Health is a key issue for the sustainable socio-economic-environment transformation of any society. That is clear and evident now to all, and everyone, of us specially in the time of COVID-19 pandemic. However, moving the whole African continent and putting it on a sustainable roads of secure and safe public health it neither trivial nor can be achieved overnight. Africa is very much different and has several obstacles that hinder direct transfer and import of technology from the developed world. But challenges and opportunities are enormous. Not all innovations are likely to survive in the longterm and large-scale because of several reasons that are either treated or will be treated in sustain-earth.com. Future innovations have be based on solid and deep rooted sustainability pillars. Examples on such innovations are given at (https://www.theguardian.com/world/2012/aug/26/africa-innovations-transform-continent) and will be commented on, elsewhere, at sustain-earth.com. We need to screen all the existing innovations to evaluate and assess them against the new criteria of sustainability.

The African demography (https://en.m.wikipedia.org/wiki/Demographics_of_Africa) has special features what regards population distribution, growth, health, diseases, health care systems, transportation, urban/rural mobility, economy, …. ect all of which have to be taken in consideration to bring about successful transformation to sustainable communities. In the current state of development, innovative ICT-medical tools provide appropriate solutions to offer public health services as ICT/IOT has capabilities to couple P-2-P and M-2-P communications by short-cuts without the need of unnecessary transport specially in critical situations and for people in isolated locations. One such ICT-based solutions is Cardiopad that enables Remote Heart Diagnosis through digital tablets (https://youtu.be/NFIOuy3J-IQ). This has been developed by Arthur Zang, a Cameroonian engineer. When such new innovations find its way in the market they open a chain of other applications and services that can together build integrated and coherent infra-structures to scale-up solutions for whole communities. Let us congratulate Arthur Zang, his team and Cameroon for their innovation.