The Amazon Telemedicine Project for a Remote Indian Tribe Thais Russomano1,2, Adolfo L F Sparenberg1

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The Amazon Telemedicine Project for a Remote
Indian Tribe Thais Russomano1,2, Adolfo L F
Sparenberg1,2, Eder Hüttner4, Edson Hüttner4,
Vinicius S Michaelsen4,5, Lucas S Michaelsen4,5,
Vinicius Duval da Silva4, Maria Helena Itaqui
Lopes3,4 , Ricardo B Cardoso1, Marlise A dos
Santos11-Microgravity Laboratory-FENG/PUCRS
Porto Alegre, Brazil2-The Medical Association of
Sao Lourenco do Sul Brazil3- Pontifical
Catholic University/PUCRS Porto Alegre,
Brazil4- Group of Study and Research in Indian
Culture/Heath/NECPI-PUCRS, Brazil5-Sthima
Technology Solutions Brazil11th
International Congress - Society for Telemedicine
and e-Health (ISfTeH) 26 - 29 Nov, 2006 - Cape
Town, South Africa
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Main Objective

• Development and implementation of a Telehealth
  System for Amazon Indians in Northern Brazil,
  with applications in the areas of
• Telecardiology
• Teleradiology
• Teledentistry
• Telepathology
• Telepharmacy
• Telehealth education

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Steps

• Development and establishment of
• a new telehealth network based
• on internet, connecting a remote
• Amazon Indian population with a Medical
• Center in Southern Brazil
• a clinical database of a non-assisted Indian
  population
• diagnostic methods and better delivery health
  care for Indian communities living in the Amazon
  forest (around 20,000 inhabitants) that currently
  lack medical assistance.

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Scenario
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Scenario
Tabatinga HOSPITAIS DE TABATINGA
30km, 2h by boat
Benjamin Constant UNIDADE MISTA DE SAUDE
50km, 4h by boat
Sapotal Tribe
2000 Kokama indians / Tupi-Guarani
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TelecommunicationLucas Michaelsen Ricardo B
Cardoso
2-way Sapotal - Benj Constant - Tabatinga -
PUCRS - World Cost and/or technology (expertise
and availability)
TEMOS Scotty System already operational Tests
between PUCRS and Germany
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TelecommunicationLucas Michaelsen Ricardo B
Cardoso
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Telehealth EducationMaria Helena Itaqui Lopes

• Hygiene and Public Health
• Second opinion
• Medical Videoconferences

Videoconference between PUCRS/Brazil and Germany
via Scotty System
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Telecardiology / Tele-ECGAdolfo L F Sparenberg

• Digital ECG Machine
• Computers - 1 Desktop/modem/host/patient
• 1 Laptop/modem/cardio
  logist
• Telecommunication Software
• Phone Lines - Fixed/Conventional
• Cell phone line

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TeleradiologyThais Russomano
2
1
3
4
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TeledentistryEder Hutter

• Simple/portable dentistry clinic
• Digital camera
• Computer

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TelepathologyVinicius Duval da Silva
Microscope Zeiss axioskop 40 Videocamera
CoolSnap Pro Software Image Pro Plus 6.0 Image
pro Plus Capture Kit Microcomputer IBM-PC x 86
arquitecture Windows XP SP2 Professional edition.
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TelepharmacyVinicius Michaelsen Marlise A dos
Santos

• Most common diseases/medical situations
• identification of useful medication
• tele-orientation dose, route of administration,
  side effects and drug interactions

Cultural Issue
x
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Conclusion

• The project is
• feasible,
• cost-effective
• extremely relevant for non-assisted
  populations in the remote Amazon forest
  (indians population)
• It can be deployed to other areas in South
  America.

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Future Steps

• Introduction of new medical areas
• - Teledermatology
• - Telegynecology
• - Telepsychology/psychiatry

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Thank you!
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