Mobile  DiagnosisConnecting  healthworkers  worldwide  for  better  diagnosis

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Everywhere in the world, it takes only one MMS to receive an accurate diagnosis

Limited training and geographi-cal isolation of laboratory tech-nicians (and health workers in general) in remote, underserved areas severely affects quality of diagnosis, hence of control and therapy of many diseases. In

-mation relies on slow, unafforda-ble, unpractical or inappropriate technologies.

Overview

Mobile Diagnosis provide an easy way to get accurate dia-gnosis using only existing and widespread platforms (MMS) and low cost devices (mobile phone). Furthermore this system can be used by everyone even without a medical instructions.

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MobileDiagnosis was founded by Livia Bellina, an italian patho-logist who worked for the NHS in Lampedusa island. In April 2008, she found herself in the urgent

malaria from a blood sample of an African immigrant. With no other means at hand, she took

using the camera incorporated in mobile-phone, without addi-tional devices, and sent it via MMS for tele-diagnostic purpo-ses to a reference center. The

for patent in April 2008, with the

The Idea

sole purpose to protect the idea from commercialization and con-sent its free use and dissemina-tion (EPO application number 09005054.3 2002 - 2008 April) but only in 2009 MobileDiagno-sis aquired real life and a global relevance.The meeting with Eduardo Missoni has been determinant; Eduardo in fact understood im-mediately the relevance of the method, and the two scientists together, just after two months after their meeting published the method on a open source scien-

Place the lens of your integra-ted mobile-phone camera on the ocular of the microscope and take the picture. Then, send it via MMS for a consult.

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How it works

Peripheral healthcenter sends a “critical” diagnostic image taken

with cell phone by MMS

Main refernce center/laborato-ry receives the image and im-mediately sends an alert SMS

to on call doctor to consult.

Local refernce doctor make supporting diagnosis and sen-

ds answer by SMS.

Diagnosis returns to peripheral laboratory by SMS.

The images are also stored in a web platform, to be visualized from national and international consultant and also are used to

create a diagnostic database.

MMS with image.

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Chance to follow deseases’spreading and to give aimed help.

Better diseases prevention

Improve needy people and rural communties health.

Higher accessibility of m-phone over internet.

Chance for local people to help their communities.

Decrease of medical costs.

Decrease of mortality

A diagnostic help, consulen-ce, second opinion is the main way to give a correct diagno-sis.In the same way, students can easily examinate specimen, and discuss about diagnosis simply taking a picture of the

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This method, affordable, easy and not related to internet net-work, can easily reach all tar-get in all settings, health posts, health centers, etc.Rural community students can learn the method easily and don’t need a long training.

MD Projects

Here are all the areas where Mobile Diagnosis worked and will work to improve healthca-re in rural communities all around the world.

Past ProjectsUganda (Gulu)Bangladesh (Comilla)Bangladesh (Dinajpur)Afghanistan (Herat)

Future ProjectsBangladesh Madagascar

Past Projects

Future Projects

Uganda

Afghanistan

Bangladesh

Madagascar

Bangladesh

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Past Projects

YearCountry

Cities

2009UgandaGuluSaint Mary Hospital

Children community

Saint Mary Hospital

Rural Village

In Gulu,Uganda, September-No-vember 2009,livia has been in Lacor Hospital, after invitation of Corti Foundation. Here she tau-ght to students of second year of school for labtechnicians and she built the teaching room for pratical laboratory and introdu-ced the students to microscopy.

time using the mobile as educa-tive tool: all students learned ea-sily and quickly MobileDiagnosis was born.

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Past Projects

YearCountry

Cities

2010BangladeshDhakaBhuapurComilla health center

MobileDiagnosis partenered with Nobel Professor Moham-mad Yunus, and help in intro-ducing the “mobilediagnosis” method in rural communities in Bangladesh.

In rural centers of Grameen Kalyan in Bhuapur, Tangail 16 lab technicians learned lowcost telepathology and basic telemedicine using only local minimal equipment and available personal cellpho-nes. In Comilla district, 6 medical doctors were trained about logic clinic, differential diagnosis, primary health care and transmission of ul-trasound images with the mobile-phone.Later the diagnostic images from peripheral health cen-ters were sent to Dhaka

a distant diagnosis from a far location. Students of community

Comilla Health Center

Students taking pictures

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Past Projects

YearCountry

Cities

2010BangladeshDinajpurSt.Vincent Hospital

In Dinajpur, MobileDiagnosis worked with healthworkers and student of Saint Vincent Mis-sionary Hospital of PIME (Pope Institute of Foreign Missio-nary Organizations).

Diagnosis method has been tea-

25 years old) from the local rural aborigenal community who had no previous experience in me-

-ce proved that the method can be learned by anyone in a very short time regardless external factores like scholarization or age and that everyone can do something for thier community.

Graduated Students

Saint Vincent Hospital

Local People

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Past Projects

YearCountry

Cities

2011AfghanistanHeratGovernative Hospi-tal of Herat

MobileDiagnosis worked with local lab technicians in a MAE (Italian Cooperation Deve-lopment) project in the Medi-cal Laboratory of Childrness, Governative Hospital of Herat.Five lab technicians of Pedia-tric Hospital has been introdu-ced to microscopy and to the use of mobile as educational tool. They learned also to take and transmit images taken from microscope by mobile.In Pediatric Hospital of Herat the method proved its potential as tool for bridging socio cultural gap and permit Care and Edu-cation to Afghanistan Woman, in a context, were women access to a male dominated health sy-stem is restrained ; two women with no education or lab expe-rience learned in a few minutes, driven by the curiosity caused by seeing Dr. Bellina working, to take pictures from a micro-scope with a mobile phone. Herat People

Class with Dr. Bellina

Herat Governative Hospital

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Future Projects

YearCountry

Cities

2012 Bangladesh34 rural communi-ties in south-west of Bangladesh

Mobile Diagnosis in partner-ship with Smiling Rainbow Foundation aims to improve life and health condition of 34 ru-ral communities in south-west of Bangladesh. The project will be developed in three phases:

Selection of 68 people, two from every rural areas, who will take the courses.Building of “teaching room” as teaching and working place.Training in 10-12 people classes who will recive for-mation in basic hygiene, ba-

patologies which occur most frequently in this territory.

Theacher and Students

Local People

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Future Projects

YearCountry

Cities

2012MadagascarTulear Region

The project will take place on south west of Madagascar in Tulear Region in partnership with the Association “Amici di Ampasilava” that built the Anda-vadoaka Hospital with personal expenses and great committ-ment.MobileDiagnosis will support the staff of Andavadoaka Hospital and there will train selected pe-ople from all villages from which come patients.

Local Child

Rural House

Local People

Oral CavityTympanusOrtopaedicsDermatologyRadiologyEvidence BasedMicroscopy

Applications

Mob

ile D

iag

nosis Connecting healtworkers w

orldwide for better diagnosis

One the greatest advantages of Mobile Diagnosis is its ver-satility, here are some exam-ples.

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Applications

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Oral cavitySimply taking an image of the oral cavity with your m-phone allows you to analyze and diagnosticate several

Tongue lesions Avitaminosis

Tongue lesions Avitaminosis

Aphtous

Tongue congenital Hemangioma

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Applications

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TympanusMobile Diagnosis method allows to take pictures with the otoscope and

-panus area allowing to detect and treat various illness of the ear.

Tympanus Tympanus

Tympanus Tympanus

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Applications

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Orthopaedics - LordosisTaking an image of the patient and sending it for a distant consult allows healthworker to be sure of the tre-

Lordosis - front view

Lordosis - front view

Lordosis - right view

Lordosis - rear view

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Applications

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DermatologyTaking an image of involved tissues and sending it for a distant consult allows healthworker to be sure of the

Allergic reaction to drugs (Mala-rone)

fungine skin lesions

Nevo

Fungine lesions and bacteric infection

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Applications

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Radiological ExaminationTaking an image of the x-ray scan and sending it for a distant consult allows healthworker to be sure of the

Cranium x-ray scan

Ankle x-ray scan Ankle x-ray scan

Feet x-ray scan

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Applications

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Ultrsound ScanTaking an image of the ultrasound scan and sending it for a distant consult allows healthworkers to de-tect malformation or disfuction of the phoetus and to choose appropriate treatment.

Phoetus Scan

Ultrasound scan Ultrasound scan

Phoetus Scan

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Applications

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2Oedema in Children with glo-merulonephritis

Evidence BasedTaking an image of the area invol-ved and sending it for a distant con-sult allows healthworkers to be sure of the illness of the patient and of the treatment needed.

skin fungine lesions

Skin lesion pa-rasyte microlar-vae

Skin lesion pa-rasyte microlar-vae

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Applications

Microscopy

HematologyMycobacteriaParasitesTrypanosomesMalariaFluorescenceHistologyUrin AnalysisPap Test

Microscopy

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Applications

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HematologySeveral deseases of the blood cells can be detected taking a picture of

enlarging it.

Hematological alterations in thalassemia

Immature RBC Immature WBC

WBC maturative phase

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Applications

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MycobacteriaMycobacteria like the responsible for TB and leprosis can be detected in a blood stained slide with the use of a microscope.

Tuberculosis

Leprosis Leprosis

Tuberculosis

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Applications

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ParasitesIn the rural areas where drinkable

-sites infections are one of the most common diseases. MobileDiagnosis helps to solve this problem.

Ascaris Lumbri-coides

Strongiloides Sterco Larvae

Fasciola Hepatica

Trichiuris

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Applications

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TrypanosomesTrypanosomes’ infection is detecta-ble in blood stained slide; enlarging

for healthworkers.

Trypanosome Brucei

Trypanosome Gambiense

Trypanosome Crusi

Trypanosome Brucei

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Applications

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MalariaIn the rural areas where malaria is present MobileDiagnosis is an im-

-sitivity even if done as negative by simply enlarging the image.

Malaria Game-tocytes

Malaria Trohpozoites

Malaria infected red cells

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Applications

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Fluorescence

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-gnosis allows to take pictures of the

-dition.

Fluorescence example.

Fluorescence example.

Fluorescence example.

Fluorescence example.

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Applications

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HistologyThe study of tissues is easier if you

detect anomalies. MobileDiagnosis allows also healthworkers who are not sure of the diagnosis to ask for a second opinion.

Kidney Glomerule with sclerosis

Histological exam. Histological exam.

Prostatic Ipertro-phy adenoma

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Applications

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Urin AnalisysThere are several pathologies that can be detected via urin analisys.The analisys of the pictures can re-veal even the less obvious patolo-gies.

Uric Acid Cristals

Urinary tract infection leukocytosis

Calcium Oxalate cristals

Spermatozoas

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Applications

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Pap TestMobileDiagnosis can help women cancer diagnostics enabling easier diagnosis even for the lesser skilled hearthworkers.

Pap Test Urinary epitelial cells

Pap Test

Mobile Diagnosis Creative Teaminfo@mobilediagnosis.net

mdcreativeteam@gmail.comGiovanni AzzolinaRoberto IngrassiaDomenico Scarpinato