[gu-l] Possible use of WorldSpace satellite for Continuing Medical Education
(CME)
Tak Utsumi
utsumi@columbia.edu
Sun, 3 Jun 2001 23:01:52 +0000 (GMT)
<<June 3, 2001>>
Archived distributions can be retrieved as clicking "Correspondenc" line in
our home page at <http://www.friends-partners.org/GLOSAS/>.
For those after 2/27/01, visit
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D.K. Sachdev <dksachdev@spacetelconsult.com>
Dr. Jesus Y. Perez. Jr., M.D. <jyap@skyinet.net>
Holly Ladd <hladd@usa.healthnet.org>
Rebecca Riccio <rriccio@usa.healthnet.org>
Dr. Leela McCullough <leela@usa.healthnet.org>
Dr Aviva Ron <rona@who.org.ph>
Mr Alberto R. Archeri <sat36mil@comsat.net.ar>
Dr. Robert Lee <leerober@carec.paho.org>
Martin Sims <martin@iicom.org>
Dear D.K.:
==========
(1) When I mentioned the CDLC/WorldSpace activities (see my last list
distribution [*]) to Jesus Perez in Manila, he indicated his strong
interest of doing the same for his Continuing Medical Education (CME)
-- originating from his St. Luke's College of Medicine and
disseminating it to many, many hospitals around the Philippines.
[*] Trip to the Philippines from 4/17 to 4/26/01 (Part
1 of 2) at;
http://www.friends-partners.org/pipermail/gu-l/2001q2/000022.html
This may be a similar approach of SATELLIFE who is now
disseminating tele-health services to many African countries via
AfriSat of the WorldSpace satellite (ATTACHMENT I to V).
Dear Jesus:
===========
I would suggest that you contact D.K. who will then introduce
you to an appropriate person of the WorldSpace.
Dear Rebecca:
=============
(2) Many thanks for your msg (ATTACHMENT V), albeit very belated.
Your report "Lessons from a Decade of Service to the African Health
Community" is excellent -- I read it all with great interest.
Dear Jesus, Aviva, Alberto and Robert:
======================================
In a separate email, I am sending the file of the report to you
for your reference.
I would suggest that you put your report into your web site, since it
is so valuable -- I failed to find it there.
Dear Leela:
===========
Many thanks for your msg (ATTACHMENT VI).
Dear E-Colleagues:
==================
I strongly suggest that you request Leela to send the report to
you. The lessons they learned can be applicable to e-learning
projects, too.
Dear Aviva:
===========
(3) It was my great pleasure to have met with you in your office with
Jesus.
At that time, you mentioned of your CME project for small islands in
the Pacific.
Although the AsiaSat of the WorldSpace does not extend its footprint
much to the east of the Pacific, some of islands in the western
Pacific may receive its signal -- as norther Scandinavian countries
received the signals of its AfriSat. The AsiaSat, of course, covers
most of Asian and the Middle Eastern countries.
The beauty of this WorldSpace system is that its one-way broadband
receiving transceiver is a Yagi antenna and a PC card which total cost
is about US$200, according to D.K..
Dear Alberto:
=============
(4) Congratulations to your paper (ATTACHMENT VII).
Dear Martin:
============
Many thanks for your msg (ATTACHMENT IX).
Dear E-Colleagues:
==================
Pls visit the web site Martin mentions in ATTACHMENT IX. Our
paper for his prestigious InterMedia is the first one, and
Alberto's is the second one. Martin put them in the web
beautifully.
A WorldSpace satellite to cover South American and the Caribbean is to
be up this year so that you may follow the suit of SATELLIFE, too.
Dear Robert Lee:
================
(5) You may also utilize WorldSpace/South American satellite for your
project (ATTACHMENT VIII).
Best, Tak
****************************************
ATTACHMENT I
Excerpt from discussions of
DIGOPP Working Group
From: Holly Ladd (hladd@usa.healthnet.org)
Date: Wed Feb 14 2001 - 00:30:19 EST
* Next message: Corinne Chacon: "Re: Infrastructure and Access"
* Previous message: Jeff Box: "Digital Divide Speaker"
* Maybe in reply to: Digopp Moderator: "Infrastructure and Access"
* Next in thread: Corinne Chacon: "Re: Infrastructure and Access"
* Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]
------------------------------------------------------------------------
Dear Members of the DIGOPP Working Group,
By way of introduction, I am the Executive Director of SATELLIFE, which
along with our HealthNet partners in the developing world has maintained an
electronic network for healthcare workers for about ten years.
(www.healthnet.org). We have had the full range of experience - from great to
disastrous - many times in the same project. I will attempt to address the
questions presented based upon this experience.
However, I would prefer to address each question separately, and apologize in
advance for the length of this message.
1. Specific strategies
Our service is an e-mail based network focused on health care workers. Our
primary "product" is the content-health and medical information. We developed
"technology" to deliver the content. We began our work in an environment
where we were the first and/or only e-mail connection. We started with very
expensive and finicky technology (low earth orbit satellite ground stations
for e-mail via satellite). Our grossly underfunded non-profit in the US and
our partners in Africa and Asia struggled through the first use of this kind
of technology and discovered the fundamental truth in any endeavor -- you
have to have a local champion and a critical mass of users in order to make
any system a success. But we had successes and people were connected to each
other in a new way that supported collaboration and information sharing.
While the satellite technology proved to be too expensive to become a tool in
remote areas, it did lead us to the development of other strategies for
network development. We eventually employed multiple technology "solutions"
to meet a range of challenges and local conditions for sustainable networks.
Rule two - no one solution works and redundancy is the mother of success.
(NOTE - we are now working with VITA on the development and deployment of new
equipment that resolves many of the issues we encountered with the low earth
orbit satellite system and makes this very viable technology see www.vita.org
for more information).
Despite the temptation of leaping directly to the Web today, many of our
users remain bypassed by the Web but can be reached with e-mail. So we do
both. We continue to focus on e-mail as the primary information delivery
system, although we have developed tools for retrieving web content via e-mail. Some of our partner sites have gained full Internet access over the
years and have absorbed in into their mission (HealthNet Nepal, HealthNet
Kenya, HealthNet Uganda for example). It is not unusual for us to have a
local HealthNet come back to us for support with a dial up connection from
our server after the failure of the local Internet provider. Our focus on the
e-mail user is both a function of technology - the widest access - and
content.
In our model, the US-based partner (SATELLIFE) pays the costs of the long-distance line that dials up HealthNet servers in Africa to exchange their e-mail, and pays for the Internet access in the US. Local HealthNets that have
switched to Internet access received financial support from us to make that
transition but now cover those costs from local revenues.
Key infrastructure issues:
1. You have to train the systems operators, then expect and plan for them to
take that new talent to their next job -- build in a continual process for
training new operators.
2. Do not underestimate the power (electricity requirements) for the network
- power goes off on a regular basis at most of our HealthNet sites in Africa.
This has an impact on service.
3. Most of our end users - health workers - share computers with at least 5
other people. They still pay significant amounts of money to get basic e-mail.
4. End user training is very important, particularly for people who must
incorporate not only the technology but the habit of using information into
their work. This is a cultural change that needs a local champion as well.
Successes:
Local HealthNets have been successful where:
1. They have charged a reasonable rate for the services in order to pay a
system operator; or
2. They have been located in an institution (medical school, ministry of
health) that underwrites the salary of the system operator.
3. They have a plan for the changing nature of their services based upon the
growing availability of Internet options to continue to meet users needs.
Responses to your other questions will follow. Thanks for the opportunity to
participate in the discussion.
Holly Ladd
Executive Director
SATELLIFE
www.healthnet.org
------
DIGOPP is sponsored by the Markle Foundation and moderated by
Education Development Center (EDC).
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* Next message: Corinne Chacon: "Re: Infrastructure and Access"
* Previous message: Jeff Box: "Digital Divide Speaker"
* Maybe in reply to: Digopp Moderator: "Infrastructure and Access"
* Next in thread: Corinne Chacon: "Re: Infrastructure and Access"
* Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]
Site hosted by Education Development Center, Inc.
2001 Education Development Center, Inc. All Rights Reserved.
****************************************
ATTACHMENT II
Excerpt from discussions of
DIGOPP Working Group
From: Holly Ladd (hladd@usa.healthnet.org)
Date: Wed Feb 14 2001 - 00:49:19 EST
* Next message: Takeshi Utsumi : "Re: Digopp Discussion Agenda"
* Previous message: Tom Abeles: "Re: Infrastructure and Access"
* Maybe in reply to: Digopp Moderator: "Infrastructure and Access"
* Next in thread: Paul Swider: "Re: Infrastructure and Access"
* Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]
------------------------------------------------------------------------
Dear Members of the DIGOPP Working Group,
Of failure and success [***]
As to the second question regarding what failed, we have no shortage of
experience there either. Fundamentally our failures come in three categories
- design, implementation, and long-term sustainability.
Obviously it would be useful if we could come to a definition of success and
failure. But each of our projects has been so complex in terms of the
technology, content, human networks, politics, and execution that there is no
single measure that we can apply. Ultimately for SATELLIFE success is the
impact on local public health and in the knowledge and skills of local health
providers. Finding this difficult to measure, I'll retreat to the system's
successes and failures.
For our local HealthNets those that failed were either unable to develop a
critical mass of users or failed after initial success because of changes in
local conditions. For example, war or civil unrest proved unhealthy for
independent communications networks. Politics and changes in power dynamics
opened the doors for information exchange in some places, and closed it in
others.
Design:
* where there was only a local champion and no user base it failed
* where the key technology person left and was not replaced - it failed
* when the equipment broke and it was not clear who was responsible to
replace it, or there were no funds to replace it - it failed
* where there is no "business plan" - it struggles
Implementation:
* where the quality of the service is significantly below the higher priced
alternatives - it fails
* there is little tolerance for network outages - it has to work in order to
facilitate the behavior change / habit formation stage
* end users need training and often high levels of support
* the habit of "information" has to be supported at the workplace
Long term Sustainability:
* it's not about the computer -- it is about the computer operator on both
ends of the connection
* it is about the content
HealthNets in some cases have succeeded or failed because we did not
anticipate the long-term costs of the obligation we undertook to support
them. While it is locally owned and "financed" the network still relies upon
SATELLIFE for the cost of new equipment, operator training, connection
expenses and technical assistance.We have written a document called "Lessons
Learned" that addresses our first ten years, which I can make available upon
request to me at hladd@usa.healthnet.org.
Holly Ladd
Executive Director
SATELLIFE
[***Moderator's Note: This is a continuation message, prior segment posted
February 14, 2001]
------
DIGOPP is sponsored by the Markle Foundation and moderated by
Education Development Center (EDC).
To post a message, send it to: digopp@mail.edc.org
To subscribe or unsubscribe, send a message to:
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------------------------------------------------------------------------
* Next message: Takeshi Utsumi : "Re: Digopp Discussion Agenda"
* Previous message: Tom Abeles: "Re: Infrastructure and Access"
* Maybe in reply to: Digopp Moderator: "Infrastructure and Access"
* Next in thread: Paul Swider: "Re: Infrastructure and Access"
* Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]
Site hosted by Education Development Center, Inc.
2001 Education Development Center, Inc. All Rights Reserved.
****************************************
ATTACHMENT III
Date: Wed, 14 Feb 2001 21:49:26 -0500
From: utsumi <utsumi@columbia.edu>
To: digopp@phoenix.edc.org, utsumi@columbia.edu
Subject: Re: Infrastructure and Access
Dear Mr. Ladd:
(1) I read through your very interesting and valuable msg.
(2) I would greatly appreciate it if you can kindly send me a copy of your
"Lesson Learned."
(3) I would also appreciate it if you can kindly inform me of your
experiences of using WorldSpace channel free of charge for African countries.
(4) About our activities, pls click "Current Reference Websites" at the top
of the home page of our web site which URL is listed in my e-signature below
to find out subsequent web sites of our various projects. They are mainly;
(a) Global University System (GUS),
(b) Global Broadband Internet (GBI),
(c) Global Service Trust Fund (GSTF).
(However, the server of our web was currently in repair after attacked by a
hacker recently, -- so pls try it a few days later.)
Looking forward to hearing from you soon,
Best, Tak
****************************************
ATTACHMENT IV
Date: Thu, 22 Feb 2001 14:56:42 -0500 (EST)
To: digopp@phoenix.edc.org
From: "Rebecca Riccio" <rriccio@usa.healthnet.org>
Subject: [digopp] Re: Infrastructure and Access, continued
Dear Members of the DIGOPP Working Group,
I am writing to share more of the lessons we have learned at SATELLIFE
through our HealthNet experience. By way of introduction, I am the Director
of Programs here. During my five years with the organization, I have had the
pleasure of working closely with our HealthNet partners primarily in Africa,
but also in Asia and Latin America. Following the overview provided by our
Executive Director, Holly Ladd, I will now focus more narrowly on IT
training, which we believe must figure very prominently in any discussion
about IT for development.
Together with our partners at SATELLIFE HealthNet Kenya, we had the
opportunity to create the Regional Information Technology Training Centre
(RITTC) for health professionals, located at the Kenyatta National Hospital
in Nairobi. A grant from the World Bank's InfoDev initiative enabled us to
create the centre and offer over 70 scholarships to health professionals from
Eritrea, Ethiopia, Kenya, Tanzania, and Uganda during the 1999-2000 academic
year. Two three-day courses were offered during this period. The Information
Technology (IT) Basics Course covered e-mail, CD-ROM, and World Wide
Web/Internet technology and was offered seven times. The Information
Technology (IT) Trainers Course covered basic training techniques and
strategies for promoting the use of IT in participant's workplaces and was
offered twice.
This was a signal project for SATELLIFE and HealthNet Kenya, confirming what
we had long believed: investments in technology must be accompanied by
investments in training. The demand was reflected in the response to our
modest marketing efforts when the RITTC was launched. After posting an
announcement on just a few electronic discussion groups, we received over 500
applications, most within just two weeks.
Participant evaluations of the training sessions were highly enthusiastic,
and we are seeing considerable evidence of a multiplier effect from
participants who returned home to establish training programs in their own
institutions. For example, recent reports from RITTC participants indicate
that they have been able to significantly increase computer literacy at the
Ministry of Health of Eritrea and the Makerere University Medical School in
Kampala, Uganda. This is an affirmation of our effort to recruit participants
who were strategically placed within key institutions throughout the region
in order to maximize the impact of their training.
Other factors that contributed to the success of this project include:
* SATELLIFE's and HealthNet Kenya's ability to leverage previous work and
existing relationships with other institutions and organizations, including
other NGOs and a corporate donor.
* In IT Basics, a focus on a basic skills set that is appropriate for the
level of access currently available to most health professionals in the
region (email only) and upon which participants can build as their access to
higher bandwidth IT increases.
* In IT Trainers, the requirement that participants prepare an Action Plan
for introducing training opportunities at their home institutions, either
formally or informally.
* The curriculum and materials of both courses were designed to reflect the
information needs and experiences of health professionals in order to ensure
a high level of user comfort and applicability.
Of course, the project was not without its challenges. Upon conclusion of the
InfoDev grant, ownership of the RITTC fell exclusively to HealthNet Kenya,
which represents both an opportunity and a burden, insofar as sustainability
must be achieved through a business model. This challenge points to the need
to incorporate business training and/or consulting into the long-term plans
of such a project and to provide interim funding until full cost recovery is
attained. While it is understandable that the donor community is placing
greater emphasis on business plans and cost recovery systems, no one should
underestimate the challenges involved in making the transition from managing
a donor-funded project to managing a self-sustaining enterprise.
Based on our experience with the RITTC and with HealthNet in general, we are
convinced that investments in training yield tremendous results, and the
failure to invest in training will debilitate any IT project. We also believe
that there is much to be learned from the RITTC model. If anyone is
interested in reading our final report about the project, please contact me.
I would also like to reiterate the offer that Holly Ladd made to provide a
copy of a paper we have prepared on "Lessons Learned" about our broader
HealthNet experience.
Thanks to all for the opportunity to participate in the dialogue.
Sincerely,
Rebecca Riccio
Director of Programs
SATELLIFE
30 California Street
Watertown, MA 02472
USA
phone: +(617) 926-9400
fax: +(617) 926-1212
email: rriccio@usa.healthnet.org
http://www.healthnet.org
------
DIGOPP is sponsored by the Markle Foundation and moderated by
Education Development Center (EDC).
To post a message, send it to: digopp@mail.edc.org
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****************************************
ATTACHMENT V
Date: Mon, 26 Feb 2001 16:08:07 -0500
To: utsumi@columbia.edu
From: Rebecca Riccio <rriccio@usa.healthnet.org>
Subject: SATELLIFE/HealthNet
Dear Dr. Utsumi,
I am writing at the request of our Director, Holly Ladd, to send you a copy
of our paper on Lessons Learned through our HealthNet experience.
To bring you up to date on our project with the WorldSpace technology, we are
currently hosting 4 beta-test sites at HealthNets Ethiopia, Kenya, Uganda,
and Zimbabwe. Each site is equipped with a WorldSpace radio receiver, an
adapter card, and a PC. Using part of the humanitarian bandwidth of the
WorldSpace Foundation, we are able to broadcast medical and public health
literature to these sites, as well as to many other sites that are self-sponsored or sponsored by other organizations. The multimedia bandwidth
capabilities are quite large, so we hope to have considerable flexibility in
terms of the types of content that we broadcast. At this time, we consider
ourselves to be piloting both the technology and the content format.
If you have any questions, please do not hesitate to contact me.
Sincerely,
Rebecca Riccio
Director of Programs
SATELLIFE
****************************************
ATTACHMENT VI
Subject: Re: Auto Response
Date: Tuesday, May 29, 2001 9:41 AM
From: Leela McCullough <leela@usa.healthnet.org>
To: Tak Utsumi <utsumi@columbia.edu>
Dear Tak,
Thank you for your message. I'm sorry that you were not able to locate the
report on our Web site. Currently it is only on our internal server. If your
colleagues would like to receive a copy I would be happy to send copies out
to them. Please let me know if I can be of any further help.
Kind regards,
Leela
****************************************
ATTACHMENT VII
Excerpt from
InterMedia/April, 2001/Vol. 29/No. 2/Page 9
International Institute of Communications (IIC)
Westcott House, 3rd Floor
35 Portland Place
London, W1N 3AG
United Kingdom
Distance Learning
Medical education in Argentina
Pharmaceutical companies are sponsoring a satellite-based teleconferencing
programme
By Alberto Archeri
Director of SAT36M.I.L.
A MAP OF ARGENTINA shows two characteristics that to some extent are common
to most Latin American countries. These characteristics are an extensive
territory and centralisation of population, technology, and resources. Fifty
to sixty per cent of the population live in the capital, Buenos Aires, which
is also home to a similar proportion of economic, cultural and academic
activities. The rest of the country lives in the shadow of the capital, with
much less direct exposure to the state of the art in any field.
The healthcare industry and everything it involves does not escape this rule.
This situation that affects all Latin America is a real challenge, because
the danger is leaving the majority of our people behind. How can we fill this
gap, providing equal opportunity in both quantity and quality of information?
In our country we have set up a network of teleconferencing sites for medical
education and pharmaceutical marketing purposes that links 10 cities
throughout Argentina, enabling them to receive live, simultaneous and
interactive broadcast transmissions.
The importance of these sites is that they are located in Circulos and
Colegios Medicos which are centres that belong to the medical community of
every city. Doctors gather in them to carry out a variety of professional
activities, the most important of which are education and continuous
professional development.
What we are doing is connecting a learning community. The satellite
technology fulfils everyone's needs and is giving us the amazing opportunity
to connect a set of common interests not only for distance learning, but also
as an efficient communications and marketing tool.
The members of this community are the doctors, the scientific societies and
the pharmaceutical industry. Doctors must be updated, partly for their own
prestige and professional growth, but also because it is a legal requirement.
For the scientific societies it is a way of fulfilling their responsibility
to deliver Continuing Medical Education (CME) and for the pharmaceutical
industry sponsorship it provides marketing through education, rather than
propaganda.
========================================
The satellite technology fulfils everyone's needs and is giving us the
amazing opportunity to connect a set of common interests...
========================================
For doctors:
* Access to national and international educational programmes
* Lectures from opinion leaders
* Information on latest clinical developments
* No travelling expenses
For scientific societies:
* Delivery of CME programmes to a national audience
* Lectures can be given from any location
For pharmaceutical companies:
* A powerful marketing tool
* Seen as partners in doctors" professional development
****************************************
ATTACHMENT VIII
From: "Lee, Dr. Robert (CEC)" <leerober@carec.paho.org>
To: "'utsumi@columbia.edu'" <utsumi@columbia.edu>
Cc: "Sirjoo, Ms. Farida (CEC)" <sirjoofa@carec.paho.org>
Subject: Global Service Trust Fund
Date: Tue, 17 Oct 2000 10:35:03 -0400
Dear Dr. Utsumi:
I am an epidemiologist (trained in Columbia University 1993) working for fhe
Caribbean Epidemiology Centre in Port of Spain, Trinidad on a pilot project
to establish a replicable sentinel surveillance system using local family
doctors to report on key health conditions. The project is in partnereship
with the Caribbean College of Family Physicians and the Ministries of Health
from the three countries (Jamaica, Trinidad and St. Lucia) that the pilot is
based. The system uses the internet to receive reports from the doctors and
to send updates on diseases of current concern in the region as well to
provide information on what to do if certain conditions are identified. One
element that is to be developed is to create modules to train the
participants in the management of health conditions and to ugrade their
skills in Public Health.
We are looking for funding to continue the work and to expand the scope of
the project to other Caribbean countries with the ultimate aim of spanning
all 21 countries in the region to collaborate on a web-based surveillance
system.
Would such a project be suitable for your organisation to consider for
funding? If it is not could you advise me on any organisation that would be
interested in supporting a project that has elements of health and disease
surveillance in the Caribbean, Public Health education and policy, and
consensus building among Caribbean countries and seeks to use the Internet to
achieve these ends?
Sincerely,
Dr. Robert Lee
Co-ordinator
Physician Based Sentinel Surveillance Project
****************************************
ATTACHMENT IX
Subject: Re: Requesting to send a copy of Infomedia issue to co-authors
Date: Tuesday, May 29, 2001 5:12 PM
From: Simsmart@aol.com
To: <utsumi@columbia.edu>
Cc: Tapio Varis <tapio.varis@uta.fi>,
Peter Knight <ptknight@attglobal.net>, Frank Method <fmethod@erols.com>,
Joseph Pelton <jpelton@seas.gwu.edu>
Dear Tak and colleagues,
Thanks for your email and thanks again to all of you for your contribution.
FYI information you can access the issue online at:
Intermedia April 2001 <http://www.iicom.org/intermedia/april2001/>
I did actually tell the mailing house to send hard copies to the addresses
you gave - have they not turned up? If that's the case I will send more
copies when I am at teh IIC on Friday.
regards
Martin Sims
****************************************
Distribution List
D.K. Sachdev
President
SpaceTel Consultancy
10289 Johns Hollow Road
Vienna, VA 22182
Tel: (703) 757-5880
Mobile: (703) 314-3211
Fax: (703) 757-6511
dksachdev@spacetelconsult.com
dksachdev1@aol.com
Dr. Jesus Y. Perez. Jr., M.D.
Dean of the College
St. Luke's College of Medicine
William H. Quasha Memorial
Sta. Ignaciana St.,
Cathedral Heights, Quezon City
1102 Philippines
Or
P. O. Box 780
Manila
1099 Philippines
Tel: 727-7609, 723-0301
Tel: 727-5549, 723-0101
Loc. 5104, 5549 & 4803
Fax: 632-727-5549
Fax: 632-722-4318
jyap@skyinet.net
Holly Ladd
Executive Director
SATELLIFE
30 California Street
Watertown, MA 02472
USA
phone: +(617) 926-9400
fax: +(617) 926-1212
hladd@usa.healthnet.org
www.healthnet.org
Rebecca Riccio
Director of Programs
SATELLIFE
30 California Street
Watertown, MA 02472
USA
phone: +(617) 926-9400
fax: +(617) 926-1212
email: rriccio@usa.healthnet.org
http://www.healthnet.org
Dr. Leela McCullough
Director of Information Services
SATELLIFE
30 California Street
Watertown, MA 02472, USA
Tel: +617-926-9400
Fax: +617-926-1212
leela@usa.healthnet.org
http://www.healthnet.org
Dr Aviva Ron
Director, Health Sector Development
World Health Organization
Western Pacific Regional Office
P.O. Box 2932 (United Nations Ave.)
1000 Manila, Philippines
Tel: (632) 528 9951 (Direct)
(632) 528 8001 (General)
Fax: (632) 521 1036
rona@who.org.ph
Mr Alberto R. Archeri
President
SAT 36 Multimedia Interactive Links (SAT 36 M.I.L.)
Archeri Galvagno y otros S.A.
Godoy Cruz 2841 Piso 3 (1425) Buenos Aires
ARGENTINA
Tel No. +54 11 4777 7575
Fax No. +54 11 4777 4198
sat36mil@comsat.net.ar
Dr. Robert Lee
Co-ordinator
Physician Based Sentinel Surveillance Project
Caribbean Epidemiology Centre
Port of Spain, Trinidad
leerober@carec.paho.org
Martin Sims
Editor
InterMedia
International Institute of Communications
Westcott House, 3rd Floor
35 Portland Place
London
W1N 3AG
UK
+ 44 (0)20 8672 7489 (h) (I often work from home!)
+ 44 (0)20 7462 4486 (w)
Tel: +44 7323 9622
+ 44 (0)7946 485420 (m)
Fax: +44 7323 9623
martin@iicom.org
Simsmart@aol.com
www.iicom.org
http://www.iicom.org/intermedia/April2001/
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* Takeshi Utsumi, Ph.D., P.E., Chairman, GLOSAS/USA *
* (GLObal Systems Analysis and Simulation Association in the U.S.A.) *
* Laureate of Lord Perry Award for Excellence in Distance Education *
* Founder of CAADE *
* (Consortium for Affordable and Accessible Distance Education) *
* President Emeritus and V.P. for Technology and Coordination of *
* Global University System (GUS) *
* 43-23 Colden Street, Flushing, NY 11355-3998, U.S.A. *
* Tel: 718-939-0928; Fax: 718-939-0656 (day time only--prefer email) *
* Email: utsumi@columbia.edu; Tax Exempt ID: 11-2999676 *
* http://www.friends-partners.org/GLOSAS/ *
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