This document describes MobileDiagnosis, a technology for remote microscopy training and diagnosis using mobile phones. It discusses how MobileDiagnosis was developed and has been used to provide training to over 300 health workers in 8 countries since 2008. The author then introduces MeToo, a mobile app developed as the next evolution of MobileDiagnosis to more easily provide diagnostic and educational support to low-skilled workers in remote areas through integrated training and diagnostic tools.

1. MobileDiagnosis®: an appropriate
technology for tele-microscopy, an
effective tool for training
*
MeToo
“The App”
Livia Bellina & Ilenia Nucatola
MobileDiagnosis Onlus

2. Health support and education for all
“In the last four decades, the world has undergone a boom in information and communication technology.
The PC and cell phone were invented; the Internet stormed onto the stage; and corporations such as Apple, Microsoft,
G o o g l e , a n d F a c e b o o k p e n e t r a t e d e v e r y c o r n e r o f o u r l i v e s .
If technology cured social ills, then we’d hope that during the golden age of innovation in a technologically advanced
country, there would be some dip in the poverty rate.
When deciding how to allocate resources between technology and human capital, invest first in the factor that is most
lacking.
There may be times when a technology investment makes sense, but for the world’s poorest countries, human capital,
not technology, needs the boost first.
It’s not that technology is powerless or irrelevant;
it’s that technology is not the problem.
Technology is just a tool; its impact depends on how it’s wielded.
If tool after fancy tool doesn’t build a better house, maybe we should invest more in the carpenter”.
Kentaro Tokoyama
To “invest in the carpenter “and to improve local the workforces, to share in capillary way the methodology of
MobileDiagnosis both in the education than in the diagnostic support
the Author designed and realized MeToo, “The App”
MeToo, the App: the natural evolution of MobileDiagnosis.
( the “art to take, compare the images from a microscope field and share them by m-phone)
The App brings the diagnostic and education help to the lowest skilled operators, locally, easily.
It combines two integrated actions, improving both diagnosis and education locally.

3. What is MeToo ?
The first medical App thought to help low-skilled
/isolated users
( also expatriate cooperants ) in hard and isolated
contexts
in local diagnosis and in local education.
Diagnosis : identify unknown images by visually
comparing to a gallery of didactic images.
Education: the home page is a" portable" interactive
tutorial site that provides the users with all news about the
tropical medicine, the most useful links,maps and
textbooks with therapies, lessons, didactic tables, images
and movies. Fight the poverty diseases. Contribute to
universal access to health care. Help your diagnosis.

4. The Home Page
Consists in a" portable"medical library, an
interactive tutorial site that provides the users the most
useful didactic links, the always updated therapies,
and lessons with didactic tables,
didactic images , Atlas , and movie galleries and the
news
about the tropical medicine.
You will find also institutional links, and a section
addressed to foreign medicals working in
Developing Countries with all contact details of all
Embassy or Consulates (useful links for medical
expatriates)
The diagnosis area
helps the local diagnosis by visually comparing the
unknown image to a gallery of didactic images stored in
the App .
It works providing an internal images gallery( from the
author’s personal image database ) and an external
platform for a distance support.
Didactic images are organized in galleries, labeled and
linked to the related tags.
Helps in diagnosis while improves your knowledge

7. Results
Market

8. NO COMPETITORS

10. 29-7-17

11. Technical details:
the internal images gallery
consists of (until now) 440 images of parasites, (helmints, nematodes , trematodes and
cestodes) , organized in several folders /galleries, and 2500 tags related.
The images are organized in folders, labeled , and linked to a number of related tags for
every image. 382 images are in JPEG , and 58 are in PNG format.( 13,18% )The images
resolution is in a range of 2048 × 1536 to 4000 x 2000 pixel for image. DPI Image (pixel/inch)
is between 72 - 300.
Additional informations (metadata ,tags and key words) helps in the image research and
identification
Technical features
Medical consultancy: ask for a professional advice of uploaded photos and data
Compare the case: match uploaded photos with new images.
Languages:
English,
In a further version: French and Spanish
Compatibility:
Mac
iOS
Android
Programming languages
Blade
Php
Ajax
Javascript
Html5
Css3
Mysql

12. Landing link- I0S Android
http://aruba1.uriosweb.com/appidaysistance/landing_appidays/index.php?istanza=10215

13. Analytics- MeToo
Up to now, despite the very short time since the launching in the stores
MeToo has been visited 697 times by 423 users from 63 countries.

14. MeToo, the App: the natural evolution of MobileDiagnosis.
But what is MobileDiagnosis?
the “art to take, compare the images from a microscope
field and share them by m-phone”
taking comparing
sharing

15. MeToo
In hard contexts
No gender, race, religion barriers
sharing

16. Educating :
more of 300 people -8 Countries - 15 mission in last 8 years
TIMELINE ACTIVITY DONE COUNTRY TRAINED PEOPLE RESULTS OBTAINED
2008- the solution- the IT patent low cost transmission of diagn images and education Identified low cost tele-m system*
2009 The european patent request-
2009 Uganda Coll. Corti Foundation 2-months Course in rural H Gulu Uganda 45
2010 Prof Yunus Invitation Bangladesh 3-months Course in Kalyan rural HC Bangladesh 25
2011 PIME Bangladesh 2-months Course in rural H B’desh 21
2011 MAE Afghanistan 2-months Course in Herat H Afghanistan 12 Identified a new training method **
2012 Feasibility study for Madagascar Short course in rural H Madagascar 13
2012 Coll with COE DRC 2-months course in rural H DRC Tshimbu 22
2013 AIT Yunus Center Studies for explore coll in BKK Thailand
2013 Shoklo SMRU-Oxford First short course in rural HC Thailand 15
2013 Coll with COR DRC Second course in rural H DRC Tshimbulu 26 Second –time consolidation in DRC
2014 Coll with SHOKLO SMRU Oxford Second course at Shoklo unit Thailand 31 Second –time consolidation of coll
2014 DRC Identification of a new winning approach with the community DRC 25
2015 Coll with C_Nes Foundation India Assam First Experience India Assam 50 Training was conducted for 5 Boat Clinic Units
2015 Collaboration with PHCT Nepal Nepal Kirtipur Hospital Kathmandu Nepal 20 Training forwork forces of remote district
2017 Collaboration with Mae Tao Clinic Mae Sot Thailand 12 Training to Laboratory work force
2017 Coll with SHOKLO SMRU Oxford Mae Sot Thailand 10 Training update

17. Building People
By m-technology
2008 the first image shared for a
remote consult
by a mms and simple m-phone
Infinite possibilities
infinite applications

18. REFERENCES some of……
2009BellinaL.&Missoni,E.(2009)Mobilecell-phones(M-phones)intelemicroscopy:increasingconnectivityofisolatedlaboratories,DiagnosticPathology,2009,4:19DOI:10.1186/1746-1596-4-19
http://diagnosticpathology.biomedcentral.com/articles/10.1186/1746-1596-4-19
2011WHOCOMPENDIUMNEWEMERGINGTECHNOLOGIESBellinaLiviaEduardoMissoniGeneva2011
http://www.who.int/medical_devices/innovation/new_emerging_tech_10final.pdf
2011Bellina,L&Missoni,E(2011)M-learning:mobilephones’appropriatenessandpotentialforthetrainingoflaboratorytechniciansinlimitedresourcesettings.HealthandTechnologyOctober2011DOI:10.1007/s125530110008
2011-Bellina,L&Missoni,E.(2011)MobileDiagnosis:BridgingSocioculturalGapsandEmpoweringWomen.Telemedicineande-HealthNovember2011,17(9):750.doi:10.1089/tmj.2011.9976.
2014BellinaL..AzzolinaG.,NucatolaI.,MaggioA.,ConsiglioF.,IngrassiaR.,VitranoF.,andCarrabino,R.(2014)M-phoneimpactonpracticaltraining:roleofm-phoneaspartoftheeducativemethodfortraininglocalhealthworkersofruralareasofdevelopingcountries
HealthandTechnology,January2014DOI:10.1007/s12553-013-0073-4
2016GabrielliS.,BellinaL.,MilardiL.,Kabasele-KatendeB.,TotinoV.,FullinV.andCancriniG.(2016)MalariainchildrenofTshimbulu(WesternKasai,DemocraticRepublicoftheCongo):epidemiologicaldataandaccuracyofdiagnosticassaysappliedinalimitedresourcesetting.MalariaJournalFebruary2016DOI:10.1186/s12936-016-1142-8
2016. Bellina Livia & Missoni Eduardo “ The first description of how to take a picture from the microscope with an m-phone” Journal of Cutaneous Pathology Volume 43, Issue 11,
pages 1077–1078, November 2016 DOI: 10.1111/cup.12753
2017 WHO GLOBAL FORUM ON MEDICAL DEVICES GENEVA Livia Bellina &Ilenia Nucatola : M Health Health App (In publishing )
2017 ( in publishing ) Bellina Livia & Nucatola Ilenia “Overcoming the gap: quality and ethic in m-health MobileDiagnosis-m-health innovation and quality to all. “
International Journal of Reliable and Quality E-Healthcare (IJRQEH) published by IGI Global.
Special Issue (4/6) M-Health Innovations for Quality in Healthcare
For the complete list you can see
https://liviabellina.wordpress.com/2016/07/08/cv-livia-bellina-2016/

19. Authors Biography
Dr. Livia Bellina, MD 1979 .At NHS since 1987 still now. In 2008 she created MobileDiagnosis (MD).
In 2009 the first “experts” network based on mobile-technlogy .
2010 the Association Not for Profit.
2010 invited by Prof Yunus she shared her technology to rural B'desh .
2011became member of GHWFA and the method has been published on WHO Compendium.
2009-2015 she went to share her method to Uganda, Bangladesh, Afghanistan, Madagascar, DRC and Thailand India Assam and Nepal.
2012-2013 identified a non falciparum , mixted malaria in DRC –
2015 designed and realized MeToo,the m-App with useful links, lessons, and textbooks to a complete medical support thought to low
skilled workers in poor/isolated contexts. 2017 : real instant image remote condivision (in publication ).
Contact details : liviabellina@gmail.com mob +393389112818/+393926180630 Personal Site https://liviabellina.wordpress.com/
GrapHic Project Designer and Manager
Dr Ilenia Nucatola Designer
2011-2012 Universitat Politecnica de Valencia Design Engineering-Valencia-Spagna
2013 Degree in Industrial Design Palermo University-Italy
2013 up to now Dinicoladesign-Runfar Group Product Design, Interior Design,
Exhibition design and Project Management -Shangai City China
2011 to now MobileDiagnosis Onlus as Design Expert Volunteer
Contact details info@ilenuc.com mob.+393400637022
Personal Site http://www.ilenuc.com/
MobileDiagnosis® Onlus http:www.//mobilediagnosis.net

20. MobileDiagnosis®: an appropriate
technology for tele-microscopy, an
effective tool for training
*
We wish to thank
All of the students, health workers, patients and all people of all Communities who made my
work possible, including supporting my field work in Uganda, Bangladesh, Afghanistan, Madagascar, Democratic Republic of Congo, Thailand, Karen
Communities, and India and Nepal, and all people of all communities where I went to, who helped me and loved me. And still love me. And Comilla,
Tangail, Bhuapur , and Dinajpur Mae Sot, Gwuagati and Assam and more snd more….
Thanks to my lovely English Teacher Chiara Passantino.
A particular thanks to my loved sons Vincenzo e Giorgio Prestigiacomo, with Ilenia Nucatola, for their constant
encouragement and support, and to my Family. Ornella, Giuseppe, Ale, Annalisa, Alberto, Alice, Chiara, Eswaran, for their lovely support,
always.
Finally, a sincere, big thanks to Professor Muhammad Yunus , who believed
in me since the beginning, introduced me at global SB Day 2010, and still is
my friend, helping me and promoting my work in a very friendly way
Thanks !
Livia
MobileDiagnosis® Onlus
http:www.//mobilediagnosis.net
info@mobilediagnosis.net