Options for Building Public Health Resilience within Smart Cities

Dr. Mahesh Rajasekar

26th November 2016

Taru Leading Edge

Smart City Summit Surat

Source: http://www.ugo.cn/photo/nn/en/48759.htm

Complexity of Urban Areas

Cost of healthPopulation of Surat

(Even if) ~0.01% people affected every year by dengue or malaria or chikungunya,

Days affected

Per day wage

Direct and Indirect Loss per year

This is a very conservative estimate. This figure is much higher in many of the Indian cities

Medicines and other social costs

Is it only the poor?

Source: http://www.jeweltreefoundation.org/diamonds.html

Vector & Water borne diseases impact beyond socio economic barriers. Even if certain segment of the population do get affect the impact will trickle down to city’s GDP

• Limited Volunteers

• Limited data especially spatio-temporal data

• Limited coordination between departments

• Limited penetration of the Information Technology

• Designs do not cater to Indian Administrative needs

• Data are not analyzed in time

• Possibility of Errors

• Much time is spent on report generation

• Data interoperability does not exist

• Translation of policy to action is still a challenge

• Very thin budget

Status of Health Monitoring in Indian Cities

Urb

an S

ervi

ce M

on

ito

rin

g Sy

stem

(U

rSM

S)

UrSMS: Data Interface

Urb

an S

ervi

ce M

on

ito

rin

g Sy

stem

(U

rSM

S)

UrSMS: Maps

Key Statistics : One YearNumber of

Reports from

Private clinics

Reports from

UHCs

Reports from

Public + Private

Hospital

Number of cases

(line listing)

Total number of

cases reported

January 8,540 1,010 945 3,342 55,318

February 7,676 1,204 882 3,322 53,889

March 7,939 1,011 762 3,186 46,739

April * * * * *

May 9,072 1,053 1,444 4,309 61,782

June 8,578 993 1,480 4,065 63,944

July 9,398 1,077 1,764 5,907 75,158

August 9,029 916 1,457 5,319 70,671

September 8,114 1,038 1,608 4,556 59,508

October 9,255 1,078 1,861 4,917 69,660

November 6,036 957 1,288 2,988 46,673

December 8,461 999 1,807 4,157 61,147

Total 92,098 11,336 15,298 46,068 664,489

Patient ANM Doctor Lab

P Form

UHC

L FormS FormX

7 to 15 Days

Report to National Program

Patient

Probability of Error High

FLOOD PRONE SLUMS & INCIDENCES OF MALARIA (INDORE)

Risks and Impacts

Visualization

Disease Surveillance SystemMonitoring

• Health

• Water logging

• Solid waste

• Other services

Covered over 500 slums during 2013 and 2014.

Urban Climate Change Resilience• Identify climate change hazard risks

which intend to threaten the city

• Identification of major challenges which city currently faces

• To identify the inter-relationship between risks and challenges

• To have informed discussion over risks, vulnerability and arrive at possible actions that could be undertaken by different institutions with respect to their ongoing and future developmental plans

ConclusionCollective action is needed across IOT’s and other smart solutions.

City solutions of the people (supported by the government) by the people (empowering people to be data providers) for the people (last mile connectivity)

Technology has never been a problem but integrated and coordinated functioning should take the center stage (across sectors)

Over two decades of unique consulting to bridge Science, Institutions and Society Interfacewww.taru.co.in Organization Email: info@taru.org, My Email: mrajasekar@taru.org

DelhiM6 Second Floor, Aurobindo Marg,

New Delhi

AhmedabadNo 406 Ganesh MeridianSG Road.Ahmedabad

◘ Natural Resource Management ◘Governance

◘ Disaster Risk Management and Climate Change ◘ Water Supply and Sanitation

◘ Urban Development ◘ Social Development

◘ Scenario Planning and Strategy Development ◘ Communications

Bhubaneshwar Indore Patna Surat Raipur

Our Project Locations