Telemedicine: Uzbekistan experience Fatima T.Adilova Institute of Cybernetics Academy of Sciences

1. Telemedicine: Uzbekistan experience Fatima T.Adilova Institute of Cybernetics Academy of Sciences http://www.ednes.org/telesol/uz Kiev, April,24-25 , 2003

2. INTERNET IN UZBEKISTAN ·Number of providers: 83 · Costs:daily $1, at night 0,5$ · Capacity of international access : 3,5 MBS · Largest Providers:  Uz PAK Ltd.Co (Uzbekistan)   Naytov – JV (USA)   Buzton – JV (Great Britain) · Number of web-sites –200-300 · Number of users-? Redesighning of INTERNET in Uzbekistan: ·BellAm : Equipment :; total sum of contract $5.800.000 · Today are 18 nodes of Internet ,at end of 2003 - 235 nodes · Today speed is 3,5 МBS, after reconstruction - 42 МBS

3. UZBEKISTAN INTERNET PROVIDERS 1 http://www.uzpak.uz 2. http://www.intal.uz 3. http://www.eanetways.com/ Eurasia netways - internet service provider 4. http://www.khamar.uz/ State network of data transferring “ uzpak “ 6. http://www.naytov.com/ WELCOME:Internet provider 7. http://www.nihol.com/ Nihol Communications ISP 8. http://www.osiyo.uz/ Osiyo Ekspress 9. http://www.osiyolink.net/ ISP/ OSIYO-LINK 10. http://www.sarkor.com/ 11. http://www.uznet.net/

4. COMPUTERR&COMMUNICATION MARKET PC: ·  Intel Corp. 90% ·  Apple, Sun Microsystems < 10% ·  OS Windows MONITORS: ·  15” 85% ·  17” 14% ·  19” and higher 1% • PERIPHERALS: • · Printers –НР 90% • · LAN(speed< 10MBS) • Modems (for Dial-up,up to $80 )

5. UZBEKISTAN MEDICAL WEB-SITES 1.http://www.fondred.uz Forum of Health R& D 2.http://www.tashkent-heart Tashkent Heart Foundation 3.http://www.uzmed.com Uzbekistan medical server 4. http://avicenna.ca.uz/ 5. http://ibnsina.ca.uz/ 6 http://www.bodyperfect.narod.ru/ 7. http://www.doctormurad.narod.ru/ Doctor Murad 8. http://www.fpharm.uz/ First Pharmaceutical Limited Co. 9. http://www.khamid.uz/ Homepage of Doctor Neuro 10. http://www.mds.uz/ MDS-service company:Medical Diagnostic & Statistics 11 http://www.psycho.uz/ PsychoServer

6. HEALTH INFORMATION ACTIVITIES OF VARIOUS AGENCIES AND PROJECTS IN UZBEKISTAN 1.USAID/ZDRAV PLUS: .Developed and utilising the computerised population database for 800000 population inFerghana;Developed and tested the clinicai information system in controlled rayons;Developed financial management system for the budgeting and accounting at SVP level 2.WORLD BANK/HEALTH PROJECT: Implemented population database in NAVOI region and Sardoria regions based on USAID project technical assistance. 3.WHO:Implemented population database in NAVOI and Sardoria region with the help of USAID project technical assistance on national level 4.UNICEF:Immunisation information, children infectious diseases information on national level 5.EUROPE/AID : Improvementthe regional emergency and laboratory services (Northern and Southern regions)

7. Mosaic of a doctor contemplating an ill patient from the Medical School ,Emory University ,Atlanta ,Georgia USA.This is purported to depict the American physician

8. Two specialists discussing a patient, from a wall mosaic in Emory University, purporting to show Semmelweiss and Holmes, of puerperal fever fame

9. DEFENCE MEDICAL SYSTEM (DMS)KOSOVO,1999

10. Chest Xray photographed with Olympus C2500 digital camera,Bosnia Dec 1999

11. ECG showing inferior myocardial infarction, photographed in Bosnia, December 1999

12. Attempted resuscitation • on a fourteen year old boy • who sustained massive trauma • from a bomb explosion

13. Using a satellite telephone, Bosnia, January 1998

14. Standard format for sending email referrals: GIB007 tmed xray GIB007 xray, orth, derm, plas, surg, eyes, med, pаеd, maxf, urol, path

15. EXAMPLE OF REFFERAL LETTER : tmed med GIB053

16. tmed orth SGE001 – Nothern Georgia 1998

17. Lesions on inner thigh, tmed derm BEL010, November 1999, prior to treatment

18. Healing lesions on thigh, tmed derm BEL010, during reatment

19. http://www.bcs.org.uk/awards/medal-98/win98. htm http://www. rowe.dircon.co.uk/medical/bcspics.thm DMS

20. Patient from Andijan 07.03.2003

21. Patient From Surgery Department

22. PIMS TMED PROJECT

23. PROJECTS PROPOSED FOR FUTURE COLLABORATIVE WORK IN AREA OF TELEMEDICINE

24. Disaster Relief and Emergency Advanced teleMedicine Service in Central Asia (DREAMS-ASIA) • In the cooperation with the largest Emergency Medicine Center in Central Asia the project aims at: • Analysis and identification of priority health care needs in cardiology and surgery • Identifying, testing and of organizational, technical and economical approaches to establishing of a reliable integrated system of telemedicine support to emergency and rescue operations in situations of natural disasters typical for Central Asia. • Deployment of the core working system serving identified top-priority practical needs. • Conduct high-level research of telemedical problems • Scientific evaluation of the core telemedicine system • Make the conditions favorable for commercial development both regionally and internationally • Uzbekistan

25. Building an Early Warning System for Public Health Surveillance in Uzbekistan • The project will create bioterrorism (BT) threat awareness and will help to develop in Uzbekistan a computer – based public health surveillance system (PHSS) to provide early detection and warning of bioterrorists attacks. • The main goal of the project is develop theoretical and practical underpining of new science enquiry in order to answer on a set of research questions that need to be addressed to facilitate the applied work in building early warning systems. The fundamental questions are: which data are useful for early detection? What detection method are optimal in means of sensitivity, specificity and timeliness? • The project will be resulted by new algorithm for early detection and Policy Memoranda to Authority of Uzbekistan through Ministry of Health(MoH) dedicated to problems of PHSS elaboration and implementation. • In the long-run, the project aimes to bring awareness in needing to create computer-based PHSS designed to enhance early detection of bioterrorism events. • Uzbekistan