eHealth For Urgent Public Health Challenges


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eHealth For Urgent Public Health Challenges. Al-Shorbaji N. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

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eHealth For Urgent Public Health Challenges

  1. 1. High Level eHealth Conference Barcelona, Spain 15 - 18 March 2010 eHealth Conference, Barcelona 15-18 March, 2010 | |
  2. 2. eHealth For Urgent Public Health Challenges Najeeb Al-Shorbaji Director, Knowledge Management and Sharing WHO/HQ Geneva eHealth Conference, Barcelona 15-18 March, 2010 | |
  3. 3. Three questions to address:  What represents a public health challenge?  What is WHO stand on eHealth?  How can information and communication technology help in mapping, predicting, preventing and managing diseases to achieve better health outcomes? eHealth Conference, Barcelona 15-18 March, 2010 | |
  4. 4. Public health challenges: global Web search on "health challenges"  Obesity is one of the leading public health and societal challenges in the United States today;  Population ageing-a public health challenge;  Mental health of young people: a global public-health challenge;  Foodborne Diseases: The Continuing Public Health Challenge;  Malaria Remains Daunting Public Health Challenge.  Disease outbreaks such as Flu pandemics (H1N1 and H5N1). eHealth Conference, Barcelona 15-18 March, 2010 | |
  5. 5. Public health challenges: national  Natural disasters: – Earthquakes: Chile, Haiti, Pakistan, Iran; Kobe (Japan) – Tsunami: Indonesia; – Flood: Madeira (Portugal); – Famine.  Manmade disasters – Wars: Afghanistan, Iraq, Somalia, Sudan, etc – Environmental Pollution (chemical, biological leakages); – Bioterrorism. eHealth Conference, Barcelona 15-18 March, 2010 | |
  6. 6. Global health gains  Increase in life expectancy;  Reduction in infant and child mortality; and  Elimination or reduction of many communicable diseases;  Advances in health and medical research;  Health is on the political agenda (health and human security).  Information and communication technology in health systems. eHealth Conference, Barcelona 15-18 March, 2010 | |
  7. 7. Still many health challenges  Global health in a "borderless world";  The Millennium Development Goals on health include: – eradicate extreme poverty and hunger; – reduce child mortality; – improve maternal health; – combat HIV and AIDS, malaria and other diseases; and – ensure environmental sustainability. eHealth Conference, Barcelona 15-18 March, 2010 | |
  8. 8. WHO Fact sheet: top ten causes of death Rank Cause of death Million % 1. Coronary heart disease 7.20 12.2 2. Stroke and other cerebrovascular diseases 5.71 9.7 3. Lower respiratory infections 4.18 7.1 4. Chronic obstructive pulmonary disease 3.02 5.1 5. Diarrhoeal diseases 2.16 3.7 32% NCDs 6. HIV/AIDS 2.04 3.5 7. Tuberculosis 1.46 2.5 8. Trachea, bronchus, lung cancers 1.32 2.3 9. Road traffic accidents 1.27 2.2 10. Prematurity and low birth weight 1.18 2.0 eHealth Conference, Barcelona 15-18 March, 2010 | |
  9. 9. eHealth in WHO  1960: First computer application to manage statistics;  2005: World Health Assembly Resolution on eHealth;  2006-2013: Mid Term Strategic Plan has knowledge management and eHealth built-in it.  Today: DG's report to the EB in January 2010; – This is the first pandemic (H1N1) to occur since the revolution in communication and information technologies; – People make their own decisions about what information to trust, and base their actions on those decisions; – Persuading people to adopt health behaviors is one of the biggest challenges in public health. eHealth Conference, Barcelona 15-18 March, 2010 | |
  10. 10. Pandemics Disasters HIS Emergencies IHR e-Surveillance Obstetrics/ Research Gynaecology Society Dermatology Journals Prevention Patients eHealth eHealth e-Learning e-Care Diagnostics Governance Doctors Websites Radiology Pathology Electronic Training Health NursesHealth Course Professionals e-Management Records Referral Hospital Medicines Information Systems procurement Systems eHealth Conference, Barcelona 15-18 March, 2010 | |
  11. 11. Health is a knowledge-based sector KM= People + Processes + Technology • Geographic information: place and location; • Information and Communication infrastructure: connectivity, databases; • Technical information related to the disease; • Public information to advice people; • Clinical information on people affected; • Demographic information: the size and characteristics of population affected; • Human resources information: to manage the problem; • Financial information: to fund the operation; • Logistics information: what materials available (medicines, equipment, transportation). eHealth Conference, Barcelona 15-18 March, 2010 | |
  12. 12. What we have learnt  Mobilize the community through timely and transparent information campaign. Credible communication with people reduces the risks: use radio, Internet, mobile phones;  Collect data and information on the situation and share it with local leaders, national authorities and international community. Decisions based on incomplete or wrong information worsen the situation: satellite images, digital mapping, pictures, geographic information, epidemiological surveys, samples;  Deploy telecommunication equipment at the earliest stage to reestablish the network: satellite phones, GSM, mobile internet, radio; eHealth Conference, Barcelona 15-18 March, 2010 | |
  13. 13.  Locate and mobilize the experts who have the experience, the language and the commitment: search expert databases and profiles;  Establish local databases to record number of affected people, number of properties damaged, scale of damage, symptoms of the disease, the logistics and the finances;  Work with the private sector to provide services and products in a partnership mode. They can deploy solutions faster than the public sector;  Advocate, promote and support countries to be better prepared to mitigate the health and social impact of disasters and to provide response and recovery;  Document and share the experience, lessons leant, best practices. eHealth Conference, Barcelona 15-18 March, 2010 | |
  14. 14. Real life examples  In 2002 the first UN activity after the defeat of Taliban, Afhnaistan was to establish a mobile communication infrastructure with the help of the private sector;  In Iraq, Darfur (Sudan), Somalia and Afghanistan satellite phones and mobile units were and are used to collect data on diseases and to communicate locally and the world;  Radio communication was the only means to exchange messages and give direction in these countries. This has saved lives and not only helped in managing the sector;  Logistics database was established and used as a first priority to coordinate assistance in many of these countries. Without it duplication, loss and waste would have occurred; eHealth Conference, Barcelona 15-18 March, 2010 | |
  15. 15.  In 2008, the average number of visits/month to WHO website was 4.7 million. In 2009 the average was 8 million, with the increase attributable to the H1N1 pandemic.  48 hours after Haiti earthquake the Supercourse "Just in Time Lecture" was produced and made available on the Internet in 11 languages.  The first UN (International Telecommunication Union) reaction to Haiti earthquake was delivery of 100 satellite phones;  The first reaction by the US government to Chile earthquake was delivery of 40 satellite phones. eHealth Conference, Barcelona 15-18 March, 2010 | |
  16. 16. WHO's Event Management System  WHO internal tool for public  Risk assessment driven health event-based information management;  Phase II enhancements  Secure platform; being planned  Custom-built for decision support;  Being rolled-out to 3 levels of WHO;  IHR (2005) compliant;  All-hazards approach. eHealth Conference, Barcelona 15-18 March, 2010 | |
  17. 17. Global Observatory for eHealth:mHealth  Measure trends and up take of eHealth at global level;  Second Survey completed in 2009. Focused on mHealth as an emerging eHealth application:  The following mHealth services were identified by 115 countries as related to public health: 1. Emergency toll-free telephone services; 2. Community mobilization / health promotion campaigns; 3. Awareness raising;. 4. Emergencies; 5. Health surveys; 6. Surveillance. eHealth Conference, Barcelona 15-18 March, 2010 | |
  18. 18. eHealth Conference, Barcelona 15-18 March, 2010 | |
  19. 19. eHealth to go beyond data processing in response to urgent public health challenges  Knowledge discovery allows health researchers and then decision makers to create knowledge and evidence from data sets of different types and formats.  Disease prediction using patterns and models based on data sets related to humans, animals, materials and environment.  Using the tools of public health informatics, medical informatics, bioinformatics and medical imaging to integrate different types of data (patient/personal, public, diseases, molecular). eHealth Conference, Barcelona 15-18 March, 2010 | |
  20. 20. eHealth to go beyond data processing in response to urgent public health challenges  Integrated approach for eHealth (web, mHealth, health records, smart cards, database management systems applying open standards for interoperability.  Networking between professionals. Social networks and communities of practices;  Recognition of local and national needs to support health information and medical terminology using computer- assisted translation and databases;  Awareness and education in a citizen-centered system through development of an integrated bidirectional multimedia health record. eHealth Conference, Barcelona 15-18 March, 2010 | |
  21. 21. Thank you Q&A eHealth Conference, Barcelona 15-18 March, 2010 | |