ESA is one step nearer to establishing a Telemedicine via Satellite Programme thanks to a constructive meeting with telemedicine experts that took place at ESRIN early last week.

Last Monday the European Space Research Institute (ESRIN) hosted a one-day Road Map Symposium to report on the work that had been done since the last meeting a year ago and to decide on the way forward.

At the meeting were representatives of WHO, industry, and doctors and administrators directly involved in the health sector. This is in line with ESA's policy to involve end users and associated stakeholders from the very beginning. As ESA Director Claudio Mastracci reminded the Symposium "ESA is in listening mode".

ESA's emphasis on end-users is also visible in the make-up of the working group, nearly all of whom are directly involved in health care.

For a year now they have been working to lay the foundations for a future ESA Programme on Telemedicine via satellite. Discussions took place between participants and members of the working group who reported on the eight areas of telemedicine under study. These are:

interconnectivity for health care services

services for citizens

healthcare at home

mobility

early warning of environmental health risks

eHealth education

vision for eHealth and telemedicine via satellite

TM at work

A number of telemedicine projects are already up and working in a number of countries. During the day, two pilot projects that receive ESA funding and benefit from satellite telecommunications were on show. One of these was a Canadian project for home telehealth visits.

Through the use of the home television and a wireless health monitoring kit, nurses are able to check the health of their patients from their office or even from their home.

Results so far show that nurses are able to 'visit' 16 to 20 patients a day instead of the 6 to 8 home visits they carried out previously.

There are also financial savings as they have no travelling, and they have less paperwork as data is transferred electronically from patient to nurse.

Patients also benefit, particularly those living in remote areas, as they no longer have to leave their homes to receive health care. Increased monitoring has also led to fewer hospital referrals.

The other demonstration on view was a fully equipped ambulance for use in emergencies. This pilot project, called NESA for Next Generation Emergency Satellite Assistance, is about to begin in the Italian town of Vicenza. It will enable ambulance staff called to the scene of an accident to send via satellite information, including Xrays, to a central medical centre.

With this information the centre can carry out an initial diagnosis and send the information on to the most suitable medical centre for that particular patient. This saves time ¿ vital in an emergency – as the ambulance goes directly to the correct medical centre which is ready and waiting for its arrival.

Progress and difficulties