1. Mobile Global Health Supercourse in the Former Soviet Union countries Eugene Shubnikov (Russia), Komil Daburov (Tajikistan), Andrey Troufanov (Russia) Faina Linkov (USA), Ronald LaPorte (USA) IEA World Congress of Epidemiology 2011, Scotland

2. WHO DIAMOND Project 155 Centers 70 Countries 19,212 Children Registered 7.2% of Children

3. Preventing chronic disease locally(FSU) and globally: Delivery of prevention information through the Supercourse

4. Mobile Global Health FSU Supercourse

5. Education and information sharing is important to preventing all forms of diseases and conditions.

8. Mobile Global Health FSU Supercourse

10. Moldova 65 73 69 Russia 62 74 68 Turkmenistan 60 67 63 United Kingdom 78 82 80 United States of America 76 81 78 Life expectancy at birth (years) Male Female Both sexes 2008 Countries

12. FSU Supercourse Network, 2011 More than 500 registered members

15. More than 350 lectures From FSU aurthors (English Language page)

16. Health indices for FSU We may use YouTube too!

17. List of more than 250 lectures in Russian language (Russian Language page)

18. Role of FSU Internet and Mobile Prevention Network in improvement Health in FSU Networking FSU Public Health specialists via Internet Improve prevention through the training of FSU Public Health specialists through Supercourse Library of lectures in Epidemiology, Public Health and Internet - www.pitt.edu/~super1/national/index.htm www.pitt.edu/~super1/national/index.htm Provide Russian Language Lectures on prevention via FSU Internet Prevention web site – www.pitt.edu/~super1/national/index.htmwww.pitt.edu/~super1/national/index.htm

19. Mobile Global Health FSU Supercourse Skype Snapshot

20. Communications in Russia

21. Communications in Russia 2010 By June 2010, the number of Internet users in Russia reached 59,7 millions or 43% of total population, offering a unique opportunity to utilize internet pathways for disease prevention in FSU. There are about 1,33 cell phones for every one person living in Russia

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26. Google Search for Mobile Global Health

27. Mobile Global Health FSU Supercourse

32. Phone in Turkmenistan Beeline Uzbekistan

33. Health status It is useful to begin an account of health status developments with a consideration of the Soviet period, as the present health crisis of the Russian Federation has its roots in events that long precede the collapse of the Soviet Union.

34. The period until 1991 Life expectancy in 1965

35. The health care principles upon which the Soviet health care system was to be based (Nikolai Semashko): Government responsibility for health Universal access to free services A preventive approach to “social diseases” Quality professional care A close relation between science and medical practice Continuity of care between health promotion, treatment and rehabilitation.

36. But… The diverging paths of Russia and other industrialized nations with respect to health status from the 1960s onward has been attributed to the failure of the Russian health care system to successfully respond to the epidemiological transition.

37. Why? The paternalistic Soviet philosophy did not encourage the development of responsibility of the individual with respect to lifestyle issues that have a major bearing on health (alcohol use, smoking, diet, etc.), a situation exacerbated by the heavy dependence on alcohol sales as a means of circulating currency in a country with little access to consumer goods. Soviet medical science was effectively isolated from developments in the West, not only in terms of knowledge of new treatments but also access to pharmaceuticals, technology, and the emerging evidence based medicine movement.

38. A campaign against alcohol By the 1980s, the gap between Russia and Western countries in life expectancy at birth came to about 10 years for men and 6 years for women, mostly due to high death rates among those of working age (6). In the mid-1980s, the government made an attempt to address this problem (9). It was by then generally understood that potentially avoidable human losses were mostly attributable to excess adult age mortality from particular causes such as injuries, accidental poisoning, suicide, homicide, sudden cardiac death, hypertension and other conditions closely related to alcohol abuse and its consequences.

39. Life expectancy related to Campaign

40. And…. Russia failed to maintain this record. The anti-alcohol campaign not affect the attitude of the majority of Russia’s population towards alcohol. By1987 the USSR was no longer able to enforce the anti-alcohol campaign and death rates rapidly resumed their upward trend from 1988 onwards.

41. What ways we may use for improve Health in FSU countries? Improve prevention Reach everybody Make it inexpensive

42. Future Steps We want to marry our work with those interested in Mobile Technology to build a new discipline called FSU Mobile Global Health. Mobile communications and the Internet are among the most dynamic sectors of the economy in FSU countries.

43. Thank you!