Telemedical activity in India Telemedical activity in India SGI 2010 - - PowerPoint PPT Presentation

ASIA-PACIFIC ADVANCED NETWORK 31st MEETING 21 25 FEB 2011 HONG KONG 21-25.FEB.2011 HONG KONG

Telemedical activity in India Telemedical activity in India SGI 2010 and more SGI 2010 and more

U Satyanarayana

Asian Institute of Gastroenterology Hyderabad, India.

“India lives

in its villages” villages

Mahatma Gandhi

Health Health Scenario Scenario in in India India Health Health Scenario Scenario in in India India

620 million live in rural India (NCAER) Bed-Population ratio 1:1333 (1991) Vs. ideal of 1:500

Bed Population ratio 1:1333 (1991) Vs. ideal of 1:500

2 million beds are required as against 0.7 million available. 700 hospitals of 250 beds each are required every year.

• nly 9% of 1 billion people are covered health schemes.

5% of annual family income spent towards curative health

care care.

Need for Telemedicine in India Need for Telemedicine in India Need for Telemedicine in India Need for Telemedicine in India

A recent survey by the Indian Medical society has found

• 75

75% % of

• f qualified

qualified consulting consulting doctors doctors practice practice in in urban urban areas areas and and 23 23% i i b

• 23

23% in in semi semi urban urban areas areas

This leaves just 2 percent of the qualified doctors, who are attached to about 23,000 primary health and 3000 community health centers, t tt d t 70 t f th l ti li i i ill to attend to 70 percent of the population living in villages.

N d f T l di i i I di N d f T l di i i I di Need for Telemedicine in India Need for Telemedicine in India

This This calls calls for for innovative innovative method method of

• f utilising

utilising science science and and technology technology for for the the benefit benefit of

• f Rural

Rural population population in in India India. . Adaptation Adaptation of

• fTelemedicine

Telemedicine technology technology offers

• ffers one
• ne of
• f the

the best best

• ptions
• ptions for

for delivering delivering healthcare healthcare for for rural rural & & geographically geographically distant distant population population spread spread across across India India. . p p p p p

Telemedicine Telemedicine Telemedicine Telemedicine

Telemedicine Telemedicine is is practiced practiced on

• n the

the basis basis of

• f two

two concepts concepts: : Store Store‐and and‐forward forward (asynchronous) (asynchronous) and and Real Real time time (synchronous) (synchronous) ( y ) ( y )

Where Where do do we we use Telemedicine? use Telemedicine? Where Where do do we we use Telemedicine? use Telemedicine?

• Radiology

Radiology

• Cardiology

Cardiology

• Cardiology

Cardiology

• Orthopedics

Orthopedics

• Dermatology

Dermatology

• Psychiatry

Psychiatry

• Pathology

Pathology

• Training of doctors & paramedics

Training of doctors & paramedics

• Continuing Medical Education (CME) between Medical

Continuing Medical Education (CME) between Medical Colleges & Post Graduate Medical Institutions/Hospitals. Colleges & Post Graduate Medical Institutions/Hospitals.

Indian Space Research Organisation Indian Space Research Organisation

The telemedicine facility from ISRO connects the remote rural District

ISRO ISRO

Hospitals/Health Centre's with Super Specialty Hospitals in cities, through the INSAT Satellites for providing expert consultation to the needy and underserved population. About 1.5 Lakh patients are getting the benefits of Telemedicine every year.

1 MBPS 2 MBPS

Mobile Rural Health Care Mobile Rural Health Care Telemedicine Programme from from Asian Institute of Gastroenterology

Fully Equipped Mobile Hospital

• Upper GI endoscopy
• Ultra sound
• Emergency resuscitation unit
• Emergency resuscitation unit

Village Panchayat Office Edurum ondi Village, Krishna Dist

Details of Telemedicine camps Details of Telemedicine camps

No of Telemedicine Camps 529 No of Telemedicine Camps 529 No of Villages covered 4,837 No of Patients benefited 1,02,739 No of Endoscopy done 4,435 No of Endoscopy done 4,435 No of Ultrasound scans done 3,134

What Did We Learn What Did We Learn

Marked variation in Urban / Rural Incidence of Disease

Urban Rural Urban Rural Diabetes 15% <4% H.Pylori Bacteria 20% 80% Nutrition 20% 70% Worms

GI Cancers Same Incidence GI Cancers Same Incidence

“Gastrointestinal Map of Andhra Pradesh”

Using Telemedicine as a tool Using Telemedicine as a tool

October 2010 October 2010 October 2010 October 2010

Asian Institute of Gastroenterology is supposed to transmit Live NOTES supposed to transmit Live NOTES procedure to Seoul as part of SGI 2010 and we were asked to transmit these procedures using DVTS technology

?

Dr Shuji Shimizu Dr Shuji Shimizu

What we did What we did What we did What we did

DVTS software downloaded from the official website and

DVTS software downloaded from the official website and checked it through our internal network. checked it through our internal network.

Got the required Bandwidth from the private operator

Got the required Bandwidth from the private operator

Connected OT & other videos to the DVTS system using

Connected OT & other videos to the DVTS system using

Connected OT & other videos to the DVTS system using

Connected OT & other videos to the DVTS system using IEEE 1394 port

The Digital Video Transport System (DVTS) is a simple and inexpensive method of transmitting high-quality video and inexpensive method of transmitting high quality video and audio over the Internet.

Simple to operate Inexpensive (equipment)

End Endoscopy Equi Equipment Microph Microphone End Endoscopy Equi Equipment Microphone

• phone

Aud Audio Mix Mixer wit r with Am Ampl plifier

OT - OT - 1 OT - OT - 2

Speaker Speaker Speaker Speaker Ret Return rn Vid Video Cam Camcord

• rder

Vid Video Cam Camcord

• rder

DVT DVTS PC PC (Trans (Transmit and and Receiv Receive ) e ) Ret Return rn Aud Audio Ret Return rn Aud Audio Receiving iving Aud Audio Aud Audio (IEEE 1394) (IEEE 1394) Aud Audio and and Vid Video Trans Transmit Transmission smission Son Sony DV DV Recorder Recorder 30Mb 30Mb Vid Video and and Audi Audio 30Mb 30Mbps ps Pr Presentation entation Panas Panasonic MX70 X70 Vid Video Mix Mixer Receiving iving Panas Panasonic nic MX70 MX70 Vid Video Mix Mixer S-Vi S-Video deo Receiving iving Vid Video Transmission smission Video deo Transmission smission Video deo

Consultation Treatment Treatment C M E Live Operative Workshop’s

Medicine

W EDS W EDS

Technology

High quality High-quality moving image

• n a broadband
• n a broadband

Internet

The Future has Just begun!! J g

What next ??? What next ???

Thank you Thank you