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(gentle music)

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In the span of just a few months,

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the novel virus known as COVID-19

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has wrecked havoc on our world.

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The value of shares fell off a cliff.

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Creating sudden impacts,

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not only to people's health

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but also economic wellbeing and general psyche.

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Everyone's very fearful at the moment,

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and the question mark is where does this end.

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The medical crisis which first emerged

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in late December of 2020 in Wuhan, China,

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quickly spread to more than 100 countries

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on six continents.

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Confirmed infections climbed above 100,000,

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leaving more than 5,000 deaths.

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Those most at risk:

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older people or patients with underlying illness.

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Part of the coronavirus family of pathogens,

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named for their structural spikes,

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COVID-19 may be related to the common cold

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but it can be much more dangerous.

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Like the other coronaviruses which caused outbreaks

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of severe acute respiratory syndrome

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and Middle East Respiratory Syndrome,

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SARS and MERS.

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All morning, ambulances moved victims

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of the new killer virus.

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SARS patients effectively in quarantine

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until the disease is under control.

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These are often quite nasty airborne-spread diseases

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that kind of reside somewhere in the respiratory system

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and can be quite contagious.

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COVID-19 symptoms include coughing, fever,

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and shortness of breath.

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The virus damages the lungs, causing pneumonia.

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And we know that it's replicating quite efficiently,

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both in the upper and lower respiratory tract of humans,

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so this is a virus that is already well adapted

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to replication in humans

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and that's why we're seeing the spread that we're seeing.

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Every day we're learning more and more and more.

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Obviously, because this is a novel virus,

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and even though we've been through this rodeo before

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with MERS and SARS,

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there's still so many unknowns.

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And that's why the World Health Organization,

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or WHO, declared a pandemic as of March 11th,

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after repeatedly stressing

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the serious nature of the situation.

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This is not a drill.

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This is not the time to give up.

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This is not a time for excuses.

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This is a time for pulling out all the stops.

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(machine whooshing)

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The fight is on,

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and the most effective strategies aim first

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to prompt preparations

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and then contain and mitigate the damage.

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This is not the first contagion we've confronted,

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and history contains lessons about what works

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and sometimes what doesn't.

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Pandemic are a major threat,

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but we are in the position now in 2020

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to fight a pandemic.

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COVID-19 travels through the air

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in respiratory droplets,

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like those contained in a cough or sneeze.

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Exactly how long the exposed virus can survive

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is unknown, perhaps a couple of hours.

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So touching infected surfaces,

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like handrails, doorknobs, or tabletops,

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has the potential to transmit the disease,

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as do personal greetings.

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If you shake hands, you're open to transferring

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bio matter that's contagious

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and then touching your face,

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which can lead to the spread of the disease

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in one's own body.

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It's extraordinary how many times each hour

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we touch our face,

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so regular hand washing is extremely important.

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Once the virus establishes itself

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in a population,

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passing person to person,

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it's much harder to contain.

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So American health officials recognize the crisis will grow.

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And then, when you get community spread,

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it makes the challenge much greater.

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So I can say we will see more cases

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and things will get worse than they are right now.

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But how might we stave off

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the most dire eventualities?

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The first things to do is to contain

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by lowering the transmissibility of the disease,

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and how to do that is

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through what we call social distancing.

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So it's important to identify cases and infections

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as soon as possible

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and isolate those people within the right hospital setting

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so that they cannot transmit the disease

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to other individuals.

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But with an average incubation period

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of five days

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and symptoms often not occurring until day 12,

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COVID-19 can move quickly and quietly.

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We do know that those individuals

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who might not be actually be experiencing

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any symptoms of illness

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have the capacity to spread it,

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which means that public health responses

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need to figure out ways

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to even monitor the health and potential transmission rates

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amongst people who appear by all understandings

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to be healthy.

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And that will change how we live our lives.

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Curtailing large public gatherings like sporting events,

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political rallies, even religious services.

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(children chattering)

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While children appear to be at low risk

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to the virus' most dangerous effects,

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they could be transmission vectors

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and unknowingly spread the virus.

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One reason school closures will likely increase.

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Controlling contact with potentially infected individuals

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becomes critical,

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as does the behavior of those already feeling ill,

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according to the Center for Disease Control.

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You may need to take a break

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from your normal daily routine for two weeks,

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so staying home when you are sick is really important.

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Don't let the illness spread beyond you.

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Stay away as much as you can from other people.

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The WHO estimated

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a COVID-19 death rate of 3.4%.

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An alarming figure which may vary country by country,

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trending higher in places with older populations

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or overloaded health systems.

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But many people who contract the disease

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may only suffer mild symptoms,

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so two weeks self-imposed isolation practices are encouraged

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for anyone suspected of coming in contact with the virus.

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When it comes to COVID-19,

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it's not just your health you need to worry about,

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it's the health of those around you

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and who you might infect

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even if you're not necessarily feeling so bad yourself.

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Ultimately, the goal is

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to limit the transmission

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and keep hospitals open and accessible.

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I think there's a well tried-and-tested phrase,

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and that is to be alert but not alarmed.

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I think the last thing we need is panic about this virus.

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You don't want the healthcare system to be overwhelmed,

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that's one of the major way to fight the disease.

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(guns firing)

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In 1918, the Spanish flu encountered

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a planet on the brink,

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already stretched thin by World War I.

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(guns firing)

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For an opportunistic disease, this was the perfect moment.

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Around the world, resources were scarce,

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health systems had been taxed by the war,

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and as a result we were not, as a species,

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we were not in a great position

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to respond to a major global epidemic.

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An estimated 50 million people died worldwide,

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including 675,000 which occurred in America.

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Devastating, but could it have been even worse?

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So, what we saw, specially in the United States,

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the towns and cities that implemented

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non-pharmaceutical interventions

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aimed at social distancing earlier

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were more effective at preventing the worst effects

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of epidemic spread and ultimately death.

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Perhaps technology today

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will be an ally in this regard.

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Some businesses can continue remotely

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through mandatory telework.

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Students can receive instructions online.

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Of course, in other ways,

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our modern lifestyles and interconnected world

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often benefits our virological opponents.

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And as the world has become increasingly more globalized,

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the pace of trade and traffic has increased

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with faster ships, faster planes,

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faster mechanisms of trade.

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The concern for epidemic spread around the world

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has become even more significant.

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And every place in the world is one flight away

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from almost all other places.

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And as we always say, disease have no borders.

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But countries will seek

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to protectively seal themselves off from the virus.

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Israel now requires all international arrivals

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to self-quarantine for a period of two weeks,

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and the United States issued new restrictions for travel

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for most of Europe.

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To keep new cases from entering our shores,

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we will be suspending all travel

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from Europe to the United States

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for the next 30 days.

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In the early days

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of this public health emergency,

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the Chinese government limited travel

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during the New Year holiday,

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hoping to stem the tide of the disease,

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locking down 60 million people in Hubei Province,

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including 11 million in the city of Wuhan,

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the epidemic's first epicenter.

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The bustling mega city quickly turned into a ghost town.

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The scale of the quarantines in China

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really are on a level that we haven't see as humans ever.

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But then, the second week of March saw Italy,

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the hardest-hit country in Europe, follow suit,

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putting the whole country under red zone restrictions,

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all 60 million people.

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Drastic times call for drastic measures.

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School closings, business suspensions, and curfews.

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(gentle music)

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This, in the country where quarantines originated

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during the Middle Ages to protect poor cities like Venice

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from incoming disease.

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Where the word quarantine comes from quarantena,

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which is basically the withholding or control of ships

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or goods or people for a period of 40 days.

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And this quarantines were largely imposed

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in response to the threat of bubonic plague,

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so this was the period around the Black Death in Europe

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which obviously was devastating.

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Those early quarantines evolved

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into the controlled enclosure

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of districts impacted by disease.

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The city health authority

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would attempt to shut down spaces,

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control and sanitize the streets.

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Despite not understanding necessarily germ theory,

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these were kind of early sanitary practices

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that would attempt to kind of tidy up

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a potential infectious space.

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Quarantines, however, can be manipulated

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and expand inequities and injustice.

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In 1901 in Cape Town, the arrival of bubonic plague

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in the city was met with very aggressive

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racially-specific quarantining and segregation

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of much of the city's black African population.

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This model of forced removal really formed the model,

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the architecture for what we think of as

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one of the quintessential forms of social control

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that we saw in the 20th century,

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the South African Apartheid township.

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In 2020, in order to be successful

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against COVID-19,

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prevention and preparation measures

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must be uniformly implemented.

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(mumbles) for everybody,

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for the human kind.

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We need to think about countries

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that might have less ready and prepared care systems,

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but there is a lot that we can do.

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That requires investment, that requires preparation.

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Although it seems a big cost now,

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it will be much less than the bill

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that a pandemic that goes unchecked will present us.

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From 2014 to 2016,

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West African nations Sierra Leon, Guinea, and Liberia

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endured an outbreak of the deadly Ebola virus.

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Going in to collect the Ebola dead

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is one of the riskiest jobs in the world right now,

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but these Red Cross volunteers know

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it's one that has to be done.

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All the evidence suggests the majority of new Ebola cases

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are directly linked to people

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who had contact with a dead body.

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Burying people quickly and safely is key

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to getting this outbreak under control.

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The last time a loved one might have seen their beloved

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was at the moment when they were taken away in an ambulance,

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and because burials had to be taken care of

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in a particularly sanitized way,

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it often meant that loved ones and families

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never got to say goodbye

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and, in some cases, may not have known

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where their family members were actually buried.

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(people speaking in foreign language)

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Altering burial customs

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took a great emotional toll

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and endangered the safety of healthcare workers.

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The outbreak killed more than 11,000 people

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before health authorities lifted the crisis,

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but grassroots education efforts

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helped lead to behavioral change

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impacting the course of infection.

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I think we can look at aspects of the Ebola response,

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specially community-led aspects of the Ebola response,

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as very successful in West Africa,

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i.e. responses that relied on support of the public.

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So these were practices like refraining from shaking hands,

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the application and implementation of hand washing stations

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outside of restaurants, hotels, major buildings,

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post offices, et cetera,

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to provide access to sanitary and hygienic services,

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and also curfews and the limitations

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on large public gatherings.

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Some of those same practices

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can help combat COVID-19.

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Washing your hands thoroughly,

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minimizing contact with infected people

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by employing social distancing tactics.

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The beauty of the human spirit

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and also the human race as social animals

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means that even in the absence

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of some of our most basic forms of greeting or interaction,

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it doesn't mean we can't figure out new ones

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in response to a moment of crisis.

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An army of scientists around the world

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race to develop a vaccine to combat COVID-19,

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but these efforts take time,

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and the coronavirus health crisis grows.

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Uncertain future, perhaps, but not all is lost.

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The bottom line is we're not at the mercy of the virus.

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The great advantage we have

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is that the decisions we all make

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as governments, businesses, communities,

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families and individuals

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can influence the trajectory of this epidemic.

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(tense music)

