well I really do appreciate everybody staying to the end it’s a beautiful
staying to the end it’s a beautiful
staying to the end it’s a beautiful Saturday I know you have other things to
Saturday I know you have other things to
Saturday I know you have other things to do but it’s really kind of you to stay
do but it’s really kind of you to stay
do but it’s really kind of you to stay here and listen to what I have to say
here and listen to what I have to say
here and listen to what I have to say about diseases of the poor so I’m a
about diseases of the poor so I’m a
about diseases of the poor so I’m a pediatrician and a scientist I lead the
pediatrician and a scientist I lead the
pediatrician and a scientist I lead the tropical medicine school at Baylor
tropical medicine school at Baylor
tropical medicine school at Baylor College of Medicine where I also lead an
College of Medicine where I also lead an
College of Medicine where I also lead an institute making vaccines for the
institute making vaccines for the
institute making vaccines for the poorest of the poor we make the vaccines
poorest of the poor we make the vaccines
poorest of the poor we make the vaccines for poverty related diseases that no one
for poverty related diseases that no one
for poverty related diseases that no one else wants to make because they only
else wants to make because they only
else wants to make because they only affect people living in poverty and
affect people living in poverty and
affect people living in poverty and today I want to tell you a story about
today I want to tell you a story about
today I want to tell you a story about the opportunity to make interventions
the opportunity to make interventions
the opportunity to make interventions for the world’s poorest people and I’m
for the world’s poorest people and I’m
for the world’s poorest people and I’m gonna end by a very surprising twist to
gonna end by a very surprising twist to
gonna end by a very surprising twist to what we found we’ve just found recently
what we found we’ve just found recently
what we found we’ve just found recently so I’m gonna go through some slides and
so I’m gonna go through some slides and
so I’m gonna go through some slides and the titles called Blue Marble health
the titles called Blue Marble health
the titles called Blue Marble health I’ll explain what that is an innovative
I’ll explain what that is an innovative
I’ll explain what that is an innovative plan to fight diseases of poverty amid
plan to fight diseases of poverty amid
plan to fight diseases of poverty amid wealth and we’re gonna start here which
wealth and we’re gonna start here which
wealth and we’re gonna start here which is go back to the year 2000 where that
is go back to the year 2000 where that
is go back to the year 2000 where that when when the first big effort was made
when when the first big effort was made
when when the first big effort was made to do something about the plight of
to do something about the plight of
to do something about the plight of people who live in poverty the term at
people who live in poverty the term at
people who live in poverty the term at that time was called the bottom billion
that time was called the bottom billion
that time was called the bottom billion there were a billion people in the world
there were a billion people in the world
there were a billion people in the world that lived on no money lived on less
that lived on no money lived on less
that lived on no money lived on less than a dollar a day and all global
than a dollar a day and all global
than a dollar a day and all global leaders came to United Nations
leaders came to United Nations
leaders came to United Nations headquarters and said we’re gonna do
headquarters and said we’re gonna do
headquarters and said we’re gonna do something about this and they launched
something about this and they launched
something about this and they launched these goals called the Millennium
these goals called the Millennium
these goals called the Millennium Development Goals now I’m not a big fan
Development Goals now I’m not a big fan
Development Goals now I’m not a big fan of United Nations documents I think most
of United Nations documents I think most
of United Nations documents I think most of them are forgotten about as quickly
of them are forgotten about as quickly
of them are forgotten about as quickly as they’re drafted but this one stuck
as they’re drafted but this one stuck
as they’re drafted but this one stuck and it provided a framework for massive
and it provided a framework for massive
and it provided a framework for massive interventions particularly for this goal
interventions particularly for this goal
interventions particularly for this goal number six to combat hiv/aids malaria
number six to combat hiv/aids malaria
number six to combat hiv/aids malaria and other diseases it led to the
and other diseases it led to the
and other diseases it led to the creation of PEPFAR anybody know what
creation of PEPFAR anybody know what
creation of PEPFAR anybody know what PEPFAR stands for want to bold enough to
PEPFAR stands for want to bold enough to
PEPFAR stands for want to bold enough to say it the President’s Emergency Plan
say it the President’s Emergency Plan
say it the President’s Emergency Plan for AIDS relief it was created by george
for AIDS relief it was created by george
for AIDS relief it was created by george w bush’s and his administration to put
w bush’s and his administration to put
w bush’s and his administration to put millions of people in africa and asia on
millions of people in africa and asia on
millions of people in africa and asia on antiretroviral drugs for their HIV AIDS
antiretroviral drugs for their HIV AIDS
antiretroviral drugs for their HIV AIDS it created the president’s malaria
it created the president’s malaria
it created the president’s malaria initiative to put people and give
initiative to put people and give
initiative to put people and give provide anti malarial bed nets and anti
provide anti malarial bed nets and anti
provide anti malarial bed nets and anti malarial drugs the idea
malarial drugs the idea
malarial drugs the idea these diseases both occurred in the
these diseases both occurred in the
these diseases both occurred in the setting of poverty but they also trap
setting of poverty but they also trap
setting of poverty but they also trap people in poverty so this was a very
people in poverty so this was a very
people in poverty so this was a very effective framework for poverty
effective framework for poverty
effective framework for poverty reduction it also created the Global
reduction it also created the Global
reduction it also created the Global Fund to fight AIDS they had the
Fund to fight AIDS they had the
Fund to fight AIDS they had the tuberculosis and malaria now there was
tuberculosis and malaria now there was
tuberculosis and malaria now there was one problem with this anybody see a
one problem with this anybody see a
one problem with this anybody see a problem with with any of that any of the
problem with with any of that any of the
problem with with any of that any of the language over here other diseases boy
language over here other diseases boy
language over here other diseases boy that generated a lot of excitement
that generated a lot of excitement
that generated a lot of excitement didn’t it right you really see yes you
didn’t it right you really see yes you
didn’t it right you really see yes you know you all we saw Brett Brad and
know you all we saw Brett Brad and
know you all we saw Brett Brad and Angelina standing up there saying other
Angelina standing up there saying other
Angelina standing up there saying other diseases right there her bra no of
diseases right there her bra no of
diseases right there her bra no of course nothing was happening so those of
course nothing was happening so those of
course nothing was happening so those of us who worked on other diseases said we
us who worked on other diseases said we
us who worked on other diseases said we have to do something about this and we
have to do something about this and we
have to do something about this and we actually engage in a branding exercise
actually engage in a branding exercise
actually engage in a branding exercise where we actually labeled them the
where we actually labeled them the
where we actually labeled them the neglected tropical diseases and it
neglected tropical diseases and it
neglected tropical diseases and it referred to a group and I’ll show you
referred to a group and I’ll show you
referred to a group and I’ll show you the list in a little bit our original
the list in a little bit our original
the list in a little bit our original list had 13 tropical infections that are
list had 13 tropical infections that are
list had 13 tropical infections that are highly prevalent among the poor endemic
highly prevalent among the poor endemic
highly prevalent among the poor endemic in rural areas of low income countries
in rural areas of low income countries
in rural areas of low income countries their ancient afflictions afflicted
their ancient afflictions afflicted
their ancient afflictions afflicted humankind for century chronic and
humankind for century chronic and
humankind for century chronic and disabling conditions highly stigmatizing
disabling conditions highly stigmatizing
disabling conditions highly stigmatizing and very important both occur in the
and very important both occur in the
and very important both occur in the setting of poverty and they caused
setting of poverty and they caused
setting of poverty and they caused poverty I even wrote of to raise
poverty I even wrote of to raise
poverty I even wrote of to raise awareness even wrote a book about these
awareness even wrote a book about these
awareness even wrote a book about these diseases which my kids call dad’s
diseases which my kids call dad’s
diseases which my kids call dad’s forgotten book on forgotten people with
forgotten book on forgotten people with
forgotten book on forgotten people with forgotten diseases as as only as only
forgotten diseases as as only as only
forgotten diseases as as only as only loving kids can do alright so so what is
loving kids can do alright so so what is
loving kids can do alright so so what is that list that list here it is I don’t
that list that list here it is I don’t
that list that list here it is I don’t look too closely to numbers just be in
look too closely to numbers just be in
look too closely to numbers just be in shock and awe at the numbers 799 million
shock and awe at the numbers 799 million
shock and awe at the numbers 799 million people with ascariasis what is it let’s
people with ascariasis what is it let’s
people with ascariasis what is it let’s ask her eyes isn’t talked about
ask her eyes isn’t talked about
ask her eyes isn’t talked about neglected disease the most common
neglected disease the most common
neglected disease the most common affliction of people living in poverty
affliction of people living in poverty
affliction of people living in poverty 800 million people haven’t nobody knows
800 million people haven’t nobody knows
800 million people haven’t nobody knows what it is it’s intestinal roundworm
what it is it’s intestinal roundworm
what it is it’s intestinal roundworm infection so a lot of these are wormy
infection so a lot of these are wormy
infection so a lot of these are wormy diseases so hookworm diseased 450
diseases so hookworm diseased 450
diseases so hookworm diseased 450 million whipworm malaria schistosomiasis
million whipworm malaria schistosomiasis
million whipworm malaria schistosomiasis scabies dengue foodborne tremor toad
scabies dengue foodborne tremor toad
scabies dengue foodborne tremor toad infection I could say faster than any
infection I could say faster than any
infection I could say faster than any one lymphatic filariasis onchocerciasis
one lymphatic filariasis onchocerciasis
one lymphatic filariasis onchocerciasis Auguste easily psoriasis there’s our
Auguste easily psoriasis there’s our
Auguste easily psoriasis there’s our friend Zika and the list goes on every
friend Zika and the list goes on every
friend Zika and the list goes on every single person on the planet living in
single person on the planet living in
single person on the planet living in extreme poverty is infected with one or
extreme poverty is infected with one or
extreme poverty is infected with one or more of these diseases and often often
more of these diseases and often often
more of these diseases and often often they’ll have all four or five of the
they’ll have all four or five of the
they’ll have all four or five of the ones at the top of the list all at the
ones at the top of the list all at the
ones at the top of the list all at the same time there
same time there
same time there they’re chronically in fact let me give
they’re chronically in fact let me give
they’re chronically in fact let me give you an example of one of these looks
you an example of one of these looks
you an example of one of these looks like now many of these are not killer
like now many of these are not killer
like now many of these are not killer diseases
diseases
diseases they’re just debilitating infections so
they’re just debilitating infections so
they’re just debilitating infections so here’s one of them lymphatic filariasis
here’s one of them lymphatic filariasis
here’s one of them lymphatic filariasis anybody remember how many were infected
anybody remember how many were infected
anybody remember how many were infected little quiz there let’s go back twenty
little quiz there let’s go back twenty
little quiz there let’s go back twenty nine point four million people in the
nine point four million people in the
nine point four million people in the world this is not a rare disease
world this is not a rare disease
world this is not a rare disease he says it’s quite a problem for me when
he says it’s quite a problem for me when
he says it’s quite a problem for me when I have to stand at work for long periods
I have to stand at work for long periods
I have to stand at work for long periods he’s too sick to work in the fields to
he’s too sick to work in the fields to
he’s too sick to work in the fields to support his family so as a result this
support his family so as a result this
support his family so as a result this disease traps his entire family in
disease traps his entire family in
disease traps his entire family in poverty it’s called emphatic phyla
poverty it’s called emphatic phyla
poverty it’s called emphatic phyla rias’s the nether name is elephantiasis
rias’s the nether name is elephantiasis
rias’s the nether name is elephantiasis is neglected tropical disease so here’s
is neglected tropical disease so here’s
is neglected tropical disease so here’s what we did we do it academics do we
what we did we do it academics do we
what we did we do it academics do we when I say we I mean myself and two
when I say we I mean myself and two
when I say we I mean myself and two colleagues Alan fennec at Imperial
colleagues Alan fennec at Imperial
colleagues Alan fennec at Imperial College London and David Mullen you who
College London and David Mullen you who
College London and David Mullen you who had to deliver Poole School of Tropical
had to deliver Poole School of Tropical
had to deliver Poole School of Tropical Medicine he was like my equivalent on
Medicine he was like my equivalent on
Medicine he was like my equivalent on the other side of the Atlantic we wrote
the other side of the Atlantic we wrote
the other side of the Atlantic we wrote these two back-to-back papers in the
these two back-to-back papers in the
these two back-to-back papers in the public library science first creating
public library science first creating
public library science first creating the term neglected tropical diseases
the term neglected tropical diseases
the term neglected tropical diseases second talking about how we can bundle
second talking about how we can bundle
second talking about how we can bundle the top four or five with a package of
the top four or five with a package of
the top four or five with a package of medicines that the drug companies were
medicines that the drug companies were
medicines that the drug companies were willing to donate for free such that we
willing to donate for free such that we
willing to donate for free such that we could treat and ultimately prevent a lot
could treat and ultimately prevent a lot
could treat and ultimately prevent a lot of these diseases for $0.50 a person per
of these diseases for $0.50 a person per
of these diseases for $0.50 a person per year so practically free but then what
year so practically free but then what
year so practically free but then what do you do so what do you do as an
do you do so what do you do as an
do you do so what do you do as an academic as an academic you write the
academic as an academic you write the
academic as an academic you write the paper and you write the paper so you can
paper and you write the paper so you can
paper and you write the paper so you can get a grant and you get the grant so you
get a grant and you get the grant so you
get a grant and you get the grant so you can write more papers and you write
can write more papers and you write
can write more papers and you write those paper so you can get more grants
those paper so you can get more grants
those paper so you can get more grants so you can write more papers and get
so you can write more papers and get
so you can write more papers and get more grants but the idea of then being
more grants but the idea of then being
more grants but the idea of then being an advocate being a champion being out
an advocate being a champion being out
an advocate being a champion being out there doing public engagement is not
there doing public engagement is not
there doing public engagement is not something in our DNA the problem is you
something in our DNA the problem is you
something in our DNA the problem is you know we didn’t have Brad Pitt and
know we didn’t have Brad Pitt and
know we didn’t have Brad Pitt and Angelina actually talked to Brad Pitt
Angelina actually talked to Brad Pitt
Angelina actually talked to Brad Pitt about this and he was really the true
about this and he was really the true
about this and he was really the true the real secret real truth breath is a
the real secret real truth breath is a
the real secret real truth breath is a really nice man
really nice man
really nice man but he’s very busy and got other things
but he’s very busy and got other things
but he’s very busy and got other things to do so we had to do it ourselves and
to do so we had to do it ourselves and
to do so we had to do it ourselves and at that time I was chairman of the
at that time I was chairman of the
at that time I was chairman of the microbiology department at George
microbiology department at George
microbiology department at George Washington University just a few blocks
Washington University just a few blocks
Washington University just a few blocks from the White House and I would get
from the White House and I would get
from the White House and I would get into a taxi and go down to the executive
into a taxi and go down to the executive
into a taxi and go down to the executive office building of the White House or
office building of the White House or
office building of the White House or the congressional offices and talk to
the congressional offices and talk to
the congressional offices and talk to people about this opportunity and hope
people about this opportunity and hope
people about this opportunity and hope not to get arrested and and and and
not to get arrested and and and and
not to get arrested and and and and I didn’t get arrested people were
I didn’t get arrested people were
I didn’t get arrested people were interested which goes to show you that
interested which goes to show you that
interested which goes to show you that if you’re a subject matter expert and
if you’re a subject matter expert and
if you’re a subject matter expert and you’re passionate you can really make a
you’re passionate you can really make a
you’re passionate you can really make a big difference and ultimately we got 15
big difference and ultimately we got 15
big difference and ultimately we got 15 million dollars appropriated through
million dollars appropriated through
million dollars appropriated through USAID for this package of interventions
USAID for this package of interventions
USAID for this package of interventions so at 50 cents a person per year how
so at 50 cents a person per year how
so at 50 cents a person per year how many people can we treat 30 30 million
many people can we treat 30 30 million
many people can we treat 30 30 million people in principle there’s a little bit
people in principle there’s a little bit
people in principle there’s a little bit of things like overhead to take off of
of things like overhead to take off of
of things like overhead to take off of things like that but close to it w the
things like that but close to it w the
things like that but close to it w the World Health Organization has just
World Health Organization has just
World Health Organization has just announced that 1 billion people have
announced that 1 billion people have
announced that 1 billion people have received these treatments 10 years later
received these treatments 10 years later
received these treatments 10 years later so we were able to get a billion people
so we were able to get a billion people
so we were able to get a billion people treated and the International Business
treated and the International Business
treated and the International Business Times wrote this article how three
Times wrote this article how three
Times wrote this article how three scientists marketed it was a marketing
scientists marketed it was a marketing
scientists marketed it was a marketing exercise neglected tropical diseases and
exercise neglected tropical diseases and
exercise neglected tropical diseases and raised more than a billion dollar so it
raised more than a billion dollar so it
raised more than a billion dollar so it really goes to show now we’re seeing big
really goes to show now we’re seeing big
really goes to show now we’re seeing big drops and the prevalence of these
drops and the prevalence of these
drops and the prevalence of these diseases to the point we could talk
diseases to the point we could talk
diseases to the point we could talk about eliminating them as a public
about eliminating them as a public
about eliminating them as a public health problem but then something
health problem but then something
health problem but then something happens so we’ve made all these great
happens so we’ve made all these great
happens so we’ve made all these great inroads about the diseases of the
inroads about the diseases of the
inroads about the diseases of the poorest people in Africa and other parts
poorest people in Africa and other parts
poorest people in Africa and other parts of Asia but it’s like peeling away the
of Asia but it’s like peeling away the
of Asia but it’s like peeling away the layers of an onion and then when you
layers of an onion and then when you
layers of an onion and then when you peeled away that first layer when we
peeled away that first layer when we
peeled away that first layer when we redid our analysis ten years later the
redid our analysis ten years later the
redid our analysis ten years later the world had changed and what we found and
world had changed and what we found and
world had changed and what we found and this is what I really want to talk to
this is what I really want to talk to
this is what I really want to talk to you about today is something which is
you about today is something which is
you about today is something which is very counterintuitive and that is most
very counterintuitive and that is most
very counterintuitive and that is most of the world’s and neglected tropical
of the world’s and neglected tropical
of the world’s and neglected tropical diseases today are not necessarily in
diseases today are not necessarily in
diseases today are not necessarily in the poorest most devastated countries of
the poorest most devastated countries of
the poorest most devastated countries of Africa they’re in the g20 countries what
Africa they’re in the g20 countries what
Africa they’re in the g20 countries what are the g20 countries top 20 growth
are the g20 countries top 20 growth
are the g20 countries top 20 growth countries the 20 largest economies plus
countries the 20 largest economies plus
countries the 20 largest economies plus nigeria nigeria is actually not
nigeria nigeria is actually not
nigeria nigeria is actually not officially a g20 country but it hasn’t
officially a g20 country but it hasn’t
officially a g20 country but it hasn’t economy bigger than the bottom three or
economy bigger than the bottom three or
economy bigger than the bottom three or four so the top 21
four so the top 21
four so the top 21 so the poorest the does the greatest
so the poorest the does the greatest
so the poorest the does the greatest impact of poverty related diseases are
impact of poverty related diseases are
impact of poverty related diseases are in the 20 wealthiest economies well how
in the 20 wealthiest economies well how
in the 20 wealthiest economies well how can that be well it’s the poor among
can that be well it’s the poor among
can that be well it’s the poor among living among the wealthy or what I
living among the wealthy or what I
living among the wealthy or what I sometimes call the poorest of the rich
sometimes call the poorest of the rich
sometimes call the poorest of the rich that now account for those neglected
that now account for those neglected
that now account for those neglected tropical diseases and the poor are and
tropical diseases and the poor are and
tropical diseases and the poor are and they account for together I’ll show you
they account for together I’ll show you
they account for together I’ll show you some examples on the right half the
some examples on the right half the
some examples on the right half the world’s worm infections
world’s worm infections
world’s worm infections most of the leishmaniasis tuberculosis
most of the leishmaniasis tuberculosis
most of the leishmaniasis tuberculosis dang
dang
dang Chagas disease leprosy and with a few
Chagas disease leprosy and with a few
Chagas disease leprosy and with a few exceptions the list goes on and on but
exceptions the list goes on and on but
exceptions the list goes on and on but it’s there but so when you look at a new
it’s there but so when you look at a new
it’s there but so when you look at a new map of global health it looks like
map of global health it looks like
map of global health it looks like something like this it’s not your
something like this it’s not your
something like this it’s not your father’s global health
father’s global health
father’s global health comparing the developed countries versus
comparing the developed countries versus
comparing the developed countries versus the developing countries what I’m
the developing countries what I’m
the developing countries what I’m showing you are the pockets of intense
showing you are the pockets of intense
showing you are the pockets of intense poverty and disease across the g20
poverty and disease across the g20
poverty and disease across the g20 countries anybody concerned about this
countries anybody concerned about this
countries anybody concerned about this over here but we’ll come back to that
over here but we’ll come back to that
over here but we’ll come back to that but let’s let me give you another let me
but let’s let me give you another let me
but let’s let me give you another let me give you an example so let’s look at
give you an example so let’s look at
give you an example so let’s look at Brazil
Brazil
Brazil okay so Brazil and the wealthiest
okay so Brazil and the wealthiest
okay so Brazil and the wealthiest economy in Latin America but you go into
economy in Latin America but you go into
economy in Latin America but you go into northeastern Brazil and you go back in
northeastern Brazil and you go back in
northeastern Brazil and you go back in time 50 years and and that probably
time 50 years and and that probably
time 50 years and and that probably explains why Zika virus infection for
explains why Zika virus infection for
explains why Zika virus infection for instance arose out of the northeastern
instance arose out of the northeastern
instance arose out of the northeastern cities in Brazil the slums of his cfa’
cities in Brazil the slums of his cfa’
cities in Brazil the slums of his cfa’ of Salvador da Bahia because it’s also
of Salvador da Bahia because it’s also
of Salvador da Bahia because it’s also the same place where Brazil’s
the same place where Brazil’s
the same place where Brazil’s schistosomiasis is found or its leprosy
schistosomiasis is found or its leprosy
schistosomiasis is found or its leprosy or its leishmaniasis or Shaka’s disease
or its leishmaniasis or Shaka’s disease
or its leishmaniasis or Shaka’s disease this is the global hotspot of of
this is the global hotspot of of
this is the global hotspot of of neglected tropical diseases among the
neglected tropical diseases among the
neglected tropical diseases among the poor living in the wealthiest economy in
poor living in the wealthiest economy in
poor living in the wealthiest economy in Brazil so what is it about poverty
Brazil so what is it about poverty
Brazil so what is it about poverty that’s doing this well let’s look cuz no
that’s doing this well let’s look cuz no
that’s doing this well let’s look cuz no one really knows what what about this
one really knows what what about this
one really knows what what about this picture scream zika at you standing
picture scream zika at you standing
picture scream zika at you standing water what are the quality of the houses
water what are the quality of the houses
water what are the quality of the houses so this is transmitted by the Aedes
so this is transmitted by the Aedes
so this is transmitted by the Aedes aegypti mosquito that likes to go in and
aegypti mosquito that likes to go in and
aegypti mosquito that likes to go in and out of houses right so now they can go
out of houses right so now they can go
out of houses right so now they can go to so low quality dwellings 80s a gypped
to so low quality dwellings 80s a gypped
to so low quality dwellings 80s a gypped I loves crowding any crowding here yeah
I loves crowding any crowding here yeah
I loves crowding any crowding here yeah maybe a little bit so this explains why
maybe a little bit so this explains why
maybe a little bit so this explains why Zika Rose of all the places in the world
Zika Rose of all the places in the world
Zika Rose of all the places in the world that arose out of through this concept
that arose out of through this concept
that arose out of through this concept of what we call blue marble health and I
of what we call blue marble health and I
of what we call blue marble health and I call the blue marble health to
call the blue marble health to
call the blue marble health to distinguish it from the typical norms of
distinguish it from the typical norms of
distinguish it from the typical norms of global health to really reflect on the
global health to really reflect on the
global health to really reflect on the picture that the Apollo astronauts took
picture that the Apollo astronauts took
picture that the Apollo astronauts took of the Earth orbiting the moon and they
of the Earth orbiting the moon and they
of the Earth orbiting the moon and they said it looks just like a big blue
said it looks just like a big blue
said it looks just like a big blue marble and it’s become a symbol for
marble and it’s become a symbol for
marble and it’s become a symbol for peace and healing okay now where Zika go
peace and healing okay now where Zika go
peace and healing okay now where Zika go where did she could go from there well
where did she could go from there well
where did she could go from there well it went north up into the poorest parts
it went north up into the poorest parts
it went north up into the poorest parts of Mexico
of Mexico
of Mexico now what about Texas
now what about Texas
now what about Texas does Texas have poverty well that’s not
does Texas have poverty well that’s not
does Texas have poverty well that’s not necessarily what was said in Washington
necessarily what was said in Washington
necessarily what was said in Washington they said don’t worry there’s no people
they said don’t worry there’s no people
they said don’t worry there’s no people you don’t have that level of poverty in
you don’t have that level of poverty in
you don’t have that level of poverty in the United States and everybody has air
the United States and everybody has air
the United States and everybody has air conditioning
conditioning
conditioning well what they fail to realize is we
well what they fail to realize is we
well what they fail to realize is we have 20 million Americans that live at
have 20 million Americans that live at
have 20 million Americans that live at half the u.s. poverty level and
half the u.s. poverty level and
half the u.s. poverty level and according to the University of Michigan
according to the University of Michigan
according to the University of Michigan center for poverty we have one point six
center for poverty we have one point six
center for poverty we have one point six five million families in the United
five million families in the United
five million families in the United States living on less than $2 a day and
States living on less than $2 a day and
States living on less than $2 a day and most of them are concentrated along the
most of them are concentrated along the
most of them are concentrated along the Gulf Coast states Texas Louisiana
Gulf Coast states Texas Louisiana
Gulf Coast states Texas Louisiana Mississippi Alabama and Florida so let’s
Mississippi Alabama and Florida so let’s
Mississippi Alabama and Florida so let’s go look what do we see let’s take a
go look what do we see let’s take a
go look what do we see let’s take a little let’s take a little glimpse of
little let’s take a little glimpse of
little let’s take a little glimpse of what some of the poorest regions of
what some of the poorest regions of
what some of the poorest regions of Texas look like so here are the colonias
Texas look like so here are the colonias
Texas look like so here are the colonias on the border standing water 80s gypped
on the border standing water 80s gypped
on the border standing water 80s gypped I loves nothing more than piles of old
I loves nothing more than piles of old
I loves nothing more than piles of old tires that’s its that’s 80s gypped I
tires that’s its that’s 80s gypped I
tires that’s its that’s 80s gypped I heaven so that’s what we have here but
heaven so that’s what we have here but
heaven so that’s what we have here but even here in Houston and though and we
even here in Houston and though and we
even here in Houston and though and we and you know these neighborhoods when
and you know these neighborhoods when
and you know these neighborhoods when you drive into the fifth Ward into
you drive into the fifth Ward into
you drive into the fifth Ward into aldeen in to Sunnyside into Acres home
aldeen in to Sunnyside into Acres home
aldeen in to Sunnyside into Acres home we have that level of poverty inadequate
we have that level of poverty inadequate
we have that level of poverty inadequate housing discarded tires so we now
housing discarded tires so we now
housing discarded tires so we now estimate that of the five million Texas
estimate that of the five million Texas
estimate that of the five million Texas Texans who live in poverty about three
Texans who live in poverty about three
Texans who live in poverty about three million of them live with a neglected
million of them live with a neglected
million of them live with a neglected tropical disease now they’re not
tropical disease now they’re not
tropical disease now they’re not necessarily the same ones that we can
necessarily the same ones that we can
necessarily the same ones that we can see in sub-saharan Africa their diseases
see in sub-saharan Africa their diseases
see in sub-saharan Africa their diseases such as sharkus disease which is
such as sharkus disease which is
such as sharkus disease which is transmitted by kissing bugs or toxic or
transmitted by kissing bugs or toxic or
transmitted by kissing bugs or toxic or Isis a parasitic infection acquired from
Isis a parasitic infection acquired from
Isis a parasitic infection acquired from dogs where the worms actually will
dogs where the worms actually will
dogs where the worms actually will migrate through the brains of little
migrate through the brains of little
migrate through the brains of little kids living in poverty and cause
kids living in poverty and cause
kids living in poverty and cause developmental delays but the problem is
developmental delays but the problem is
developmental delays but the problem is the problem that I’m really facing is
the problem that I’m really facing is
the problem that I’m really facing is getting the word out you know when we
getting the word out you know when we
getting the word out you know when we had I had all this you know I had an N
had I had all this you know I had an N
had I had all this you know I had an N of one I had this enormous success
of one I had this enormous success
of one I had this enormous success convincing the world together with my
convincing the world together with my
convincing the world together with my colleagues that we needed to treat the
colleagues that we needed to treat the
colleagues that we needed to treat the bottom billion for their neglected
bottom billion for their neglected
bottom billion for their neglected tropical diseases in in places like
tropical diseases in in places like
tropical diseases in in places like sub-saharan Africa and it worked we got
sub-saharan Africa and it worked we got
sub-saharan Africa and it worked we got a billion people on treatment I said
a billion people on treatment I said
a billion people on treatment I said hell we’ve got 12 million Americans in
hell we’ve got 12 million Americans in
hell we’ve got 12 million Americans in total I estimate living with a neglected
total I estimate living with a neglected
total I estimate living with a neglected tropical disease 303 million of them in
tropical disease 303 million of them in
tropical disease 303 million of them in Texas I’ll blow the roof off right the
Texas I’ll blow the roof off right the
Texas I’ll blow the roof off right the people will really rally around this and
people will really rally around this and
people will really rally around this and the and the answer was the opposite
the and the answer was the opposite
the and the answer was the opposite happened nobody wanted to do a thing
happened nobody wanted to do a thing
happened nobody wanted to do a thing about it it was it was though I had sort
about it it was it was though I had sort
about it it was it was though I had sort of revealed some kind of Inconvenient
of revealed some kind of Inconvenient
of revealed some kind of Inconvenient Truth to use the Al Gore language there
Truth to use the Al Gore language there
Truth to use the Al Gore language there the the level of neglect was
the the level of neglect was
the the level of neglect was extraordinary we’re finally now working
extraordinary we’re finally now working
extraordinary we’re finally now working a little bit with gene Greene who’s a
a little bit with gene Greene who’s a
a little bit with gene Greene who’s a congressman from from Texas together
congressman from from Texas together
congressman from from Texas together with Chris Smith from New Jersey in
with Chris Smith from New Jersey in
with Chris Smith from New Jersey in query book or a senators now to
query book or a senators now to
query book or a senators now to introduce a new legislation because
introduce a new legislation because
introduce a new legislation because we’re not doing any efforts to do active
we’re not doing any efforts to do active
we’re not doing any efforts to do active surveillance for these diseases so the
surveillance for these diseases so the
surveillance for these diseases so the number that I’ve come up with with 12
number that I’ve come up with with 12
number that I’ve come up with with 12 million is still a rough estimate and
million is still a rough estimate and
million is still a rough estimate and now what we’re trying to do is we making
now what we’re trying to do is we making
now what we’re trying to do is we making when I came to Texas the idea was six
when I came to Texas the idea was six
when I came to Texas the idea was six years ago to the Texas Medical Center it
years ago to the Texas Medical Center it
years ago to the Texas Medical Center it was to make vaccines for hookworm and
was to make vaccines for hookworm and
was to make vaccines for hookworm and schistosomiasis and other diseases
schistosomiasis and other diseases
schistosomiasis and other diseases affecting the poor now we’re turning our
affecting the poor now we’re turning our
affecting the poor now we’re turning our attention inward we’re actually making a
attention inward we’re actually making a
attention inward we’re actually making a chaga disease vaccine and not trying to
chaga disease vaccine and not trying to
chaga disease vaccine and not trying to make vaccines for the poorest people in
make vaccines for the poorest people in
make vaccines for the poorest people in Texas so I think I’ll end here by saying
Texas so I think I’ll end here by saying
Texas so I think I’ll end here by saying Elie Wiesel once said the opposite of
Elie Wiesel once said the opposite of
Elie Wiesel once said the opposite of love is not hate its indifference the
love is not hate its indifference the
love is not hate its indifference the opposite of art is not ugliness its
opposite of art is not ugliness its
opposite of art is not ugliness its indifference the opposite of faith is
indifference the opposite of faith is
indifference the opposite of faith is not heresy its indifference in the
not heresy its indifference in the
not heresy its indifference in the opposite of life is not death its
opposite of life is not death its
opposite of life is not death its indifference and that’s what we’ve got
indifference and that’s what we’ve got
indifference and that’s what we’ve got to overfit out how to overcome for this
to overfit out how to overcome for this
to overfit out how to overcome for this next wave of neglected tropical diseases
next wave of neglected tropical diseases
next wave of neglected tropical diseases affecting the poor in the u.s. so thank
affecting the poor in the u.s. so thank
affecting the poor in the u.s. so thank you so much
you so much
you so much [Applause]
”
Be First to Comment