Evolve

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 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


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


Automatic Classification

Current classification includes: 7 syndromes 10 transmission modes > 100 infectious diseases > 180 micro-organisms > 140 symptoms > 50 chemicals

InSTEDD 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)

[email protected]

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

Evolve

Health & Medicine

Transcript of Evolve