IRD

Aamir Khan
Aamir Khan, MD, PhD
• Affiliation
– Founder and Chief Scientist, IRD
– Director & Associate, Center for Community
Development, Karachi Johns Hopkins University

• Training
– Medical school at Aga Khan University, Karachi
– Public health training at Johns Hopkins,
Baltimore

• Professional Interests
– Vaccines and vaccine preventable diseases
– Technology for public
Innovations health
in International Health Network 13 - 14 July,
Meeting 2007
Saira Khowaja, MS
• Affiliation
– Social Mobilization Coordinator at the center for
community development, IRD
– Project coordinator HIV Mapping Project in 12
urban cities in Pakistan

• Training
– BA from Univ. of Rochester in Chemistry and
Psychology
– MS at Columbia University in Social
Administration and Planning

• Professional Interests
– Poverty Alleviation and Health
Innovations in International Health Network 13 - 14 July,
Meeting 2007
Minal Rahimtoola, MA
• Affiliation
– Program Analyst at the Center for Community
Development, IRD

• Training
– BA from the Univ. of Virginia in Political Science
– MA in governance and development from the
Institute of Development Studies at the Univ. of
Sussex, UK

• Professional Interests
– Sexual Health
– Poverty Alleviation

Innovations in International Health Network 13 - 14 July,

Meeting 2007
Ismat Lotia, BS
• Affiliation
– Research Assistant at the Center for Community
Development, IRD
• Training
– BS from the McGill University in Biology and
International Development

• Professional Interests
– International health
– Infectious diseases

Innovations in International Health Network 13 - 14 July,

Meeting 2007
 D-Lab

Amy-Smith
Innovations in International Health Network 13 - 14 July,
Meeting 2007
Mobile Phone Technologies for Health in the Developing
World

Luis Sarmenta
 for Health in the Developing
World
 Background on me: Luis Sarmenta (Ph.D. EECS, MIT 2001)

Research Scientist, MIT CSAIL

Adjunct Lecturer, Ateneo de Manila University, Philippines

Founder, Ateneo Java Wireless Competency Center, and BlueBlade Technologies, Inc.
 Question: How can we use Mobile Phone Technologies
for Health in the Developing World?
General Applications Areas Some Already Existing Suggestions for New Work
(for Present and Future) Applications  Multi-sided Services
 “Traditional” Tele-medicine  Remote health counseling (e.g., via SMS)  provide value to consumers, so
and Tele-health  Tools for Doctors to access patient tests, charts, that their payments will sustain
medications, and to monitor patients the service, and “subsidize”
 Mobile-accessible health monitoring, research, and data
 Remote Diagnosis / Analysis via text,
records and databases picture, or video info (e.g., from mining (or “reality mining”) by
cameraphone) central health authorities or
 Educational / Informational researchers
Tools and Services  Educational/Informational tools and
services  Well-Known
 Reporting, Monitoring,  Disease Prevalance Monitoring/Mapping Techniques/Solutions
Surveying, Epidemiology  Drug Compliance and Medication in New Places, for New Diseases
 Alerts Reminders  apply to new diseases,
 Adverse Event Reporting and Monitoring
 Mobile and Connected  and in new places
 SMS interface to Prescriptions System
Medical Devices  New Connected Medical Devices
 Appointment Reminders and other Alerts from
 Personal Healthcare and doctors to patients  with special focus on affordable
Health Information  Continuous Activity Monitoring with mobile technologies for 3rd world
Management device, Detection of unusual patterns, and  Developing Toolkits
“Reality Mining” of data
 Phones as Tools  Heart/Oxygen/Glucose monitoring
 enable people (e.g., academics)
to develop their own applications
 Personal Medical and Wellness Diary and
Luis F. G. Sarmenta Mobiletool
Calculation Phone Applications for Health  with special focus on immediate
usability in 3rd world
13-14 July 2007 
Innovations
Phones as tools to in International
connect Health
and coordinate
health workers
 Idea:
Baby “Mobile Blog”
 For patients (parents)
 Mobile blog for baby (with both personal and medical use)
 records medical info, e.g., length, weight, vaccinations, prescriptions, developmental
milestones, etc.
 records personal info, e.g., pictures, videos, personal milestones, etc.
 access to useful parenting and baby health informational articles
 For doctors / health care workers / pharmacists
 help calculate growth chart percentiles
 help calculate and record prescriptions (and diagnoses)
 help record baby development, vaccinations, etc.
 help report disease prevalence to central authorities
 For both
 Value of knowing all these things are recorded and conveniently recorded

vs. writing them down in a paper “baby book” that can get lost
 More accurate calculations and information
 More accurate and convenient prescription system
 For researchers and health authorities
 Gather stats of baby heights and weights across the country immediately
 Previously, paper-based gathering of stats can take months

With location-based stats, it can be used to pinpoint places where there is more
malnutrition, for example
 Gathering stats on prescriptions and diagnoses can also indirectly provide real-
time monitoring of diseases
 e.g., detect districts where there is a high rate of prescriptions for diarrhea medicine
 Can also enable direct reporting of certain diseases to allow authorities to
detect and map outbreaks
 (Note that stats might be “informal” but can still be useful. More formal studies can be
done on top of the existing system, with a subset of doctors.)
Luis F. G. Sarmenta Mobile Phone Applications for Health
13-14 July 2007 Innovations in International Health
 Resources
(My Contacts)
 Myself (based at MIT)
 Philippines (Ateneo de Manila University)
 AJWCC and BlueBlade, Inc.

extensive experience producing commercial SMS, MMS, and J2ME apps

partnership with Smart Communications (largest telco)

has done work with a medical informatics company (e.g., J2ME for medical
surveying)
 ECCE (led by Greg Tangonan, formerly from Hughes Research)

currently working on TDF-funded MDR-TB system, among other things

 Kenya (MIT, U. of Nairobi, etc.)

 EPROM (Nathan Eagle, Media Lab)

focuses on teaching, developing new applications, and research
 existing work includes disease prevalence mapping for malaria, and blood bank
supply monitoring system via SMS
 MIT AITI and CSAIL Imara –affiliated projects (Eric Mibuari and Martin
Mbaya)
 Potential funders
 Microsoft
Mobile Phone Applications for Health
Luis F. G. Nokia
 Sarmenta
13-14 July 2007 Innovations in International Health
Partners in Health

Hamish Frazer
 Partners In Health EMR Projects
• Partners In Health (PIH) provides health care in
some of the poorest communities in Haiti, Peru,
Rwanda, Lesotho, Malawi and Russia
• We have developed electronic medical record
systems to support the management of chronic
diseases such as HIV and drug resistant TB
• These systems are designed to operate in very
resource poor environments with limited staff
and electrical supplies
• We are also carrying out evaluation studies of
information systems in resource poor
environments
 Key Functions
PIH EMR systems are designed to support multiple
key functions:
• Clinical care and quality improvement
• Tracking and following up patients on treatment
• Monitoring and reporting
• Drug supply management
• Research
• Low cost clinical imaging and radiology
 OpenMRS
• PIH is developing a new open source
architecture for EMR systems for use in
developing countries
• This is in collaboration with the Regenstrief
Institute in Indiana and the medical Research
Council in South Africa
• The system uses a data dictionary to allow
extension to new data types, simple creation of
new forms and accurate reporting across sites
• OpenMRS is currently in use in Rwanda, Kenya,
Lesotho, South Africa, Zimbabwe, Tanzania and
Haiti
Eliminating Congenital Syphilis

Sarah Hawkes
Eliminating Congenital Syphilis through
Universal Access to Screening and
Treatment

Sarah Hawkes, MD, DTM&H, PhD

London School of Hygiene and Tropical
Medicine
 Overview

• The burden of disease

• The problem
• The solutions?
 Estimates of Maternal Syphilis Seroprevalence
Overall prevalence 1.76% - Estimation of 2,156,304 women
Global estimated number of infants born with congenital
syphilis is 700,000-1,500,000
 Universal access to screening?

The ‘Supposed To’ Syndrome The Possible Solutions

Pregnant women Syphilis control in community

Access ANC Accessible services

Have syphilis test On-site testing – available,

Utilised, integrated
Receive adequate
treatment on time Drugs and trained staff available

Partner also treated Partner accessible, willing

Remain uninfected at delivery Women deliver at health facility;

and are screened and treated
 The solutions

• Policies (present)
• Programmes (possibilities for intervention)
• Pregnant women (advocacy)
• Partners (power/gender nexus)
The Impacts of Climate Change on Human Health
Emmanuel Matsika
Emmanuel Matsika

University of Zambia
School of Engineering
Department of Mechanical
Engineering
Academic Qualifications
 M. Eng. (Thermofluids)
 B. Eng. (Mechanical Engineering)
 P.G. Dip. (Management Studies)
Experience and
Specialisation
 ZCCM Ltd, UNZA, CEEEZ, PESAD
 Coordinated several projects in
engineering and social fields
 Thermofluids applications
 Automobile Engineering
 Energy and Environment
 Climate Change (Mitigation and
V&A)
Cambridge-Palo Alto Medical Device Cluster
Jose Gomez-Marquez
Cambridge-Palo Alto
Medical Device Developer
Cluster
Driven by inventive spirit to launch appropriate
and disruptive devices for global health
Bottom Up Design, Top Down Medical Guidance
3 Product Development Teams Propelled
by 2006–2007 MIT IDEAS Competition
Expanded global collaboration to sustain
momentum
 Regional universities, 3 international health centers
in South America, Central America, and Tanzania, and
Cambridge area research and business institutions
Network of diversified skills and expertise
Invention Aisle
SafePilot

New Dots
Where We’re At
 2 companies, 5 science projects
 Recruitment
 Funding: grants/investment
 Relationship management
Bienmoyojose.gomez.marquez@gmail.com
UNIC Young Inventors
Foundation EF International
617.674.7516
Doctors Without
Draper CARE
Skype: josegm
Borders
New Opportunities
 Extreme affordability in orthopedics and mobility
 Telepathology
 Basic vital sign monitoring (bedside and village center): Pulse
Ox, ECG, Glucose, Neonatal, Delivery
 Fablabs and on-demand medical instrumentation
 Novel drug delivery
 South-South collaboration
 Yours!
 AHEAD
Irving Williams
 Saving Lives

Uplifting the Masses thru Health

and Goodwill Programs
 What We Do
AHEAD accomplishes its goals through four
kinds of programs.
■ Primary Health Care
■ Teen Action Program for HIV/AIDS
Prevention
■ Education and Vocational
Training
■ Alternative Energy
 Collecting Water

Collecting Water

Testing Water
Water Pasteurization
Workshop
 Institute for Vaccine Safety
Johns Hopkins Bloomberg School of Public Health
Saad B Omer
Saad B. Omer, MD MPH PhD
Associate Director, Institute for Vaccine Safety
Assistant Scientist, Department of Intl. Health
Johns Hopkins Bloomberg School of Public Health
 Research
• Countries: Brazil, Guatemala, Ethiopia, India, Pakistan, Uganda,
Bangladesh, South Africa, & United States
• Vaccine trials
– Polio, Influenza
• Large-scale surveillance
– Measles (>1000,000 screened), Pneumococcal disease
• Vaccine refusal
• Spatial epidemiology
– RSV, Pertussis
• HIV clinical trials
– Drug regimens to prevent MIT in breastfeeding populations
• ART Adherence
• Genomics of vaccine safety

38
 Policy & Teaching
• Policy
– Pandemic influenza planning and preparedness
– Laws and mandatory vaccine requirements
– Global health governance
• Teaching
– Vaccine Development and Application
– Spatial Epidemiology Module –Tropical Medicine Summer
Institute
– Lectures/sessions:
• General Preventive Medicine Residency Program, Introduction
to International Health

39
Thank You!

40
Developing World Prosthetics Goutam Reddy
Developing World Prosthetics
Developing World Prosthetics is a non-profit organization that designs
and improves prosthetic limbs, orthotic braces, fitment devices and
mobility aids for developing nations.

We are partnered with the Jaipur Foot Organization, and seek to

increase our connection to other organizations working on mobility
aids for the rest of the world.

We leverage a strong connection to the Massachusetts Institute of

Technology (MIT) and its engineering students, classes, and facilities.

July 13, 2007

Goutam Reddy
Innovations in International Health
 Jaipur Foot Organization
• 16,000 limbs / year
• 16 centers in India
• More than 20
countries
– Afghanistan,
Bangladesh, DR,
Rwanda, Vietnam,
Sudan, etc…
• Treated approx 1
million disabilities
since 1975
MIT D-Lab: Vac-Cast Sytem
• MIT Class Spring ’06(D-Lab)
• 5 students

• Sand Casting Sytem

• fitment of patient’s residual limb
• saves $2 / patient
• no wasted material
• cuts fitment time from 5 hrs to 10 min.

• Vacuum Pump
• Portable
• Lightweight
• Human Powered
• Locally Available Parts
• Cheap
• Easy to use
Thank You