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	<title>LIRNEasia &#187; Ministry of Health</title>
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	<link>http://lirneasia.net</link>
	<description>a regional ICT policy and regulation think tank active across the Asia Pacific</description>
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		<title>Digital cigarettes</title>
		<link>http://lirneasia.net/2008/09/digital-cigarettes/</link>
		<comments>http://lirneasia.net/2008/09/digital-cigarettes/#comments</comments>
		<pubDate>Sun, 21 Sep 2008 03:36:25 +0000</pubDate>
		<dc:creator>Chanuka Wattegama</dc:creator>
				<category><![CDATA[General]]></category>
		<category><![CDATA[Central Environmental Authority]]></category>
		<category><![CDATA[Ministry of Education]]></category>
		<category><![CDATA[Ministry of Health]]></category>
		<category><![CDATA[Ministry of Women]]></category>
		<category><![CDATA[mobile phones]]></category>
		<category><![CDATA[Rohan Samarajiva]]></category>
		<category><![CDATA[Telecommunication Regulatory Commission]]></category>
		<category><![CDATA[Udaya Prabhath Gammanpila]]></category>

		<guid isPermaLink="false">http://lirneasia.net/?p=2379</guid>
		<description><![CDATA[<a href="http://lirneasia.net/2008/09/digital-cigarettes/"><img align="left" hspace="5" width="150" src="http://lirneasia.net/wp-content/uploads/2008/09/carto.jpg" class="alignleft wp-post-image tfe" alt="" title="carto" /></a>One local telco CEO recently whined about being viewed as a cigarette manufacturer. “Everybody wants to tax us, as if mobiles are a product more hazardous than cigarettes. Tobacco kills, mobiles don’t; communication facilitates better living conditions and saves environment because it reduces transport. It is gross unfair both are seen in the same light.” [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://lirneasia.net/wp-content/uploads/2008/09/carto.jpg"><img class="alignnone size-full wp-image-2380" title="carto" src="http://lirneasia.net/wp-content/uploads/2008/09/carto.jpg" alt="" /></a></p>
<p>One local telco CEO recently whined about being viewed as a cigarette manufacturer. “Everybody wants to tax us, as if mobiles are a product more hazardous than cigarettes. Tobacco kills, mobiles don’t; communication facilitates better living conditions and saves environment because it reduces transport. It is gross unfair both are seen in the same light.”</p>
<p>As Wikipedia tells us, cigarettes are a significant source of tax revenue in many localities. This fact has historically been an impediment for health groups seeking to discourage cigarette smoking, since governments seek to maximize tax revenues. It is established that higher prices for cigarettes discourage smoking. Every 10 percent increase in the price of cigarettes reduced youth smoking by about seven percent and overall cigarette consumption by about four percent.</p>
<p>We hope Udaya Prabhath Gammanpila, Chairman Central Environmental Authority, will take note. If you think we use too many mobile phones – yes, taxing usage is the ideal path to bring it down. If not, you are making a dangerous precedent.</p>
<p>Taxing mobile usage by one ministry is an ‘open sesame’ for the rest. Ministry of Health can claim mobiles cancerous. Ministry of Education will find them disrupting studies. Perhaps the ever vigilant Ministry of Women’s Affairs may link mobiles to teen pregnancies &#8211; a correlation we would have never know if not for the District Secretary of Badulla. Given the other remarks he makes, to hear IGP saying mobiles increase crime will not surprise us. Almost forgot it &#8211; Telecommunication Regulatory Commission itself thinks mobiles are a prime reason for increased terrorist activities.</p>
<p>Bravo! Why not all these gentlemen and ladies tax mobile usage 2% each? (After all, it is about Rs. 10 per month for many, the price of a cup of tea.)</p>
<p>By the way, Rohan Samarajiva, LIRNEasia’s Executive Director had been busy for the past few weeks in making his case against ‘Envy Levy’ for mobile usage. We reproduce two of his articles here to Ravaya and Lankadeepa, in case The Chairman CEA had missed them. (Udaya, please click on images to get a full view)</p>
<div id="attachment_2382" class="wp-caption alignnone" style="width: 510px"><a href="http://lirneasia.net/wp-content/uploads/2008/09/ravaya_-_telecommunication_tax1.jpg"><img class="size-full wp-image-2382 " title="ravaya_-_telecommunication_tax1" src="http://lirneasia.net/wp-content/uploads/2008/09/ravaya_-_telecommunication_tax1.jpg" alt="" width="500" height="316" /></a><p class="wp-caption-text">Article on &#39;Ravaya&#39;</p></div>
<div id="attachment_2383" class="wp-caption alignnone" style="width: 510px"><a href="http://lirneasia.net/wp-content/uploads/2008/09/lankadeepa_1.jpg"><img class="size-full wp-image-2383 " title="lankadeepa_1" src="http://lirneasia.net/wp-content/uploads/2008/09/lankadeepa_1.jpg" alt="" width="500" height="486" /></a><p class="wp-caption-text">Article on &#39;Lankadeepa&#39; </p></div>
<p>(The cartoon above by Asanga Indunil of Rivira.lk, Aug 17, 2008)<a href="http://lirneasia.net/wp-content/uploads/2008/09/ravaya_-_telecommunication_tax.jpg"></a></p>
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		<slash:comments>5</slash:comments>
		</item>
		<item>
		<title>Colloquium on Real-Time Biosurveillance For Early Warnings in Sri Lanka</title>
		<link>http://lirneasia.net/2006/10/colloquium-on-real-time-biosurveillance-for-early-warnings-in-sri-lanka/</link>
		<comments>http://lirneasia.net/2006/10/colloquium-on-real-time-biosurveillance-for-early-warnings-in-sri-lanka/#comments</comments>
		<pubDate>Thu, 12 Oct 2006 11:33:43 +0000</pubDate>
		<dc:creator>Tahani Iqbal</dc:creator>
				<category><![CDATA[Documents]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[Alberta]]></category>
		<category><![CDATA[Artur Dubrawski]]></category>
		<category><![CDATA[Base Hospital]]></category>
		<category><![CDATA[Canada]]></category>
		<category><![CDATA[CDMA]]></category>
		<category><![CDATA[data algorithms]]></category>
		<category><![CDATA[Gates]]></category>
		<category><![CDATA[Gates Foundation]]></category>
		<category><![CDATA[Gordon Gow]]></category>
		<category><![CDATA[GSM]]></category>
		<category><![CDATA[last mile using information communication technology]]></category>
		<category><![CDATA[Ministry of Health]]></category>
		<category><![CDATA[mobile phones]]></category>
		<category><![CDATA[personal computer applications]]></category>
		<category><![CDATA[possible food complaints]]></category>
		<category><![CDATA[Sri Lanka]]></category>
		<category><![CDATA[University of Alberta]]></category>
		<category><![CDATA[USD]]></category>
		<category><![CDATA[USDA]]></category>
		<category><![CDATA[Walkerton]]></category>
		<category><![CDATA[wireless local loop]]></category>
		<category><![CDATA[Wireless Local Loop Network Applications]]></category>

		<guid isPermaLink="false">http://www.lirneasia.net/2006/10/colloquium-on-real-time-biosurveillance-for-early-warnings-in-sri-lanka/</guid>
		<description><![CDATA[Assume a scenario where among the chief complaint strings of two unrelated patients in the same District on the same date there was a mention of bloody stools in pediatric cases. The multiple mentions of “bloody stools” or “pediatric” might not be surprising, but the tying together of these two factors, given matching geographic locations [...]]]></description>
			<content:encoded><![CDATA[<p>Assume a scenario where among the chief complaint strings of two unrelated patients in the same District on the same date there was a mention of bloody stools in pediatric cases. The multiple mentions of “bloody stools” or “pediatric” might not be surprising, but the tying together of these two factors, given matching geographic locations and timings of reporting, is sufficiently rare that seeing only two such cases is of interest. This was precisely the evidence that was the first noticeable signal of the tragic Walkerton, Canada, waterborne bacterial gastroenteritis outbreak caused by contamination of tap water in May 2000. That weak signal was spotted by an astute physician, not by a surveillance system. Reliable automated detection of such signals in multivariate data requires new analytic approaches.</p>
<p>The socioeconomic see the key problem is not software but accurate and timely entry of data by Medical Practitioners. Hence the project will extend the user interfacing to the last mile using information communication technology (ICT) networks that already span the island of Sri Lanka. They would be the GSM and CDMA Wireless Local Loop (WLL) markets that are far beyond the fixed phone market, it is intuitive to introduce WLL applications opposed to traditional personal computer applications in order to increase the early detection and warning of diseases outbreaks in Sri Lanka.</p>
<p>The proposed Biosurveillance project is an extension of the Last-Mile HazInfo project. The intent of this colloquium is to validate the research and objectives of the Biosurveillance project proposal.<span id="more-609"></span></p>
<p>The presentation Nuwan is making can be downloaded <a onmousedown="selectLink(954);" id="p954" href="http://www.lirneasia.net/wp-content/uploads/2006/10/Real-Time%20Biosurveillance%20in%20SL%20%28LIRNEasia%20Colloq%2012%20Oct%202006%29.ppt">HERE</a></p>
<p>Skype participants: Dr Artur Dubrawski (AutonLabs), Dr Gordon Gow (University of Alberta) and Shanmugarajah</p>
<p>Nuwan: 80% of the Haz-Info project completed.<br />
The research question is: Can Biosurveillance Algorithms coupled with Wireless Local Loop Network Applications increase the early detection and warning of Communicable diseases in Sri Lanka?</p>
<p>Biosurveillance as defined by the Ministry of Health. WLL includes GSM and CDMA Wireless Local Loop (WLL).</p>
<p>To be more specific, we need to look at reliability of WLL ICTs in communicating health information, reliability of Biosurveillance Algorithms, the contribution of organizational level, gender specific responses and the degree of integration of ICTs.</p>
<p>DG: Is this proposal geared towards IDRC and if it is going to be for the Gates foundation?</p>
<p>Nuwan: That is undecided so far.</p>
<p>The surveillance and alerting system was described, step by step as seen in Slide 7 of the presentation.</p>
<p>DrDubrawski: Need for feedback from MoH at 9.</p>
<p>RS: It wont make sense to get feedback after 9. Step 7 would be the feedback point.</p>
<p>Nuwan: Message verficiation and feedback takes place at 7 anyways.</p>
<p>Slide 9: The data algorithms to be used will be What’s Strange About Recent Events (WSARE 3.0), SpatialScan and TIPMON.</p>
<p>For WLL data exchange, we will be making use of GSM mobile phones and CDMA fixed phones.</p>
<p>Examples of patterns that can be detected using this system: diarrhea cases among children, respiratory syndrome cases among females, Botulinic syndrome cases and number of wrist injuries in a Base Hospital, etc.</p>
<p>Checking with archived records (last year&#8217;s record) and recent records (yesterday&#8217;s patient records) with current records (today&#8217;s information) is a costly affair.</p>
<p>The WSARE software obtains recent and baseline datasets, searches for rules, determines the significance level of best scoring rule, and reports all rules that are highly significant.</p>
<p>The SpatialScan statistics looks for over densities &#8211; the regions where counts are significantly higher than expected, given the underlying population.</p>
<p>Dr Dubrawski: The SpatialScan system collects data from pharamcists on drug purchases on a daily basis. This can be indicative of any impending outbreaks of disease.</p>
<p>The NoisyCopy model was built for the USDA for screening possible food complaints. Basically, the consumers submit complaints through phone interface and the system scans the complaints for similarities. If there are similarities, this may indicate that the product problem has generated by the same underlying process.</p>
<p>Nuwan explained the research matrix as described in slide 23.</p>
<p>Slide 24 &#8211; Project Task Matrix<br />
EPID, Sarvodaya, Micro-image, AutonLab, Vanguard, and LIRNEasia will be partners in this project. Tasks have been allocated for each partner.</p>
<p>Slide 25 &#8211; Next steps<br />
Proposal to be completed by November 2006.</p>
<p>We hope to seek $200,000 from the Gates Foundation or IDRC.</p>
<p>Target kick-off date March 2007.</p>
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