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POTENTIAL TECHNOLOGIES

TO SOLVE COMMON HEALTH PROBLEMS IN

SOUTH EAST ASIA COUNTRIES

PROF. DR.-ING. EKO SUPRIYANTO

FACULTY OF BIOSCIENCES AND MEDICAL ENGINEERING, UTM, MALAYSIA

FACULTY OF MEDICINE, UNPAD, INDONESIA

GAST – MEDICAL TECHNOLOGIES CONFERENCE

SINGAPORE, 8 NOVEMBER 2012

OUTLINE

• SEA NATIONS

• COMMON HEALTH RELATED PROBLEMS

• POTENTIAL TECHNOLOGIES

• PROPOSED TECHNOLOGIES

• IMPLEMENTATION STRATEGY

2

SEA NATIONS

TIMOR LESTE3

SEA NATIONS

4

SEA NATIONS

5

SEA NATIONS

• Brunei

6

SEA NATIONS

• Cambodia

7

SEA NATIONS

• East Timor / Timor Leste

8

SEA NATIONS

• Indonesia

9

SEA NATIONS

• Laos

10

SEA NATIONS

• Malaysia

11

SEA NATIONS

• Myanmar

12

SEA NATIONS

• Philippines

13

SEA NATIONS

• Singapore

14

SEA NATIONS

• Thailand

15

SEA NATIONS

• Vietnam

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Country Life Expectancy LE World Rank Infant Mortality

Brunei 75.74 49 12.27

Cambodia 62.10 142 54.79

East Timor 67.27 122 40.65

Indonesia 70.76 104 29.97

Laos 56.57 158 77.82

Malaysia 73.29 79 15.87

Myanmar 63.39 138 47.61

Philippines 71.09 100 20.56

Singapore 81.98 2 2.31

Thailand 73.10 81 17.63

Vietnam 71.71 94 22.8

Source: World Health Rankings (190 countries, 2012)

COMMON HEALTH RELATED PROBLEMS

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• Death by TOP 50 CAUSES: BRUNEI

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COMMON HEALTH RELATED PROBLEMS

• Death by TOP 50 CAUSES: CAMBODIA

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COMMON HEALTH RELATED PROBLEMS

• Death by TOP 50 CAUSES: INDONESIA

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COMMON HEALTH RELATED PROBLEMS

• Death by TOP 50 CAUSES: LAOS

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COMMON HEALTH RELATED PROBLEMS

• Death by TOP 50 CAUSES: MALAYSIA

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COMMON HEALTH RELATED PROBLEMS

• Death by TOP 50 CAUSES: MYANMAR

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COMMON HEALTH RELATED PROBLEMS

• Death by TOP 50 CAUSES: PHILIPPINES

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COMMON HEALTH RELATED PROBLEMS

• Death by TOP 50 CAUSES: SINGAPORE

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COMMON HEALTH RELATED PROBLEMS

• Death by TOP 50 CAUSES: THAILAND

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COMMON HEALTH RELATED PROBLEMS

• Death by TOP 50 CAUSES: TIMOR LESTE

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COMMON HEALTH RELATED PROBLEMS

• Death by TOP 50 CAUSES: VIETNAM

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COMMON HEALTH RELATED PROBLEMS

Country 1 2 3 4 5

Brunei Diabetes Heart Hypertension Stroke Accident

Cambodia Pneumonia TB Heart Stroke Hyperte

East Timor Malaria TB Heart Birth Pneuom

Indonesia Heart Pneum Stroke Lung TB

Laos Heart Pneum Stroke Lung TB

Malaysia Heart Stroke Pneumonia Accide HIV

Myanmar Other Injur Heart Pneumonia Stroke TB

Philippines Heart Pneum Stroke TB Hypert

Singapore Heart Pneum Stroke Lung C Colon C

Thailand Stroke Heart Diabetes Lung Accident

Vietnam Stroke Heart Lung TB Liver C

Source: World Health Rankings (190 countries, 2012)

COMMON HEALTH RELATED PROBLEMS

29

COMMON HEALTH RELATED PROBLEMS

Source: World Competitiveness Yearbook (2010-2012)

Country Life

Expectancy

Health

Infrastructure

Infant

Mortality

Medical

Assistance

Common Health

Problem

Brunei

Cambodia

East Timor

Indonesia

Laos

Malaysia

Myanmar

Philippines

Singapore

Thailand

Vietnam

Excellent criteria Average criteria Below average criteria

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COMMON HEALTH RELATED PROBLEMS

• Low life expectancy in few countries

• Lack of health infrastructure in most countries

• High infant mortality in most countries

• Lack of medical assistance in most countries

• Unsolved common health problem in some

countries

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Potential Technologies

• Technology to support healthy life style

• Low cost medical devices with acceptable

quality to improve health infrastructure

• Technology to reduce infant mortality rate

• Technology to increase access to medical

assistance

• Technology to solve common health problem

32

Potential Technologies

• Technology to support healthy living style

– Health monitor

• Vital Sign Monitor

• Bioimpedance analyzer

– Physical exercise devices

• Technology to increase access to medical

assistance

– Telehealth

33

Potential Technologies

• Low cost medical devices with acceptable quality

to improve health infrastructure

• And technology to solve health common problem

– Portable digital X-Ray (TB, Accident, Lung)

– Portable ultrasound (cancer, heart, prenatal)

– Blood glucose monitor (Diabetes)

– Blood analyzer (HIV)

– ECG (Heart)

– Blood pressure monitor (hypertension)

– Low cost biosensor (diabetes, cancer, etc) 34

Potential Technologies

• Technology to reduce infant mortality

– B-Mode ultrasound machine

– Doppler fetal monitor

– Blood pressure monitor

– Urine analyzer

– Blood analyzer

– Telehealth

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Potential Technologies

• Technology requirement

– Low cost

– Standard compliance (safety and quality)

– E-health access

– User friendly (language and human factors)

– Portable / mobile

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Proposed Technologies (1)

• Integrated Remote Prenatal Monitor (IRPM)

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Proposed Technologies (2)

• Integrative Health Monitor

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Proposed Technologies (3)

• Low cost HPV DNA rapid detector

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RANKING OF CERVICAL CANCER TO OTHER

CANCERS AMONG ALL WOMEN

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METHOD OF CERVICAL CANCER

DETECTION

Pap Test Colposcopy

Medical Imaging HPV DNA Test

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• Results and Analysis:

– Patient with +ve Pap test, 47 out of 50 (94%) tested +ve for HPV DNA

Patient with –ve Pap test, 38 out of 50 (76%) tested –ve for HPV DNA

– It is possible that the patient are in early stage of HPV infection

undetectable with Pap test

CLINICIAL TESTING

0

20

40

60

PAP TEST +ve PAP TEST - ve

Comparison of PAP Test and HPV DNA

Testing

HPV +ve HPV - ve

42

YOU ARE INVITED

THANK YOU

43

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