POTENTIAL TECHNOLOGIES TO SOLVE COMMON HEALTH PROBLEMS IN SOUTH EAST ASIA COUNTRIES PROF. DR.-ING. EKO SUPRIYANTO FACULTY OF BIOSCIENCES AND MEDICAL ENGINEERING, UTM, MALAYSIA FACULTY OF MEDICINE, UNPAD, INDONESIA GAST MEDICAL TECHNOLOGIES CONFERENCE SINGAPORE, 8 NOVEMBER 2012
OUTLINE SEA NATIONS COMMON HEALTH RELATED PROBLEMS POTENTIAL TECHNOLOGIES PROPOSED TECHNOLOGIES IMPLEMENTATION STRATEGY 2
SEA NATIONS TIMOR LESTE 3
SEA NATIONS 4
SEA NATIONS 5
SEA NATIONS Brunei 6
SEA NATIONS Cambodia 7
SEA NATIONS East Timor / Timor Leste 8
SEA NATIONS Indonesia 9
SEA NATIONS Laos 10
SEA NATIONS Malaysia 11
SEA NATIONS Myanmar 12
SEA NATIONS Philippines 13
SEA NATIONS Singapore 14
SEA NATIONS Thailand 15
SEA NATIONS Vietnam 16
COMMON HEALTH RELATED PROBLEMS Country Life Expectancy LE World Rank Infant Mortality Brunei 75.74 49 12.27 Cambodia 62.10 142 54.79 East Timor 67.27 122 40.65 Indonesia 70.76 104 29.97 Laos 56.57 158 77.82 Malaysia 73.29 79 15.87 Myanmar 63.39 138 47.61 Philippines 71.09 100 20.56 Singapore 81.98 2 2.31 Thailand 73.10 81 17.63 Vietnam 71.71 94 22.8 Source: World Health Rankings (190 countries, 2012) 17
COMMON HEALTH RELATED PROBLEMS Death by TOP 50 CAUSES: BRUNEI 18
COMMON HEALTH RELATED PROBLEMS Death by TOP 50 CAUSES: CAMBODIA 19
COMMON HEALTH RELATED PROBLEMS Death by TOP 50 CAUSES: INDONESIA 20
COMMON HEALTH RELATED PROBLEMS Death by TOP 50 CAUSES: LAOS 21
COMMON HEALTH RELATED PROBLEMS Death by TOP 50 CAUSES: MALAYSIA 22
COMMON HEALTH RELATED PROBLEMS Death by TOP 50 CAUSES: MYANMAR 23
COMMON HEALTH RELATED PROBLEMS Death by TOP 50 CAUSES: PHILIPPINES 24
COMMON HEALTH RELATED PROBLEMS Death by TOP 50 CAUSES: SINGAPORE 25
COMMON HEALTH RELATED PROBLEMS Death by TOP 50 CAUSES: THAILAND 26
COMMON HEALTH RELATED PROBLEMS Death by TOP 50 CAUSES: TIMOR LESTE 27
COMMON HEALTH RELATED PROBLEMS Death by TOP 50 CAUSES: VIETNAM 28
COMMON HEALTH RELATED PROBLEMS Country 1 2 3 4 5 Brunei Diabetes Heart Hypertension Stroke Accident Cambodia Pneumonia TB Heart Stroke Hyperte East Timor Malaria TB Heart Birth Pneuom Indonesia Heart Pneum Stroke Lung TB Laos Heart Pneum Stroke Lung TB Malaysia Heart Stroke Pneumonia Accide HIV Myanmar Other Injur Heart Pneumonia Stroke TB Philippines Heart Pneum Stroke TB Hypert Singapore Heart Pneum Stroke Lung C Colon C Thailand Stroke Heart Diabetes Lung Accident Vietnam Stroke Heart Lung TB Liver C Source: World Health Rankings (190 countries, 2012) 29
COMMON HEALTH RELATED PROBLEMS Country Brunei Life Expectancy Health Infrastructure Infant Mortality Medical Assistance Common Health Problem Cambodia East Timor Indonesia Laos Malaysia Myanmar Philippines Singapore Thailand Vietnam Excellent criteria Average criteria Below average criteria Source: World Competitiveness Yearbook (2010-2012) 30
COMMON HEALTH RELATED PROBLEMS Low life expectancy in few countries Lack of health infrastructure in most countries High infant mortality in most countries Lack of medical assistance in most countries Unsolved common health problem in some countries 31
Potential Technologies Technology to support healthy life style Low cost medical devices with acceptable quality to improve health infrastructure Technology to reduce infant mortality rate Technology to increase access to medical assistance Technology to solve common health problem 32
Potential Technologies Technology to support healthy living style Health monitor Vital Sign Monitor Bioimpedance analyzer Physical exercise devices Technology to increase access to medical assistance Telehealth 33
Potential Technologies Low cost medical devices with acceptable quality to improve health infrastructure And technology to solve health common problem Portable digital X-Ray (TB, Accident, Lung) Portable ultrasound (cancer, heart, prenatal) Blood glucose monitor (Diabetes) Blood analyzer (HIV) ECG (Heart) Blood pressure monitor (hypertension) Low cost biosensor (diabetes, cancer, etc) 34
Potential Technologies Technology to reduce infant mortality B-Mode ultrasound machine Doppler fetal monitor Blood pressure monitor Urine analyzer Blood analyzer Telehealth 35
Potential Technologies Technology requirement Low cost Standard compliance (safety and quality) E-health access User friendly (language and human factors) Portable / mobile 36
Proposed Technologies (1) Integrated Remote Prenatal Monitor (IRPM) 37
Proposed Technologies (2) Integrative Health Monitor 38
Proposed Technologies (3) Low cost HPV DNA rapid detector 39
RANKING OF CERVICAL CANCER TO OTHER CANCERS AMONG ALL WOMEN 40
METHOD OF CERVICAL CANCER DETECTION Pap Test Colposcopy Medical Imaging HPV DNA Test 41
Results and Analysis: CLINICIAL TESTING Comparison of PAP Test and HPV DNA Testing 60 40 20 0 PAP TEST +ve HPV +ve PAP TEST - ve HPV - ve Patient with +ve Pap test, 47 out of 50 (94%) tested +ve for HPV DNA Patient with ve Pap test, 38 out of 50 (76%) tested ve for HPV DNA It is possible that the patient are in early stage of HPV infection undetectable with Pap test 42
YOU ARE INVITED THANK YOU 43