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donovani as an important final common pathway, for which innovative new genomic and non-genomic tools in various disciplines have become available that provide new insights in clinical management and in control. These 5 priorities share the immune responses of infection with L. From this 5 major priorities arise: diagnosis, treatment, PKDL, asymptomatic infection and transmission. donovani, precision may currently be targeted to the regional level in nosogeographic entities that are defined by the interplay of the circulating parasite, the reservoir and the sand fly vector. Precision public health would lead to the right intervention in each VL endemic population for control, based on relevant population-based data, vector exposures, reservoirs, socio-economic factors and other determinants. Precision medicine and precision global health in visceral leishmaniasis (VL) have not yet been described and could take into account how all known determinants improve diagnostics and treatment for the individual patient. Clinical Sciences, Rotterdam Centre for Tropical Medicine, Rotterdam, Netherlands.No two patients are the same, but their collected stories will ultimately contribute to what may be the highest quality, most complete real-world MS dataset available. In return, researchers at Roche obtain de-identified, real-world data that forms a powerful picture of the entire healthcare experience of a person with MS, Michael says. With access to their comprehensive, digitised medical history, patients are immediately empowered to make better informed healthcare decisions.

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People living with MS sign up to PicnicHealth, which then grants them a free subscription (usually it charges a monthly fee), and give their consent to allow Roche researchers and their academic partners access to their anonymised, de-identified medical records. Roche researchers hope this will help them gain a clearer idea of how and why MS affects people in different ways and eventually find the right treatment for each individual patient. In 2018, the partnership led to the launch of FlywheelMS, a landmark five-year study combining the health records contributed by 5,000 people living with multiple sclerosis (MS) into a single database. Michael Taylor, Global Head of RWD Collaborations, PHC Data Science at Roche “There are so many people out there with so many different diseases - and we can do something to help them.” “It’s about helping patients, because patients aren’t some nebulous concept they’re real people,” says Michael Taylor, Global Head of RWD Collaborations, PHC Data Science at Roche. Partnering with patients and their dataĮarly on, PicnicHealth partnered with Roche to unlock the potential value of medical records for research purposes. The resistance comes from the use of data in a non-transparent way, in ways that weren’t made clear from the beginning,” says Noga. They want to contribute to the bigger picture, they want better care for their disease and new treatments.

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“Ultimately, patients also want research to happen. For these reasons, it was paramount for Noga and her team that PicnicHealth users are always fully in control of their data and understand how it will be used. “It is an absolute tragedy to let it sit unused we’re losing out on potential life-changing improvements,” says Noga.ĬEO and co-founder of PicnicHealth Who do you trust?Įveryone, not just patients, are concerned about transparency when it comes to data sharing and privacy. Having a holistic view of all health records, from blood tests to x-rays, allows patients to be fully in control of all of their data and empowers them to take charge of their health, which Noga dismally mentions, is relatively unique for patients.īut compiling these records also opens up possibilities to use that incredibly rich, real-world data to contribute to research in new ways never before imagined. Simultaneously, PicnicHealth creates a longitudinal real-world database, available for research. PicnicHealth then organises the data in a Personal Health Record: a readable, coherent timeline that allows patients to take their health records with them wherever they go. “We do whatever it takes to go and get those medical records,” says Noga. Once authorised by the patient, the app works by collecting and managing all their available healthcare records. Her experience became her inspiration to launch PicnicHealth in 2014. Noga Leviner, CEO and co-founder of PicnicHealth















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