Report on the evaluation of surveillance systems relevant to zoonotic diseases in Kenya, 2015: A basis for design of an integrated human–livestock surveillance system

The Zoonoses in Livestock in Kenya (ZooLinK) is a project that seeks to enable Kenya develop an effective surveillance programme for zoonotic diseases (infectious diseases transmissible between animals and human beings). The surveillance programme will be integrated across both human and animal health sectors. To achieve this goal the project will work in close collaboration with Kenyan government departments in responsible for animal and human health. As a prelude to the start of the project, an evaluation of the existing surveillance systems for human and animal health was carried out. The evaluation focused on the national surveillance system and the systems at the western part of Kenya (Busia county, Kakamega county and Bungoma county) where the initial programme will be developed. In conducting the evaluation the investigators used key informant interviews, focused group discussion participant questionnaires, audio recordings and observation for data collection. Data analysis for the qualitative data focused on generating themes or theory around the responses obtained in the key informants interviews and focused group discussions. Univariate analysis was performed by use of simple proportions in calculation for surveillance system attributes like sensitivity, completeness, PVP and Timeliness for the human health surveillance systems. The findings of the evaluation revealed that there was poor linkage between animal health surveillance and the human health surveillance systems. None of the systems had surveillance structures dedicated to zoonotic diseases. Most practitioners used clinical signs for diagnosis of diseases with little reference to acceptable case definitions. Laboratory diagnosis in animal health services focused more on suspected notifiable diseases as opposed to being a standard operating procedure for diagnosis. In Human health services the health care facilities that had laboratory within the facility conducted laboratory diagnosis for cases referred by the clinicians. However, some clinicians preferred using clinical signs for diagnosis to avoid the wait or turn-around time in the laboratory. For effective surveillance of zoonoses to be realized it would be advisable to establish surveillance structures specific to zoonoses and the necessary resources allocated to the surveillance activities. In addition, an integrated approach that incorporated both human and animal disease surveillance should be employed in the surveillance of zoonoses

Policy needs and options for a common approach towards modelling and simulation of human physiology and diseases with a focus on the virtual physiological human.

Life is the result of an intricate systemic interaction between many processes occurring at radically different spatial and temporal scales. Every day, worldwide biomedical research and clinical practice produce a huge amount of information on such processes. However, this information being highly fragmented, its integration is largely left to the human actors who find this task increasingly and ever more demanding in a context where the information available continues to increase exponentially. Investments in the Virtual Physiological Human (VPH) research are largely motivated by the need for integration in healthcare. As all health information becomes digital, the complexity of health care will continue to evolve, translating into an ever increasing pressure which will result from a growing demand in parallel to limited budgets. Hence, the best way to achieve the dream of personalised, preventive, and participative medicine at sustainable costs will be through the integration of all available data, information and knowledge

B2B Infrastructures in the Process of Drug Discovery and Healthcare

In this paper we describe a demonstration of an innovative B2B infrastructure which can be used to support collaborations in the pharmaceutical industry to achieve the drug discovery goal. Based on experience gained in a wide range of collaborative projects in the areas of grid technology, semantics and data management we show future work and new topics in B2B infrastructures which arise when considering the use of patient records in the process of drug discovery and in healthcare applications

Developing a distributed electronic health-record store for India

The DIGHT project is addressing the problem of building a scalable and highly available information store for the Electronic Health Records (EHRs) of the over one billion citizens of India

Towards a European Health Research and Innovation Cloud (HRIC)

The European Union (EU) initiative on the Digital Transformation of Health and Care (Digicare) aims to provide the conditions necessary for building a secure, flexible, and decentralized digital health infrastructure. Creating a European Health Research and Innovation Cloud (HRIC) within this environment should enable data sharing and analysis for health research across the EU, in compliance with data protection legislation while preserving the full trust of the participants. Such a HRIC should learn from and build on existing data infrastructures, integrate best practices, and focus on the concrete needs of the community in terms of technologies, governance, management, regulation, and ethics requirements. Here, we describe the vision and expected benefits of digital data sharing in health research activities and present a roadmap that fosters the opportunities while answering the challenges of implementing a HRIC. For this, we put forward five specific recommendations and action points to ensure that a European HRIC: i) is built on established standards and guidelines, providing cloud technologies through an open and decentralized infrastructure; ii) is developed and certified to the highest standards of interoperability and data security that can be trusted by all stakeholders; iii) is supported by a robust ethical and legal framework that is compliant with the EU General Data Protection Regulation (GDPR); iv) establishes a proper environment for the training of new generations of data and medical scientists; and v) stimulates research and innovation in transnational collaborations through public and private initiatives and partnerships funded by the EU through Horizon 2020 and Horizon Europe

VPH-HF: A software framework for the execution of complex subject-specific physiology modelling workflows

Computational medicine more and more requires complex orchestrations of multiple modelling & simulation codes, written in different programming languages and with different computational requirements, which when validated need to be run many times on large cohorts of patients. The aim of this paper is to present a new open source software, the VPH Hypermodelling Framework (VPH-HF). The VPH-HF overcomes the limitations of most workflow execution environments by supporting both Taverna and Muscle2; the addition of Muscle2 support makes possible the execution of very complex orchestrations that include strongly-coupled models. The overhead that the VPH-HF imposes in exchange for this is small, and tends to be flat regardless of the complexity and the computational cost of the hypermodel being executed. We recommend the use of the VPH-HF to orchestrate any hypermodel with an execution time of 200 s or higher, which would confine the VPH-HF overhead to less than 10%. The VPH-HF also provide an automatic caching system over the execution of every hypomodel, which may provide considerable speed-up when the orchestration is run repeatedly over large numbers of patients or within stochastic frameworks, and the input sets are properly binned. The caching system also makes it easy to form large input set/output set databases required to develop reduced-order models, and the framework offers the possibility to dynamically replace single models in the orchestration with reduced-order versions built from cached results, an essential feature when the orchestration of multiple models produces a combinatory explosion of the computational cost

Putting the User at the Centre of the Grid: Simplifying Usability and Resource Selection for High Performance Computing

Computer simulation is finding a role in an increasing number of scientific disciplines, concomitant with the rise in available computing power. Realizing this inevitably re- quires access to computational power beyond the desktop, making use of clusters, supercomputers, data repositories, networks and distributed aggregations of these re- sources. Accessing one such resource entails a number of usability and security prob- lems; when multiple geographically distributed resources are involved, the difficulty is compounded. However, usability is an all too often neglected aspect of computing on e-infrastructures, although it is one of the principal factors militating against the widespread uptake of distributed computing. The usability problems are twofold: the user needs to know how to execute the applications they need to use on a particular resource, and also to gain access to suit- able resources to run their workloads as they need them. In this thesis we present our solutions to these two problems. Firstly we propose a new model of e-infrastructure resource interaction, which we call the user–application interaction model, designed to simplify executing application on high performance computing resources. We describe the implementation of this model in the Application Hosting Environment, which pro- vides a Software as a Service layer on top of distributed e-infrastructure resources. We compare the usability of our system with commonly deployed middleware tools using five usability metrics. Our middleware and security solutions are judged to be more usable than other commonly deployed middleware tools. We go on to describe the requirements for a resource trading platform that allows users to purchase access to resources within a distributed e-infrastructure. We present the implementation of this Resource Allocation Market Place as a distributed multi- agent system, and show how it provides a highly flexible, efficient tool to schedule workflows across high performance computing resources

Evaluating bicycle accessibility and bike-bus integration infrastructure : Saskatoon, SK, 2006

The study proposes an application of Talen’s (2003) methodological framework for assessing neighbourhood-level (i.e., non-motorised mode) accessibility, and offers recommendations for improving non-motorized transportation (NMT) accessibility to enhance multimodal integration between bicycles and buses in contemporary North American suburban neighbourhoods. Accessibility (or "access”) is defined as the average travel time or distance between a given origin and destination along the shortest available street network route. The study considers characteristics of the transportation network such as available route directness, facilities, and transit service provision to determine their impacts on bicycle access. A further methodology for comparing bicycle versus bus modal efficiencies within suburban contexts is developed and applied to the case study. A review of approaches designed to promote bicycling while discouraging personal automobile use provides a toolbox of proven treatments that are applied to a case study of Saskatoon, Saskatchewan – a city of approximately 200,000 people. The approach provides a process that can be used by city or transit planners to identify neighbourhoods that lack sufficient access and apply treatments that improve bicycle accessibility and bicycle-transit integration. Results suggest existing potential for the bicycle as an access mode within contemporary suburban neighbourhood transportation networks. The case study supports the notion that suburban bicycle-bus integration could be used as a viable alternative to automobiles for daily home-to-node activity trips, and raises questions about the current allocation of public transit service to suburban routes within the context of the case study. Discussion and conclusions suggest directions for future research in this field of sustainable urban transportation planning