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get your Bbc podcasts. Hello!
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And welcome It's a tech life,
1:10
the program about technology making an
1:12
impact on your life I'm sure
1:14
Mccallum and this week we're looking
1:16
at health, take our reports or
1:18
gets hands on with a new
1:20
Ultra system in Kenya which is
1:23
hoped will keep mums healthy during
1:25
pregnancy. Motive that in a moment
1:27
mano take his take for menopause.
1:29
we look at what's available. Menopausal
1:31
hot flushes are really and over
1:34
activation of your sympathetic nervous
1:36
system or your fight or flight
1:38
response. The social media platform
1:40
that we used to call twitter
1:43
has a new rival and inside
1:45
the Vatican I speak to
1:47
the Pope's adviser on Technology. This
2:07
is a kind of, I look at a
2:10
problem which affects many women
2:12
all over the world, complications
2:14
during pregnancy. And this
2:16
can sometimes lead to death. It
2:18
particularly affects women living in poorer
2:20
countries or remote areas. Well
2:23
in Kenya a new development in
2:25
ultrasounds could help pregnant women living
2:27
long distances from cities which would
2:30
especially help those living in remote
2:32
villages without hospitals or doctors. TechLife's
2:35
Yasmin Morgan Griffiths has visited
2:37
a maternal clinic in Kenya's
2:39
capital Nairobi to see the new
2:41
tech being tested. And Yasmin's with
2:43
Mihir in the studio. Yasmin, maternal
2:46
deaths are a problem there. Just
2:48
how big is the problem? So
2:51
this is actually a global problem. According
2:53
to the World Health Organisation a woman
2:55
dies around every two minutes somewhere in
2:57
the world due to complications in pregnancy
3:00
or childbirth. But the
3:02
vast majority of those deaths happen
3:04
in sub-Saharan Africa. And in
3:06
Kenya the problem is actually getting worse and
3:08
that's partly due to the impact of the
3:11
coronavirus pandemic on healthcare provision. When
3:13
I was in Kenya I spoke to
3:15
an organisation called Jackaranda Health. Their
3:18
head of research projects Piska
3:20
Chumali-Cheriot told me about some of
3:22
the issues expectant mothers are facing there. Not
3:24
all moms are able to access the right kind of
3:26
care. Transport getting to the
3:28
hospital is always an issue. We
3:30
don't have enough healthcare workers for the
3:33
population. Big problem I would say. I
3:36
also visited one of Jackaranda Health's
3:38
maternity clinics in the capital Nairobi
3:40
to speak to an expectant mother
3:42
who had serious complications in two
3:44
pregnancies. This is Jennifer Muthoni.
3:47
My amnestic fluid was low
3:49
so the baby cannot move.
3:52
So I had to go for cesarean
3:54
section. And did your doctors tell you
3:56
that it could have been prevented if
3:58
you'd had an ultra sound earlier?
4:00
Yeah, we said this could
4:02
have been prevented. Where you
4:05
live is it difficult to
4:07
to get an ultrasound during
4:09
your pregnancy? It's difficult
4:11
for us in village.
4:13
It's quite expensive and you have to
4:16
go for a distance to get it.
4:18
So it sounds like there are pretty
4:20
significant problems there. So what's the
4:22
tech solution? The one major
4:24
factor in these maternal deaths in Kenya is
4:26
a lack of access to services that we
4:29
might just take for granted here in the
4:31
West and that includes your basic ultrasound scan
4:33
to check that the pregnancy is going smoothly.
4:36
Jackaranda Health has partnered up with
4:39
Google which is developing an artificial
4:41
intelligence system that to some extent
4:43
automates ultrasound scans. So
4:46
how it works is they send video
4:48
output from an ultrasound probe to software
4:50
on a tablet or smartphone which
4:52
you can imagine is a lot more
4:54
portable and less expensive than a traditional
4:56
ultrasound scanner. The software
4:58
then uses AI models to analyze
5:01
the image without the need for
5:03
interpretation by an expert sonographer. Google
5:05
software engineer Angelica Willis told me
5:08
how they've trained those models. We
5:11
collected ultrasound video from
5:13
thousands of patients both
5:15
in the US as
5:18
well as in places
5:20
like Kenya, Zambia just
5:22
to make sure that we have a good
5:24
distribution and representation of the
5:26
populations that we think this technology
5:29
can benefit. It's really important that
5:31
models are able to see data
5:33
that's reflective of the type of
5:35
patients that they will be serving.
5:39
So this technology is supposed to be so easy
5:41
to use that pretty much anyone can learn to
5:43
use it. So I got to have a go
5:45
myself on a fake baby bump. And what exactly
5:47
did you do? So the
5:49
software tells you exactly where to sweep the
5:52
probe. Six times over the abdomen. It's really
5:54
quick and it only took me about three
5:56
minutes to complete the entire scan. At
5:59
the end of software gives you two
6:01
very important pieces of information. The first
6:03
is the gestational age and that's just
6:05
how many weeks old the fetus is
6:08
and also the fetal position which shows
6:10
which way the baby is facing inside
6:13
the uterus and this is information
6:15
that could help save the life of a mother
6:17
and her baby. So it sounds
6:19
very simple and quick and you can see
6:21
how something like this could really help in
6:23
rural parts of Africa where people are living
6:26
far away from the hospitals but how close
6:28
is this to being ready for wider use?
6:31
Yeah, so the research is still in its
6:33
very early stages and Google needs to collect
6:35
a lot more scans in its current study
6:37
for the tool to be rolled out more
6:39
widely. The models need to
6:41
see data from a wide variety of
6:44
people, so people at different stages of
6:46
pregnancy, different types of pregnancy and so
6:48
on to ensure that the models analysis
6:50
is accurate. I spoke
6:52
to Dr. Syra Gafur who's the lead
6:55
for digital health at the Institute for
6:57
Global Health Innovation at Imperial College London
7:00
and she told me just how important this training
7:02
phase is. AI is only ever going
7:04
to use data that is trained on. It's always very difficult to get old
7:08
or very good
7:10
data because this is something that could take a
7:12
couple of years to do. It may well show
7:15
that actually this is going to use an X
7:17
country but actually it doesn't work in Y
7:19
countries so that's where the testing comes in
7:21
and if you were to deploy it wider
7:23
you'd have to make sure that you're not
7:26
creating that bias. You've got to make
7:28
sure that this is
7:30
100% more proof that it's not working for you.
7:32
So seeing as only around 100 scans have
7:34
been collected in Kenya so far, this tool
7:36
really won't be ready to be rolled out
7:38
to the general population for quite some time.
7:41
They potentially need hundreds if not thousand more
7:43
scans for it to be truly accurate. And
7:46
crucially if Google wants to roll this out to
7:48
other parts of the world, they may need to
7:51
collect even more data from those populations to make
7:53
sure it will work for them. Thank
7:55
you Yasmin. Thank you. We're
8:02
staying with health tech for the
8:04
moment and another topic that affects
8:06
women, the menopause. Although every woman
8:08
goes through it, there are still
8:10
relatively few technologies on sale to
8:12
help manage the symptoms. So
8:14
why is there a reluctance to
8:17
invest in so-called menotech and
8:19
is that changing? Elizabeth Hotson reports.
8:22
The 34 plus menopause symptoms can
8:24
range from hot flushes to anxiety
8:26
and if they're severe, they can
8:29
wreck women's quality of life. But
8:31
until recently, there's been a reluctance
8:33
to research and invest in technology
8:35
to help. Elizabeth Garza is the
8:38
CEO of Boston-based tech startup Ember
8:40
Labs. She says the reasons are
8:42
cultural and financial. I
8:44
think there's a perception that when
8:46
women enter menopause, they've lost their
8:49
value to society. They're not reproducing.
8:51
Most of the people making decisions
8:53
about where investment goes are men.
8:55
The majority of the investments go
8:58
to where women are valued, which
9:00
is fertility and pregnancy. Her
9:02
company has developed a bracelet to help
9:04
regulate hot flushes and night sweats. She
9:06
explains how it works. We
9:09
emit temperature sensations to the
9:11
human skin, either heating
9:13
or cooling. And what those sensations
9:15
do is send a signal to
9:17
your brain to calm
9:20
itself down. Menopausal hot flushes are
9:22
really an overactivation of your sympathetic
9:24
nervous system or your fight or
9:27
flight response. It's not cheap at
9:29
around $300, but women over
9:32
50 have been dubbed super consumers
9:35
by Forbes. The US government consumer
9:37
expenditure survey suggests they're the largest
9:39
demographic with incomes over $100,000. Other
9:41
companies are
9:45
now recognizing the spending power, like
9:47
British-based Magnetone, which sells menopause-friendly electrical
9:49
beauty devices. Amy Nabour is head
9:52
of brand strategy and says they
9:54
have a two-pronged approach. We
9:57
just make it normal as part of the
9:59
conversation. We choose. all of the
10:01
language and everything that we talk about.
10:03
The other side is by showing menopause
10:05
ticks, logos and putting out content that
10:07
specifically talks to menopause and menopausal
10:09
symptoms. The next challenge is convincing
10:11
people that Menotech works. Some
10:14
medics are sceptical about how much
10:16
products actually help to alleviate symptoms.
10:18
The UK-based menopausal brand advisor Gen
10:20
M has created a Menopause-friendly logo
10:23
in partnership with the drugstore boots.
10:25
If a product helps with symptoms,
10:27
it can be given an M
10:29
tick. But Gen M co-founder Sam
10:31
Simister says the tick isn't a
10:33
guarantee. Everybody's menopause is
10:36
going to be different. It is
10:38
about choice and control. So it
10:40
is incredibly hard to say whether
10:42
one product works for you or
10:44
whether it won't. Products that do
10:46
deploy the M tick have followed
10:48
a process and they have the
10:50
data that then supports that they
10:53
are worthy of carrying that M
10:55
tick. The global menopause market
10:57
is expected to reach nearly $25 billion by
10:59
2030, according to
11:03
Grandview Research, and Menotech is
11:05
only just getting started. That
11:08
was Elizabeth Hotson reporting. We'd
11:22
really like to know what you thought
11:24
of our health tech stories today. Perhaps
11:26
there's a gadget that you use to
11:28
help your wellbeing. If something's caught your
11:30
attention, please tell us about it. You
11:33
can email us. Our address is techlife.bbc.co.uk.
11:35
You can also
11:37
send us a WhatsApp message. The number is
11:40
plus 44330 123 0320. Remember to tell us
11:46
your name and the country where you live, like
11:48
this listener. Hello, Trick Life.
11:51
I'm Shamsola Shabak from KBL
11:53
Afghanistan. I'm the regular
11:55
iTunes of Trick Life at BBC
11:58
Radio. Many, many things. to
12:00
all the items and all
12:02
the stuff. I'm really
12:04
happy. Bye. Warren
12:07
from Zambia emailed us to say
12:10
he's currently teaching coding and robotics.
12:12
And he's established a coding and
12:14
robotics club called Lusaka Robotics Club.
12:17
Next week he's starting an awareness
12:19
campaign about the importance of science,
12:22
technology, engineering and maths education for
12:24
children. Warren teaches children as
12:26
young as five. Well done, Warren. That
12:28
sounds like a great initiative and thank
12:31
you for contacting us. We
12:33
really enjoy reading all of your messages.
12:36
Still to come on the programme, Tech
12:38
and the Vatican, I speak to the
12:41
Pope's advisor on technology. Sometimes
12:43
methods from the Pope are
12:45
touching people that are in charge of
12:47
technology. Nothing
12:52
stays the same for long in
12:54
social media. We've seen many
12:57
changes at Twitter, now known as
12:59
X. Meta responded by launching a
13:01
text-based rival called Threads. Well, now
13:03
another rival is coming out of
13:05
the shadows and opening up access
13:08
to all users. It's called Blue
13:10
Sky. One of the people
13:12
involved in its creation was the former
13:14
Twitter boss, Jack Dorsey. Until
13:16
this week, Blue Sky has been
13:18
invite only, but not any longer.
13:20
So what's next for the platform? I'm
13:23
Jay Graber. I'm the CEO of Blue Sky.
13:26
And I run the company
13:29
and originally helped get this project started.
13:31
It originally came out of Twitter. I
13:33
never worked at Twitter. But we started
13:35
this independent company to build an
13:37
open protocol. And now here we are.
13:39
We are building an open protocol and an
13:41
app on it that looks a lot like
13:43
Twitter. And why was
13:45
Blue Sky initially invite only? Yeah, so
13:48
we've been building out the rails for
13:50
people to build on this open
13:52
protocol that the app is built on. So
13:55
what this means is basically on the surface,
13:57
this works a lot like Twitter, but it's not
14:00
controlled. controlled by a single company. On Blue Sky,
14:02
we built the foundation for anyone to build something
14:04
like that. So anyone builds a feed, not just
14:06
us. And so if you want to see pictures
14:08
of cats, there's four or five feeds
14:10
just with cat pictures. And so that
14:12
sort of infrastructure is what we've been building out over the
14:14
past year to let anyone build on Blue Sky. So
14:17
that's your main point of difference when
14:19
you compare Blue Sky to X and
14:22
even threads? Yeah, one thing that
14:24
people say is essentially the difference
14:26
here is protocols, not platforms. So
14:30
threads and Twitter are platforms that
14:33
are apps controlled by a single company.
14:36
And the idea of building on a
14:38
protocol is to make social something more
14:40
like blogs or email where anyone
14:42
can use the web and you can
14:44
put up your website on the internet.
14:47
And how are you going to get your
14:49
message about this out to people? Because it
14:51
sounds like it could be a little bit
14:53
in the weeds for just anyone
14:55
to understand the difference. And they log on,
14:57
they don't see that difference, do they? Yeah,
15:00
we wanted to build it so that you
15:02
didn't have to see this difference. So it's
15:04
all under the hood. And how it shows
15:06
up to you as a user is just
15:08
having a lot more choice. And
15:11
we've seen text-only social media
15:13
platforms emerge. We've seen, obviously,
15:15
with the issues with Elon
15:17
Musk at the top of
15:19
X, people leaving
15:21
that platform. Initially, a lot
15:23
of people signed up to threads, but
15:25
the popularity there is declining. I just
15:27
wonder why you think this is still
15:29
a good business model. I think there's
15:32
always going to be a role for
15:34
public conversation. And what we set out
15:36
to build was something that would
15:38
be an open infrastructure for
15:40
public conversations, whether that's text or
15:42
images or video. And
15:45
the app protocol later can support
15:47
more content types. It's
15:49
the language for computers to communicate
15:51
and pass data around. And
15:54
we think that this sort of real-time news
15:57
where people get to communicate with all
15:59
sorts of... Politicians, journalists, people
16:01
around the world in an open text-based
16:03
format is something that's likely to stick around,
16:05
and we'd like it to stick around in
16:07
a form where it's more resilient
16:09
than being controlled by one company. You
16:12
mentioned politicians there. I just wonder, how are
16:14
you going to attract more people so that
16:17
more valuable conversations can take place?
16:20
Because we know that a lot
16:22
of big figures are on those
16:24
existing platforms, but not on Blue
16:27
Sky. We're opening up now, so
16:29
part of the idea is to
16:31
get everything built out and then
16:33
have a broader community start
16:35
engaging and building on it. Is
16:38
Jack Dorsey, the Twitter founder, still involved
16:40
with Blue Sky at all? He's on
16:42
the board, and I think Jack really
16:45
wants an open ecosystem, decentralized
16:47
protocol to be the future
16:49
of social. So
16:51
I think he supports Blue Sky as
16:53
well as other open protocols that try
16:55
to achieve the same thing. You
16:57
see that Blue Sky is crucial
16:59
in an election year. I just
17:01
wonder why that says. We focused
17:03
on transparency and trying to find
17:05
ways to empower users better to do things
17:08
like combat misinformation. A lot of this
17:10
is very much about creating
17:12
a user-driven ecosystem, and so we've
17:14
been working with something called a
17:16
third-party labeling system. You can think
17:18
of it a bit as community
17:20
annotations, and that's something where we
17:22
can get backcheckers or use AI
17:25
to help add in labels on content.
17:27
And so this is something that we
17:29
hope becomes useful as we move into
17:31
an election year and helps users get
17:33
accurate content. So you've got an in-house
17:35
system that's going to label fake
17:37
images and videos, for example? It's
17:40
actually much like the custom feeds
17:42
we have now, where the in-house
17:44
system is the open protocol
17:46
that lets anyone build one of these. So
17:48
we'll be looking for the platform
17:51
that has the most truth on
17:53
it, given the amount of various
17:55
elections that are going on across
17:58
the globe this year. The
18:00
need is extreme to me how you than
18:02
a presents this information on blue sky yeah
18:04
this is an approach which is going to
18:06
be I think the. Collaborative.
18:08
And community driven so we don't have
18:10
the resources of something like Thread to
18:12
invest in. You know, hundreds of thousands
18:14
of on the ground people looking at
18:17
things that we do have. The. Ability
18:19
for a much larger community to.
18:21
Make interventions as soon as they see them,
18:24
and so rather than bottleneck, seeing all this
18:26
sort of attempts at to do fact checking
18:28
through our company, there's the possibility for anyone.
18:31
To run away blur and then we would work
18:33
with these to find the best ones and sort
18:35
of put them at the top. And
18:37
see what guardrails he has and place
18:39
to protect people from harmful content. Then
18:41
so the opposite it's own. Rules or
18:44
up as a community guidelines and then
18:46
we enforce Motorists in around. The Baseline
18:48
there and so basically it's and out of his.
18:50
Approach where users can player on more filters
18:53
and if they want to get away from
18:55
this sort of controls that we say and
18:57
do their own thing it's fossil for somebody
18:59
else to build another app and filter over
19:02
some of the same conference us when the
19:04
ecosystem but the key part of social sort
19:06
of what kind of space are you providing
19:09
and how are people interconnecting and so we
19:11
try to make the blue sky. A
19:13
very safe place for people interact and
19:15
you're obviously in the stick is it
19:17
as the Cu? I just wonder what
19:19
you think of the future of social
19:21
media. Well, I do think that open.
19:24
Protocols. Are the future of social
19:26
because? That's. What the web is built
19:28
on and that's what's allowed the web to
19:30
go through so many changes and stay around.
19:33
And so if we make social more like
19:35
the web again. I think will
19:37
have a much more resilient social
19:39
ecosystem. That was D V Bird
19:41
the Seal of Blue Sky talking
19:43
to me from Silicon Valley. governments
19:55
around the world are grappling with
19:57
artificial intelligence and so to regulate
19:59
it But what about the
20:01
Vatican? Clearly Pope Francis is
20:03
a busy man, but he's also got
20:06
an interest in how technology is impacting
20:08
people, much like us here on TechLife,
20:10
and he's got a special advisor for
20:12
that. I was lucky enough
20:14
to grab a quick chat with Father
20:16
Paolo Benanti, who is a
20:18
Professor in AI Ethics, a member of
20:21
the United Nations High Level Advisory body
20:23
on AI, and he advises the Pope
20:25
on all things tech. I
20:27
started by asking him if most of his time
20:29
was spent looking at the ethics of
20:31
technology. Yeah, actually a
20:34
medical approach to technology is simple,
20:36
asking which kind of displacement of
20:38
power and form of order will
20:41
be a technological artifact once it's
20:43
deployed inside the society. If
20:46
we build a bridge, well,
20:48
that bridge actually could
20:50
allow someone to pass and someone else
20:52
know. There is no neutral
20:54
deployment of technology. And so
20:56
starting this kind of technology, questioning
20:58
technology for society, that's my
21:01
help. And can you
21:03
tell me about the rule in the Vatican then?
21:05
How did you get that
21:07
particular job? Well,
21:09
actually, it's not a
21:11
job. Technically speaking, it's volunteering. But what
21:13
does it
21:16
mean? It means simple that
21:18
they use us, and when
21:20
I say us, I mean
21:22
professor, as an advisor, because
21:24
they don't have inside all the
21:26
cutting edge knowledge. And there are
21:28
these kind of figures that simply
21:30
make the bridge from academia and
21:32
the office. And I
21:34
was appointed in some of
21:37
these places to help them to
21:39
understand what's going on on the
21:41
street to help reflection on the
21:43
societal impact of technology. And
21:46
how often will you speak with the
21:48
Pope on these matters? Oh,
21:51
well, that's not according to a plan. It
21:54
happens when you say that, you know. And
21:56
if you see the agenda of
21:59
the Pope, it's really complicated, a lot
22:01
of people happen to meet the
22:03
Pope. And so it depends
22:05
who he is asking to meet, who would like
22:08
to meet him. And
22:10
when you're speaking to the Pope about
22:12
these matters, what's he
22:14
asking you? Like
22:17
with every hierarchy in
22:19
the world, it's
22:21
not like to take a coffee with someone
22:23
that is trying to view that it's a
22:25
ceremony. And sometimes
22:27
the big part of the works
22:29
is made not with the Pope,
22:31
but with Cardinals, another bishop, another
22:33
clergy that helping in the Odyssey.
22:36
Usually when you meet the Pope
22:39
is always something that is already
22:41
written in a playbook in
22:43
which you can have an occasion if the
22:45
Pope is curious or he would like to
22:48
ask you something. But the
22:50
main contribution does not happen in
22:52
that moment. Happened therefore in that
22:54
moment, that is simple, the closing
22:56
of a process. Okay,
22:59
so you're well-briefed in advance. Yeah,
23:03
yeah, you can help in a different
23:05
way. You can write something, you can
23:07
meet people, you can discuss with people,
23:09
and then you have to produce
23:11
what we can say, a shared
23:13
culture inside the system. And
23:17
does he have an interest in technology? He's
23:20
really bright to understand
23:22
what are the challenges
23:24
for society today, especially for the
23:26
most vulnerable people. If you look
23:29
on what he did, he put
23:31
on the agenda migrant, he
23:33
put on the agenda environment, and now
23:35
he's putting on the agenda AI. Three
23:38
different topics that actually
23:40
represent three huge
23:42
frontier and challenges in which
23:44
the most fragile part
23:46
of population could suffer from
23:49
what is happening. The Pope
23:51
is really brilliant in
23:53
understanding where the most
23:55
fragile people could be damaged. contribute
24:00
to the debate around
24:02
ethical artificial intelligence? Well,
24:05
look, it is one of the most
24:07
influential people around the world. There is
24:09
one billion faithful behind
24:11
him and of course
24:14
he is able to speak to the
24:16
highest people in the earth. So
24:19
it's not a matter of direct
24:21
regulation, it's a matter
24:23
of dialogue, of putting on the agenda
24:25
topics that could be not so convenient
24:27
to put on the agenda and
24:30
to give also voices to people
24:32
and process that actually could be
24:34
excluded by that. It
24:37
is interesting that when you have the biggest
24:39
meeting on economic
24:41
development in the world is
24:43
that the top player that meet and
24:47
giving to them a voice from the
24:49
people that live in periphery or
24:51
in the suburbs of the existence like
24:53
the people love to call them is
24:57
a huge opportunity to have a global
24:59
perspective and approach. And
25:01
as the envoy on AI
25:03
and someone that is
25:06
an expert on technology within the Vatican,
25:10
are you getting big
25:12
tech, people in Silicon Valley getting in touch
25:14
with you and trying to get messages
25:16
to the Pope about these issues? It's
25:19
a two way process, you know, because
25:21
something is getting out and something is coming
25:23
back and sometimes message
25:26
from the Pope are touching people
25:28
that are in charge of technology.
25:30
The most incredible thing is that
25:33
to develop this unbelievable layer of
25:35
technology, people have to spend and
25:37
commit their life to obtain something
25:40
that is really a breakthrough. And
25:43
you can catch the idea
25:45
that people don't want to spend their
25:48
life for something that could have a
25:50
better effect. So the
25:52
first that having an ethical concern
25:54
are the engineer, the
25:56
top engineer in AI company, because
25:59
they don't want to pass the The three like
26:01
someone that was trying to be
26:03
they would like to have a
26:05
positive impact from they are deep
26:07
commitment the college. And. This
26:09
is the place where it's much
26:11
more incredible how that kind of
26:14
dialogue it could produce. Changing their
26:16
seats. Things are on Now on.
26:18
What? Geico. You. Give to
26:20
them a square as by well they
26:22
haven't expressed that feeling and seen them
26:25
selves understood in the deepest concerned that
26:27
make. My thanks to
26:29
his father, pile of been anti the
26:31
Pope's adviser on technological. That's
26:39
all that have things are today. The number
26:42
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A? I? An ultrasound for months in Kenya
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