Geneva, Switzerland, April 2012 Healthcare ICT in disaster-stricken area and hints to e-Health standards Masahiro Kuroda Manager, Standardization Promotion Office, National Institute of Information and Communications Technology Joint ITU-WHO Workshop on e-Health Standards and Interoperability (Geneva, Switzerland, April 2012)

Disaster Recovery Stage of 311 Geneva, Switzerland, April Phase 0 (- 24h) Initial emergency Phase 1 (-72h) Urgent measures Phase 2 (30days) Temporary measures Cut lifeline utilities Confusion by evacuees increase Increase constipated people … … 2013 Health-check kiosk at a center Open centers in temp. houses The second stage The first stage 4

1 Year After the Disaster Geneva, Switzerland, April More than 344 thousand evacuees More than 53 thousand temporary houses and 88 thousand rental housings 900 temporary housing communities

Health-check Kiosk in Community Geneva, Switzerland, April Sphygmomanometer Android IC card Sensor and IEEE Height Management screen USB coordinator Send measured data A support center To family doctor BP … BP Kiosk Scale Community

Healthcare ICT Prevent lifestyle-related illnesses for incipient and healthy people Hypertension(H), Abdominal obesity(O), Glucose intolerance(G), Lipidemia(L) and so on Alcohol(A) Smoking ( S 1 ) Salt intake(S 2 ) Saturated fat(S 3 ) Stress ( S 4 ) Sleeplessness(S 5 ) Lack of Exercise(E) and so on Lifestyle- related illness Lifestyle irregularity Living environment change … 5 From Prof. Osamu Tochikubo, Medical School, Yokohama City University

Feedback Loop of Preventive Medicine Analysis bank Meal delivery industry Association of preventive medicine Hospital Acute care hospital General medical checkup Nutritional supplements or exercise instruction Sensor selection Ear-type blood-flow meter Salt meter etc Pedometer Ring-type SpO2 sensor Accessory-type ECG Health industry Ubiquitous sensing Wrist-watch type pulsimeter 9.4 g 6 Body Area Network (BAN) From Prof. Osamu Tochikubo, Medical School, Yokohama City University

Solution to Aging Population Japan* : National Institute of Population and Social Security Research From France Germany England Italy Sweden U.S.A. Korea China Japan* Japan (UN) Over 65 years old 7

Breath and SpO2 sensors during sleep Android terminal (BAN coordinator) SpO2 sensor Breath sensor on bed Breath sensor Heart rate analysis during sleep BAN consisting of a breath sensor and a ring-type SpO2 sensor used as a fail-safe system at night At night it is difficult to wear if the sensor becomes an obstacle 8

Watch-type pulsimeter with accelerometer Heart beat Body movement Time (Hour) HR (bpm) Duration 23:41:00-19:55:04 Evaluate stress for preventive medicine during daytime as a component of BAN 9 From Prof. Osamu Tochikubo, Medical School, Yokohama City University

IEEE Published NICT contributes to the administration by providing the vice chairman and secretary First Medical BAN Standard Activities to Achieve International Standard) May 2006: BAN Interest Group (IG) established … Feb 2012:IEEE Standard published 10

IEEE PHY NB PHY UWB PHY HBC Media Access Control (MAC) 1 common MAC with 3 PHYs From ieee tutorial 11

Geneva, Switzerland, April Short-range Wireless Candidates for Healthcare May not enough for Medical/Healthcare ISO/IEC TypeA, TypeB IEEE (Bluetooth) IEEE (ZigBee) Medical BAN just published IEEE : Low energy+QoS+Priority control and PHYs Appear in the near future IEEE j (2.36GHz) targeted for U.S. IEEE n targeted for China

Geneva, Switzerland, April Healthcare BAN toward e-Health Simple and efficient data format Work on a coin-size rechargeable battery Common media access Accommodate various PHYs Quality of service and priority control Low-energy modulation/demodulation Mature technology Spectrum allocation depending on area

Conclusions and Recommendations Explained commonality of Healthcare ICT in disaster-stricken area and aging society Introduced IEEE and targeted sensors and BAN Listed up various short-range wireless communications It is time to create an standard of BAN for healthcare ICT toward e-Health 14

Before and After Wireless sensors and a BAN 15

Thank you 16