Tackling the Beast
Tackling the beast
Using GNU Health to help governments in the fight against the COVID-19 pandemic
Dr. Luis Falcon, MD, MSc [email protected]
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Freedom and Equity in Healthcare
GNU Health is, first and foremost, a Social Project
...with really cool technology
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. From GNU Solidario
Group pic from GNUHealthCon 2018 in Canary Islands
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Official GNU Package
Official GNU Package, from the Free Software Foundation Open Documentation Relies on free technology Friendly community
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. GNU Health Ecosystem
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. GNU Health ecosystem
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Projects from the GNU Health ecosystem
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. GNU Health snapshots
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D.
... GNU Health + Orthanc
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D.
... GNU Health Federation in Cancer research
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. GNU Health is about Social Medicine: People before Patients
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Health is a Fundamental Human Right
“No one should get sick and die just because they are poor, or because they cannot access the health services they need.” World Health Organization
The right to health for all people means that everyone should have access to the health services they need, when and where they need them, without suffering financial hardship.
https://www.who.int/mediacentre/news/statements/fundamental-human-right/en/
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Over 20000 Children die every day from Social Diseases
Europe Human Trafficking War Contaminated Water Malnutrition Drug abuse
Chagas United States Prostitution Tuberculosis Child Labour Domestic Violence Malaria HIV /AIDS
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Ditch Meat & Dairy: For the animals, for your health, for the Planet
Factory farming accounts for 37% of methane (CH4) emissions, 20 times the global warming potential of CO2.
* Extremely cruel * Animal exploitation linked to COVID-19, SARS, MERS, and other zoonotic diseases. * Stress → immunocompromise → ATB → Resistance * Milk / meat with ATB, Hormones, … * Linked to cancer and cardiovascular disease in humans
New England Journal of Medicine
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Transdisciplinary approach to health A GNU Health book of life is made of Biology Multiple pages and sources of Community Education information coming from the person and
a transdisciplinary team on Biological Nutrition Exercise Psychological multiple health centers and nodes Social at different times and contexts.
The GH Federation Health Affection Work Information System aggregates the Housing information to provide a holistic and unique picture of the person Gnuhealth.org and her health history and status
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Use of GNU Health in the context of COVID-19
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Domiciliary Units
Geolocalization w/ OpenStreetMap Number of people living in real time Structure and sanitary conditions Operational Sectors
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Health Institutions and Health professionals
Specialties Number of beds / OR Professionals Operational Sectors
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Demographics
Work Socioeconomic status Insurance status Family and contacts Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Screening
GNU Health mobil stations Point of care test PCR / Antibody Information updated in real time Patient isolation & contact tracing Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Clinical Management
Patient critical information Link to Dx Imaging and lab Condition history Medicaments Hospitalization Intensive Care Unit
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Contextualized patient information
Federation Account : ESPGNU777ORG Gene : BRCA1 (breast cancer 1, early onset) Locus : 17q21 Genetics Protein code : P38398 . URI : https://www.uniprot.org/uniprot/P38398 + Natural variant : VAR_007757 // p.Cys61Gly Family history Phenotypes: DI-02602: Breast Cancer . MIM Code : 114480 DI-01655: Ovarian Cancer . MIM Code: 167000 + Onset age : - Lifestyle Family history: Mother : C50.1 Malignant neoplasm central portion of the breast + Grandfather (maternal): Q87.4Marfan Syndrome Socioeconomics Medical History: Type 1 Diabetes (7y) / allergic to β-lactams // appendectomy (13y) Lifestyle: Ex-smoker //...
The GNU Health Federation can help finding the answer to many genetic natural variants of unknown clinical significance
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Vital Record System and Death Certificates
Vital Record System Medical, administrative and epidemological value Digitally signed (GNUPG
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. A proposal to our governments
Unique ID & history Person demographics and Public Money, Public Code ! medical history up-to- date no matter the health Libre Software: No institution she goes across hidden code, no the country blackboxes in healthcare.
Improve quality of care Health professionals have better and timely patient The health software will be information. Saving time a public good. and providing better healthcare
Empower the community Save millions of euros in The person is now an active licenses that can go to player in the system of improve the public health health system.
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Some projects around the World
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. From clinics in the African rainforest
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. To the largest hospitals in Asia
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. GNU Health and the World Health Organization - WHO
Malaria, TB and HIV modules Essential list of medicines Neglected Tropical Diseases ICD-10 ICPM WHO Immunization schedules Pediatric growth charts
Training sessions with WHO Africa regional officers GNU Health implementation at Bafia district Hospital, Cameroon with the World Health Organization
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. GNU Health and the World Health Organization - WHO
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Jamaica Public Health System
Started as a joint project between Government of Jamaica Ministry of Health and GNU Solidario
Local team
Sustainability and independence
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Red Cross / Cruz Roja
Cruz Roja Mexicana uses GNU Health, Over 300,000 evaluations / year
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. GNU Health at Laos public health
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. GNU Health Alliance of Academic and Research Institutions
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. GNU Health and the Academia
United Nations University, Kuala Lumpur,Malasia Univ. Palermo, Italy University of Entre Rios, Argentina
Harvard / MIT, Boston, United States Univ. Matanzas, Cuba
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Social Medicine
“Medicine is a social science, and politics is nothing else but medicine on a large scale” Rudolf Virchow
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Join us !
www.gnuhealth.org
@gnuhealth
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Become a member and get a Raspberry Pi !
www.gnuhealth.org/join
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D. Health must remain a non-negotiable human right
GNU Solidario first project :Santiago del Estero, Argentina, 2006
Flatten the Curve Summit April 21st, 2020 Dr. Luis Falcon, M.D.