# OSMS 國際會議共筆專區
HackMD新手可以參考 [Hackmd共筆平台 快速入門教學](https://hackmd.io/s/quick-start-tw)
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快速索引
[TOC]
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## 4/14 OSMS Local Respose Meeting

第一次與國際社群視訊會議，主要分享台灣在過去開源醫療物資在防疫的應用與發展

會議主持人：Ja'dan Johnson(OSMS-International)
與會人員：Sabrina, Mia, Danny Chen

* OSMS 國際社群的視訊會議錄影資料
https://oscms.box.com/s/75lhfqpfmisft6qsthw8aele3yhjg86n
* OSMS-Taiwan 簡報資料
https://drive.google.com/open?id=1TFCCuAqlz5BkXJifzySubG9S3J7lVSyC
## 4/27 OSMS International Local Response Meeting
* 4/27 OSMS international local response meeting
* 國際OSMS社群跨國會議

* 主持人Chair：
Sbrina(Lead of Local Response)
* 講者Speaker:
Gui Cavalcanti(Founder&Co-Executive Director,OSMS)
Angela Forgues(Medical Reviewer Co-Lead,OSMS)

重點摘要
1. 我們看到了甚麼供應短缺?
2. 我們認為這可能會持續多久?
3. 製造商和製造商的潛在責任問題?
4. 短期, 中期和長期支援當地社羣的潛在戰略?
5. 分享來自世界各地的有效的地方應對戰略和最佳做法.
6. 當地回應組織者的問答會.

* 歡迎英文好的夥伴可以編輯心得或是摘要到HACK MD共筆國際會議專區
會議影片記錄，大家可以聽聽練習英文聽力👂：https://www.facebook.com/groups/opensourcecovid19medicalsupplies/permalink/709109266566135/
* Meeting Abstract
> We here at Open Source Medical Supplies had our first conference call with local response leaders all over the world. We touched on the following topics on the call:
> 1. What supply shortages we see coming up.
> 2. How long we think this may last.
> 3. Potential liability issues for makers and manufacturers.
> 4. Potential strategies for supporting local communities in the short, medium and long term.
> 5. Sharing effective local response strategies and best practices from all over the world.
> 6. A question and answer session for local response organizers.
* If you're organizing your community's local response, or just want to stay informed, we strongly recommend watching this to stay aware of global issues as they come up!
If you are organizing a local response effort and want to join our organizer group, please comment below with information about your group and we'll add you to the list of folks invited to this chat! We're hoping to set up weekly calls, but we want these calls to be focused on group leaders that can share best practices.
If you're an individual maker, please sit tight for now - we're working on setting up public town hall meetings that everyone can participate in!

---
## 5/1 OSMS Internation Website Meeting
會議主持人：OSMS 以色列組長召開的第一次網站建置會議
與會人員：Mia, George, Danny Chen

會議摘要如下：
### 1.OSMS Internation Website Status
* OSMS International_ - allied with OSMS USA
* Legal Considerations_ - all country groups are independent of OSMS USA and do not have legal protection. All groups are encouraged to pursue local affiliations with non-profits that can offer legal protection
* OSMS Affiliations - all international groups are ‘Allied’ with OSMS rather than affiliated
* Country-by-Country Needs (as it pertains to a website) should be defined. Examples include: providing translations of designs and guides in local languages to maker groups, recruiting medical personnel to review local translations of guides, etc
* 3 week vs. 3 month vs. 1 year vision - who is your website serving? What action do you want them to take on your website?
#### --OSMS 現在的態度(中文版)
* OSMS 國際網站與 OSMS 美國網站是聯盟網站。目前「沒有」要推出多語言網站的意思。
* 法律考量：各國團體與 OSMS USA 會各自獨立，各國網站「不會」受到 OSMS 的法律保護
* 各國的網站會是 OSMS 國際網站的聯盟網站，不是附屬網站

### 2. Website Basics
* Resources via OSMS - Branding kit and some design support, also support for Git integration of documents created on wordbee back to our websites
* Hosting - costs will run between $4-$8US / month; Siteground is recommended for their high quality 24/7 support - here is a link for a discount offer for 3 months for less than $1 https://www.siteground.com/recommended?referrer_id=8374535
* Web development - recommend wordpress.org ; George also suggested considering google sites
* Editing & Maintenance - support from the web host (mentioned above) is super important; our group of volunteers will support one another and can also request help from OSMS US web developer volunteers
#### --網站基本工作(中文版)
* OSMS 可以提供的資源 - 商標跟一些設計支援，也會支援 Git 整合，把 Wordbee 的譯文放到網站上
* 網址與託管的費用由各國自付
* 開發部分建議使用 Wordpress，以色列/克羅埃西亞/台灣會跟總會合作開發出範本
* 編輯與維護 - 需要各組志工幫忙
### 3.Next Steps
* Setup - next meeting Wednesday, May 6 // Come with the following:
* Decide on the Url for your site - this can be a challenge if you are serving multiple countries or languages
* Clear on who your website will be serving
* Most important content / message for your home page
#### --接下來的步驟(中文版)
* 架網站 - 下週三 5/6 有教學
* 決定自己的網址
* 釐清自己的受眾與服務對象
* 決定網站要列的內容與訊息
## 5/6 OSMS Internation Website Meeting 2
會議主持人：OSMS 以色列組長
與會人員：Shiny , Danny Chen

#### 會議摘要：
1.網站網址註冊查詢教學
* 便宜簡單的方案：GoDaddy、NameCheap
* 使用Wordpress，日後可直接套用 OSMS 統一網站 theme

2.小作業
* 上階段作業：確認域名
* 本次作業：完成上階段確認域名、購買網名主機
* 自行決定方案：包含購買套餐、網站使用期限（是否之後繼續營運）

#### Note: 國際團隊將於接下來幾天內，發布官方 theme，再行 import 至 Wordpress

#### Q＆A

Q（Bella）：OSMS跟OSCMS的差別，以及未來使用名稱
A 我們團隊是跟 OSMS aligned. 名字運用、設計標準，等等請參考 [OSMS Idendity Guidelines](https://docs.google.com/document/u/1/d/e/2PACX-1vQHtEdsrpDPGb4_NDbOWZDoiiT_SUQzZJ8XTwQjopdHwjPsMmsb91g3RtWe9h5QtT2euyWLkdRwqWrG/pub)

## 5/7 OSMS World Meeting of OSMS international-Protective Gowns
As the COVID-19 emergency evolves, hospitals and health care workers are expressing a growing demand for protective gowns. An expert panel will be offering some insights on standing up production efforts, designs, workflows, and supplies. This session will be question and answer driven, so bring your questions!

Panelists include:
-Aysh Heneghan, OSMS Medical Team Research Lead
> Member of the Future Forge Community Covid Response, a makerspace effort specializing in low resourced/rural community response. Aysh designed and released open source analogs to the hydrostatic liquid barrier tests used to classify gown protection levels.
>
-Bill Schongar, Co-Director at MakersRespond
> Bill is focused on sourcing and testing materials, as well as exploring construction methodologies. He's interested in helping people to try and find what they need, find ways to use it creatively, and ideally do both free or cheaply.
>
-Sarah Miller- Product Designer/Fabricator at Artisan's Asylum
> Sarah's isolation gown production team at Artisan’s Asylum in Somerville, MA has produced over 5000 gowns. She'll be sharing their production line information including tooling, materials and processes.
>
-Victoria Jaqua, OSMS Medical Team Co-Lead
> Victoria is a gown standard and fabric resource researcher with a background in fabric technology and production line operations.

會議資訊以及大綱:

1.會議文件資料連結Meeting document link:
-SarahMiller:(Artisan's Asylum!)
https://docs.google.com/presentation/d/15LN2LdpVNr3e97bzGu_QnCeH0d-MGcoZg0qh4-sERr4
-Sabrina Merlo : Here is the OSMS Gowns doc: https://docs.google.com/document/d/1NfRshBAbiYtGQW-8XokKOI4B_EiN0vQ3iKktQEf-skg/edit?usp=sharing

2.會議資訊摘要 Meeting Abstract and information
-Sabrina Merlo :
> IF you need help finding other groups to collaborate on a buy, email me [e-mail]

-S M :
> We are in CT- Is anyone regionally sourcing the material in the Northeast who would not mind sharing? [e-mail] for the Danbury Hackerspace and the CTppeProjectm

-nilofar hassanzadeh :
> Here is a resource to explain the different types of gowns, classes, levels, and elements concerning critical protection areas.
> https://www.fda.gov/medical-devices/personal-protective-equipment-infection-control/medical-gowns

-Devon (she/her) :
> Here's the pattern link for the hela gown: https://drive.google.com/file/d/1FnwVNFD86wna4a02LBzC7MCwSB0j1XNe/view

>
Q: like the protective gowns, is there need the FDA to approve or not

Answer:
> nilofar hassanzadeh : https://www.fda.gov/medical-devices/personal-protective-equipment-infection-control/medical-gowns
> Nation Of Makers : Here’s the FDA enforcement policy for gowns: https://www.fda.gov/media/136540/download
> Angela Forgues : Please note that this changes if you are dealing with a device that will touch a patient vs PPE for clinicians
> Aysh : FDA primarily regulates the production side of things and does not have oversight of end users
>
## 5/8 OSMS World Meeting of localization Taiwan

會議主持人：OSMS國際翻譯Lead -David
與會人員:Mia,Danny

會議重點:
David 今天提到希望我們台灣討論看看能不能以任何形式援助阿富汗。我去撈到他在 4/28 對阿富汗狀況的貼文：
Please read and discuss: There is a lot we can learn from this, and I would like feedback from each of you about how you see this from your different countries' perspective, so that I can share those perspectives with the OSMS leadership team.
Below are the notes of the chief medical reviewer of OSMS USA taken from a conversation just two hours ago with an Afghan physician regarding localization of the OSMS Medical Supplies Guide:
請大家閱讀並討論：我們可以從裡面學到很多，我也想聽聽大家的意見，看大家從不同國家的角度怎麼看待這件事，我才能把這些觀點反應給 OSMS 領導階層。
以下是 OSMS 美國醫療審核組長與阿富汗醫師就《醫療物資指南》翻譯方面所做討論的一些筆記。
"Conference call rough minutes: Dr. Adhmadi graduated medical school '99 in Afghanistan, moved to Canada '04 then became an engineer and now has an engineering consulting firm there. His former medical school classmates now run the Ministry of Health (MoPH) in Afghanistan (with whom David D has already put us in contact) and he has been helping with their needs, initially involved as a medical translator. As he and his team worked through translating our documents, it became apparent that these were living, actively changing, and often incomplete documents with much of it not relevant to his home country in terms of resources or manufacturing capabilities (and occasionally US politics articles).
電話會議粗略會議記錄：阿德瑪迪醫師於 1999 年畢業於阿富汗醫學院，於 2004 年搬到加拿大成為工程師，現在任職工程顧問公司。他的醫學院同學目前是阿富汗衛生部 (MoPH) 部長，所以他在幫他們，一開始擔任醫療譯者。他跟團隊翻譯了我們的文件 (就是 《OSMS 醫療物資指南》) ，發現其中內容持續有所變動，有些不完整，而且無論是資源還是製造能力，都不適合家鄉的需求。
His request is for a static, finalized document that could be distilled down for Afghan consumption to the simplest designs.
This is obviously not entirely possible given the nature of the OSMS program and the large influx of new designs, etc, so we discussed more specifically what they were needing in Afghanistan (as a model for more resource limited countries in general) and I think we have a reasonable initial approach to the problem.
阿德瑪迪醫師希望拿到一份定稿的最終版文件，讓他可以根據阿富汗現況分析出最簡易的設計。
但這個願望基本上不太可能，因為 OSMS 專案不斷接收到大量新設計。所以我們更具體的討論了阿富汗目前需要什麼 (並當作一般資源較缺乏的國家的模型)，得到一個能解決問題的合理初步方法。
1. Translation of the major landing pages and design tree portion of the documents.
1. 翻譯文件的主要登陸頁面和設計樹狀目錄部分。
2. Screening of designs via the Afghanistan Chamber of Commerce based on relevant manufacturing capabilities and materials availability.
2. 由阿富汗商務協會根據製造能力與材料取得，篩選設計。
3. Translation of appropriate, individual designs as they get added. It would also streamline this process considerably if designs could be tagged with the relevant manufacturing modalities (3d printing, injection molding, etc), but I don't know how feasible this would be from the technical team perspective
3. 當文件中新增資料時，翻譯適用的個別設計。設計如果能標記相關製造形式 (3D 列印、射出等等) 會讓流程簡化很多，但我不知道技術團隊覺得可不可行。
4. Translation of the dominant clinical guidelines and studies. I am maintaining a collection of these that have already been sent to Afghan MoPH, and he is awaiting instructions / requests from them for what specifically they would like translated. With new, relevant studies published 3 times/week, this is a major challenge to stay up-to-date as well. Afghan MoPH already has a network of clinicians in the country for distribution of the clinical documents.
4. 翻譯優勢臨床指南與研究。我已經收集了一些寄給 MoPH，正在等待回覆，瞭解他們希望翻譯哪些東西。因為研究發佈的速度之快，讓文件/翻譯維持在最新狀態的難度很高。阿富汗衛生部已經設立了國內臨床醫師網路，散佈這些臨床文件。
5. Afghan manufacturers (and I suspect those of many other countries) are essentially waiting on direction from the WHO or major NGO's to indicate what PPE designs they will purchase, prior to beginning any production. It sounds like most of the resources for PPE or other medical supplies funnel through these organizations so they represent a single, giant customer in their model.
5. 阿富汗製造商 (我覺得還有很多國家也是) 正在等待 WHO 或大型 NGO 的指引，決定要購買哪一種 PPE 設計之後才能開始製作。感覺大部分的 PPE 或其他醫療物資的資源都會透過這些組織流動...
Anyway, interesting phone call and I think provides some lessons for porting the OSMS guide and model to the less resource rich half of the world. Action items to consider are above translations, possibly tagging designs with relevant manufacturing modalities, and approaching WHO or other major NGO's about their process for selecting designs that they would be willing to subsidize in Afghanistan (or countries in similar situations).
Dr. Ahmadi will be following up with his translation group related to above, the MoPH for direction on most critically needed PPE, and with the Afghan Chamber of Commerce to try and understand their manufacturing capabilities and then apply this perspective to our currently available designs."
以上可能是資源較不足的國家的現況。該考慮的行動不只有翻譯、將設計標上製造形式、聯繫 WHO 或其他大型 NGO 去討論他們要援助阿富汗 (或類似狀況國家) 的設計選擇流程。
阿德瑪迪醫師和翻譯團隊會對上述討論要點進行後續追蹤、向 MoPH 瞭解最迫切需要的 PPE，並和阿富汗商務協會聯繫，瞭解製造能力並看看能如何運用現有設計。

## 6/18 Afghanistan’s Oxygen Solution

### AGENDA:
1. Brief Introduction (Name, Company affiliation, background, how can you help with the
situation-concrete)
2. Oxygen Shortage Overview: Dr. Masih Noori (if absent then Nasrin Ansari)
3. Brief PPE Needs: Dr. Maryam Shamal Ghalib
4. Proven Technologies: What is easy to manage and operate? What is the estimated cost
and timeline for delivery?
5. System Design: Who can help and how? How do you calculate the P-value of oxygen
output, given weather and elevation conditions?
6. FREO2 Program in Australia: Dr. Roger Rasool & Dr. Graham- How can you help & in
what capacity? What are the current challenges for Afghanistan & what is needed to
overcome this challenge?
7. Mr. Danny Chen: Open Source Medical Supplies Taiwan (sister group)- How can you help
and in what capacity?
8. Funding: Sources and who can direct us?
9. Dr. Rainosek: As Medical Advisor to OSMS- your thoughts?
10. Technical Team from US (Geo, Julian, Seton, Matt, & Jessica)- your thoughts?
11. Closing Statement & Action Items- Mr. Rafaat Ludin
### 會議影片
https://drive.google.com/file/d/1PbtIb_MxvRdYaW8nzBU_YKQqHmZ9e0d5/view?usp=sharing
### 會議紀錄
Key Decision Notes

Subject: Zoom Call on Oxygen Supply in Hospitals in Afghanistan (Meeting #2)

Date: June 18th, 2020 (USA), June 19th, 2020 (AFG)

Attendees: USA: Nasrin Ansari, Julian Loren, Seton Schiraga, Matt E., Hamid Elmyar, David Rainosek; Canada: Hafeez Ahmadi; Australia: Roger Rassool; Taiwan: Dany Chen; Turkey: Rafaat Ludin

Summary of decisions:

The discussion continued for just over two hours and following key decisions were taken:

1) Oxygen is needed by both rural and urban population. It appears that the government is paying significant attention to the needs of urban population, especially in Kabul, with little attention to rural areas. There are technologies that support small health centers in rural areas as well as in urban areas. Such technologies can be channeled through network of Basic Health Service (BHS) Units in Afghanistan, mostly managed by NGOs. Roger Rassool’s organization has developed such a product and an associated community distribution and maintenance system for Africa. The system can be modified to meet Afghanistan’s needs. Roger and Rafaat will closely collaborate to evaluate the viability of the technology in the Afghanistan context and to pursue funding for the program through their mutual donor networks. Others in the group can also join in the efforts.
2) All engineers in the group are willing to support any efforts to design and install oxygen production systems. Through this network, their help will be sought.
3) Danny has offered to look into potentially donating some (5-10 units) 3D printers and/or laser cutter machines for manufacturing works in Afghanistan. He will communicate to Rafaat when such opportunity is ready to be materialized. Nasal swabs and face shield tops can be printed with the printers.
4) Field Ready (a non-profit) brings 3D printers to different countries. Julian will initiate an introduction for Nasrin to possibly initiate a 3D printer donation endeavor. Update: Nasrin is waiting to hear back from them.
5) Danny will also see if he can organize a web conference or a series of web conferences on best practices for patient care and public health efforts associated with COVID-19 pandemic. Such conferences will be open to all doctors in Afghanistan.
6) Nitrox Diving oxygen systems are potentially a viable source of cheap and effective supply to meet the COVID-19 response for patient care. Julian, Seton, Nasrin and Rafaat will look into how to materialize this opportunity.
7) Used CPAP machines are abundantly available in USA and elsewhere for donation. There is a need to launch a donation campaign for CPAP machines to be collected and shipped to Afghanistan as soon as possible.
8) Danny’s team is working on an open source ventilator, which they will share with the team. Update: Thank you so much for announcing your kind assistance in donation of the following items to Afghanistan (under production): 1040 face shields, 4000 face shields, 5000 ear savers, 5 open source ventilators
9) Danny’s team is also working on a respirator valve, which can increase the flow of oxygen to the patient. He will look into how this can be provided for Afghanistan.
10) Hafeez is working on customizing the original open source document medical supply guide (clinical and PPE manufacturing sections) for Afghanistan. Hameed and a team of volunteer translators are proceeding with project management efforts of Nasrin to complete the translation process of the document into both Dari & Pashto. The document will be shared by Nasrin on her FB Page for Afghanistan as well as dispersed to MoPH.

## Strategies for Equity in PPE Distribution


Join OSMS Local Response and representatives from GetUsPPE, Ace Makerspace (Oakland, CA), and NWLA Makerspace (Shreveport, LA) for a discussion about strategies for discovering and serving PPE needs of underserved communities during the COVID-19 crisis. We will ask:
- How do we create relationships with existing social support organizations and make socially relevant products from end to end?
- How can we make PPE distribution more equitable?
- How can the maker community address health equity and long term support for marginalized communities?