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Agenda

8:00 am -9:00 SGT

Private roundtable - Personalised healthcare at scale: technology lessons for equity post-pandemic

This roundtable will convene healthcare leaders to discuss how to maximise and extend the novel use of health technology and communication strategies that was accelerated by the pandemic to push for more digital transformation and foster access to healthcare.

 

Apply to attend as a participant here.

Moderated by
  • Emily Tiemann

    Manager, health practice, Economist Impact

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8:00 am -9:00 SGT

Registration and coffee

9:00 am -9:10 SGT

Welcome and opening remarks

9:10 am -9:35 SGT

Ministry keynote interview: a view from Indonesia

  • Setiaji

    Expert adviser of healthtech to the minister and chief of digital transformation office, Ministry of Health, Indonesia

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Moderated by
9:40 am -9:55 SGT

Spotlight interview

  • Clair Deevy

    Global director of social impact, WhatsApp

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Moderated by
10:05 am -10:20 SGT

Exclusive keynote: Future of healthcare outlook

A learning from the recent global crisis is that good health and healthcare are the foundation of a productive society, which is only as strong as its weakest link. Exclusively for in-person attendees only, hear from the global practice lead for health policy at Economist Impact as he reflects on where we are today in global health. There is much to be hopeful about, from a greater level of cross-sectoral collaboration, promising innovations and a more nuanced definition of individual wellbeing. Join us in-person to learn what challenges and opportunities lie ahead in the future of healthcare.

 

Exclusively for in-person attendees

Moderated by
10:25 am -11:10 SGT

Panel: Removing silos—collaborating for success in health

Healthcare as an industry has historically been siloed and fragmented, within and between organisations. Vaccine nationalism and political obstacles were barriers to optimal joint efforts during the covid-19 crisis. A more cohesive partnership and collaboration ecosystem needs to be developed that brings multiple stakeholders such as government, industry and the civil sector closer together along with other innovators such as technologists. For example, researchers and start-ups work to identify use cases and build sustainable tech solutions, while enablers such as policymakers and financiers help fund, promote, scale and encourage these tech innovators. However, there are numerous gaps between the needs of innovators driving technological progress and the priorities of enablers. This extends to other innovations in healthcare.

 

The pandemic did catalyse cross-sector collaboration in a substantial way—so how can momentum around sharing data and breaking down silos now be maintained? What should leaders be doing to encourage organisational de-siloing? Can the public, private and civil sectors across health and technology come together to create a unified system? How can organisations maximise the opportunities that public-private partnerships present? What are the major challenges in building new coalitions and reforming systems and policies that produce inequities in healthcare? What role does global health governance play here, and which key stakeholders should be held to account? Where are we in the negotiations towards a WHO pandemic treaty, which began in December 2021, seeking to codify the collaboration gains borne out of the pandemic?

  • Low Cheng Ooi

    Chief technology officer, Sheares Healthcare Management, and senior adviser, CMIO Office, Ministry of Health, Singapore

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  • John Eyres

    Director, Office of Public Health and Education, USAID Cambodia

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  • Sania Nishtar

    Cardiologist and member of the Senate, Pakistan

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  • Syaru Shirley Lin

    Chair, Centre for Asia-Pacific Resilience and Innovation (CAPRI), and research professor, Miller Centre of Public Affairs, University of Virginia

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Moderated by
11:10 am -11:40 SGT

Coffee break

11:45 am -12:30 SGT

Incentivising health: fostering value-based care

The Asia-Pacific region is diverse and complex, with approximately 60% of the world’s people. Ageing populations, falling fertility and growing morbidity rates, increasing urbanisation and significant migration flows create further complexity along with rising costs and a surging demand for healthcare. It has recently been announced that Singapore will move away from a fee-for-service model and towards capitation funding, to steer healthcare clusters towards care based on outcomes and value. In a system that historically incentivises curative over preventive care, where can value-based care realign incentives among key stakeholders? Which organisations are making inroads here? How can healthcare providers reduce the cost of care without surrendering quality? How can complex non-communicable diseases and chronic issues be covered sustainably?

  • Jeremy Lim

    Director, Leadership Institute for Global Health Transformation, Saw Swee Hock School of Public Health, National University of Singapore

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  • Olivia Pantelidis

    Executive director, strategy and planning, Victorian Department of Health, and executive director, Australian Centre for Value-Based Healthcare

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  • Seemant Jauhari

    Managing partner, HealthXCapital

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Moderated by
  • Andrew Staples

    Regional head (APAC), policy and insights, Economist Impact

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12:00 pm -1:30 SGT

Private roundtable - Fostering resilient economies: prioritising pandemic preparedness

This roundtable seeks to convene healthcare leaders to determine the holistic economic implications of the pandemic as well as investigate current policies and reprioritise covid-19 as an ongoing concern that requires continuous preparedness.

 

Apply to attend as a participant here.

Moderated by
12:30 pm -1:45 SGT

Networking lunch

1:50 pm -2:35 SGT

Elevating access: financing health and universal healthcare

The plurality of Asia’s healthcare systems reflects the region’s diversity. Developing countries often lack sufficient infrastructure and face significant challenges in making healthcare accessible. Governments in Asia typically spend only 4.5% of GDP on healthcare, but are nevertheless the dominant payer in the region. Global healthcare spending growth will slow to 4.1% in 2022, despite rising costs, as governments seek to repair budget deficits after the pandemic. Outlays are trending upwards due to population ageing, rising demand for care, advances in treatments and the expansion of public healthcare systems. The pandemic has prodded governments to rethink their welfare provision. Against the backdrop of rising inflation, how could a looming recession affect healthcare and our priorities for spending? How will the future of healthcare be financed? What can healthcare leaders do to prepare for the next crisis? Who will pay for the future of healthcare? What are the implications for research and development and innovation? What innovative financing models are available?

 

In 2015, at the United Nations (UN) Sustainable Development Summit, world leaders committed to the goal of universal health coverage (UHC). But the future sustainability of UHC is precarious. Most countries face a significant increase in the burden of chronic and non-communicable diseases. Which regions are leading in fostering UHC? Will we need to boost health literacy in Asia to improve the accessibility of UHC and realise its full value? What policy changes are needed to shore up UHC? Where can private health insurance schemes supplement and complement publicly financed UHC initiatives?

  • Anil Argilla

    President, Emerging Markets Asia, Pfizer Inc

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  • Lily Jin

    Emerging markets financing and Author, “Inclusive Healthcare Investments in Asia” report

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  • Sejal Mistry

    Regional director, South-east Asia, ACCESS Health International

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Moderated by
2:40 pm -3:05 SGT

Keynote interview: a view from Thailand

  • Manus Potaporn

    Deputy director-general, Department of Medical Services, Ministry of Public Health, Thailand

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Moderated by
3:10 pm -3:40 SGT

Coffee break

3:40 pm -4:25 SGT

Supply chains: future-proofing for resilience in healthcare systems

Covid-19 upended global supply chains across all sectors, highlighting the vulnerabilities of centralised and highly integrated supply-chain networks. Lockdowns this year in Shanghai and Shenzhen, cities accounting for more than 16% of China’s exports, raised alarm about supply chains once again. Bolstering resilience is important because disruption is virtually guaranteed as a result of climate change and shifts in trade policy or regulation, not to mention cyber-attacks and the theft of intellectual property. Changing consumer spending patterns have converged with long-term trends of increasing geopolitical tension, digitisation and lean inventory strategies to put further pressure on supply chains. Governments are keen to push ahead with regulation designed to increase resilience and lower costs. Many countries are looking into reshoring pharmaceutical production. How can forward-leaning organisations build more resilient and nimble supply chains by shifting towards decentralisation? What are the implications of “glocalisation” and onshoring for the future? Will growing protectionism globally pose a threat to healthcare access in LMCs? As the trade agenda looks to reignite after the covid-19 crisis, how will regional integration affect healthcare supply chains? What are the limits and risks of localising manufacturing for highly technical medical equipment?

  • Alexander Maxwell

    Vice-president, healthcare supply chain operations, DKSH

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  • Fidah Alsagoff

    Joint head of enterprise development group (Singapore) and head of life sciences, Temasek

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  • Jiadi Yu

    Chief investment officer, International Finance Corporation

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Moderated by
  • Nuriesya Saleha

    Senior manager, health practice, Economist Impact

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4:30 pm -5:10 SGT

Enabling the patient voice

Patient empowerment is important to ensure that patient voices are valued and treatment plans are adhered to. Increased health literacy helps patients become more aware of decisions regarding their health, driving care continuity. The benefits extend beyond the clinical setting into the patient’s community. In some low- and middle-income countries (LMCs), though, governments see patient groups as activists. Can patient empowerment drive more equitable healthcare systems in the region? How can we move from confrontation to collaboration in these countries? How can we value individual needs and preferences in the patient journey?

 

Empowerment also means that patients should be comfortable sharing their concerns with physicians. Europe and the United States have formalised measures to increase patient engagement in their regulation and reimbursement systems. Patient-specific guidelines that support learning already exist such as courses from the Global Allergy & Airways Patient Platform (GAAPP). Further effort is needed to translate guidelines from scientific into non-technical language so they are more accessible to patients. How can patient flows and health systems be structured to allow enough time for healthcare professionals (HCPs) to connect with their patients? In Asia and beyond, where can key stakeholders build patients’ capacity to contribute to processes around regulation and reimbursement decision-making in a meaningful and informed way? What part does fostering health literacy play in all this? What cultural sensitivities need to be considered in the region in this context?

  • Ai Ling Sim-Devadas

    Mentor, SingHealth Patient Advocacy Network

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  • Ann Single

    Advisory committee member, Patient Voice Initiative

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  • Einstein Rojas

    Board member, Philippine Alliance of Patient Organisations

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Moderated by
  • Emily Tiemann

    Manager, health practice, Economist Impact

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5:15 pm -6:00 SGT

DEI in the DNA: improving diversity, equity and inclusion in healthcare

As the covid-19 crisis recedes, governments across the world are emphasising the need to “build back better” with a renewed focus on addressing existing inequalities. This post-pandemic recovery will take positive action in all domains of environmental, social and corporate governance (ESG). Certain communities and groups face barriers to accessing healthcare, whether due to ethnicity, disability, gender or income. Many devices and treatments work less well for non-white people and women. Pulse oximeters, for example, overestimate blood-oxygen saturation more frequently in black people than white. Medical technology should be designed from the outset to be free from such bias. Generally speaking, it is designed by white men and tested on white men. This fact has potentially lethal consequences for many in society. Stakeholders today expect businesses to deliver positive social outcomes alongside financial returns, demanding more diversity and inclusion. Employee variety has been linked to innovation, productivity and, for example in diverse teams of surgeons, fewer mistakes. Where are we on diversity, equity and inclusion (DEI) in healthcare? To what extent is DEI a de-risking strategy? How can healthcare leaders build DEI into their DNA? How can we ensure patient data is representative and build that representation at every point in the healthcare value chain? How can we engage underserved and indigenous populations to increase their participation in clinical trials, regular health screenings and beyond? Where are problems of insufficient diversity and inclusion most acute?

  • Deborah Seifert

    Country manager, Thailand and Indochina, Pfizer Inc, and Chairperson, Pfizer Emerging Markets Asia Regional Council on Diversity, Equity and Inclusion

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  • Jennifer Buckley

    Founder and managing director, Sweef Capital

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  • Vivek Tomar

    Co-founder, Rise to Survive Cancer

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Moderated by
  • Chee Hew

    Director, data analytics and consulting, Clearstate, EIU Healthcare

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9:00 am -10:00 SGT

Registration and coffee

10:00 am -10:45 SGT

Concurrent: Driving access and prevention: digital diagnostics and therapeutics

Rising wealth and healthcare demands are driving an appetite for medtech in the region. Digitisation spurred on by the covid-19 crisis has ushered in an acceptance of remote medical products and services, and alternative care models. Technological innovation can boost progress across the UN SDG agenda, if supported by regulation to facilitate access. In some countries, the hospital can even come to the patient. Hospitals as we know them might play an increasingly smaller role in the future driving a need to integrate digital devices and home care to make care available everywhere. Wearable devices could transform the future of health care. Soon, wearables could unobtrusively measure people’s blood sugar and alcohol concentration, hydration, markers of liver and kidney function and lots more. Where are we on digital diagnostics and therapeutics? Where are we on wearables? How can digital diagnostics open up access to experts for rural or remote patients? Is AI ready to make life-changing decisions in remote diagnostics? Will emerging technology replace workers in healthcare or simply augment the workflow of existing HCPs? Should money be spent on new technologies when resources are scarce? How do we mitigate biases in digital devices such as oximeters? How do we incentivise focus on preventive health when curative health has historically been more incentivised?

  • Benedict Tan

    Group chief digital strategy officer and chief data officer, Singapore Health Services (SingHealth)

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  • Michael Ho

    Head of innovation and strategy, National Health Innovation Centre, Singapore

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  • Sidney Yee

    Founding chief executive, Diagnostics Development Hub (DxD Hub), and founding co-lead, ASEAN Diagnostics Initiative

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  • Swee Kheng Khor

    Chief executive, Angsana Health

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Moderated by
  • Sook Chen Lee

    Senior principal consultant, Clearstate, EIU Healthcare

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10:00 am -10:45 SGT

Balancing lives and livelihoods: preparedness for future pandemics in the aftermath of covid-19

Billions of doses of vaccine have been administered, new therapeutics are on their way and, in many countries, life seems to be opening up. But covid-19 is here to stay. Countries with solid public-health infrastructure and good access to healthcare and vaccines are likely to be more resilient in coming phases. In the most optimistic scenario, covid-19 infections will flare up periodically, especially during winter or when new variants emerge. America and Britain are examples of countries that have decided to learn to live with the virus. China has taken a different course, and over the past two years it has had a lower mortality rate from covid-19 and stronger economic growth than any other big country. But each new case is testing the government’s “zero-covid” strategy, which uses mass testing and lockdowns to crush any hint of an outbreak. A study published last year out of China found that during an early lockdown, deaths from chronic illnesses exceeded expected rates by 21%. Many people in China have little or no immunity to covid-19, and immunologically naive populations pose a huge risk for the rest of the world. New variants are likely to emerge from these groups. In the worst-case scenario, a deadly new vaccine-resistant variant could set the world’s pandemic clock back to zero.

 

How are we keeping solutions catalysed by covid-19, such as contact tracing, alive for the next pandemic? How can we maintain the infrastructure, and who will pay for it? How can continuity in preparedness be established? Hong Kong once boasted a very low case count. But Omicron overwhelmed the city in March. Most of the dead have been unvaccinated old folk. Despite having more cases at a similar time, South Korea’s stronger vaccine roll-out led to less deaths. How can healthcare leaders strike a balance between preventing resurgences of the virus and protecting the economy? What lessons has the world learned? What will normality look like in the next two years? Where will the next variant come from? How are we dealing with long covid? What is being done to ensure preparedness and resilience for the inevitable next pandemic? Who will pay for this future-proofing? What is the status of the WHO’s global treaty to codify the global response to pandemics?

  • Anita Suresh

    Deputy director of genomics and sequencing, FIND

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  • Cheong Wei Yang

    Deputy secretary (technology), Ministry of Health, Singapore

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  • Shawn Vasoo

    Clinical director, National Centre for Infectious Diseases, Singapore

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  • Aniruddha Patil

    Unit head, health and education investments, Asian Development Bank

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Moderated by
10:50 am -11:35 SGT

Jabs for the jab-nots: the future of open-source vaccines, mRNA and beyond

Ramping up local capacity to make vaccines should be the cornerstone of a more resilient public-health infrastructure. Over the past year many leaders in Africa and other developing regions have watched vast disparities open up in the share of populations that have been fully vaccinated against covid-19. A year of rampant vaccine nationalism left the 1.2 billion people in 54 African countries at the back of the queue. The plight of the “jab-nots” in the developing world has rallied some to embrace “open-source” pharma and vaccines, whose potential remains to be seen. The WHO has set up a technology transfer hub in South Africa, where it hopes scientists will learn how to make mRNA vaccines and spread that knowledge across the continent. Decades of research helped set the stage for humanity to maximise the potential and power of Ramping up local capacity to make vaccines should be the cornerstone of a more resilient public-health infrastructure. Over the past year many leaders in Africa and other developing regions have watched vast disparities open up in the share of populations that have been fully vaccinated against covid-19. A year of rampant vaccine nationalism left the 1.2 billion people in 54 African countries at the back of the queue. The plight of the “jab-nots” in the developing world has rallied some to embrace “open-source” pharma and vaccines, whose potential remains to be seen. The WHO has set up a technology transfer hub in South Africa, where it hopes scientists will learn how to make mRNA vaccines and spread that knowledge across the continent. Decades of research helped set the stage for humanity to maximise the potential and power of mRNA when we needed it to address covid-19. The goal is now to build nimble vaccine supply chains that are ready to start producing as soon as the genetic sequence of a virus or variant is mapped. This panel seeks to explore the future of vaccines, including mRNA and open-source vaccines, and how they can deliver access to better health for all. How can healthcare leaders close the gap between the jabs and jab-nots in the future?

  • Claudia Nannei

    Senior technical officer, World Health Organisation

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  • Harish Iyer

    Deputy director, digital and health innovations, Bill & Melinda Gates Foundation

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  • Paul Pronyk

    Director, Duke-NUS Centre for Outbreak Preparedness

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  • Peter Hotez

    Dean, National School of Tropical Medicine, Baylor College of Medicine

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Moderated by
10:50 am -11:35 SGT

Concurrent: Headhunting for health: alleviating the labour shortage

The ratio of doctors per thousand patients in Asia is less than the OECD average, and the world is short 9m nurses according to WHO estimates. Some of the countries worst affected by this labour shortage are in Asia. Covid-19 has also killed between 80,000 and 180,000 healthcare workers worldwide, according to the WHO. Clinics and hospitals around the globe are struggling to recruit and retain staff, and the pharmacy industry is facing a similar problem. Where did all the workers go? Falling birth rates, family care needs during the pandemic and record numbers of people leaving the workforce altogether make it harder to recruit staff in all sectors. Unfilled vacancies, at 30m across the rich world across multiple sectors, have never been so high. Countries like Australia, with borders shut in response to the global pandemic, are facing a massive skills shortage. Without proper workforce planning, efforts to catch up on a backlog of non-covid care will fail. Healthcare providers and professionals also struggle to stay up to date with the constant deluge of new medical studies and data. How can healthcare organisations mitigate the labour shortage to ensure continuity of care? What upskilling or knowledge infrastructure should healthcare leaders consider to retain talent and optimise their workforce? What role will the metaverse play in optimising tomorrow’s healthcare workforce?

  • Doreen Su-Yin Tan

    Associate professor, National University of Singapore, and cardiology specialist pharmacist, National University Heart Centre, Singapore

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  • Lluis Vinals Torres

    Co-ordinator, health policy and services design, World Health Organisation, Western Pacific region

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  • Margareta Laminto

    Group chief commercial officer and group chief sustainability officer, Fullerton Health

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Moderated by
  • Ritu Bhandari

    Manager, policy and insights, Economist Impact

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11:35 am -12:00

Coffee Break

12:05 pm -12:50 SGT

Concurrent: Women’s health: building a roadmap for equity

Around the globe healthcare systems seem to have failed women in many ways. Constrained choices and lack of access to appropriate and timely care contribute to gender disparities in outcomes, particularly in areas like oncology. Men are often the subject of studies. As a result, plenty of health issues specific to women have, despite their ubiquity, been routinely neglected. Women are also often at a disadvantage in treatment. Procedures such as hip implants and heart surgery, for example, are more likely to fail in them than in men. Of the world’s regions, East Asia experiences the greatest numbers of female cancer cases and deaths. Addressing the cancer burden in women recognises opportunities to tackle gender inequities that have long plagued women’s health more widely. Which disease trends in women require our most urgent attention? How could patient pathways in various social groups be improved to ensure equal access to healthcare? What system needs to be put in place to translate the aim of healthcare equity into practical steps that deliver more inclusive care and support? How much investment is needed to reach targets, and where will these resources come from? This session will look at systemic issues in women’s health and how they highlight global disparities in healthcare access.

  • Hsien-Hsien Lei

    Chief executive, American Chamber of Commerce (AmCham), Singapore, and adjunct associate professor, Saw Swee Hock School of Public Health, National University of Singapore

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  • Sabine Kapasi

    Global strategy lead, United Nations Emergency Response

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  • Yolanda Augustin

    Oncologist, St George's University of London

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Moderated by
  • Emily Tiemann

    Manager, health practice, Economist Impact

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12:05 pm -12:50 SGT

Antimicrobial resistance: the overlooked pandemic and its implications for preventive care

Some 1.3m people died in 2019 from diseases caused by bacteria that have become resistant to antibiotics. That is nearly as many as from malaria and HIV combined. Greater antimicrobial resistance (AMR) has been driven by the overprescription of antibiotics for non-serious diseases, and the economic burden of superbugs is growing. In 2016 British government scientists predicted that if no serious effort is made to check AMR, it could kill more than 10m people a year globally by 2050. AMR has been deadliest in sub-Saharan Africa, where it caused 24 deaths per 100,000 people in 2019, and South Asia (22 deaths per 100,000). By 2018 South Asia’s 1.8 billion people were taking a quarter of the world’s antibiotics. In most of the subcontinent antibiotics are easy to obtain and are sometimes used to compensate for poor sanitation and healthcare.

 

More widely available cheap diagnostics would prevent doctors from prescribing the wrong drugs. Better sanitation and healthcare would reduce demand for antibiotics. Better medical training would curb overprescription. Fighting superbugs may be costly, but failing to do so is costlier. In 2019 over-the-counter sales of antibiotics were banned in Islamabad, Pakistan’s capital. What likely policy changes are needed to minimise the risk from AMR in the future? What are some of the solutions to overprescription of antibiotics? How and to what degree do regulatory oversight, supervision and risk management need to change? Are more stringent, far-reaching regulatory mechanisms needed, such as penalties for irrational prescription or overuse? Would a UN resolution help solve the problem?

  • David Paterson

    Director, ADVANCE-ID (ADVANcing Clinical Evidence in Infectious Diseases)

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  • Hsu Li Yang

    Vice dean (global health) and programme leader (infectious diseases), Saw Swee Hock School of Public Health, National University of Singapore

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  • Norio Ohmagari

    Director, Disease Control and Prevention Centre and AMR Clinical Reference Centre, National Centre for Global Health and Medicine, Japan

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  • Mary Chan-Park

    Professor, School of Chemistry, Chemical Engineering and Biotechnology, Nanyang Technological University, Singapore

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Moderated by
  • Nuriesya Saleha

    Senior manager, health practice, Economist Impact

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12:50 pm -1:50 SGT

Networking lunch

2:00 pm -2:45 SGT

Removing silos: integrated disease management and personalised care

Health systems, policies, funding streams and disease management are often siloed. Personalised care focuses on a treatment plan that is customised for each patient. It is also important to place additional emphasis on patient values, needs and preferences. A growing issue in LMCs, comorbidities are associated with higher costs and death rates for communicable diseases. Moving from “sickcare” towards healthcare and patient-centricity promotes a more holistic approach to health.

 

Infectious and non-communicable diseases are linked, and both are major challenges across Asia that are often not managed in a holistic way. NCDs can increase susceptibility to infections while infectious diseases can lead to chronic ones. To improve patient quality of life, a more integrated model of care should be implemented, where treatment considers the connection between a condition and its comorbidities. Where can breaking down silos in treatment foster efficiencies in the healthcare system? How can we mitigate the inefficiency of having patients deal with multiple specialists and primary-care appointments, and the lack of interoperability between different systems? What is the optimal way to manage a patient with multiple illnesses?

  • Carmelia Basri

    Vice chair, strategic and technical advisory group of tuberculosis, WHO-SEARO, and senior adviser for HIV and TB programmes, USAID Indonesia

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  • David Boettiger

    Senior research fellow, The Kirby Institute, University of New South Wales

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  • Joanne Yoong

    Founder, Research for Impact

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  • Lee Chien Earn

    Deputy group chief executive (regional health system), Singapore Health Services (SingHealth)

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Moderated by
  • Gillian Parker

    Senior manager, policy and insights, Economist Impact

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2:00 pm -2:45 SGT

Concurrent: The future of cancer care

A survey of 61 countries published in The Lancet concluded that one-seventh of planned cancer surgeries have been delayed in regions that experienced covid-19 lockdowns. Medical advances now hold the hope of prolonged life, or even cures, for a growing if still small number of patients in cancer care. What is the state of cancer treatment after the pandemic? Can cancer be cured? Which cancers need our urgent attention in Asia? What is the disease burden, as well as the economic and social burden, of cancer in the region? What are the latest advances in cancer diagnostics and treatment, and what is their impact and return on investment? How well are countries across the region addressing the challenge? Who is paying for the latest innovations? As the aftermath of covid-19 begins to recede, we will take a closer look at the strengths and weaknesses of Asia’s response to cancer.

  • Huren Sivaraj

    Co-founder and chief executive, Oncoshot

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  • Mary Wong-Hemrajani

    Chairman, Global Chinese Breast Cancer Organisations Alliance

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  • Pierce Chow

    Professor and programme director, Duke-NUS Medical School, Singapore, and senior consultant surgeon, National Cancer Centre Singapore and Singapore General Hospital

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Moderated by
2:50 pm -3:35 SGT

Concurrent: Where’s your head at? Mental illness as the great unspoken epidemic of our time

More than 700,000 people lose their life to suicide every year, and the world is likely to miss a 2030 target of reducing suicide by one-third. In 2005, and later in 2012, the WHO adopted resolutions promoting a comprehensive, co-ordinated response to mental health from the health and social sectors of member states. In June 2021 it issued an implementation guide for suicide prevention in these countries. This was based on a revised mental health action plan for 2013-2030, which states that all countries need to take action to prevent suicide through a comprehensive national strategy. Where is the problem of suicide most acute? How can mental health stigma be reduced? If what gets measured gets managed, how do we quantify mental health issues? Who will pay for mental health treatment? What mental health solutions are insurance leaders already offering to enterprise clients, and what are the barriers to implementing them?

  • Anthea Ong

    Former nominated member, Parliament of Singapore, and founder and chairperson, WorkWell Leaders

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  • Janice Weng Huiqin

    Senior assistant director, MOH Office for Healthcare Transformation, Singapore

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  • Jiang Long

    Director, Office of Co-operation and Collaboration, Shanghai Mental Health Centre, Shanghai Jiao Tong University School of Medicine

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  • Neerja Birla

    Founder and chairperson, MPower initiative, Aditya Birla Education Trust

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Moderated by
  • Gillian Parker

    Senior manager, policy and insights, Economist Impact

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2:50 pm -3:35 SGT

Healthspan over lifespan: mitigating the diseases of ageing

By 2025 Asia will have more than 450m seniors aged 65 years and over, making up 10% of the population. Understanding and tackling the diseases of ageing will lessen the time at the end of many people’s lives that is spent in pain and discomfort. Illnesses in the crosshairs of healthcare leaders include cognitive disorders and neurodegeneration, diabetes and associated metabolic problems, and cancer. Dealing with these might not greatly extend average lifespans but would surely increase what is known in the argot as healthspan.

 

There is enormous potential in Yamanaka Shinya’s work on a set of proteins, the Yamanka factors, that can give differentiated cells the ability that embryonic stem cells have to turn into other kinds of cells. The prospect is of a limitless supply of genetically matched cells for anyone who needs an organ replacement. But what are the social, political, regulatory and environmental implications of increasing longevity using this and other methods? Where can digital tools help citizens live longer, healthier lives? What other innovations are on the horizon for the “silver economy”? How can healthy ageing initiatives lead the way in the growing field of preventive, community-based care? Where does life-course theory, which looks at ageing across the entire age spectrum, overlap with notions of preventive care?

  • Ana Llena-Nozal

    Senior economist, Organisation for Economic Co-operation and Development (OECD)

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  • Paulin Straughan

    Director, Centre for Research on Successful Ageing (ROSA), Singapore Management University

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  • Rintaro Mori

    Regional advisor on population ageing and sustainable development, United Nations Population Fund

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Moderated by
  • Emily Tiemann

    Manager, health practice, Economist Impact

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3:45 pm -4:15 SGT

Coffee break and networking

9:00 am -9:30 SGT

Keynote - Voices: the future of artificial intelligence and healthcare

Is healthcare ready for artificial intelligence (AI)? While modern healthcare areas are more and more digitised and ready for AI, there are still visible gaps for sufficient and well-labelled data. In the coming years, we may expect visible breakthroughs in AI drug discovery, medical robots, AI pathology, multi-omics and diagnostic AI, personalised treatment, and even AI in longevity research. Glean insights from the frontier of AI advancements from both a global perspective as well as with insights from China.

 

Keynote available for broadcast and on-demand for November 17 only.

  • Kai-Fu Lee

    Chairman and chief executive, Sinovation Ventures, and President, Sinovation Ventures Artificial Intelligence Institute

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9:30 am -10:00 SGT

In conversation with healthcare regulators

It is argued that regulation does not hinder innovation in healthcare platforms, but rather raises standards and therefore increases value. More regulatory clarity makes products more competitive. Technology is worth more when evidence backs its claims of effectiveness. But technology almost always outpaces regulation. Covid-19 has removed multiple institutional and cultural barriers to the adoption of digital solutions in healthcare, though some remain. A big reason why it has taken so long for consumer technology to disrupt healthcare is that the highly regulated sector does not lend itself to Silicon Valley’s “move fast and break things” credo. Regulators, for their part, are trying to move faster themselves. A recent improvement is the introduction of regulation around software as a medical device in most major Asia-Pacific jurisdictions, which limits the claims developers can make around the health impacts of their products. In February 2021 the Australian department of health, via the Therapeutic Goods Administration, introduced several exclusions and exemptions aimed at reducing unnecessary regulatory burdens for specific types of software products. Where is healthcare on its digital transformation journey in the Asia-Pacific and beyond? Where can data privacy and regulation enable innovation in healthcare technology?

  • Budi Wiweko

    Chairman, National Health Technology Assessment Committee, Ministry of Health, Indonesia

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  • John Lim

    Executive director, Duke-NUS Centre of Regulatory Excellence, and chairman, Consortium for Clinical Research and Innovation, Singapore

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Moderated by
  • Emi Michael

    Global health manager, Economist Impact

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10:00 am -10:15 SGT

Hear how the Concentric team experienced, first hand, the problems associated with consenting patients for medical procedures using traditional paper-based systems. Learn how this in-depth knowledge enabled them to re-think, re-design and digitise the consent process and improve shared decision making. Understand how clinician and user feedback was utilised to help iterate and refine the product. They will discuss how the consent process has been optimised and will describe their innovator journey from first use to overcoming barriers of adoption.

  • Edward St John

    Co-founder and chief medical officer, Concentric Health

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10:15 am -10:30 SGT

Action hour - case studies: fostering mental wellness through communications technology access for migrant populations

  • Meera Sachdeva

    Co-founder, Call Home

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  • Stevanus Satria

    Product manager, Call Home

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10:30 am -11:10 SGT

In conversation… What’s next in biotech and digital healthcare innovations

Technological breakthroughs promise to change how we produce food, look after the sick and tackle climate change. Concerted action against covid-19 has brought together decades of cumulative scientific progress, with profound effects on the future of medicine. Technologies such as CRISPR gene editing will cure hereditary diseases, produce disease-resistant crops and enable the breeding of malaria-free mosquitos. Scientific advances in fields such as gene sequencing and AI make new modes of care possible. Digital devices and treatment pathways can also enhance treatment recommendations and with them patient outcomes, as complex algorithms work on data to streamline decision-making. With the covid-19 crisis spurring technological advancements, gaps in digital inclusivity must be closed as healthtech innovations push the physical and the digital together. What part will the metaverse play in the future of healthcare? Will it have a greater effect on B2B or B2C products? Is Asia better placed than the West to leapfrog in innovations because it has fewer legacy systems? What innovations are on the horizon in biotech and digital tech? To what extent will new market entrants change the roles that incumbents and multinational corporations play? What models can traditional healthcare platforms consider adopting to stay relevant in coming years? How can innovative start-ups and established companies maximise their opportunities in healthtech?

  • Farhad Imam

    Director, health and life sciences, Gates Ventures

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  • Roberta Sarno

    Director of digital health, Asia-Pacific Medical Technology Association (APACMed)

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Moderated by
  • Santos Das

    Manager, global health, Economist Impact

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11:15 am -12:00 SGT

The patient will see you now: healthcare as a consumer product in the anywhere economy

The pandemic hastened a paradigm shift in healthcare where digital tools are readily created and used to modify the process of care. Patients no longer rely exclusively on a medical professional as a gatekeeper. The new trend towards healthcare on demand has immense potential in Asia and beyond. Healthcare is turning into a consumer product. AI, digital diagnostics and telehealth are key to this movement, along with a new wave of capital flooding into a vast industry. Costly, highly regulated health systems are being shaken up by firms that target patients directly and meet them where they are—which is increasingly online. E-pharmacies fulfil prescriptions, wearable devices monitor health in real time, telemedicine platforms connect patients with physicians and home tests enable self-diagnosis. Big tech collectively poured some $3.6 billion into health-related deals last year.

 

They are particularly active in two areas of healthcare: devices and data. Automating aspects of the value chain can free HCPs to see more patients with urgent needs. In a few key Chinese cities, the hospital can come to the patient, with decentralised devices augmented by the occasional in-person nurse visit. This is part of the wider trend of healthcare moving beyond tertiary institutions and hospitals to homes and the community. Is the “patient pathway cliff” the new patent cliff? The consumer-health boom has hit some snags. The Theranos saga offers a cautionary tale of how tricky biology is, compared with much computer science. Do legacy healthcare systems risk being left behind if they don’t digitise? What will traditional healthcare players need to do to reinvent themselves as platforms? What are the ethical, social and legal concerns and risks associated with AI-based systems? Will increasing regulatory oversight help or hinder digital health? Can we trust algorithms to make life-and-death decisions? To what extent can we use AI systems to build capacity and free time for HCPs? How do we mitigate the challenges of scarce talent, the need to establish data privacy, and the complexity of regulation and compliance? What policy changes are likely to be needed to support the benefits of big tech’s move into healthcare while minimising the risks to consumers? How does empowering patients foster the development of preventive healthcare?

  • Bronwyn Le Grice

    Chief executive and managing director, ANDHealth

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  • Jonathan Ley

    Assistant director, InHealth and Finance Redesign, MOH Office for Healthcare Transformation, Singapore

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Moderated by
  • Jocelyn Ho

    Health policy analyst, health practice, Economist Impact

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12:05 pm -12:50 SGT

Data and interoperability in healthcare: ethics, opportunities and the way forward

Data will be one of the most important commodities in healthcare in 2022. Healthcare consumers and patients are increasingly custodians of their own data and expect to access healthcare on demand—anywhere and anytime. To analyse that data, healthcare providers, payers and suppliers will increasingly rely on machine-learning algorithms and software to improve diagnoses, treatment and outcomes. Regulators—focusing on issues around data security and privacy, as well as competition and intellectual-property rights—will struggle to keep up. The value of data arguably lies in offering real-time visibility and remote access, and in its being analysed or manipulated by various entities. Pioneering healthcare firms are looking to elevate and future-proof their IT infrastructure, cyber-security and workflows to enhance efficiency and improve patient outcomes.

 

The demand for more data “sovereignty” to comply with evolving local laws, attempts to balance an improved experience for customers with efforts to keep their data safe, and the roll-out of new technology in an evolving regulatory environment are among the myriad shifts that present challenges for IT decision-makers in healthcare. Privacy imperatives and regulation can both enable and stymie the adoption of technology and innovation. In the early days of the covid-19 pandemic, companies augmented the work of multilateral organisations and opened swathes of proprietary data to the public so things like the severity of lockdowns could be measured.

 

Keeping China mostly free of covid-19 for some time has cost residents a good deal of privacy, especially around their data. Those with smartphones must scan QR codes to enter public buildings or catch a taxi, train or domestic flight. Is the loss of data privacy a fair cost of government interventions in public health? What are the potential drawbacks of relying on data as a tool? Will increasing data collection drive the emergence of surveillance states? If what gets measured gets managed, which data gaps need plugging to enable optimal healthcare? What implications do Web 3.0 and zero-party data have for data ownership, privacy and application development? What progress has been made towards an interoperable digital platform for patient identity? How else can healthcare platforms digest today’s deluge of data? What should leaders be doing to encourage the de-siloing of organisations and their data to harvest insights? Should data be considered a public good? Can we ask patients for more lifestyle data to deliver better treatment? What are the ethical and legal concerns here? And is data privacy killing patients?

  • Andrei Blaj

    Co-founder and chief operations officer, Medicai

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  • Ruma Bhargava

    Country lead, health care, C4IR India, World Economic Forum, and professor, Manipal University

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  • Teng Liaw

    Emeritus professor of general practice and health informatics, and head of the WHO Collaborating Centre for eHealth, UNSW Sydney

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Moderated by
  • Chee Hew

    Director, data analytics and consulting, Clearstate, EIU Healthcare

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2:00 pm -2:45 SGT

Nudging or nagging? Encouraging citizens towards good health

The cost and future sustainability of healthcare systems is a major concern for Asian governments, and enhanced efficiency and sustainability a constant priority. When patients are empowered to be part of the decision-making process around care through initiatives such as health literacy drives, they are also more likely to build better and more trusting relationships with providers, driving care continuity and adherence to treatment regimens. Digitisation has opened the door to remote patient management, better and faster communication, and more efficient and accessible forms of preventive and curative care. How can consumer-facing health platforms facilitate faster buy-in and behavioural change to drive preventive care? How can public health campaigns be used to influence government policy and personal behaviour to restrict consumption of unhealthy food and other “vice” items, addressing risk factors for chronic and acute illnesses? How can leaders in healthcare and the public sector encourage healthier lifestyles in a sustainable, authentic way? Is this too paternalistic?

  • Nina Gloriani

    Member, WHO Scientific Steering Committee for Covid-19 Solidarity Vaccines Trial, and former dean, College of Public Health, University of the Philippines

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  • Polly Cheung

    Founder, Hong Kong Breast Cancer Foundation

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  • Woo Yin Ling

    Professor of obstetrics and gynaecology, University of Malaya

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Moderated by
  • Gerard Dunleavy

    Manager, health policy, Economist Impact

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2:50 pm -3:35 SGT

Defying disinformation: health in the age of “fake news”

Misinformation kills. Joe Rogan’s Spotify podcast has at various times claimed that covid-19 treatments were concealed by hospital leaders or are a threat to reproductive health, and that public-health announcements on the subject were brainwashing, among other falsehoods. Misinformation and its more malicious sibling, disinformation, divides and distracts us from optimal preventive and curative healthcare.

 

Vaccines had been a contentious issue for some even before covid-19, but the pandemic has politicised them further. Hesitance has led to hundreds of thousands of preventable deaths globally. Recently, Hong Kong bore the brunt of an Omicron spike due to deaths amongst the unvaccinated elderly. Despite ongoing efforts at persuasion—a deluge of data, public-health drives, incentives—and failing that, vaccine mandates, sceptics remain steadfast. In March 2021 the Malaysian government outlawed the dissemination of false information related to the covid-19 pandemic. Is this an erosion of civil liberties or a necessary step towards population immunity? Where can influential public advocates mitigate hesitance? What are the ongoing results of disinformation? Which preventive and curative treatments are most affected? What are the optimal strategies to combat fake news? How did Singapore drive a successful campaign to vaccinate its elderly against covid-19?

  • Alice Budisatrijo

    Head of misinformation policy, Asia-Pacific, Meta

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  • Clara Jiménez Cruz

    Co-founder and chief executive, Maldita.es

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  • Tim Nguyen

    Head, unit for high-impact events preparedness, World Health Organisation

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Moderated by
  • Gerard Dunleavy

    Manager, health policy, Economist Impact

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3:40 pm -4:25 SGT

Decoding genomics: cell and gene therapies

Genomic sequencing has been one of the stars of the covid-19 crisis. The application of genetics to medicine in a systematic and transformative way illuminates the pathology of diseases while helping to track, cure and prevent them. Our increasing understanding of key biological structures at a micro level has implications for precision health. Now human genomes can be sequenced in just a few hours. This technology has vast potential—and a much bigger prize lies ahead. Today’s tech giants are placing bets on the future of gene editing, and many developments in cell and gene therapy are set to come to fruition between now and 2025. People’s genomes can be examined for clusters of genes that raise or lower the risk of specific diseases, with implications for preventive screening. Genomic surveillance is critical to robust public health preparedness. Contact tracing, origin discovery and the identification of variants of concern would be vastly more difficult without current advances in genetic sequencing. How can healthcare leaders use the expertise honed by covid-19 to improve the diagnosis and treatment of diseases of every kind? What issues of accessibility need to be considered? Where does AI play a part in processing the deluge of data coming from genomics? How can trust be built between key stakeholders, experts in genomics data and AI systems? What ethical and legal issues need to be resolved?

  • Patrick Tan

    Executive director, PRECISE (Precision Health Research, Singapore) and Genome Institute of Singapore, A*STAR

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  • Richard Scott

    Chief medical officer, Genomics England

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  • Surakameth Mahasirimongkol

    Director, Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Thailand

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Moderated by
  • Neeladri Verma

    Manager, health practice, Economist Impact

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4:30 pm -5:15 SGT

Connecting climate change and care: green and sustainable health

A new IPCC report says the window to meet UN climate targets is vanishing. Emissions must peak by 2025 to keep global warming well below the 2°C limit. Even though climate change is the defining crisis of our generation, the severity of its impact on human health might not be obvious. Natural security is the task of making societies resilient to risks stemming from their connection to the living world, including disease, food insecurity, biological warfare and environmental degradation. Humans put unsustainable demands on the very same environment their health depends on, exceeding nature’s capacity for regeneration.

 

Not adopting aggressive climate policies brings its own costs, including lost lives, livelihoods and productivity, and destruction caused by extreme weather events. Ongoing deforestation and biodiversity loss is increasing the risk that zoonotic diseases will spill over to humans. Is covid-19 a warning of what may come from encroaching on animal habitats? This panel seeks to explore the rise in awareness of ESG concerns against the backdrop of the SDGs, and the links between climate change and common health issues in Asia such as respiratory disease, heatstroke, malnutrition, waterborne diseases and mental health issues. What are the major health challenges here? Where can healthcare leaders mitigate carbon footprints and medical equipment waste? How can we incentivise green health amid a turbulent global geopolitical landscape where ongoing conflict is disrupting supply chains and driving inflation?

  • Akeem Ali

    Head, Asia-Pacific Centre for Environment and Health, World Health Organisation, Western Pacific Region

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  • Chen Qiufan

    Science fiction writer and columnist

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  • Zulfiqar Bhutta

    Founding director, Centre of Excellence in Women and Child Health, Aga Khan University, and co-director, Centre for Global Child Health, The Hospital for Sick Children, Toronto, Canada

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Moderated by
  • Shaileen Atwal

    Public health analyst, policy and insights EMEA, Economist Impact

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