Myriam Sidibe: The simple power of handwashing

165,032 views ・ 2014-10-14

TED


Please double-click on the English subtitles below to play the video.

00:12
So imagine that a plane is about to crash
0
12408
5762
00:18
with 250 children and babies,
1
18170
2801
00:20
and if you knew how to stop that, would you?
2
20971
3419
00:24
Now imagine
3
24390
1971
00:26
that 60 planes full of babies under five
4
26361
3639
00:30
crash every single day.
5
30000
3210
00:33
That's the number of kids
6
33210
1772
00:34
that never make it to their fifth birthday.
7
34982
2325
00:37
6.6 million children
8
37307
3240
00:40
never make it to their fifth birthday.
9
40547
3591
00:44
Most of these deaths are preventable,
10
44138
2456
00:46
and that doesn't just make me sad,
11
46594
1968
00:48
it makes me angry,
12
48562
1696
00:50
and it makes me determined.
13
50258
2358
00:52
Diarrhea and pneumonia
14
52616
1890
00:54
are among the top two killers
15
54506
1816
00:56
of children under five,
16
56322
2318
00:58
and what we can do to prevent these diseases
17
58640
2256
01:00
isn't some smart,
18
60896
2180
01:03
new technological innovations.
19
63076
2917
01:05
It's one of the world's oldest inventions:
20
65993
4879
01:10
a bar of soap.
21
70872
3525
01:14
Washing hands with soap,
22
74397
1432
01:15
a habit we all take for granted,
23
75829
2371
01:18
can reduce diarrhea by half,
24
78200
2284
01:20
can reduce respiratory infections by one third.
25
80484
3656
01:24
Handwashing with soap
26
84140
1771
01:25
can have an impact
27
85911
1649
01:27
on reducing flu, trachoma, SARS,
28
87560
5027
01:32
and most recently in the case of cholera
29
92587
2390
01:34
and Ebola outbreak,
30
94977
2690
01:37
one of the key interventions
31
97667
1691
01:39
is handwashing with soap.
32
99358
2818
01:42
Handwashing with soap keeps kids in school.
33
102176
3255
01:45
It stops babies from dying.
34
105431
2823
01:48
Handwashing with soap
35
108254
1873
01:50
is one of the most cost-effective
36
110127
2797
01:52
ways of saving children's lives.
37
112924
2546
01:55
It can save over 600,000 children every year.
38
115470
3656
01:59
That's the equivalent of stopping
39
119126
2964
02:02
10 jumbo jets
40
122090
1980
02:04
full of babies and children
41
124070
1928
02:05
from crashing every single day.
42
125998
2711
02:08
I think you'll agree with me that that's a pretty
43
128709
2424
02:11
useful public health intervention.
44
131133
3282
02:14
So now just take a minute.
45
134415
2950
02:17
I think you need to get to know the person next to you.
46
137365
1936
02:19
Why don't you just shake their hands.
47
139301
1948
02:21
Please shake their hands.
48
141249
2244
02:23
All right, get to know each other.
49
143493
1300
02:24
They look really pretty.
50
144793
1535
02:26
All right.
51
146328
1773
02:28
So what if I told you
52
148101
2298
02:30
that the person whose hands you just shook
53
150399
2585
02:32
actually didn't wash their hands
54
152984
1708
02:34
when they were coming out of the toilet? (Laughter)
55
154692
2658
02:37
They don't look so pretty anymore, right?
56
157350
3330
02:40
Pretty yucky, you would agree with me.
57
160680
3156
02:43
Well, statistics are actually showing
58
163836
1665
02:45
that four people out of five
59
165501
2416
02:47
don't wash their hands when they come out of the toilet,
60
167917
2608
02:50
globally.
61
170525
1688
02:52
And the same way,
62
172213
2270
02:54
we don't do it when we've got fancy toilets,
63
174483
2744
02:57
running water, and soap available,
64
177227
2450
02:59
it's the same thing in the countries
65
179677
1934
03:01
where child mortality is really high.
66
181611
3374
03:04
What is it? Is there no soap?
67
184985
2314
03:07
Actually, soap is available.
68
187299
2249
03:09
In 90 percent of households in India,
69
189548
3655
03:13
94 percent of households in Kenya,
70
193203
2680
03:15
you will find soap.
71
195883
1480
03:17
Even in countries where soap is the lowest,
72
197363
3837
03:21
like Ethiopia, we are at 50 percent.
73
201200
3579
03:24
So why is it?
74
204779
1227
03:26
Why aren't people washing their hands?
75
206006
2933
03:28
Why is it that Mayank,
76
208939
2384
03:31
this young boy that I met in India,
77
211323
2267
03:33
isn't washing his hands?
78
213590
1745
03:35
Well, in Mayank's family,
79
215335
2612
03:37
soap is used for bathing,
80
217947
2432
03:40
soap is used for laundry,
81
220379
1992
03:42
soap is used for washing dishes.
82
222371
2869
03:45
His parents think sometimes
83
225240
1867
03:47
it's a precious commodity,
84
227107
1564
03:48
so they'll keep it in a cupboard.
85
228671
2267
03:50
They'll keep it away from him so he doesn't waste it.
86
230938
2754
03:53
On average, in Mayank's family,
87
233692
2550
03:56
they will use soap for washing hands
88
236242
2072
03:58
once a day
89
238314
1451
03:59
at the very best, and sometimes
90
239765
2365
04:02
even once a week for washing hands with soap.
91
242130
2985
04:05
What's the result of that?
92
245115
2215
04:07
Children pick up disease
93
247330
1865
04:09
in the place that's supposed to love them
94
249195
1675
04:10
and protect them the most, in their homes.
95
250870
4908
04:15
Think about where you learned to wash your hands.
96
255778
2548
04:18
Did you learn to wash your hands at home?
97
258326
2804
04:21
Did you learn to wash your hands in school?
98
261130
2776
04:23
I think behavioral scientists will tell you
99
263906
2480
04:26
that it's very difficult to change the habits
100
266386
2539
04:28
that you have had early in life.
101
268925
4885
04:33
However, we all copy what everyone else does,
102
273810
2797
04:36
and local cultural norms are something
103
276607
2724
04:39
that shape how we change our behavior,
104
279331
3311
04:42
and this is where the private sector comes in.
105
282642
2776
04:45
Every second in Asia and Africa,
106
285418
3800
04:49
111 mothers
107
289218
2922
04:52
will buy this bar to protect their family.
108
292140
3718
04:55
Many women in India will tell you
109
295858
2040
04:57
they learned all about hygiene, diseases,
110
297898
2226
05:00
from this bar of soap from Lifebuoy brand.
111
300124
3746
05:03
Iconic brands like this one
112
303870
1875
05:05
have a responsibility to do good
113
305745
1888
05:07
in the places where they sell their products.
114
307633
2481
05:10
It's that belief, plus the scale of Unilever,
115
310114
3175
05:13
that allows us to keep talking about
116
313289
2440
05:15
handwashing with soap and hygiene to these mothers.
117
315729
3816
05:19
Big businesses and brands can change
118
319545
3272
05:22
and shift those social norms
119
322817
2152
05:24
and make a difference for those habits
120
324969
1912
05:26
that are so stubborn.
121
326881
2180
05:29
Think about it:
122
329061
1258
05:30
Marketeers spend all their time
123
330319
3505
05:33
making us switch from one brand to the other.
124
333824
4356
05:38
And actually, they know how to transform
125
338180
2990
05:41
science and facts into compelling messages.
126
341170
3033
05:44
Just for a minute, imagine
127
344203
1896
05:46
when they put all their forces behind
128
346099
2741
05:48
a message as powerful as handwashing with soap.
129
348840
2950
05:51
The profit motive is transforming health outcomes
130
351790
2959
05:54
in this world.
131
354749
1878
05:56
But it's been happening for centuries:
132
356627
1819
05:58
the Lifebuoy brand was launched in 1894
133
358446
3533
06:01
in Victorian England
134
361979
1736
06:03
to actually combat cholera.
135
363715
2272
06:05
Last week, I was in Ghana
136
365987
2304
06:08
with the minister of health,
137
368291
1539
06:09
because if you don't know,
138
369830
1219
06:11
there's a cholera outbreak in Ghana at the moment.
139
371049
2657
06:13
A hundred and eighteen years later,
140
373706
2136
06:15
the solution is exactly the same:
141
375842
1920
06:17
It's about ensuring that they have access
142
377762
2496
06:20
to this bar of soap,
143
380258
1416
06:21
and that they're using it,
144
381674
1745
06:23
because that's the number one way
145
383419
1960
06:25
to actually stop cholera from spreading.
146
385379
3231
06:28
I think this drive for profit
147
388610
2400
06:31
is extremely powerful,
148
391010
1871
06:32
sometimes more powerful than
149
392881
1460
06:34
the most committed charity or government.
150
394341
3295
06:37
Government is doing what they can,
151
397636
1802
06:39
especially in terms of the pandemics
152
399438
3375
06:42
and epidemics such as cholera,
153
402813
2537
06:45
or Ebola at the moment,
154
405350
1455
06:46
but with competing priorities.
155
406805
2540
06:49
The budget is not always there.
156
409345
2505
06:51
And when you think about this,
157
411850
1863
06:53
you think about what is required
158
413713
2107
06:55
to make handwashing a daily habit,
159
415820
2321
06:58
it requires sustained funding
160
418141
3821
07:01
to refine this behavior.
161
421962
3108
07:05
In short, those that fight for public health
162
425070
4433
07:09
are actually dependent upon the soap companies
163
429503
2764
07:12
to keep promoting handwashing with soap.
164
432267
2996
07:15
We have friends like USAID,
165
435263
3242
07:18
the Global Public-Private Partnership for Handwashing with Soap,
166
438505
3305
07:21
London School of Hygiene and Tropical Medicine,
167
441810
2160
07:23
Plan, WaterAid,
168
443970
1569
07:25
that all believe
169
445539
1507
07:27
for a win-win-win partnership.
170
447046
3715
07:30
Win for the public sector,
171
450761
1985
07:32
because we help them reach their targets.
172
452746
3075
07:35
Win for the private sector,
173
455821
2388
07:38
because we build new generations
174
458209
1414
07:39
of future handwashers.
175
459623
1797
07:41
And most importantly,
176
461420
2213
07:43
win for the most vulnerable.
177
463633
2607
07:46
On October 15,
178
466240
2056
07:48
we will celebrate Global Handwashing Day.
179
468296
2352
07:50
Schools, communities,
180
470648
1720
07:52
our friends in the public sector
181
472368
1880
07:54
and our friends in the private sector —
182
474248
2616
07:56
yes, on that day even our competitors,
183
476864
2280
07:59
we all join hands to celebrate
184
479144
1986
08:01
the world's most important
185
481130
1982
08:03
public health intervention.
186
483112
2048
08:05
What's required,
187
485160
1225
08:06
and again where the private sector can make a huge difference,
188
486385
2736
08:09
is coming up with this big, creative thinking
189
489121
3766
08:12
that drives advocacy.
190
492887
2241
08:15
If you take our Help a Child Reach 5 campaign,
191
495128
2663
08:17
we've created great films
192
497791
2979
08:20
that bring the message of handwashing with soap
193
500770
2086
08:22
to the everyday person
194
502856
1695
08:24
in a way that can relate to them.
195
504551
2576
08:27
We've had over 30 million views.
196
507127
1760
08:28
Most of these discussions are still happening online.
197
508887
2527
08:31
I urge you to take five minutes
198
511414
1472
08:32
and look at those films.
199
512886
4057
08:36
I come from Mali,
200
516943
1529
08:38
one of the world's poorest countries.
201
518472
2343
08:40
I grew up in a family where every dinner conversation
202
520815
2736
08:43
was around social justice.
203
523551
2178
08:45
I trained in Europe's premier school of public health.
204
525729
3528
08:49
I think I'm probably one of the only women
205
529257
1728
08:50
in my country with this high degree in health,
206
530985
3441
08:54
and the only one
207
534426
1484
08:55
with a doctorate in handwashing with soap.
208
535910
3602
08:59
(Laughter)
209
539512
1736
09:01
(Applause)
210
541248
4212
09:07
Nine years ago, I decided,
211
547872
2351
09:10
with a successful public health career in the making,
212
550223
2913
09:13
that I could make the biggest impact coming,
213
553136
3528
09:16
selling and promoting the world's best invention
214
556664
3031
09:19
in public health: soap.
215
559695
2535
09:22
We run today the world's largest
216
562230
2129
09:24
handwashing program
217
564359
1371
09:25
by any public health standards.
218
565730
2578
09:28
We've reached over 183 million people
219
568308
3472
09:31
in 16 countries.
220
571780
3190
09:34
My team and I have the ambition
221
574970
1836
09:36
to reach one billion by 2020.
222
576806
3758
09:40
Over the last four years,
223
580564
2194
09:42
business has grown double digits,
224
582758
2728
09:45
whilst child mortality has reduced
225
585486
1937
09:47
in all the places where soap use has increased.
226
587423
4422
09:51
It may be uncomfortable for some to hear —
227
591845
2305
09:54
business growth and lives saved
228
594150
2255
09:56
somehow equated in the same sentence —
229
596405
3513
09:59
but it is that business growth
230
599918
1919
10:01
that allows us to keep doing more.
231
601837
2296
10:04
Without it, and without talking about it,
232
604133
2744
10:06
we cannot achieve the change that we need.
233
606877
4048
10:10
Last week, my team and I
234
610925
2185
10:13
spent time visiting mothers
235
613110
3296
10:16
that have all experienced the same thing:
236
616406
2511
10:18
the death of a newborn.
237
618917
2432
10:21
I'm a mom. I can't imagine anything more powerful
238
621349
3000
10:24
and more painful.
239
624349
2913
10:27
This one is from Myanmar.
240
627262
2632
10:29
She had the most beautiful smile,
241
629894
2006
10:31
the smile, I think, that life gives you
242
631900
2210
10:34
when you've had a second chance.
243
634110
2387
10:36
Her son, Myo, is her second one.
244
636497
3334
10:39
She had a daughter
245
639831
1904
10:41
who passed away at three weeks,
246
641735
2392
10:44
and we know that the majority
247
644127
2353
10:46
of children that actually die
248
646480
1340
10:47
die in the first month of their life,
249
647820
1866
10:49
and we know that if we give a bar of soap
250
649686
2868
10:52
to every skilled birth attendant,
251
652554
2260
10:54
and that if soap is used before touching the babies,
252
654814
2550
10:57
we can reduce and make a change
253
657364
1242
10:58
in terms of those numbers.
254
658606
2044
11:00
And that's what inspires me,
255
660650
1868
11:02
inspires me to continue in this mission,
256
662518
2232
11:04
to know that I can equip her
257
664750
2384
11:07
with what's needed
258
667134
1805
11:08
so that she can do
259
668939
1851
11:10
the most beautiful job in the world:
260
670790
2064
11:12
nurturing her newborn.
261
672854
2126
11:14
And next time you think of a gift
262
674980
2305
11:17
for a new mom and her family,
263
677285
2090
11:19
don't look far: buy her soap.
264
679375
2790
11:22
It's the most beautiful invention in public health.
265
682165
3208
11:25
I hope you will join us
266
685373
2376
11:27
and make handwashing part of your daily lives
267
687749
2952
11:30
and our daily lives
268
690701
1704
11:32
and help more children like Myo
269
692405
2224
11:34
reach their fifth birthday.
270
694629
1128
11:35
Thank you.
271
695757
2407
11:38
(Applause)
272
698164
2214
About this website

This site will introduce you to YouTube videos that are useful for learning English. You will see English lessons taught by top-notch teachers from around the world. Double-click on the English subtitles displayed on each video page to play the video from there. The subtitles scroll in sync with the video playback. If you have any comments or requests, please contact us using this contact form.

https://forms.gle/WvT1wiN1qDtmnspy7