ALPHA MEDICAL WHITEPAPER
WHITEPAPER
WHITEPAPER
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W H I T E P A P E R<br />
Africa’s First Smart Healthcare Ecosystem powered by blockchain
CONTENTS<br />
Disclaimer<br />
1<br />
Caution Regarding-looking Statements<br />
2<br />
Abstract<br />
3<br />
Introduction<br />
4<br />
Problem Overview<br />
5<br />
Telemedicine Market<br />
6<br />
Use of Telemedicine<br />
7<br />
The Alpha.Md Ecosystem<br />
8<br />
Features<br />
9-10<br />
Marketplace<br />
11<br />
Future Features<br />
12<br />
Business Model<br />
13<br />
Use Cases<br />
14<br />
Why Blockchain<br />
15<br />
Stellar Network<br />
16<br />
Timeline<br />
17<br />
Token Generation Event<br />
18<br />
Team<br />
19-20<br />
Advisors<br />
21<br />
Conclusion<br />
22<br />
References<br />
23<br />
Africa’s First Smart Healthcare Ecosystem powered by blockchain
DISCLAIMER<br />
This white paper is for information purposes only and may be subject to change. We cannot guarantee the accuracy of the<br />
statements made or conclusions reached in this white paper and we expressly disclaim all representations and warranties<br />
(whether express or implied by statute or otherwise) whatsoever including but not limited to; any representations or<br />
warranties relating to the merchantability fitness for a particular purpose, suitability, wage, title or non-infringement. That the<br />
content of this document are accurate and free from any errors and that such contents do not infringe any third party rights.<br />
We shall have no liability for damages of any king arising out of the use reference to or reliance on the contents of this white<br />
paper even if advised of the possibility of damages arising.<br />
This white paper may contain references to third party data and industry publications. As far as we are aware the<br />
information reproduce in this white paper is accurate and that the estimates and assumptions contained herein are<br />
reasonable. However we offer no assurances as to the accuracy or completeness of this data. Although information and<br />
data reproduced in this white paper are believed to have been obtained from reliable sources, we have not independently<br />
verified any of the information or data from the third party sources referred to in this white paper or ascertained the<br />
underlying assumptions relied upon by such sources.<br />
As of date of publication of this white paper Alpha (APM) tokens have no known or intended future use other than on the<br />
Alpha.MD platform as more specifically defined in this white paper. No promises of future performance or value are or will be<br />
made with respect to APM tokens including promise of inherent value, no promise of continuing payments, and no<br />
guarantee that APM tokens will hold any particular value.<br />
Unless prospective participants fully understand and accept the nature of the Alpha.MD ecosystem and the potential risks<br />
associated with the acquisition storing and transfer of APM tokens, they should not participate in the token sale. APM tokens<br />
are not being structured or sold as securities or investments. APM tokens hold no rights and confer no interests in the equity of<br />
the company. APM tokens are sold with an intended future functionality and utility on the Alpha.MD ecosystem and all<br />
proceeds received during the token sale may be spent freely by Alpha.MD on the development of its business and the<br />
underlying technological infrastructure.<br />
This white paper does not constitute a prospectus or disclosure document and is not an offer to sell nor the solicitation of any<br />
offer to buy any investment or financial instrument in any jurisdiction. APM tokens should not be acquired for speculative or<br />
investment purposes with the expectation of making an investment return.<br />
No regulatory authority has examined or approved any of the information set out in this white paper. No such action has or<br />
will be taken under the laws, regulatory requirements or rules of any jurisdiction. The publication, distribution or dissemination<br />
of this white paper does not imply that applicable laws or regulatory requirements have been complied with.<br />
Participation in the token sale carries substantial risk and may involve special risks that could lead to a loss of a substantial<br />
portion or all of your contribution. Further information about the risks of participating in the token sale are set out in the token<br />
sale T&Cs. Please ensure that you have read and understood and are prepared to accept the risks of participating in the<br />
token sale before sending a contribution to us.<br />
The token sale and/or APM tokens could be impacted by regulatory action including potential restrictions on the ownership,<br />
use, or possession of such tokens. Regulators or other competent authorities may demand that we revise the mechanics of<br />
the token sale and/or functionality of APM tokens in order to comply with regulatory requirements or other governmental or<br />
business obligations. Nevertheless we believe we are taking commercially reasonable steps to ensure that the token sale<br />
mechanics and issue of APM tokens do not violate applicable laws and regulations.<br />
Africa’s First Smart Healthcare Ecosystem powered by blockchain 1
CAUTION REGARDING FORWARD-LOOKING STATEMENTS<br />
This whitepaper contains forward-looking statements or information (collectively “forward-looking statements”) that relate<br />
to our current expectations of future events. In some cases, these forward-looking statements can be identified by words or<br />
phrases such as “may”, “will”, “expect”, “anticipate”, “aim”, “estimate”, “intend”, “plan”, “seek”, “believe”, “potential”,<br />
“continue”, “is/are likely to” or the negative of these terms, or other similar expressions intended to identify forward-looking<br />
statements. We have based these forward-looking statements on current projections about future events and financial<br />
trends that we believes may affect our financial condition, results of operations, business strategy, financial needs, or the<br />
results of the Token Sale.<br />
In addition to statements relating to the matters set out here, this whitepaper contains forward-looking statements related<br />
to the Alpha.MD’s operating model. The model speaks to our objectives only, and is not a forecast, projection or prediction<br />
of future results of operations. Forward-looking statements are based on certain assumptions and analysis made by<br />
Alpha.MD in light of its experience, current conditions and expected future developments and other factors it believes are<br />
appropriate, and are subject to risks and uncertainties. Although the forward-looking statements contained in this<br />
whitepaper are based upon what we believe are reasonable assumptions, there are risks, uncertainties, assumptions, and<br />
other factors which could cause Alpha.MD’s actual results, performances, achievements and/or experiences to differ<br />
materially from the expectations expressed, implied, or perceived in forward-looking statements. Given such risks,<br />
prospective participants in the token sale should not place undue reliance on these forward-looking statements.<br />
Africa’s First Smart Healthcare Ecosystem powered by blockchain 2
ABSTRACT<br />
Africa, the world's second largest and second most-populous continent with 1.3 billion people (11% of the world’s<br />
population) and a GDP of about USD 3.3 trillion. Africa is increasingly a continent of potential and opportunity and is<br />
experiencing consistent economic growth, with the healthcare sector being one of the fastest growing and developing<br />
industries. The African healthcare industry is estimated to be over USD 40 billion.<br />
However, the African health care system has suffered several down-falls in its history and despite Africa's strategic position in<br />
the world, the continent is greatly underserved in the healthcare sphere. Healthcare services in Africa are generally skewed<br />
in distribution, limited in coverage and of poor quality. Africa has 25% of global diseases, only about 2% of the global doctors<br />
and spends less than 1% of global health expenditure. Today, average life expectancy in Africa is about 59 years. HIV<br />
among adults is nearly nine times the global average. A child dies of malaria, a preventable and treatable disease, every 60<br />
seconds. These are daunting facts. On top of this, the burden of non-communicable diseases is increasing, with<br />
expectations for a doubling of diabetes and more than a million new cancer cases every year. And today there is limited<br />
ability to diagnose and treat these conditions.<br />
According to a 2017 World Health Organization ranking of the best healthcare systems in the world, Africa accounted for 9<br />
out of the 10 worst countries in the list. WHO also estimates that 57 countries worldwide have a critical shortage of health<br />
workers, equivalent to a global deficit of about 2.4 million, 36 of these countries are in sub-Saharan Africa. This is seriously<br />
affected by the brain-drain experienced in Africa, with doctors seeking greener pastures for their career. Hence why<br />
medical tourism is a big industry in Africa as citizens seek better healthcare elsewhere.<br />
Telemedicine allows health care professionals to evaluate, diagnose and treat patients at a distance using<br />
telecommunications technology. In Africa, where healthcare infrastructure and transportation are often extremely poor,<br />
telemedicine offers a viable and much-needed method of providing citizens, including the underserved and remotely<br />
dwelling citizens with healthcare services.<br />
Alpha.MD’s telemedicine platform uses a location-based mobile app technology to connect patients in Africa with<br />
healthcare services anywhere, anytime and at affordable cost. A new token, APM tokens, would be used for payment of<br />
services across the platform. This would allow for ease of cross-border payments and also allow easy payments for patients<br />
going for medical tourism.<br />
Health Data Records generated from our consultations would be stored using a decentralized network that is secure, fast<br />
and under the control of the patient. Our services would significantly help to reduce costs and inefficiencies, reduce time,<br />
improve quality and help trigger people’s interest in monitoring their own health.<br />
Africa’s First Smart Healthcare Ecosystem powered by blockchain 3
INTRODUCTION<br />
Death occurrence on the African continent, is mainly due to diseases such as HIV/AIDS, malaria, and respiratory infections<br />
which have been accelerated by numerous factors spanning the social, economic and political aspects. With new-born<br />
and child mortality, sub-Saharan Africa has the highest risk of death in the first month of life and is among the regions<br />
showing the least progress, where 1 in 9 children dies before age five, more than 16 times the average for developed<br />
regions. 50% of children under 5 who die of pneumonia, diarrhoea, measles, HIV, tuberculosis globally are in Africa.<br />
These diseases and deaths can be prevented, contained or treated with timely access to appropriate and affordable<br />
consultations, medicines, vaccines and other health services. Healthcare in Africa has already changed dramatically over<br />
the last decade, and is set to shift even more in the coming one, hence the role of technology in this shift cannot be overemphasised.<br />
At Alpha.MD, we believe that to really make a difference, we need to consistently develop innovative, sustainable and<br />
long-term solutions for the healthcare sector. We believe that our platform, integrated with the blockchain technology,<br />
would rise above so many of the challenges encountered in the African healthcare sector thereby driving an immense<br />
positive impact across the sector and society, while contributing to overall economic growth.<br />
It is estimated that about 50% of Africans will be living in cities by 2030, and by 2034, 1.1bn will be of working age,<br />
increasing the demand for improved infrastructure including improved healthcare delivery. An educated and growing<br />
middle class will demand better quality healthcare which ultimately challenges providers to give the same quality of<br />
healthcare to the lower class, as a single standard of service delivery is maintained. Alpha.MD is poised to meet this<br />
future demand and challenges.<br />
Africa’s First Smart Healthcare Ecosystem powered by blockchain 4
PROBLEM OVERVIEW<br />
Infrastructure: Africa’s healthcare system is characterized by significant infrastructural deficit, a situation that<br />
remains critical. The working conditions of medical doctors are extremely poor in most parts, with access to no<br />
or sub-standard equipment, devices and medication. More than 50% of the African population do not have<br />
access to modern health facilities and 40% have no access to safe drinking water and sanitation. These a just<br />
part of what has contributed to the ruin of the continent’s health care system.<br />
Human Capital: Africa has only about 2% of the global doctors. In 2013, sub-Saharan Africa had a deficit of an<br />
estimated 1.8 million health workers, according to a WHO report—this deficit is projected to rise to 4.3 million by<br />
2035. Health worker shortage in sub-Saharan Africa derives from many causes, including past investment<br />
shortfalls in pre-service training, international migration, career changes among health workers, premature<br />
retirement, morbidity and premature mortality.5,6 Yet the dynamics of entry into and exit from the health<br />
workforce in many of these countries remain poorly understood. The sub-Saharan African population has an<br />
average physician density of 0.19 doctors to 1000 people.<br />
Access: Even though there exists an obvious shortage in doctors, a very large portion of the African population<br />
do not have access to these doctors. Because of the significant disparities in development between urban<br />
and rural areas, the bulk of the doctors are concentrated in urban areas. Due to the lack of both health workers<br />
and infrastructure in majority of rural communities, many patients bypass essential primary or preventative care<br />
and rely on local chemists or traditional healers. There is also the problem of distance to travel to the closest<br />
health facility<br />
Quality: The inadequacy of the African healthcare education system ensures that a number of physicians do<br />
not get to understand best practices to follow in the treatment of a patient thereby compromising on quality of<br />
service. Currently, there are only 170 medical schools serving over 47 countries. Also the inefficient and<br />
bureaucratic public-sector supply is often plagued by poor procurement practices that make supply of drugs<br />
costly and unavailable thereby giving rise to counterfeiting.<br />
Cost: Sub-Saharan Africa, a continent where half of the extreme poor reside, with 389 million people living on<br />
less than US$1.90 a day in 2013. Reducing supply of physicians, increasing demand brought by an increasing<br />
population, improving infrastructure and breakthrough in pharma research brings with it rising cost of<br />
healthcare. The World Health Organization (WHO) considers health insurance “a promising means for<br />
achieving universal healthcare coverage. However, health insurance cover in Africa can be expensive,<br />
complicated and tricky.<br />
Payments: Millions of Africans do not have access to digital platforms, which in recent years has had an impact<br />
on access to financial services even for those in remote areas. Even those who have this access are faced with<br />
several barriers. Delays in transactions, rising charges, excess paper work resulting in difficulty in cross border<br />
payments, especially medical tourism payments.<br />
EMR: Ill-informed clinical decision making stemming from the lack adequate recordkeeping is the hallmark of<br />
the African healthcare system. Even in situations where there is record keeping, it is usually in silos making<br />
access to that data by other institutions impossible. This becomes even more daunting for continental<br />
healthcare delivery. The patient’s overall quality of care suffers as a result of this.<br />
Fraud: Healthcare fraud in Africa is one of the leading crimes in terms of monetary value. It is a widespread and<br />
fast evolving problem, costing billions, raising insurance premiums and depriving patients of the affordable,<br />
quality medical care they need. It’s difficult to detect and complex to prevent because it involves the entire<br />
lifecycle of the healthcare delivery chain, provider and scheme members alike. Examples of healthcare fraud<br />
committed by providers include charging the insurer or payer for patient visits that didn’t occur.<br />
Social Funding: The current model of financing for small-scale public investments targeted at meeting the<br />
needs of poor and vulnerable communities is broken. Non-profits lack proper accountability as to how funds<br />
are disbursed and spent on mostly ineffective projects. The seemingly lack of transparency has made people<br />
to lose trust in the system thereby making donations inert.<br />
Africa’s First Smart Healthcare Ecosystem powered by blockchain 5
TELEMEDICINE MARKET<br />
In 2016, the size of global telemedicine market was valued at USD 23.8 billion and is projected to grow with an average<br />
CAGR of 16.3% and reach USD 55.1 billion by 2021. The African telemedicine market however is valued at about USD 2.43<br />
billion and is projected to grow at an average CAGR of 10.8% and reach USD 4.1 billion by 2021. Also the global medical<br />
tourism industry is currently estimated to be worth USD 32.5 billion with Africa contributing over USD 1 billion. Nigeria alone<br />
accounts for about 25% of the contribution from Africa.<br />
Based on a new report, IFC estimates that over the next decade, $25-$35 billion in new investment will be needed to meet<br />
Africa’s healthcare demand. With digital health being the most sought after investment type. This is a chance to increase<br />
access to healthcare for millions of Africa.<br />
The largest driver for the growth of the African telemedicine market is the increasing demand for better personal healthcare<br />
methods. Increasing smart phone penetration, increasing vendor focus on home-based healthcare and wellness tools and<br />
growing demand for electronic health records are some of the prominent trends that the market is witnessing<br />
High technological costs, lack of trained professionals, and inadequate healthcare infrastructure are inhibiting the growth<br />
of the African market.<br />
Africa’s First Smart Healthcare Ecosystem powered by blockchain 6
USE OF TELEMEDICINE<br />
Technology has had a significant impact on the field of healthcare. Video-based telemedicine has helped doctors,<br />
diagnose, monitor and treat patients who are remotely located using equipment that can extend from basic video<br />
conferencing to a full-fledged suite of telemedicine scopes and devices.<br />
The service scope of Telemedicine deals with Family Medicine, Oncology, Pathology, Dermatology, Radiology, Cardiology,<br />
Neurology, Psychiatry and Ophthalmology etc. Telemedicine is of particular value in the area of second opinion services<br />
and post-surgical follow up for patients.<br />
Africa’s First Smart Healthcare Ecosystem powered by blockchain 7
THE <strong>ALPHA</strong>.MD ECOSYSTEM<br />
Our Mission:<br />
“To bridge the gaps in healthcare delivery by providing technology driven platforms to eliminate the time and distance<br />
between those who need healthcare and those who provide it”<br />
The Alpha.MD platform is Africa’s first smart healthcare ecosystem powered by blockchain. Our aim is to consistently<br />
improve access, speed, affordability, equity and quality of healthcare throughout Africa. With Alpha.MD’s geolocation<br />
telehealth platform, patients in Africa would connect with health care services anywhere, anytime and at affordable cost.<br />
Objectives<br />
· Create a technology based company whose goal is to provide turnkey virtual health care solutions in Africa.<br />
· Create a large network pool of healthcare practitioners for the purpose of serving one African population.<br />
· Create a single payment ecosystem for the African healthcare sector.<br />
· Provide on-demand access to some of the best healthcare services in the continent through; video consultations,<br />
insurance pre-authorization, drug prescription delivery, mobile phlebotomy services etc.<br />
· Establish mobile health kiosks around the continent, in other to reach “the invisible” – consumers who are in dense<br />
areas with poor infrastructure, high patient to doctor ratio or consumers who aren’t generally motivated or sick<br />
enough to visit a hospital or clinic.<br />
· Create a marketplace platform to source reliable medical and fitness related devices, products and information.<br />
· Help corporate organizations increase productivity and lower their total cost on insurance premiums by providing<br />
our platform as an effective alternative to employee health plans.<br />
· Ultimately work with hospitals and health care practices to automate their operations, data management and<br />
patient consultation process.<br />
Africa’s First Smart Healthcare Ecosystem powered by blockchain 8
FEATURES<br />
VIDEO CONSULTATION:<br />
Our patients would have access to doctors through real time video technology<br />
24/7/365. Our platform combines high quality video, advanced audio, and secure data<br />
transmission to effectively simulate in-person consultations. A doctor can also initiate a<br />
multi-party video call with a specialist for second opinions.<br />
DRUG PRESCRIPTION DELIVERY:<br />
After consultation with the doctor, the prescribed medication by the dose, would be<br />
hand-delivered to the patient within 2 hours (depending on location) at their selected<br />
address. We will also help monitor and manage refills for recurring prescriptions.<br />
MOBILE PHLEBOTOMY<br />
Receiving timely diagnosis and treatment plan is greatly influenced by the results of a<br />
medical laboratory test. Our mobile phlebotomy service provides convenience with<br />
care, by performing onsite blood draws that are quick and professional, for patients in<br />
the comfort of their own home or office.<br />
UNIFIED PAYMENT<br />
Alpha.MD utilizes APM tokens as the singular means of exchange for its healthcare<br />
ecosystem. This allows instant real-time payment of funds for the healthcare<br />
servicesdelivered. The Alpha MD token (APM) is a utility token built on the Stellar Network,<br />
designed to be used within the Alpha MD ecosystem for all payment transactions. This<br />
makes cross border payment around Africa and beyond, within the Alpha.md<br />
ecosystem, to be fast and seamless. Patients pay with APM tokens, Doctors, pharmacies,<br />
Labs, partner hospitals are paid with APM tokens. Products, services and contents sold on<br />
the marketplace are also paid for with APM tokens. Following this standard, APM tokens<br />
can be supported by wallets and exchanges that already support Stellar lumens and are<br />
easily transferable from patient to service provider.<br />
<strong>MEDICAL</strong> TOURISM<br />
We would establish a comprehensive global database of verified healthcare<br />
professionals and facilities. Patients looking to partake in medical tourism for a particular<br />
medical procedure can research, review and compare information on the professional<br />
with the right experience in that procedure, the perfect facility for the same procedure<br />
and pocket friendly. When a selection is made, a smart contract is entered between the<br />
parties and executed after treatment. Payments would be made through APM tokens.<br />
Africa’s First Smart Healthcare Ecosystem powered by blockchain 9
FEATURES<br />
ELECTRONIC <strong>MEDICAL</strong> RECORDS<br />
All consultations on our platform would be stored digitally. By utilizing the Stellar network,<br />
medical events such as video consultations, prescriptions, diagnostic tests will be<br />
represented as transactions on the blockchain. This is a way for us to streamline the<br />
sharing of medical records in a secure way, protect sensitive data, and give our patients<br />
more control over their information.<br />
INSURANCE PRE-AUTHORIZATION<br />
This process would be used by our partner health insurance companies to determine if they will cover a prescribed procedure,<br />
service, or medication. Through an exhaustive access list tied to each insurance class, an enrolee is able to get pre-authorization<br />
required for treatment. This would replace the costly and time-consuming manual process which is extremely susceptible to<br />
fraud.<br />
MOBILE HEALTH KIOSKS<br />
We would establish mobile health kiosks, as teleconsultation centres, so that the underserved and remote dwelling citizens can<br />
also have access to our services. Through partnerships with existing mobile money operators, we would equip several kiosks with<br />
low cost devices (Smart Screen with camera, thermometer and blood pressure devices) and internet connection. These services<br />
would be subsidized through partnerships with the government and also paid with APM tokens. With 720 million Africans owning<br />
mobile phones, while most are non-smart phones, it is essential to be able to cater for these users. For these users, the APM tokens<br />
would sit on a wallet created by the mobile money operators which can be accessed via USSD on any type of phone.<br />
SOCIAL FUNDING<br />
This feature provides a platform, focused solely on healthcare, which enables the creation of a high level of transparency and<br />
accountability towards donors. With APM tokens, we would create a trust relationship with philanthropists and philanthropic<br />
organizations around the world on how their funds have been disbursed and the impact it is making. The donor can either<br />
pledge the funds to a delegate or donate directly to a healthcare campaign.<br />
Africa’s First Smart Healthcare Ecosystem powered by blockchain<br />
10
MARKETPLACE<br />
This is Alpha.MD’s electronic commerce platform that would enable patients find, order and pay for medical related<br />
products, services and contents. This would also be available via the mobile app and would accept payments only in APM<br />
tokens. Ordered products would be delivered to registered addresses while digital contents would be delivered via the app.<br />
Africa’s First Smart Healthcare Ecosystem powered by blockchain 11
FUTURE FEATURES<br />
CHATBOTS<br />
Alpha.MD is currently researching on chatbots and looking to integrate them into its ecosystem in the nearest future. The<br />
chatbots, through artificial intelligence and sets of rules, would be designed to simulate how a typical consultation with a<br />
physician would go. If the opinion of an actual physician is required, the chatbots would refer you to the best match based<br />
on the diagnosis, else it would make a diagnosis and recommend drugs. The chatbots would also through machine learning,<br />
study trends of the patient and periodically interact by making suggestions. This feature would relieve physicians from doing<br />
minor tasks.<br />
DRONE DELIVERIES<br />
This would be Alpha.MD’s unmanned aerial vehicle (UAV) that would be used to transport medical supplies to patients<br />
especially to remote and inaccessible regions. They can also be used to retrieve samples for our mobile phlebotomy service.<br />
This would enable Alpha.MD to deliver products faster, easier and cheaper thereby allowing it to reach more patients in the<br />
ecosystem.<br />
AMBULANCE DRONES<br />
Alpha.MD intends to partner with some student innovators from TU Delft to deliver to Africa the Ambulance-Drone, a high<br />
speed drone network that delivers emergency supplies to any location within minutes. Though this product is still a<br />
prototype, Alpha.MD is closely monitoring the progress and actively researching in its own technology for this.<br />
BENEFITS · Shared pool of doctors around Africa<br />
· Convenient and easy-to-access care<br />
· Expanded reach to patients<br />
· Reduced healthcare costs for patients<br />
· Unified form of payment across one healthcare ecosystem<br />
· Easy Cross border and medical tourism payments<br />
· Reduced cost for insurers which in-turn reduces premium on coverage<br />
· Savings on transportation to hospitals<br />
· Better access to experienced physicians and specialists<br />
· Remote access from rural communities<br />
· Access to quality drugs<br />
· Better care quality<br />
· Increased patient engagement<br />
· Efficient Insurance pre-authorization<br />
· Reduced Insurance Fraud<br />
· Transparent Social Funding<br />
Africa’s First Smart Healthcare Ecosystem powered by blockchain 12
BUSINESS MODEL<br />
- Alpha.MD would receive a 20% commission on every Doctor’s consultation charge through our platform.<br />
- It would also receive commission on drug sales and lab tests based on pre-negotiated prices with our partners.<br />
- We would negotiate commission fees and group discounts for patients for medical tourism, thereby also<br />
earning on each payment made.<br />
- From our market place, we would earn commissions on off-the counter drugs, medical and fitness devices,<br />
digital contents on health and fitness.<br />
- In the latter phases, we would earn extra income from advert banners as a result of increased traffic on the<br />
mobile app and website.<br />
Africa’s First Smart Healthcare Ecosystem powered by blockchain 13
USE CASES<br />
Imagine a world where quality healthcare is delivered to you in quick time, at your convenience and at a fraction of the<br />
usual cost. Consider the following scenarios;<br />
- You are at home alone and you feel unwell, it’s the middle of the day, but the closest health facility is miles away.<br />
You pick-up your phone and launch the Alpha.MD app and connect with a physician via video. You are sitting in a<br />
remote city in the southern part of Nigeria, your physician in his consulting room in Nairobi, Kenya. After a few<br />
minutes of discussing with the physician he decides he needs the input of a specialist and starts a multi-party video<br />
with her joining from Johannesburg, South Africa. Your medical records are instantly shared with all parties involved,<br />
with your permission, while they deliberate on your prognosis. A diagnosis was mutually agreed on and drugs were<br />
prescribed to you. You are recommended for a few lab tests for a follow up consultation to further investigate. All<br />
the necessary information from this medical consultation, the diagnosis and its treatment has been recorded on a<br />
decentralized network of servers accessible only by you or with your permission. Within the hour, your prescription<br />
drugs arrive with instructions on dosage and duration. A phlebotomist also arrives at your house after a few hours to<br />
take samples of your blood. Tests are concluded and uploaded on the platform. You get a follow up call from the<br />
physician from Nairobi, Kenya informing you all is clear. All parties (doctors, pharmacy, and lab) are instantly paid<br />
through APM tokens.<br />
- An old man living in a village in Northern Cameroon complains about feeling unwell. The closest healthcare facility<br />
is quite a distance away but luckily an Alpha Mobile Health kiosk was located just a mile away and was able to<br />
make the distance with help. The attendant at the kiosks helps him connect to the Alpha.MD platform and selecting<br />
the language (French). He is instantly connected through video to a physician in Ivory Coast who listens to him<br />
complain about his symptoms of excessive thirst & urination, fatigue, weight loss and blurred vision. A disposable,<br />
self-administered pathology kit is readily available at the kiosk and the outputs transmitted directly to the physician<br />
via the platform. Within a few minutes, a diagnosis is made for type 2 diabetes, the physician gives medical, lifestyle<br />
and dietary advice while prescribing the drugs needed. The patient’s visit was subsidized by the Cameroonian<br />
government through pre-purchase of APM tokens, hence the patient pays only a fraction of this cost through the<br />
USSD option. His drugs are delivered to him within 24 hours through a UAV. All parties (doctor, attendant and<br />
pharmacy) are instantly paid through APM tokens.<br />
- A pregnant woman who has been diagnosed with preeclampsia and classified as high risk after a routine checkup,<br />
decides she is to fly to the US to deliver the baby due to the nature of the pregnancy. She logs into the Alpha.MD<br />
platform and searches for partner hospitals and medical practitioners in the US where she can have her baby. After<br />
discussions with the hospital personnel and practitioners and making a decision to use them, she enters into a smart<br />
contract with all parties through the Alpha.MD platform. The agreed contract stipulated that the parties receive a<br />
percentage of the APM tokens as upfront payment and the balance within 30 days of delivery. She flies to the US,<br />
delivers her baby and all parties get paid in tokens.<br />
- A philanthropist from South Korea wants to donate to a charitable cause in Africa that would impact<br />
healthcare for the population. He needs get transparency in his funding and be able to assess the impact his<br />
donation is making. He chooses too donate via the Alpha.MD platform and pledged the funds to a delegate<br />
(i.e. Alpha.MD or other NGOs) even though he also had the option to donate directly to a campaign. With<br />
APM tokens, he would have the ability to track his donation up to the point of disbursement.<br />
Africa’s First Smart Healthcare Ecosystem powered by blockchain 14
WHY BLOCKCHAIN?<br />
Blockchain is an open, distributed ledger that can record transactions between two parties<br />
efficiently and in a verifiable and permanent way. Blockchain is set to disrupt the healthcare<br />
sector globally, hence Alpha.MD has chosen to use blockchain to process its payment ecosystem<br />
and record medical data.<br />
By utilizing tokens on blockchain, payments can be completed within seconds regardless of what<br />
country the patient, doctor or healthcare facility is. This means payment is independent of<br />
currency used in the country on origination or destination. Blockchain also protects our ecosystem<br />
from impending fraud in the use of credit card payments. Since our payments are done instantly,<br />
we risk the potential of a chargeback if the card used was stolen. Utilizing tokens enables<br />
Alpha.MD to use a means of payment that is trusted and verifiable.<br />
Alpha.MD is utilizing the core technology of blockchain as a tool set to store medical data<br />
securely in a distributed, encrypted ledger with the patient having control to access rights. Rather<br />
than having one central administrator that acts as a guard to data, there is one shared ledger<br />
that is distributed across a network of integrated and replicated databases visible to anyone who<br />
has access. This allows unmatched security advantages. Hacking one block in the chain is not<br />
possible without having to hack every other block in the chain. This makes blockchain incredibly<br />
appealing to our entire ecosystem for secure access a patient’s electronic medical records by<br />
several network of doctors.<br />
Africa’s First Smart Healthcare Ecosystem powered by blockchain 15
STELLAR NETWORK<br />
EASE OF USE<br />
The Stellar network is instrumental to the success of our ecosystem as it allows Alpha.MD to easily implement and issue tokens<br />
(APM) which would be used to power the platform.<br />
ALIGNING MISSION<br />
Stellar is a distributed infrastructure that allows multi-currency transactions securely, quickly, reliably, and at low cost with a<br />
focus on the developing world. Alpha.MD’s mission to connect people in Africa with low-cost/affordable healthcare<br />
services conforms to Stellar’s mission to connect people to low-cost financial services, as both missions aim to fight poverty<br />
and maximize individual potential. Developing our concept on stellar allows Alpha.MD to concentrate its resources on the<br />
core of its services, which is healthcare service delivery.<br />
SECURITY<br />
Stellar is ideal for Alpha.MD as the platform does not require the full generality of turing-complete smart contracts. Ethereum<br />
reliance on a turing-complete programming language, allows developers to write exploitable codes with complicated<br />
smart contracts. The simplicity of the stellar model helps avoid exploitation of these vulnerabilities by hackers. Stellar’s<br />
expressive but purposely limited system for smart contracts limits potential to write exploitable code.<br />
LIQUIDITY<br />
rd<br />
Stellar’s built in distributed exchange allows Alpha.MD to be independent of 3 party exchanges at the start and lets us list<br />
APM tokens ourselves immediately they are issued. This means our tokens can have day one discoverability and<br />
rd<br />
transferability while we seek partnerships with 3 party exchanges.<br />
PERFORMANCE<br />
Stellar is significantly cheaper and faster than other protocols. It costs 1 cent to make 100,000 transactions on Stellar while it<br />
takes 5 seconds to process on Stellar compared with 3.5 minutes on Ethereum.<br />
Africa’s First Smart Healthcare Ecosystem powered by blockchain 16
TIMELINE<br />
OCT. 2017 MAR. 2018 APRIL 2018 MAY 2018 JUNE 2018 Q3 2018 Q4 2018<br />
White<br />
paper<br />
Pre-TGE<br />
Platform<br />
Beta<br />
Release<br />
Concept<br />
development<br />
Proof of<br />
Concept<br />
Token<br />
Generation<br />
Event<br />
Start<br />
Drug<br />
Delivery<br />
Service<br />
Q4 2018 Q1 2019 Q1 2019 Q1 2019 Q2 2019 Q2 2019 Q3 2019<br />
Start Mobile<br />
Phlebotomy<br />
Migration of<br />
EMR to<br />
Blockchain<br />
Expansion<br />
to Ghana<br />
Full App<br />
Release with<br />
Integration of<br />
Oncologists/<br />
Psychologist/<br />
Psychiatrists<br />
Introduce<br />
Marketplace<br />
on App<br />
Distribution<br />
of First Batch<br />
of Mobile<br />
Kiosks<br />
Partnership<br />
with top 50<br />
Foreign<br />
Hospitals for<br />
Medical Tourism<br />
Q3 2019 Q3 2019 Q1 2020 Q2/Q3 2020<br />
Partnership<br />
with top 20<br />
Foundation<br />
dedicated to<br />
Healthcare<br />
donations<br />
Introduction<br />
of Drone<br />
Drug Delivery<br />
Expansion<br />
to Kenya<br />
Introduction<br />
of Drone<br />
Ambulance<br />
Africa’s First Smart Healthcare Ecosystem powered by blockchain 17
TOKEN GENERATION EVENT<br />
Improving access to healthcare in Africa too big to solve alone and there is no better time than now to join the fight.<br />
The purpose of this token generation event is to allow participants to contribute to the fight of better healthcare access<br />
in Africa and receive APM tokens. APM tokens will be required to utilize services on the Alpha.MD platform. APM tokens<br />
are not an equity representation of the company.<br />
TOTAL SUPPLY – 1 BILLION APM TOKENS<br />
3%<br />
25%<br />
50%<br />
10%<br />
12%<br />
PUBLIC SALE COMMUNITY TEAM AND ADVISORS<br />
COMPANY<br />
BOUNTY<br />
PUBLIC SALE SHARE<br />
Technology 30%<br />
Marketing & Growth 35%<br />
Human Resources 10%<br />
Partnership Building 7%<br />
Legal & Operations 10%<br />
Research 8%<br />
1 APM = $0.05<br />
Please note that the percentages above are only indicative and may vary depending on the amount raised during<br />
the token generation event.<br />
Africa’s First Smart Healthcare Ecosystem powered by blockchain 18
REFERENCES<br />
1. https://www.usaid.gov/sites/default/files/documents/1860/Africa%20Key%20Facts%20and%20Figures.pdf<br />
2. http://www.who.int/bulletin/africanhealth/en/<br />
3. https://www.worldatlas.com/articles/the-leading-causes-of-death-in-the-african-continent.html<br />
4. https://africacheck.org/factsheets/factsheet-africas-leading-causes-death/<br />
5. http://www.huffingtonpost.co.uk/joseph-jimenez/improving-healthcare-in-africa b 1627741.html<br />
6. https://consulting.ey.com/how-mobile-tech-is-improving-africas-health-and-economy/<br />
7. http://knowledge.wharton.upenn.edu/article/how-technology-can-improve-health-care-in-africa/<br />
8. http://africanbusinessmagazine.com/sectors/finance/comment-investing-africas-healthcare-sector/<br />
9. https://qz.com/520230/africa-has-about-one-doctor-for-every-5000-people/<br />
10. http://www.who.int/bulletin/volumes/87/3/08-051599/en/<br />
11. https://www.huffingtonpost.com/zandre-campos/health-insurance-in-afric b 9307102.html<br />
12. https://www.genkey.com/wp-content/uploads/2016/11/Healthcare ebook EN-version-2.0.pdf<br />
13. https://www.tudelft.nl/en/ide/research/research-labs/applied-labs/ambulance-drone/<br />
Africa’s First Smart Healthcare Ecosystem powered by blockchain 23