[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:01.78,0:00:04.29,Default,,0000,0000,0000,,Chris Anderson: Joia,\Nboth you and Partners In Health
Dialogue: 0,0:00:04.31,0:00:08.44,Default,,0000,0000,0000,,have spent decades\Nin various battlegrounds,
Dialogue: 0,0:00:08.47,0:00:09.83,Default,,0000,0000,0000,,battling epidemics.
Dialogue: 0,0:00:09.86,0:00:13.70,Default,,0000,0000,0000,,Perhaps, for context, you could give us\Na couple examples of that work.
Dialogue: 0,0:00:15.69,0:00:17.71,Default,,0000,0000,0000,,Joia Mukherjee: Yeah,\Nso Partners In Health
Dialogue: 0,0:00:17.73,0:00:21.93,Default,,0000,0000,0000,,is a global nonprofit\Nthat is more than 30 years old.
Dialogue: 0,0:00:21.95,0:00:25.71,Default,,0000,0000,0000,,We started famously in Haiti\Nin a squatter settlement,
Dialogue: 0,0:00:25.74,0:00:27.59,Default,,0000,0000,0000,,people who were displaced.
Dialogue: 0,0:00:27.61,0:00:28.96,Default,,0000,0000,0000,,And when we talked to them,
Dialogue: 0,0:00:28.98,0:00:31.21,Default,,0000,0000,0000,,they wanted health care and education,
Dialogue: 0,0:00:31.23,0:00:32.78,Default,,0000,0000,0000,,houses, jobs.
Dialogue: 0,0:00:32.81,0:00:34.58,Default,,0000,0000,0000,,And that has informed our work,
Dialogue: 0,0:00:34.61,0:00:39.28,Default,,0000,0000,0000,,that proximity to people\Nwho are suffering.
Dialogue: 0,0:00:39.30,0:00:42.09,Default,,0000,0000,0000,,When you think about\Nhealth care and the poor,
Dialogue: 0,0:00:42.11,0:00:45.02,Default,,0000,0000,0000,,there is always disproportionate suffering
Dialogue: 0,0:00:45.05,0:00:48.10,Default,,0000,0000,0000,,for people who have been\Nhistorically marginalized,
Dialogue: 0,0:00:48.12,0:00:50.89,Default,,0000,0000,0000,,like our communities\Nthat we serve in Haiti.
Dialogue: 0,0:00:51.29,0:00:54.18,Default,,0000,0000,0000,,And so we've always tried\Nto provide health care
Dialogue: 0,0:00:54.21,0:00:57.14,Default,,0000,0000,0000,,for the poorest people on earth.
Dialogue: 0,0:00:57.16,0:01:00.55,Default,,0000,0000,0000,,And we were launched\Ninto an international dialogue
Dialogue: 0,0:01:00.57,0:01:02.55,Default,,0000,0000,0000,,about whether that was possible
Dialogue: 0,0:01:02.57,0:01:06.84,Default,,0000,0000,0000,,for drug-resistant tuberculosis, for HIV.
Dialogue: 0,0:01:06.87,0:01:09.77,Default,,0000,0000,0000,,Indeed, for surgery, for cancer,
Dialogue: 0,0:01:09.80,0:01:11.56,Default,,0000,0000,0000,,for mental health,
Dialogue: 0,0:01:11.58,0:01:13.61,Default,,0000,0000,0000,,for noncommunicable diseases.
Dialogue: 0,0:01:13.63,0:01:16.62,Default,,0000,0000,0000,,And we believe it's possible,
Dialogue: 0,0:01:16.64,0:01:20.63,Default,,0000,0000,0000,,and it is part of the basic\Nhuman right to care.
Dialogue: 0,0:01:20.66,0:01:25.20,Default,,0000,0000,0000,,So when COVID started,\Nwe saw this immediately as a threat
Dialogue: 0,0:01:25.22,0:01:27.71,Default,,0000,0000,0000,,to the health of people\Nwho were the poorest.
Dialogue: 0,0:01:27.73,0:01:30.30,Default,,0000,0000,0000,,And Partners In Health\Nnow works in 11 countries,
Dialogue: 0,0:01:30.32,0:01:32.36,Default,,0000,0000,0000,,five on the African continent,
Dialogue: 0,0:01:32.39,0:01:33.91,Default,,0000,0000,0000,,Latin America and the Caribbean,
Dialogue: 0,0:01:33.94,0:01:36.51,Default,,0000,0000,0000,,as well as the former Soviet Union.
Dialogue: 0,0:01:36.53,0:01:40.47,Default,,0000,0000,0000,,And we immediately prepared\Nto scale up testing,
Dialogue: 0,0:01:40.49,0:01:43.66,Default,,0000,0000,0000,,contact tracing, treatment, care,
Dialogue: 0,0:01:43.68,0:01:48.04,Default,,0000,0000,0000,,and then saw that it wasn't being done\Nin the United States in that way.
Dialogue: 0,0:01:48.07,0:01:52.33,Default,,0000,0000,0000,,And in fact, we were just sitting,\Npassively waiting for people to get sick
Dialogue: 0,0:01:52.36,0:01:54.28,Default,,0000,0000,0000,,and treat them in hospital.
Dialogue: 0,0:01:54.31,0:01:58.09,Default,,0000,0000,0000,,And that message got\Nto the governor of Massachusetts,
Dialogue: 0,0:01:58.12,0:02:02.81,Default,,0000,0000,0000,,and we started supporting the state\Nto do contact tracing for COVID,
Dialogue: 0,0:02:02.84,0:02:08.28,Default,,0000,0000,0000,,with the very idea that this would help us\Nidentify and resource
Dialogue: 0,0:02:08.31,0:02:10.76,Default,,0000,0000,0000,,the communities that were most vulnerable.
Dialogue: 0,0:02:12.86,0:02:17.68,Default,,0000,0000,0000,,CA: So it's really quite ironic\Nthat these decades of experience
Dialogue: 0,0:02:17.71,0:02:19.56,Default,,0000,0000,0000,,in the developing world and elsewhere,
Dialogue: 0,0:02:19.59,0:02:25.01,Default,,0000,0000,0000,,that that has now really been seen\Nas a crucial need to bring to the US.
Dialogue: 0,0:02:25.04,0:02:27.96,Default,,0000,0000,0000,,And especially to bring your expertise\Naround contact tracing.
Dialogue: 0,0:02:27.99,0:02:30.50,Default,,0000,0000,0000,,So, talk a bit about contact tracing,
Dialogue: 0,0:02:30.53,0:02:32.75,Default,,0000,0000,0000,,why does it matter so much,
Dialogue: 0,0:02:32.78,0:02:34.69,Default,,0000,0000,0000,,and what would, I don't know,
Dialogue: 0,0:02:34.72,0:02:37.65,Default,,0000,0000,0000,,a perfect contact tracing setup look like?
Dialogue: 0,0:02:39.75,0:02:43.15,Default,,0000,0000,0000,,JM: Well, first I want to say\Nthat you want to, always,
Dialogue: 0,0:02:43.18,0:02:45.30,Default,,0000,0000,0000,,in any type of illness,
Dialogue: 0,0:02:45.32,0:02:47.50,Default,,0000,0000,0000,,you want to do prevention,
Dialogue: 0,0:02:47.53,0:02:51.24,Default,,0000,0000,0000,,and diagnosis and treatment and care.
Dialogue: 0,0:02:51.26,0:02:54.51,Default,,0000,0000,0000,,That is what comprehensive\Napproaches look like,
Dialogue: 0,0:02:54.54,0:02:56.91,Default,,0000,0000,0000,,and that "care" piece, to us,
Dialogue: 0,0:02:56.94,0:03:01.54,Default,,0000,0000,0000,,is about the provision of social support\Nand material support
Dialogue: 0,0:03:01.57,0:03:03.99,Default,,0000,0000,0000,,to allow people to get the care they need.
Dialogue: 0,0:03:04.02,0:03:07.13,Default,,0000,0000,0000,,So that might be transportation,\Nit might be food.
Dialogue: 0,0:03:07.15,0:03:10.18,Default,,0000,0000,0000,,So when you look\Nat that comprehensive approach,
Dialogue: 0,0:03:10.20,0:03:11.93,Default,,0000,0000,0000,,for an infectious disease,
Dialogue: 0,0:03:11.95,0:03:16.55,Default,,0000,0000,0000,,part of prevention is knowing\Nwhere the disease is spreading
Dialogue: 0,0:03:16.58,0:03:19.57,Default,,0000,0000,0000,,and how it's spreading\Nand in whom it's spreading,
Dialogue: 0,0:03:19.59,0:03:23.28,Default,,0000,0000,0000,,so that resources can be\Ndisproportionately put
Dialogue: 0,0:03:23.31,0:03:25.04,Default,,0000,0000,0000,,to the highest-risk areas.
Dialogue: 0,0:03:25.36,0:03:28.56,Default,,0000,0000,0000,,So contact tracing\Nis a staple of public health
Dialogue: 0,0:03:28.58,0:03:32.39,Default,,0000,0000,0000,,and what it means is that every time\Na new person is diagnosed
Dialogue: 0,0:03:32.41,0:03:35.51,Default,,0000,0000,0000,,with COVID or any infectious disease,
Dialogue: 0,0:03:35.54,0:03:41.66,Default,,0000,0000,0000,,then you investigate and innumerate\Nthe people they've been in contacts with,
Dialogue: 0,0:03:41.68,0:03:46.29,Default,,0000,0000,0000,,and call those contacts\Nand say, "You've been exposed,"
Dialogue: 0,0:03:46.31,0:03:48.84,Default,,0000,0000,0000,,or talk to them, "You've been exposed,
Dialogue: 0,0:03:48.87,0:03:51.08,Default,,0000,0000,0000,,these are the things you need to know.
Dialogue: 0,0:03:51.10,0:03:52.68,Default,,0000,0000,0000,,First of all, how are you?
Dialogue: 0,0:03:52.70,0:03:54.38,Default,,0000,0000,0000,,Do you need care yourself?"
Dialogue: 0,0:03:54.41,0:03:56.01,Default,,0000,0000,0000,,And facilitating that.
Dialogue: 0,0:03:56.04,0:04:00.82,Default,,0000,0000,0000,,"Second of all, these are the information\Nyou need to know to keep yourself safe.
Dialogue: 0,0:04:00.85,0:04:03.42,Default,,0000,0000,0000,,About quarantine, about prevention."
Dialogue: 0,0:04:03.44,0:04:06.10,Default,,0000,0000,0000,,And again, this would be\Nwith any infectious disease,
Dialogue: 0,0:04:06.12,0:04:12.56,Default,,0000,0000,0000,,from Ebola, to cholera, to a sexually\Ntransmitted disease like HIV.
Dialogue: 0,0:04:12.58,0:04:14.67,Default,,0000,0000,0000,,And then we say,
Dialogue: 0,0:04:14.70,0:04:17.23,Default,,0000,0000,0000,,"OK, knowing what you know,
Dialogue: 0,0:04:17.26,0:04:20.19,Default,,0000,0000,0000,,do you have the means\Nto protect yourself?"
Dialogue: 0,0:04:20.73,0:04:23.31,Default,,0000,0000,0000,,Because often the most vulnerable
Dialogue: 0,0:04:23.34,0:04:25.96,Default,,0000,0000,0000,,do not have the means\Nto protect themselves.
Dialogue: 0,0:04:26.27,0:04:30.47,Default,,0000,0000,0000,,So that is also where this resource\Ncomponent comes in
Dialogue: 0,0:04:30.49,0:04:33.85,Default,,0000,0000,0000,,and where equity is so critical
Dialogue: 0,0:04:33.88,0:04:38.24,Default,,0000,0000,0000,,to making this disease stop
Dialogue: 0,0:04:38.26,0:04:41.44,Default,,0000,0000,0000,,and also getting the information\Nand the resources
Dialogue: 0,0:04:41.47,0:04:43.67,Default,,0000,0000,0000,,to people who need them the most.
Dialogue: 0,0:04:44.76,0:04:48.73,Default,,0000,0000,0000,,CA: And in a pandemic,\Nthe people who need them the most,
Dialogue: 0,0:04:48.75,0:04:51.43,Default,,0000,0000,0000,,the most vulnerable, as you say,
Dialogue: 0,0:04:51.46,0:04:52.79,Default,,0000,0000,0000,,are probably also --
Dialogue: 0,0:04:52.81,0:04:54.87,Default,,0000,0000,0000,,That's where the disease\Nis spreading a lot.
Dialogue: 0,0:04:54.89,0:04:56.77,Default,,0000,0000,0000,,It's in everyone's interest to do this.
Dialogue: 0,0:04:56.79,0:05:00.11,Default,,0000,0000,0000,,You're not just making this sort of,\Nwonderful, equity moral point
Dialogue: 0,0:05:00.13,0:05:01.90,Default,,0000,0000,0000,,that we've got to help these people.
Dialogue: 0,0:05:01.92,0:05:03.100,Default,,0000,0000,0000,,It's actually in all\Nof our interest, right?
Dialogue: 0,0:05:04.02,0:05:05.18,Default,,0000,0000,0000,,JM: Yes.
Dialogue: 0,0:05:05.20,0:05:07.100,Default,,0000,0000,0000,,Yes, we are one humanity,
Dialogue: 0,0:05:08.02,0:05:12.44,Default,,0000,0000,0000,,and any disease, any infectious\Ndisease that is spreading
Dialogue: 0,0:05:12.46,0:05:14.68,Default,,0000,0000,0000,,is a threat to all of us.
Dialogue: 0,0:05:14.70,0:05:19.75,Default,,0000,0000,0000,,And that is one of the pieces,\Nthere's the moral imperative,
Dialogue: 0,0:05:19.78,0:05:22.21,Default,,0000,0000,0000,,there is the epidemiologic imperative,
Dialogue: 0,0:05:22.24,0:05:25.74,Default,,0000,0000,0000,,that if you can't control\Nthese diseases everywhere,
Dialogue: 0,0:05:25.76,0:05:27.44,Default,,0000,0000,0000,,that it's a threat anywhere.
Dialogue: 0,0:05:27.46,0:05:32.03,Default,,0000,0000,0000,,And so as we look to the kind\Nof society we want to live in,
Dialogue: 0,0:05:32.05,0:05:38.26,Default,,0000,0000,0000,,good health is something that gives us all\Nso much return on our investment.
Dialogue: 0,0:05:39.41,0:05:42.67,Default,,0000,0000,0000,,CA: Now, some countries were able\Nto use contact tracing
Dialogue: 0,0:05:42.70,0:05:47.94,Default,,0000,0000,0000,,almost to shut down the pandemic\Nbefore it took off in that country.
Dialogue: 0,0:05:47.97,0:05:49.80,Default,,0000,0000,0000,,The US was unable to do that,
Dialogue: 0,0:05:49.82,0:05:51.56,Default,,0000,0000,0000,,and some people have taken the view
Dialogue: 0,0:05:51.59,0:05:54.44,Default,,0000,0000,0000,,that therefore, contact tracing\Nbecame irrelevant,
Dialogue: 0,0:05:54.46,0:05:58.86,Default,,0000,0000,0000,,that the strategy was mitigation,\Nshut everything down.
Dialogue: 0,0:05:58.89,0:06:00.20,Default,,0000,0000,0000,,You've argued against that,
Dialogue: 0,0:06:00.22,0:06:03.25,Default,,0000,0000,0000,,that even in a process of lockdown
Dialogue: 0,0:06:03.27,0:06:06.98,Default,,0000,0000,0000,,that actually contact tracing\Nplays a key role.
Dialogue: 0,0:06:06.100,0:06:09.41,Default,,0000,0000,0000,,Help us understand the scale,
Dialogue: 0,0:06:09.43,0:06:10.77,Default,,0000,0000,0000,,when there's a lot of cases,
Dialogue: 0,0:06:10.80,0:06:13.10,Default,,0000,0000,0000,,the scale of tracing, both cases
Dialogue: 0,0:06:13.12,0:06:15.42,Default,,0000,0000,0000,,and everyone they may\Nhave been in contact with
Dialogue: 0,0:06:15.45,0:06:16.63,Default,,0000,0000,0000,,and their contacts.
Dialogue: 0,0:06:16.66,0:06:18.87,Default,,0000,0000,0000,,It quickly gets to a huge problem.
Dialogue: 0,0:06:18.90,0:06:20.14,Default,,0000,0000,0000,,JM: It's massive.
Dialogue: 0,0:06:20.16,0:06:23.34,Default,,0000,0000,0000,,CA: What sort of workforce do you need\Nto make a difference
Dialogue: 0,0:06:23.37,0:06:26.46,Default,,0000,0000,0000,,at this moment, where the US is at?
Dialogue: 0,0:06:27.54,0:06:28.75,Default,,0000,0000,0000,,JM: It's massive.
Dialogue: 0,0:06:28.77,0:06:30.21,Default,,0000,0000,0000,,I mean, the scale is massive,
Dialogue: 0,0:06:30.24,0:06:32.72,Default,,0000,0000,0000,,and we should not take that lightly.
Dialogue: 0,0:06:32.74,0:06:34.51,Default,,0000,0000,0000,,And we don't, at Partners In Health.
Dialogue: 0,0:06:34.54,0:06:38.09,Default,,0000,0000,0000,,I mean, we are willing\Nto try to figure this out,
Dialogue: 0,0:06:38.12,0:06:41.64,Default,,0000,0000,0000,,and I always feel\Nthat if we could stop Ebola
Dialogue: 0,0:06:41.67,0:06:44.18,Default,,0000,0000,0000,,in some of the poorest\Ncountries in the world,
Dialogue: 0,0:06:44.20,0:06:46.02,Default,,0000,0000,0000,,of course we ought to do it here,
Dialogue: 0,0:06:46.05,0:06:51.61,Default,,0000,0000,0000,,and was it too late when there were\N28,000 deaths in Ebola?
Dialogue: 0,0:06:51.64,0:06:54.16,Default,,0000,0000,0000,,Sure, it's always too late.
Dialogue: 0,0:06:54.57,0:06:56.08,Default,,0000,0000,0000,,We should have started earlier,
Dialogue: 0,0:06:56.10,0:06:58.06,Default,,0000,0000,0000,,but it's not too late to have an impact.
Dialogue: 0,0:06:58.09,0:07:02.27,Default,,0000,0000,0000,,And so there's three aspects\Nof timing and scale.
Dialogue: 0,0:07:02.59,0:07:05.16,Default,,0000,0000,0000,,First is, the earlier you start,
Dialogue: 0,0:07:05.18,0:07:06.36,Default,,0000,0000,0000,,the better, right?
Dialogue: 0,0:07:06.38,0:07:08.01,Default,,0000,0000,0000,,And that's what we saw in Rwanda.
Dialogue: 0,0:07:08.04,0:07:12.18,Default,,0000,0000,0000,,They went from early testing\Nand contact tracing,
Dialogue: 0,0:07:12.20,0:07:17.23,Default,,0000,0000,0000,,the first two cases entered\Ninto the country on March 15,
Dialogue: 0,0:07:17.26,0:07:18.41,Default,,0000,0000,0000,,and in one month,
Dialogue: 0,0:07:18.43,0:07:22.31,Default,,0000,0000,0000,,because of contact tracing,\Nisolation and plenty of testing,
Dialogue: 0,0:07:22.34,0:07:26.77,Default,,0000,0000,0000,,they had held that case rate\Nto 134 people.
Dialogue: 0,0:07:26.80,0:07:28.84,Default,,0000,0000,0000,,It's remarkable, it's remarkable.
Dialogue: 0,0:07:28.86,0:07:32.82,Default,,0000,0000,0000,,In the state of Georgia,\Nwhere is home to the CDC,
Dialogue: 0,0:07:32.85,0:07:35.97,Default,,0000,0000,0000,,similar population size, about 12 million,
Dialogue: 0,0:07:35.100,0:07:38.63,Default,,0000,0000,0000,,from the first two cases\Nin the first month,
Dialogue: 0,0:07:38.65,0:07:41.97,Default,,0000,0000,0000,,those cases became 4,400 cases.
Dialogue: 0,0:07:41.100,0:07:44.22,Default,,0000,0000,0000,,And in the country of Belgium,
Dialogue: 0,0:07:44.25,0:07:45.41,Default,,0000,0000,0000,,a similar population,
Dialogue: 0,0:07:45.43,0:07:48.23,Default,,0000,0000,0000,,those two cases became 7,400.
Dialogue: 0,0:07:48.54,0:07:52.31,Default,,0000,0000,0000,,So you do have to make scale to stop this.
Dialogue: 0,0:07:52.33,0:07:53.88,Default,,0000,0000,0000,,But the earlier you do it,
Dialogue: 0,0:07:53.90,0:07:56.70,Default,,0000,0000,0000,,the more benefits there are\Nto your society
Dialogue: 0,0:07:56.72,0:08:01.23,Default,,0000,0000,0000,,and also to the other people\Nwho need medical services --
Dialogue: 0,0:08:01.26,0:08:02.47,Default,,0000,0000,0000,,women who are pregnant,
Dialogue: 0,0:08:02.49,0:08:05.00,Default,,0000,0000,0000,,people who need their fracture repaired,
Dialogue: 0,0:08:05.03,0:08:07.57,Default,,0000,0000,0000,,because services themselves\Nin the United States
Dialogue: 0,0:08:07.59,0:08:11.73,Default,,0000,0000,0000,,have been, you know, really hampered\Nby this huge amount of COVID.
Dialogue: 0,0:08:12.33,0:08:15.01,Default,,0000,0000,0000,,So the first point is,
Dialogue: 0,0:08:15.03,0:08:18.84,Default,,0000,0000,0000,,it's always late, but it's never too late.
Dialogue: 0,0:08:18.87,0:08:20.05,Default,,0000,0000,0000,,Why?
Dialogue: 0,0:08:20.07,0:08:24.24,Default,,0000,0000,0000,,Because vulnerable populations\Nare sitting ducks,
Dialogue: 0,0:08:24.27,0:08:29.34,Default,,0000,0000,0000,,and so imagine if one of your contacts\Nwas a nursing assistant
Dialogue: 0,0:08:29.36,0:08:30.95,Default,,0000,0000,0000,,who worked in a nursing home.
Dialogue: 0,0:08:31.26,0:08:36.58,Default,,0000,0000,0000,,We know that one nursing assistant\Ncan spread it throughout a nursing home.
Dialogue: 0,0:08:36.61,0:08:39.96,Default,,0000,0000,0000,,And is it important to identify\Nthat person as a contact
Dialogue: 0,0:08:39.98,0:08:43.66,Default,,0000,0000,0000,,and assure that he or she\Nis able to remain quarantined?
Dialogue: 0,0:08:43.68,0:08:45.47,Default,,0000,0000,0000,,That is critical.
Dialogue: 0,0:08:45.49,0:08:47.45,Default,,0000,0000,0000,,And so it's hard to say,
Dialogue: 0,0:08:47.47,0:08:50.43,Default,,0000,0000,0000,,"Well, it's not worth it\Nif it's just one person, two persons."
Dialogue: 0,0:08:50.45,0:08:51.92,Default,,0000,0000,0000,,Every life matters,
Dialogue: 0,0:08:51.95,0:08:56.86,Default,,0000,0000,0000,,and all of their contacts in the community\Nof that person matters as well.
Dialogue: 0,0:08:56.88,0:08:58.25,Default,,0000,0000,0000,,So that's one thing.
Dialogue: 0,0:08:58.28,0:09:01.49,Default,,0000,0000,0000,,The second about scale\Nis people need jobs right now.
Dialogue: 0,0:09:02.08,0:09:04.72,Default,,0000,0000,0000,,And they want to be part of a solution,
Dialogue: 0,0:09:04.74,0:09:07.46,Default,,0000,0000,0000,,and some of the frustration we see,
Dialogue: 0,0:09:07.49,0:09:09.46,Default,,0000,0000,0000,,the antilockdown movement,
Dialogue: 0,0:09:09.49,0:09:11.81,Default,,0000,0000,0000,,is really out of anger and frustration
Dialogue: 0,0:09:11.83,0:09:15.19,Default,,0000,0000,0000,,and feeling, "What can we do?"
Dialogue: 0,0:09:15.21,0:09:19.93,Default,,0000,0000,0000,,And so this gives people this feeling\Nthat they're part of a solution
Dialogue: 0,0:09:19.95,0:09:22.70,Default,,0000,0000,0000,,and can provide thousands of jobs.
Dialogue: 0,0:09:23.29,0:09:28.04,Default,,0000,0000,0000,,And then third, I would say,\Nfor us to reopen our schools,
Dialogue: 0,0:09:28.07,0:09:30.53,Default,,0000,0000,0000,,our churches, our workplaces,
Dialogue: 0,0:09:30.55,0:09:33.86,Default,,0000,0000,0000,,we have to know\Nwhere the virus is spreading
Dialogue: 0,0:09:33.89,0:09:37.01,Default,,0000,0000,0000,,so that we don't just\Ncontinue on this path.
Dialogue: 0,0:09:37.03,0:09:40.65,Default,,0000,0000,0000,,And so contact tracing provides\Nthe platform to control,
Dialogue: 0,0:09:40.68,0:09:43.83,Default,,0000,0000,0000,,but also to see outbreaks\Nin real time popping up,
Dialogue: 0,0:09:43.86,0:09:45.36,Default,,0000,0000,0000,,and then respond promptly.
Dialogue: 0,0:09:45.39,0:09:49.90,Default,,0000,0000,0000,,So there are many reasons\Nthat we have to bring this to scale now.
Dialogue: 0,0:09:49.92,0:09:51.92,Default,,0000,0000,0000,,Even though it is tardy.
Dialogue: 0,0:09:53.11,0:09:56.57,Default,,0000,0000,0000,,CA: So especially as we have\Nthis pressure to go back to work,
Dialogue: 0,0:09:56.59,0:10:00.07,Default,,0000,0000,0000,,like, contact tracing\Nhas to be part of that strategy,
Dialogue: 0,0:10:00.09,0:10:04.17,Default,,0000,0000,0000,,or we're just inviting another disaster\Nin a few weeks' time.
Dialogue: 0,0:10:04.19,0:10:07.70,Default,,0000,0000,0000,,Whatever you make of what's happened\Nduring this mitigation process.
Dialogue: 0,0:10:08.15,0:10:09.97,Default,,0000,0000,0000,,JM: Exactly, exactly.
Dialogue: 0,0:10:10.39,0:10:13.41,Default,,0000,0000,0000,,Exactly, and so that's such\Nan important part, Chris,
Dialogue: 0,0:10:13.43,0:10:16.11,Default,,0000,0000,0000,,and something that we are just really keen
Dialogue: 0,0:10:16.13,0:10:19.74,Default,,0000,0000,0000,,to look at the United States\Nin a different way.
Dialogue: 0,0:10:19.77,0:10:23.94,Default,,0000,0000,0000,,What are the long-term\Npublic health infrastructures
Dialogue: 0,0:10:23.96,0:10:28.59,Default,,0000,0000,0000,,that we need to protect us\Nfor the second wave, the third wave
Dialogue: 0,0:10:28.61,0:10:31.27,Default,,0000,0000,0000,,and in the future, for future pandemics?
Dialogue: 0,0:10:32.10,0:10:33.35,Default,,0000,0000,0000,,CA: Whitney.
Dialogue: 0,0:10:34.03,0:10:36.56,Default,,0000,0000,0000,,Whitney Pennington Rodgers:\NYou know, to that point,
Dialogue: 0,0:10:36.58,0:10:39.15,Default,,0000,0000,0000,,there is a question out there\Nfrom one of our anonymous
Dialogue: 0,0:10:39.16,0:10:40.16,Default,,0000,0000,0000,,community members,
Dialogue: 0,0:10:40.19,0:10:43.90,Default,,0000,0000,0000,,about why contact tracing isn't already\Npart of our public health system.
Dialogue: 0,0:10:43.92,0:10:45.93,Default,,0000,0000,0000,,It seems like it does make a lot of sense
Dialogue: 0,0:10:45.95,0:10:48.61,Default,,0000,0000,0000,,its a way to mitigate\Nthe spread of disease.
Dialogue: 0,0:10:48.63,0:10:50.44,Default,,0000,0000,0000,,Could you speak a little bit to that?
Dialogue: 0,0:10:50.91,0:10:53.37,Default,,0000,0000,0000,,JM: I think many people have said --
Dialogue: 0,0:10:53.39,0:10:55.43,Default,,0000,0000,0000,,and I am not a politician --
Dialogue: 0,0:10:55.45,0:10:59.54,Default,,0000,0000,0000,,that our American\Nhealth care infrastructure
Dialogue: 0,0:10:59.56,0:11:03.73,Default,,0000,0000,0000,,is built on treatment and not prevention.
Dialogue: 0,0:11:03.75,0:11:08.18,Default,,0000,0000,0000,,It's built on procedures
Dialogue: 0,0:11:08.21,0:11:10.35,Default,,0000,0000,0000,,and not keeping people well.
Dialogue: 0,0:11:10.37,0:11:12.67,Default,,0000,0000,0000,,And some of that was driven by profit,
Dialogue: 0,0:11:12.69,0:11:16.23,Default,,0000,0000,0000,,and some of that was driven by need,
Dialogue: 0,0:11:16.25,0:11:22.03,Default,,0000,0000,0000,,but I think we need to rethink\Nhow we deliver care in this environment.
Dialogue: 0,0:11:22.74,0:11:26.33,Default,,0000,0000,0000,,WPR: "There is some fear and suspicion\Nabout privacy and contact tracing.
Dialogue: 0,0:11:26.35,0:11:28.35,Default,,0000,0000,0000,,How can we build trust in the process?"
Dialogue: 0,0:11:29.09,0:11:30.74,Default,,0000,0000,0000,,JM: Yeah, that's a great question,
Dialogue: 0,0:11:30.77,0:11:34.12,Default,,0000,0000,0000,,and I think there's fear about privacy
Dialogue: 0,0:11:34.14,0:11:40.15,Default,,0000,0000,0000,,and part of it comes from the idea\Nof what contact tracing is.
Dialogue: 0,0:11:40.17,0:11:43.66,Default,,0000,0000,0000,,And I think that's why we feel strongly,
Dialogue: 0,0:11:43.69,0:11:46.86,Default,,0000,0000,0000,,is if you lead with the idea\Nthat it's care
Dialogue: 0,0:11:46.88,0:11:51.18,Default,,0000,0000,0000,,and it's trying to get\Nresources and information
Dialogue: 0,0:11:51.21,0:11:52.91,Default,,0000,0000,0000,,and help to people,
Dialogue: 0,0:11:52.93,0:11:54.52,Default,,0000,0000,0000,,it seems very different
Dialogue: 0,0:11:54.55,0:11:58.28,Default,,0000,0000,0000,,than just, oh, who's sick,\Nand who's a threat.
Dialogue: 0,0:11:58.30,0:12:00.40,Default,,0000,0000,0000,,And so fundamentally --
Dialogue: 0,0:12:00.42,0:12:04.38,Default,,0000,0000,0000,,and that's why we're so pleased\Nto be at this TED talk today --
Dialogue: 0,0:12:04.40,0:12:06.48,Default,,0000,0000,0000,,is it's about communication, right?
Dialogue: 0,0:12:06.51,0:12:08.36,Default,,0000,0000,0000,,It's not about surveillance,
Dialogue: 0,0:12:08.38,0:12:11.43,Default,,0000,0000,0000,,it's about communication\Nand care and support.
Dialogue: 0,0:12:11.46,0:12:12.62,Default,,0000,0000,0000,,That's one thing.
Dialogue: 0,0:12:12.65,0:12:15.86,Default,,0000,0000,0000,,And we'll be hearing from our colleagues
Dialogue: 0,0:12:15.89,0:12:17.07,Default,,0000,0000,0000,,on the tech side.
Dialogue: 0,0:12:17.09,0:12:21.14,Default,,0000,0000,0000,,There's ways to add tech, even to care,
Dialogue: 0,0:12:21.16,0:12:26.51,Default,,0000,0000,0000,,that it can be a resource\Nfor caring and communication.
Dialogue: 0,0:12:26.81,0:12:29.76,Default,,0000,0000,0000,,But there are ways\Nto protect people's privacy
Dialogue: 0,0:12:29.78,0:12:31.59,Default,,0000,0000,0000,,and also to provide care,
Dialogue: 0,0:12:31.61,0:12:36.04,Default,,0000,0000,0000,,and public health has many\Nlaws attached to it.
Dialogue: 0,0:12:36.07,0:12:41.57,Default,,0000,0000,0000,,This is all done within the constructs\Nof our state public health laws.
Dialogue: 0,0:12:41.99,0:12:45.24,Default,,0000,0000,0000,,And so I think some\Nof the communication around this is,
Dialogue: 0,0:12:45.27,0:12:47.48,Default,,0000,0000,0000,,how do we take care of each other,
Dialogue: 0,0:12:47.50,0:12:49.90,Default,,0000,0000,0000,,how do we take care\Nof the most vulnerable.
Dialogue: 0,0:12:49.92,0:12:52.78,Default,,0000,0000,0000,,And if we frame contact tracing as care,
Dialogue: 0,0:12:52.80,0:12:56.13,Default,,0000,0000,0000,,I think that starts\Na different kind of conversation.
Dialogue: 0,0:12:56.99,0:12:58.14,Default,,0000,0000,0000,,CA: Mm.
Dialogue: 0,0:12:58.52,0:13:00.99,Default,,0000,0000,0000,,So, Joia, can you just talk\Nin a bit more detail
Dialogue: 0,0:13:01.02,0:13:06.44,Default,,0000,0000,0000,,about what it is that you are advising\NMassachusetts to do
Dialogue: 0,0:13:06.46,0:13:07.84,Default,,0000,0000,0000,,in terms of contact tracing.
Dialogue: 0,0:13:07.86,0:13:09.58,Default,,0000,0000,0000,,Give us a sense of the scale of it.
Dialogue: 0,0:13:09.60,0:13:12.54,Default,,0000,0000,0000,,JM: Yeah, so the scale -- thank you.
Dialogue: 0,0:13:12.56,0:13:19.31,Default,,0000,0000,0000,,You know, we are able now\Nto make about 10,000 calls a day
Dialogue: 0,0:13:19.33,0:13:20.50,Default,,0000,0000,0000,,to contacts.
Dialogue: 0,0:13:20.52,0:13:23.12,Default,,0000,0000,0000,,So every new case that comes in,
Dialogue: 0,0:13:23.14,0:13:26.82,Default,,0000,0000,0000,,the case is investigated\Nby someone on the phone,
Dialogue: 0,0:13:26.85,0:13:29.28,Default,,0000,0000,0000,,and then those investigations
Dialogue: 0,0:13:29.30,0:13:32.54,Default,,0000,0000,0000,,means writing down the names\Nand the phone numbers of the persons
Dialogue: 0,0:13:32.56,0:13:35.88,Default,,0000,0000,0000,,you've been in contact with\Nfor the time you were sick
Dialogue: 0,0:13:35.90,0:13:37.85,Default,,0000,0000,0000,,and a couple days before.
Dialogue: 0,0:13:37.87,0:13:40.27,Default,,0000,0000,0000,,And with those numbers then,\Nthe contact tracers --
Dialogue: 0,0:13:40.29,0:13:43.93,Default,,0000,0000,0000,,And that's what we really redoubled\Nthe workforce and really expanded,
Dialogue: 0,0:13:43.96,0:13:45.85,Default,,0000,0000,0000,,more than doubled,
Dialogue: 0,0:13:45.88,0:13:48.80,Default,,0000,0000,0000,,to support the department of public health
Dialogue: 0,0:13:48.82,0:13:50.82,Default,,0000,0000,0000,,to do that contact tracing.
Dialogue: 0,0:13:50.84,0:13:56.99,Default,,0000,0000,0000,,So we have 1,700 people employed\Nfull time, with benefits,
Dialogue: 0,0:13:57.01,0:14:01.42,Default,,0000,0000,0000,,to call those contacts\Nand say, "Are you OK?
Dialogue: 0,0:14:01.44,0:14:03.08,Default,,0000,0000,0000,,This is the information you need,"
Dialogue: 0,0:14:03.10,0:14:06.56,Default,,0000,0000,0000,,and then, and I think\Nthis is the critical piece,
Dialogue: 0,0:14:06.58,0:14:09.54,Default,,0000,0000,0000,,when someone doesn't have the information,
Dialogue: 0,0:14:09.56,0:14:14.57,Default,,0000,0000,0000,,then we have another cadre of people\Nwe call the resource care coordinators,
Dialogue: 0,0:14:14.59,0:14:17.90,Default,,0000,0000,0000,,who help that person, that contact,
Dialogue: 0,0:14:17.93,0:14:20.89,Default,,0000,0000,0000,,to do the things they need to do\Nto protect themselves.
Dialogue: 0,0:14:20.91,0:14:22.50,Default,,0000,0000,0000,,It might be food delivery,
Dialogue: 0,0:14:22.52,0:14:25.46,Default,,0000,0000,0000,,it might be filing\Nfor unemployment benefits,
Dialogue: 0,0:14:25.48,0:14:30.60,Default,,0000,0000,0000,,it might be trying to get them\Nmedical care or a test.
Dialogue: 0,0:14:31.00,0:14:33.69,Default,,0000,0000,0000,,That piece is the care piece.
Dialogue: 0,0:14:33.71,0:14:38.55,Default,,0000,0000,0000,,And that is what turns social distancing\Nfrom very regressive --
Dialogue: 0,0:14:38.57,0:14:41.54,Default,,0000,0000,0000,,look at me in my beautiful house,\Nsocial distancing --
Dialogue: 0,0:14:41.57,0:14:43.80,Default,,0000,0000,0000,,to something that's progressive
Dialogue: 0,0:14:43.82,0:14:47.01,Default,,0000,0000,0000,,and paying attention\Nto those who need the resources.
Dialogue: 0,0:14:47.03,0:14:48.84,Default,,0000,0000,0000,,So the scale is massive,
Dialogue: 0,0:14:48.87,0:14:52.16,Default,,0000,0000,0000,,with 1,700 employees hired to do this,
Dialogue: 0,0:14:52.18,0:14:53.41,Default,,0000,0000,0000,,but they are connected
Dialogue: 0,0:14:53.43,0:14:57.19,Default,,0000,0000,0000,,with local community food banks\Nand churches and facilities
Dialogue: 0,0:14:57.21,0:15:01.20,Default,,0000,0000,0000,,and primary health care centers as well.
Dialogue: 0,0:15:02.62,0:15:04.07,Default,,0000,0000,0000,,CA: Thank you so much, Joia.