have you ever had one of those weeks one of those weeks where at the end of it
of those weeks where at the end of it
of those weeks where at the end of it you just feel drained tired and ready to
you just feel drained tired and ready to
you just feel drained tired and ready to relax so maybe you come home you pull
relax so maybe you come home you pull
relax so maybe you come home you pull yourself a cold drink and you’re ready
yourself a cold drink and you’re ready
yourself a cold drink and you’re ready to go sit outside on the patio and enjoy
to go sit outside on the patio and enjoy
to go sit outside on the patio and enjoy the beautiful sunset so you go outside
the beautiful sunset so you go outside
the beautiful sunset so you go outside and you’re just starting to settle in
and you’re just starting to settle in
and you’re just starting to settle in and relax when you realize you’re not
and relax when you realize you’re not
and relax when you realize you’re not alone
alone
alone the first one strikes oh yeah you
the first one strikes oh yeah you
the first one strikes oh yeah you guessed it it’s a mosquito yeah they’re
guessed it it’s a mosquito yeah they’re
guessed it it’s a mosquito yeah they’re annoying they cause a lot of it eNOS
annoying they cause a lot of it eNOS
annoying they cause a lot of it eNOS they’re bothersome and they can ruin
they’re bothersome and they can ruin
they’re bothersome and they can ruin your evening outside but as an
your evening outside but as an
your evening outside but as an infectious disease epidemiologist
infectious disease epidemiologist
infectious disease epidemiologist they’re more than just a nuisance to me
they’re more than just a nuisance to me
they’re more than just a nuisance to me half of the world’s population is at
half of the world’s population is at
half of the world’s population is at risk for vector-borne and mosquito-borne
risk for vector-borne and mosquito-borne
risk for vector-borne and mosquito-borne illnesses 1 billion people each year are
illnesses 1 billion people each year are
illnesses 1 billion people each year are infected and up to 1 million people die
so now we live in Arizona there aren’t
so now we live in Arizona there aren’t as many mosquitoes as there are other
as many mosquitoes as there are other
as many mosquitoes as there are other places but now picture this you’ve
places but now picture this you’ve
places but now picture this you’ve gotten a whole two weeks off it’s time
gotten a whole two weeks off it’s time
gotten a whole two weeks off it’s time to go have a vacation and you’re going
to go have a vacation and you’re going
to go have a vacation and you’re going to Rio that sounds like a fun place to
to Rio that sounds like a fun place to
to Rio that sounds like a fun place to go walk the streets enjoy some music
go walk the streets enjoy some music
go walk the streets enjoy some music some food and oh yeah
some food and oh yeah
some food and oh yeah you might get bitten by a mosquito in
you might get bitten by a mosquito in
you might get bitten by a mosquito in Brazil too and Brazil there’s a lot
Brazil too and Brazil there’s a lot
Brazil too and Brazil there’s a lot higher risk of mosquito-borne diseases
higher risk of mosquito-borne diseases
higher risk of mosquito-borne diseases so you might think well yeah maybe I go
so you might think well yeah maybe I go
so you might think well yeah maybe I go to Brazil and I get sick but that’s
to Brazil and I get sick but that’s
to Brazil and I get sick but that’s unlikely to have an effect here
unlikely to have an effect here
unlikely to have an effect here but what you got to remember is that
but what you got to remember is that
but what you got to remember is that something like Zika can have such
something like Zika can have such
something like Zika can have such devastating consequences on one side you
devastating consequences on one side you
devastating consequences on one side you see a child with a normal-sized head if
see a child with a normal-sized head if
see a child with a normal-sized head if you remember Zika is that virus that can
you remember Zika is that virus that can
you remember Zika is that virus that can lead to those devastating health
lead to those devastating health
lead to those devastating health consequences on the other side you see a
consequences on the other side you see a
consequences on the other side you see a child born with microcephaly one of the
child born with microcephaly one of the
child born with microcephaly one of the most severe consequences of a Zika
most severe consequences of a Zika
most severe consequences of a Zika infection and a pregnant woman now I
infection and a pregnant woman now I
infection and a pregnant woman now I don’t know about you but going from that
don’t know about you but going from that
don’t know about you but going from that happy excited moment of having your
happy excited moment of having your
happy excited moment of having your first child to delivering it and seeing
first child to delivering it and seeing
first child to delivering it and seeing a baby with this kind of consequence it
a baby with this kind of consequence it
a baby with this kind of consequence it would be so devastating I don’t want
would be so devastating I don’t want
would be so devastating I don’t want that to be anyone I don’t want that to
that to be anyone I don’t want that to
that to be anyone I don’t want that to be one of my three daughters and even
be one of my three daughters and even
be one of my three daughters and even though it seems like these things are a
though it seems like these things are a
though it seems like these things are a half a globe away it takes less than 24
half a globe away it takes less than 24
half a globe away it takes less than 24 hours for any of these diseases to come
hours for any of these diseases to come
hours for any of these diseases to come into our home area and we already do
into our home area and we already do
into our home area and we already do have the mosquitoes here that transmit
have the mosquitoes here that transmit
have the mosquitoes here that transmit Zika they’re called ATS a gyp die
Zika they’re called ATS a gyp die
Zika they’re called ATS a gyp die they’re one of the most difficult
they’re one of the most difficult
they’re one of the most difficult mosquitoes to control they’re the ones
mosquitoes to control they’re the ones
mosquitoes to control they’re the ones that when you are out on your patio
that when you are out on your patio
that when you are out on your patio you’re slapping at your ankles and they
you’re slapping at your ankles and they
you’re slapping at your ankles and they seem to fly so fast you can’t quite get
seem to fly so fast you can’t quite get
seem to fly so fast you can’t quite get them yeah that’s the one and they
them yeah that’s the one and they
them yeah that’s the one and they transmit a lot of other diseases in Zika
transmit a lot of other diseases in Zika
transmit a lot of other diseases in Zika they transmit dengue chikungunya me ro
they transmit dengue chikungunya me ro
they transmit dengue chikungunya me ro yellow fever I have a story about
yellow fever I have a story about
yellow fever I have a story about chikungunya a friend of mine in Jamaica
chikungunya a friend of mine in Jamaica
chikungunya a friend of mine in Jamaica when I visited her she said que si
when I visited her she said que si
when I visited her she said que si oh I had chikungunya and she said my
oh I had chikungunya and she said my
oh I had chikungunya and she said my hands hurt so badly I couldn’t open a
hands hurt so badly I couldn’t open a
hands hurt so badly I couldn’t open a doorknob couldn’t open a door knob for
doorknob couldn’t open a door knob for
doorknob couldn’t open a door knob for two weeks and it took months before her
two weeks and it took months before her
two weeks and it took months before her arthritis resolved from the disease and
arthritis resolved from the disease and
arthritis resolved from the disease and we already have some mosquito-borne
we already have some mosquito-borne
we already have some mosquito-borne illnesses here we have West Nile virus
illnesses here we have West Nile virus
illnesses here we have West Nile virus West Nile virus killed eight people in
West Nile virus killed eight people in
West Nile virus killed eight people in Arizona just last year and things are
Arizona just last year and things are
Arizona just last year and things are changing those may seem like fairly low
changing those may seem like fairly low
changing those may seem like fairly low numbers
numbers
numbers to you and by comparison to a lot of
to you and by comparison to a lot of
to you and by comparison to a lot of places in the world they are what you
places in the world they are what you
places in the world they are what you see here is the global temperatures in
see here is the global temperatures in
see here is the global temperatures in 1884 compared to the global temperatures
1884 compared to the global temperatures
1884 compared to the global temperatures between a standard of 1951 and 1980 fast
between a standard of 1951 and 1980 fast
between a standard of 1951 and 1980 fast forward to 2016 this is what it looks
forward to 2016 this is what it looks
forward to 2016 this is what it looks like now climate change is happening and
like now climate change is happening and
like now climate change is happening and it’s making our planet warmer so what
it’s making our planet warmer so what
it’s making our planet warmer so what does that have to do with mosquito-borne
does that have to do with mosquito-borne
does that have to do with mosquito-borne illnesses actually a lot so mosquitoes
illnesses actually a lot so mosquitoes
illnesses actually a lot so mosquitoes habitats are based upon the temperature
habitats are based upon the temperature
habitats are based upon the temperature conditions that are there so they can go
conditions that are there so they can go
conditions that are there so they can go a little bit more northward and they can
a little bit more northward and they can
a little bit more northward and they can be more so that time frame between egg
be more so that time frame between egg
be more so that time frame between egg and adult gets shorter when the
and adult gets shorter when the
and adult gets shorter when the temperatures are higher and that means
temperatures are higher and that means
temperatures are higher and that means those cycles of mosquito development can
those cycles of mosquito development can
those cycles of mosquito development can go faster and faster leading to more
go faster and faster leading to more
go faster and faster leading to more mosquitoes in the environment and it’s
mosquitoes in the environment and it’s
mosquitoes in the environment and it’s not just the mosquito it’s the virus too
not just the mosquito it’s the virus too
not just the mosquito it’s the virus too so you may think that if you came home
so you may think that if you came home
so you may think that if you came home sick from Brazil and you were sitting on
sick from Brazil and you were sitting on
sick from Brazil and you were sitting on your patio trying to recover and a
your patio trying to recover and a
your patio trying to recover and a mosquito bit you and flew across the
mosquito bit you and flew across the
mosquito bit you and flew across the room and bit your daughter that they
room and bit your daughter that they
room and bit your daughter that they might get infected but that’s not how it
might get infected but that’s not how it
might get infected but that’s not how it works
works
works a mosquito gets the virus and it has to
a mosquito gets the virus and it has to
a mosquito gets the virus and it has to go through a development stage within
go through a development stage within
go through a development stage within the mosquito before it can transmit to
the mosquito before it can transmit to
the mosquito before it can transmit to the next person and guess what that time
the next person and guess what that time
the next person and guess what that time that it takes for that virus to develop
that it takes for that virus to develop
that it takes for that virus to develop gets shorter as temperatures get warmer
gets shorter as temperatures get warmer
gets shorter as temperatures get warmer exactly so it’s not just increasing
exactly so it’s not just increasing
exactly so it’s not just increasing temperatures that’s going to go along
temperatures that’s going to go along
temperatures that’s going to go along with climate change it’s changes in our
with climate change it’s changes in our
with climate change it’s changes in our weather patterns increasing extreme
weather patterns increasing extreme
weather patterns increasing extreme weather events that means hurricanes
weather events that means hurricanes
weather events that means hurricanes like Hurricane Katrina depicted here
like Hurricane Katrina depicted here
like Hurricane Katrina depicted here that means more droughts and it also
that means more droughts and it also
that means more droughts and it also means more severe cold weather like
means more severe cold weather like
means more severe cold weather like they’re experiencing on the East Coast
they’re experiencing on the East Coast
they’re experiencing on the East Coast cold weather does not mean
cold weather does not mean
cold weather does not mean it changes in happening I think it’s
it changes in happening I think it’s
it changes in happening I think it’s really time that we stop asking people
really time that we stop asking people
really time that we stop asking people do you believe in climate change and
do you believe in climate change and
do you believe in climate change and start asking them do you understand it
so these extreme weather events are
so these extreme weather events are going to do a couple of things first
going to do a couple of things first
going to do a couple of things first they’re gonna make people miserable but
they’re gonna make people miserable but
they’re gonna make people miserable but second they can destroy the
second they can destroy the
second they can destroy the infrastructure they can make it harder
infrastructure they can make it harder
infrastructure they can make it harder to get resources to people who need it
to get resources to people who need it
to get resources to people who need it they cost a lot of money and the last
they cost a lot of money and the last
they cost a lot of money and the last thing you need after a devastating
thing you need after a devastating
thing you need after a devastating hurricane or other event is for another
hurricane or other event is for another
hurricane or other event is for another disaster to occur a pandemic now the
disaster to occur a pandemic now the
disaster to occur a pandemic now the evidence is sort of equivocal as to
evidence is sort of equivocal as to
evidence is sort of equivocal as to whether or not
whether or not
whether or not hurricanes directly lead to increase
hurricanes directly lead to increase
hurricanes directly lead to increase mosquito-borne diseases however when you
mosquito-borne diseases however when you
mosquito-borne diseases however when you damage infrastructure that can take a
damage infrastructure that can take a
damage infrastructure that can take a long time to rebuild and that damaged
long time to rebuild and that damaged
long time to rebuild and that damaged infrastructure can lead to more
infrastructure can lead to more
infrastructure can lead to more vulnerability for people so one of the
vulnerability for people so one of the
vulnerability for people so one of the things that I think isn’t really
things that I think isn’t really
things that I think isn’t really important is to share information for
important is to share information for
important is to share information for people to know what’s happening in their
people to know what’s happening in their
people to know what’s happening in their community and how to prevent disease
community and how to prevent disease
community and how to prevent disease spread knowledge equals power so how do
spread knowledge equals power so how do
spread knowledge equals power so how do we get that knowledge traditionally well
we get that knowledge traditionally well
we get that knowledge traditionally well traditionally is you come home from
traditionally is you come home from
traditionally is you come home from Brazil maybe you have dengue and you’re
Brazil maybe you have dengue and you’re
Brazil maybe you have dengue and you’re feeling kind of sick some people may
feeling kind of sick some people may
feeling kind of sick some people may just stay at home they might write it
just stay at home they might write it
just stay at home they might write it out at home and never see a medical
out at home and never see a medical
out at home and never see a medical professional some people will go to the
professional some people will go to the
professional some people will go to the doctor and when they go to the doctor
doctor and when they go to the doctor
doctor and when they go to the doctor they talk to the doctor tell them their
they talk to the doctor tell them their
they talk to the doctor tell them their symptoms and maybe the doctor recognizes
symptoms and maybe the doctor recognizes
symptoms and maybe the doctor recognizes that this might be dengue or chikungunya
that this might be dengue or chikungunya
that this might be dengue or chikungunya or Zika and they go ahead and they get
or Zika and they go ahead and they get
or Zika and they go ahead and they get them a lab test and it gets tested in
them a lab test and it gets tested in
them a lab test and it gets tested in the lab and those results get conveyed
the lab and those results get conveyed
the lab and those results get conveyed to somebody at the Health Department
to somebody at the Health Department
to somebody at the Health Department they process the data and it goes out to
they process the data and it goes out to
they process the data and it goes out to the community that takes a long time it
the community that takes a long time it
the community that takes a long time it can take a long time because the Health
can take a long time because the Health
can take a long time because the Health Department isn’t going to publish or
Department isn’t going to publish or
Department isn’t going to publish or make information available on those
make information available on those
make information available on those cases that are suspect they want to be
cases that are suspect they want to be
cases that are suspect they want to be sure that there’s something going on so
sure that there’s something going on so
sure that there’s something going on so that means there’s delays and it’s a tip
that means there’s delays and it’s a tip
that means there’s delays and it’s a tip of an iceberg
of an iceberg
of an iceberg because you can see people are getting
because you can see people are getting
because you can see people are getting lost along this process right because
lost along this process right because
lost along this process right because somebody may just stay home somebody may
somebody may just stay home somebody may
somebody may just stay home somebody may go to a doctor who doesn’t know that
go to a doctor who doesn’t know that
go to a doctor who doesn’t know that dengue could be a possibility so I’ve
dengue could be a possibility so I’ve
dengue could be a possibility so I’ve been working with public health
been working with public health
been working with public health researchers because this is a really
researchers because this is a really
researchers because this is a really well established fact in the public
well established fact in the public
well established fact in the public health community and we’ve been trying
health community and we’ve been trying
health community and we’ve been trying to figure out another way to get
to figure out another way to get
to figure out another way to get information to people and so we cut out
information to people and so we cut out
information to people and so we cut out the doctors the lab and even the Health
the doctors the lab and even the Health
the doctors the lab and even the Health Department and we’re asking people to
Department and we’re asking people to
Department and we’re asking people to tell each other directly what’s
tell each other directly what’s
tell each other directly what’s happening in their community to tell us
happening in their community to tell us
happening in their community to tell us are you sick are you feeling poorly is
are you sick are you feeling poorly is
are you sick are you feeling poorly is there something going on now that
there something going on now that
there something going on now that information in and of itself it’s a
information in and of itself it’s a
information in and of itself it’s a little suspect right because people
little suspect right because people
little suspect right because people could have lots of things if they have a
could have lots of things if they have a
could have lots of things if they have a fever but if you see 10 12 15 people in
fever but if you see 10 12 15 people in
fever but if you see 10 12 15 people in an area that have this condition that’s
an area that have this condition that’s
an area that have this condition that’s gonna peak public health that’s gonna
gonna peak public health that’s gonna
gonna peak public health that’s gonna have them say okay let’s investigate
have them say okay let’s investigate
have them say okay let’s investigate let’s see what’s going on and it gives
let’s see what’s going on and it gives
let’s see what’s going on and it gives you direct information at an early time
you direct information at an early time
you direct information at an early time so that you might be able to take action
so that you might be able to take action
so that you might be able to take action and in this we have developed an
and in this we have developed an
and in this we have developed an application called Katanga it’s kind of
application called Katanga it’s kind of
application called Katanga it’s kind of a funny word but it’s actually a swahili
a funny word but it’s actually a swahili
a funny word but it’s actually a swahili word for chikungunya and in this
word for chikungunya and in this
word for chikungunya and in this application we give you both user
application we give you both user
application we give you both user generated data so you can see what’s
generated data so you can see what’s
generated data so you can see what’s happening in and around your zip code
happening in and around your zip code
happening in and around your zip code are there people who are sick what do
are there people who are sick what do
are there people who are sick what do they have from a syndromic standpoint
they have from a syndromic standpoint
they have from a syndromic standpoint right not dengue specifically but
right not dengue specifically but
right not dengue specifically but something that might look like dengue
something that might look like dengue
something that might look like dengue and then we also give you coupled with
and then we also give you coupled with
and then we also give you coupled with that the more certain information the
that the more certain information the
that the more certain information the information that’s coming from the
information that’s coming from the
information that’s coming from the health department’s that tells you yes
health department’s that tells you yes
health department’s that tells you yes there is a case of dengue there but we
there is a case of dengue there but we
there is a case of dengue there but we don’t just tell you what’s happening in
don’t just tell you what’s happening in
don’t just tell you what’s happening in the community we tell you what can you
the community we tell you what can you
the community we tell you what can you do to stop it we feel that giving people
do to stop it we feel that giving people
do to stop it we feel that giving people back information gives them that ability
back information gives them that ability
back information gives them that ability to take action and do something for
to take action and do something for
to take action and do something for themselves to protect themselves to
themselves to protect themselves to
themselves to protect themselves to protect their family members and so we
protect their family members and so we
protect their family members and so we tell you a lot of things about
tell you a lot of things about
tell you a lot of things about mosquitoes do you know where
mosquitoes do you know where
mosquitoes do you know where all the places are in your home and in
all the places are in your home and in
all the places are in your home and in your yard where a mosquito can lay its
your yard where a mosquito can lay its
your yard where a mosquito can lay its eggs and breed did you know that a
eggs and breed did you know that a
eggs and breed did you know that a mosquito if you go away for three or
mosquito if you go away for three or
mosquito if you go away for three or four weeks could lay its eggs in your
four weeks could lay its eggs in your
four weeks could lay its eggs in your toilet that’s not a very nice surprise
toilet that’s not a very nice surprise
toilet that’s not a very nice surprise to come home to a bite like that nobody
to come home to a bite like that nobody
to come home to a bite like that nobody really wants that to happen
another really critical piece of
another really critical piece of information that I found in a survey
information that I found in a survey
information that I found in a survey that we did with Arizona residents that
that we did with Arizona residents that
that we did with Arizona residents that people really didn’t know is that Zika
people really didn’t know is that Zika
people really didn’t know is that Zika is also sexually transmitted the first
is also sexually transmitted the first
is also sexually transmitted the first mosquito-borne disease to also be
mosquito-borne disease to also be
mosquito-borne disease to also be transmitted through that route really
transmitted through that route really
transmitted through that route really important information for pregnant women
important information for pregnant women
important information for pregnant women and wanting those that are wanting to
and wanting those that are wanting to
and wanting those that are wanting to become pregnant so we share all of this
become pregnant so we share all of this
become pregnant so we share all of this information to empower people to act and
information to empower people to act and
information to empower people to act and we were really excited because we
we were really excited because we
we were really excited because we launched this right after the Zika
launched this right after the Zika
launched this right after the Zika pandemic kind of hit the United States
pandemic kind of hit the United States
pandemic kind of hit the United States and people were interested people
and people were interested people
and people were interested people downloaded it people used it we were
downloaded it people used it we were
downloaded it people used it we were really excited and then guess what
really excited and then guess what
really excited and then guess what happened the zika pandemic faded from
happened the zika pandemic faded from
happened the zika pandemic faded from the news cycle and so i was kind of
the news cycle and so i was kind of
the news cycle and so i was kind of devastated we’d spent all of this time
devastated we’d spent all of this time
devastated we’d spent all of this time and energy working on this system and
and energy working on this system and
and energy working on this system and i’m like oh man have we failed have we
i’m like oh man have we failed have we
i’m like oh man have we failed have we flopped so then we did another survey
flopped so then we did another survey
flopped so then we did another survey here in arizona and we were asking
here in arizona and we were asking
here in arizona and we were asking people when would she be more likely to
people when would she be more likely to
people when would she be more likely to actually take action to prevent
actually take action to prevent
actually take action to prevent mosquito-borne disease and mosquito
mosquito-borne disease and mosquito
mosquito-borne disease and mosquito bites and they gave me a very revealing
bites and they gave me a very revealing
bites and they gave me a very revealing answer they said well i’m more likely to
answer they said well i’m more likely to
answer they said well i’m more likely to do it when it’s more likely to affect me
do it when it’s more likely to affect me
do it when it’s more likely to affect me you can see here that as you get closer
you can see here that as you get closer
you can see here that as you get closer and closer to where people live they are
and closer to where people live they are
and closer to where people live they are much more likely to say i’m gonna take
much more likely to say i’m gonna take
much more likely to say i’m gonna take action so we want to leverage that we’re
action so we want to leverage that we’re
action so we want to leverage that we’re going back to the drawing board we’re
going back to the drawing board we’re
going back to the drawing board we’re working with communities we’re working
working with communities we’re working
working with communities we’re working with public health partners and we’re
with public health partners and we’re
with public health partners and we’re trying to identify those critical time
trying to identify those critical time
trying to identify those critical time points when people really need to give
points when people really need to give
points when people really need to give us their input when we really need you
us their input when we really need you
us their input when we really need you to tell us if you’re home and you’re
to tell us if you’re home and you’re
to tell us if you’re home and you’re sick when you really need that
sick when you really need that
sick when you really need that critical health information that tells
critical health information that tells
critical health information that tells you when you need to take action in your
you when you need to take action in your
you when you need to take action in your home and your community so we may be
home and your community so we may be
home and your community so we may be approaching some of you and asking you
approaching some of you and asking you
approaching some of you and asking you what do you want us to tell you do you
what do you want us to tell you do you
what do you want us to tell you do you want us to tell you when mosquitoes are
want us to tell you when mosquitoes are
want us to tell you when mosquitoes are high when there’s a disease that’s
high when there’s a disease that’s
high when there’s a disease that’s potentially transmitted by mosquitoes
potentially transmitted by mosquitoes
potentially transmitted by mosquitoes just down your street or in your zip
just down your street or in your zip
just down your street or in your zip code we’re gonna find that out and when
code we’re gonna find that out and when
code we’re gonna find that out and when we do we’re going to be able to alert
we do we’re going to be able to alert
we do we’re going to be able to alert you so if you have Kidane go on your
you so if you have Kidane go on your
you so if you have Kidane go on your phone you might just get a little buzz
phone you might just get a little buzz
phone you might just get a little buzz and it’ll say hi alert please take
and it’ll say hi alert please take
and it’ll say hi alert please take precaution and start telling us if
precaution and start telling us if
precaution and start telling us if you’re ill and when that happens when
you’re ill and when that happens when
you’re ill and when that happens when you’re going outside to enjoy that
you’re going outside to enjoy that
you’re going outside to enjoy that beautiful evening you might pick up your
beautiful evening you might pick up your
beautiful evening you might pick up your glass in one hand and a can of mosquito
glass in one hand and a can of mosquito
glass in one hand and a can of mosquito repellent in the other thank you
”
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