Mapping of Risks and Resources in Public Health for ... · Public Health for Decision Support Clients on Mobile Devices University of Koblenz-Landau ReGLaN – Health & Logistics

United Nations: Committee on the Peaceful Uses of Outer Space Scientific and Technical Subcommittee - 49. Session - Vienna, 07 February 2012

Mapping of Risks and Resources in Mapping of Risks and Resources in Public Health for Decision Support Public Health for Decision Support

Clients on Mobile DevicesClients on Mobile Devices

University of Koblenz-LandauReGLaN – Health & LogisticsReGLaN – Health & Logistics

Research Group Learning and NeurosciencesProf. Dr. E. Niehaus


Project ObjectivesProject Objectives

AIM:AIM: EARLY WARNING: TELE-EPIDEMIOLOGY & EARLY WARNING: TELE-EPIDEMIOLOGY & LOGISTICALLY OPTIMIZED RESPONSELOGISTICALLY OPTIMIZED RESPONSE(Spatial Decision Support)(Spatial Decision Support)

HOW? HOW? SPATIAL MODELLING OF PUBLIC HEALTHSPATIAL MODELLING OF PUBLIC HEALTHRISK AND EFFICIENT ALLOCATION OF RISK AND EFFICIENT ALLOCATION OF MEDICAL & PUBLIC HEALTH RESOURCESMEDICAL & PUBLIC HEALTH RESOURCES

WITH:WITH: DELIVERY OF AN ADAPTIVE SPATIALDELIVERY OF AN ADAPTIVE SPATIALDECISION SUPPORT SYSTEM DECISION SUPPORT SYSTEM (Open Source)(Open Source)

TO WHOM?TO WHOM? GOVERNMENT, ADMINISTRATION,GOVERNMENT, ADMINISTRATION,DOCTORS, PUBLIC HEALTH WORKERS,DOCTORS, PUBLIC HEALTH WORKERS,PEOPLE EXPOSED TO PUBLIC HEALTHPEOPLE EXPOSED TO PUBLIC HEALTHRISKSRISKS (Decision Makers)(Decision Makers)


Definition: Definition: Spatial Decision Support SystemSpatial Decision Support System

GISGISGeographical Geographical

Information SystemInformation System

DSSDSSDecision Support Decision Support

SystemSystem+ = SDSSSDSS

Spatial Decision Spatial Decision Support SystemSupport System

Spatial Patterns of Risk &Spatial Patterns of Risk &Spatial Distribution of ResourcesSpatial Distribution of Resources

Medical Environments are Complex Medical Environments are Complex Dynamic Systems – Support Decision Makers Dynamic Systems – Support Decision Makers in complex environmentsin complex environments

DSS:DSS:

GIS:GIS:

SDSS:SDSS: Spatial Decisions:Spatial Decisions: Risk Risk & & ResourcesResources


Early Warning & Response Cycle

Water BodiesWater Bodies

Environmental &Environmental &Socio-economicSocio-economic

ConditionsConditions

Vector Control and tailored Vector Control and tailored Allocation of Medical and Allocation of Medical and Public Health Resources,Public Health Resources,

Diagnosis SupportDiagnosis SupportGenerate Early WarningGenerate Early Warning

Response SupportResponse SupportActivate Response of Health SystemActivate Response of Health System

EARLY WARNING & RESPONSEEARLY WARNING & RESPONSESpatial Decision Support SystemSpatial Decision Support System

Re

mo

t eR

em

ot e

Se

nsi

ng

Se

nsi

ng

Robust Data Robust Data and Voice and Voice

CommunicationCommunication

OutbreakOutbreakof of

DiseaseDisease

Temporal/spatial riskTemporal/spatial risk

Risk mapRisk map

ResourceResourceAllocationAllocation

Gro

un

dG

rou

nd

dat

ad

ata

New outbreak

New outbreak

datadata

DecisionDecisionsupportsupport

Temporal/spatial Temporal/spatial outcomeoutcome

Temporal/spatial responseTemporal/spatial response

SmartSmartPhonePhone









Re

mo

t eR

em

ot e

Se

nsi

ng

Se

nsi

ng


DetectEnvironmental Conditions for Disease Vectors

Replication Zone Mosquito

Water Body

Risk Zone (Fly Range Mosquito)

Risk mapRisk map

GPSGPSSmartSmartPhonePhone








Allocation Allocation of of

ResourcesResources



Risk mapRisk map




Response SupportResponse SupportActivate Response of (Public) Health SystemActivate Response of (Public) Health System





ResourcesResources



Risk mapRisk map

GPSGPSSmartSmartPhonePhone

Spatial Support forSpatial Support forVector Control UnitsVector Control Units

GPS-tailoredGPS-tailoredApplication of LarvicidesApplication of Larvicides

Checking of previousChecking of previousPublic Health InterventionsPublic Health Interventions





Risk mapRisk map

Risk LayersRisk Layers

Geographic LayerGeographic Layer

mymyRiskRisk

GPSGPSGeo LocationGeo Location

Risk at Geo LocationRisk at Geo Location









ResourcesResourcesDecisionDecisionsupportsupport


Risk mapRisk map

Risk LayersRisk Layers

Geography LayerGeography Layer

Medical ResourceMedical Resource

GPSGPSNavi-Navi-

gationgation

http://www.navit-project.org/


Provide tailored Provide tailored Access to Access to

Risk Maps andRisk Maps andAllocation Maps Allocation Maps of of ResourcesResourcesDSS-ClientsDSS-Clients

DSSDSS11

DSSDSS22

DSSDSS33

DSSDSS44

DSSDSS55

Elimination of Virus HostsElimination of Virus HostsPublic WarningPublic Warning

Restriction of MobilityRestriction of Mobility

QuarantineQuarantine ManagementManagement

PersonalPersonal Protection Protection

People exposed to Public People exposed to Public Health RisksHealth Risks

Medical Staff & Medical Staff & Vector Control UnitsVector Control Units

AdministrationAdministration

...

...

Gov'tGov't

Spa

tial D

ecis

ion

Sup

port

Sys

tem

Spa

tial D

ecis

ion

Sup

port

Sys

tem

Mobile Devices & Decision SupportMobile Devices & Decision Support

Mobile Devices as a Mobile Devices as a Decision Support ClientDecision Support Client

SmartPhone


Definition: GPS-Pseudo MeasurementDefinition: GPS-Pseudo Measurement

Mobile Devices as a Mobile Devices as a Decision Support Client for Public Health RiskDecision Support Client for Public Health Risk

GPS-Pseudo Measurement is defined as an indirect provision of Sensor Data without a physical Sensor by using the GPS-Location

of the Mobile Device.

SmartPhone

GPS-Location GISRisk Map

Server

Radiation at GPS-Location


Types of GPS-Pseudo MeasurementTypes of GPS-Pseudo Measurement

Mobile Devices as a Mobile Devices as a Decision Support Client for Public Health RiskDecision Support Client for Public Health Risk

SmartPhone

GPS-LocationGIS

Risk MapServer

Public Health Risk at GPS-Location

Radioactive Radiation as Public Health Risk

Contamination of Water, Soil, Air ...

Contamination of Fruit, Vegetables, Meat, ...

Epidemiological Risk at GPS location


Differences: Crowdsourcing Differences: Crowdsourcing GPS-Pseudo MeasurementGPS-Pseudo Measurement

CrowdsourcingCrowdsourcing (e.g. NoiseTube, UN-SPIDER Disaster Mgmt) (e.g. NoiseTube, UN-SPIDER Disaster Mgmt)

MicrecordsNoise

Submit e.g. Noise Data GISRisk Map

ServerPublic Health Risk at GPS-Location

GPS-Pseudo MeasurementGPS-Pseudo Measurement

NoNorealreal

SensorSensor

GPS-LocationGIS

Risk MapServer

Public Health Risk at GPS-Location


Public Awareness, CrowdsourcingPublic Awareness, Crowdsourcing& Public Health Authorities& Public Health Authorities

Submit Snapshot ofdead birds at GPS-location

CrowdsourcingServer

Return Map with otherCases in GPS-Envrionment

Public Health AuthorityPublic Health Authority

NoNorealreal

SensorSensor

GISRisk Map

Server

Public Health Disease Warning at GPS-Location

Submit GPS-Location

Validation of Risk Validation of Risk Create Public AwarenessCreate Public Awareness

Community MemoryCommunity Memory


NDVI / EVI NDVI / EVI Crop HealthCrop Health

Response & Public Health RisksResponse & Public Health Risks


Spatial Application of AgrochemicalsSpatial Application of Agrochemicals

Economic Benefits & Public Health Benefits


APPLY APPLY AGROCHEMICALAGROCHEMICAL x x AT RATE y AT RATE y

SmartPhone

OpenSource-Development e.g. Augmented Reality-ToolkitLookAR! for Android Phones

Low Tech Low Tech Precision FarmingPrecision Farming

Crop Health GIS


Response & Public Health RisksResponse & Public Health Risks


Economic Benefits: Optimized Farming with Low-Tech IT-environment => Developing Countries


APPLY AGROCHEMICALAPPLY AGROCHEMICAL x x AT RATE AT RATE y y

SmartPhone

Low Tech Low Tech Precision FarmingPrecision Farming

Public Health Objective

Food SecurityFood Security

Minimize Exposure toMinimize Exposure toAgrochemical forAgrochemical forFarm Workers and Farm Workers and Environment. Workflow Environment. Workflow optimization & self optimization & self protection of Workersprotection of Workers

Optimize spatial patterns Optimize spatial patterns for Application of for Application of Agrochemicals Agrochemicals


Space Technology & Decision SupportSpace Technology & Decision Support

Remote Sensing DataRemote Sensing DataGIS

Geopraphic Information System

OpenSourceGRASS

Geographic ResourcesAnalysis Support System

•> Free Availability

•> Adaption to Early Warning

•> Multiplatform [Windows Linux Mac]

SmartPhone

GPS- Pseudo

Measurem.

Spa

tial D

ecis

ion

Sup

port

Sys

tem

Spa

tial D

ecis

ion

Sup

port

Sys

tem

Linux-OS on Mobile Device


IT-InfrastructureIT-Infrastructure Offline Usage – OpenSource & OpenContentOffline Usage – OpenSource & OpenContent

(1) Online(1) OnlineSelect Map Area & DownloadSelect Map Area & Download(1) Online(1) OnlineSelect Map Area & DownloadSelect Map Area & Download Smart

Phone

OpenStreetMap & Risk LayerMaps can be downloaded used offline e.g. in Navit

GISRisk Map

Server

(2) Offline (Navigation)(2) Offline (Navigation)Use Risk Map & Collect DataUse Risk Map & Collect Datae.g. by Vector Control Unite.g. by Vector Control Unit

SmartPhone(3) Online(3) Online

Store Collected Data to GIS ServerStore Collected Data to GIS Server

http://maps9.navit-project.org


Smart Phones UsageEarly Warning & Response Cycle








Re

mo

t eR

em

ot e

Se

nsi

ng

Se

nsi

ng



OutbreakOutbreakof of

DiseaseDisease


Risk mapRisk map

ResourceResourceAllocationAllocation

Gro

un

dG

rou

nd

dat

ad

ata

New outbreak

New outbreak

datadata


Temporal/spatial Temporal/spatial outcomeoutcome





GPS-Pseudo MeasurementGPS-Pseudo Measurement

These Types of Public Health Risks are notThese Types of Public Health Risks are notDETECTABLE directly for the public.DETECTABLE directly for the public.

GPSSmartPhone Radioactive Radiation as Public Health Risk

Contamination of Water, Soil, Air ...

Contamination of Fruit, Vegetables, Meat, ...

Crowd Sourcing can be used to detect first indirect signs of Public Health Risks.

Early Warning and Public Health Response can be triggered if and only if Public Health Agencies have approved a Public Health Risk.


IntegratedIntegratedLogisticLogisticSupportSupport

Application and Application and Ecotoxicology ofEcotoxicology ofAgrochemicalsAgrochemicals

Epidemiology, vet. MedicineEpidemiology, vet. MedicinePublic HealthPublic Health

Business Information SystemBusiness Information System& Information& Information

Communication TechnologyCommunication Technology

Mathematical Modelling ofMathematical Modelling ofDecision SupportDecision Support

SpatialSpatialDSSDSS

Dr. M. Hieber-RuizDr. M. Hieber-RuizProf. Dr. R. SchulzProf. Dr. R. Schulz

(Germany)(Germany)

Prof. Dr. Marlien HerselmanProf. Dr. Marlien Herselman(South Africa)(South Africa)

Gehard Ackermann Gehard Ackermann Health & LogisticsHealth & Logistics

(South Africa/Germany)(South Africa/Germany)

Prof. Dr. Pascal Michel Prof. Dr. Pascal Michel (Canada)(Canada)

Acquisition of Expert Acquisition of Expert Knowledge for ITS & DSSKnowledge for ITS & DSS

(Psychology)(Psychology)

ThankThank You

Documents

Mapping of Risks and Resources in Public Health for ... · Public Health for Decision Support Clients on Mobile Devices University of Koblenz-Landau ReGLaN – Health & Logistics