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The4thIndustrialRevolu3onandDevelopingCountries
I8yIslam
CEOMiupBD
+8801730058920+447817932685
PresentedatConsor,umforthe4thRevolu,on|Execu,veBriefingDay(#C4IR)Cambridge,UK2-3February2017|www.cir-strategy.com/events
Key Themes
• The4thIndustrialRevolu3onwillaccelerateglobaliza3on• DevelopingCountrieswillbethenewdriverofinnova3on• ReverseTechnologicalDiffusion• CaseStudy1:MiupHealthAI• CaseStudy2:BracX/DeIaDisrup3veTechnologiesFund
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-9852114
MiupHealthAr3ficialIntelligenceSystem(AIS)I8yIslamCEO,MiupBangladesh
TMI: Too Much Informa>on
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-98521145
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-98521147
The Opportunity: Using AI in BD Healthcare
• Technology,andspecificallytheapplica,onofAr,ficialIntelligence(AI)canplayanimportantroleinachieving health goals, bridging the gap between resource limita,ons and allowing con,nuedimprovementinhealthcaredelivery.
• Weseethepoten,alforadap,ngandleveragingtherapidimprovementsincogni,vecompu,ngandAI tohelpdeliverhigherquality andmore cost effec,vehealth services in lessdeveloped countriessuchasBangladesh.
• InthecaseofBangladesh,thenumberoftrainedmedicalpersonnelistoolowforadequatecoverageofthewholepopula,on.Thereareonlyaround3.6physiciansand1nurseper10,000individuals.
• This is aggravated by the geographical misdistribu,on of the staff, with only 16% of the doctorsopera,nginruralfacili,es.
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-9852114
8
USING MEDICAL DIAGNOSIS AI CAN SOLVE MANY ISSUES
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-98521149
Mobile Health Apps Enjoying Rapid Growth
• T h e g l o b a l m a r k e t f o rh e a l t h c a r e , w h i c h w a ses,matedtobeworth$10bnin2015,isforecasttogrowat15%annually to reach $ 31 bn by2020.
• The global market for AI inhealth is forecast by Frost &Sullivan to increase almost tenfoldfrom$633.8millionin2014to$6,662.2millionin2021.
• Mobile Health Apps havebecome increasingly popularand effec,ve in developedcountries.
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-985211410
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-985211411
What is Health AI?
Our system: Bayesian Ar>ficial Intelligence with input of Doctors decision making process of Bangladesh and Developed countries like Japan
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-985211412
Conven>onal Medical Diagnosis by Medical Doctor
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-985211413
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-985211414
MIUP AI: The Four Key Product Offerings
ProductName Dr.Miup
Category MedicalApp
Opera3ngSystemAndroid&IOSLaunch 2017Language English&Bangla
Target
1. Bangladeshlowerincomegroup(viahealthcareworker)
2. Bangladeshupper&middleclass
CheckSymptoms
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-9852114
ProductOverview
MainFunc3ons Details
SymptomChecker Symptomcheckergivesyoualistofpossiblediagnosesbasedontheinforma,onyouenter.Theinforma,onincludestheuser-expressedsymptoms,age,gender,andseriesofques,onsaboutthesymptoms.
PDKCheckup&RiskAssessment
EvaluatesthechronicdiseaseriskonthebasisofthetestvaluesfromPDKandmedicalques,onnaire.Thesystemcategorizesthehealthcondi,onto4riskstagesandreportstheindividual'shealthstatus.Forthepeoplewith:Highhealthrisk-themachinedirectsthepa,enttoseeadoctor.Moderaterisktolow-themachinewilladvisetheusertobehealthierbycommen,ngontheirac,vi,es,exerciserou,ne,diet,sleeppaeernandotherlifestyle,ps.Norisk-noadviserequired.
Book/ConsultDoctor Userscanbookanappointmentwiththedoctorthroughvideochat/inpersonthroughahospitalvisit.Achatfunc,onisalsoavailableforuserstoaskques,onstomedicalprofessionals.
Gene3cTes3ngThesystemwillanalyzethegene,cmakeupofan individual’sgenomethroughabuccalswabandthenprovidetheuserwithareportthatwillsupporttheirdecisionmakingprocessfortheirhealthandwell-being.
Addi3onalFeatures MedicalDic,onaryMySchedule–trackappointments
ProductComponents
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-985211417
1. The Symptom Checker
Answer the medical questionnaire
Choose the body part where they have a symptom
3-step for symptom checker Choose 1 Answer 2 Result 3
A list of probable diseases displayed. If urgent an alert is
sent to see a doctor.
CheckSymptomsCheckSymptomsCheckSymptoms
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-9852114
SymptomChecker
§ The Symptom checker gives you a list of possible diagnoses based on the information the user has entered. § Patient specific entries
include: age, gender, and series of questions about the symptoms
Selectthepartofthebodypartwhereyouhaveasymptom
Answertheques,onnairetoevaluatepoten,aldiseaseriskforyoursymptoms
CheckSymptomsCheckSymptoms
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-9852114
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-985211420
2. PDK Checkup & Risk Assessment
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-9852114
MajorDiseasesinBangladesh&Cost
21
Major Diseases in Bangladesh
Sl. Disease Disease-Specific Required Tests
Cost of Test
1 Lower Respiratory Infections CBC & CXR P/A View 600
2 Chronic Obstructive Pulmonary Disease CBC & CXR P/A View 600
3 Ischemic Heart Disease ECG, Trponin I, CK-MB, Lipid Profile 2500
4 Stroke CT Scan of Brain 2500 5 Tuberculosis CBC, CXR PA view, MT 800
6 Diabetes FBS, 2ABF, HbA1c, S. Creatinine, Lipid Profile 1600
7 Cirrhosis USG of HBS, Alk Pho, Acitic fluid 1000
8 Neonatal Encephalopathy CSF Study 300 9 Preterm Birth Complications
10 Hypertension ECG, S. Creatinie, Lipid Profile 1000
11 Hyperlipidemia Lipid Profile 600
12 Cardiovascular Diseases ECG, Lipid Profile, RBS, S. Creatinine 1000
13 Cerebrovascular Diseases CT Scan of Brain 2500
14 Chronic Kidney Diseases S. Creatinine, Urea, Albmin, UA, Urine R/R 1000
15 Malaria ICT 300
16 Dengue NS1 Antigen, CBC, Anti Dengue Ab 1500
17 Filariasis CBC PBF, CXR PA 600 18 Leishmaniasis CBC, BM, 1200 19 Kala-azar ICT, CBC, BM 1500 20 STDs VDRL, TPHA 500
21 Hepatitis S. Blirubin, SGPT, SGOT, HBsAg, USG of HBS 1500
The tableon the rightshows some of themajor diseases inBangladesh and thecost of medical testsneeded to screen forsuchdiseases:
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-9852114
ZeroCost&LowCostTests
22
RiskPredic3onSystemCanReduceMedicalCheckCost
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-9852114
Addi3onalMedicalTests $26.8 1,000 $26,750
Includes: InBDT: InDollar:
HbA1c[400] BDT400 $5.0
HDL[200] BDT200 $2.5
LDL[300] BDT200 $2.5
TG[200] BDT200 $2.5
Hb% BDT100 $1.3
TC BDT100 $1.3
DC BDT100 $1.3
ESR BDT100 $1.3
PC BDT100 $1.3
CBC[200] BDT200 $2.5
Crea3nine[70] BDT70 $0.9
BUN[70] BDT70 $0.9
AST[100] BDT100 $1.3
ALT[100] BDT100 $1.3
TotalBilirubin BDT100 $1.3
TotalCostBDT2,140 $26.8
Result 4
DataistransferredfromPDKtomiup
applica3on
ThePDKdeviceisusedtoregisterpa3entandrun
diagnos3ctests
4-step for risk assessment Patient Registration and PDK checkup
1 Data Transfer 2
Usersarecategorizedinto4riskcategories
Advice/ Suggestion 3
HEALTHADVICE
Theuserisprovidedhealthadvise.Ifhighriskthentheuserisdirectedtoseeadoctor(telemedicine/inpersonconsulta3on)
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-9852114
Past Approach to Health Reac>ve…Future Proac>ve
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-985211425
catch-health.org
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-985211426
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-985211427
3. Telemedicine
Schedule an appointment. Users can choose between a video
conference or in person hospital visit
Call or visit doctor in person
Choose a doctor from the database
3-step for Video consulting and/or hospital book
Choose 1 Book 2 Call/visit 3
OR
Basedontheresultsofthe
RiskAssessment,a
usercancommunicate
withadoctor
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-9852114
VideoConferencingFeatures
Videoconsul,ng
Chatfunc,onstoaskques,onstodoctor.
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-9852114
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-985211430
4. GeneMc TesMng
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-985211431
WHO2005GenomicsReport:"ThemajorargumentoftheGenomicsandWorldHealthReportisthatgene3cs,andevengenomics,shouldnotbeconsideredluxuriesbeyondthereachofdevelopingcountries.Rathertheyaretoolsthatpresentopportuni3esforaddressingthespecificneedsofthepoor,eitherthroughtechnologytransferorthroughthedevelopmentofendogenouscapacity.Forexample,besidesthevalueofgene3ctestsinprovidingservicesofimmediatepublichealthbenefit,thereportclaimsthatgene3cshasasecondadvantage:itlaysafounda3onforthedevelopmentofskillsandexper3seinDNA-basedtechniqueslikegenomics,openingthedoortoapowerfulresearchpla]ormwithpoten3allywideapplicabilityinthehealthsphereandbeyond.“
hep://www.who.int/genomics/FullReport.pdf
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-9852114
Gene3cTes3ng
WhatisPharmacogene8cs?
§ Technology that analyzes how gene,c makeup affects an individual’s response tomedica,on.
Whyshouldyoubetested?
§ Pharmacogene,c tes,ng is the cornerstone of personalized medicine. Determininghowwellyoumetabolizemedica,onraiseschancesofaposi,veoutcomeandreducespossibleadversedrugrelatedreac,ons.
Howdoesitwork?
§ PersonalizedMedicinestartswithabuccalswab,rubbedontheinsideofyourcheektocollectcells.
§ Your doctor will then get a detailed report that will help them make the mostinformeddecisionspossiblewhenprescribingyourmedica,ons.
32
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-985211433
Commercial Strategy
Business-to-Business Strategy
Whilewebelievethatpriori,zingaB2Cstrategymakessense,wealsoplantodevelopcustomizedB2Bversionsoftheappforanumberoftargetmarketsegments:
1. BracHealth:WeproposeofferingaRiskAssessmentservicethroughouttheBRACnetworkini,allyviathe97,000BRAChealthworkersinbothurbanandruralareasusinganewlydevelopedPortableDiagnos,cKit(PDK)andadetailedques,onnaire.
2. Pharmacists:AcustomisedversionofourmobilehealthappwillbeofferedtopharmacistsalongwithPDKs,whichwouldallowthemtoprovidebasichealthadviceandconnecttheircustomerstodoctorswhocandovideoconsulta,onsandgiveeprescrip,ons.
3. RMGSector:Webelievethatifwecanpersuadeglobalgarmentbuyerstopriori,seworkerhealth,thenfactoryownerswillbecomemoreenthusias,caboutsponsoringandimprovingtheiremployeeshealth.Wealsoplantoofferhealthcer,fica,onforthosefactoriesthathavedonethehealthriskscreening.
4. ProfessionalClinicalDiagnos3cSystem
MIUP Corporate Office: Suite 2, Celebration Point (5th floor), Plot – 03, Road – 113/A, Gulshan – 2, Dhaka-1212, Tel: (880)-2-985211434
Commercializa>on of Big Data • Bigcommercialopportunityistheaccumula,onofthe10million+bigdataset.
• Developingaclearstrategyformone,singthishealthbigdatawillbethekeytomaximizingtherevenuesandincreasedvalua,onoftheBRACMiupbusinessinthefuture.
• Theincreasedvalua,onscompaniesinvolvedinHealthBigDataandAIisunderlinedbytheaggressiveacquisi,onstrategyofIBMwhichhasspentover$4bninthepast12months.
• CBInsightsiden,fied32companiesthatarealreadyapplyingmachinelearningtechniquesandpredic,veanaly,cstoreducedrugdiscovery,mes,providevirtualassistancetopa,ents,anddiagnoseailmentsbyprocessingmedicalimages,amongotherthings.The32startupsonthelisthaveraisedmorethan$530Minaggregatefunding.