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How to put an end to premature deaths | Manish Ranjan | TEDxIITKharagpur


okay good evening everyone

okay good evening everyone I think we have seen quite a bit of very

I think we have seen quite a bit of very

I think we have seen quite a bit of very very interesting projects and stories so

very interesting projects and stories so

very interesting projects and stories so far I would say that mine won’t be that

far I would say that mine won’t be that

far I would say that mine won’t be that interesting but actually it will summer

interesting but actually it will summer

interesting but actually it will summer fall in line with you know something

fall in line with you know something

fall in line with you know something what you have said very early when you

what you have said very early when you

what you have said very early when you start this program started we said that

start this program started we said that

start this program started we said that that’s the journey of an idea of examine

that’s the journey of an idea of examine

that’s the journey of an idea of examine Express in Excel we will see how an idea

Express in Excel we will see how an idea

Express in Excel we will see how an idea have actually gone through these phases

have actually gone through these phases

have actually gone through these phases I won’t say that we have completely

I won’t say that we have completely

I won’t say that we have completely excelled in what we are doing but we I

excelled in what we are doing but we I

excelled in what we are doing but we I completely believe that we are somewhere

completely believe that we are somewhere

completely believe that we are somewhere over there so we are in the business of

over there so we are in the business of

over there so we are in the business of saving some I would say premature deaths

saving some I would say premature deaths

saving some I would say premature deaths are trying to save people from dying

are trying to save people from dying

are trying to save people from dying earlier basically delaying their deaths

earlier basically delaying their deaths

earlier basically delaying their deaths and you’ll see how we are going to do it

and you’ll see how we are going to do it

and you’ll see how we are going to do it well this is just a symbol of crude

well this is just a symbol of crude

well this is just a symbol of crude mortality rate as you can see that in

mortality rate as you can see that in

mortality rate as you can see that in Africa except Africa I would say the

Africa except Africa I would say the

Africa except Africa I would say the numbers are not very high in Africa

numbers are not very high in Africa

numbers are not very high in Africa there because of various reasons the

there because of various reasons the

there because of various reasons the numbers are very high but if I want to

numbers are very high but if I want to

numbers are very high but if I want to go a level deeper about you know how and

go a level deeper about you know how and

go a level deeper about you know how and where these deaths are happening then

where these deaths are happening then

where these deaths are happening then with what we see is 2/3 of all these

with what we see is 2/3 of all these

with what we see is 2/3 of all these deaths are happening actually because of

deaths are happening actually because of

deaths are happening actually because of what is something called chronic disease

what is something called chronic disease

what is something called chronic disease or chronic disease are something which

or chronic disease are something which

or chronic disease are something which also known as non communicable diseases

also known as non communicable diseases

also known as non communicable diseases which is people will be suffering once

which is people will be suffering once

which is people will be suffering once they get it people will be suffering for

they get it people will be suffering for

they get it people will be suffering for it for almost an entire lifetime ok now

it for almost an entire lifetime ok now

it for almost an entire lifetime ok now 2/3 of all the deaths today are

2/3 of all the deaths today are

2/3 of all the deaths today are happening because of this now if I see

happening because of this now if I see

happening because of this now if I see that what is the total cost of chronic

that what is the total cost of chronic

that what is the total cost of chronic disease if you see that apart from dying

disease if you see that apart from dying

disease if you see that apart from dying prematurely

prematurely

prematurely apart from dying say few years before

apart from dying say few years before

apart from dying say few years before what I would say actually die the

what I would say actually die the

what I would say actually die the quality of life deteriorates a lot

quality of life deteriorates a lot

quality of life deteriorates a lot people may lose their food people may

people may lose their food people may

people may lose their food people may have a stroke effect what that

have a stroke effect what that

have a stroke effect what that effectively means is that even a

effectively means is that even a

effectively means is that even a they’re alive still they can’t work

they’re alive still they can’t work

they’re alive still they can’t work still you know the family has a huge

still you know the family has a huge

still you know the family has a huge financial burden so effectively the

financial burden so effectively the

financial burden so effectively the total cost of so-called chronic diseases

total cost of so-called chronic diseases

total cost of so-called chronic diseases are actually much higher than just the

are actually much higher than just the

are actually much higher than just the depth much higher than just you know a

depth much higher than just you know a

depth much higher than just you know a father not able to see his daughter

father not able to see his daughter

father not able to see his daughter getting married or a mother not able to

getting married or a mother not able to

getting married or a mother not able to see her grandson okay just to put you in

see her grandson okay just to put you in

see her grandson okay just to put you in numbers it’s approximately all like 4 to

numbers it’s approximately all like 4 to

numbers it’s approximately all like 4 to 6% of GDP we’ll see some of those

6% of GDP we’ll see some of those

6% of GDP we’ll see some of those numbers as you go along

numbers as you go along

numbers as you go along yeah so why you know so many people are

yeah so why you know so many people are

yeah so why you know so many people are dying because of this and why we have

dying because of this and why we have

dying because of this and why we have not been able to solve it I mean is it

not been able to solve it I mean is it

not been able to solve it I mean is it because to say the medication is not

because to say the medication is not

because to say the medication is not available if you see it just first said

available if you see it just first said

available if you see it just first said for example diabetes you know the first

for example diabetes you know the first

for example diabetes you know the first insulin which is the most important part

insulin which is the most important part

insulin which is the most important part to solve the problem of diabetes was

to solve the problem of diabetes was

to solve the problem of diabetes was actually discovered in 1921 the most use

actually discovered in 1921 the most use

actually discovered in 1921 the most use medicine McMuffin was actually first

medicine McMuffin was actually first

medicine McMuffin was actually first marketed in the u.s. in 1992

marketed in the u.s. in 1992

marketed in the u.s. in 1992 so the medicines are available if the

so the medicines are available if the

so the medicines are available if the same mal said the hypertension again if

same mal said the hypertension again if

same mal said the hypertension again if you see at least for last twenty to

you see at least for last twenty to

you see at least for last twenty to thirty years the medicines are available

thirty years the medicines are available

thirty years the medicines are available then still why people are dying because

then still why people are dying because

then still why people are dying because of these diseases and this is again

of these diseases and this is again

of these diseases and this is again another number that how the effect the

another number that how the effect the

another number that how the effect the impact the ratio of people dying because

impact the ratio of people dying because

impact the ratio of people dying because of chronic disease increasing now with

of chronic disease increasing now with

of chronic disease increasing now with this problem you know we when we while

this problem you know we when we while

this problem you know we when we while we are trying to solve it we also came

we are trying to solve it we also came

we are trying to solve it we also came across another very interesting data

across another very interesting data

across another very interesting data which said that say for example you know

which said that say for example you know

which said that say for example you know in 2005 around 53 million people died

in 2005 around 53 million people died

in 2005 around 53 million people died out of that you know 2/3 of all the

out of that you know 2/3 of all the

out of that you know 2/3 of all the people deaths where because of chronic

people deaths where because of chronic

people deaths where because of chronic disease but what’s most important is 14

disease but what’s most important is 14

disease but what’s most important is 14 million premature deaths 14 million

million premature deaths 14 million

million premature deaths 14 million premature deaths can actually be saved

premature deaths can actually be saved

premature deaths can actually be saved by a very simple intervention what we

by a very simple intervention what we

by a very simple intervention what we call it okay if we are able to manage

call it okay if we are able to manage

call it okay if we are able to manage blood pressure and blood sugar you can

blood pressure and blood sugar you can

blood pressure and blood sugar you can actually prevent so many premature

actually prevent so many premature

actually prevent so many premature deaths

deaths

deaths now but this is a challenge you know and

now but this is a challenge you know and

now but this is a challenge you know and we started into this journey of I would

we started into this journey of I would

we started into this journey of I would say X examine Express excel now yeah I

say X examine Express excel now yeah I

say X examine Express excel now yeah I was very much like many of you are you

was very much like many of you are you

was very much like many of you are you guys I would say I graduated from

guys I would say I graduated from

guys I would say I graduated from mechanical engineering and after that I

mechanical engineering and after that I

mechanical engineering and after that I was working in a supply chain consulting

was working in a supply chain consulting

was working in a supply chain consulting form where where I was trying to you

form where where I was trying to you

form where where I was trying to you know help large companies design better

know help large companies design better

know help large companies design better processes better business systems so as

processes better business systems so as

processes better business systems so as to improve their efficiency so as so

to improve their efficiency so as so

to improve their efficiency so as so that they can meet their business goals

that they can meet their business goals

that they can meet their business goals now

now

now many at times when we just assume that

many at times when we just assume that

many at times when we just assume that since there’s such a huge companies you

since there’s such a huge companies you

since there’s such a huge companies you know most of the things would be lying

know most of the things would be lying

know most of the things would be lying there would be not the best possible way

there would be not the best possible way

there would be not the best possible way and that’s one assumption which we I

and that’s one assumption which we I

and that’s one assumption which we I after a lot of you know experience and

after a lot of you know experience and

after a lot of you know experience and confidence can say that we should never

confidence can say that we should never

confidence can say that we should never make that assumption okay there are

make that assumption okay there are

make that assumption okay there are always scope for improvement and we

always scope for improvement and we

always scope for improvement and we should try to find it now when I was and

should try to find it now when I was and

should try to find it now when I was and the closest I was to a health care was

the closest I was to a health care was

the closest I was to a health care was that my dad is a doctor with his own

that my dad is a doctor with his own

that my dad is a doctor with his own Hospital and you know every time when I

Hospital and you know every time when I

Hospital and you know every time when I will come back to home on a vacation or

will come back to home on a vacation or

will come back to home on a vacation or something I’ll tell my dad the dad hey

something I’ll tell my dad the dad hey

something I’ll tell my dad the dad hey why don’t you change this why don’t you

why don’t you change this why don’t you

why don’t you change this why don’t you change that and until one day my dad

change that and until one day my dad

change that and until one day my dad said that you know son I am a doctor let

said that you know son I am a doctor let

said that you know son I am a doctor let me do my job

me do my job

me do my job you seem to be a manager why don’t you

you seem to be a manager why don’t you

you seem to be a manager why don’t you do it all the suggestions which you are

do it all the suggestions which you are

do it all the suggestions which you are doing and that day actually that made me

doing and that day actually that made me

doing and that day actually that made me think that if the doctor should always

think that if the doctor should always

think that if the doctor should always be in a lot of shortage so there are

be in a lot of shortage so there are

be in a lot of shortage so there are some parts which has to be done by

some parts which has to be done by

some parts which has to be done by people who are not fully qualified or

people who are not fully qualified or

people who are not fully qualified or not as qualified as doctors and that

not as qualified as doctors and that

not as qualified as doctors and that made me get more interested into

made me get more interested into

made me get more interested into healthcare and for that I went to is be

healthcare and for that I went to is be

healthcare and for that I went to is be forced to study healthcare management

forced to study healthcare management

forced to study healthcare management and that’s where we we while I was

and that’s where we we while I was

and that’s where we we while I was working with you know multiple ideas on

working with you know multiple ideas on

working with you know multiple ideas on specially focusing on you know the

specially focusing on you know the

specially focusing on you know the richer people who were how to solve the

richer people who were how to solve the

richer people who were how to solve the problem of chronic disease for them we

problem of chronic disease for them we

problem of chronic disease for them we came across the whole price and and that

came across the whole price and and that

came across the whole price and and that the challenge was exactly the same but

the challenge was exactly the same but

the challenge was exactly the same but just

just

just that they said that ok please find the

that they said that ok please find the

that they said that ok please find the solution to solve the problem for the

solution to solve the problem for the

solution to solve the problem for the most bottom of pyramid for the people

most bottom of pyramid for the people

most bottom of pyramid for the people who cannot like less than $2 a day and

who cannot like less than $2 a day and

who cannot like less than $2 a day and that made the challenge a lot more

that made the challenge a lot more

that made the challenge a lot more difficult to solve but you know we

difficult to solve but you know we

difficult to solve but you know we presented this ok yeah we present in

presented this ok yeah we present in

presented this ok yeah we present in this idea of you know through multiple

this idea of you know through multiple

this idea of you know through multiple stages and you I’m sure many of you guys

stages and you I’m sure many of you guys

stages and you I’m sure many of you guys know this all the stages and you know we

know this all the stages and you know we

know this all the stages and you know we fir finally we got through out of 11,000

fir finally we got through out of 11,000

fir finally we got through out of 11,000 teams we were like the top six teams to

teams we were like the top six teams to

teams we were like the top six teams to reach the finals and that was the first

reach the finals and that was the first

reach the finals and that was the first time an Indian team has actually reached

time an Indian team has actually reached

time an Indian team has actually reached that far and we were I would say lucky

that far and we were I would say lucky

that far and we were I would say lucky enough to reach the finals as well so

enough to reach the finals as well so

enough to reach the finals as well so well yeah so that’s why in 2014 we got

well yeah so that’s why in 2014 we got

well yeah so that’s why in 2014 we got an idea I would say the first stamp of

an idea I would say the first stamp of

an idea I would say the first stamp of approval that ok this this idea seems to

approval that ok this this idea seems to

approval that ok this this idea seems to be has a good potential of making a

be has a good potential of making a

be has a good potential of making a difference in to lots of lives

difference in to lots of lives

difference in to lots of lives and after that when we okay what was the

and after that when we okay what was the

and after that when we okay what was the reason why you know the judges said that

reason why you know the judges said that

reason why you know the judges said that okay this is seems like a great idea

okay this is seems like a great idea

okay this is seems like a great idea which can make an impact right so we got

which can make an impact right so we got

which can make an impact right so we got deeper into that why this problem exists

deeper into that why this problem exists

deeper into that why this problem exists and we sweep that okay as a disease

and we sweep that okay as a disease

and we sweep that okay as a disease grows you know there it is asymptomatic

grows you know there it is asymptomatic

grows you know there it is asymptomatic you know the people have no clue that

you know the people have no clue that

you know the people have no clue that it’s actually happening before and even

it’s actually happening before and even

it’s actually happening before and even after that there are some symptoms they

after that there are some symptoms they

after that there are some symptoms they go to a doctor it’s not easy to find a

go to a doctor it’s not easy to find a

go to a doctor it’s not easy to find a doctor or a good doctor all the time and

doctor or a good doctor all the time and

doctor or a good doctor all the time and even if they are lucky enough to find a

even if they are lucky enough to find a

even if they are lucky enough to find a good doctor it’s not these medications

good doctor it’s not these medications

good doctor it’s not these medications are required to meet in continuously for

are required to meet in continuously for

are required to meet in continuously for their entire life and that’s again you

their entire life and that’s again you

their entire life and that’s again you know it is not easy and that’s the human

know it is not easy and that’s the human

know it is not easy and that’s the human behavior doesn’t allow us to just keep

behavior doesn’t allow us to just keep

behavior doesn’t allow us to just keep repeatedly do the same thing again and

repeatedly do the same thing again and

repeatedly do the same thing again and again with the same efficiency right so

again with the same efficiency right so

again with the same efficiency right so effectively what we found is that there

effectively what we found is that there

effectively what we found is that there are actually 3 problems ok within the se

are actually 3 problems ok within the se

are actually 3 problems ok within the se whole problem of solving the problem of

whole problem of solving the problem of

whole problem of solving the problem of chronic diseases the first one is the

chronic diseases the first one is the

chronic diseases the first one is the under diagnosis where the people just

under diagnosis where the people just

under diagnosis where the people just don’t know that there is a disease that

don’t know that there is a disease that

don’t know that there is a disease that they are suffering the second one is

they are suffering the second one is

they are suffering the second one is poor treatment where you know getting

poor treatment where you know getting

poor treatment where you know getting the finding the right doctor with the

the finding the right doctor with the

the finding the right doctor with the fine with the right treatment is not

fine with the right treatment is not

fine with the right treatment is not easy

easy

easy and the third one is poor compliance

and the third one is poor compliance

and the third one is poor compliance you know continuously taking the right

you know continuously taking the right

you know continuously taking the right medication making sure that you know

medication making sure that you know

medication making sure that you know they’re doing a good job at it is not

they’re doing a good job at it is not

they’re doing a good job at it is not easy now

easy now

easy now we also knew that we have to find a

we also knew that we have to find a

we also knew that we have to find a solution for all of them together I mean

solution for all of them together I mean

solution for all of them together I mean if you find just solution for one of

if you find just solution for one of

if you find just solution for one of them that’s not going to be enough for

them that’s not going to be enough for

them that’s not going to be enough for example if you just tell a person that

example if you just tell a person that

example if you just tell a person that you know hey you have a higher risk for

you know hey you have a higher risk for

you know hey you have a higher risk for say diabetes you know most of the times

say diabetes you know most of the times

say diabetes you know most of the times they will not go to a doctor even if the

they will not go to a doctor even if the

they will not go to a doctor even if the doctor says that that hey you are

doctor says that that hey you are

doctor says that that hey you are diabetic and this is the medication you

diabetic and this is the medication you

diabetic and this is the medication you have to take they will take for a month

have to take they will take for a month

have to take they will take for a month or two and after that they will drop out

or two and after that they will drop out

or two and after that they will drop out again so we had to find a solution for

again so we had to find a solution for

again so we had to find a solution for all three without that we knew that this

all three without that we knew that this

all three without that we knew that this solution is not going to be effective

solution is not going to be effective

solution is not going to be effective now with that in mind what we found was

now with that in mind what we found was

now with that in mind what we found was that what if you know we create a you

that what if you know we create a you

that what if you know we create a you know we start screening people we are

know we start screening people we are

know we start screening people we are just telling them that okay who is at

just telling them that okay who is at

just telling them that okay who is at higher risk who is at lower risk we take

higher risk who is at lower risk we take

higher risk who is at lower risk we take them to the doctor that okay hey you

them to the doctor that okay hey you

them to the doctor that okay hey you know this doctor please split check and

know this doctor please split check and

know this doctor please split check and only when the doctor confirms we again

only when the doctor confirms we again

only when the doctor confirms we again go back again and again to that person

go back again and again to that person

go back again and again to that person that okay how are you doing and with

that okay how are you doing and with

that okay how are you doing and with your disease whether you are taking a

your disease whether you are taking a

your disease whether you are taking a medication or not and we found that

medication or not and we found that

medication or not and we found that technology is the key of why this can be

technology is the key of why this can be

technology is the key of why this can be done otherwise when you are talking

done otherwise when you are talking

done otherwise when you are talking about say hundred people this can be

about say hundred people this can be

about say hundred people this can be managed but when you are talking about

managed but when you are talking about

managed but when you are talking about hundreds of thousands and a million

hundreds of thousands and a million

hundreds of thousands and a million people you can’t do it without

people you can’t do it without

people you can’t do it without technology and I think the era in which

technology and I think the era in which

technology and I think the era in which we are living right now the technology

we are living right now the technology

we are living right now the technology has developed has become a lot more

has developed has become a lot more

has developed has become a lot more cost-effective that it is possible to do

cost-effective that it is possible to do

cost-effective that it is possible to do at the least cost possibly yeah now the

at the least cost possibly yeah now the

at the least cost possibly yeah now the whole solution is based on two key

whole solution is based on two key

whole solution is based on two key pillars the first one what we call it a

pillars the first one what we call it a

pillars the first one what we call it a sati which means friend which is like a

sati which means friend which is like a

sati which means friend which is like a women health worker whom we trained and

women health worker whom we trained and

women health worker whom we trained and the second is the second one is what we

the second is the second one is what we

the second is the second one is what we call as doc in a bag

yeah second one is what we call is a doc

yeah second one is what we call is a doc in a back which is a device to your you

in a back which is a device to your you

in a back which is a device to your you you basically what are the we started

you basically what are the we started

you basically what are the we started looking to what are the bare minimum

looking to what are the bare minimum

looking to what are the bare minimum things which is required to be measured

things which is required to be measured

things which is required to be measured before we can tell a person who is with

before we can tell a person who is with

before we can tell a person who is with you who is at higher risk or not and

you who is at higher risk or not and

you who is at higher risk or not and that’s where you know with the existing

that’s where you know with the existing

that’s where you know with the existing device we assimilated them we said that

device we assimilated them we said that

device we assimilated them we said that okay if we can just measure these bare

okay if we can just measure these bare

okay if we can just measure these bare minimum things we can actually tell

minimum things we can actually tell

minimum things we can actually tell people with lot of confidence that okay

people with lot of confidence that okay

people with lot of confidence that okay this person is with higher risk or not

this person is with higher risk or not

this person is with higher risk or not and that’s where we came up with this

and that’s where we came up with this

and that’s where we came up with this idea of docking a bag and we are

idea of docking a bag and we are

idea of docking a bag and we are continuously trying to see how we can

continuously trying to see how we can

continuously trying to see how we can add at first more you know diagnostic

add at first more you know diagnostic

add at first more you know diagnostic tests to it and how can we make it more

tests to it and how can we make it more

tests to it and how can we make it more and more effective

and more effective

and more effective now with that our journey began and

now with that our journey began and

now with that our journey began and that’s where we started I would say

that’s where we started I would say

that’s where we started I would say expressing our idea and we started with

expressing our idea and we started with

expressing our idea and we started with the screening camps this is just one

the screening camps this is just one

the screening camps this is just one picture then we said that okay we had

picture then we said that okay we had

picture then we said that okay we had three key areas where we wanted to

three key areas where we wanted to

three key areas where we wanted to improve the first one is the of course

improve the first one is the of course

improve the first one is the of course the scalability that we knew that ok the

the scalability that we knew that ok the

the scalability that we knew that ok the solution the medical solution for this

solution the medical solution for this

solution the medical solution for this problems are has been existing for you

problems are has been existing for you

problems are has been existing for you know last 30 to 40 years so we we are

know last 30 to 40 years so we we are

know last 30 to 40 years so we we are not going to do any new innovation there

not going to do any new innovation there

not going to do any new innovation there but only if we are able to reach bring

but only if we are able to reach bring

but only if we are able to reach bring this solution to millions of people

this solution to millions of people

this solution to millions of people that’s the difference which we can make

that’s the difference which we can make

that’s the difference which we can make so a scalability was within our solution

so a scalability was within our solution

so a scalability was within our solution from day one

from day one

from day one now the second was we wanted we wanted

now the second was we wanted we wanted

now the second was we wanted we wanted to make sure that our solution is

to make sure that our solution is

to make sure that our solution is effective is actually going ahead and

effective is actually going ahead and

effective is actually going ahead and making the difference in the people life

making the difference in the people life

making the difference in the people life right so we started with you know hiring

right so we started with you know hiring

right so we started with you know hiring of satis you know about training when we

of satis you know about training when we

of satis you know about training when we learned that ok the one time if you give

learned that ok the one time if you give

learned that ok the one time if you give a training that’s not enough there has

a training that’s not enough there has

a training that’s not enough there has to be a process of continuous training

to be a process of continuous training

to be a process of continuous training and just to identify that when it with

and just to identify that when it with

and just to identify that when it with the right time to give that continuous

the right time to give that continuous

the right time to give that continuous training is innovation in itself which

training is innovation in itself which

training is innovation in itself which we learnt I would say learn from

we learnt I would say learn from

we learnt I would say learn from experience and again say the salaries

experience and again say the salaries

experience and again say the salaries again all these are think a lot of

again all these are think a lot of

again all these are think a lot of things which you have learned from the

things which you have learned from the

things which you have learned from the experience where being on the ground

experience where being on the ground

experience where being on the ground we knew that okay we have to give us our

we knew that okay we have to give us our

we knew that okay we have to give us our satis or paramedics incentives but what

satis or paramedics incentives but what

satis or paramedics incentives but what incentives how much when I mean these

incentives how much when I mean these

incentives how much when I mean these are all the questions which which

are all the questions which which

are all the questions which which actually requires a lot of thought

actually requires a lot of thought

actually requires a lot of thought thinking and you know on the ground

thinking and you know on the ground

thinking and you know on the ground feedback now we started actually from

feedback now we started actually from

feedback now we started actually from you know the manual entry of the all the

you know the manual entry of the all the

you know the manual entry of the all the patient details then we move to Excel

patient details then we move to Excel

patient details then we move to Excel then we move to you know the Google

then we move to you know the Google

then we move to you know the Google Drive I mean this is again the journey

Drive I mean this is again the journey

Drive I mean this is again the journey which I am trying to show you till you

which I am trying to show you till you

which I am trying to show you till you know now we have moved to you know

know now we have moved to you know

know now we have moved to you know tablets and you know the real-time sync

tablets and you know the real-time sync

tablets and you know the real-time sync up with the server where we can actually

up with the server where we can actually

up with the server where we can actually see that how many patients has been

see that how many patients has been

see that how many patients has been screened today how many patients were

screened today how many patients were

screened today how many patients were high risk low risk though the real-time

high risk low risk though the real-time

high risk low risk though the real-time information is available now where we

information is available now where we

information is available now where we are right now we have a screen more than

are right now we have a screen more than

are right now we have a screen more than 29,000 people I mean close to 30,000 and

29,000 people I mean close to 30,000 and

29,000 people I mean close to 30,000 and it’s again it changes real-time what we

it’s again it changes real-time what we

it’s again it changes real-time what we also found was like out of the total

also found was like out of the total

also found was like out of the total number sort of forty five percent of the

number sort of forty five percent of the

number sort of forty five percent of the people who were screened who we’re at

people who were screened who we’re at

people who were screened who we’re at higher risk had no prior information

higher risk had no prior information

higher risk had no prior information that there was something wrong with them

that there was something wrong with them

that there was something wrong with them so you can imagine that if we go ahead

so you can imagine that if we go ahead

so you can imagine that if we go ahead and find a screen hundred people then

and find a screen hundred people then

and find a screen hundred people then forty out of them where we found them to

forty out of them where we found them to

forty out of them where we found them to be at a higher risk out of that

be at a higher risk out of that

be at a higher risk out of that approximately 18 had no clue that there

approximately 18 had no clue that there

approximately 18 had no clue that there was something wrong with them and that’s

was something wrong with them and that’s

was something wrong with them and that’s the impact which we are talking about

the impact which we are talking about

the impact which we are talking about that’s the number of people we are

that’s the number of people we are

that’s the number of people we are saving we are identifying and telling

saving we are identifying and telling

saving we are identifying and telling them please go to the doctor so that

them please go to the doctor so that

them please go to the doctor so that they can actually save save themselves

they can actually save save themselves

they can actually save save themselves from dying earlier having a better life

from dying earlier having a better life

from dying earlier having a better life now there’s a lot of other information

now there’s a lot of other information

now there’s a lot of other information also it comes like okay how how many

also it comes like okay how how many

also it comes like okay how how many people have diabetes how many of

people have diabetes how many of

people have diabetes how many of hypertension how many have both of them

hypertension how many have both of them

hypertension how many have both of them then there are a lot of studies done

then there are a lot of studies done

then there are a lot of studies done between the comorbidity between say

between the comorbidity between say

between the comorbidity between say these two diseases which like okay if

these two diseases which like okay if

these two diseases which like okay if one person has diabetes then what are

one person has diabetes then what are

one person has diabetes then what are the chances of them having hypertension

the chances of them having hypertension

the chances of them having hypertension as well now this the data the amount of

as well now this the data the amount of

as well now this the data the amount of data which we are collecting very well

data which we are collecting very well

data which we are collecting very well shows that how much comorbidity actually

shows that how much comorbidity actually

shows that how much comorbidity actually exists right now what

exists right now what

exists right now what the impact so we showed that actually in

the impact so we showed that actually in

the impact so we showed that actually in with enum period of six month we leased

with enum period of six month we leased

with enum period of six month we leased out to you know more than thirty

out to you know more than thirty

out to you know more than thirty thousand people now we also showed that

thousand people now we also showed that

thousand people now we also showed that saw that this is rate of blood sugar

saw that this is rate of blood sugar

saw that this is rate of blood sugar level of one of our patients whom we are

level of one of our patients whom we are

level of one of our patients whom we are managing and she could not she knew that

managing and she could not she knew that

managing and she could not she knew that she has diabetes for last five to six

she has diabetes for last five to six

she has diabetes for last five to six years and but and she knew that she just

years and but and she knew that she just

years and but and she knew that she just she has not been able to bring down her

she has not been able to bring down her

she has not been able to bring down her sugar level now Green is the level where

sugar level now Green is the level where

sugar level now Green is the level where I show that okay which is acceptable

I show that okay which is acceptable

I show that okay which is acceptable level of sugar in a normal healthy being

level of sugar in a normal healthy being

level of sugar in a normal healthy being and it very clearly shows you know from

and it very clearly shows you know from

and it very clearly shows you know from June since we have started monitoring at

June since we have started monitoring at

June since we have started monitoring at how we have been actually been able to

how we have been actually been able to

how we have been actually been able to bring her sugar levels down to no

bring her sugar levels down to no

bring her sugar levels down to no acceptable or a good level now I am NOT

acceptable or a good level now I am NOT

acceptable or a good level now I am NOT saying that okay so this is data of just

saying that okay so this is data of just

saying that okay so this is data of just one patient but ma our goal will be

one patient but ma our goal will be

one patient but ma our goal will be achieved when we can do I would say

achieved when we can do I would say

achieved when we can do I would say eighty percent of all the people who we

eighty percent of all the people who we

eighty percent of all the people who we are managing what I am pretty confident

are managing what I am pretty confident

are managing what I am pretty confident about is that at least at this point of

about is that at least at this point of

about is that at least at this point of time I know who is managing it who is

time I know who is managing it who is

time I know who is managing it who is not able to manage it and we can give

not able to manage it and we can give

not able to manage it and we can give them the right direction the right

them the right direction the right

them the right direction the right counseling to ensure that they can

counseling to ensure that they can

counseling to ensure that they can actually go ahead and manage it and I

actually go ahead and manage it and I

actually go ahead and manage it and I believe this is the first I mean I know

believe this is the first I mean I know

believe this is the first I mean I know for sure that this is the first

for sure that this is the first

for sure that this is the first intervention of this kind working for at

intervention of this kind working for at

intervention of this kind working for at the bottom of the pyramid and there is

the bottom of the pyramid and there is

the bottom of the pyramid and there is nothing which stops from you know taking

nothing which stops from you know taking

nothing which stops from you know taking it to the next level or to the middle

it to the next level or to the middle

it to the next level or to the middle segment or the higher segment as well so

segment or the higher segment as well so

segment or the higher segment as well so we are focusing a lot on the technology

we are focusing a lot on the technology

we are focusing a lot on the technology right now where you know all the all you

right now where you know all the all you

right now where you know all the all you guys and what the previous speakers also

guys and what the previous speakers also

guys and what the previous speakers also talked about that how can we actually

talked about that how can we actually

talked about that how can we actually merge the learning from the ground and

merge the learning from the ground and

merge the learning from the ground and the technology to create an actual

the technology to create an actual

the technology to create an actual solution and I would say definitely we

solution and I would say definitely we

solution and I would say definitely we have not excelled but we are definitely

have not excelled but we are definitely

have not excelled but we are definitely on the path of that excellent I don’t

on the path of that excellent I don’t

on the path of that excellent I don’t call it you know the like the innovation

call it you know the like the innovation

call it you know the like the innovation and the science of you know disease but

and the science of you know disease but

and the science of you know disease but it’s definitely an innovation in terms

it’s definitely an innovation in terms

it’s definitely an innovation in terms of excellence in terms of execution

of excellence in terms of execution

of excellence in terms of execution making sure that what is required to be

making sure that what is required to be

making sure that what is required to be done on the ground is happening with not

done on the ground is happening with not

done on the ground is happening with not one or five paramedics but you know

one or five paramedics but you know

one or five paramedics but you know hundreds of paramedic and that’s

hundreds of paramedic and that’s

hundreds of paramedic and that’s you know technology has been a boon to

you know technology has been a boon to

you know technology has been a boon to us so yeah please Simon all continue to

us so yeah please Simon all continue to

us so yeah please Simon all continue to support us and making sure that we can

support us and making sure that we can

support us and making sure that we can save a lot more premature death thank

save a lot more premature death thank

save a lot more premature death thank you thank you so much

”

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