evolve
DESCRIPTION
A collaborative early warning and response space for latest health-related events in SE Asia: Mekong Basin Disease Surveillance (MBDS) Information Communication and Technology Forum, April 2nd–3rd, 2009, Mukdahan Province, ThailandTRANSCRIPT
EVOLVE
MEKONG BASIN DISEASE SURVEILLANCE (MBDS) INFORMATION COMMUNICATION AND TECHNOLOGY FORUMAPRIL 2ND–3RD, 2009, MUKDAHAN PROVINCE, THAILAND
Taha Kass-Hout, MD, MSDirector, Global Public Health and Informatics
Innovative Support to Emergencies, Diseases, and Disasters
SE Asia Early Warning & Response
A collaborative early warning and response space for latest health-related events in SE Asia
Overview
Infectious disease events represent substantial morbidity, mortality, and socio-economic impact in SE Asia
The infectious disease event reporting in SE Asia was of: Low socioeconomic disruption (83%), High socioeconomic disruption (17%); with
indicators of a: potential sociological crisis (16.4%), and disaster (0.6%)
Snapshot
Information Sources ProMed MBDS Veratect
From September 1, 2008 to February 27, 2009 998 near real-time reports on
46 infectious diseases that effect humans or animals Myanmar, Thailand, Laos, Cambodia, and Vietnam 220 provinces, 239 districts, and 14 cities
Indicators and Insights
Approximations of Epidemiological Features
Response Local Public Community Reaction (Public
and Responders) Infrastructure Infectious Disease Disaster
Apprx. of Epidemiological Features What diseases were reported to have
affected different age groups in SE Asia
Reports of mortal outcomes for all age groups
Which of the infectious disease events presented as single cases, apparently localized clusters
(approximation of an “outbreak”), and
apparent multiple cases in multiple locations (approximation of an “epidemic”)
Response
what level of government and non-governmental organization became involved in response by disease event
Local Public Community Reaction Reaction of the public
The term ‘panic’ is not indicative of true panic but rather a proxy for social concern ‘Panic with behavior’ is where we have documented non-
routine public behavior such as panic buying, hoarding of medications, and so on, where concern has elicited non-routine action
‘Flight’ is the ultimate outcome where a community’s inhabitants abandon their community and for a period of time, social disintegration is observed. This is the end point of infectious disease event damage from a sociological perspective, where a community ceases (transiently) to be an integrated social unit engaged in routine daily activities
Evacuation due to biological events is a rare phenomenon, but one for which we maintain a baseline for what diseases in what countries provoke such a reaction
Local Public Community Reaction Reaction of responders
Responder anxiety, which follows the same conceptual framework as public anxiety
Here it is key to note those events where healthcare workers refuse to perform their duties or participate in response due to fear of exposure, illness, or death Responder avoidance of duties is a rare
phenomenon
Infrastructure
The infrastructure types affected (compromised) by infectious disease events in SE Asia either due to absenteeism, contamination, work overload (i.e., response), or any combination of the above
Infectious Disease Disaster
The most socially disruptive events in SE Asia, by country and disease that are assessed to be potential disasters 0.6% of all disease reports in SE Asia
Related items (e.g., News articles) are grouped into a thread. Threads are later associated with events (hypothesized or confirmed).
Related items (e.g., News articles) are grouped into a thread. Threads are later associated with events (hypothesized or confirmed).
InSTEDD Evolve: (http://instedd.org/evolve)
Tag cloud and semantic heat
map
Tag cloud and semantic heat
map
InSTEDD Evolve
Delete/Recycle an Item
Delete/Recycle an Item
Expert-generated TagsExpert-generated Tags
RSS Publishing
RSS Publishing
Generate hypotheses and add evidence to
the Basket
Generate hypotheses and add evidence to
the Basket
Save filter (by keyword, tag,
topic, location, and
time) and email
subscription
Save filter (by keyword, tag,
topic, location, and
time) and email
subscription
Recycle bin
Recycle bin
An event is monitored through a thread of items
An event is monitored through a thread of items
InSTEDD Evolve: (http://instedd.org/evolve)
InSTEDD EvolveMap viewMap view
Filter feature which automatically filters content by topic of interestFilter feature which automatically filters content by topic of interest
InSTEDD Evolve
Filter feature which automatically filters content by radius
Filter feature which automatically filters content by radius
InSTEDD Evolve: (http://instedd.org/evolve)
Auto-generated (machine-learning) tags. These tags are semantically
ranked (a statistical probability match). Users can further train the
classifier by accepting or rejecting a suggestion. Users can similarly train the geo-locator by simply accepting or rejecting and updating a location.
Auto-generated (machine-learning) tags. These tags are semantically
ranked (a statistical probability match). Users can further train the
classifier by accepting or rejecting a suggestion. Users can similarly train the geo-locator by simply accepting or rejecting and updating a location.
InSTEDD Evolve
InSTEDD Evolve: (http://instedd.org/evolve)
Automatic Classification
Current classification includes: 7 syndromes 10 transmission modes > 100 infectious diseases > 180 micro-organisms > 140 symptoms > 50 chemicals
InSTEDD Evolve
InSTEDD Evolve: (http://instedd.org/evolve)
Tracking the recent Avian Influenza Outbreak in
Egypt (reports started to appear late January
2009). Notice the pattern of reported incidents along the Nile river.
Tracking the recent Avian Influenza Outbreak in
Egypt (reports started to appear late January
2009). Notice the pattern of reported incidents along the Nile river.
Evolve Architecture and Processes
Best Poster Award for Improving Public Health Investigation and Response at the Seventh Annual ISDS Conference, 2008http://taha.instedd.org/2008/12/best-poster-award-for-improving-public.html
Acknowledgment
Through Funding from…
Thank You!
Taha Kass-Hout Nicolás di Tada
InSTEDD400 Hamilton Avenue, Suite 120
Palo Alto, CA 94301, USA
+1.650.353.4440
+1.877.650.4440 (toll-free in the US)
Thank You!
Cambodia, Photo taken by Taha Kass-Hout, October 2008
“this pic says it all- our kids are all the same- they deserve the same”, Comment by Robert Gregg on Facebook, October 2008