Stopping Contagion with Technology: InSTEDD
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Transcript of Stopping Contagion with Technology: InSTEDD
a look at our work
from the perspective of the movie
S T O P P I N G
A T T H E S O U R C E
CONTAGION does an excellent job at depicting real
organizations at work in containing a pandemic.
But a short movie can‟t dive too deep or show all angles.
We will show you how technology is being designed and used
around the world to make a difference in public health.
Spanning remote villages and the world‟s largest cities, high-tech
and lo-tech, routine events and pandemics.
All the information is from real-world projects in which InSTEDD
is helping NGOs, health agencies, and governments improve
their ability to improve health & safety with technology.
GLOBAL CHALLENGES | our work
In CONTAGION, the outbreak storyline starts in an urban
environment. Most of humanity lives in urban settings – in
overcrowded slums. However the largest interface between humans
and animals (a key factor for zoonotic diseases) happens in rural
areas, and that is where diseases first make appearances.
early detection and early
response are key to containing
outbreaks.
there are few people trained to
see diseases breaking out, to
share critical information, and
know what to do.
it all needs to happen in real-time,
from remote places where
language, connectivity, and
education add barriers.
Thousands of village health workers
use GeoChat as a mobile
surveillance network that reach
even remote villages in South East
Asia. Many outbreaks are now
contained locally.
| rural & urban
InSTEDD’s Innovation Labs design
tech based on what we see in the
field – e.g. a way for workers with
reduced literacy to report accurately
what they see in their community.
GLOBAL CHALLENGES | our work
In CONTAGION, the outbreak is investigated trying to find
„Patient X‟ and understand the disease. Pen and paper are
always useful, but how can investigators in the CDC and
beyond actually share information with each other to accelerate
the containment?
investigators need to share
information regardless of the tools
they have. Even agreeing on what
data may be important takes time.
country governments, NGOs,
hospitals, WHO, CDC, etc. all need
to collaborate and share data to
understand the outbreak. Yet each
one needs to control its information.
InSTEDD designed for the US
CDC (Center for Disease
Control) peer to peer data
sharing tools that work even
when internet and GPRS is not
available.
| sharing information
Investigations can become
international. InSTEDD provides
tools that help countries share
disease data in secure, timely
ways.
GLOBAL CHALLENGES | our work
In CONTAGION, the information about the disease in the early
stages seems to appear quite fast. Usually it takes more time to
get clues and access to the information needed for analysis
Every clue counts – pictures,
video, and location play an
important role in helping
investigators.
There is a tradeoff between
timely, high-quality, and
complete information. You
can‟t have all 3 simultaneously.
New York Dept. of Health is using
modern Android tablet-based tools
prepared by InSTEDD that allow
capturing and reporting multimedia
from the field.
| real-time investigations
InSTEDD provides tools for curating
real-time streams of
information, helping find outlier
health events, and filter out routine
or noisy data with aid of machine
learning.
GLOBAL CHALLENGES | our work
In the movie, the investigation is global. It is too late. The
ultimate goal is to contain and slow down outbreaks at their
source. And no one knows better how to do that than the people
who live there.
InSTEDD tools get used
everyday in surveillance and
have been repurposed by the
users on the go – to respond to
floods, or track new diseases.
| global & local
InSTEDD Innovation Labs are
teams of designers, tech savvy
and entrepreneurial people that
invent & build the technologies
their communities need. Photo: the iLab in Phnom Penh, Cambodia
people know best what‟s going
on in their own community.
most tools are designed for
narrow purposes – outbreaks
demand more free-form
collaboration.
in challenging settings, local
innovators are the best suited
to design tools that will be
ultimately adopted.
GLOBAL CHALLENGES | our work
In the movie, international agencies such as CDC and WHO play
a crucial role in coordinating the investigation and response.
These days, a new form of organization is emerging that can
complement their function: Regional networks of neighboring
countries.
| WHO, CDC & regional networks
Diseases don‟t respect borders
and don‟t need a visa. Movement
of animals and workers is a
major force in disease spread.
Investigators in neighboring
countries need to build trust
before events happen.
The politics of each outbreak are
different. Outbreaks can be
matters of national security.
InSTEDD supports the Mekong
Basin Disease Surveillance
Network (MBDS) with mobile tools
on sentinel border sites, that help
track outbreaks as they cross
borders.InSTEDD technologies work
internationally allowing agencies
to share appropriate information,
securely, and 24x7. Users include
SE Asia country governments
(incl. China & Vietnam)
GLOBAL CHALLENGES | our work
In CONTAGION, technology doesn‟t really take a primary role, and
technologies seem to exist that provide instant display and
understanding of data. But what happens when agencies with
disparate systems need to work together?
the quality, sources and
formats of relevant
information can’t be
predicted.
standards are not widely
implemented and supported,
and need to be updated.
technology needs to adapt to
the users, not the other way
around.
InSTEDD works closely with our
users, listening and iterating. We
build and integrate custom
systems when requested and
provide the InSTEDD platform as
open source.
| agile technology design
As the 2009 H1N1 outbreak
developed, InSTEDD provided
WHO with geoclustering tools that
allowed them to compare reported
vs. confirmed case spread based
on their internal systems.
GLOBAL CHALLENGES | our work
CONTAGION shows how modern society can get easily disrupted.
Helping people with the information they need to help themselves
is not done enough, even though the technology exists.
| information to those in need
Supply chains, transportation,
and other infrastructures are
fragile.
Lack of information amplifies the
deaths and suffering of any event.
Mobiles are an not used enough
to provide personally relevant
information to victims of an event
InSTEDD provided AlertNet with
the technology to send SMSs with
aid information to tens of
thousands of survivors of the Haiti
earthquake. 85% of recipients
acted differently as a result.
InSTEDD provides the American
Red Cross with tools that save key
members hours in the activation of
community volunteers during
times of crises
“Information is a vital form of aid in itself… Disaster-affected people need information as much as water, food, medicine, or shelter.
Information can save lives, livelihoods and resources.”
- World Disaster Report
GLOBAL CHALLENGES | our work
CONTAGION shows: “Nothing spreads like fear”. In our world
information flows rapidly via mobiles and replicates via wide social
graphs like Twitter and Facebook. Is this being harnessed for good?
| official & crowdsourced data
there is nothing inherent in social
networks/media to make their
information tend to the truth.
the truth itself may be unverified,
complex, and open raw data is
typically not available or trustworthy.
response agencies are not social-
media savvy, and their messages
are easily overrun.
InSTEDD’s TaskMeUp and Riff tools
allow teams to sift through live
streams of information like tweets,
news, blogs and SMS – combining
crowd-, expert-, and algorithm-
sourced data.
Simple mobile tools from InSTEDD
speed up the validation of what’s
really happening and educate health
workers and reporters on what to
look for.
At InSTEDD, we
envision a world
where communities
everywhere design
and use technology
for their health,
safety and
development.
Learn more at
http://instedd.org
@instedd
Pictures from the movie Pictures from our daily work
| rural & urban
| sharing information
| real-time investigations
| global & local
| WHO, CDC & regional networks
| agile technology design
| official & crowdsourced data
are these topics interesting? Learn more about…
| information to those in need
http://instedd.org/technologies/
the technologies that make a difference
http://instedd.org/iLabs/
the iLabs where social needs meet innovation
http://instedd.org/our-work/consulting/
http://instedd.org/our-work/projects/
the projects with local impact and global reach
http://instedd.org/ @instedd
http://ilabamericalatina.org
All ™, ® and © contents –names, texts and logos- are property of their respective owners.
CONTAGION is a Warner Bros. Pictures trademark.
The InSTEDD logo is © InSTEDD.
This presentation is shared under Creative Common: CC-by-nc-nd
No celebrities were harmed during this research.
…and dozens of agencies, groups, foundations, companies, social enterprises InSTEDD is proud to
collaborate with…
This wouldn’t have ben possible without….
Everyone who worked on Contagion… ..and everyone who works in public health every day