<<October 23, 1999>>

Salah H. Mandil, Ph.D.
Director-Advisor on Informatics
World Health Organization
20, Avenue Appia
CH-1211 Geneva 27
+41-22-791-2426 (direct)
Fax: +41-22-791-4702

Dear Salah:

(1) Many thanks for your msg of 10/4th -- sorry for my belated reply.

(2) I thank you very much for your excellent talk made at our telemedicine
demo during our highly successful Tampere event in the evening of August

(3) I also thank you for your cordial invitation to your well organized mtg
on International Consultation on TeleHealth, including TeleMedicine,
which is to be held from Wednesday 12 January to Friday 14 January 2000
at your WHO in Geneva.

(4) I would like to remind you that I am not an expert of telemedicine,
though I am very interested in the application of broadband Internet to
the telemedicine field.

(5) This is because;

(a) though the broadband Internet is not available in many
remote/rural areas of developing countries yet, it should be to
benefit not only telemedicine but also many other fields,
particularly in distance education field,

(b) the availability of broadband Internet would benefit all three
categories of medical education, consultation and diagnosis,

(c) the combined use of the broadband Internet by telemedicine and
distance learning would be more cost effective than its use by
each of them alone,

(d) since it would cost huge amount to implement the broadband
Internet in the remote/rural areas of developing countries, we
need to figure out how to finance it, e.g., our Global Service
Trust Fund (GSTF) project with the Official Development Assistant
(ODA) fund of G7 countries,

currently, many countries have concentrated on upgrading
their domestic Internet backbones, but there is no specific
organization in global scale which takes care of the
enhancement of the Internet backbones AMONG countries,
especially in the fields of its use by non-governmental

(e) the creation of the GSTF would require awareness of high echelons
of international and domestic governmental agencies in education
and healthcare,

(f) in order to bring up the awareness of high echelons, we are now
forming coalitions of interested parties in those fields in the
major regions of the Asia/Pacific, North, Central and South
America, Europe and Africa, under the coordination of the Global
University System (GUS).

The above is the general direction of our Global University System
project, and I hope that it would be in line of the objectives of your
WHO Consultation project.

(6) Your proposed agenda of the consultation mtg is very good.

However, reflecting the Item (5) above, I would suggest that an item on
coalition formation in selected regions may be included in the agenda.
It will then lead to the community development in each locality and
region which is the current interest of many funding sources -- after
all, the Internet is based on the packet-switching technology which
shares the valuable telecom media -- the more to share it by the
community members is the better and cost effective. Our GUS project is
to extend the concept of sharing to KNOWLEDGE SHARING, i.e.,

(7) I would like to attend your mtg very much, but I have to find out its
air fair.

Wishing you a very good luck to your mtg!!

Best, Tak
* Takeshi Utsumi, Ph.D., P.E., Chairman, GLOSAS/USA *
* (GLObal Systems Analysis and Simulation Association in the U.S.A.) *
* Laureate of Lord Perry Award for Excellence in Distance Education *
* Founder of CAADE *
* (Consortium for Affordable and Accessible Distance Education) *
* President Emeritus and V.P. for Technology and Coordination of *
* Global University System (GUS) *
* 43-23 Colden Street, Flushing, NY 11355-3998, U.S.A. *
* Tel: 718-939-0928; Fax: 718-939-0656 (day time only--prefer email) *
* Email: utsumi@columbia.edu; Tax Exempt ID: 11-2999676 *
* http://www.friends-partners.org/GLOSAS/ *

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