This document discusses the rise of wearable health technologies and quantified self-tracking. It notes that healthcare is now an information problem rather than a science problem. It then discusses the growing elderly population and rise of chronic diseases. Common risk factors like smoking, obesity, and inactivity are also discussed. The document summarizes tracking trends and the quantified self movement. It provides examples of emerging personal health tools like glucose monitors and DNA screening. It concludes with the author's views that digitalization will transform medicine by lowering costs and improving outcomes through precision medicine approaches.

1. The Advent of
Wearable Health
Technology,
Sensors, and the
Quantified Self
Steven Tucker, MD, FACP, FAMS
Novena Specialist Center

2. Part
1
The scope of
Disease
in 2 minutes

3. Healthcare is not a
science problem, it’s
an information
problem.
-Thomas Goetz

4. 25
Percent
20
15
10
5
0
13%
17%
21%
2010
2020
2030
Population
aged 65+
Source: U.S Census Bureau, 2012

5. 18
Millions
15
12
9
6
2015
2020
2025
2030
2035
2040
2045
2050
Population
aged 85+
Source: U.S Census Bureau, 2012

6. Chronic Illness
Heart Disease
Asthma
Diabetes
Cancer
Arthritis
Depression

7. Chronic Illness
84% of health spending
> $2 trillion
Source: Robert Woods Johnson Foundation

8. 25
Percent
20
15
10
5
0
1
2
3
4
5
Multiple Chronic
Conditions
Source: Robert Woods Johnson Foundation

9. Common Risk Factors
Smoking
Inactivity
High Blood
Pressure
Raised Blood
Sugar
High
Cholesterol
Obesity

10. Smoking
Source: WHO NCD’s Profiles 2011

11. Inactivity
Source: WHO NCD’s Profiles 2011

12. High Blood Pressure
Source: WHO NCD’s Profiles 2011

13. High Cholesterol
Source: WHO NCD’s Profiles 2011

14. Raised Blood Sugar
Source: WHO NCD’s Profiles 2011

15. Obese / Overweight
Source: WHO NCD’s Profiles 2011

16. 1000
$ Billion
800
600
400
200
0
2008
2030
The Rising Cost
of Obesity
Source: Almanac of Chronic Disease, 2013

17. How We Die

18. How We Die
Source: U.S Census Bureau, 2012

19. How We Die
Source: U.S Census Bureau, 2012

20. How We Die
Source: U.S Census Bureau, 2012

21. How We Die
Source: U.S Census Bureau, 2012

22. How We Die
Source: U.S Census Bureau, 2012

23. How We Die
Source: U.S Census Bureau, 2012

24. How We Die
Source: U.S Census Bureau, 2012

25. How We Die
Source: U.S Census Bureau, 2012

26. How We Die
Source: U.S Census Bureau, 2012

27. How We Die
Source: U.S Census Bureau, 2012

28. Singapore Burden of Disease
Other
29%
CVD
19%
Cancer
18%
CVD
Cancer
Neuro
Mental Health
Diabetes
Other
Diabetes
10%
Mental Health
Neuro
13%
11%
Singapore Burden of Diseases Study 2007

29. Part
2
The rise of
Tracking
in 3 minutes

30. If you cannot
measure it, you
cannot improve it.
-Lord Kelvin

31. Data
Data is routinely collected to
fine tune performance.

33. Tracking
69%
of adults track a health indicator
for themselves or others.
34%
of individuals who track use nontech methods such as journals.
21%
of people who track use at least one
form of tech such as apps or devices.
Source: Susannah Fox, Pew Internet &
American Life Report, January 2013

34. Tracking
46%
say this activity has changed their
overall approach to maintaining their
health or another persons health
40%
of trackers say it has led them to ask
a doctor new questions or to get a
2nd opinion.
34%
say it has affected a decision about
how to treat an illness or condition.
Source: Susannah Fox, Pew Internet &
American Life Report, January 2013

35. Tracking
Formal tracking was more
influential when it came to health
decisions than informal tracking.
!
People with chronic conditions
are more likely to track.
Source: Susannah Fox, Pew Internet &
American Life Report, January 2013

37. Quantified Self is an international
collaboration of users and makers
of self-tracking tools.

38. Quantified Self is an international
collaboration of users and makers
of self-tracking tools.
The aim is to help people get
meaning out of their personal data.

39. Why Now?

40. Why Now?

41. Why Now?

42. Why Now?

43. Why Now?

44. QS Personalizes
By collecting your own personal
information you know it is
appropriate to you as an individual.

45. QS is Peer-to-Peer
People turn to friends & family for
support and advice when they have
a health problem.

46. Peer-to-Peer is
the Future
- "I don’t know, but I can find out"
- "I know, and I want to share my
knowledge"
Source: The Pew Research Center's
Internet & American Life Project

47. Part
3
Personal Health
Tools
in 4 minutes

48. Any sufficiently
advanced technology
is indistinguishable
from magic.
-Arthur C. Clarke

68. Photographic Memory
5 Megapixels
2 day battery
4000 pictures
Always on

70. Continuous Glucose
Monitoring

83. TICTRAC

85. Wearable Computing
Shipments (Millions)
2013
2014
2015
Wearable Cameras
6.64
13.61
15.81
Smart Glasses
0.01
8
9%
Smart Watches
1.23
74
85%
Healthcare
13.45
22.59
34.25
Fitness Trackers
32.46
42.64
57.42
3D Motion Trackers
N/A
0.87
2.00
Smart Clothing
0.03
0.72
1.24
TOTALS
53.90
90.00
164.20
ABI Research World Market Forecast 2013-2019

86. Personal Tools

90. DNA Screen

92. Data is Cheap

93. Data is Cheap

95. Digital Health as a
Google Map
Exposome
Signs & Symptoms
Genome
Epigenetics
Microbiome
Patient Data
Individual
Patient

96. Part
4
What is
My View
in 1 minute

97. JPS
2013
500000
Deaths
400000
300000
IOM
1999
200000
OIG
2010
100000
0
Prostate
Breast
Diabetes
Med Errors Med Errors Med Errors
Every time researchers estimate
how often a medical mistake
contributes to a hospital patient’s
death, the numbers come out worse.
Source: ProPublica, September, 2013
Source: Journal of Patient Safety, September, 2013

98. Technology may
replace up to 80%
of what doctors do.
- Vinod Khosla

99. Precision Medicine
You would no more take a drug
without knowing the relevant
data from your genome, than you
would get a blood transfusion
without knowing your blood type.
-Esther Dyson
Former journalist and Wall Street technology analyst, leading
angel investor, entrepreneur, philanthropist, and commentator
focused on breakthrough innovation in healthcare

100. Health as Arithmetic
Apps +
Tracking = Behavior
Genome +
Exposome +
Microbiome +
Metabolome = Biology
Behavior + Biology = Health

101. Additive Forces
Ageing +
Chronic Disease +
Activity Tracking +
Social Networking +
Peer-to-Peer Health +
Healthcare Transformation =

102. Digitalization of Biology and
Medicine Transforms Healthcare
This is a revolution that will transform medicine even
more than digitalization transformed information
technologies and communications.
Digitizing of medicine will lead to dramatically lower
healthcare costs and better outcomes.
Digital medicine is nearly here. It is starting now.
Is there an app for that?

103. Dr. Watson
Machines as personal
assistants to doctors, using
big data to aid in physician
decision making.
Reads 200M papers in 3
seconds.
Monitors real-time data and
articles as published.
Digests patient EHR’s,
genomics, clinical data, peerreviewed publications, other
data.

104. Dr. Siri

106. Part
4
What is
My 2nd
View
in 1 minute

107. Sensors as Tattoos

108. Flying Cars

109. June 2007
29

110. Disruptive Technology
6.2007
6.2009
4.2011
9.2012
10.2013

111. The App Economy
40 billion apps downloaded

112. Smartphone Growth

113. 40000
35000
Exabytes
30000
20000
7910
10000
130
0
2005
422
1227
2008
2010
2720
2012
2015
The amount of data is growing
2020
40 TIMES
as fast as the world population

114. During 2008, the number of things
connected to the Internet exceeded the
number of people on earth.
2003
2010
2015
By 2020 there
will be 50 billion.
These things are not just
smartphones and tablets.
Source: Cisco

116. ?

118. LEARN MORE
www.tuckermedical.com
@drsteventucker