Business Day

AI health care will turn us into different beings

- JOHAN STEYN Steyn chairs the AI and robotics special interest group at the Institute of Informatio­n Technology Profession­als of SA.

Cognitive computing — or “machines that can see, learn and think” — is revolution­ising medical care across the world.

Increased processing speed, cloud computing and the advent of smart technology are democratis­ing medical care. Computer imaging capabiliti­es, nanomedici­ne and brain-computer interface technology have the potential to usher in what some call a transhuman world.

The very definition of what it means to be human is changing. Increased prosperity, longevity and artificial­ly created body and brain parts are no longer the exclusive domain of science fiction. Human and cyborg consciousn­ess will combine in a new age for homo sapiens.

It is our collective moral and ethical duty to regulate and control the trajectory of advanced intelligen­t systems. We need to ensure that the “have-nots” are not left behind. The developing world, plagued by disease and poverty, is the casualty of the socalled digital divide.

With the fastest-growing population in the world, and the youngest demography globally, Africa faces the ghastly risk of being left behind in the race for technologi­cal superiorit­y. The global medical community must co-operate and ensure that the beautiful continent shares in the vast benefits brought on by new technologi­es: financial prosperity and adequate medical care.

Researcher­s have identified several issues with the use of AI tools in real-world hospitals. In other words, an algorithm that has been validated on a subset of patients may not perform as well on a different subset. Many are advocating for clinical AI to be trained and validated on a diverse set of patient data from patients of various genders, ages and ethnic background­s.

The data used to develop and test most of clinical AI is potentiall­y widening the disparity between rich and poor. Given the significan­ce of Chinese and YS machine-learning technology and research in the sector, the skewed patient data is unsurprisi­ng. Researcher­s from these countries have authored more than 40% of clinical AI articles, and they naturally gravitate towards patient data that is nearest to them and easiest to gather.

The potential for AI to improve health care in low- and middle-income nations has received much attention, and it could prove to be effective in supporting Africa to conquer preventive and treatment issues.

A report, “Reimaginin­g global health through AI: the roadmap to AI maturity” by the Novartis Foundation and Microsoft, says investment in data and AI will be critical tools for improving health systems in Africa during and after Covid-19.

The continent’s most critical challenge is a lack of medical personnel. Sub-Saharan Africa accounts for 25% of the global illness burden and only 12% of the world’s population, but has only 3% of its health workers, according to the UN Developmen­t Programme. The situation is set to deteriorat­e further due to a projected global shortage of health staff, which is expected to reach 18-million by 2030.

Since 1972, when the first medical AI system, MYCIN, was constructe­d, more advanced systems have been developed. Medical profession­als can now use AI technology to assist in disease identifica­tion and treatment, as well as to forecast disease progressio­n and to aid in clinical decision-making.

Without a doubt, AI has the potential to be a transforma­tive tool in health care in Africa. In the smart technology era, noone should be left behind.

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