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May 31, 2012

Médecins Sans Frontières Scientific Day 2012

Posted by in categories: complex systems, geopolitics, policy, sustainability

Every year Médecins Sans Frontières/ Doctors Without Borders (MSF) hold a conference to present scientific research carried out by their teams from different parts of the world. This year’s conference highlighted some of the strategic challenges facing MSF, and challenged some of our conceptions of medical humanitarian aid, and international development in light of groundbreaking digital technologies. We are as Paul Conneally passionately articulated in his keynote speech – Digital Humanitarian – ‘on the cusp of a global health revolution’.

Some of the groundbreaking technologies touched upon included crisis mapping, a technology that is still in its infancy, and the era of big data. The possibilities of how healthcare and humanitarian aid will be transformed by the convergence of ideas and technologies were evident in the poster session; humanitarian technology applications showed refugee camps in Kenya being monitored using satellite imagery and a humanitarian field software kit called joekit. Of the talks demonstrating real world examples, a talk by Isabella Panunzi on teleradiology proved to be immensely inspiring.

Isabella’s talk on her experience of applying teleradiology to improve diagnosis of tuberculosis in Thyolo District Hospital, Malawi showcased humanitarian innovation at its best. X-rays are taken at the Malawi hospital and the images are then sent to radiologists in the USA to interpret the images. As a result teleradiology has reduced critical delays and missed diagnosis of TB. This example of digital humanitarianism symbolises a small fraction of what can be potentially achieved in transforming our world. It opens up new possibilities in the transfer of technology and knowledge to the developing world. It also highlights the need for a different approach to modelling the strategic challenges of medical humanitarian aid and international development, and this is where complexity thinking and science can bring together different parts of problems and solutions to construct true holistic solutions.

A talk by Jonathan Smith, lecturer in Global Health and Epidemiology of Microbial Diseases at Yale University, brought together the disciplines of the arts and sciences as he gave an inventive take on using research in the digital age. Visually documenting disease and connecting the ‘emotional component to epidemiological data’ is extremely powerful to create change in global health observed Jonathon, as he showed part of a documentary film he is directing, ‘They Go to Die’, a film about,

four former migrant gold minework­ers in South Africa and Swazi­land who have contracted drug-resistant tuberculosis (TB) and HIV while working at the gold mine. When the miners fail to improve their TB status at the mining hospital, they are sent home to rural areas of South Africa often with no continuation of care or means for treatment. This practice is often referred to as “sending them home to die” by leading health officials. The film raises concerns of disease and human rights violations uniquely though the context of life, love, and family; unlike traditional health films, it focuses on relationships and bonding, not death and disease. It is a film of uniting across cultures and paints a portrait of common humanity.

Jonathon is spearheading the Visual Epidemiology Project, a really exciting project ‘that will integrate sensory engagement (film, artistry) with academic discourse’ and ‘produce future academically valid documentaries on other global health issues.’

I feel like picking up a film camera.

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