[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:01.29,0:00:05.58,Default,,0000,0000,0000,,I arrived in the US from Kingston, Jamaica\Nin the summer of '68.
Dialogue: 0,0:00:06.08,0:00:09.64,Default,,0000,0000,0000,,My family of six crammed\Ninto a small, two-bedroom apartment
Dialogue: 0,0:00:09.67,0:00:12.23,Default,,0000,0000,0000,,in a three-story walk-up in Brooklyn.
Dialogue: 0,0:00:12.25,0:00:14.06,Default,,0000,0000,0000,,The block had several children --
Dialogue: 0,0:00:14.08,0:00:16.73,Default,,0000,0000,0000,,some spoke Spanish, some spoke English.
Dialogue: 0,0:00:16.75,0:00:19.18,Default,,0000,0000,0000,,Initially, I wasn't allowed\Nto play with them
Dialogue: 0,0:00:19.21,0:00:22.14,Default,,0000,0000,0000,,because, as my parents said,\N"Them too rambunctious" --
Dialogue: 0,0:00:22.17,0:00:23.18,Default,,0000,0000,0000,,(Laughter)
Dialogue: 0,0:00:23.21,0:00:25.60,Default,,0000,0000,0000,,so I could only watch them from my window.
Dialogue: 0,0:00:25.62,0:00:28.68,Default,,0000,0000,0000,,Rollerskating was one\Nof their favorite activities.
Dialogue: 0,0:00:28.71,0:00:31.60,Default,,0000,0000,0000,,They loved hitching a ride\Nat the back of the city bus,
Dialogue: 0,0:00:31.62,0:00:33.56,Default,,0000,0000,0000,,letting go of the rear bumper
Dialogue: 0,0:00:33.58,0:00:35.93,Default,,0000,0000,0000,,as the bus arrived\Nat the bottom of the block
Dialogue: 0,0:00:35.96,0:00:38.10,Default,,0000,0000,0000,,in front of my building.
Dialogue: 0,0:00:38.12,0:00:40.56,Default,,0000,0000,0000,,One day there was a new girl with them.
Dialogue: 0,0:00:40.58,0:00:44.93,Default,,0000,0000,0000,,I heard the usual squeals of laughter\Ninterspersed with, "Mira, mira!
Dialogue: 0,0:00:44.96,0:00:46.27,Default,,0000,0000,0000,,Mira, mira!"
Dialogue: 0,0:00:46.29,0:00:48.10,Default,,0000,0000,0000,,Spanish for, "Look, look!"
Dialogue: 0,0:00:48.12,0:00:52.10,Default,,0000,0000,0000,,The group grabbed onto the back\Nof the bus at the top of the block,
Dialogue: 0,0:00:52.12,0:00:56.64,Default,,0000,0000,0000,,and as they rolled down laughing\Nand screaming, "Mira, mira, mira, mira,"
Dialogue: 0,0:00:56.67,0:00:59.10,Default,,0000,0000,0000,,the bus abruptly stopped.
Dialogue: 0,0:00:59.12,0:01:02.68,Default,,0000,0000,0000,,The experienced riders\Nadjusted and quickly let go,
Dialogue: 0,0:01:02.71,0:01:06.39,Default,,0000,0000,0000,,but the new girl lurched back\Nand fell onto the pavement.
Dialogue: 0,0:01:06.42,0:01:08.08,Default,,0000,0000,0000,,She didn't move.
Dialogue: 0,0:01:09.00,0:01:11.27,Default,,0000,0000,0000,,The adults outside ran to help her.
Dialogue: 0,0:01:11.29,0:01:13.60,Default,,0000,0000,0000,,The bus driver came out\Nto see what had happened
Dialogue: 0,0:01:13.62,0:01:15.31,Default,,0000,0000,0000,,and call for an ambulance.
Dialogue: 0,0:01:15.33,0:01:17.23,Default,,0000,0000,0000,,There was blood coming from her head.
Dialogue: 0,0:01:17.25,0:01:19.06,Default,,0000,0000,0000,,She didn't open her eyes.
Dialogue: 0,0:01:19.08,0:01:20.48,Default,,0000,0000,0000,,We waited for the ambulance,
Dialogue: 0,0:01:20.50,0:01:21.77,Default,,0000,0000,0000,,and waited,
Dialogue: 0,0:01:21.79,0:01:23.85,Default,,0000,0000,0000,,and everyone said,\N"Where is the ambulance?
Dialogue: 0,0:01:23.88,0:01:25.52,Default,,0000,0000,0000,,Where is the ambulance?"
Dialogue: 0,0:01:25.54,0:01:27.62,Default,,0000,0000,0000,,The police finally arrived.
Dialogue: 0,0:01:28.17,0:01:32.21,Default,,0000,0000,0000,,An older black American man said,\N"Ain't no ambulance coming."
Dialogue: 0,0:01:33.00,0:01:35.68,Default,,0000,0000,0000,,He said it again loudly to the cop.
Dialogue: 0,0:01:35.71,0:01:37.89,Default,,0000,0000,0000,,"You know ain't no ambulance coming.
Dialogue: 0,0:01:37.92,0:01:40.08,Default,,0000,0000,0000,,They never send no ambulance here."
Dialogue: 0,0:01:41.08,0:01:44.60,Default,,0000,0000,0000,,The cop looked at my neighbors\Nwho were getting frustrated,
Dialogue: 0,0:01:44.62,0:01:46.56,Default,,0000,0000,0000,,lifted the girl into the patrol car
Dialogue: 0,0:01:46.58,0:01:48.02,Default,,0000,0000,0000,,and left.
Dialogue: 0,0:01:48.04,0:01:50.35,Default,,0000,0000,0000,,I was 10 years old at the time.
Dialogue: 0,0:01:50.38,0:01:52.18,Default,,0000,0000,0000,,I knew this wasn't right.
Dialogue: 0,0:01:52.21,0:01:54.60,Default,,0000,0000,0000,,I knew there was something\Nmore we could do.
Dialogue: 0,0:01:54.62,0:01:57.23,Default,,0000,0000,0000,,The something I could do\Nwas become a doctor.
Dialogue: 0,0:01:57.25,0:01:58.56,Default,,0000,0000,0000,,I became an internist
Dialogue: 0,0:01:58.58,0:02:02.93,Default,,0000,0000,0000,,and committed my career to caring\Nfor those we often call the underserved,
Dialogue: 0,0:02:02.96,0:02:04.27,Default,,0000,0000,0000,,the vulnerable,
Dialogue: 0,0:02:04.29,0:02:07.83,Default,,0000,0000,0000,,like those neighbors I had\Nwhen I first immigrated to America.
Dialogue: 0,0:02:09.04,0:02:13.27,Default,,0000,0000,0000,,During my early training years\Nin Harlem in the '80s,
Dialogue: 0,0:02:13.29,0:02:17.64,Default,,0000,0000,0000,,I saw a shocking increase\Nin young men with HIV.
Dialogue: 0,0:02:17.67,0:02:19.48,Default,,0000,0000,0000,,Then when I moved [to] Miami,
Dialogue: 0,0:02:19.50,0:02:22.39,Default,,0000,0000,0000,,I noticed HIV included women and children,
Dialogue: 0,0:02:22.42,0:02:25.18,Default,,0000,0000,0000,,primarily, poor black and brown people.
Dialogue: 0,0:02:25.21,0:02:29.52,Default,,0000,0000,0000,,Within a few years, an infection\Nseen in a select population
Dialogue: 0,0:02:29.54,0:02:31.89,Default,,0000,0000,0000,,became a worldwide epidemic.
Dialogue: 0,0:02:31.92,0:02:34.56,Default,,0000,0000,0000,,Again I got the urge to do something.
Dialogue: 0,0:02:34.58,0:02:38.68,Default,,0000,0000,0000,,Fortunately, with the help of activists\Nand advocates and educators
Dialogue: 0,0:02:38.71,0:02:41.31,Default,,0000,0000,0000,,and physicians like me\Nwho treat the disease,
Dialogue: 0,0:02:41.33,0:02:43.48,Default,,0000,0000,0000,,we found a way forward.
Dialogue: 0,0:02:43.50,0:02:47.73,Default,,0000,0000,0000,,There was a massive education effort\Nto reduce HIV transmission
Dialogue: 0,0:02:47.75,0:02:51.31,Default,,0000,0000,0000,,and provide legal protection\Nfor those with the disease.
Dialogue: 0,0:02:51.33,0:02:53.60,Default,,0000,0000,0000,,There was a political will to make sure
Dialogue: 0,0:02:53.62,0:02:57.10,Default,,0000,0000,0000,,that as many patients\Nas possible worldwide,
Dialogue: 0,0:02:57.12,0:02:59.56,Default,,0000,0000,0000,,regardless of ability to pay,
Dialogue: 0,0:02:59.58,0:03:02.14,Default,,0000,0000,0000,,could get access to medication.
Dialogue: 0,0:03:02.17,0:03:05.52,Default,,0000,0000,0000,,Within a couple of decades\Nthere were new treatments
Dialogue: 0,0:03:05.54,0:03:09.39,Default,,0000,0000,0000,,that transformed this life-threatening\Ninfection to a chronic disease,
Dialogue: 0,0:03:09.42,0:03:10.98,Default,,0000,0000,0000,,like diabetes.
Dialogue: 0,0:03:11.00,0:03:13.62,Default,,0000,0000,0000,,Now there's a vaccine on the horizon.
Dialogue: 0,0:03:15.62,0:03:17.56,Default,,0000,0000,0000,,Over the last five to seven years,
Dialogue: 0,0:03:17.58,0:03:21.23,Default,,0000,0000,0000,,I've noticed a different epidemic\Namong the patients in Florida,
Dialogue: 0,0:03:21.25,0:03:23.39,Default,,0000,0000,0000,,and it looks something like this.
Dialogue: 0,0:03:23.42,0:03:28.60,Default,,0000,0000,0000,,Ms. Anna Mae, a retired clerical worker\Nliving on a fixed income in Opa-locka,
Dialogue: 0,0:03:28.62,0:03:31.10,Default,,0000,0000,0000,,walked in for medication refills.
Dialogue: 0,0:03:31.12,0:03:34.81,Default,,0000,0000,0000,,She had common chronic conditions\Nof high blood pressure, diabetes,
Dialogue: 0,0:03:34.83,0:03:36.56,Default,,0000,0000,0000,,heart disease and asthma
Dialogue: 0,0:03:36.58,0:03:39.52,Default,,0000,0000,0000,,with overlapping chronic\Nobstructive pulmonary disease --
Dialogue: 0,0:03:39.54,0:03:41.64,Default,,0000,0000,0000,,COPD.
Dialogue: 0,0:03:41.67,0:03:44.23,Default,,0000,0000,0000,,Ms. Anna Mae was one\Nof my more adherent patients,
Dialogue: 0,0:03:44.25,0:03:47.77,Default,,0000,0000,0000,,so I was surprised she needed refills\Nof her breathing medicines
Dialogue: 0,0:03:47.79,0:03:49.31,Default,,0000,0000,0000,,earlier than usual.
Dialogue: 0,0:03:49.33,0:03:50.85,Default,,0000,0000,0000,,Towards the end of the visit,
Dialogue: 0,0:03:50.88,0:03:54.48,Default,,0000,0000,0000,,she handed me a Florida Power and Light \Nform and asked me to sign it.
Dialogue: 0,0:03:54.50,0:03:56.98,Default,,0000,0000,0000,,She was behind on her light bill.
Dialogue: 0,0:03:57.00,0:04:01.39,Default,,0000,0000,0000,,This form allowed physicians\Nto document serious medical conditions
Dialogue: 0,0:04:01.42,0:04:03.77,Default,,0000,0000,0000,,requiring equipment that would be impacted
Dialogue: 0,0:04:03.79,0:04:06.38,Default,,0000,0000,0000,,if the patient's electricity\Nwas disconnected.
Dialogue: 0,0:04:07.92,0:04:09.43,Default,,0000,0000,0000,,"But Ms. Anna Mae," I said,
Dialogue: 0,0:04:09.46,0:04:11.89,Default,,0000,0000,0000,,"you don't use any medical\Ndevices for breathing.
Dialogue: 0,0:04:11.92,0:04:13.46,Default,,0000,0000,0000,,I don't think you qualify."
Dialogue: 0,0:04:14.58,0:04:17.81,Default,,0000,0000,0000,,Further questioning revealed\Nshe had been using her air conditioner
Dialogue: 0,0:04:17.83,0:04:21.60,Default,,0000,0000,0000,,day and night because of the heat\Nso she could breathe.
Dialogue: 0,0:04:21.62,0:04:25.68,Default,,0000,0000,0000,,Needing to buy more asthma inhalers\Nleft her little money;
Dialogue: 0,0:04:25.71,0:04:28.52,Default,,0000,0000,0000,,she couldn't pay all the bills\Nso it piled up.
Dialogue: 0,0:04:28.54,0:04:29.81,Default,,0000,0000,0000,,I filled out the form,
Dialogue: 0,0:04:29.83,0:04:31.93,Default,,0000,0000,0000,,but knowing she might be denied,
Dialogue: 0,0:04:31.96,0:04:34.46,Default,,0000,0000,0000,,I also sent her to the social worker.
Dialogue: 0,0:04:35.25,0:04:36.64,Default,,0000,0000,0000,,Then there was Jorge,
Dialogue: 0,0:04:36.67,0:04:38.39,Default,,0000,0000,0000,,such a sweet, kind man
Dialogue: 0,0:04:38.42,0:04:39.77,Default,,0000,0000,0000,,who often gifted our clinic
Dialogue: 0,0:04:39.79,0:04:43.06,Default,,0000,0000,0000,,with some of the fruits he sold\Non the streets of Miami.
Dialogue: 0,0:04:43.08,0:04:46.52,Default,,0000,0000,0000,,He had signs of worsening kidney function
Dialogue: 0,0:04:46.54,0:04:50.23,Default,,0000,0000,0000,,whenever he worked days on end\Non those hot streets
Dialogue: 0,0:04:50.25,0:04:51.81,Default,,0000,0000,0000,,due to dehydration --
Dialogue: 0,0:04:51.83,0:04:54.68,Default,,0000,0000,0000,,just not enough blood\Ngetting to the kidneys.
Dialogue: 0,0:04:54.71,0:04:58.77,Default,,0000,0000,0000,,His kidneys worked much better\Nwhenever he took some days off.
Dialogue: 0,0:04:58.79,0:05:01.77,Default,,0000,0000,0000,,But with no other support,\Nwhat could he do?
Dialogue: 0,0:05:01.79,0:05:06.17,Default,,0000,0000,0000,,As he says, "Rain or shine,\Ncold or heat, I have to work."
Dialogue: 0,0:05:06.92,0:05:10.14,Default,,0000,0000,0000,,But the most damning case of all\Nmay be Ms. Sandra Faye Twiggs
Dialogue: 0,0:05:10.17,0:05:12.73,Default,,0000,0000,0000,,of Fort Lauderdale with COPD.
Dialogue: 0,0:05:12.75,0:05:16.71,Default,,0000,0000,0000,,She was arrested after fighting\Nwith her daughter over a fan.
Dialogue: 0,0:05:17.77,0:05:19.35,Default,,0000,0000,0000,,On her release from jail,
Dialogue: 0,0:05:19.38,0:05:21.23,Default,,0000,0000,0000,,she returned to her apartment,
Dialogue: 0,0:05:21.25,0:05:23.14,Default,,0000,0000,0000,,coughed nonstop
Dialogue: 0,0:05:23.17,0:05:25.17,Default,,0000,0000,0000,,and died three days later.
Dialogue: 0,0:05:26.58,0:05:28.73,Default,,0000,0000,0000,,Here's what else I noticed:
Dialogue: 0,0:05:28.75,0:05:32.43,Default,,0000,0000,0000,,the data show allergy seasons\Nare starting weeks earlier,
Dialogue: 0,0:05:32.46,0:05:34.68,Default,,0000,0000,0000,,nighttime temperatures are rising,
Dialogue: 0,0:05:34.71,0:05:36.56,Default,,0000,0000,0000,,trees are growing faster
Dialogue: 0,0:05:36.58,0:05:39.98,Default,,0000,0000,0000,,and mosquitos carrying dangerous\Ndiseases like Zika and dengue
Dialogue: 0,0:05:40.00,0:05:42.62,Default,,0000,0000,0000,,are showing up in areas\Nthey didn't exist before.
Dialogue: 0,0:05:43.46,0:05:47.18,Default,,0000,0000,0000,,I also see signs of impending\Nclimate gentrification.
Dialogue: 0,0:05:47.21,0:05:50.14,Default,,0000,0000,0000,,That's when richer people\Nmove into poorer neighborhoods
Dialogue: 0,0:05:50.17,0:05:52.48,Default,,0000,0000,0000,,that are at higher elevation
Dialogue: 0,0:05:52.50,0:05:55.79,Default,,0000,0000,0000,,and less subject to flood damage\Nfrom climate change.
Dialogue: 0,0:05:56.38,0:06:00.06,Default,,0000,0000,0000,,Like in my patient Madame Marie\Nwho came in stressed and anxious,
Dialogue: 0,0:06:00.08,0:06:04.02,Default,,0000,0000,0000,,because she was evicted from her apartment\Nin Miami's Little Haiti
Dialogue: 0,0:06:04.04,0:06:06.89,Default,,0000,0000,0000,,to make room for a luxury\Napartment complex
Dialogue: 0,0:06:06.92,0:06:10.85,Default,,0000,0000,0000,,whose developers understood\Nthat Little Haiti would not flood
Dialogue: 0,0:06:10.88,0:06:13.62,Default,,0000,0000,0000,,because it's ten feet above sea level.
Dialogue: 0,0:06:14.71,0:06:19.68,Default,,0000,0000,0000,,An undeniable, clear and consistent\Nwarming trend is on the way.
Dialogue: 0,0:06:19.71,0:06:24.48,Default,,0000,0000,0000,,A health emergency even bigger\Nthan HIV/AIDS seems to be in the works,
Dialogue: 0,0:06:24.50,0:06:27.52,Default,,0000,0000,0000,,and it was my low-income patients\Nthat were dropping clues
Dialogue: 0,0:06:27.54,0:06:29.81,Default,,0000,0000,0000,,of what this would look like.
Dialogue: 0,0:06:29.83,0:06:32.56,Default,,0000,0000,0000,,This new epidemic is climate change,
Dialogue: 0,0:06:32.58,0:06:35.56,Default,,0000,0000,0000,,and it has a variety of health effects.
Dialogue: 0,0:06:35.58,0:06:38.89,Default,,0000,0000,0000,,Climate change impacts us\Nin four major ways.
Dialogue: 0,0:06:38.92,0:06:43.10,Default,,0000,0000,0000,,Directly, through heat,\Nextreme weather and pollution;
Dialogue: 0,0:06:43.12,0:06:45.23,Default,,0000,0000,0000,,through the spread of the disease;
Dialogue: 0,0:06:45.25,0:06:48.68,Default,,0000,0000,0000,,through disruption\Nof our food and water supply;
Dialogue: 0,0:06:48.71,0:06:52.06,Default,,0000,0000,0000,,and through disruption\Nof our emotional well-being.
Dialogue: 0,0:06:52.08,0:06:56.23,Default,,0000,0000,0000,,In medicine we use mnemonics\Nto aid our memory,
Dialogue: 0,0:06:56.25,0:06:58.64,Default,,0000,0000,0000,,and this mnemonic, "heatwave,"
Dialogue: 0,0:06:58.67,0:07:02.64,Default,,0000,0000,0000,,shows the eight significant\Nhealth effects of climate change.
Dialogue: 0,0:07:02.67,0:07:05.35,Default,,0000,0000,0000,,H: Heat illnesses.
Dialogue: 0,0:07:05.38,0:07:09.60,Default,,0000,0000,0000,,E: Exacerbation of heart and lung disease.
Dialogue: 0,0:07:09.62,0:07:11.93,Default,,0000,0000,0000,,A: Asthma worsening.
Dialogue: 0,0:07:11.96,0:07:13.81,Default,,0000,0000,0000,,T: Traumatic injuries,
Dialogue: 0,0:07:13.83,0:07:16.43,Default,,0000,0000,0000,,especially during extreme weather events.
Dialogue: 0,0:07:16.46,0:07:19.73,Default,,0000,0000,0000,,W: Water and foodborne illnesses.
Dialogue: 0,0:07:19.75,0:07:21.98,Default,,0000,0000,0000,,A: Allergies worsening.
Dialogue: 0,0:07:22.00,0:07:27.31,Default,,0000,0000,0000,,V: Vector-borne diseases spreading,\Nlike Zika, dengue and Lyme.
Dialogue: 0,0:07:27.33,0:07:30.79,Default,,0000,0000,0000,,And E: Emotional stresses increasing.
Dialogue: 0,0:07:31.38,0:07:35.85,Default,,0000,0000,0000,,Poor, vulnerable people are already\Nfeeling the effects of climate change.
Dialogue: 0,0:07:35.88,0:07:39.25,Default,,0000,0000,0000,,They are the proverbial\Ncanary in a coal mine.
Dialogue: 0,0:07:39.83,0:07:43.85,Default,,0000,0000,0000,,Truly, their experiences\Nare like oracles or prophecies.
Dialogue: 0,0:07:43.88,0:07:46.48,Default,,0000,0000,0000,,The guiding light for us to pay attention
Dialogue: 0,0:07:46.50,0:07:51.27,Default,,0000,0000,0000,,that we are doing something to our world\Nfirst that's hurting them first.
Dialogue: 0,0:07:51.29,0:07:54.00,Default,,0000,0000,0000,,But in a matter of time, we are next.
Dialogue: 0,0:07:54.83,0:07:56.14,Default,,0000,0000,0000,,If we act together --
Dialogue: 0,0:07:56.17,0:07:58.77,Default,,0000,0000,0000,,doctors, patients\Nand other health professionals --
Dialogue: 0,0:07:58.79,0:08:00.85,Default,,0000,0000,0000,,we will find solutions.
Dialogue: 0,0:08:00.88,0:08:03.35,Default,,0000,0000,0000,,We have done this with the HIV crisis.
Dialogue: 0,0:08:03.38,0:08:06.85,Default,,0000,0000,0000,,There [it] was thanks to the activism\Nof patients with HIV
Dialogue: 0,0:08:06.88,0:08:09.98,Default,,0000,0000,0000,,that demanded medications\Nand better research,
Dialogue: 0,0:08:10.00,0:08:12.85,Default,,0000,0000,0000,,and the collaboration\Nof doctors and scientists
Dialogue: 0,0:08:12.88,0:08:15.25,Default,,0000,0000,0000,,that we were able to control the epidemic.
Dialogue: 0,0:08:15.75,0:08:18.56,Default,,0000,0000,0000,,And then it was thanks\Nto international health agencies,
Dialogue: 0,0:08:18.58,0:08:22.43,Default,,0000,0000,0000,,NGOs, politicians\Nand pharmaceutical companies
Dialogue: 0,0:08:22.46,0:08:26.96,Default,,0000,0000,0000,,that HIV medication became\Navailable in low-income countries.
Dialogue: 0,0:08:27.46,0:08:32.60,Default,,0000,0000,0000,,There is no reason we can't also apply\Nthis model of collaboration
Dialogue: 0,0:08:32.62,0:08:36.83,Default,,0000,0000,0000,,to address the health effects\Nof climate change before it's too late.
Dialogue: 0,0:08:37.33,0:08:39.10,Default,,0000,0000,0000,,Climate change is here.
Dialogue: 0,0:08:39.12,0:08:42.31,Default,,0000,0000,0000,,It's already damaging the health\Nand homes of poor people.
Dialogue: 0,0:08:42.33,0:08:44.06,Default,,0000,0000,0000,,Like my patient Jorge,
Dialogue: 0,0:08:44.08,0:08:46.39,Default,,0000,0000,0000,,most of us will have to work,
Dialogue: 0,0:08:46.42,0:08:47.89,Default,,0000,0000,0000,,whether rain or shine,
Dialogue: 0,0:08:47.92,0:08:49.48,Default,,0000,0000,0000,,cold or heat.
Dialogue: 0,0:08:49.50,0:08:53.43,Default,,0000,0000,0000,,But together these patients\Nand their doctors, hand-in-hand,
Dialogue: 0,0:08:53.46,0:08:54.98,Default,,0000,0000,0000,,with some basic tools,
Dialogue: 0,0:08:55.00,0:08:58.31,Default,,0000,0000,0000,,can do so much to make\Nthis climate transition less brutal
Dialogue: 0,0:08:58.33,0:09:00.14,Default,,0000,0000,0000,,for all of us.
Dialogue: 0,0:09:00.17,0:09:03.31,Default,,0000,0000,0000,,These patients inspired me\Nto found a clinicians' organization
Dialogue: 0,0:09:03.33,0:09:05.56,Default,,0000,0000,0000,,to fight climate change.
Dialogue: 0,0:09:05.58,0:09:08.98,Default,,0000,0000,0000,,We focus on understanding\Nthe health effects of climate change,
Dialogue: 0,0:09:09.00,0:09:12.43,Default,,0000,0000,0000,,learning to advocate for patients\Nwith climate-related illnesses
Dialogue: 0,0:09:12.46,0:09:15.00,Default,,0000,0000,0000,,and encouraging real-world solutions.
Dialogue: 0,0:09:15.83,0:09:20.39,Default,,0000,0000,0000,,A recent Gallup study showed\Nthree of the most respected professions
Dialogue: 0,0:09:20.42,0:09:22.93,Default,,0000,0000,0000,,are nurses, doctors and pharmacists.
Dialogue: 0,0:09:22.96,0:09:24.98,Default,,0000,0000,0000,,So as respected members of society,
Dialogue: 0,0:09:25.00,0:09:28.52,Default,,0000,0000,0000,,we have amplified voices\Nto influence climate change policy
Dialogue: 0,0:09:28.54,0:09:30.48,Default,,0000,0000,0000,,and politics.
Dialogue: 0,0:09:30.50,0:09:32.64,Default,,0000,0000,0000,,There is so much we can do.
Dialogue: 0,0:09:32.67,0:09:35.52,Default,,0000,0000,0000,,As clinicians, our many patient\Ncontacts allows us
Dialogue: 0,0:09:35.54,0:09:37.60,Default,,0000,0000,0000,,to see things before others.
Dialogue: 0,0:09:37.62,0:09:41.98,Default,,0000,0000,0000,,And this puts us in an ideal position\Nto be on the frontlines of change.
Dialogue: 0,0:09:42.00,0:09:46.18,Default,,0000,0000,0000,,We can teach climate-related illnesses\Nin our health-professional schools.
Dialogue: 0,0:09:46.21,0:09:49.52,Default,,0000,0000,0000,,We can collect data on our patients'\Nclimate-related conditions
Dialogue: 0,0:09:49.54,0:09:52.68,Default,,0000,0000,0000,,by making sure there are\Nbilling codes to identify them.
Dialogue: 0,0:09:52.71,0:09:55.39,Default,,0000,0000,0000,,We can do climate-related health research.
Dialogue: 0,0:09:55.42,0:09:58.31,Default,,0000,0000,0000,,We can teach how to have\Ngreen practices in homes.
Dialogue: 0,0:09:58.33,0:10:01.10,Default,,0000,0000,0000,,We can advocate\Nfor our patient energy needs.
Dialogue: 0,0:10:01.12,0:10:03.23,Default,,0000,0000,0000,,We can help them get safer homes.
Dialogue: 0,0:10:03.25,0:10:06.06,Default,,0000,0000,0000,,We can help them get necessary\Nequipment in those homes
Dialogue: 0,0:10:06.08,0:10:07.77,Default,,0000,0000,0000,,when conditions worsen.
Dialogue: 0,0:10:07.79,0:10:11.18,Default,,0000,0000,0000,,We can testify in front of lawmakers\Nas to the findings,
Dialogue: 0,0:10:11.21,0:10:15.46,Default,,0000,0000,0000,,and we can medically treat\Nour patients' climate-related illnesses.
Dialogue: 0,0:10:16.75,0:10:21.85,Default,,0000,0000,0000,,Most importantly, we can help prepare\Nour patients mentally and physically
Dialogue: 0,0:10:21.88,0:10:24.27,Default,,0000,0000,0000,,for the health challenges they will face,
Dialogue: 0,0:10:24.29,0:10:25.85,Default,,0000,0000,0000,,using a model of medicine
Dialogue: 0,0:10:25.88,0:10:29.67,Default,,0000,0000,0000,,that incorporates\Neconomic and social justice.
Dialogue: 0,0:10:30.67,0:10:34.23,Default,,0000,0000,0000,,This would mean Ms. Sandra\NFaye Twiggs with COPD,
Dialogue: 0,0:10:34.25,0:10:37.85,Default,,0000,0000,0000,,who died after being released from jail
Dialogue: 0,0:10:37.88,0:10:40.43,Default,,0000,0000,0000,,after a fight with\Nher daughter over a fan,
Dialogue: 0,0:10:40.46,0:10:44.73,Default,,0000,0000,0000,,would have known that the heat\Nin her apartment made her sick and angry
Dialogue: 0,0:10:44.75,0:10:47.64,Default,,0000,0000,0000,,and seek a safer place to go for cooling.
Dialogue: 0,0:10:47.67,0:10:51.62,Default,,0000,0000,0000,,Even better, her apartment\Nwould never have been so hot.
Dialogue: 0,0:10:52.42,0:10:55.93,Default,,0000,0000,0000,,From the poor, I've learned\Nour lives are not only vulnerable
Dialogue: 0,0:10:55.96,0:11:00.27,Default,,0000,0000,0000,,but are stories of resilience,\Ninnovation and survival.
Dialogue: 0,0:11:00.29,0:11:03.43,Default,,0000,0000,0000,,Like that wise old man\Nwho loudly spoke truth to the cop
Dialogue: 0,0:11:03.46,0:11:04.73,Default,,0000,0000,0000,,that summer night:
Dialogue: 0,0:11:04.75,0:11:07.14,Default,,0000,0000,0000,,"Ain't no ambulance coming,"
Dialogue: 0,0:11:07.17,0:11:11.21,Default,,0000,0000,0000,,and compelled him to deliver\Nthat little girl to the hospital instead.
Dialogue: 0,0:11:12.08,0:11:13.48,Default,,0000,0000,0000,,You know what?
Dialogue: 0,0:11:13.50,0:11:14.75,Default,,0000,0000,0000,,Listen up.
Dialogue: 0,0:11:15.50,0:11:19.56,Default,,0000,0000,0000,,If there's going to be a medical\Nresponse to climate change,
Dialogue: 0,0:11:19.58,0:11:23.12,Default,,0000,0000,0000,,it is not going to be\Njust waiting for an ambulance.
Dialogue: 0,0:11:23.71,0:11:28.02,Default,,0000,0000,0000,,It is going to happen because\Nwe the clinicians take the first step.
Dialogue: 0,0:11:28.04,0:11:29.73,Default,,0000,0000,0000,,We make so much noise
Dialogue: 0,0:11:29.75,0:11:33.46,Default,,0000,0000,0000,,that the issue cannot\Nbe ignored or misunderstood.
Dialogue: 0,0:11:34.08,0:11:37.18,Default,,0000,0000,0000,,It is going to start\Nwith the stories our patients tell
Dialogue: 0,0:11:37.21,0:11:39.88,Default,,0000,0000,0000,,and the stories we tell on their behalf.
Dialogue: 0,0:11:40.62,0:11:45.23,Default,,0000,0000,0000,,We're going to do what is right\Nfor our patients like we've always done,
Dialogue: 0,0:11:45.25,0:11:48.23,Default,,0000,0000,0000,,but also what is right\Nfor our environment,
Dialogue: 0,0:11:48.25,0:11:50.23,Default,,0000,0000,0000,,for ourselves
Dialogue: 0,0:11:50.25,0:11:52.85,Default,,0000,0000,0000,,and for all the people on this planet --
Dialogue: 0,0:11:52.88,0:11:54.31,Default,,0000,0000,0000,,all of them.
Dialogue: 0,0:11:54.33,0:11:55.64,Default,,0000,0000,0000,,Thank you.
Dialogue: 0,0:11:55.67,0:11:57.71,Default,,0000,0000,0000,,(Applause and cheers)