[Script Info] Title: [Events] Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text Dialogue: 0,0:00:01.30,0:00:05.60,Default,,0000,0000,0000,,I arrived in the US from Kingston, Jamaica\Nin the summer of '68. Dialogue: 0,0:00:06.10,0:00:09.65,Default,,0000,0000,0000,,My family of six crammed into a small,\Ntwo-bedroom apartment Dialogue: 0,0:00:09.65,0:00:11.71,Default,,0000,0000,0000,,in a three-story walk-up in Brooklyn. Dialogue: 0,0:00:12.24,0:00:14.08,Default,,0000,0000,0000,,The block had several children -- Dialogue: 0,0:00:14.08,0:00:15.38,Default,,0000,0000,0000,,some spoke Spanish, Dialogue: 0,0:00:15.38,0:00:16.64,Default,,0000,0000,0000,,some spoke English. Dialogue: 0,0:00:16.90,0:00:19.20,Default,,0000,0000,0000,,Initially, I wasn't allowed\Nto play with them Dialogue: 0,0:00:19.20,0:00:22.37,Default,,0000,0000,0000,,because, as my parents said, \N"Them too rambunctious" -- Dialogue: 0,0:00:22.37,0:00:23.37,Default,,0000,0000,0000,,(Laughter) Dialogue: 0,0:00:23.37,0:00:25.44,Default,,0000,0000,0000,,so I could only watch them from my window. Dialogue: 0,0:00:25.72,0:00:28.44,Default,,0000,0000,0000,,Rollerskating was one\Nof their favorite activities. Dialogue: 0,0:00:28.71,0:00:31.75,Default,,0000,0000,0000,,They loved hitching a ride\Nat the back of the city bus, Dialogue: 0,0:00:31.75,0:00:33.73,Default,,0000,0000,0000,,letting go of the rear bumper Dialogue: 0,0:00:33.73,0:00:35.96,Default,,0000,0000,0000,,as the bus arrived\Nat the bottom of the block Dialogue: 0,0:00:35.96,0:00:37.53,Default,,0000,0000,0000,,in front of my building. Dialogue: 0,0:00:38.14,0:00:40.32,Default,,0000,0000,0000,,One day there was a new girl with them. Dialogue: 0,0:00:40.65,0:00:44.97,Default,,0000,0000,0000,,I heard the usual squeals of laughter\Ninterspersed with, "Mira, mira! Dialogue: 0,0:00:44.97,0:00:46.38,Default,,0000,0000,0000,,Mira, mira!" Dialogue: 0,0:00:46.38,0:00:47.98,Default,,0000,0000,0000,,Spanish for, "Look, look!" Dialogue: 0,0:00:48.26,0:00:52.35,Default,,0000,0000,0000,,The group grabbed onto the back\Nof the bus at the top of the block, Dialogue: 0,0:00:52.35,0:00:56.88,Default,,0000,0000,0000,,and as they rolled down laughing\Nand screaming, "Mira, mira, mira, mira," Dialogue: 0,0:00:56.88,0:00:58.67,Default,,0000,0000,0000,,the bus abruptly stopped. Dialogue: 0,0:00:59.19,0:01:02.80,Default,,0000,0000,0000,,The experienced riders\Nadjusted and quickly let go, Dialogue: 0,0:01:02.80,0:01:06.12,Default,,0000,0000,0000,,but the new girl lurched back\Nand fell onto the pavement. Dialogue: 0,0:01:06.50,0:01:07.86,Default,,0000,0000,0000,,She didn't move. Dialogue: 0,0:01:09.01,0:01:11.02,Default,,0000,0000,0000,,The adults outside ran to help her. Dialogue: 0,0:01:11.39,0:01:13.64,Default,,0000,0000,0000,,The bus driver came out\Nto see what had happened Dialogue: 0,0:01:13.64,0:01:15.23,Default,,0000,0000,0000,,and call for an ambulance. Dialogue: 0,0:01:15.40,0:01:17.42,Default,,0000,0000,0000,,There was blood coming from her head. Dialogue: 0,0:01:17.42,0:01:19.11,Default,,0000,0000,0000,,She didn't open her eyes. Dialogue: 0,0:01:19.22,0:01:20.61,Default,,0000,0000,0000,,We waited for the ambulance, Dialogue: 0,0:01:20.61,0:01:21.61,Default,,0000,0000,0000,,and waited, Dialogue: 0,0:01:21.61,0:01:23.72,Default,,0000,0000,0000,,and everyone said,\N"Where is the ambulance? Dialogue: 0,0:01:23.72,0:01:25.43,Default,,0000,0000,0000,,Where is the ambulance?" Dialogue: 0,0:01:25.65,0:01:27.46,Default,,0000,0000,0000,,The police finally arrived. Dialogue: 0,0:01:28.26,0:01:32.19,Default,,0000,0000,0000,,An older black American said,\N"Ain't no ambulance coming." Dialogue: 0,0:01:33.16,0:01:35.58,Default,,0000,0000,0000,,He said it again loudly to the cop. Dialogue: 0,0:01:35.81,0:01:38.11,Default,,0000,0000,0000,,"You know ain't no ambulance coming. Dialogue: 0,0:01:38.11,0:01:40.30,Default,,0000,0000,0000,,They never send no ambulance here." Dialogue: 0,0:01:41.08,0:01:44.75,Default,,0000,0000,0000,,The cop looked at my neighbors\Nwho were getting frustrated, Dialogue: 0,0:01:44.75,0:01:46.65,Default,,0000,0000,0000,,lifted the girl into the patrol car Dialogue: 0,0:01:46.65,0:01:47.69,Default,,0000,0000,0000,,and left. Dialogue: 0,0:01:48.10,0:01:50.22,Default,,0000,0000,0000,,I was 10 years old at the time. Dialogue: 0,0:01:50.48,0:01:52.12,Default,,0000,0000,0000,,I knew this wasn't right. Dialogue: 0,0:01:52.32,0:01:54.75,Default,,0000,0000,0000,,I knew that there was something\Nmore we could do. Dialogue: 0,0:01:54.92,0:01:57.21,Default,,0000,0000,0000,,The something I could do\Nwas become a doctor. Dialogue: 0,0:01:57.41,0:01:58.67,Default,,0000,0000,0000,,I became an internist Dialogue: 0,0:01:58.67,0:02:02.96,Default,,0000,0000,0000,,and committed my career to caring\Nfor those we often call the underserved, Dialogue: 0,0:02:02.96,0:02:04.33,Default,,0000,0000,0000,,the vulnerable, Dialogue: 0,0:02:04.33,0:02:07.95,Default,,0000,0000,0000,,like those neighbors I had\Nwhen I first immigrated to America. Dialogue: 0,0:02:09.03,0:02:13.40,Default,,0000,0000,0000,,During my early training years\Nin Harlem in the '80s, Dialogue: 0,0:02:13.40,0:02:17.26,Default,,0000,0000,0000,,I saw a shocking increase\Nin young men with HIV. Dialogue: 0,0:02:17.74,0:02:19.73,Default,,0000,0000,0000,,Then when I moved to Miami, Dialogue: 0,0:02:19.73,0:02:22.55,Default,,0000,0000,0000,,I noticed HIV included women and children, Dialogue: 0,0:02:22.55,0:02:25.05,Default,,0000,0000,0000,,primarily, poor black and brown people. Dialogue: 0,0:02:25.24,0:02:29.63,Default,,0000,0000,0000,,Within a few years, an infection\Nseen in a select population Dialogue: 0,0:02:29.63,0:02:31.53,Default,,0000,0000,0000,,became a worldwide epidemic. Dialogue: 0,0:02:32.01,0:02:34.19,Default,,0000,0000,0000,,Again I got the urge to do something. Dialogue: 0,0:02:34.68,0:02:38.91,Default,,0000,0000,0000,,Fortunately, with the help of activists\Nand advocates and educators Dialogue: 0,0:02:38.91,0:02:41.41,Default,,0000,0000,0000,,and physicians like me\Nwho treat the disease, Dialogue: 0,0:02:41.41,0:02:43.21,Default,,0000,0000,0000,,we found a way forward. Dialogue: 0,0:02:43.60,0:02:47.87,Default,,0000,0000,0000,,There was a massive education effort\Nto reduce HIV transmission Dialogue: 0,0:02:47.87,0:02:50.92,Default,,0000,0000,0000,,and provide legal protection\Nfor those with the disease. Dialogue: 0,0:02:51.40,0:02:53.70,Default,,0000,0000,0000,,There was a political will to make sure Dialogue: 0,0:02:53.70,0:02:57.13,Default,,0000,0000,0000,,that as many patients\Nas possible worldwide, Dialogue: 0,0:02:57.13,0:02:59.57,Default,,0000,0000,0000,,regardless of ability to pay, Dialogue: 0,0:02:59.57,0:03:01.80,Default,,0000,0000,0000,,could get access to medication. Dialogue: 0,0:03:02.34,0:03:05.54,Default,,0000,0000,0000,,Within a couple of decades\Nthere were new treatments Dialogue: 0,0:03:05.54,0:03:09.41,Default,,0000,0000,0000,,that transformed this life-threatening\Ninfection to a chronic disease, Dialogue: 0,0:03:09.42,0:03:10.83,Default,,0000,0000,0000,,like diabetes. Dialogue: 0,0:03:10.100,0:03:13.57,Default,,0000,0000,0000,,Now there's a vaccine on the horizon. Dialogue: 0,0:03:15.76,0:03:17.83,Default,,0000,0000,0000,,Over the last five to seven years, Dialogue: 0,0:03:17.83,0:03:21.31,Default,,0000,0000,0000,,I've noticed a different epidemic\Namong the patients in Florida, Dialogue: 0,0:03:21.31,0:03:23.20,Default,,0000,0000,0000,,and it looks something like this. Dialogue: 0,0:03:23.43,0:03:28.63,Default,,0000,0000,0000,,[Ms. Anna-May], a retired clerical worker\Nliving on a fixed income in Opa-locka, Dialogue: 0,0:03:28.63,0:03:30.85,Default,,0000,0000,0000,,walked in for medication refills. Dialogue: 0,0:03:31.22,0:03:34.96,Default,,0000,0000,0000,,She had common chronic conditions\Nof high blood pressure, diabetes, Dialogue: 0,0:03:34.96,0:03:36.85,Default,,0000,0000,0000,,heart disease and asthma Dialogue: 0,0:03:36.85,0:03:39.74,Default,,0000,0000,0000,,with overlapping chronic\Nobstructive pulmonary disease -- Dialogue: 0,0:03:39.74,0:03:41.04,Default,,0000,0000,0000,,COPD. Dialogue: 0,0:03:41.69,0:03:44.62,Default,,0000,0000,0000,,[Ms. Anna-May] was one\Nof my more adherent patients Dialogue: 0,0:03:44.62,0:03:47.80,Default,,0000,0000,0000,,so I was surprised she needed refills\Nof her breathing medicines Dialogue: 0,0:03:47.80,0:03:49.19,Default,,0000,0000,0000,,earlier than usual. Dialogue: 0,0:03:49.49,0:03:51.05,Default,,0000,0000,0000,,Towards the end of the visit, Dialogue: 0,0:03:51.05,0:03:54.34,Default,,0000,0000,0000,,she handed me a Florida Power & Light form\Nand asked me to sign it. Dialogue: 0,0:03:54.70,0:03:56.73,Default,,0000,0000,0000,,She was behind on her light bill. Dialogue: 0,0:03:56.89,0:04:01.40,Default,,0000,0000,0000,,This form allowed physicians\Nto document serious medical conditions Dialogue: 0,0:04:01.40,0:04:04.05,Default,,0000,0000,0000,,requiring equipment that would be impacted Dialogue: 0,0:04:04.05,0:04:06.74,Default,,0000,0000,0000,,if the patient's electricity\Nwas disconnected. Dialogue: 0,0:04:08.07,0:04:09.70,Default,,0000,0000,0000,,"But [Ms. Annna-May]," I said, Dialogue: 0,0:04:09.70,0:04:12.10,Default,,0000,0000,0000,,"you don't use any medical\Ndevices for breathing. Dialogue: 0,0:04:12.10,0:04:14.06,Default,,0000,0000,0000,,I don't think you qualify." Dialogue: 0,0:04:14.67,0:04:17.82,Default,,0000,0000,0000,,Further questioning revealed\Nshe had been using her air conditioner Dialogue: 0,0:04:17.82,0:04:21.35,Default,,0000,0000,0000,,day and night because of the heat\Nso she could breathe. Dialogue: 0,0:04:21.75,0:04:25.81,Default,,0000,0000,0000,,Needing to buy more asthma inhalers\Nleft her little money; Dialogue: 0,0:04:25.81,0:04:28.42,Default,,0000,0000,0000,,she couldn't pay all the bills\Nso it piled up. Dialogue: 0,0:04:28.60,0:04:29.75,Default,,0000,0000,0000,,I filled out the form, Dialogue: 0,0:04:29.75,0:04:31.97,Default,,0000,0000,0000,,but knowing she might be denied, Dialogue: 0,0:04:31.97,0:04:34.12,Default,,0000,0000,0000,,I also sent her to the social worker. Dialogue: 0,0:04:35.24,0:04:36.81,Default,,0000,0000,0000,,Then there was [Jorge], Dialogue: 0,0:04:36.81,0:04:38.40,Default,,0000,0000,0000,,such a sweet, kind man Dialogue: 0,0:04:38.40,0:04:39.84,Default,,0000,0000,0000,,who often gifted our clinic Dialogue: 0,0:04:39.84,0:04:42.63,Default,,0000,0000,0000,,with some of the fruits he sold\Non the streets of Miami. Dialogue: 0,0:04:43.17,0:04:48.67,Default,,0000,0000,0000,,He had signs of worsening kidney function\Nwhenever he worked days on end Dialogue: 0,0:04:48.67,0:04:52.01,Default,,0000,0000,0000,,on those hot streets\Ndue to dehydration -- Dialogue: 0,0:04:52.01,0:04:54.43,Default,,0000,0000,0000,,just not enough blood\Ngetting to the kidneys. Dialogue: 0,0:04:54.95,0:04:58.29,Default,,0000,0000,0000,,His kidneys were much better\Nwhenever he took some days off. Dialogue: 0,0:04:58.84,0:05:01.49,Default,,0000,0000,0000,,But with no other support,\Nwhat could he do? Dialogue: 0,0:05:01.96,0:05:06.35,Default,,0000,0000,0000,,As he says, "Rain or shine,\Ncold or heat, I have to work." Dialogue: 0,0:05:07.01,0:05:10.38,Default,,0000,0000,0000,,But the most damning case of all\Nmay be Ms. Sandra Faye Twiggs Dialogue: 0,0:05:10.38,0:05:12.59,Default,,0000,0000,0000,,of Ft. Lauderdale with COPD. Dialogue: 0,0:05:13.08,0:05:16.48,Default,,0000,0000,0000,,She was arrested after fighting\Nwith her daughter over a fan. Dialogue: 0,0:05:17.86,0:05:19.55,Default,,0000,0000,0000,,On her release from jail, Dialogue: 0,0:05:19.55,0:05:21.33,Default,,0000,0000,0000,,she returned to her apartment, Dialogue: 0,0:05:21.33,0:05:23.27,Default,,0000,0000,0000,,coughed nonstop Dialogue: 0,0:05:23.27,0:05:25.52,Default,,0000,0000,0000,,and died three days later. Dialogue: 0,0:05:26.78,0:05:28.74,Default,,0000,0000,0000,,Here's what else I noticed: Dialogue: 0,0:05:28.74,0:05:32.51,Default,,0000,0000,0000,,the data showed allergy seasons\Nare starting weeks earlier, Dialogue: 0,0:05:32.51,0:05:34.80,Default,,0000,0000,0000,,nighttime temperatures are rising, Dialogue: 0,0:05:34.80,0:05:36.68,Default,,0000,0000,0000,,trees are growing faster Dialogue: 0,0:05:36.68,0:05:40.00,Default,,0000,0000,0000,,and mosquitos carrying dangerous\Ndiseases like Zika and dengue Dialogue: 0,0:05:40.00,0:05:42.54,Default,,0000,0000,0000,,are showing up in areas\Nthey didn't exist before. Dialogue: 0,0:05:43.73,0:05:46.88,Default,,0000,0000,0000,,I also see signs of impending\Nclimate gentrification. Dialogue: 0,0:05:47.33,0:05:50.22,Default,,0000,0000,0000,,That's when richer people move\Ninto poorer neighborhoods Dialogue: 0,0:05:50.22,0:05:52.64,Default,,0000,0000,0000,,that are at higher elevation Dialogue: 0,0:05:52.64,0:05:55.49,Default,,0000,0000,0000,,and less subject to flood damage\Nfrom climate change. Dialogue: 0,0:05:56.28,0:06:00.18,Default,,0000,0000,0000,,Like in my patient Madame Marie\Nwho came in stressed and anxious Dialogue: 0,0:06:00.18,0:06:04.24,Default,,0000,0000,0000,,because she was evicted from her apartment\Nin Miami's Little Haiti Dialogue: 0,0:06:04.24,0:06:07.04,Default,,0000,0000,0000,,to make room for a luxury\Napartment complex Dialogue: 0,0:06:07.04,0:06:10.99,Default,,0000,0000,0000,,whose developers understood\Nthat Little Haiti would not flood Dialogue: 0,0:06:10.99,0:06:13.56,Default,,0000,0000,0000,,because it's ten feet above sea level. Dialogue: 0,0:06:14.89,0:06:19.34,Default,,0000,0000,0000,,An undeniable, clear and consistent\Nwarming trend is on the way. Dialogue: 0,0:06:19.79,0:06:24.70,Default,,0000,0000,0000,,A health emergency even bigger\Nthan HIV/AIDS seems to be in the works, Dialogue: 0,0:06:24.70,0:06:27.54,Default,,0000,0000,0000,,and it was my low-income patients\Nthat were dropping clues Dialogue: 0,0:06:27.54,0:06:29.35,Default,,0000,0000,0000,,of what this would look like. Dialogue: 0,0:06:29.90,0:06:32.68,Default,,0000,0000,0000,,This new epidemic is climate change Dialogue: 0,0:06:32.68,0:06:34.100,Default,,0000,0000,0000,,and it has a variety of health effects. Dialogue: 0,0:06:35.58,0:06:38.31,Default,,0000,0000,0000,,Climate change impacts us\Nin four major ways. Dialogue: 0,0:06:39.09,0:06:43.13,Default,,0000,0000,0000,,Directly, through heat, extreme\Nweather and pollution; Dialogue: 0,0:06:43.13,0:06:45.29,Default,,0000,0000,0000,,through the spread of the disease; Dialogue: 0,0:06:45.29,0:06:48.71,Default,,0000,0000,0000,,through disruption of our food\Nand water supply Dialogue: 0,0:06:48.71,0:06:51.46,Default,,0000,0000,0000,,and through disruption\Nof our emotional well-being. Dialogue: 0,0:06:52.22,0:06:56.31,Default,,0000,0000,0000,,In medicine we use mnemonics\Nto aid our memory, Dialogue: 0,0:06:56.31,0:06:59.17,Default,,0000,0000,0000,,and this mnemonic, "heatwave," Dialogue: 0,0:06:59.17,0:07:02.28,Default,,0000,0000,0000,,shows the eight significant health\Neffects of climate change. Dialogue: 0,0:07:02.80,0:07:05.10,Default,,0000,0000,0000,,H: heat illnesses. Dialogue: 0,0:07:05.54,0:07:09.40,Default,,0000,0000,0000,,E: Exacerbation of heart and lung disease. Dialogue: 0,0:07:09.76,0:07:11.73,Default,,0000,0000,0000,,A: Asthma worsening. Dialogue: 0,0:07:12.13,0:07:14.11,Default,,0000,0000,0000,,T: Traumatic injuries, Dialogue: 0,0:07:14.11,0:07:16.16,Default,,0000,0000,0000,,especially during extreme weather events. Dialogue: 0,0:07:16.48,0:07:19.43,Default,,0000,0000,0000,,W: water and foodborne illnesses. Dialogue: 0,0:07:19.76,0:07:21.75,Default,,0000,0000,0000,,A: Allergies worsening. Dialogue: 0,0:07:22.15,0:07:27.23,Default,,0000,0000,0000,,V: Vector-borne diseases spreading\Nlike Zika, dengue and Lyme. Dialogue: 0,0:07:27.41,0:07:30.73,Default,,0000,0000,0000,,And E: Emotional stresses increasing. Dialogue: 0,0:07:31.54,0:07:35.52,Default,,0000,0000,0000,,Poor, vulnerable people are already\Nfeeling the effects of climate change. Dialogue: 0,0:07:35.95,0:07:38.98,Default,,0000,0000,0000,,They are the proverbial\Ncanary in a coal mine. Dialogue: 0,0:07:40.20,0:07:43.57,Default,,0000,0000,0000,,Truly, their experiences\Nare like oracles or prophecies. Dialogue: 0,0:07:43.94,0:07:46.48,Default,,0000,0000,0000,,The guiding light for us to pay attenion Dialogue: 0,0:07:46.48,0:07:50.86,Default,,0000,0000,0000,,that we are doing something to our world\Nfirst that's hurting them first. Dialogue: 0,0:07:51.29,0:07:52.74,Default,,0000,0000,0000,,But in a matter of time, Dialogue: 0,0:07:52.74,0:07:53.94,Default,,0000,0000,0000,,we are next. Dialogue: 0,0:07:54.89,0:07:56.19,Default,,0000,0000,0000,,If we act together -- Dialogue: 0,0:07:56.19,0:07:58.94,Default,,0000,0000,0000,,doctors, patients and other\Nhealth profressionals - Dialogue: 0,0:07:58.94,0:08:00.64,Default,,0000,0000,0000,,we will find solutions. Dialogue: 0,0:08:01.02,0:08:02.96,Default,,0000,0000,0000,,We have done this with the HIV crisis. Dialogue: 0,0:08:03.50,0:08:06.96,Default,,0000,0000,0000,,[It] was thanks to the activism\Nof patients with HIV Dialogue: 0,0:08:06.96,0:08:10.13,Default,,0000,0000,0000,,that demanded medications\Nand better research, Dialogue: 0,0:08:10.13,0:08:12.100,Default,,0000,0000,0000,,and the collaboration\Nof doctors and scientists Dialogue: 0,0:08:12.100,0:08:15.15,Default,,0000,0000,0000,,that we were able to control the epidemic. Dialogue: 0,0:08:15.87,0:08:18.79,Default,,0000,0000,0000,,And then it was thanks\Nto international health agencies, Dialogue: 0,0:08:18.79,0:08:22.62,Default,,0000,0000,0000,,NGOs, politicians and\Npharmeceutical companies Dialogue: 0,0:08:22.62,0:08:27.09,Default,,0000,0000,0000,,that HIV medication became\Navailable in low-income countries. Dialogue: 0,0:08:27.62,0:08:32.70,Default,,0000,0000,0000,,There is no reason we can't also apply\Nthis model of collaboration Dialogue: 0,0:08:32.70,0:08:36.82,Default,,0000,0000,0000,,to address the health effects\Nof climate change before it's too late. Dialogue: 0,0:08:37.53,0:08:39.01,Default,,0000,0000,0000,,Climate change is here. Dialogue: 0,0:08:39.15,0:08:42.13,Default,,0000,0000,0000,,It's already damaging the health\Nand homes of poor people. Dialogue: 0,0:08:42.38,0:08:44.18,Default,,0000,0000,0000,,Like my patient [Jorge], Dialogue: 0,0:08:44.18,0:08:46.48,Default,,0000,0000,0000,,most of us will have to work, Dialogue: 0,0:08:46.48,0:08:48.12,Default,,0000,0000,0000,,whether rain or shine, Dialogue: 0,0:08:48.12,0:08:49.34,Default,,0000,0000,0000,,cold or heat. Dialogue: 0,0:08:49.60,0:08:53.64,Default,,0000,0000,0000,,But together these patients\Nand their doctors, hand-in-hand, Dialogue: 0,0:08:53.64,0:08:55.07,Default,,0000,0000,0000,,with some basic tools, Dialogue: 0,0:08:55.07,0:08:58.43,Default,,0000,0000,0000,,can do so much to make\Nthis climate transition less brutal Dialogue: 0,0:08:58.43,0:08:59.85,Default,,0000,0000,0000,,for all of us. Dialogue: 0,0:09:00.32,0:09:03.41,Default,,0000,0000,0000,,The patients inspired me to found\Nthe clinicians' organization Dialogue: 0,0:09:03.41,0:09:05.04,Default,,0000,0000,0000,,to fight climate change. Dialogue: 0,0:09:05.78,0:09:09.19,Default,,0000,0000,0000,,We focus on understanding\Nthe health effects of climate change, Dialogue: 0,0:09:09.19,0:09:12.61,Default,,0000,0000,0000,,learning to advocate for patients\Nwith climate-related illnesses Dialogue: 0,0:09:12.61,0:09:15.16,Default,,0000,0000,0000,,and encouraging real-world solutions. Dialogue: 0,0:09:16.07,0:09:20.51,Default,,0000,0000,0000,,A recent Gallup study showed\Nthree of the most respected professions Dialogue: 0,0:09:20.51,0:09:22.82,Default,,0000,0000,0000,,are nurses, doctors and pharmacists. Dialogue: 0,0:09:23.04,0:09:25.19,Default,,0000,0000,0000,,So as respected members of society, Dialogue: 0,0:09:25.19,0:09:28.52,Default,,0000,0000,0000,,we have amplified voices\Nto influence climate change policy Dialogue: 0,0:09:28.52,0:09:30.10,Default,,0000,0000,0000,,and politics. Dialogue: 0,0:09:30.62,0:09:32.49,Default,,0000,0000,0000,,There is so much we can do. Dialogue: 0,0:09:32.93,0:09:35.62,Default,,0000,0000,0000,,As clinicians, our many patient\Ncontacts allows us Dialogue: 0,0:09:35.62,0:09:37.37,Default,,0000,0000,0000,,to see things before others. Dialogue: 0,0:09:37.76,0:09:41.74,Default,,0000,0000,0000,,And this puts us in an ideal position\Nto be on the frontlines of change. Dialogue: 0,0:09:42.01,0:09:45.88,Default,,0000,0000,0000,,We can teach climate-related illnesses\Nin our health-professional schools. Dialogue: 0,0:09:46.49,0:09:49.69,Default,,0000,0000,0000,,We can collect data on our patients'\Nclimate-related conditions Dialogue: 0,0:09:49.69,0:09:52.50,Default,,0000,0000,0000,,by making sure there are billing\Ncodes to identify them. Dialogue: 0,0:09:52.93,0:09:55.11,Default,,0000,0000,0000,,We can do climate-related health research. Dialogue: 0,0:09:55.53,0:09:58.19,Default,,0000,0000,0000,,We can teach how to have\Ngreen practices in homes. Dialogue: 0,0:09:58.57,0:10:00.96,Default,,0000,0000,0000,,We can advocate\Nfor our patient energy needs. Dialogue: 0,0:10:01.16,0:10:03.18,Default,,0000,0000,0000,,We can help them get safer homes. Dialogue: 0,0:10:03.42,0:10:06.16,Default,,0000,0000,0000,,We can help them get necessary\Nequipment in those homes Dialogue: 0,0:10:06.16,0:10:07.70,Default,,0000,0000,0000,,when their conditions worsen. Dialogue: 0,0:10:07.86,0:10:11.31,Default,,0000,0000,0000,,We can testify in front of lawmakers\Nas to the findings Dialogue: 0,0:10:11.31,0:10:15.79,Default,,0000,0000,0000,,and we can medically treat\Nour patients' climate-related illnesses. Dialogue: 0,0:10:17.09,0:10:21.98,Default,,0000,0000,0000,,Most importantly, we can help prepare\Nour patients mentally and physically Dialogue: 0,0:10:21.98,0:10:24.30,Default,,0000,0000,0000,,for the health challenges they will face, Dialogue: 0,0:10:24.30,0:10:25.98,Default,,0000,0000,0000,,using a model of medicine Dialogue: 0,0:10:25.98,0:10:29.61,Default,,0000,0000,0000,,that incorporates economic\Nand social justice. Dialogue: 0,0:10:30.82,0:10:34.36,Default,,0000,0000,0000,,This would mean Ms. Sandra\NFaye Twiggs with COPD, Dialogue: 0,0:10:34.36,0:10:38.06,Default,,0000,0000,0000,,who died after being released from jail Dialogue: 0,0:10:38.06,0:10:40.53,Default,,0000,0000,0000,,after a fight with\Nher daughter over a fan, Dialogue: 0,0:10:40.53,0:10:44.98,Default,,0000,0000,0000,,would have known that the heat\Nin her apartment made her sick and angry Dialogue: 0,0:10:44.98,0:10:47.30,Default,,0000,0000,0000,,and seek a safer place to go for cooling. Dialogue: 0,0:10:47.86,0:10:51.64,Default,,0000,0000,0000,,Even better, her apartment\Nwould never have been so hot. Dialogue: 0,0:10:52.50,0:10:56.10,Default,,0000,0000,0000,,From the poor, I've learned our lives\Nare not only vulnerable Dialogue: 0,0:10:56.10,0:10:59.77,Default,,0000,0000,0000,,but are stories of resilience,\Ninnovation and survival. Dialogue: 0,0:11:00.29,0:11:03.44,Default,,0000,0000,0000,,Like that wise old man\Nwho loudly spoke truth to the cop Dialogue: 0,0:11:03.44,0:11:04.72,Default,,0000,0000,0000,,that summer night: Dialogue: 0,0:11:04.72,0:11:07.38,Default,,0000,0000,0000,,"Ain't no ambulance coming," Dialogue: 0,0:11:07.38,0:11:11.36,Default,,0000,0000,0000,,and compelled him to deliver\Nthat little girl to the hospital instead. Dialogue: 0,0:11:12.09,0:11:13.32,Default,,0000,0000,0000,,You know what? Dialogue: 0,0:11:13.49,0:11:14.69,Default,,0000,0000,0000,,Listen up. Dialogue: 0,0:11:15.52,0:11:19.67,Default,,0000,0000,0000,,If there's going to be a medical\Nresponse to climate change, Dialogue: 0,0:11:19.67,0:11:23.11,Default,,0000,0000,0000,,it is not going to be\Njust waiting for an ambulance. Dialogue: 0,0:11:23.92,0:11:27.73,Default,,0000,0000,0000,,It is going to happen because\Nwe the clinicians take the first step. Dialogue: 0,0:11:28.07,0:11:29.90,Default,,0000,0000,0000,,We make so much noise Dialogue: 0,0:11:29.90,0:11:33.27,Default,,0000,0000,0000,,that the issue cannot\Nbe ignored or misunderstood. Dialogue: 0,0:11:34.10,0:11:37.32,Default,,0000,0000,0000,,It is going to start\Nwith the stories our patients tell Dialogue: 0,0:11:37.32,0:11:39.96,Default,,0000,0000,0000,,and the stories we tell on their behalf. Dialogue: 0,0:11:40.69,0:11:45.42,Default,,0000,0000,0000,,We're going to do what is right\Nfor our patients like we've always done, Dialogue: 0,0:11:45.42,0:11:48.33,Default,,0000,0000,0000,,but also what is right\Nfor our environment, Dialogue: 0,0:11:48.33,0:11:50.42,Default,,0000,0000,0000,,for ourselves Dialogue: 0,0:11:50.42,0:11:52.96,Default,,0000,0000,0000,,and for all the people on this planet -- Dialogue: 0,0:11:52.96,0:11:54.19,Default,,0000,0000,0000,,all of them. Dialogue: 0,0:11:54.48,0:11:55.74,Default,,0000,0000,0000,,Thank you. Dialogue: 0,0:11:55.74,0:11:57.72,Default,,0000,0000,0000,,(Applause and cheers)