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    THE FIRST MARITIME TELEMEDICINE PROJECT ON BOARD THE

    LARGEST ITALIAN PASSENGER SHIP

    The project, which is the result of the collaboration between Telesal, Costa Cruises, Genoa‟s Galliera

    Hospital, the C.I.R.M. and D‟Apollonia, has premiered at the Telemedicine Conference in Rome.

     The experimental phase, which will be carried out on board the Italian line‟s flagship Costa Concordia

    starting in early 2009, will enable the future real-time delivery of clinical care 24 hours a day even on the

    high seas.

Rome November 17, 2008 Europe’s first ever experiment in maritime telemedicine on board a large

    passenger ship has premiered at the Telemedicine Conference held at Rome’s Ospedale San Giovanni

    Calibita, Fatebenefratelli. The project is the result of the collaboration between Italy and Europe’s number

    one cruise line Costa Cruises, TELESAL Telecomunicazioni per la salute (Telecommunication for Health), Genoa’s Galliera Hospital, the Genoese engineering company D’Appolonia and the C.I.R.M. (Centro

    Internazionale Radio Medico, or International Radio Medical Center).

    TELESAL will bring on board Costa’s ships a telemedicine suite enabling enhanced health care with advanced medical technology around the clock in the sea-going environment. The experimentation will

    commence in the early months of 2009 on the Costa Concordia, the largest Italian passenger vessel and the

    flagship (together with the sister ship Costa Serena). The broadband satellite system has already been

    installed on the Costa Concordia, and the final steps are currently being taken for the configuration of the

    telemedicine suite and training of the personnel involved in the project. Experimentation will begin in early

    2009, when the ship is deployed on 10- and 11-day cruises to Greece, Turkey, Egypt and Cyprus. This

    phase will be highly significant for the project insofar as it will be conducted on the largest Italian passenger

    ship, accommodating each week around 3800 Guests of all ages from many different countries, as well as the

    crew of 1000.

    The assistance provided on board by the new service will be able to ensure diagnosis and consultation at a

    distance in relation to first aid, toxicology, cardiology, radiology, dermatology and ophthalmology with the

    collaboration of Genoa’s Galliera Hospital, and the coordination of the hospital’s general medicine, surgery

    & emergency department, headed by Dr. Paolo Cremonesi, with the support of its IT & Telecommunications

    Services, under the direction of the Galliera Health Authority. The innovative new service will consist of

    an exchange of medical data (experimentation will include dermatological, ophthalmology and radiological

    images, electrocardiograms, scans), which can be shared thanks to video-conferencing so as to enable real-

    time consultation between the shipboard medical personnel and the Galliera health professionals.

“It is part of our mission to be at the forefront in all aspects of our activity, so we can‟t help feeling proud to

    contribute to the first experiment in telemedicine at sea,” announced Costa Cruises President Gianni Onorato. “This is a highly innovative and extremely important project; the aim of this European first is to further

    enhance the quality of the service for our Guests and crew. For this reason we‟ve decided to launch the

    experimentation on our flagship Costa Concordia. We hope in the future to be able to extend the

    telemedicine installation project with fleetwide deployment and the involvement of hospitals around the

    world.”

    “Telesal has been devised and developed specifically to provide remote consulting even in the most extreme

    environments and situations,” said TELESAL project leader Cesare Aragno. “Our technology and

    experience enable us to deliver medical assistance not only at sea but also in space, in remote areas in the

    same way as for the ill and the elderly in their homes. Now though, this collaboration with Costa Cruises is

a turning point for us because it will allow us to disseminate telemedicine not merely as a medical solution

    for emergencies or serious illness but also as a guarantee for people who are simply relaxing on vacation.”

    “We joined this project with enthusiasm,” said Galliera General Director Adriano Lagostena. “It‟s an

    important step forward in terms of health care organization and it falls within the strategic directives of the

    Hospital regarding the creation of integrated systems in networks that are not only structural but above all

    functional. And it should be stressed that the realization of this ambitious project will allow the „global‟ provision of health services, thanks to the partnership of Italian firms, thus confirming Italy‟s role at the

    cutting edge of enterprise.”

    “The experience brought by the C.I.R.M., which has been giving radio medical assistance to seafarers for

    more than 70 years and intervened in some 1850 cases last year alone,” added Sergio Pillon, Medical Director of the CIRM and Telemedicine Director of Rome’s San Camillo-Forlanini Specialist Emergency Medical Center, “combined with the new technology supplied by Telesal will enable the provision of

    specialized consultation for people at sea. When there are ship‟s doctors on board, they will continue to

    operate and thanks to this advanced technology they will be able to guarantee expert assistance and

    specialized treatments even when the vessel is far from port. This is a unique experiment in Italy, and one

    that will bring important benefits not only to the Costa fleet but to Italian shipping as whole in terms of

    health protection and saving lives at sea, with the development of specialized Italian telemedicine services

    available at sea around the world.

For further information:

Costa Crociere S.p.A.

    Press Office

    Davide Barbano Tel. 010 5483523 Mob. 334 6525216 barbano@costa.it

E.O. Ospedali Galliera di Genova

    Elisa Nerva

    Press Officer

    Tel. 010 5632022 Mob. 3403690303 elisa.nerva@galliera.it

Telesal

    Cesare Aragno

    Project Leader

    Tel. 06 36004916 Mob. 348 5806342 caragno@kell.it

D’Appolonia S.p.A.

    Alessandro Gemelli

    Tel. 06 59450300 alessandro.gemelli@dappolonia.it

    TELESAL is the most important Italian telemedicine service whose objective is to deploy broadband satellite technology in order to provide clinical services from medical specialists at a distance. It has been developed jointly by the Italian Space Agency (ASI), the Ministry of Health and a team led by Kell s.r.l. of Rome consisting of Italian enterprises, universities, research institutes, government agencies. Telesal has the aim of using Telesal broadband satellite technology to provide new clinical services from medical specialists at a distance in Italy. In July 2007 the company Telesal S.c.a.r.l. was established in order to promote and support Telesal experimentation nationwide and if possible also abroad. www.telesal.it

    Costa Cruises is the number one cruise vacation company in Italy and Europe. For the past 60 years its ships have plied the seas of the world, offering the best in Italian style, hospitality and cuisine and providing dream holidays with the utmost in terms of fun and relaxation. In 2007 Costa Cruises carried a total of over 1.1 million cruise Guests, a record for the European cruise industry. Its fleet has a total of 12 ships, all flying the Italian flag, each with her own distinctive characteristics and unique style; together each year, they offer the chance to visit some 250 separate destinations in the Mediterranean, Northern Europe, the Baltic Sea, the Caribbean, South America, the United Arab Emirates, the Far East and the Indian Ocean. 5 more vessels have been commissioned and will enter service by 2012. Costa Cruises has been certified by RINA (Italian Shipping Register) with the BEST4, an integrated system of voluntary certification of corporate compliance with the highest standards governing social accountability (SA 8000, issued in 2001), environment (UNI EN ISO 14001, 2004), safety (OHSAS 18001, 1999) and quality (UNI EN ISO 9001, 2000). All the ships in the Costa fleet have been assigned RINA’s Green Star notation certifying that they

    are operated in compliance with the highest environmental protection standards. Costa Cruises is an official partner of WWF for the protection of the marine ecoregions of the Mediterranean, the Greater Antilles and Brazil.

    The Costa Concordia was built by Fincantieri at its Genoa Sestri Ponente shipyard and entered service in 2006. She is 114,500 gross tonnage and 290 meters in length, and can accommodate up to 3780 Guests. The flagship includes several unique innovations for the global cruise industry, such as the Samsara Spa 2(over 6000 m including the spa itself, conveniently located cabins with direct access, and a dedicated

    restaurant for spa Guests), 4 pools, 2 of which fitted with a sliding glass roof, and a Grand Prix driving simulator. The inspiration for the interior decoration was drawn from architectural styles across Europe until the 20th century. This is also the central theme running through the many works of art on board (about 6000 counting originals and copies), created by 35 contemporary international artists including F. de Filippi, Omar Galliani, Aldo Spoldi, Nicola Salvatore and Javier Garcerà.

    The "Ospedali Galliera" complex (founded under the name of Opera Pia De Ferrari Brignole Sale) was established thanks to the benefaction of the Duchess of Galliera and built between 1877 and 1888. Since then it has retained its unique legal status among Liguria’s public health facilities. By means of the Prime Ministerial Decree of 7/14/1995 it was recognized as a hospital of national importance and specific specialization. Galliera Hospital is arranged in 8 clinical departments, 3 administrative departments and 3 intercompany departments, with a total of 36 complex structures and 13 ordinary structures; it has 470 beds and approximately 1715 employees. In 2007 there were 16,000 ordinary admissions and 11,000 day surgery patients. Over 10,000 operations were performed last year, as well as 1,500,000 outpatient procedures, with more than 55,000 emergency room admissions. In line with its founding principles and the latest developments at the leading edge of health care, Galliera is a model hospital that is open to the community and dedicated to providing quality patient care with unrelenting attention to clinical excellence. To this end, while the health care aspect namely an integrated clinical pathway based on diagnosis,

    treatment and rehabilitation is the top strategic priority, at the same time the accent is also put on scientific

    research, on training, on the application of state-of-the-art technologies and new organizational management models, on treatment of genetic diseases and on applied research activity. Galliera Hospital has defined a series of quality indicators for the assessment of its health care services related to information, patient hospitality, patient-centredness, patient care and safety, waiting times and clinical risk reduction. The Hospital has all the latest state-of-the-art medical equipment including: 1 PET scanner, 3 CAT scanners, 3 MRI scanners, 3 Linear Accelerators, 2 MRA scanners and 1 MID (Metal Iron Detector), the only one of its kind in the world. Galliera is the headquarters of the Registro Nazioanle Italiano Donatori di Midollo Osseo - I.B.M.D.R. (Italian Bone Marrow Donor Registry). The Chairman of the hospital is His Eminence Cardinal Angelo Bagnasco, Archbishop of Genoa. This year Galliera is celebrating its 120th anniversary (1888-2008). www.galliera.it

    D'Appolonia S.p.A. is a consulting company headquartered in Genoa with branch offices in Milan, Rome, Naples and Brindisi. It delivers integrated engineering services for the public and private sectors in the fields of the environment, energy, oil, infrastructure and transport, electronics and telecommunications. The Company provides support for the Client in the development of complex projects, starting from the stages of conceptual design and definition of the specifications and following through with implementation, optimization and validation. D'Appolonia S.p.A. is an ISO 9001:2000 and ISO 14001:2004 certified firm.

    The C.I.R.M. (Centro Internazionale Radio Medico) is a non-profit organization that was established in 1935 and has been providing free radio medical assistance to seafarers around the world 24/7 even since; its first President was Guglielmo Marconi, who was succeeded by Queen Elena Di Savoia. The oldest existing organization of its kind, the CIRM has “treated” over 50,000 patients; assistance was initially provided via

    radio, then via satellite and data transmission, and cases are monitored with preparations for transfer ashore when necessary. In 2007 the Center coordinated the evacuations of 60 patients from vessels all over the world, 25 by helicopter and 35 by patrol boat, with the assistance of the High Command of the Port Authorities-Coast Guard. The CIRM is a point of reference for seafarers from all over the world to such a degree that the US Coast Guard makes special reference to the Center’s telemedicine service in its training

    courses for Masters. The organization’s Board of Directors includes representatives from the Italian

    Ministries of Infrastructure & Transport, Defense, Economic Development (Communications) and Labor, Health & Social Policy. By means of a Ministerial Decree, the CIRM has been officially designated the Italian Center for Maritime Telemedicine (TMAS) in close consultation with the National Center of Coordination for Sea Search & Rescue (I.M.R.C.C.) through the High Command of the Port Authorities-Coast Guard. The current President of the CIRM is Admiral Agostino Di Donna, Chief Inspector (SAN) in the Italian Navy. www.cirm.it

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