Thoughtscapes

Sunday, August 09, 2009

Containing the H1N1

H1N1 is spreading. The response is still uncoordinated, slow, confused, messy and lacking a clear direction. What could a coordinated, quick, focused response look like? Here is a first look at a better coordinated system.

What if you could help yourself?

If you’ve got flu, you should be able to register yourself on phone, through an sms or on the internet. A quick set of questions should be able to assess if you need to be tested for H1N1. If you do, then the information system should schedule you for test on one of the 15 mobile collection centers closest to your home. You should be intimated during your conversation the expected time when the unit will visit you and conduct the test. At the same time the mobile unit would be sent an SMS of your location. The blackberry on the mobile unit would indicate the google map of your location and allow them to update the information system as soon as the sample is collected.

The collection team would do a collection round for three hours and then shift to another vehicle as the first one goes to drop off the samples. The collection vans would be fumigated every day.

Can the patients get the right medical attention at home in time?

The diagnostic centre would log the results onto the website minutes after the results. You get a telephone call, sms or email from a dedicated team responding to the web-site updates. The google map gets automatically updated to track positive locations.

The closest of the 15 mobile rapid action teams of doctors gets an sms alert and a map of the address their blackberry. The new patients would now be under medical advice at home within 3 hours of diagnosis. A quarantine team would also visit and advise the family, neighbors set up waste disposal mechanisms, provide masks and advise about hygiene. The family physicians would be contacted and advised on a daily check and reporting. Patients needing hospital attention would be shifted immediately.

Can the spread be contained through information?

All airlines, railways, buses would log passenger lists to a health check site. All patients are checked in these databases and co-travelers in the city are visited by the containment team for a quick check-up and advise.

All the classes in schools of children in the families of the travelers who were exposed to a patient would undergo a check every morning after a class assembly. School assembly to be discontinued immediately. The school medical team to register a case of flu on the phone, through the mobile or on the net. A special team would visit the school for containment, hygiene and closure advisory.

All the co-workers of a patient would undergo a check-up and advice within a day. Periodic follow-up would be scheduled as needed.

What if there was a health monitoring team?

Instead of the central government, state government, local government and the dozens of associated agencies making different statements, there would be a single agency that would report on the health, the advisories and the action plans. Different agencies would have to agree to the directives of this single agency and implement them.

Containing H1N1

Undoubtedly there is more than this needed. This is just a glimpse at an alternate way of dealing with the crisis. Do build the ways to contain this virus. We need more coordinated, focused and simple action and we are running out of time. Coordinate your efforts on Pune H1N1 Wiki.

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Monday, December 29, 2008

Tweet for Pune!

Imagine you could SMS to everyone. Imagine you could let everyone know there is a traffic jam at the University circle. Imagine you could send out an invite to the tree-planting drive on the Baner Hill. Imagine you could message the world that admissions open for the educational course you have been waiting for. Imagine you message out reports of malaria in your neighborhood or choose to report births, deaths, suspicious activities, new shops, sale offers, rentals….

Imagine as a government agency you message out water closures. Imagine you message out flood alerts, road closures or diversions, bus, train and air departures or arrivals, waste collection notices, new project announcements, vip visits, dates of elections, urls of actionable sites...

That’s like a twitter of birds- hundreds of messages all at once…No wonder that these public messages sent on the internet are called tweets.

Of course you do not want to have thousands of tweets clogging up your life and that’s why tweeters like @pravinnirmal are enabling location specific tweets on pages at the governance wiki. See the tweets at the bottom of this page on the governance wiki. Give it a try. This way you can see the tweets sent by anyone on a location on a page devoted to that location. You can even go edit that page and add your two-cents worth.

You can also signup on tweeter and choose to follow tweeters like myself, Barack Obama or anyone else! By following a tweeter you can see all the tweets the person sends out. Others interested in your tweets may choose to follow you too.

With the White House tweets, the US senate floor tweets, the US house floor and even the US Supreme Courts on twitter tweeting away, should the rest of the world be behind?

Cities in the US have begun tweeting. Look at: San Marcos, Texas, Greensborocity, North Carolina, Killeen, Texas, Round Rock, Texas, McAllen, Texas, Plano, Texas. The Police in Austin, Texas, are using tweets for law and order advisories, notices and quick reassurances.

Can we have our ward officers, the Pune Police, the Pune RTO, the Pune Collector, the PMC, the PCMC, the Cantonment Boards, the MIDC, the PWD, the telecom companies in Pune, the Income Tax commissionerate, the Service tax commissionerate, the Pune University and even the businesses in Pune tweet?

All this is simple and free. Just sign into Twitter and start listening to the whole world- or talking too! Well not exactly the whole world, but to the whole world signed into twitter. If you are a government agency or a business in Pune you may qualify for some help and customization to get your tweets increasing your impact and effectiveness. Just email cio.pune@gmail.com to request your office to show the way to the rest of India.

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