, feature extraction, classification, tagging, geo-coding </li></ul><ul><li>Integrated hypothesis formation, visualization, machine learning </li></ul>
    18. 18. Evolve 1.0 <ul><li>Benefits: </li></ul><ul><li>Detect emerging critical events sooner and enable your team to take the right action earlier. </li></ul><ul><li>Allow human experts and autonomous agent-based analytic services to augment one another’s efforts. </li></ul><ul><li>Pattern detection algorithms learn from past events – and your team’s characterization of them – to improve performance the next time around. </li></ul><ul><li>Fully extensible open source platform allows you to incorporate your own data sources, services, and embedded modules. </li></ul>
    19. 19. <ul><li>Thank you </li></ul><ul><li>Taha Kass-Hout, MD, MS </li></ul><ul><li>400 Hamilton Avenue, Suite 120 </li></ul><ul><li>Palo Alto, CA 94301 </li></ul><ul><li>USA </li></ul><ul><li>+1.650.353.4440 </li></ul><ul><li>+1.877.650.4440 (toll-free in the US) </li></ul><ul><li>[email_address] </li></ul>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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