How we conquered the deadly smallpox virus - Simona Zompi

8,842,014 views ・ 2013-10-28

TED-Ed


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翻译人员: Yuyang Zhao 校对人员: Marini Qian
00:07
10,000 years ago,
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一万年前,
00:08
a deadly virus arose in northeastern Africa.
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在非洲东北部出现了一种致命的病毒。
00:12
The virus spread through the air,
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这种病毒通过空气传播
00:13
attacking the skin cells,
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感染皮肤细胞,
00:15
bone marrow,
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骨髓,
00:16
spleen,
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脾脏,
00:17
and lymph nodes of its victims.
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以及淋巴系统。
00:19
The unlucky infected developed fevers,
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不幸的感染者会高烧,
00:21
vomiting,
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呕吐,
00:22
and rashes.
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和皮疹。
00:23
30% of infected people died
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百分之三十的感染者死亡
00:26
during the second week of infection.
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在感染二周内。
00:28
Survivors bore scars and scabs
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幸存者会留下伤疤和结痂
00:31
for the rest of their lives.
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这些伴随其以后的生活。
00:32
Smallpox had arrived.
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天花的出现。
00:35
In 1350 B.C., the first smallpox epidemics
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公元前1350年,第一例天花感染病例
00:39
hit during the Egypt-Hittite war.
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出现在埃及赫梯战争中。
00:41
Egyptian prisoners spread smallpox
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埃及的囚犯将天花病毒
00:43
to the Hittites,
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传播到赫梯地区,
00:44
which killed their king
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赫梯国王也感染天花而亡
00:46
and devastated his civilization.
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赫梯文明遭到毁灭性破坏。
00:48
Insidiously, smallpox made its way around the world
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更严重的是,天花传播到全世界,
00:51
via Egyptian merchants,
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由埃及的商人,
00:53
then through the Arab world with the Crusades,
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穿过阿拉伯地区的东征十字军,
00:56
and all the way to the Americas
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以及通往美洲的沿路
00:57
with the Spanish and Portuguese conquests.
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随着西班牙和葡萄牙征服者。
01:00
Since then, it has killed billions of people
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从此开始,天花造成几十亿人死亡
01:03
with an estimated 300 to 500 million people
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估计有三亿到五亿人
01:06
killed in the 20th century alone.
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因天花病毒而死,仅仅二十世纪。
01:09
But smallpox is not unbeatable.
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然而,天花并不是无法医治的。
01:12
In fact, the fall of smallpox started
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事实上,天花的出现
01:14
long before modern medicine.
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远远早于现代医学。
01:16
It began all the way back in 1022 A.D.
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它的出现要追溯到公元1022年
01:19
According to a small book, called
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根据一本小册子,
01:21
"The Correct Treatment of Small Pox,"
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称为《天花的正确治疗方法》
01:23
a Buddhist nun living in a famous mountain
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一位隐居在一座名山的尼姑
删名为峨眉山
01:25
named O Mei Shan
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01:26
in the southern providence of Sichuan
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在四川省南部里
01:28
would grind up smallpox scabs
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将天花所结的痂碾碎
01:30
and blow the powder into nostrils of healthy people.
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然后将粉末吹入健康人的鼻孔里。
01:33
She did this after noticing
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她之后发现
01:34
that those who managed to survive smallpox
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那些幸存于天花病毒的人
01:36
never got it again,
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不会再被传染,
01:38
and her odd treatment worked.
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而且她奇特的疗法起了作用。
01:40
The procedure, called variolation,
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这个过程,称为人痘接种
01:42
slowly evolved
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慢慢发展演化
01:43
and by the 1700's,
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并且到1700年代
01:44
doctors were taking material from sores
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医生们从伤口中提取物质
01:46
and putting them into healthy people
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然后接种给健康人
01:48
through four or five scratches on the arm.
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通过在胳膊上划出四到五条划痕。
01:51
This worked pretty well
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这个方法很有效
01:52
as inoculated people would not get reinfected,
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被接种的人不会再感染天花,
01:55
but it wasn't foolproof.
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但这并不是完全安全的。
01:57
Up to three percent of people
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最多有3%的接种人群
01:58
would still die after being exposed to the puss.
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在接种后死亡。
02:02
It wasn't until English physician Edward Jenner
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直到英国医师爱德华 詹纳
02:04
noticed something interesting about dairy maids
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发现关于奶场女工的有趣事情
02:07
that we got our modern solution.
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使得我们有了现代的方法。
02:09
At age 13, while Jenner was apprentice
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在13岁时,詹纳是一位学徒
02:11
to a country surgeon and apothecary
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一个乡村医生和药房
02:13
in Sodbury, near Bristol,
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在布里斯托附近的索德伯里 (布里斯托是英国西部的一个港口)
02:15
he heard a dairy maid say,
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他听到一个奶场女工说,
02:17
"I shall never have smallpox, for I have had cowpox.
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“得过牛痘之后,就再也感染天花
02:20
I shall never have an ugly, pockmarked face."
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我永远不会有一张丑陋的麻痘脸。“
02:22
Cowpox is a skin disease
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牛痘是一种皮肤病
02:24
that resembles smallpox and infects cows.
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和天花相似 但是感染牛群。
02:27
Later on, as a physician,
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之后,作为医生
02:28
he realized that she was right,
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他意识到她是对的
02:30
women who got cowpox didn't develop
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得过牛痘的女人都没有感染
02:32
the deadly smallpox.
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致命的天花
02:34
Smallpox and cowpox viruses are from the same family.
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天花病毒和牛痘病毒属于同样的病毒种类。
02:37
But when a virus infects an unfamiliar host,
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但当病毒感染一个陌生宿主时,
02:40
in this case cowpox infecting a human,
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在这种情况下,牛痘感染人类
02:42
it is less virulent,
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就不会那么致命,
02:43
so Jenner decided to test
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于是,詹纳决定验证
02:45
whether the cowpox virus could be used
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牛痘病毒是否能用来
02:47
to protect against smallpox.
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防治天花。
02:50
In May 1796, Jenner found a young dairy maid,
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在1796年5月,詹纳找到一位年轻的奶场女工,
02:53
Sarah Nelmes,
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萨拉 奈尔姆斯,
02:54
who had fresh cowpox lesions on her hand and arm
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她手和胳膊上有感染牛痘产生的伤疤
02:57
caught from the utters of a cow named Blossom.
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一种叫开花的牛传染的。
02:59
Using matter from her pustules,
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用从她的脓包里提取物质,
03:01
he inoculated James Phipps,
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他接种给力詹姆斯 菲普斯,
03:03
the eight-year-old son of his gardener.
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他园丁的八岁的儿子。
03:05
After a few days of fever and discomfort,
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发烧和不适几天后,
03:08
the boy seemed to recover.
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小男孩康复了。
03:09
Two months later, Jenner inoculated the boy again,
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两个月后,詹纳再给小男孩接种
03:12
this time with matter from a fresh smallpox lesion.
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这次是从天花伤口中取出的物质。
03:16
No disease developed,
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没有任何症状出现,
03:17
and Jenner concluded that protection was complete.
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于是詹纳认为接种是有效的。
03:20
His plan had worked.
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他的计划成功了。
03:22
Jenner later used the cowpox virus
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詹纳之后将牛痘病毒
03:24
in several other people
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接种在另外几个人
03:25
and challenged them repeatedly with smallpox,
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之后,又反复感染天花病毒,
03:28
proving that they were immune to the disease.
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证明了他们对天花已经免疫。
03:30
With this procedure,
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有了这个方法,
03:31
Jenner invented the smallpox vaccination.
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詹纳发明了天花疫苗。
03:34
Unlike variolation, which used actual smallpox virus
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不像人痘接种, 直接使用天花病毒
03:37
to try to protect people,
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试图来保护人类,
03:38
vaccination used the far less dangerous cowpox virus.
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疫苗使用了有害性极低的牛痘病毒。
03:42
The medical establishment,
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这样的医学成就
03:43
cautious then as now,
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像现在一样,
03:45
deliberated at length over his findings
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他的发现有很长时间的仔细思考
03:47
before accepting them.
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被认可以前。
03:49
But eventually vaccination was gradually accepted
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但是,最终疫苗被渐渐接受
03:52
and variolation became prohibited in England in 1840.
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并且人痘接种被禁止
1840年在英国
03:55
After large vaccination campaigns
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大型的疫苗倡议后
03:57
throughout the 19th and 20th centuries,
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从19和20世纪
04:00
the World Health Organization certified
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世界健康组织确认了
04:02
smallpox's eradication in 1979.
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天花疫苗在1979年。
04:05
Jenner is forever remembered
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詹纳名留青史
04:07
as the father of immunology,
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作为免疫学之父,
04:09
but let's not forget the Buddhist nun,
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但是,我们也不要忘了奶厂女工萨拉 奈尔米斯
04:11
dairy maid Sarah Nelmes, and James Phipps,
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叫开花的牛,
和詹姆斯 菲普斯,
04:13
all heroes in this great adventure of vaccination
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所有的英雄,在这场疫苗冒险行动中
04:16
who helped eradicate smallpox.
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帮助消灭天花的人。
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