 And they were for the supply unit in Brussels fantastic And why are you here today? What are you showing us? And I'm here to Present some practical solution to secure the pharmaceutical supply chain in the Difficult environment where we actually operate okay, and we start from the consideration that the quality of medicinal products It's really related to the quality of the storage of those products all the way along the supply chain From manufacturer to delivery. So we started couple of years ago with training all of the actors involved With the handling of medicinal products and mapping all our stocks in the field But then we found out that we need the tools in order to meet the operational reality So we developed and we can so we started here So from the beginning of the chain This is something that we now adopt when Since the beginning of the supply chain This is a special cover which Protect the medicinal products from the terminal exposure during the air transport So we can imagine loading on a bunch of boxes with pharmaceutical products in Brussels from our supply center Which is temperature control and then this will help Maintain a reason what is a reasonable tension temperature actually the difference with deploying the solution can be up to 15 degrees Of difference because we're putting this blanket on yeah We can make a 15 degree distance and therefore increase the quality of the transport exactly and then it lands in Afghanistan And they offload on the plane and it's 45 degrees on top. We have to consider that if we send Medical supply to Afghanistan. We have several steps. So this is supposed to protect the products within all these steps Understood, I could open it. So now we've arrived in the capital of the capital Without a little blanket and then we still need to send these products to the project Yeah, so not in every countries we have developed means We have refrigerated trucks So we needed to develop something that can be deployed in all the vehicles Available so what we have been developing is a big isothermal box Which can keep the temperature Acceptably below 30 degrees for several days. This is foldable Can be actually assembled on directory on the truck It's reusable and in order to keep the temperature within the range use ice pack Which are the same one that we use for our boxing carriers tried and tested result fill it with water freeze it You know what you're doing the same way these we kept in the mission Those are actually already in the mission So we just need to send to send the box, which is reusable. Yeah, and then we normally have already the ice pack In the mission So you've taken a cold chain concept where we used to use ice packs to keep stuff between two and eight degrees and turned it Into a cool chain exactly to keep our acceptably below 25 degrees for several days That's the kind of you tested me in the fields. Definitely. This is currently deployed in Mauritania Okay, and we web at least other countries on the pipeline How do you know it works? But because we tested actually this is this web in tested there on a on a thermostatic chambers Okay, then actually what we do have also developed It's a system for remote control of Temperature because so many times it's not that Easy to daily check our cold chain in the project. So We have been developing a system for telemetry Remote control. So we just need to put a probe in each fridge. Yeah, the device is connected via GSM network and it's also connected through internet It does have a backup battery in case the power supply is not It's not a regular. Okay, and this can give us an alert in case of power cut and Also in case of temperature out of the range and also can allow us to Directly monitor the temperature of our fridge is fantastic before I used to have to get out of bed on a Sunday morning There's a loggy and go and check in the fridge. It's just okay now. I don't have to get out of bed It's just gonna call me if there's a problem. This is just an example from here in London I can show you the temperatures of our fridge is in Haiti, but this is live This is the temperature of the fridge. This is yeah, we currently were deploying this in at least the Three projects in Haiti and there are also several So what is the actual temperature of your fridge m5 in Haiti currently it's it's within the range 2 plus 2 to between plus 2 to plus 8 Celsius degrees and we can see in fact the diurnal range here coming up It is actually help us to also monitor some in stable context where we do not normally have always the access so and And this is also one of the benefit We notice on deploying this mark obviously I know that vaccines often require a real a really careful control of temperature to maintain their efficacy And there are other drugs that you prioritize as a pharmacist to say well It's important more important that these drugs are kept cooler or yeah, definitely I mean we we've been focused on the coaching first, but then we noticed that also The other products outside the coaching need specific attention. So any other oral or Injectable drug need attention as well. Okay. We do not have that specific range of plus 2 to plus 8 Yeah, and that's the reason why we've been developing Also, for instance, we've been developing and deployed another another system to set up emergency Medical stocks so we can transform it. Thanks to there's a photo here money to zoom in on thanks to some panels we can transform a simple shipping container into a huge Isolated medical stock that is an example that was the setup that we did for the search and rescue project in the Mediterranean When we had to set up in emergency a medical stock in a normal So with this in a couple of hours with you can actually it's pretty easy to find containers in the field That's well known. Yeah, and then can you show us what you're holding here? I mean that he was in this is the material and plus this is 90% by the get to a ball So it's also environment friendly, which is yeah, it's nice important to think of the environment as well Yeah, and so by using this material, which is flat packed and you can just order it Around the wall and And you create a Yeah, you just take those panels to the walls of the containers and then you you can create Marco I can imagine that in in the Mediterranean in a sun on a sunny day inside that container You can get pretty hot quite quickly. Do you have any data from before you? This is this is actually The the temperature the curve so that we we have three three curves here Yeah, so a container without any installation. Yeah, this was getting close to 50 degrees And it really goes together with the external temperature by putting those panels We transform the system into an isothermal system. So we do not have Fluctuations anymore as you can see here You have both outside temperature and the temperature of container without the system, but you have a constant curve Yeah, so there's no air conditioning inside the container But nevertheless despite hot conditions, you've got it round about 30 which is not brilliant that you'd like to go down to 25 But it's better than the catastrophic 50 and we can definitely if available put also an air conditioning in In the container which means that we but already by using passive systems Just what you're holding in your hand here. You've made a huge difference to the already by sending those panels I mean if we do not have any choice we do already have a practical solution to secure So what's next and so you've marked around with this in the Mediterranean. You've tested this then This this is and also this is about to be deployed in another Couple of projects and we want to really implement also the remote temperature control for the cold chain Possibly as many mission as possible fantastic only what you need to chat to Anna and see maybe you can join up teams and Do something clever with printed electronics and remote management, etc. To really secure the cold chain and get quality from A to Z Fantastic J a final word. Yeah, excellent. I'm really impressed. I think Yeah, clearly it's showing that it's of benefit. So fantastic. I mean the quality of healthcare It's ends in globe with the quality of the medicinal products. So by adopting a Logistic solution with actually our focus on the quality of healthcare that we do give Fantastic, right. Well, thanks very much and thank you. You can patty pan round to all these everybody away for the camera Let go of your phones. I know connectivity is important and so They'll all be here over lunch to meet the people that are in the audience But for now, it's goodbye from me and it's goodbye from Marco and it's goodbye from Dr. J