STRATEGY TOWARDS SUSTAINABLE SERVICES IN TELE-HEALTH AND TELE-EPIDEMIOLOGY

Transcription

1 STRATEGY TOWARDS SUSTAINABLE SERVICES IN TELE-HEALTH AND TELE-EPIDEMIOLOGY Mrs.Murielle LAFAYE CNES Program and Strategy Directorate Responsible for Applications in Tele-epidemiology

2 Satellites and Health Applications Tele-Education Medical training Healthcare education Tele-Epidemiology Tele-consulting Tele-expertise Patient Management and care Telecommunication satellite Telecommunication Satellite (data collect) Earth Observation satellite Telecommunication satellite Telecommunication Satellite Localisation satellite Communication and application platform Merging of data Sanitary, envirt., climate Medically dependant patients Medical training centre or Health care education Centre Practitioners or Patients at home Analysis and research centre Early warning networks Medical Regulation Centre Isolated sites Medical regulation centre Adapted care

3 CNES Strategy for sustainable services

4 Tele-consulting major achievements Fonctionnal scheme Scenario Hardware configuration Telecommunicat ion satellite Laptop or PDA Mobile phone (RTC, GSM, Satellite) ECG recorder Electronic ctéthoscope e Data server Health care centre Tele-medecine mobile station Time Data collect Data transmission Data analysis Medical regulation centre Medical diagnostic and action Light medical devices : Digital camera Other biomedical devices Automatic blood pressure measurer Pulse oxymetre Infrared sensor thermometre Glucometre Light pen

5 Tele-consulting major achievements French Guyana

6 Tele-consulting major achievements Teleconsultation Medical Crisis management Tools At home Consultation Training EDUCAD : Health Education interactive TV Planète vie Documental Web Database on relationship between Life/Environment

7 Tele-consulting major achievements Tele-Medecine mobile station development Set up of French Guyana regional network in cooperation with CNES and French Ministry of Health Sustainable services Spin-off companies: TTSA in 2000 (outcome of ET-ASSIST and Ten Telemed, UE) MEDESSAT in 2005 (outcome of DELTASS and I-DISCARE, ESA) Telemedecine mobile station, CNES

8 Tele-epidemiology major achievements Space and Health International Cooperations Guyane Niger Egypte Francaise Sénégal Argentine Burkina Faso Mali Chine Inde Country contributing to the cooperation

9 Tele-epidemiology major achievements Application Domains Monitoring, survey and Alert Studies on relations between Climate/Environment/Health Crisis Management Early Warning and Epidemics management Natural or Industrial Hazards Bio-Terrorism Satellites services Communication and Collect Data collection / Collaborative tools Remote sensing Environmental and climatic data for predictive risk models Localisation Crisis coordination

10 Tele-epidemiology major achievements Consortium S2E Surveillance Spatiale des Epidémies

11 Tele-epidemiology major achievements SE ARGOS Project funded by MENRT Epidemiological electronic surveillance and Alert Initially 10 sites in Burkina Faso, and 4 sites in Niger -> 44 sites Collecte des informations Centre de Calcul de CLS Balises Argos Stockage de l information INTERNET CERMES IRSS Diffusion de l information Base de données (MEDIAS) et Serveur Web sécurisé Mail sécurisé Partenaires extérieurs

12 Tele-epidemiology major achievements ARGOS beacon Caracteristics Battery Autonomy: 2 years Temperature range 10 to 50 C, variation 20 per day Dimensions: 28 x 35 x 37 cm Weight : 15 kg Install : Inside a building on a table. Antenna outside 1. Boîtier externe Ecran à cristaux liquides ( ~ 9 touches : Réponses aux questions - touche : changer la sélection touche : valider la réponse et passer à la question suivante 3. Porte de protection 2. Panneau frontal 5. Clavier Touche ON/OFF

13 Tele-epidemiology major achievements EMERCASE: Project funded by DGA, CNES, MENRT Rift Valley Fever in Senegal Vet sanitary survey Climate impact Direction et Ministère de l Élevage (Dakar) 110 users Directions Régionales de l Élevage Mainframe (Dakar) Directions Départementales de l Élevage Mobile users Satellite Phone

14 Tele-epidemiology major achievements Vector-borne Disease from Space Barkedji Area (Ferlo, Senegal) 1163 ponds 1.09 % Mean surface: 4.5 ha 4 km Barkedji, August 26, 2003: 10-m Resolution/Colored Enhanced (Spot 5, CNES 03- Spot Image Distribution) Barkedji pond

15 Tele-epidemiology major achievements Zone de Présence Potentielle de Moustiques 26/08/2003 wet season Barkedji - SENEGAL ZPPM Calculated / detected ponds/ season Hypothesis: mosquito range # 500m 19/01/2004 dry season CNES 2003, Distribution Spot Image SA, tous droits réservés CNES 2003, Distribution Spot Image SA, tous droits réservés ZPPM = 25% of studied area ZPPM = 1% of studied area

16 Towards sustainable services Development and integration of space services into European Epidemiological surveillance networks (ECDC and Health National Institutes, WHO, States, NGO, research organisms, ) Monitoring Surveillance and Early warning Crisis management Predictive Model Development Prediction and risk factor (vector population, ) Other factors (health, socials, nutrition, ) Predictive Model Prevention

17 Towards sustainable services Issue for Epidemiological Surveillance Public Health / Risks linked to re-emerging diseases or environmental - dependant Economy Strategy Impact of satellites techniques to the epidemiological surveillance Communication providing «end to end» Services Users networks Development and validation of predictive models Global satellite offer Bunch of services S-Teleconsultation S-Epidemiology S-Training