We create (or find) free and open-source software for collaboration toward collective action. We then teach other people how to create it for themselves Slide
Slide Questions in outbreak epidemiology What information isn’t getting to those who need it? Which groups should be making more decisions together ? What field reports and broadcast alerts should come faster ? Which systems need to share information? Collaboration… How much can we learn from what we already have ?
Slide Refugee trauma management Cholera outbreak Katrina response In our view, collaboration in outbreak epidemiology is THE critical task.
A young village health worker on her rounds finds a bleeding mother and two children. The man is missing.
She sends an SMS with the location, an explanation, and the tag “bleeding”, then isolates the home
The SMS is received and triggers a cascade of events, including the dispatching of a Rapid Response Team and notification of both the Health Minister and the health worker’s nearest hospital.
The health worker receives an SMS telling her the message was received, and providing urgent management advice for suspected hemorrhagic viruses
The SMS from the health worker appears in a stream of messages that include recent monkey smuggling, and food insecurity leading to harvesting bushmeat. It is spotted by the surveillance software bots, combined with other information, and hypotheses are proposed.
A team of MDs, nurses, vets, logisticians, and others work together to plan and implement a response, entering information only once.
Mesh4x: Imagine an outbreak response in the field…
Lots of information collected, working with many partners
Political and collegial will to share, but
Different software applications between agencies
Little or no internet connectivity (many modes, very flexible)
Mesh4x lets you:
Choose the information to share
Identify the various applications holding it
Identify the various computers holding it
Synchronize it all, over multiple modes (even just SMS!)
Excel, Google Earth, Access, ESRI ArcX, MySQL, etc.
Over to Taha…
Hybrid Disease Surveillance Surveillance Systems Capture Filter Verify Identified risks Mandatory notification Laboratory surveillance Emerging risks Syndromic surveillance Mortality monitoring Healthcare activity monitoring Prescription monitoring Non healthcare based Veterinary surveillance Behavioral surveillance Environmental surveillance Poison centers Food safety/water supply … Domestic, NGOs Field Reports Open Media Surveillance
Int’l Distribution lists
ProMed (Regular, MBDS, Spanish, Russian, etc.)
WHO, OIE, CDC
NASA (e.g., remote sensing, weather, population migration, bird migration, population density, plant, animal)
ProMed (e.g., MBDS)
International health regulation agencies (WHO, OIE, CDC, NASA)
Threat bulletin (EWARN, ECDC)
News, blogs, articles,
Health ministry press releases websites
Event Monitoring Indicator Based Event Based Collect Analyze Interpret Assess Disseminate Investigate Signal Control Alert
Hybrid Disease Surveillance Surveillance Systems Capture Filter Verify Event Monitoring Indicator Based Event Based Collect Analyze Interpret Feedback Feedback Detection Response Signal Control Alert
Invited by Mekong Basin Disease Surveillance Network (MBDS) to support technology for surveillance and response
Started in Cambodia with CDC because Cambodia is the technology lead.
Supporting the entire region.
Innovation Lab ( Physical space in Cambodia ) 400 hour workplan 125 hour curriculum Curriculum for ownership of InSTEDD tools and beyond Neutral space for academia, Ministry, local NGOs, more Dissolving silos – teaching as cross-functional teams Capacity enhancement for IHRs and MDGs Back to Eric…