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In this cases, alternatives such as Opportunistic Networks (OPPNets) are valid. Such challenging conditions are common in rural areas and are a significant obstacle for the deployment of eHealth technologies for older adults. Considering this context, the present work introduces Interest-based System for Communication in Isolated Areas (ISCA), an OPPNet architecture for remote monitoring and emergency detection in ageing people who live alone. For this, the energetic requirements are considered, providing efficient and sustainable operation. The proposal makes use of a routing algorithm based on interests which enables asynchronous communication among entities. ISCA is evaluated over a realistic scenario and compared with similar state-of-the-art solutions. Experimental results show that ISCA notably improves the delivery probability with an enhancement of 52.25% in comparison to the second best alternative and provides a suitable average latency. 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