0:04:25.331,0:04:27.050 (Students' overlapping voices) 0:04:27.074,0:04:30.257 (Clapping and singing) 0:04:30.281,0:04:33.121 (Cheering) 0:00:00.482,0:00:02.065 These are worms. 0:00:02.089,0:00:04.675 Not the kind of worms[br]you find crawling in the dirt. 0:00:04.699,0:00:06.853 These are parasitic roundworms. 0:00:06.877,0:00:09.312 They live inside[br]a human being's intestines. 0:00:09.336,0:00:12.092 Each of these worms[br]can grow up to 12 inches long, 0:00:12.116,0:00:14.497 and there are 200 of them[br]in this jar for a reason, 0:00:14.521,0:00:16.903 because that is the number[br]you might typically find 0:00:16.927,0:00:19.371 in the belly of a single infected child. 0:00:19.395,0:00:22.055 Worm infections have been around[br]for thousands of years. 0:00:22.079,0:00:24.079 They have influenced the outcomes of wars, 0:00:24.103,0:00:26.016 and they have long stymied human health. 0:00:26.040,0:00:27.627 Roundworm, hookworm, 0:00:27.651,0:00:29.674 whipworm, schistosomiasis: 0:00:29.698,0:00:32.810 infections from these species[br]cause pain and discomfort. 0:00:32.834,0:00:34.927 They steal nutrients and zap energy. 0:00:34.951,0:00:37.425 They stunt both physical[br]and cognitive growth. 0:00:37.449,0:00:40.171 In most cases, these worms[br]may not be fatal, 0:00:40.195,0:00:42.374 but paradoxically,[br]that's part of the problem. 0:00:42.398,0:00:43.938 It means that many countries 0:00:43.962,0:00:46.694 simply have not been able[br]to prioritize their treatment. 0:00:46.718,0:00:48.335 There's a social cost to that: 0:00:48.359,0:00:50.551 children without access[br]to deworming treatments 0:00:50.575,0:00:52.618 have lower rates of school attendance. 0:00:52.642,0:00:54.754 Adults who grow up[br]without deworming medicine 0:00:54.778,0:00:57.578 are less productive[br]and have lower lifelong earnings. 0:00:57.602,0:00:59.714 What intestinal worms do, really, 0:00:59.738,0:01:01.165 is limit potential. 0:01:01.189,0:01:05.408 Currently, there are 1.7 billion people[br]in the world still at risk for worms. 0:01:05.432,0:01:07.878 Six hundred million of them are in Africa. 0:01:07.902,0:01:11.028 For every dollar invested[br]in worm control and prevention, 0:01:11.052,0:01:15.203 African countries see up to 42 dollars[br]return in economic benefits. 0:01:15.227,0:01:18.271 The good news is that deworming[br]treatment is extremely easy. 0:01:18.295,0:01:20.540 One to three pills[br]given once or twice a year 0:01:20.564,0:01:23.604 is enough to take a child[br]from 200 worms to zero 0:01:23.628,0:01:26.051 and to protect them[br]from infection going forward. 0:01:26.075,0:01:28.695 In communities where[br]there's a high prevalence of worms, 0:01:28.719,0:01:30.542 treatment can be done right at school. 0:01:30.855,0:01:33.188 This process is extremely simple and fast. 0:01:33.212,0:01:36.338 In Ethiopia, for example,[br]this is done for 20 million children 0:01:36.362,0:01:38.148 in a matter of weeks. 0:01:38.172,0:01:39.800 The world has come a long way 0:01:39.824,0:01:42.649 on getting deworming medicines[br]to the people who need them, 0:01:42.673,0:01:45.213 and African governments[br]want to gain more traction. 0:01:45.237,0:01:47.346 It's now time to match their ambition. 0:01:47.729,0:01:49.674 The END Fund will work with governments 0:01:49.698,0:01:54.417 to create a plan that drastically reduces[br]the burden of disease caused by worms. 0:01:54.441,0:01:57.579 They’ll work together to ensure[br]prevention and treatment programs 0:01:57.603,0:01:58.897 can serve everyone. 0:01:58.921,0:02:01.100 The END Fund has an audacious idea: 0:02:01.124,0:02:05.504 they believe we are the generation to end[br]sickness from worm infections forever. 0:02:05.528,0:02:08.723 The key is not simply to build[br]new programs from scratch, 0:02:08.747,0:02:12.389 but to amplify the efforts of the programs[br]that are already taking shape. 0:02:12.413,0:02:15.525 By examining the problem[br]of how worms transmit disease, 0:02:15.549,0:02:19.469 the END Fund has identified five key areas[br]where they can drive improvement. 0:02:20.017,0:02:22.460 Number one: lower the cost of treatment. 0:02:22.484,0:02:25.533 Many pharmaceutical companies[br]offer deworming medicines for free, 0:02:25.557,0:02:27.700 so the END Fund[br]works with the right partners 0:02:27.724,0:02:29.291 to coordinate their delivery. 0:02:29.315,0:02:31.735 They will continue[br]to secure drug donations 0:02:31.759,0:02:34.396 for additional at-risk populations. 0:02:34.982,0:02:38.760 They can now do it for less[br]than 25 cents per child per year. 0:02:39.120,0:02:41.550 Number two: focus on prevention. 0:02:41.574,0:02:44.576 The END Fund calls in the right partners[br]to educate communities 0:02:44.600,0:02:46.169 on sanitation and hygiene 0:02:46.193,0:02:49.035 in order to change behaviors[br]around things like hand-washing 0:02:49.059,0:02:50.210 and latrine use, 0:02:50.234,0:02:52.927 ensuring people[br]are not continually reinfected. 0:02:52.951,0:02:55.660 Number three: invest in innovation. 0:02:55.684,0:02:57.759 The END Fund has contributed to deworming 0:02:57.783,0:03:02.023 by introducing innovative techniques[br]that effectively target and treat people. 0:03:02.047,0:03:03.815 They will test new delivery methods, 0:03:03.839,0:03:06.031 target the environments[br]where parasites thrive 0:03:06.055,0:03:07.766 and influence behavior change. 0:03:07.790,0:03:10.503 Number four: monitor and evaluate. 0:03:10.527,0:03:14.322 The END Fund collects detailed data[br]on all programs on a regular basis 0:03:14.346,0:03:17.058 to help them get better[br]and better over time. 0:03:17.082,0:03:19.924 Number five: increase local ownership. 0:03:19.948,0:03:21.567 At all stages of the process, 0:03:21.591,0:03:24.758 the END Fund works with government[br]and local stakeholders 0:03:24.782,0:03:28.560 to encourage cofinancing commitments[br]that support deworming efforts. 0:03:28.584,0:03:30.760 They also worked[br]with African philanthropists 0:03:30.784,0:03:33.631 and corporate leaders[br]to partner on these efforts. 0:03:33.655,0:03:37.377 There's an incredible opportunity[br]to work together to create a new system 0:03:37.401,0:03:40.623 for disease elimination[br]for the next decade and beyond. 0:03:40.647,0:03:42.402 Part of the money the END Fund needs 0:03:42.426,0:03:45.027 will go directly toward delivering[br]deworming treatments 0:03:45.051,0:03:46.449 to communities that need it 0:03:46.473,0:03:49.894 and part will go towards facilitating[br]the handover of programs 0:03:49.918,0:03:51.219 to local ownership. 0:03:51.243,0:03:54.704 Together, these efforts will create[br]prevention and treatment programs 0:03:54.728,0:03:57.314 that are sustainable far into the future. 0:03:57.338,0:04:00.830 If this plan gets fully funded[br]for the next six years, 0:04:00.854,0:04:04.511 tens of millions of people[br]will receive deworming treatment. 0:04:04.883,0:04:08.605 With that, countries will be interrupting[br]the cycle of disease transmission 0:04:08.629,0:04:09.800 at all levels, 0:04:09.824,0:04:13.677 and most importantly, people[br]will experience significant improvements 0:04:13.701,0:04:16.652 in their mental, physical[br]and social health. 0:04:16.676,0:04:19.194 Just imagine the potential[br]that will be gained 0:04:19.218,0:04:21.637 when people can stop worrying about these 0:04:21.661,0:04:24.510 and can put their energy[br]into things like these.