Covid-19 and Public Health: A Message from Crash Course - By CrashCourse
Transcript
00:0-1 | Hi , I'm john green and this is a slightly | |
00:02 | different episode of crash course . We've heard from so | |
00:05 | many teachers and students who are using crash course videos | |
00:08 | to help with learning amid all this uncertainty and we | |
00:11 | are really grateful . We've also heard from many of | |
00:14 | you just how difficult it is to learn and teach | |
00:18 | right now . This has made everything difficult these days | |
00:21 | . It and this are often pronounced that require no | |
00:24 | antecedent but ill defined them . Anyway . Covid 19 | |
00:27 | , a disease caused by the SARS cov two virus | |
00:30 | has spread across the entire human community In the first | |
00:33 | seven months of the pandemic , more than a million | |
00:35 | people died of covid . Many people are out of | |
00:38 | work and millions are learning or working from home or | |
00:42 | learning in school environments that may feel and may be | |
00:46 | unsafe . And because the virus spreads through humans doing | |
00:49 | things that used to be considered normal , sharing a | |
00:51 | snack , sitting in enclosed spaces with other people talking | |
00:55 | with friends , the way we interact with each other | |
00:58 | has shifted dramatically and suddenly . So when I think | |
01:02 | about disease and its treatment , I usually first think | |
01:05 | about like medicines and vaccines , and then if I | |
01:07 | think a little harder , I might consider medical devices | |
01:10 | , ventilators , dialysis systems and so on , but | |
01:14 | diseases not only treated by those interventions . Similarly , | |
01:18 | I tend to think of infectious disease as being inevitable | |
01:22 | , which in some ways it is , but only | |
01:25 | in some ways like take cholera . For example , | |
01:27 | it is accurate to say that cholera is a disease | |
01:30 | caused by the bacterium , vibrio cholera , which infects | |
01:33 | humans who drink contaminated water or eat contaminated food . | |
01:37 | And it is accurate to say that the disease is | |
01:39 | preventable via vaccine and treatable with rehydration solutions and antibiotics | |
01:45 | . But it is also accurate to say that cholera | |
01:47 | is caused by humans . We spread the disease to | |
01:51 | each other and it spreads because many humans don't have | |
01:54 | access to clean water or safe sanitation systems . In | |
01:58 | Yemen , for instance , a massive outbreak of cholera | |
02:01 | began in 2016 during a civil war . As the | |
02:04 | sewage system fell apart . Did vibrio cholera I caused | |
02:08 | that disease outbreak . I mean in some ways , | |
02:11 | yes , but in other ways it was made possible | |
02:14 | by human violence and the breakdown of human built systems | |
02:19 | . So it's no coincidence then that cholera almost exclusively | |
02:22 | sickens and kills poor and marginalized people . Infectious disease | |
02:27 | affects people unequally because our governments and social orders treat | |
02:32 | people unequally Disease amplifies injustice . It always has . | |
02:37 | We see that historically , when cholera disproportionately killed enslaved | |
02:41 | Americans in the 19th century , and we see it | |
02:44 | today here in the United States , the COVID-19 pandemic | |
02:47 | is disproportionately affecting black Americans , native Americans and other | |
02:51 | marginalized groups . We see similar disparities from Australia to | |
02:55 | Germany to Brazil . And so when we think about | |
02:58 | disease and its treatment , we need to think not | |
03:01 | just about drugs and vaccines and medical devices , but | |
03:04 | also about humans . Human history and human choices and | |
03:09 | human built systems . Medicine can treat cholera , but | |
03:13 | so can sewage systems . I think it's important to | |
03:16 | use this lens when thinking about the covid 19 pandemic | |
03:19 | because while Covid is caused by the SARS cov two | |
03:22 | virus , it is perpetuated by human behavior and human | |
03:26 | choices and the functioning or failure of human systems , | |
03:31 | from health care to governance to transportation , medicines to | |
03:35 | treat the illness and vaccines to prevent it are tremendously | |
03:38 | important . But so are other interventions we may not | |
03:41 | be used to thinking of as medicine , like for | |
03:44 | instance , wearing a mask in public and washing our | |
03:46 | hands and keeping physical distance between people just as covid | |
03:51 | spreads through our behavioral choices , It can be prevented | |
03:54 | by them . And so even if you're not in | |
03:56 | a position of systemic power , there is a lot | |
03:58 | of power to the choices you make as an individual | |
04:01 | . And when we expand our understanding of health care | |
04:04 | to include human choices , we can see what a | |
04:07 | big deal public health really is . When we as | |
04:09 | a society start building better sanitation systems , cholera disappears | |
04:14 | . When we as a society use less tobacco , | |
04:17 | cancer rates drop and when we as a society keep | |
04:20 | distance when possible and where a mask in public COVID-19 | |
04:24 | infections decline and fewer people are hospitalized and fewer die | |
04:29 | . So our company complexly has other great channels like | |
04:32 | health care triage with DR Aaron carroll and size show | |
04:35 | that are providing in depth updates on covid 19 , | |
04:38 | but this is crash course . So we're going to | |
04:41 | stick to our brand with some widely applicable evidence based | |
04:44 | public health advice that we put together with the help | |
04:47 | of our friends at operation outbreak and the Sabeti lab | |
04:50 | at Harvard University . One of the greatest challenges of | |
04:53 | Covid 19 is that people who have been infected with | |
04:56 | the virus but don't show symptoms or haven't yet shown | |
04:59 | symptoms can still spread . The virus communities are blindsided | |
05:04 | again and again by this asymptomatic spread since people don't | |
05:08 | know they're transmitting the virus . In fact , recent | |
05:11 | research tells us that asymptomatic spread drives much of the | |
05:14 | disease and can cause superspreading events , potentially infecting many | |
05:19 | people at once . This happened at a biotech conference | |
05:21 | in february where scientists and researchers from all over the | |
05:25 | world congregated in boston . And while they didn't know | |
05:28 | it at the time , at least one of the | |
05:29 | attendees was carrying covid 19 , which they spread around | |
05:33 | the conference . And later on scientists were able to | |
05:36 | use genome sequencing on the virus to link that one | |
05:40 | conference outbreak to infections in tens of thousands of people | |
05:45 | . So you don't have to be sick to spread | |
05:48 | covid . That's why we wear face coverings that cover | |
05:50 | our nose and our mouths , regardless of whether we | |
05:54 | don't feel good because we don't know Since the sars-cov-2 | |
05:58 | viruses primarily spread through respiratory droplets splattering from one person | |
06:03 | to another . Anything we can do to prevent that | |
06:05 | reduces the risk of transmission . This means wearing a | |
06:09 | mask to physically block droplets from your mouth and your | |
06:12 | nose physically distancing to reduce the amount of people who | |
06:16 | are exposed to your droplets and washing your hands with | |
06:20 | soap to get rid of any infectious stuff that you | |
06:23 | may have touched . By the way . If it | |
06:24 | sounds like I'm repeating myself when it comes to physical | |
06:27 | distancing . Wearing a face covering that covers your nose | |
06:29 | and your mouth and washing your hands . That's because | |
06:33 | I am repeating myself . You might have heard of | |
06:34 | these things in the context of flattening the curve , | |
06:37 | which is a way to say that slowing the spread | |
06:39 | of infection will help us to avoid overloading our medical | |
06:43 | clinics and hospitals with sick people . An overload of | |
06:46 | Covid patients decreases the overall quality of health care . | |
06:50 | And can mean in some cases that people don't get | |
06:52 | care at all , which affects people infected with covid | |
06:55 | 19 , but also anyone who has any other health | |
06:58 | problem . And we already know from experiences around the | |
07:01 | world that more rapid spread of covid 19 generally means | |
07:05 | that our communities suffer greater losses now due to the | |
07:09 | great variety of life circumstances among humans . There's no | |
07:12 | like one size fits all Covid 19 Protection advice . | |
07:16 | Some folks have a job that requires them to be | |
07:18 | in the same room as other people or they don't | |
07:20 | have access to clean protective equipment or they have to | |
07:23 | take care of an older family member . And for | |
07:25 | many people involved in teaching and learning right now , | |
07:27 | All three of those things can be true at once | |
07:30 | and many more . Every person's circumstances are different . | |
07:34 | But what we know consistently is that we can decrease | |
07:37 | the risk of the spread of covid in our communities | |
07:40 | through physical distancing , wearing a face covering and washing | |
07:43 | our hands If it sounds like I'm repeating those things | |
07:46 | , It's because I am , there's also another important | |
07:48 | strategy for limiting the spread of COVID-19 contact tracing by | |
07:52 | keeping track of who we've come into contact with . | |
07:55 | We can track a spreading infection through communities And intervene | |
07:59 | to stop it . This can be an extremely effective | |
08:02 | strategy . Was critical in the control of the 2003 | |
08:05 | SARS outbreak and the 2014 outbreak of Ebola . And | |
08:09 | it will be extremely important with Covid , especially because | |
08:13 | Covid can spread without symptoms for contact tracing to work | |
08:16 | effectively . We need quick test results , something that | |
08:19 | has been a big problem in many communities in wu | |
08:22 | of that , we may need to have difficult conversations | |
08:25 | with each other . For instance , you may need | |
08:27 | to text a friend and say , hey , I've | |
08:29 | been coughing , sniffing , feverish , having trouble breathing | |
08:32 | , unable to taste or smell and or nauseated . | |
08:34 | I haven't yet gotten my test results , but since | |
08:36 | I hung out with you in the last two weeks | |
08:38 | and I'm afraid I might have Covid , you should | |
08:40 | probably get tested and consider self isolating , but like | |
08:44 | , you know , put some emojis in there or | |
08:46 | whatever . I don't know how people text . I'm | |
08:48 | 43 years old . When I send a text message | |
08:50 | , I usually signed my name at the end of | |
08:52 | it . Just so they know who it's from but | |
08:54 | right I know it may be uncomfortable , but it's | |
08:55 | important . One sick person notifying their friends can save | |
08:59 | many lives by shutting down a potential path of virus | |
09:03 | spread . Remember that conference where tens of thousands of | |
09:07 | infections were traced to one place ? Of course telling | |
09:10 | a close friend that they have potentially been exposed to | |
09:13 | a global pandemic is terrifying . Asking your close friend | |
09:16 | if they might have potentially exposed you to a global | |
09:19 | pandemic is maybe even more terrifying . But having these | |
09:22 | conversations is very , very important . It's the public | |
09:27 | part of public health And right now we need to | |
09:30 | make decisions with bravery and empathy . Also , all | |
09:33 | these things we're learning right now can help us improve | |
09:36 | global health in this pandemic , but also in the | |
09:39 | future . We're developing radically new diagnostic testing and disease | |
09:43 | tracking technologies and the World Health Organization is tracking over | |
09:47 | 170 vaccines and development right now , some of which | |
09:51 | are in stage three human trials . A vaccine would | |
09:53 | prepare our immune systems to fight off the virus so | |
09:56 | they aren't completely taken by surprise and devastated by illness | |
10:00 | , but it likely won't be a magic bullet to | |
10:03 | end the pandemic . Instead , it will be another | |
10:06 | tool we use to control the virus . Now , | |
10:09 | eventually , we will be able to talk about COVID-19 | |
10:12 | as a thing that happened and is under control instead | |
10:15 | of a thing that is happening when you're living amid | |
10:20 | history , it is very difficult to make conclusions about | |
10:24 | it . We don't know how we will look back | |
10:26 | on this time , but we do know that one | |
10:29 | this will end and to our choices matter and can | |
10:33 | help it to end sooner here . At crash course | |
10:36 | we hear every day how hard it is for students | |
10:39 | and teachers and parents to navigate education right now . | |
10:43 | We hear that it's hard on physical health and also | |
10:46 | on mental health experiences that used to be a given | |
10:49 | . That you will walk in familiar hallways , that | |
10:51 | you will hug your friends , play sports with your | |
10:54 | teammates , sit in lecture halls or eat lunch in | |
10:57 | the cafeteria while surreptitiously watching a crash course video to | |
11:01 | cram for a test . Those may be gone for | |
11:03 | now . Maybe you're also living with other , more | |
11:06 | profound losses and all those losses are real . And | |
11:10 | I'm sorry . So in addition to understanding that like | |
11:13 | our choice to wash our hands is a form of | |
11:15 | protecting health . I hope you'll check in with friends | |
11:18 | and family , reach out for help when you need | |
11:21 | it . And remember the active choices that you're making | |
11:24 | to limit the transmission of this virus are a gift | |
11:28 | to yourself and also to others . But even amid | |
11:31 | these immense challenges , we must find ways to keep | |
11:35 | learning . Let us find ways to go on learning | |
11:38 | about science and history , trying to better understand the | |
11:41 | universe and our place in it . Let us go | |
11:43 | on learning about disease and how to treat it , | |
11:46 | not just with medicine but also by fighting for a | |
11:49 | more just and equitable world where disease no longer disproportionately | |
11:54 | affects the most vulnerable . Let us go on learning | |
11:57 | about mathematics so that we can understand the implications of | |
12:00 | exponential growth . Before we have to live with those | |
12:04 | implications are species has been around for over 200,000 years | |
12:08 | and just 1000 years ago , less than one half | |
12:11 | of 1% of our history . We didn't know what | |
12:14 | caused disease pandemics . We didn't know that lead was | |
12:18 | dangerous . Few if any people knew that the earth | |
12:20 | revolved around the sun . But because we are able | |
12:23 | to accumulate and pass down so much knowledge through generations | |
12:28 | , we now know all of that and so much | |
12:31 | more . The people of the past work together to | |
12:33 | learn and then handed down to us what they knew | |
12:36 | as now we will work together to learn more in | |
12:40 | the hopes that we can help humans of the future | |
12:43 | learning together across vast expanses of time and space . | |
12:46 | Is the human superpower to help you use that superpower | |
12:50 | , crash course is hoping to develop a series on | |
12:52 | public health because you know , we need to learn | |
12:55 | more about illness and the factors that shape human health | |
12:59 | and more generally , we hope that our videos can | |
13:01 | be one tool among many to help keep people learning | |
13:05 | . I don't want to minimize the challenges of this | |
13:08 | moment . They are immense . This sucks . But | |
13:11 | I really believe that even in these upended times we | |
13:15 | must find ways to go on learning the best way | |
13:18 | humans learn together . So thank you for being here | |
13:22 | with us and remember your choices matter , You matter | |
13:46 | . Yeah . |
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