Hi Friends,

Even as I launch this today ( my 80th Birthday ), I realize that there is yet so much to say and do. There is just no time to look back, no time to wonder,"Will anyone read these pages?"

With regards,
Hemen Parekh
27 June 2013

Now as I approach my 90th birthday ( 27 June 2023 ) , I invite you to visit my Digital Avatar ( www.hemenparekh.ai ) – and continue chatting with me , even when I am no more here physically

Monday, 19 October 2020

Vaccine Delivery System [ VDS ] : Policy and Procedure

 


PM Shri Modiji announced the following framework of VDS while addressing the Grand Challenge Annual Meeting 2020, through a video link , which was attended by Microsoft founder Bill Gates policymakers and scientific leaders

 

Here is that Policy :

India Readying Vaccine Delivery System, using Digitized Network  /  20 Oct 2020

Extract :

Ø  Narendra Modi said also India was putting in place a well-established vaccine delivery system, through a digitised network along with the digital health ID, for the immunisation of citizens.

Ø  The digital health ID that the PM was referring to was a project announced by Modi on August 15, under which every Indian would be given a unique ID that would work like his or her health account, and store that individual's medical records.

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FOLLOWING 22  E MAILS, DESCRIBE IN DETAIL, MY OWN PAST SUGGESTIONS  :

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Voting and Vaccination : Compare and Contrast  / 19 Oct 2020

 

Extract :

Ø  Based on the  “ Registration Data “ submitted, the Central Server ( of Aushman Bharat ) will issue a UNIQUE PRIORITY NUMBER to the person ( by SMS on mobile ) . The message will also assign a specific “  “ Vaccine Delivery Centre – VDC “ ( a nearby Hospital – Nursing Home – Lab – Doctor )

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 Modicare : A Game Changer ………………………………..[ 01 Feb 2018 ]

Extract :

 

Ø  Each eligible family member to be issued a “ Ayushman Card “ ( linked to Aadhar ID )

 

 

Ø  Ayushman card will have inbuilt memory capacity to store that person’s health data from “ Cradle to Grave “ ( Privacy advocate need not worry ! )

 A All the Health Data of all 50 crore beneficiaries to be stored on a Central Server for BIG DATA analysis , in order to “ Predict “ WHO might become susceptible to WHICH ailment and WHEN

 

 

Ø  As an alternative , a GPS enabled / NFC capable Smart Phone pre-loaded with AYUSHMAN MOBILE APP , could be considered to replace the card


Ø  The Ayushman Eco System shall be built around the BLOCK-CHAIN technology , which will be the main operating system for implementation of the AYUSHMAN PROCESSES , described in my following earlier blogs ( sent as emails to Cabinet Ministers / Niti Aayog )

 T

T Ayushman Eco System shall be built around the BLOCK-CHAIN technology , which will be the main operating system for implementation of the AYUSHMAN PROCESSES , described in my following earlier blogs ( sent as emails to Cabinet Ministers / Niti Aayog )


2015

3 D -Digital Delivery of Drugs ?  ………..[  11  Oct  2015  ]

2016

The  Bounty of Big Data  ……………………[ 30  April  2016  ]

Saving 1.2 million Kids  ……………………..[ 29  June  2016  ]

 

A Mobile App named " BANMALI "  ……[  16  Sept  2016  ]

 

BANMALI is the TOTAL SOLUTION  ……[  14  Nov  2016  ]

 

Health Care through Mobile ?  ……………[  24  Nov  2016  ]

 

Online Sale of Medicines ?  ‘……………….[  24  Dec  2016  ]

 

2017

Can Akshay Patra Banish Malnutrition ? [  05 June  2017  ]

 

2018

Modicare : A Game Changer                  [ 01 Feb 2018 ]

AI  for  Healthcare   ………………………………[ 17 June 2018 ]

Healthcare : The Unfolding Story          [ 19  June  2018 ]

Ayushman Bharat : Think Big  ………………[ 23 Sept 2018 ]

Will “ Ayushman Bharat “ listen ?          [ 14  Nov  2018 ]

 

2019

Health Data Vault                                  [ 16 June 2019 ]

No need to be secretive !  ………………………[ 14 Nov 2019 ]

 

2020

Corona Patient Case Histories : a Fragmented Database  …[ 30 March 2020 ]

 

Tele-Medicine / Tele-Health : a COVID gift ?  ………………………[ 20 May 2020 ]

 

Priorities for AI [ Artificial Intelligence ] portal …………………………[ 31 May 2020 ]

 

The Changing Face of Healthcare System   ………………………………[ 01 Aug 2020 ]

Preventing ( illness ) is better than Curing………………………………..[ 17 Aug 2020 ]

 

With regards,

Hemen parekh  /  hcp@recruitGuru.com  /  20  Oct  2020

 

 

 

 

 

 

 

Voting and Vaccination : Compare and Contrast

 


 

No doubt, by the time the first shots of Covid vaccine are being administered to Indian citizen, elections in Bihar would be over

But then, India is a land where “ Election Sun “ never sets ! Eg: Kerala-West Bengal-TamilNadu-Puducherry and Assam , go to polls in 2021

 

May be that made Shri Modiji to compare the two processes , as reported in :

PM pushes poll-like vaccine distribution

Extract :

Ø  Prime Minister Narendra Modi on Saturday suggested developing a vaccine delivery system that is on the lines of how elections are conducted in the country and disaster management work is conducted

 

Ø  The Prime Minister further directed that keeping in view the geographical span and diversity of the country, the access to the vaccine should be ensured speedily.

 

The Prime Minister stressed that every step in the logistics, delivery, and administration should be put in place rigorously,” the statement added.

It must include

#  advance planning of cold storage chains

#  distribution network,

#  monitoring mechanism,

#  advance assessment, and

#  preparation of ancillary equipment required, such as vials, syringes, etc.,

-       the PMO quote Modi as saying.

 

 

Ø  “The Prime Minister said that in a similar manner, vaccine delivery and   administration systems should be put in place.

This should involve the participation of

#  States/UTs/District Level functionaries,

#  civil society organisations,

#  volunteers,

#  citizens, and

#  experts from all necessary domains.

#  THE ENTIRE PROCESS SHOULD HAVE A STRONG IT BACKBONE...”

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Here is my interpretation of Shri Modiji’s frame-work

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Parameter

Voting in Election

Vaccinating for Covid

 

 

 

Beneficiaries Involved

Approx 900 million citizen

 

( 90 crore )

First Phase

# Healthcare Workers …( 70 lakh )

# Frontline Workers ……( 200 lakh )

# Police ………………………..( 45 lakh )

# Muni. Workers ………….( 150 lakh )

# Armed Forces ……………( 15 lakh )

Second Phase

# People>50 yrs of age ( 26 Cr )

Third Phase               

# People<50 yrs with comorbidity

Fourth Phase

# People<50 yrs with comorbidity

 

 

 

Administering Persons needed

11 million ( Teachers  / Police etc )

?

 

 

 

Eqpt / Storage Facilities needed

4 Million EVMs / 1.7 Million VVPAT mc / Thousands of strong rooms for storing EVMs, before and after use / Thousands of “ Vote-Counting “ stations

 

Millions of Refrigerators / Hundreds of Cold Storage Rooms for bulk storage of vaccine

 

 

 

Process to follow

Voter Registration ( Voter Card Issue, based on prior enumeration )

Electoral Rolls for each booth

Marking of finger with ink

Booster doze followed by second doze

 

 

 

Process Hours

8am – 5 pm ( 9 hours )

8am - 8pm ( 12 hours )

 

 

 

Voting Premises

 

Health-Service Premises

1 Million polling booths

 

( none more than 2 km from a voter’s house )

#  Pub+Pvt Hospitals .. 69,000

#  Nursing Homes……….40,000

#  Pathology Labs………100,000

#  Pvt Sector GPs………300,000

Process Time

38 days ( in 6 phases ) / 900 million voters in 6 days = 150 million / day

At 1 million vaccinations per day, it would take 900 days ( approx. 3 years / 2021-22-23 ) to cover 900 million Indians

 

 

 

Use of IT

EVM ( single use / reset )

 

Described below

 

USE of IT

This will involve :

#  Hardware Devices [ desktops / tablets / smart phones / Server of Ayushman

    Bharat ]

#  Software Services [ Mobile app / Ayushman Database ]

#  Personal Identifiers [ Aadhar No / Card No issued by National Health Data Vault

    / Voter ID No / Mobile No ]

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 Primary Onus for Vaccination

Although the primary onus lies with the citizen, Covid Pandemic is not only about saving the life of person “ volunteering “ to get himself vaccinated. He, also has the responsibility to save the lives of others, by not spreading the virus ( by getting vaccinated )

For this reason, using the powers vested in the Govt for “ Health Emergency “, Govt must issue a notification ( ordinance, if required ) , making vaccination MANDATORY for all ( and prescribe punishment for refusal )

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Registration

Ø  Govt to launch a Mobile App { VacReg ? )

 

Ø  Ask all Mobile Service Providers to stop their services to those subscribers who fail to download / install this app by 30th Nov


Ø  Mandate all mobile users to fill-in “ REGISTRATION DATA “ by 30 Dec 2020 and click UPLOAD

 

Ø  App will require a citizen to submit following data :

Name / Aadhar Number / Mobile Number / Current Resi Address ( could be different than add in Aadhar ID ) / Ticking –selection of only one of the PRIORITY CATEGORIES from the following drop list :

I belong to :

Healthcare Worker / Frontline Worker / Police / Muni. Worker / Armed Force / People>50 yrs of age / People<50 yrs with comorbidity / People<50 yrs with co-morbidity / None of the above – NOTA  


Ø  Persons who find it difficult to fill in this Registration Data into mobile app ( for whatever reason – including, not having a Smart phone ), may take help from the nearest,

     #   CSC ( Common Service Centre ) 

     #   Post Office 

     #   Aadhar Registration Centers

     #   Nursing Home / Hospital / Lab or even any nearby Doctor,

 

-       all of who will be requested to help the hapless citizen concerned ( they may use desktop to submit registration data on central server of Ayushman Bharat website )

 

Ø  Based on the  “ Registration Data “ submitted, the Central Server ( of Aushman Bharat ) will issue a UNIQUE PRIORITY NUMBER to the person ( by SMS on mobile ) . The message will also assign a specific “  Vaccine Delivery Centre – VDC “ ( a nearby Hospital – Nursing Home – Lab – Doctor )

 

Ø  Server will, simultaneously send notification to that particular VDC , providing full registration details of the concerned citizen – indicating his PRIORITY

 

Ø  Based on the “ Number of Citizen “ assigned – and the PRIORITY of each such citizen, software installed will send an SMS to the citizens , assigning SPECIFIC DATE / TIME to each person for visit .

 

This automatic / rule-based “ SCHEDULING “ by the software, will ensure “ No crowding / maintenance of Social Distancing “

      

Ø  Concerned VDC will fill in details such as : Vaccinated on ( …..  ) /  Did not turn up

 (  This will alert health worker to visit residence of person for follow-up / reschedule visit )

 

Ø  After the vaccination , VDC will also fill in further details as suggested at :

             Rationing of Covid Vaccine ? ……………………………………[ 06 July 2020 ]


Filling-in of this data is of CRUCIAL IMPORTANCE

 

THE GREATER THE NUMBER OF ( VACCINATED ) PERSONS FOR WHOM VDC FILLS IN SUCH DETAILED DATA, THE GREATER WILL BE THE ABILITY OF THE AI [ ARTIFICIAL INTELLIGENCE ] TO PREDICT  :

            

            #  Where ( location ) will the infections go up further / go down

            #  Which STRATA of society is more / less likely to get affected in future

            #  The EXTENT to which recovery – rate will go up / down , and where

            #  What could be the MORTALTY RATE ( region-wise / Strata-wise /

                education-wise / Income Level -wise etc )

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Distribution Logistics

 

Please also consider a centralized purchase of vaccines by your ministry from all vaccine manufacturers

No direct purchase by State Governments or any other govt agency – and certainly not by any private party/person

Your ministry to issue DELIVERY SCHEDULES to all vaccine manufacturers, which will instruct, how many dozes ( vials ) to be delivered to each VDC ( Vaccine Delivery Centre ) – and on what date . These schedules to be visible to all, so that there is no dispute between different States re “non-receipt / less receipt “ of dozes

Each consignment to be tracked by Aushman Bharat website and promptly displayed for all to see

Online confirmation of receipt of each consignment by all VDC – again displayed on website for all – ensuring no debating of FACTS of deliveries / stocks / consumption

Although, website shall not display the names of citizen who have been administered the vaccine ( to protect their privacy ), it will display the DAILY and CUMULATIVE numbers of vaccinations ( for all to see )

 

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Related Readings :

Govt identifying 30 cr who get vaccine on priority 

“ Corona Kavach “ Insurance ……………………………………………[ 07 July 2020 ]

An Appeal to DCGI – and others ……………………………………..[ 09 July 2020 ]

Thank You All …………………………………………………………………….[ 10 July 2010 ]

Congratulations , Sid Chakravarthy …………………………………[ 24 July 2020 ]

Bill Gates has the same concerns – and similar views ……[ 25 Sept 2020 ]

Thank You, Adar Poonawala ……………………………………………..[ 26 Sept 2020 ]

National Clinical Registry on Covid …………………………………..[ 29 Sept 2020 ]

===================================================

Email sent to :

 

Ø  Shri V G Somani, Drug Controller General of India ( DCGI )

dci@nic.in  /  se.reddy@nic.in 

 

Ø  The Central Drugs Standard Control Organization ( CDSCO )

arunsharma@csco.nic.in  /  pbn.prasad@cdsco.nic.in  / bangaru@cdsco.nic.in

 

Ø  Smt  Shubhra Singh ,

Chairperson , The National Pharmaceutical Pricing Authority of India ( NPPA )

Chairman.nppa@nic.in

 

Ø    Dr T P Lahane, Directorate of Medical Education and Research ( DMER )

  dmerps@gmail.com  /  dmercetcell@gmail.com

 

Ø  Shri Anil Deshmukhji Home Minister ( Mah )

info@anildeshmukh.com / deshmukhv09@gmail.com )

 

Ø  Shri Rajendra ShinganejiFDA Minster ( Mah )

drrajendrashingane61@gmail.com )

 

Ø  Shri Arun Unhaleji, FDA Commissioner ( Mah )

 comm.fda-mah@nic.in 

 

Shri Sid Chakravarthy 

[ sid@statwig.com / sid@ideassjsu.org  /  contactus@statwig.com ]

 

Shri Adar Poonawala  

[  ceo.office@cyruspoonawallagroup.com /  contact@seruminstitute.com ]

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Dear Dr Harshvardhanji,

I urge you to consider my suggestions on a

#  LARGER CONTEXT of control of all viruses / epidemics / pandemics  

#  LONGER TIME-FRAME of years – decades ( and not restricted to the next few months )

 

With regards,

Hemen Parekh  /  hcp@recruitGuru.com  /  19th Oct 2020