Health in Russia: Internet Applications Eugene Shubnikov and Russian/FSU I-Prevention Group

15 countries in FSU Supercourse Internet Prevention

History of Russian Internet The structure of Russian Internet began to develop in As the first step the Internet companies (Eunet/Relcom, Sovam Teleport, Glasnet, FreeNet) provided only access. In , began the creation and reinforcement of scientific and educational networking (Radio-MSU, RUNNet). From this period all Internet companies started to provide the access to growing World Wide Web resources.

Soros Foundation The Soros Foundation has created an Internet network for science and education in Russia. The Soros Foundation has established computer classes and free Internet access in Russian Universities, Institutions and schools. The Soros Foundation supports 33 well equipped Internet centres at the leading Russian Universities. Thousands of hospitals, Medical Schools and libraries have been wired with funds from Mr. Soros.

Russian Internet Statistics for 2003 According and data of the “Public Opinion” Fund about 10 million Russians use Internet at least one time per month.* Russian language web sites have about 3 millions users each day. About 58% of the users having access from Russia. * In average, one Internet user from Russia checking 30 pages per day*

Communications in Russia There are 30 ml (1998) main telephone lines in use Telephones - mobile cellular: 19 million (January 2003) Internet Service Providers (ISPs) (June 2000) Internet users - 18 million (2002)

Status of Internet use in Novosibirsk City (Russia), 2002 According “Aikon Marketing” survey (Epigraf, N1, 2002)

4% of Novosibirsk City Population is very interested to use Internet, but they still have not access. According “Aikon Marketing” survey (Epigraf, N1, 2002) There are several other limitations to use Internet: The hour of Internet time costs about 0,66 US cents during day time and 0,33 cents during night time. There are some possibilities for unlimited use with reasonable price, but usually during night time (15 US $ per month with access from 1 to 8 a.m., for example). Cable Internet. Very fast connection but providers charge 0,07 US $ per 1 Mb of information together with month payment (5 $), initial fee(50 $) and equipment (15-30 $).

Russian Mobile Internet Cellular connections GPRS 57,6 Kbit/sec MTS, Bi-Line, Megaphon Lucent, Nortel, Siemens.. Same with cellular area GSM (WAP, GPRS) 100 US $ per mpnth Not yet in Russia, just for comparison Lucent, Nortel, Siemens.. Same with cellular area UMTS (3G) 2,4 Mbit/sec 153Kbit/sec Real in RF Provider SkyLink, Uralvestcom Technology Lucent, Nortel, Siemens.. AREA Same with cellular area CDMA or CDMA- 450

Russian Mobile Internet Radio connections GPRS 57,6 Kbit/sec No need for provider Sony Erics- son, Nokia, Motorolla, Siemens. 10 metres Blue tooth Up 54 Mbit/sec Plus $ for notebook pr Taskom, Art Communi cations, Moscom. Intel, Asus, Siemens, IBM, Dell (notebooks with Wi-Fi) meters around spot Wi-Fi Peculia- rities Provider Techno- logy AREAType

Russian Search Engines: Yandex.ru Rambler.ru Search through Yandex.ru for word “epidemiology” in Russian language revealed pages and about 377 web servers.

SIBMED SIBMED ( Many medical resources are being created at local level. Here is an example of web work at Novosibirsk sites. There are possibilities now to visit virtual outpatient department, to find different Internet medical sites. Some of them: - Library of Russian medical sites Library of Russian medical sites - Web site of Main statistical center for Ministry of Public Health of RussiaWeb site of Main statistical center for Ministry of Public Health of Russia

Russian/FSU I-Prevention consists from: Network of the scientists involved in prevention and the Internet in Russia Russian Language or Russia/ FSU’s connected Public Health Library of lectures on the Internet Scientific cooperation between Russian, FSU, US and scientists from around the world in the field of Epidemiology, Public Health and Internet

I-Prevention Low band width information transfer reaching large numbers of well people to prevent The creation of Internet based disease prevention system in Russia is the Primary goal for the future work of our group. Information for non-communicable diseases is what “vaccinations” are to infectious diseases.

Number of participants of Russian/FSU I-Prevention Program

Publications on Russian/FSU I- prevention Program Boyarsky S., Brener I., Vlasov V., Danishevski K., Dato V., Zabina H., Ivanov D., LaPorte R., Linkov F., Luchanski V., Troufanov A., Chepurnov A., Shubnikov E. Internet Prevention Program for Russia. Journal of Diseases Prevention and Health Promotion. Number 3, 2001, P (in Russian)

Epidemiology of Diabetes Mellitus(DM) in Siberia Eugene ShubnikovEugene Shubnikov, MD Center for Endocrinology «SibDiab» Novosibirsk, Russia readings

Future of I-prevention in Russia/FSU Russian/FSU teachers of Public Health will use all accessible Internet information on diseases prevention. New generation of Russian/FSU cyber docs will use the power of Internet through Supercourse web site and related Health web sites. Powerful National Public Health Programs will be supported by Ministries of Health, Medical Academies, Ministries of Education and any other interested government or private organizations.