Real-time dengue surveillance Global health learning across continents

Daniel Tisch, PhD

Center for Global Health and Diseases Case Western Reserve University

Image: http://commons.wikimedia.org/wiki/File:Brasil.Salvador.LacerdaElevator.jpg

Real-time dengue surveillance Global health learning across continents

1. History of course2. Course content3. Course structure4. Technology used 5. Relevance of technology to course content 6. Challenges7. Future applications8. Questions

History of Course

Gaps in global health learning

Course history Vision Grants Planning Technological implementation Classroom experience Follow-up and restructuring

Dengue virus and disease

Vector-borne disease Biological complexity Social complexity

Important in Brazil, exotic in the USA

Seasonal and episodic

Active national and worldwide surveillance

Partnerships

Case Western Reserve UniversityCleveland, Ohio Daniel Tisch, PhD Ronald Blanton, MD

Federal University of Bahia, Brazil Suani Pinho, PhD Guilherme Ribeiro, MD Gloria Teixeira, PhD

CDC, Dengue Branch, Puerto Rico D. Fermin Arguello, MD Jorge L. Muñoz-Jordán, PhD

Bahia State Secretariat of Health, Brazil Juarez Dias, PhD

Course structure 3 credit graduate course

CWRU INTH/EPBI/MPHP 447 UFBA ISCB92

Prerequisites Prior graduate coursework in epidemiology Ability to communicate in English

15 Weekly 3 hour sessions comprised of: 2 lectures across sites on shared theme Discussion or data analysis

Required reading from historic and recent literature

“Real” Data sets Historic and recent Puerto Rico surveillance data Historic and current Brazil surveillance data

Classroom

Sample View of Adobe Connect

Technology

Sony EVI-D70

Dell Dimension 4700 with Hauppage video card

ClearOne Chat 150 mic/speaker

Solo xTag wireless microphone

Additional web-cams

Relevance of technology to course content

Compress distance Interaction with colleagues Broaden access

Provide immediacy Live data

Concrete Imperfect Data driven hypotheses

Dependence on others Information in multiple sites Interpretation/translation

Challenges

Equipment delivery IT support Internet connection speed and reliability Technological imperfections Video format differences Academic year and holidays Time Difference (zone and DST) Language Weekly set-up

Summary

Content Content and global expertise necessitate the adoption of

these technologies Relationships and a shared vision were the driving force

behind application and impact of technology

Technology This “off the shelf” and “low cost” approach to shared

classrooms can work in these unique settings You get what you pay for – particularly in regard to ease of

use and image quality Though successful, we hope for improved technology

Human Connections

Human Connections

Human Connections

Future applications

Continue to build upon strengthened partnerships for research and education

Existing course is funded through 2011

Strong interest in expanding the course to other international collaborations Papua New Guinea Kenya

Thank you

CWRU University Center for Innovation in Teaching and Education (UCITE) T. Keith Glennan Fellowship

Dwayne Bible at CWRU MediaVision

Genevieve Mathieson at CWRU ITAC

Clinger Carvalho, UFBA IT

NIH Fogarty Center CWRU Framework for Global Health

NIH FIC R25 TW07735-03 CWRU Framework for Global Health Supplement

NIH FIC R25TW007735-03SI

Participating faculty and students