WEBVTT

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Hi everyone, thank you for joining us for this talk today, I'm very excited to demo our

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prototype climate health pulse. My name is Tali and I am from Data Kind. I have a few other

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colleagues here as well from Data Kind. We are a global nonprofit organization and we have

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a reason for existence, if you like, is mainly to close the technology gap that a lot of social

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impact organizations face when working with data science and working with AI and essentially

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we, the way Data Kind works is we collaborate with amazing experts like yourself and we work

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with highly impactful organizations in particular sectors to then design and develop products

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that are sector facing. So it's not really focused on just solving bespoke problems for a partner

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or social sector organization, but really trying to understand the pain point that impact the

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sector as a whole and then work with a few key actors to actually design and develop those products

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that are then available as open source products to the sector as a whole and it is it is our

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mutual commitment to building a more just world through responsible and ethical use of data science

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and AI. So the solution that I am going to demo today has been developed in collaboration with

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such partners. So I want to just name them, they are not here by I want to highlight Spectrum

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Africa. This is a Canyon-based organization that they work to bring together multiple sectors

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to work together on uncovering sort of the hidden connections between climate and health.

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And climate health and also generally well-being of people, which as we know has more implications

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than just health. I also want to mention Jackarander Health. They partner with governments,

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public hospitals, and with pregnant and expect, well, pregnant and new mum directly to design and

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develop products to support their mum's on their journey on the pregnancy journey and through

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motherhood, the early stages of motherhood. Their flagship platform is prompts and prompts

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supports over nearly actually nearly 3 million subscribers at this point, new and expecting mothers

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through a two-way SMS messaging platform and they basically send stage specific messages to

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those moms and they also respond to queries from those moms. And we wouldn't be able to show you

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this demo today without the cooperation, without the support of Cardiota County. This is a

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county in Southern Kenya, the Ministry of Health specifically from this county, has partnered with

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us to be able to share their data and show you what's actually possible to do now.

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Just a little bit about Cardiota County, it is beautiful, it has valleys and plains and it's

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sort of a narrowed kind of climate, home to 1.1 million people, mostly for the majority, a

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pastoralist community. You might have heard of the Masae, Mara, the Masae, they predominantly

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live and work in this area. And they face their share of climate challenges, they really struggle

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with heat, stress as well as water scarcity. All right, so climate change in Cardiota County and around

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the world is really, it's a current and escalating health crisis. We have recurrent droughts,

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we have their ethnic rainfall, heat waves, they directly impact health. And in some cases, climate

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changes sort of impacting the, it's increasing the risk of certain climate sensitive diseases. In

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other cases, it's changing the way those diseases manifest, it's making it, the seasonality of

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those diseases, it's just making it harder to anticipate. When certain diseases will strike and

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what to, and to what extent. This is known, we know it, health systems overall around the world,

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they know it. And at the most local levels, they're facing health systems are really facing the

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strain of these health crises. So it's no longer a question about how we use climate data,

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how do we better use publicly of it, you know, just how do we use climate data for health, but

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what can you do with that, what kind of action could it support? I just want to mention that

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the way we build our products, our data kind, it is based in understanding the needs of the

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sector, I mentioned that earlier. So last year, data kind spent about 10 months in dialogue with a

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variety of different stakeholders, including data providers, including developers, including

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folks who are actually in the decision-making space when it comes to health systems, researchers,

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policy makers, and so on. And also actually frontline health organizations like Jaco and

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the Health, who partner with governments to assist in strengthening those health systems. So

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we spoke to them there from across African Asia and Europe mostly, and some in North America.

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And what we found was that health stakeholders, especially across the, you know, thus global

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south, definitely recognize the need for an actively seeking climate informed health data

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to support the decision-making processes, but despite that demand, there is a critical disconnect.

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I think this was actually mentioned in a few presentations, but the data is actually quite segmented

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and the formats are such that it makes it quite challenging for folks in the health sector

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to use data from let's say the climate sector. Also, the climate health, yes, have generally

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traditionally worked sort of in silos. So bringing them together is one part of the problem, but then

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even when that data is available, that localized near real-time climate information is rarely actually

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integrated into existing workloads. And that's where it could actually have the most impact.

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So for what we found was that this really represented a significant missed opportunity to strengthen

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health system resilience through better integration of the data.

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You can actually, if you're interested, you can read more about that report and the challenges

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that limit climate and health data integration in our landscape report, as well as

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there, we've also noted some promising innovations from around the world. In our report,

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you can use that QR code to get there. And what you'll note in the report is while the ecosystem

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is fragmented and siloed, government agencies are absolutely central. They are absolutely central

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to enabling that data access and the data utilization. Questions around data availability,

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interoperability and capacity, they are persistent, yes, but actually solvable.

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And while resources are limited, we can still focus on feasible, cost-effective

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open-source approaches to strengthening existing capacity. And this is coming at it from an equity

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lens as well. So we wanted to find out then, okay, what if we were able to actually integrate

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climate and health data? Rather than developing some kind of a narrow tool, we are working on

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an integrated platform that can potentially unlock that more ecosystem's level thinking. So

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enabling more sectors to come together, more sectors to collaborate, bring their data onto

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onto a shared platform and enable iterative learning. So that is our first step towards that is

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climate health pulse. It, in its current form, it brings together climate data and health indicators

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at a granular county level. And it actually levels below that. So in Kenya, you have the

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national, you have county sub-county and ward level. So this is looking at county and below. So

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more, as localised, we can possibly get when it comes to administrative boundaries.

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It exists in this iteration again to make climate and health data useful, usable, actionable

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for local governments. And really understanding risk is one part of it, yes, but also opening up

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those opportunities to act on it. What we really wanted to show is that pulse is not just about

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like a data source, so bringing together some, you know, a couple of layers, but it's really

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about layering on multiple sources of information from multiple sectors to create that actionable

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climate related intelligence on which you can work. Pulse is a solution that is designed to

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evolve with new partnerships. This is, this is by design. We're working on it with that. It is

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we need new partnerships. We need new data. We need new indicators, new geographies. And I

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think we are here for our data kind and part to learn about other tools as well that we should be

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aware of that we should be using as well. It's being developed as a free and open source

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platform. A data kind we do see open development as the most effective way to maximize transparency

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reuse and adaptability. So really ensuring that the tools we build can be sustained, improved,

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and deployed long after sort of individual partnerships fade away and, you know, and that

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ends. We're also developing Pulse to digital public good standards. And there is, I think,

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if, I don't know, if anyone hears from the DPGA, right? The digital public goods alliance,

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they have a stand outside as well. It's a really important, particularly when we're working with

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government actors to enable them to use open source software. It is an important sort of accreditation.

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There is a trust involved in using digital public goods that are open source tools and platforms.

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So we use those standards. We devote to those standards with the goal that even if it isn't

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certified right now, it's on the path to that certification.

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Okay, with that, I'm going to go into the demo. Let's see, I'm going to do this a bit backwards.

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Right. So we can just get started. This is the main page. It just contains, you know, the

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information that I've already shared with you just now about the project. As we scroll down on

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right here, you get to our featured prototype. And basically, this does actually, because we're

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talking about Cardiata County, just wanted to highlight, again, the different data sources,

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so in front of managed two screens here. Okay, we have health data from the Kenyan Ministry of Health.

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This is private data. So it's not right now. If you try to go on there, you can't actually access this.

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This tool we are working on a open data set that's going to be available and then we'll be able to open source

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project here. We also have not just sort of health, you know, from the health informatic system.

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We have the data, but we also have facility list. So really getting down granular to the actual

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health facility, whether it's a clinic or hospital in Cardiata County. There are 116 active

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government facilities in that county, so we have that level of data as well. All anonymized, we do

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not look at the actual patient records right now. We have climate data source from Copernicus, so

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for the last group that was here talking about that. It's the error five data set, which is a

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really crucial data set for climate research, offering consistent data on temperature,

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precipitation, wind, and more at a fairly good resolution of 9 by 9 square kilometers.

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And we also have actually four cast data coming in from the Kenyan meteorological department

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directly. So we're actually working now closely to build that local relationship with K-met

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and make sure that they are the ones who are also providing the climate data.

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And then finally we also have the Jack Render Health prompts data that I mentioned earlier.

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Mums from across the country are asking thousands of questions about their pregnancy and

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about their babies. It's a really valuable data set. They've shared some subject matter

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classifications of those text messages aggregated at world levels and different levels.

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But this data gets us a community report. It's really the first time that government,

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we're working on a tool that not only has a government data and other kind of globally available,

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like open data sets, but really trying to bring in community data as well. So how people actually

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experience climate. So if you go into the actual tool,

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all right. So this is the overview page here. We have essentially four layers of information

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that you can see. It's not showing the rest anyway. It looks a bit different on my computer

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than there. So this essentially shows Kajada County's map. You see the different world levels.

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The color to represent sort of the disease incidence rates and so on is just a fairly straightforward

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and easy way to visualize patterns. Identifying hotspots, that kind of thing. It's super helpful.

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On the map, you can kind of see, I think, the health facilities we have like the actual,

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so you can actually see we've got the health facility locations mapped on as well. Right now,

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this just has very basic information about that health facility. But for the actual government user,

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the end view that they would have detailed information about that health facility,

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including specific for specific indicators, what are the rates and so on.

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Okay, and then next down below here is a simple line chart. Again, just showing that health outcome trend

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for any given indicator. Over time, this is also extracted from the Kenyan Ministry of Health

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Information System. On the here, we have climate information, so total precipitation,

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average daily max temperature. This is that Copernicus data set and then below that a simple

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line chart again showing those community reports, the prompt data and you can actually like search

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those as well and kind of look at the trends there. Some additional features involve, you know,

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you can actually select an indicator. So again, you know, you can actually pick your indicator.

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I'm going to start looking at malaria in a second, which we know has quite a bit of

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relationship with climate. So there, you can look at it for

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different time periods.

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Really see what's happening. This is now over almost three-year period.

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And depending on what you find, it's got a few other key features just to help. You can download

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these images in different formats. And yeah, so you can look at it and you can actually drill

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down further. You can actually go from that county level to different sub-county level or

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word-level even and look at the data more locally. So if you look at malaria, you know, you

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set that data in. You can actually have a sense of what's happening over time when you play

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it out. And you'll just see that there's a the north part of the country. This is just based on

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this is a normalized data set from what we received. You can see the north part of the county

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really in general has particularly high confirmed cases. It's a hot spot for malaria.

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You can get closer into that and drill down and see what's going on particularly in

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this what here you can zoom in and have a look. And the end user would be able to actually see

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what's going on at the specific health facilities. The more important thing is though on the right

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you actually get to see what's going on and what's been going on with climate, what's been going

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with temperature, what's been going with rainfall over the same period of time. And you'll notice

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that all the other layers are just, you know, as you sort of drill down all the other layers

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also adjust to give you the data about that specific what an area.

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Trendline really helps to see and understand like okay what's going on this looks like a

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particular, particularly high peak. You kind of see where the where the trendline starts to

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ensure an increase and you can actually start to just even that even just trying to look at

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what's happening with temperature and rainfall when there is a known where the trendline from

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malaria cases increasing. This is something that the local government acts is just weren't able to

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do. It was just not something that they could look at on just one simple dashboard.

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Further down you can actually have some use cases where we worked with the Cajillo

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to county health officials to look at specifically when there was a drought, what happened to

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malnutrition cases during that drought, what happened to rainfall and start to actually study

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and see what are the types of issues that months were raising during those specific events

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where climate events. I'll just show you a little bit speaking of that the prompts data here.

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Oh, look went to the wrong one. That one.

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So this enables users to also explore the issues cropping up on prompts at the time.

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It's an opportunity as an institution to actually learn more about community issues during climate events.

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There's an amazing study that Jackaranda Health have done that actually that's published

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that shows that prompts data tells us about how those millions of moms are experiencing

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extreme heat and we wanted to include that here as part of the perspective to inform the public health

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actions. So in this first set of visuals, basically we can investigate the relative distribution

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of those intense in sort of different temperature buckets and bins and we can see the changes

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in frequency of those specific intents. In general, I would say the questions about

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what we found questions about in studying this further.

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Pregnancy, newborns, questions about intercourse, questions about pains, swelling, urinary tract

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infections. Those kind of questions actually we see there isn't increase at higher temperatures

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in those buckets and the effect is modest but it is statistically significant.

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A couple more examples again when you search for different intents that we know are related to heat

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events or we suspect. There is a relationship here, for example, moms talking about swelling

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or a demo. When temperature climbs above 30 degrees, we see nearly 70% rise in those types of concerns.

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We see a 23% rise when we look at questions about labor and in other kinds of

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different health indicators for instance with children and babies, we also saw similar kind of

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relationships in the frequency of intense around things like diarrheal diseases, fever spikes,

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inability to feed and so on. What we found basically what we demonstrate to

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and this is again think about the institutional user in mind what we are trying to show is heat

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isn't just uncomfortable for a pregnant woman, it's changing what they need from the health system.

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So this is an critical input that wasn't actually available to

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those health system managers until now. I think this is also consistent when you have extreme heat,

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when you have a climate event, engagement with that platform increases. It's also part of

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the contributing factor as well to the kind of things we're seeing. But beyond just looking at

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sort of existing historical data and what's happened, the county health offices

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want to use data like this to think about the future and think about what can be done to

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adapt to build resilience, what strategies are open to them and this is where we were actually inspired

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by the work of Carriette Al, I do have the links available as well. We use generalised additive models

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to understand the relationship between temperature and precipitation and maternal and newborn

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health indicators. This was actually developed, this methodology was developed in the DRC,

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it's open source, it's available and we we use that in the Canyon context. To forecast

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the relationship between temperature and precipitation from Copernicus and the health indicators

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mentioned here. You can see there's a predictive forecast space that's really right now has

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a lot of uncertainty associated with it, it's currently not necessarily actually useful in its

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current format, but this is another area where I think we're very keen and open to have partnerships

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to bring more relevant data, that more relevant models validate those models and actually make

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this, put this in front of decision makers to think about really what can be done, can we think

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about more disaggregated ways of supporting health systems? So yeah, like I said we are looking,

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this is all about partnerships and cooperation community, we develop pulse and we're starting

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to develop those partnerships and community around climate health data integration, modeling,

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validation, please consider joining our community, you can select, you know, we have some options

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select ways in which you'd like to contribute, or suggest ways in which we haven't even thought of.

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I mean, we definitely need a lot of different expertise here to actually build this into a

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project that not only serves Cajillo to county and all the counties of Kenya, but actually

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make this into a project that can be then adapted to multiple different locations, again,

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really localizing the way in which we look at climate data and other sector-based data like health.

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So with that, I'll say you can check out the website, but sorry you can't see the tool just yet.

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Yeah, and thank you.

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Any questions?

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Do you provide public data sets for download?

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We're working on it, but actually we are for demonstrative purposes, yes, that's what we're

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working on, public like open data sets just to kind of see what the tool can do, but I think it would

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be quite interesting for us to actually provide public data sets that can be used in specific locations,

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or that can be tailored to certain locations. So yeah, we'd be open. Thanks.

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Hey, thank you for the valuable presentation.

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This career is dependent on you. What is the decision that this either should take in that

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particular case? What are the conclusions we can withdraw from this data?

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What brought us to build this in the first place? Is that your question? Sorry. Yes, the

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Yes, and this with the data we have now, what can we do with it concretely?

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That's a great question. So part of why this came about in the first place is because of who

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we are as an organization. So we have been working to support frontline health systems with open

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source tooling for the last six years, I would say, and one of the major issues actually that came

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up early on was around, we have a lot of data, we have digital data, but we don't trust that we don't

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want to use it. So data quality was usually what we'd come up against before we heard any other

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issues. So we initially started working on tooling, which is actually a digital public good,

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it's open source, it's called the data observation toolkit, or dot, and that is available right now

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for energy and use by these health systems. But as we got more interactive with the health managers,

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with the governments, more explicit use cases started to emerge, and this issue around climate

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is always there. Some governments are further along in terms of having a climate agenda.

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Kenya was particularly receptive to have a strong policy, but also want to show tooling that

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kind of interacts and informs that policy as well. So we found this really favorable environment

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for working with government partners on this. Plus, it also provided us, we've been working for

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several years and actually open source, well, it's a methodology that is now open source and

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available, but how to actually pair climate and health data. So we've been working with the

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UK's Office of National Statistics, along with Ghana, Rwanda, and a couple of other places

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on that methodology. So this was an opportunity now to start to bring all of those pieces together

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on a platform that could work on this. And then I think the second part of your question was around,

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sorry, you're going to have to remind me second part to say it all out. What they can do with it,

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thank you. So our partners in Kajeta County and from other counties who have so far seen this,

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the kind of actions they're keen to take is, for instance, being able to understand a little bit more

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of the specific variants of the diseases and the relationship to the climate to think about, okay,

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where can you send certain drugs in advance? Where can you impact supply chain, for instance?

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What can you do to support the community health workers when you know there is a spike coming up

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of certain types of diseases? That's one thing. You can also look at the community reports to

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understand the kind of questions that people, the community itself has. And so start to engage

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your community health promotion campaign messaging and so on, based specifically on the data

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and information getting from people themselves. So there are quite a few operational things that

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can be done. It's a matter of now seeing if they have the confidence in the data to be able to take

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that forward. Hi, yes. On that slide, on the ways that contribute, you mentioned red team

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experience. What does that look like in near use cases? I'm going to ask our VP of technology, Larry,

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to speak to that. As you can imagine with a prototype like this, before we publicly start

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putting it out for use and having people contribute, we are wanting to think of what are we not

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thinking about before we do that. And so when we say red team expertise, we're thinking about

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some of the skills that are listed here like data security experts in Kenyan health data and the

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rules protecting that. But also saying here are the things that you haven't thought about yet

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so that our implementation plan to go ahead and make this not a prototype, but the real tool that

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could be used, not just at the county level, but in all of Kenyan first and potentially in the region.

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We don't have necessarily all the expertise because of our individual focuses

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so what we want is for people who've done implementation, implementations like this to say here

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are the things that you aren't thinking about and then help us test it to make sure we've implemented

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all those things we haven't thought about and the ones that we've thought about. Does that?

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I have a question on the technical side. My understanding is that this tool is open source.

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Could you share a little about the text that used to create this tool?

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Sure. So currently, as you can see, we, all the way to the left, we are using some of the

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public data sources but we are still using some of the private data sources and working on how

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to make those available. But the actual tech stack is as you can see we do a bunch of processing

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and those are done with both Python and R scripts, shell scripts running the modeling.

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And then that is put into the data layer which is a post-gray SQL as well as a GIS extension since

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this is a GIS room. And then we're using on that back end layer, Net's JS, the Net's JS API.

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The front end is really pretty simple. It's basically react primarily and then for the maps here

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we're using leaflet and then all of that we're running right now on a GCP instance which is all

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pretty much a straightforward cloud run deployment connecting to a cloud SQL and then for the monitoring

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we're using a bunch of both native tools and some third-party tools to do that monitoring

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things like data dog which are commercial but to have open source APIs that you can go ahead and

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install and then of course the native stuff in GCP. So the primary parts of the stack are

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pretty much Python and react. Does that answer? As we go forward we'll be looking for more opportunities

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as Tyler said as we progress more on the modeling is how can we integrate more modeling options

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in a better way. So let's start to look at some of the options that come with some of the

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different modeling packages that can do real-time selection of modeling.

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I think we don't time for one more quick question.

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Thank you for the for the nice talk. I just have three quick points. One is there was recently

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in the news the US bought all the canyon health data from the government. Do you have any

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comments on this? How does the fact what you're doing? And two is that I am a member of the

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project called HealthSight.io and maybe we can talk afterwards if you would like to collaborate.

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Health sites? Health sites? Yes. And three I'm a member of the project working on something

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called tomorrow now where they're doing climate forecasting and maybe it's also something we can

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chat about. That'd be amazing I would appreciate. So just the one question was about the

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US buying all the health data? Yeah I don't think I'm nothing specific to comment right now I

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think we are also trying to understand the implications. Any more questions? I think we're still

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about time for one quick question if anyone. Okay. Yeah. Thank you very much.

