"Telemedicine and Unmanned Drone Demonstration Experiment" was conducted
for making islanders to be able to continue living peace of mind.

On July 30, 2020, the demonstration experiment byusing an unman control small drone was conducted
between Awashima island and Suda-Port in Mitoyo City,
Kagawa Prefecture in collaboration with Seto Inland Sea
Regional Research Center, Kamomeya Inc. and Aioi Nissay
Dowa Insurance Co., Ltd.
The experiment was to deliver a mobile electrocardiograph for diagnosis andprescription drugs for treatment in order to realize the telemedicine, namely "Online
medical care in the remote islands".
1. Background to the demonstration experiment
Although Kagawa Prefecture is the smallest Prefecture in Japan, it has 24
manned remote islands. For the reason, how to maintain the medical care for theislanders is a very important issue.
In the Kagawa Prefecture as a whole, there are plenty of medical institutions
include Kagawa University Hospital etc., therefore the medical is very convenientand familiar to the Kagawa people. However, islands having clinic are only lessthan half in 24 manned islands. The other islands have no medical facility at all.
Even on the islands where located clinic, it is difficult to keep doctors. In manycases, doctor is only dispatched to the island a few days a week, therefore,
especially to maintain the medical service system of weekend and night is a serious
issue. To improve such medical disparities, Kagawa Prefecture has introduced theKagawa Telemedicine Network "K-MIX” since 2003. However, it had been difficult
to spread to remote islands in fact.
Even though, the remote islands are originally the most suitable field for thetelemedicine, the reason which has not been spread the telemedicine is thebroadband internet has not been prevailed there, in addition the government
actively has not promoted to introduce the telemedicine. However, it is becoming
ready the environment which the telemedicine spreads rapidly, because thetelemedicine was officially recognized in 2018 as "online medical care'' moreoverthe new coronavirus epidemic was broken out.
Although the clinic in Awashima island where is the demonstration experiment1

field had opened 4 times a week before, it has been decreased to twice a week inrecently. Therefore, we tried "online medical care". As a result, it was very
effectiveness and very pleased by the islanders.
The remaining problems are that there are cases which need blood test due tosudden fever, etc. and need to prescribe drugs which is not in the clinic's inventory.
In such emergency cases, we are faced with difficulties, because there has nourgent transportation ways. The solution is utilization of drone which will bereported this time
We had recommended of the utilization of drone in Awashima island, to various
fields including Mitoyo City for more than 3 years, to solve these. Thanks to thisdemonstration experiment, we were able to finally take the first step. Therefore,
we have thought what we have done is very meaningful.
2. Overview of demonstration experiment
The demonstration experiment was totransport supplies resembling medicalequipment etc. by a single-rotor typedrone, between Suda-port and Awashimaport where is about 4Km apart.
In the experiment, we assumed that an
Awashima islander who is claming
symptoms of palpitations and arrhythmias
visited the clinic. In this case, it is able
to think of two processes. The first isthat we deliver a mobile
electrocardiograph for accurate diagnosis
to the Awashima clinic from Suda-port
via Awashima-port by using the drone,and after that we carry the collectedblood sample for investigation to Sudaport by drone in reverse. The second is that the doctor diagnoses the patient as
atrial fibrillation from the electrocardiogram waveform etc. So, we transport theDOAC drug to prevent the blood coagulation by drone and pharmacist gives thedrug to the patient after taking medication instruction.

2On the same day of the experiment, about 70 of the 5th grade students in
Takuma Elementary School of Mitoyo City had been studying in Awashima island foran out-of-school study "day camp". They watched the drone landing andcheered.
After landing the drone, we explained
about the telemedicine and delivery
logistics by drone to elementary school
students who are "Scientists of thefuture". They eagerly listened into it.
In the future, we will aim to effectively
use it not only in remote islands andremote areas but also medical support indisaster, by combination of the telemedicine and the technology of delivery logistics
by drone which demonstrated experiment around Awashima island.
3. Role of participating members(1) The Seto Inland Sea Regional Research Center of Kagawa University is aiming
to establish a safe and secure life in remote islands and remote areas byconstructing the models for the telemedicine and the delivery models ofprescription drugs, with matching to the deregulated "Online medical care" and"Online medication instruction".
Furthermore, the Center is aiming to establish the medical system in remoteislands and the support system in disaster, which link to a safe and secure life
by realizing the construction of a delivery model for relief supplies in disaster.
In addition to these, the Center will conduct legal research to increase thesocial acceptance of telemedicine and drone.
(2) Kamomeya Inc. enables high-quality remote control for drone by operating thenewly developed comprehensive drone operation support system "OceanMesh"and "Real-time precision meteorological live system" as a unit.
In this experiment, Kamomeya Inc. it is aiming to realize the society based on
the premise of utilizing drone in not only daily but also in disaster, by verifying
effectiveness and usage of these systems.
(3) Aioi Nissay Dowa Insurance Co., Ltd. is aiming to contribute to the resolutionof regional issues through responding to the risks associated with experiment aswell as developing insurance products・services for respond to drone control
and mechanical failures.
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Finally, the consortium centered on Mitoyo City and the participating members
above, applied to "Smart island promotion substantive verification work in 2020
fiscal year" of government. As a result, the work was adopted fortunately.
We would like to work on improving the medical care in remote islands andremote areas throughout Japan from now on, by advancing further the telemedicine
and drone project in Awashima which reported this time and overcome social issues
and technical issues.

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