## 6 Novel mHealth Predictive Outbreak for COVID-19 (mPOC) Algorithm and IoMT Protocol
### Internet of Medical Things (IoMT) Stage  
The Internet of Medical Things (IoMT), in a classical sense, represents an interconnected network of medical devices, sensors, and software applications designed to collect, \begin{table}
\begin{tabular}{p{42.7 pt} p{56.9 pt} p{56.9 pt} p{56.9 pt}} \hline \hline
**Stage** & **Device** & **Sensing/Information Input** & **Monitored CPPs/Health Conditions User Inputs** \\ \hline \multirow{4}{*}{**Initial**} & \multirow{4}{*}{Smartphone} & Location (suburb, city, country), BMI, pre-existing conditions, job, number of members of household & **Input**: age, gender, ethnicity, height, weight **Input**: preexisting conditions: cancer, organ implant, hypertension, diabetes, and pulmonary/renal/cardiovascular diseases. **Calculate**: BMI/Cytokine Storm/age/gender risk factors\(\rightarrow\)DRI \\ \cline{2-4}  & Bio-Watch & Sensory data input from smartphone & \multirow{2}{*}{Calibrating sensors and learning user physiology} \\ \hline \multirow{4}{*}{**IoMT**} & \multirow{4}{*}{Smartphone} & Microphone (voice/sound), camera (video/light), gyroscope, accelerometer, compass, GPS & Dry cough: Mic Nasal congestion: Mic & **Disease monitoring:** Restlessness/fatigue/insomnia: PSG Shortness of breath: SPO2 Confusion: EEG Hypertension: BVP Pair: BCP, SCI, Heart condition: ECG Fever: Temperature tachycardia: ECG Data sent to PRaaS to calculate PEI \\ \cline{2-4}  & \multirow{4}{*}{Bio-Watch} & Temperature, accelerometer and gyroscope, compass, ECG, EMG, EEG, SPO2, BVP, SCL, THz, PSG (EEG, EMG, ECG, accelerometer, gyroscope) & \multirow{2}{*}{Information exchange with smartphone} \\ \cline{2-4}  & \multirow{4}{*}{Bio-Watch} & \multirow{2}{*}{2} & \\ \cline{2-4}  & & & \\ \cline{2-4}  & & & \\ \cline{2-4}  & & & \\ \end{tabular}
\end{table} 
Table 2: The three stages of mPOC algorithm. Figure 3: mPOC Protocol Flow-Chart. transmit, and analyze healthcare data. It empowers traditional medical devices with internet connectivity, enabling remote monitoring and real-time data analysis, which are pivotal in the realm of digital healthcare. These devices and applications establish connectivity through diverse means, including Wi-Fi, mobile networks, and mesh networks (D2D), ensuring seamless and efficient information exchange. Recently, IoMT has seen significant advances in the deployment of wearables with Device-to-Device (D2D) communication for disaster management. These developments have revolutionized how healthcare professionals and emergency responders handle crisis situations. IoMT wearables equipped with D2D capabilities offer enhanced connectivity, allowing devices to communicate directly with one another, even in the absence of a centralized network, ensuring seamless data exchange in challenging environments. This feature is crucial during emergencies when traditional communication infrastructure may be compromised or overwhelmed. The integration of wearables with IoMT and D2D communication enables remote patient monitoring, providing real-time tracking of vital signs and physiological parameters of disaster-affected individuals. Such data empower rapid triage and decision-making, ensuring timely and appropriate medical interventions. Additionally, IoMT wearables with D2D facilitate predictive analytics and early warning systems, continuously monitoring physiological data to detect early signs of distress or illness in disaster-affected populations, enabling pre-emptive actions to mitigate health risks. Moreover, the generated data from these wearables provides valuable insights into disaster-affected areas, identifying hotspots, assessing injuries' severity, and optimizing resource allocation for efficient disaster response efforts. D2D-enabled IoMT wearables also serve as communication tools for first responders, enhancing coordination and information sharing among rescue teams. Furthermore, wearables equipped with biosensors can detect hazardous environmental factors in disaster zones, assisting in risk assessment and ensuring responder and survivor safety.