The document discusses the emergence of operational commons during the coronavirus crisis, emphasizing the role of local initiatives and collaborative efforts in addressing healthcare needs. It highlights various projects aimed at creating non-exclusive health solutions through distributed manufacturing and open-source sharing, involving numerous volunteers and organizations across different countries. The text calls for sustained cooperation over competition to innovate and improve healthcare accessibility while addressing broader challenges such as climate change.

1. FAB16 Montreal
#Openhealth
Let’s make operational commons

2. February 2020 context
No stock - No planes - So what ?

3. Proof by making
7-10 K volunteers in France - Everywhere -
Ultra-local - Powerful (millions of “USO’s”).
Heliox Anthony Yann Dimitri
Couturieres
solidaires

4. Fablabs AND
solidarity makers,
associations,
collectives,
territories,
associations,
companies...
IMPACT estimated
in 86 countries :
72 000 people
1878 local groups
at least 75 M supplies in 2020 coronavirus
crisis
Source :
https://opensourcemedicalsupplies.org/

5. What emerges ?
Actors and patterns
About 80 km meshes when you must rely on
local resources.
Incredible initiatives linking together.
Official/unofficial. States have problems...

6. Operational Commons
Made by historical actors for the 1st time
Do things happen when the solutions are no longer exclusive? Relocated
multimodal distributed manufacturing? Reprogrammable territorial resources?
“Glocal”?
WHO gel formula - Yves
Rocher Cosmetics
Open source Masks - Petit
Bateau factories
!

7. LOOPS
Stocks monitoring
Calls from caregivers
Conception
Selection/prioritization
Prototyping
Clinical validation/ certif.
Files and doc diffusion
with guidelines
Multimodal fabrication

8. Operational Commons
We have a hole in the racket...
More and more data, designs, contributions in the common good. Great.
So why today more than 100 millions of people are in needs of prosthetics ?
What are the walls to break and the path to open
to MAKE IT OPERATIONAL IN REAL LIFE ?

9. CAN WE CREATE MORE
OPTIONS THAN...
MARKET
Top down Rules to
follow (gov. driven)
Designed for those who CAN
AFFORD
Be a good or a bad
citizen. Follow the rules
or be punished.
And people choices / creativity / making / sharing ?

10. #Openhealth definition
(to be discussed:)
Linking the needs of populations and caregivers to non exclusive solutions working on the
field, being in the common good, with the objective of distributed mutimodal remanufacturing
(united citizens, fablabs, small and medium-sized enterprises, cooperatives, industry, etc.).
This covers the fields of prevention, hygiene, detection, care, long term care....
Actions are needed to improve openscience sharing (bio, hardware, human sciences),
design, validation and medical certification,international interoperability, banks of
online solutions, healthcare facilities, distributed multimodal manufacturing, use ,
repairability…

11. Historical context of the
coronavirus crisis
● One challenge
● Whole planet
● Sense and fraternity
● Needs of shared
solutions
● Legally non exclusive
● Together
Cooperation vs competition

12. Local/Global/Decentralized
47 M of PPE’s -75K volunteers 10 countries - hope Open Science -
JOGL

13. Do we have other challenges ?

14. Climate change
from healthcare to care of the world
The certainty of
uncertainty
means a
responsability for
those who have
experience to
“make almost
anything” and host
unpredictable projects
every day, worldwide.

15. Initiative One
Sense and priorities defined for 2021-2024
> #Openhealth
> Diversities
> Environment
Launching a pilot of “openhealth" in Montpellier
with a big public hospital in 2021-2023. (pro
with surgeons, repair pieces catalog, disabled
ppl DIY of technical devices)
http://www.fablab.fr

16. Initiative two
Launched from march 2020 without money
229 K€ openhealth program with 10 fablabs in 7 countries of west africa
For the moment 20 000 objects made and being used in Mali, Benin, Senegal
Great infos to be announced before the end of the year :-D
Phase 1 : Equipment of the labs/making on the field
Phase 2 : African precious plastic program to experiment local health solutions making
http://www.makersnordsud.org
A pilot of health fablab is being prepared by Blolab Benin with a BIG reference Hospital in
Cotonou (Benin).

17. Initiative three
North South adaptations forge (to climate change effects)
3 years documentation of workshops program to empower the
people to face to climate change effects OUTSIDE OF THE LABS.
Built by CCLab with West african fablabs network, french fablab
network, and International Association of french speaking mayors
(240 cities and villages on all the planet including Asia, Africa,
Madagascar, Canada, France...), Africa Airbus Community...
Creative Commons documentation of 106 formats adressing REAL
PEOPLE (retired, non employed, childrens, workers, students) both in
Africa and France. 2021-2024.
http://www.climatechangelab.org

18. Is your lab a tea bag ?
What is important is not the
tea bag, but the result after
infusion…
If you lab is a tea bag
what is the water ?
what are you, WHAT ARE WE
catalyzing, infusing ?

19. So make/hybrid your choices
and assume !
Competition
Exclusivity
Elite projects
Market driven
Fablab centered
Techno-solutionism
Cooperation
Common Good
Inclusive
Sustainable economic models
Holistic approach (tea bag)
Democratic and desirable
Contact Hugues Aubin -contact@ climatechangelab.org