Precision global health in the digital age

被引:27
作者
Flahault, Antoine [1 ,2 ]
Geissbuhler, Antoine [3 ]
Guessous, Idris [4 ,5 ]
Guerin, Philippe J. [6 ,7 ]
Bolon, Isabelle [1 ]
Salathe, Marcel [8 ]
Escher, Gerard [9 ]
机构
[1] Univ Geneva, Inst Global Hlth, Geneva, Switzerland
[2] Univ Paris 05, Ctr Virchow Villerme, Paris, France
[3] Univ Geneva, Dept Radiol & Med Informat, Geneva, Switzerland
[4] Univ Hosp Geneva, Div Primary Care Med, Dept Community Med, Unit Populat Epidemiol, Geneva, Switzerland
[5] Univ Lausanne, Dept Ambulatory Care & Community Med, Lausanne, Switzerland
[6] Infect Dis Data Observ, London, England
[7] Univ Oxford, Nuffield Dept Clin Med, Ctr Trop Med & Global Hlth, Oxford, England
[8] EPFL, Sch Comp & Commun Sci, Sch Life Sci, Digital Epidemiol Lab, Zurich, Switzerland
[9] EPFL, Stn 1, Zurich, Switzerland
关键词
global health precision medicine; data science machine learning; open science; emerging infectious diseases; noncommunicable diseases; cell phone data; massive open online education; learning health care system; DRONES;
D O I
10.4414/smw.2017.14423
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Precision global health is an approach similar to precision medicine, which facilitates, through innovation and technology, better targeting of public health interventions on a global scale, for the purpose of maximising their effectiveness and relevance. Illustrative examples include: the use of remote sensing data to fight vector-borne diseases; large databases of genomic sequences of foodborne pathogens helping to identify origins of outbreaks; social networks and internet search engines for tracking communicable diseases; cell phone data in humanitarian actions; drones to deliver healthcare services in remote and secluded areas. Open science and data sharing platforms are proposed for fostering international research programmes under fair, ethical and respectful conditions. Innovative education, such as massive open online courses or serious games, can promote wider access to training in public health and improving health literacy. The world is moving towards learning healthcare systems. Professionals are equipped with data collection and decision support devices. They share information, which are complemented by external sources, and analysed in real time using machine learning techniques. They allow for the early detection of anomalies, and eventually guide appropriate public health interventions. This article shows how information- driven approaches, enabled by digital technologies, can help improving global health with greater equity.
引用
收藏
页数:5
相关论文
共 28 条
[1]   The Effect of Dosing Regimens on the Antimalarial Efficacy of Dihydroartemisinin-Piperaquine: A Pooled Analysis of Individual Patient Data [J].
Achan, Jane ;
Adam, Ishag ;
Arinaitwe, Emmanuel ;
Ashley, Elizabeth A. ;
Awab, Ghulam Rahim ;
Ba, Mamadou S. ;
Barnes, Karen I. ;
Bassat, Quique ;
Borrmann, Steffen ;
Bousema, Teun ;
Dahal, Prabin ;
D'Alessandro, Umberto ;
Davis, Timothy M. E. ;
Dondorp, Arjen M. ;
Dorsey, Grant ;
Drakeley, Chris J. ;
Fanello, Caterina I. ;
Faye, Babacar ;
Flegg, Jennifer A. ;
Gaye, Oumar ;
Gething, Peter W. ;
Gonzalez, Raquel ;
Guerin, Philippe J. ;
Hay, Simon I. ;
Hien, Tran T. ;
Janssens, Bart ;
Kamya, Moses R. ;
Karema, Corine ;
Karunajeewa, Harin A. ;
Kone, Moussa ;
Lell, Bertrand ;
Marsh, Kevin ;
Mayxay, Mayfong ;
Menendez, Clara ;
Mens, Petra F. ;
Meremikwu, Martin ;
Moreira, Clarissa ;
Mueller, Ivo ;
Nabasumba, Carolyn ;
Nambozi, Michael ;
Ndiaye, Jean-Louis ;
Newton, Paul N. ;
Thuy-Nhien Nguyen ;
Nosten, Francois ;
Nsanzabana, Christian ;
Omar, Sabah A. ;
Ouedraogo, Jean-Bosco ;
Penali, Louis K. ;
Pene, Mbaye ;
Phyo, Aung Pyae .
PLOS MEDICINE, 2013, 10 (12) :1-17
[2]   The effect of dosing strategies on the therapeutic efficacy of artesunate-amodiaquine for uncomplicated malaria: a meta-analysis of individual patient data [J].
Adjuik, Martin A. ;
Allan, Richard ;
Anvikar, Anupkumar R. ;
Ashley, Elizabeth A. ;
Ba, Mamadou S. ;
Barennes, Hubert ;
Barnes, Karen I. ;
Bassat, Quique ;
Baudin, Elisabeth ;
Bjorkman, Anders ;
Bompart, Francois ;
Bonnet, Maryline ;
Borrmann, Steffen ;
Brasseur, Philippe ;
Bukirwa, Hasifa ;
Checchi, Francesco ;
Cot, Michel ;
Dahal, Prabin ;
D'Alessandro, Umberto ;
Deloron, Philippe ;
Desai, Meghna ;
Diap, Graciela ;
Djimde, Abdoulaye A. ;
Dorsey, Grant ;
Doumbo, Ogobara K. ;
Espie, Emmanuelle ;
Etard, Jean-Francois ;
Fanello, Caterina I. ;
Faucher, Jean-Francois ;
Faye, Babacar ;
Flegg, Jennifer A. ;
Gaye, Oumar ;
Gething, Peter W. ;
Gonzalez, Raquel ;
Grandesso, Francesco ;
Guerin, Philippe J. ;
Guthmann, Jean-Paul ;
Hamour, Sally ;
Hasugian, Armedy Ronny ;
Hay, Simon I. ;
Humphreys, Georgina S. ;
Jullien, Vincent ;
Juma, Elizabeth ;
Kamya, Moses R. ;
Karema, Corine ;
Kiechel, Jean R. ;
Kremsner, Peter G. ;
Krishna, Sanjeev ;
Lameyre, Valerie ;
Ibrahim, Laminou M. .
BMC MEDICINE, 2015, 13
[3]  
[Anonymous], GUID TREATM MAL
[4]  
[Anonymous], 2016, ENG LEARN HEALTHC SY
[5]   Omics approaches in food safety: fulfilling the promise? [J].
Bergholz, Teresa M. ;
Switt, Andrea I. Moreno ;
Wiedmann, Martin .
TRENDS IN MICROBIOLOGY, 2014, 22 (05) :275-281
[6]   German Outbreak of Escherichia coli O104:H4 Associated with Sprouts [J].
Buchholz, Udo ;
Bernard, Helen ;
Werber, Dirk ;
Boehmer, Merle M. ;
Remschmidt, Cornelius ;
Wilking, Hendrik ;
Delere, Yvonne ;
an der Heiden, Matthias ;
Adlhoch, Cornelia ;
Dreesman, Johannes ;
Ehlers, Joachim ;
Ethelberg, Steen ;
Faber, Mirko ;
Frank, Christina ;
Fricke, Gerd ;
Greiner, Matthias ;
Hoehle, Michael ;
Ivarsson, Sofie ;
Jark, Uwe ;
Kirchner, Markus ;
Koch, Judith ;
Krause, Gerard ;
Luber, Petra ;
Rosner, Bettina ;
Stark, Klaus ;
Kuehne, Michael .
NEW ENGLAND JOURNAL OF MEDICINE, 2011, 365 (19) :1763-1770
[7]   When Google got flu wrong [J].
Butler, Declan .
NATURE, 2013, 494 (7436) :155-156
[8]   Google Trends: A Web-Based Tool for Real-Time Surveillance of Disease Outbreaks [J].
Carneiro, Herman Anthony ;
Mylonakis, Eleftherios .
CLINICAL INFECTIOUS DISEASES, 2009, 49 (10) :1557-1564
[9]   Pandemics in the Age of Twitter: Content Analysis of Tweets during the 2009 H1N1 Outbreak [J].
Chew, Cynthia ;
Eysenbach, Gunther .
PLOS ONE, 2010, 5 (11)
[10]   Remote Sensing of Climatic Anomalies and West Nile Virus Incidence in the Northern Great Plains of the United States [J].
Chuang, Ting-Wu ;
Wimberly, Michael C. .
PLOS ONE, 2012, 7 (10)