eHealth in the Context of Early Warning and Space Applications

1. eHealth in the Context of Early Warning and Space Applications F. Lievens1, 2, M. Jordanova3,4 1 Board MemberandTreasurer, International Society for Telemedicine & eHealth, Switzerland, treasurer@isft.net 2 Med-e-Tel International Coordinator, Belgium medetel@skynet.be 3STIL-BAS, Bulgarian Academy of Sciences, Bulgaria mjordan@bas.bg 4Coordinator Educational Program, Med-e-Tel

2. Introduction • We are living in a time of uncertainty. Human health is affected directly and indirectly. Health systems need to act to prevent and manage the impacts on population • At the same time, health services face serious problems such as rising costs, ageing society, globalization and migration, transnational health encounters, etc. Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

3. Solution • eHealth is a practical solution for part of these problems, ensuring high quality affordable healthcare for all at any time any where • It has the potential to • Enhance preventive care • Educate medical staff and citizens • Perception grows at all levels that eHealth has the potential to change our life Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

4. Five Years from Now, Which Technologies are going to be the Breakout Hits? • 150000 people from 104 countries answered this question • IBM performed the survey • The company narrowed that list down to the five innovations that are the "most impactful”: • The 3-D Internet • Mind-reading cell phones • Nanotechnology for energy and the environment • eHealth • Real-time speech translation Source:http://cosmiclog.msnbc.msn.com/archive/2006/12/28/23418.aspx Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

5. eHealth in Emergency • Climate change • Globalization and migration • Natural disasters • Terrorism Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

6. Climate Change • Climate change affect human health: • The hottest day in Japan, 16.08.2007 40.9C caused 12 deaths • The heatwave in August 2003 caused over 35 000 excess deaths in Europe • Cases of salmonellosis rise by 5-10% for each 1°C increase in weekly temperature when the ambient temperature is at least 5°C • Floods that hit European countries in recent years, causing deaths, injuries, and diseases, and their frequency is expected to increase • Lyme borreliosis and tickborne encephalitis have spread into higher latitudes (up to Sweden) and altitudes (such as Czech Republic) in recent decades and have become more common • The average length of the growing season of plants with allergenic pollen and other elements causing allergic sensitivity in Europe has increased by 10-11 days over the past 30 years Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

7. eHealth Helps to • Shift from a reactive to a proactive attitude • Strengthening existing activities for disease control and health protection • Easily collaborate with climatologists and planners in land use and urban design all over the world, and to prepare communities and cities against the growing health risks of climate change Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

8. Globalization and Migration • As borders disappear, people and goods are increasingly free to move, creating new challenges to global health • These cannot be met by national governments alone but must be dealt with instead by international organizations and agreements Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

9. Globalization and Migration: SARS • SARS = Severe Acute Respiratory Syndrome • 21 February–26 March 2003 SARS: international amplification and transmission by guests, indicated as A–K, at Hotel M, Hong Kong, • 7 August 2003 SARS: cumulative number of reported cases Source: WHO/CDC Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

10. Natural Disasters • Peru 15 August 2007at least >500 people perished and 1,350 were injured in the 7.9-magnitude quake. The death toll is expected to rise • Pakistan, October 2005: An earthquake devastates rural Pakistan. Winter quickly descends on the mountainous region, leaving many victims without shelter in the bitter cold • Turkey 1999: the earthquake left 45,000 dead and 150,000 injured. Hospitals had been damaged, some beyond repair, and emergency medical crews were overwhelmed http://www.disasterlogistics.org/html/medicine.html Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

11. Natural Disasters: Tsunami Relief Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

12. Terrorism: Chemical and Bioterrorism • Example: anthrax spores placed in letters, have illustrated how vulnerable our society is to such acts of terrorism • The best preparation is an informed society • New models introduced by eHealth: • We bear responsibility to stay informed and to filter the available information • The health care system cannot serve all our needs but is still here to help Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

13. Terrorism:Nuclear Attack • The fear now is of a terrorist attack—the explosion of a “dirty bomb” or the dispersal of high activity radioactive sources through air conditioning, subways, drinking water or food. Hundreds or thousands might die • Unintentional and unexpected radiation incidents have so far been rare, with 134 deaths from 420 incidents worldwide between 1944 and 2002 • We are not enough prepared to react • How will you react if there is a phone call: “Doctor, come quickly. There's been a nuclear incident!” Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

14. Humanitarian Health Interventions • Reasons for interest: • The rapid increase in the overall volume of humanitarian assistance in the last decade: from 2 billion in 1990 to $5.5 billion by 2000 • First eHealth application in humanitarian interventions - earthquake in Mexico City 1985 Source: Garshnek V., Burkle F.“Applications of Telemedicine and Telecommunications to Disaster Medicine”, J Am Med Inform Assoc. 1999 Jan–Feb; 6(1): 26–37 Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

15. eHealth: Role in Disaster Management • Setting of eHealth centers and/or mobile medical clinics and supply logistics SAVE LIVES • Connecting hospitals, specialists and disaster victims, bringing specialist via communication technologies into the disaster field • Training of volunteers • Teleconsultations • Addressing day to day needs ofvictims • Follow-up activities Mobile medical clinic Remains of civil hospitalGharhee, Pakistan Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

16. eHealth for Safety • One of the most significantproblems in mass casualtymanagement is that we are notprepared for disasters - we can only respond to them • Modern communication technologies and systems are most valuable tools for it! Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

17. eHealth is “Working Together” • No success is possible without working together • Networking is crucial for every step of eHealth implementation • Regional & International Collaboration is vital! • Two major international forums help bringing experts and business as well as citizens together Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

18. The International Society for Telemedicine & eHealth http://www.isft.net ISfTeH Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

19. ISfTeH Mission Statement The ISfTeH exists to facilitate the International disseminationof knowledge and experience in Telemedicine and eHealthand to provide access to recognized experts in the field worldwide! Acting as • Moderator in all aspects of healthcare • Feeder for information and projects • Coordinator between science, education and implementation • Activator of networking and development ISfTeH is the International representative body of National and other Associations, Institutions, Corporations, Individuals In Partnership with WHO, ITU, UNOOSA, WABT/UNESCO Liaising with other International Associations Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

20. ISfTeH • National members Argentina,Austria, Bangladesh, Bosnia & Herzegovina, Brazil, Canada, D.R. Congo, Croatia, Denmark, Finland, France, Georgia, Germany, India, Italy, Japan, Kosova, Malaysia, Nigeria, Poland, Russia, Switzerland, The Netherlands, UK, Ukraine, Venezuela Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

21. Associative members Brazil, France, Germany ISfTeH • Institutional members Australia, Belgium, China, Colombia, Denmark, France, Lithuania, Norway, Poland, Russia, South Africa, Turkey, USA Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

22. ISfTeH • Corporate members Germany, Russia, Switzerland, U.K., U.S.A. Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

23. ISfTeH • Individual members Algeria,Australia, Austria, Belgium, Brazil, Egypt, France, Hungary, India, Indonesia, Italy, Japan, Moldova, New Zealand, Nigeria, Pakistan, Poland, Romania, South Africa, Spain, Sweden, The Netherlands, Turkey, Ukraine, United Kingdom, United States Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

24. 2007:ISfTeH Participation in Major International Events • ICDS 2007 - TELEMED 2007 Guadeloupe, French Caribbean (05.01. - 07.01.2007) • eHEALTH ASIA 2007 Putrajaya, Malaysia (06.02. - 08.02.2007) • NICTe 2007, Enugu, Nigeria (07.03. - 09.03.2007) • TeleHealth 2007, Hannover, Germany (19.03. - 20.03.2007) • 3rd International Conference “Telemedicine, Experience@Prospects” Donetsk, Ukraine (27.03. - 29.03.2007) • Med-e-Tel 2007, Luxembourg, G.D. of Luxembourg (18.04 - 20.04.2007) • EMMIT 2007, Mangalia, Romania (03.05-05.05.2007) • Cross-border eHealth in the Baltic Sea Region - Healthcare delivery for the patients of today and tomorrow , Stockholm, Sweden (21.05. - 22.05.2007) • Telehealth 2007, The Third IASTED International Conference on Telehealth, Montreal, Quebec, Canada (30.05 - 01.06.2007) Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

25. 2007:ISfTeH Participation in Major International Events • TTeC 07, Tromsø Telemedicine and eHealth Conference, Tromsø, Norway (11.06. - 13.06.2007) • Global Health Care Expansion Congress, Dubai, U.A.E., (05.09 - 09.09.2007) • DGTelemed Fachkonferenz, Berlin, Germany (01.11. - 02.11.2007) • Telemedicine Society of India, 3rd National Conference, XII-th ISfTeH International Conference, Chennai, India (02.11. - 03.11.2007) • CST 2007 - SCT 2007 Annual Conference, St. John's, Newfoundland, Canada (04.11. - 06.11.2007) • CeHR 2007, Comprehensive eHealth, Regensburg, Germany (02.12. - 05.12.2007) Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

26. Med-e-Tel (The International Educational and Networking Forum for eHealth, Telemedicine and Health ICT) http://www.medetel.lu Med-e-Tel Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

27. Med-e-Tel: 5 Years of Success • The highly specialized international educational and networking forum for eHealth, telemedicine and health ICT • It brings manufacturers and suppliers of specific equipments as well as service providers together with buyers, healthcare professionals, international organizations and association executives, institutional decision makers and policy makers from all over the world • It provides them with hands-on experience and knowledge about currently available products, technologies and applications • It is the forum where state-of-the-art products, services, ideas, projects, etc are presented and discussed • It is the nesting place for developing existing relationships and establishing new co-operation and partnerships between individuals, scientific groups/institutions, small, medium and large size enterprises, etc. Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

28. Accreditation • Med-e-Tel provides many educational opportunities through its extensive program of presentations, panel discussions, workshops and satellite symposia • Med-e-Tel 2007 was accredited by the European Accreditation Council for Continuing Medical Education (EACCME) to provide maximum of 18 hours of European external CME credits for medical specialists • EACCME credits are also recognized by the American Medical Association towards the Physician's Recognition Award (PRA) Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

29. Med-e-Tel 2007 • Participants from 48 countries • 38 companies and organizations present on the exhibition floor • >150 presentations from 45countries • Lists of exhibitors and presentations are available on the webhttp://www.medetel.lu Countries represented at Med-e-Tel 2007 Proceedings with full text presentations were published. CD-ROMs and Hard copy – available on request Order forms at http://www.medetel.lu/index.php? Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

30. Format • Exhibition • Educational program: • Plenary session (WHO, Intel, TSI, ISfTeH, Meavita, WABT/UNESCO) • Parallel sessions • Satellite symposia • Workshops • Project meetings • … • Media corner Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

31. Supporting organizations • EC Information Society & Media Directorate-General • EC Health & Consumer Protection Directorate-General • European Association of Healthcare IT Managers • Centre de Recherche Public - Santé • International Association of Homes and Services for the Ageing • International Council on Medical & Care Compunetics • International Society for Telemedicine & eHealth • Ministry of Health – Luxembourg • Solar-Terrestrial Influences Laboratory, Bulgarian Academy of Sciences • U.S. Commercial Service • UATI-ICET/UNESCO • WHO • ITU Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

32. Results Satisfaction Follow up Does Med-e-Tel represent a good value for money? Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

33. Next edition - 16-18 April, 2008 Do not forget to tell your friends! Med-e-Tel Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

34. Fostering the growth of Business Business eHealth Improving service delivery Securing place in digital economy ISfTeH and Med-e-Tel: Working Together • Two sides of the coin • Lead the way from needs to practical applications • Serve networking – meeting real people, real business, real achievements, real products, discussing real problems • Education for business, science, practitioners, citizens Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

35. The Success of eHealth Depends on Teamwork between all Actors Involved, between All of Us! Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia

36. Thank you! Workshop on the Use of Micro-Satellite Technologies for Environmental Monitoring and Impact to Human Health, Tarusa, Kaluga, Russia