Myriam Sidibe: The simple power of handwashing

163,966 views ・ 2014-10-14

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So imagine that a plane is about to crash
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with 250 children and babies,
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and if you knew how to stop that, would you?
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Now imagine
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that 60 planes full of babies under five
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crash every single day.
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That's the number of kids
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that never make it to their fifth birthday.
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6.6 million children
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never make it to their fifth birthday.
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Most of these deaths are preventable,
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and that doesn't just make me sad,
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it makes me angry,
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and it makes me determined.
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Diarrhea and pneumonia
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are among the top two killers
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of children under five,
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and what we can do to prevent these diseases
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isn't some smart,
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new technological innovations.
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It's one of the world's oldest inventions:
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a bar of soap.
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Washing hands with soap,
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a habit we all take for granted,
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can reduce diarrhea by half,
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can reduce respiratory infections by one third.
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Handwashing with soap
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can have an impact
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on reducing flu, trachoma, SARS,
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and most recently in the case of cholera
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and Ebola outbreak,
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one of the key interventions
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is handwashing with soap.
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Handwashing with soap keeps kids in school.
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It stops babies from dying.
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Handwashing with soap
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is one of the most cost-effective
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ways of saving children's lives.
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It can save over 600,000 children every year.
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That's the equivalent of stopping
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10 jumbo jets
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full of babies and children
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from crashing every single day.
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I think you'll agree with me that that's a pretty
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useful public health intervention.
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So now just take a minute.
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I think you need to get to know the person next to you.
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Why don't you just shake their hands.
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Please shake their hands.
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All right, get to know each other.
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They look really pretty.
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All right.
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So what if I told you
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that the person whose hands you just shook
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actually didn't wash their hands
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when they were coming out of the toilet? (Laughter)
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They don't look so pretty anymore, right?
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Pretty yucky, you would agree with me.
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Well, statistics are actually showing
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that four people out of five
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don't wash their hands when they come out of the toilet,
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globally.
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And the same way,
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we don't do it when we've got fancy toilets,
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running water, and soap available,
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it's the same thing in the countries
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where child mortality is really high.
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What is it? Is there no soap?
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Actually, soap is available.
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In 90 percent of households in India,
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94 percent of households in Kenya,
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you will find soap.
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Even in countries where soap is the lowest,
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like Ethiopia, we are at 50 percent.
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So why is it?
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Why aren't people washing their hands?
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Why is it that Mayank,
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this young boy that I met in India,
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isn't washing his hands?
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Well, in Mayank's family,
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soap is used for bathing,
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soap is used for laundry,
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soap is used for washing dishes.
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His parents think sometimes
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it's a precious commodity,
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so they'll keep it in a cupboard.
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They'll keep it away from him so he doesn't waste it.
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On average, in Mayank's family,
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they will use soap for washing hands
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once a day
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at the very best, and sometimes
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even once a week for washing hands with soap.
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What's the result of that?
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Children pick up disease
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in the place that's supposed to love them
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and protect them the most, in their homes.
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Think about where you learned to wash your hands.
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Did you learn to wash your hands at home?
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Did you learn to wash your hands in school?
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I think behavioral scientists will tell you
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that it's very difficult to change the habits
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that you have had early in life.
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However, we all copy what everyone else does,
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and local cultural norms are something
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that shape how we change our behavior,
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and this is where the private sector comes in.
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Every second in Asia and Africa,
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111 mothers
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will buy this bar to protect their family.
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Many women in India will tell you
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they learned all about hygiene, diseases,
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from this bar of soap from Lifebuoy brand.
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Iconic brands like this one
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have a responsibility to do good
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in the places where they sell their products.
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It's that belief, plus the scale of Unilever,
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that allows us to keep talking about
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handwashing with soap and hygiene to these mothers.
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Big businesses and brands can change
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and shift those social norms
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and make a difference for those habits
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that are so stubborn.
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Think about it:
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Marketeers spend all their time
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making us switch from one brand to the other.
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And actually, they know how to transform
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science and facts into compelling messages.
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Just for a minute, imagine
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when they put all their forces behind
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a message as powerful as handwashing with soap.
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The profit motive is transforming health outcomes
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in this world.
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But it's been happening for centuries:
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the Lifebuoy brand was launched in 1894
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in Victorian England
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to actually combat cholera.
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Last week, I was in Ghana
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with the minister of health,
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because if you don't know,
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there's a cholera outbreak in Ghana at the moment.
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A hundred and eighteen years later,
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the solution is exactly the same:
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It's about ensuring that they have access
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to this bar of soap,
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and that they're using it,
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because that's the number one way
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to actually stop cholera from spreading.
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I think this drive for profit
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is extremely powerful,
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sometimes more powerful than
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the most committed charity or government.
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Government is doing what they can,
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especially in terms of the pandemics
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and epidemics such as cholera,
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or Ebola at the moment,
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but with competing priorities.
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The budget is not always there.
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And when you think about this,
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you think about what is required
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to make handwashing a daily habit,
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it requires sustained funding
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to refine this behavior.
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In short, those that fight for public health
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are actually dependent upon the soap companies
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to keep promoting handwashing with soap.
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We have friends like USAID,
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the Global Public-Private Partnership for Handwashing with Soap,
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London School of Hygiene and Tropical Medicine,
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Plan, WaterAid,
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that all believe
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for a win-win-win partnership.
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Win for the public sector,
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because we help them reach their targets.
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Win for the private sector,
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because we build new generations
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of future handwashers.
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And most importantly,
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win for the most vulnerable.
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On October 15,
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we will celebrate Global Handwashing Day.
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Schools, communities,
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our friends in the public sector
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and our friends in the private sector —
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yes, on that day even our competitors,
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we all join hands to celebrate
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the world's most important
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public health intervention.
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What's required,
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and again where the private sector can make a huge difference,
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is coming up with this big, creative thinking
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that drives advocacy.
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If you take our Help a Child Reach 5 campaign,
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we've created great films
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that bring the message of handwashing with soap
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to the everyday person
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in a way that can relate to them.
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We've had over 30 million views.
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Most of these discussions are still happening online.
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I urge you to take five minutes
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and look at those films.
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I come from Mali,
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one of the world's poorest countries.
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I grew up in a family where every dinner conversation
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was around social justice.
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I trained in Europe's premier school of public health.
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I think I'm probably one of the only women
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in my country with this high degree in health,
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and the only one
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with a doctorate in handwashing with soap.
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(Laughter)
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(Applause)
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Nine years ago, I decided,
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with a successful public health career in the making,
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that I could make the biggest impact coming,
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selling and promoting the world's best invention
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in public health: soap.
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We run today the world's largest
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handwashing program
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by any public health standards.
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We've reached over 183 million people
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in 16 countries.
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My team and I have the ambition
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to reach one billion by 2020.
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Over the last four years,
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business has grown double digits,
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whilst child mortality has reduced
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in all the places where soap use has increased.
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It may be uncomfortable for some to hear —
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business growth and lives saved
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somehow equated in the same sentence —
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but it is that business growth
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that allows us to keep doing more.
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Without it, and without talking about it,
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we cannot achieve the change that we need.
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Last week, my team and I
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spent time visiting mothers
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that have all experienced the same thing:
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the death of a newborn.
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I'm a mom. I can't imagine anything more powerful
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and more painful.
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This one is from Myanmar.
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She had the most beautiful smile,
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the smile, I think, that life gives you
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when you've had a second chance.
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Her son, Myo, is her second one.
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She had a daughter
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who passed away at three weeks,
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and we know that the majority
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of children that actually die
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die in the first month of their life,
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and we know that if we give a bar of soap
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to every skilled birth attendant,
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and that if soap is used before touching the babies,
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we can reduce and make a change
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in terms of those numbers.
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And that's what inspires me,
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inspires me to continue in this mission,
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to know that I can equip her
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with what's needed
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so that she can do
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the most beautiful job in the world:
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nurturing her newborn.
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And next time you think of a gift
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for a new mom and her family,
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don't look far: buy her soap.
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It's the most beautiful invention in public health.
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I hope you will join us
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and make handwashing part of your daily lives
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and our daily lives
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and help more children like Myo
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reach their fifth birthday.
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Thank you.
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(Applause)
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