The second most important application of space use through satellite technologies to have a crucial social impact is Telemedicine

The latter is deployed to provide medical services to rural and remote hospitals through the integration of medical science with Information Communication Technologies (ICT)[1]. Technically, Telemedicine services consist of employing multimedia software, computer network systems and telecommunication technologies, whereby parties do not have physical contact. The application of space technologies enabled more accessible healthcare services, thanks to the use of cost-effective ICT that enabled the implementation of different systems in different areas within the health sector such as medical R&D transfer, health planning, expertise exchange, and health education[2]. However, the most crucial application of Telemedicine in the healthcare sector is the substitution of the traditional healthcare means to provide services in isolated and geographically challenging areas as well as culturally challenging regions (like regions where another woman healthcare provider could only treat the woman). Telemedicine is also crucial to serve people and ameliorate their health in places with healthcare facilities deficit due to different factors, mainly due to the lack of infrastructure and the scarcity of technical and human resources and thus, the “infrastructure” was substituted by “infostructure”[3]. Due to its fundamental social impact, Telemedicine application in remote areas and limited resources’ countries may be considered a form of a non-financial return on investment on space programs, which may contribute to countries national social welfare. Such a benefit could be illustrated, through the pilot project developed by the “Microgravity Centre” at the “Faculty of Engineering at Pontificia University Catholic of Rio Sul” and implemented in 2007, within the Amazon Region. The project highlights the impact of satellites technologies, specifically ICT role in providing specialized medical assistance within this remote area to detect skin cancer cases and other dermatological issues. The succeeded first mission in the Amazon Region was followed in 2008 by a second Telemedicine campaign within the same region. The mission that involved ICT services combined with biomedical engineering, which involved remote opinions by specialists, has succeeded to detect many patients with skin disorders. Out of the total 176 consultations, 21,2% were inclusive cases, which required the remote specialist to conduct further medical investigations to make the pathological analysis of the biopsies to identify cancerous cases[4]. The cited practical example proves the efficiency of satellite technologies’ applications to design and implement Telemedicine mechanisms to overcome health matters in socially, geographically and economically challenged communities. An extensive literature review conducted by Siddequee et al. (2019) on Telemedicine projects in Nepal demonstrated that Telemedicine services could fill the existing gaps in traditional healthcare. The authors emphasized the role of Telemedicine to overcome the impeding factors for people from accessing quality health, as low-income level, scarcity of health workforce and facilities and the geographical disadvantage. The same research paper stressed on the crucial Telemedicine services’ benefits - if deployed on a large-scale in these countries.[5] Nonetheless, Writing this paper amid the Covid-19 (Coronavirus) outbreak, It is crucial to highlight the role of Telemedicine services in managing pandemics disasters. 

 

[1] Rumilla, Murthy, L.S Satyamurthy, A. Bhaskaranarayana, Indian Space Research Organization and Telemedicine in India, Telemedicine and e-Health (TEH) 15 (2009), 586-591.

[2] Russomano, Thais, Ricardo Cardoso, Vinicius Duval, Maria Helena, Itaqui Lopes, et al., Space Technologies Used to Improve Health Care in Remote Areas, Aviation, Space, and Environmental Medicine (ASEM) 80:1 (2009):62-63. 

[3] Rumilla, Murthy, L.S Satyamurthy, A. Bhaskaranarayana, Indian Space Research Organization and Telemedicine in India, Telemedicine and e-Health (TEH) 15 (2009), 586-591.

[4] Russomano, Thais, Ricardo Cardoso, Vinicius Duval, Maria Helena, Itaqui Lopes, et al., Space Technologies Used to Improve Health Care in Remote Areas, Aviation, Space, and Environmental Medicine (ASEM) 80:1 (2009):62-63. 

[5] Siddiquee, Noor A. K., Anil Poudyal, Ashok Pandey, Namuna Shrestha, et al., Telemedicine in Resource-Limited Setting: Narrative Synthesis of Evidence in Nepalese Context, Smart Homecare Technology and TeleHealth (SHTT) 6 (2019):1-14.

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About the writer

Malak Trabelsi Loeb is a Senior Legal Consultant specialized in International Business Law and International Space Law, as well as an Adjudicator in the International Court for Dispute Resolution, International Commercial Arbitrator at the International Arbitration Organization, Sustainable Space For Humanity Advocate and a Member of the Board of Advisors of SpaceconneX. Her practice focuses on complex International Business transactions, Due Diligence, International contracts, Commercial legal matters, Alternative Dispute Resolution, Corporate Governance, Company Law, Space Insurance, New Space Legal Challenges and Space policies. Mrs. Loeb is a Lecturer in International Relations and Diplomacy, an Academic Legal Researcher in International Space Law and a PhD Candidate addressing interdisciplinary research on International Space Law and Sustainable Development. Her writings are addressing various areas in the space fields that are interconnected, such as Space Economy, Space Environment and their Social Impact. Mrs. Loeb obtained, with honor, her bachelor's degree with dual majors in Law and Economics from the University of Al Jazeera, UAE. She then earned her first master's in public international and European Law in 2018 and the second master's in international business law from Paris Sorbonne University, Abu Dhabi/ Paris Descartes University, France, with excellent achievements and top of the batch GPAs. In the course of her professional journey, Mrs. Loeb has been advocating for employees right' and assist them to settle their conflicts with their employers. She is a human rights activist and strives to fight against human trafficking. Mrs. Loeb has received the title of Champion of Tolerance from the UAE Ministry of Tolerance in 2018. She endeavors to empower woman and raises awareness to achieve the United Nations Sustainable Development Goals.

Malak Trabelsi Loeb

Senior Legal Consultant