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Northern Ireland's healthtech sector is primed for growth

Article-Northern Ireland's healthtech sector is primed for growth

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Invest Northern Ireland (Invest NI), the regional economic development agency for Northern Ireland, recently hosted seven leading Northern Ireland companies in a webinar in partnership with Omnia Health on the future of the healthcare industry in the UAE and the wider GCC.

Northern Ireland has a long and successful relationship with the Middle East, supplying solutions that address the region's most pressing healthcare challenges. Some of these include COVID-19 test kits, no-contact thermometers, and digital recruitment. In the future, Northern Ireland hopes to integrate itself as an essential resource for the Middle East's booming healthcare industry.

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The Middle East has been looking to the healthcare industry with increased interest in the last few years, with prominent regional players making large investments into global healthcare companies. Al Masah Capital estimates healthcare spending across the Middle East and North Africa (MENA) region will grow to US$144 billion by 2020, with GCC nations contributing 52 per cent of total expenditure. This growth is fuelled by changing dynamics in the Middle East that have led to a dramatic increase in the demand for healthcare, including a rapidly surging and aging population, a rise in income levels and the prevalence of lifestyle related diseases such as Type 2 Diabetes, in addition to the requirements posed by the COVID-19 pandemic.

For example, the UAE's Vision 2021 outlines healthcare as one of its six pillars, with the goal of making the UAE one of the best countries in the world for quality healthcare.

Northern Ireland's life and health sciences sector is well positioned to address the GCC and wider Middle East's healthcare requirements. With innovative companies providing solutions that range from non-invasive neuro stimulation products to lip-reading technology.

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Neurovalens, a Northern Ireland based global healthtech company creates non-invasive neurostimulation products that treat these global epidemics in addition to diabetes, and obesity. The company specialises in combining neuroscience and technology and has ongoing research collaborations with Queen's University Belfast and Ulster University and is one of the few companies to receive direct investment from the UK government. 

Neurovalens' devices, named Modius, are non-invasive, low risk and low cost. These innovative devices function as the first line of therapy before the administration of medication. Currently, the Modius Sleep and Modius Stress devices are approved by the United States Food and Drug Administration and available for immediate distribution, while the Type 2 Diabetes and Obesity devices will be available in early 2022.

Liopa, a spin-out from Queen's University Belfast and The Centre for Security Technologies (CSIT), gives a voice to the voice-less with LipRead – its automated lip-reading technology. LipRead significantly increases the accuracy of video and media transcriptions, which is essential in the healthcare sector. Their second product, SRAVI, is an app which enables people to communicate with healthcare workers or their friends and family while they cannot use their voice. Liopa's products have a range of applications for chronic conditions and ICU admissions, including COVID-19 rehabilitation.

In addition, Northern Ireland companies have been manufacturing advanced technology for the COVID-19 pandemic. The webinar moderated by Fahd Asif, Life Sciences Sector Lead (GCC) at Invest NI, also heard from TriMedika, Biopanda Regents, Medizar, CIGA and MPA Recruitment on their cutting-edge technologies and plans for the region. These companies are at the forefront of medical innovation, manufacturing products such as no-contact thermometers, in-vitro test kits, COVID-19 rapid test kits, and infection control sanitisation products. 

TriMedika, a manufacturer of medical devices, has developed a no-contact thermometer called TRITEMP that stops the spread of infection by eliminating points of contact. In addition to minimising the spread of infection, the solution can provide significant savings by eliminating the use of removable plastic covers for thermometers, for example, a 900-bed hospital can save upto $122K by using no-contact thermometers. 

TriMedika's products are currently distributed through partnerships in Kuwait, Qatar, and Saudi Arabia.

Biopanda Regents, established in 2011, manufacture in-vitro test kits for clinical applications, food safety and veterinary diagnostics. Their most recent innovation, a COVID-19 Rapid Test Kit has been supplied to the Bahrain Defence Force Military Hospital.

CIGA Healthcare is a specialist in the production of rapid self-testing diagnostics, sold in over 70 countries across the world. Every 5 seconds, someone uses a CIGA test. Their products range from pregnancy tests to vitamin tests, and their own brand of blood pressure machines and thermometers. CIGA has a range of COVID-19 tests and technology with accuracy levels of 94% to 99.6%.

Medizar is a producer of infection control sanitisation products that are more cost effective and user friendly than alcohol or chlorhexidine-based products. Their products are 100% alcohol free, food safe, gentle on the skin, and applicable in a variety of locations ranging from medical to hospitality, retail, and schools. Medizar products kill COVID-19, as tested, and approved by the Australian government's department of health.

Currently, Medizar's products have been approved by several Ministry of Health departments across the world, including in Saudi Arabia and Qatar. The company has a strong presence in the Middle East, working with prestigious organisations such as the Hamad Medical Corporation, Al Noor Hospitals Group, King Fahad Medical Complex and Saudi German Hospital to name a few.

MPA Recruitment: Established in 1997, MPA Recruitment provides staffing solutions to address the world's healthcare challenges. The company has offices in India and Canada in addition to their headquarters in Northern Ireland. One of their key innovations has been to integrate video into the hiring process, digitising recruitment programs in the healthcare sector. MPA Recruitment has deep GCC expertise, working with leading institutions such as King Saud University and Mubadala Health.

In addition to the companies outlined above, over 250 businesses operate in the fields of precision medicine, diagnostics, MedTech, clinical trials and associated sectors in Northern Ireland. Queen's University Belfast and Ulster University rank among the top 10 in the UK for bioscience research, with more than 1,000 researchers working across a multitude of globally respected research centres with specialities ranging from Cancer, Nanotechnology through to Biomedical Science, Health Innovation and Experimental Medicine. Both universities are closely linked to the healthtech sector – producing several successful companies that started as university spinouts.

Northern Ireland also has an industry body dedicated to advancing collaboration and innovation in life and health sciences – the Health Innovation Research Alliance Northern Ireland (HIRANI). The organisation acts as a conduit between Northern Ireland's life and health sciences sector and the international community, enabling partnerships, funding agreements and R&D. Northern Ireland's life and health sciences sector is well positioned to address the GCC and wider Middle East's healthcare requirements.

In conclusion, Fahd Asif, Life Sciences Sector Lead (GCC) at Invest NI said, "Northern Ireland's healthtech and associated technology sector is primed for growth, with fast-growing companies signing deals across the world, including in the Middle East. Their innovative solutions are making waves at a critical point and helping accelerate the pace of innovation within the healthcare sector as the industry manages the pandemic. Invest Northern Ireland will continue to work closely with these companies to ensure their steady and sustained growth in the years ahead."

To know more about any of the companies listed above, click here

How Malaysia’s booming rubber glove industry is innovating to stay ahead

Article-How Malaysia’s booming rubber glove industry is innovating to stay ahead

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The COVID-19 pandemic has led to a worldwide surge in demand for protective gloves, among other PPE, and countries such as Malaysia, constituting 60 percent of the global market, have been quick to respond. 

In September 2020, the world’s leading rubber glove manufacturer Top Glove, headquartered outside Malaysia’s capital, reported a 417 percent increase in fiscal 2020 post-tax profit from the previous year. Top Glove expects up to 30 percent additional growth for 2021.

While there are signs of the pandemic abating in early 2021, expectations in the rubber glove industry remain high. 

MARGMA (Malaysian Rubber Glove Manufacturers Association), the industry association representing local glove makers, believes that post-pandemic demand will continue to be buoyant – indeed bigger compared to pre-Covid times – at 15-20 percent growth per annum.

Speaking to Omnia Health Insights, MARGMA president Dr Supramaniam Shanmugam cited several factors.

First, changes are expected in individuals' personal behaviour. Many people worldwide will remain cautious after the pandemic “to the point of being fearful”, wary of the emergence of another global health crisis or infectious disease.

Second, businesses dealing with people will likely also remain cautious. With the resumption of air travel and commercial cruises at "normal" levels, many staff will continue to wear protective gloves when interacting with the public.

Glove demand will come from care homes too – this will be further fueled by a rise in ageing populations worldwide.

Voluntary behaviours aside, Dr Supra added, governments will enforce new regulations mandating the use of gloves.

Lastly, adding to the optimism is the emergence of China and India, two enormous markets with a rapidly growing middle class.

Trust and innovation underpin Malaysia’s rubber glove success

While China in itself has the means to manufacture gloves – synthetic, in particular, rather than latex – Malaysia has a head start of three decades, allowing it to establish sales and marketing entrepreneurship.

Companies such as Top Glove command great loyalty because of their many years of experience, Dr Supra highlighted.

Malaysia is expected to remain competitive for another reason: innovation.

Robotics and automation are prevalent in Malaysia’s rubber glove industry, according to the MARGMA president.

While in the past it took 10 workers to produce a million pieces of glove per month, today that figure has been reduced to 1.7 as a result of big data, AI and other innovations. Similarly, in the 1980s, 3,000 gloves per hour were manufactured. Today through more modern production lines, 45,000 pieces roll off every hour.

The industry is also committed to innovation in the form of alternative energy and sustainability. Glove manufacturers today consume a high quantity of water – a “depleting resource” in Malaysia. 

Finally, there is innovation in the form of chemistry, resulting in the production of ever thinner natural rubber gloves. The entry point of a rubber glove is 5.5g, Dr Supra revealed, with work ongoing to bring this down to 4g.

A socially responsible industry

Social compliance and stakeholder engagement are critical to Malaysia’s rubber glove journey: social responsibility checks are conducted by international businesses buying gloves from Malaysia.

Currently the domestic rubber glove industry is 70 percent socially compliant, with the remainder “on its way,” Dr Supra explained.

To further assist the industry, the Malaysian government has come up with a grant to enable rubber glove makers to register with social compliance programme SEDEX (Supplier Ethical Data Exchange), an international collaborative platform for sharing responsible sourcing data on supply chains.

MARGMA is also communicating updates on the industry’s social compliance initiatives to international governments through embassies and other bodies.

Many governments are appreciative of Malaysia’s efforts in supporting countries worldwide in the pandemic through the nation’s rubber glove production, Dr Supra said.

Exports approaching normal after delays

Malaysia’s rubber glove manufacturers have faced a problem recently in the form of disrupted container supply chains, following increased demand before Christmas from the US and Europe.

Vessels travelled between the US, Europe and China without opportunity to call at Malaysia at the end of 2020 and beginning of 2021, resulting in export delays. Dr Supra expects normality to resume “at the end of March”.

While a number of businesses have diversified into rubber glove manufacturing, seizing the opportunity presented by the pandemic, it’s not thought they will add significantly to supply.

From the dozen or so new entrants, only a small number have established production lines to roll out gloves in 2021. These will amount to fewer than 10 billion pieces this year, a drop compared to the 280 billion produced overall in 2020.

The vast majority of Malaysia’s additional supply of rubber gloves will come from the established players who have been aggressively expanding since 2019.

A race to innovate

Article-A race to innovate

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2021 is about innovation

The key point to come out of the COVID-19 pandemic, in the healthcare space, is whoever is driving innovation will win the race to the top. In the future, in order to succeed, cities and countries will need to invest in research and development in order to be the front runners of innovation in healthcare and other sectors. Innovation will differentiate countries in the future. COVID-19 has provided the perfect catalyst for this to happen.

Research is an integral part of any developed healthcare system but historically has lacked support and investment within GCC countries. Countries such as the UAE and Saudi Arabia have committed to improving health standards. To this end it is important to invest in and support medical research programmes that could help combat the burden of chronic diseases, address chronic and high-volume health issues locally and improve health service delivery to the patient population.

The advancements in medical innovations from 2020; such as telemedicine, wearables, precision medicine, artificial intelligence (AI) plus online prescriptions and delivery, will lead to a more efficient and effective way of delivering healthcare outcomes in 2021 and beyond. Innovation is the mother of necessity and COVID-19 has forced multiple innovations both inside and outside the healthcare space, globally. To date, innovations in healthcare have been primarily reactive. Countries that choose to maintain this current level of innovation and are able to develop and apply a prevention strategy, will take the global top spot for export and attraction for the wealthy and skilled.

Hospitals are expensive to run and the current general hospital model is coming under pressure to change. Technological advances will impact the design of all future healthcare facilities and as an outcome, hospitals will be smaller, smarter and more efficient, especially concerning the outpatient setting. The winners from a financial, resilience and quality of life perspective, will be those who are leading the race to innovate.

The key challenges

It has been acknowledged by health experts that this is unlikely to be the last pandemic. In fact, it’s a taste for things to come. The key challenge of 2021 and of the next outbreak and/or pandemic, will be keeping healthcare facilities running effectively in a crisis. We now have the knowledge and ability to be prepared rather than reactive in the face of a large-scale emergency.

From an on-site, healthcare facility perspective, a lack of intensive care unit (ICU) beds is still an issue in most large countries. Most hospitals do not have a large ICU, typically 100 bed hospitals will have only 20 ICU beds available. The lack of equipment, both hard and soft, is another key obstacle. The availability of personal protection equipment (PPE), for example, was something hospitals across the GCC had to be creative in coming up with alternatives for, as protecting healthcare staff was, and still is, the highest priority. Without staff, there can be no care, with the stress on front-line workers being a major challenge, globally. Despite robust growth in the sector, most GCC countries, in comparison to developed countries fall behind on health infrastructure indicators such as the number of beds, physicians and medical staff per 1,000 population.

The inability to cope with a sudden and unprecedented influx of patients was a common denominator, globally. As with any infectious disease outbreak, the necessity to segregate patients without an infectious disease from those who do suffer from an infectious disease, as well as isolation challenges within facilities, became a huge problem, especially due to such high volumes.

On March 18, 2020, all non-emergency procedures were stopped in the UAE. All focus was put on battling the spread of COVID-19. Again, on January 21, 2021, the Dubai Health Authority directed licensed hospitals and one-day surgery clinics to suspend all non-urgent surgical procedures until February 19, 2021. Overnight, private institutions were faced with the commercial obstacle of how to keep their businesses up and running in a situation where all the highest income-generating procedures were abruptly stopped. Health systems, globally, are facing catastrophic financial challenges in the light of the COVID-19 pandemic. The American Hospital Association’s May 2020 report has estimated a four-month financial impact of US$202.6 billion in losses for the country’s hospitals and health systems – an average of US$50.7 billion per month. The situation is similar in every country. Couple this suspension with the inability to send special cases overseas due to lockdown on travel, and countries are left with chronic and life-threatening cases they cannot deal with. Not only not being dealt with in the short-term, but without in-country specialist centres, they are also faced with being unable to deal with it in the long-term. In the future, in-country healthcare needs to be able to cater to all patient requirements, simultaneously.

Growth essentials for the future

According to the BMI Research’s Burden of Disease Database, non-communicable diseases (NCD) such as diabetes, heart disease, cancer, respiratory ailments, and mental health disorders, are expected to grow to 3.9 million disability-adjusted life years (DALY) lost by 2025, in the Gulf. There needs to be a shift of burden of chronic disease healthcare demand during a crisis. Most public hospitals in the GCC are functioning at over 80 per cent bed capacity utilisation, during non-pandemic times, and these overcrowded healthcare facilities could benefit from specialised centres of care (CoEs) as well as long-term care and acute care rehabilitation centres, where patients can be referred. This could be coupled with other facilities being available to switch functions, such as pre-identified hotels, much as we have seen in countries such as the UAE, UK and Malaysia.

We have seen a visible shift in some GCC countries where a large portion of upcoming projects are in specialised facilities focusing on one or a limited number of specialties with the aim to develop centres of excellence (CoEs). The Abu Dhabi Proton Centre (ADPC), part of the existing Gulf International Cancer Centre (GICC) is a good example in the UAE. Each country will need to appoint a taskforce to determine its shortfalls when it comes to treatment of chronic disease in-country and develop a roll-out plan to eliminate any gaps.

One of the most prominent emerging trends in life sciences currently, is the surge in demand for biotechnology-based pharmaceutical products. Pharmaceuticals and medical equipment are two priority sub-sectors listed under the 2030 Dubai Industrial Strategy, which aims to promote the UAE as a global platform for knowledge-based, sustainable and innovation-focused businesses. In 2021, countries that focus investment on research and development facilities will be the frontrunners for national security, export potential and high levels of quality-of-life offerings. Investment in Biosafety level 3 (BSL-3) labs, which is applicable to clinical, diagnostic, teaching, research or production facilities and the highest level of biological safety as well as Biosafety level 4 (BSL-4) labs which consists of work with highly dangerous and exotic microbes (two examples of such microbes include the Ebola and Marburg viruses and can be extended to COVID-19) will make for the winners of the race to innovate over the next decade.

Becoming resilient in two weeks

Primary care needs to evolve into primary care 2.0, being crisis prepared, coupled with a reduced demand on hospitals. In the GCC, it is becoming increasingly difficult to deliver comprehensive and well-coordinated care due to the limitations of healthcare facilities original design. Newer models of primary healthcare centres need to evolve over the coming years. These models will be part of the plan to reduce dependence on hospitals. Building upon lessons learnt from COVID-19 and other pandemics, we are looking at an approach that’s fundamentally about flexibility, adaptability and the use of technology to protect patients and front-line workers, and to allow healthcare facilities to deliver normal operations for business continuity and in-country resilience.

New healthcare facilities have the opportunity to design built-in solutions from inception. Existing healthcare facilities have three options, all of which can be implemented within two weeks:

  1. Prefabricated structures: These can be stored in warehouses and rolled out as required and is a cost-effective and very quick solution. These structures could be temporarily erected on site when required, using spaces such as carparks or external grounds. The structure could be built on-site and can be used as a “spill-over” facility. These types of structures have already been used for setting up PCR Testing Sites, but these could extend to a full emergency ICU suite.
  2. Permanent structures: Facilities could build permanent structures on-site, again using redundant or non-essential spaces, these could then be used for storage while not in use.
  3. Redundancy: White space is an ideal solution for preparing for the future needs of hospitals. This space can be equipped for flexible use with the option of a quick conversion into an intensive care unit (ICU). Most hospitals do not have a large ICU, typically 100 bed hospitals will have only 20 ICU beds available. Additional floors can be built into pre-existing towers, or basements could be adapted to create whitespace, which in turn could easily, quickly and effectively convert into more wards or ICUs during pandemics. Creating white space is a way to rethink our hospital capacities. When not in use for emergencies such space can be used for research and development purposes OPD’s, storage or administration.

A quote from U.S. President John F. Kennedy is very apt in these unique times. “The Chinese use two brush strokes to write the word ‘crisis’. One brush stroke stands for danger; the other for opportunity. In a crisis, be aware of the danger — but recognize the opportunity.”

It’s reassuring to see many countries have not allowed this crisis to destroy them, rather shape future priorities.

Stas Louca, Managing Director at H+A-min.JPG

Louca BA. Arch. (hons), Dip Arch UCL, ARBUK, RIBA, has over 25 years of international experience in the design and delivery of major complex projects with a particular focus on healthcare. As an award-winning architect he holds a B.A. (Hons) in Architecture from the University of Greenwich and a Diploma in Architecture from University College London, UK.

Webinars and Reports

Digital Health Tools and the New Normal, Innovations from Finland

Article-Digital Health Tools and the New Normal, Innovations from Finland

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In this webinar, the Finnish Governmental Agency Business Finland discusses the current challenges GCC health facilities are facing due to implications that COVID-19 has had on both public and private healthcare sectors. The webinar demonstrates how digital solutions are boosting the efficiency and effectiveness of the delivery of healthcare services.

Moreover, the webinar will provide insights from some of the leading Finnish experts in Digital Health on what it takes to develop a smart hospital and display innovative solutions, that can help to simplify clinical workflows and build resilient health systems in a post-COVID-19 world.

Learning Objectives  

  • Increase awareness on how digital tools could be used for COVID-19 mitigation and help health facilities provide quality care in our “new normal”.
  • Facilitate knowledge exchange to showcase Finnish innovative solutions for COVID-19 response and beyond.
  • Learn from Finnish health and information technology leaders what role e-health is currently playing in enabling access to health care services.
  • Discover specific use cases for effective deployment of Finnish e-health solutions.

 

Webinars and Reports

Breaking Borders: Providing World-Class Treatment for Peripheral Nerve Disorders in U.S. & Abroad

Article-Breaking Borders: Providing World-Class Treatment for Peripheral Nerve Disorders in U.S. & Abroad

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Learn more about the Center for Paralysis and Reconstructive Nerve Surgery at Jersey Shore University Medical Center, Hackensack Meridian Health, in this webinar. Viewers will be introduced to Hackensack Meridian Health and its dedicated efforts in providing first-class care to patients around the world. It will also spotlight a few of the groundbreaking peripheral nerve surgeries offered at the institution, including treatment for brachial plexus injuries, piriformis syndrome, pudendal neuralgia and diaphragm paralysis.

Learning Objectives

  • Discuss Hackensack Meridian Health’s surgical programs and international initiatives
  • Describe brachial plexus injuries and explain the outcomes of treatment using peripheral nerve surgery
  • Understand the benefits of surgical treatment for patients with pudendal neuralgia and piriformis syndrome
  • Discuss the surgical treatments and interventions available for diaphragm paralysis and potential benefits to patients

 

Webinars and Reports

Euroimmun Webinar: Dermatomycoses – Diagnostic challenges

Webinar-Euroimmun Webinar: Dermatomycoses – Diagnostic challenges

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Fungal infections of the skin, hair and nails - known as dermatomycoses - which are caused predominantly by dermatophytes, but also by yeasts and molds, are extremely common and affecting around 20-25% of the population worldwide. The pathogens spread easily via contaminated surfaces such as clothes, shoes, showers, floors and carpets, as well as by direct contact. Furthermore, the geographic distribution of dermatophytes species and the epidemiology of infections is changing due to factors such as migration, travel, drug therapy, lifestyle and socioeconomic conditions.

Dermatomycoses are characteristically long-lasting, recurring and difficult to cure. Identification of the causative pathogen is essential e.g. for selecting the most effective treatment, for carrier-identification, to avoid epidemiological spread, etc.. However, dermatomycoses can be difficult to diagnose clinically, as they are heterogeneous and may resemble other dermatoses. Diagnosis can also be hampered e.g. by bacterial infections or ongoing treatments.

Classical laboratory diagnostics for dermatomycoses encompass detection of the pathogen by culture and/or morphological identification by microscopy. However, this procedure requires time, patience and expertise. Successful pathogen culturing, for example, can take up to six weeks. The procedure is also prone to uncertain or incorrect findings. In mixed infections, slowly growing species may be overgrown or overlooked. Furthermore, antifungal therapy started before the sampling can hinder the culture. A much faster and more reliable method for identification of the causative agents is PCR-based detection by DNA microarray, which identifies the pathogens directly by means of their genetic material. Nucleic acid-based detection can close the diagnostic gap of microscopy/culture and increase the sensitivity and specificity of mycological diagnostics, and it also significantly shortens the time to diagnosis from weeks to hours.

 

Webinars and Reports

LabVantage Healthcare Informatics Webinar: Scalable solutions to meet today’s demands

Webinar-LabVantage Healthcare Informatics Webinar: Scalable solutions to meet today’s demands

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LabVantage healthcare informatics offers true integration and digitalisation within the hospital, offering a web-based LIS integrating all disciplines of the medical laboratory and a Performance Management Solution for Hospital Operations. LabVantage can help your organisation to process, share and analyze its data more efficiently.

By viewing this webinar, you'll come away with an enhanced understanding of:

  • Streamline the entire laboratory operation
  • Enable Digital Pathology through direct integration
  • Provide a 360 view of critical hospital operations