The detection of spread of respiratory tract infection in conjunction with a viral fever in Sri Lanka that caught the attention of the health departments and escalating diarrhoea cases in Tamil Nadu were detected in a matter of a day after the onset of the outbreaks. Through alert systems in the pilot project, such situations were communicated to the local community and health departments, who then publicised preventive measures and treatment. Potentially, the RTBP reduces the time to identify a potential disease outbreak to just a day.

You can access the RTBP partner meeting report v1

Set of presentations

Disease surveillance program in Sri Lanka

Mobile phones for public health intervention

Auton Lab algorithms and data structures for rapid detection

Sahana health and messaging modules

Mobiles for data entry

Sarvodaya community health program

RTBP work plan

Remember in Star Trek Dr. Leonard McCoy, nicknamed Bones, would use a handheld device (shaped like a mobile phone) to scan the vital signs report of a patient; the little screen on the device would make some electronic noises and display some random illuminated pixels, which he would interpret to diagnose the condition of the patient; thereafter, he would use the same device or the wrist device to call “Sick Bay” tell them what to do with patient diagnosed outside of the facility. He would even transfer the diagnostic report to Sick-Bay for the on duty staff to pickup to get ready before the patient arrived.

A team of researchers at the University of California, Berkley are using mobile phones that display faint blue dots on the screen received through a text message to diagnose signatures of Malaria. The Science and Technology article of the Economists tells the story about Dr. Fletcher imposing a challenge on to his students to turn a mobile phone in to a microscope.

While the Berkley project uses the mobile for interpreting health related statistics, LIRNEasia intends to field test the use of mobile phones for collecting health related information for disease surveillance and notification. LIRNEasia believes that the biggest challenge is the gathering of health data for any kind of statistical analysis. Indian Institute of Technology – Madras Rural Technology Incubator (IITM-RTBI) will partner in the project to develop an interface for Healthcare Workers in Sri Lanka and the state of Tamil Nadu – India to install on their personal mobile phones to feed health information to the regional epidemiology units. This will speed up the real-time capabilities of performing statistical analysis in order to detect any unusual events in the health records that may trigger early signs of disease outbreaks. The current paper based system does not provide the regional/state disease surveillance facilities with timely data for early detections. IITM has already developed a remote medical diagnostic unit which can gather a patient’s vital signs in a rural village through a computer (without the assistance of a health professional) and transmit the report to a Doctor in a city for diagnosis (no old fashion stethoscope involved here). It want be too long before the same features of the remote medical diagnostic unit will be embedded in a mobile phone.

LIRNEasia and IITM-RTBI will add on to the ongoing work of the open source consortium: openROSA, comprising members of organizations like dimagi, Makerere University, University of Berkley, EpiHandy and EpiSurveyor, who have developed a series of “X Forms” specifically for collecting health related information via mobile phones.

A decade ago, in this region, all that a doctor would have on them is a Stethoscope draped around their neck. Over the past half a decade we noticed doctors carrying a mobile phone along with the Stethoscope. Soon that stethoscope will disappear and the mobile phone will be the “Real McCoy”. I wouldn’t be surprised one day the mobile phone coupled with medical diagnostic tools is all what a doctor would posses.

related link:: Real-Time Biosurveillance for Early Warnings in Sri Lanka, Colloquium.