A secret weapon against Zika and other mosquito-borne diseases | Nina Fedoroff

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Translator: Susana Arrizado Gago Reviewer: Serv. de Norm. Lingüística U. de Santiago de Compostela
00:12
Zika fever:
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A febre de Zika:
00:15
our newest dread disease.
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a última enfermidade temíbel.
00:19
What is it? Where'd it come from?
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Que é? De onde veu?
00:22
What do we do about it?
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Como loitar contra ela?
00:24
Well for most adults, it's a relatively mild disease --
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Para a maioría dos adultos, trátase dunha doenza leve:
00:28
a little fever, a little headache, joint pain, maybe a rash.
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un pouco de febre, unha lixeira xaqueca, dor nas articulacións, quizais un eccema.
00:32
In fact, most people who get it don't even know they've had it.
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De feito, moita xente que o pasa non sabe sequera que o tivo.
00:36
But the more we find out about the Zika virus
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Pero canto máis sabemos sobre o Zika
00:40
the more terrifying it becomes.
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máis arrepiante parece.
00:41
For example, doctors have noticed an uptick
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Por exemplo, os médicos detectaron un incremento nos últimos andazos
00:45
of something called Guillain-Barré syndrome in recent outbreaks.
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de algo chamado síndrome de Guillain-Barré.
00:49
In Guillain-Barré, your immune system attacks your nerve cells
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Na Guillain-Barré, o sistema inmune ataca as células nerviosas,
00:52
it can partially or even totally paralyze you.
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pode paralizarte, parcial ou totalmente.
00:56
Fortunately, that's quite rare, and most people recover.
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Por sorte, é pouco frecuente e a maioría recupérase.
01:00
But if you're pregnant when you're infected
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Mais se estás embarazada no momento da infección
01:05
you're at risk of something terrible.
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arríscaste a algo terrible.
01:08
Indeed, a child with a deformed head.
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Un neno coa cabeza deforme.
01:12
Here's a normal baby.
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Aquí temos un bebé normal.
01:15
Here's that infant with what's called microcephaly.
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E aquí, con microcefalia,
01:18
a brain in a head that's too small.
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un cerebro nunha cabeza demasiado pequena.
01:22
And there's no known cure.
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E non se coñece a cura.
01:24
It was actually doctors in northeastern Brazil
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No nordeste do Brasil, hai apenas un ano,
01:30
who first noticed, just a year ago, after a Zika outbreak,
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os médicos detectaron tras un andazo de febre de Zika,
01:35
that there was a peak in the incidence of microcephaly.
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que había un pico de microcefalia.
01:40
It took medical doctors another year
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Levoulles outro ano asegurarse
01:42
to be sure that it was caused by the Zika virus,
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de que a causa era o virus de Zika
01:45
but they're now sure.
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mais xa están certos.
01:46
And if you're a "bring on the evidence" type,
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Se vostedes son do tipo "Santo Tomás"
01:49
check out this publication.
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consulten esta publicación.
01:51
So where did it come from, and how did it get here?
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E de onde vén e como chegou?
01:54
And it is here.
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Porque xa está aquí.
01:55
Like many of our viruses, it came out of Africa,
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Coma moitos dos virus
01:59
specifically the Zika forest in Uganda.
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chegou dende África, en concreto do bosque de Zika en Uganda.
02:03
Researchers at the nearby Yellow Fever Research Institute
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Investigadores do Instituto para a Investigación en Febre Amarela
02:08
identified an unknown virus in a monkey in the Zika forest
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identificaron un virus descoñecido nun mono da selva de Zika
02:12
which is how it got its name.
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e de aí lle vén o nome.
02:15
The first human cases of Zika fever
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Os primeiros casos de Zika en humanos
02:17
surfaced a few years later in Uganda-Tanzania.
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xurdiron uns poucos anos despois en Uganda e Tanzania
02:21
The virus then spread through West Africa
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Estendeuse logo por África occidental
02:25
and east through equatorial Asia -- Pakistan, India, Malaysia, Indonesia.
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e polo leste cara a Asia: Paquistán, India, Malaisia, Indonesia.
02:32
But it was still mostly in monkeys and, of course, mosquitoes.
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Mais aparecía sobre todo en monos e, por suposto, mosquitos.
02:37
In fact in the 60 years between the time it was first identified in 1947 and 2007
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Nos 60 anos que pasaron entre a primeira aparición de 1947 e 2007
02:43
there were only 13 reported cases of human Zika fever.
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déronse só 13 casos de Zika en humanos.
02:47
And then something extraordinary happened on the tiny Micronesian Yap islands.
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Entón sucedeu algo fóra do común nas minúsculas illas Yap da Micronesia.
02:53
There was an outbreak that affected fully 75 percent of the population.
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Produciuse un andazo que afectou ata ao 75 % da poboación.
02:59
How did it get there? By air.
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Como chegou ata alí? Polo ar.
03:03
Today we have two billion commercial airline passengers.
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Hoxe en día, hai dous mil millóns de pasaxeiros de avión.
03:07
An infected passenger can board a plane, fly halfway around the world
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Unha persoa infectada pode ir en avión, e voar por medio mundo
03:11
before developing symptoms -- if they develop symptoms at all.
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denantes de presentar síntomas (se é que presenta algún).
03:15
Then when they land, the local mosquitoes begin to bite them and spread the fever.
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Cando aterra, os mosquitos locais vano picar e espallar a febre.
03:20
Zika fever then next surfaced in 2013 in French Polynesia.
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A febre de Zika volveu aparecer en 2013 na Polinesia francesa.
03:27
By December of that year, it was being transmitted locally by the mosquitoes.
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Os mosquitos locais transmitíana en decembro dese ano.
03:32
That led to an explosive outbreak in which almost 30,000 people were affected.
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Iso levou a un estalido explosivo no que case 30 000 persoas foron infectadas.
03:38
From there it radiated around the Pacific.
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Dende aí estendeuse cara ao Pacífico.
03:40
There were outbreaks in the Cook Islands, in New Caledonia,
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Houbo andazos nas Illas Cook, en Nova Caledonia,
03:45
in Vanuatu, in the Solomon Islands
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en Vanuatu, nas Illas Salomón
03:47
and almost all the way around to the coast of South America and Easter Island.
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e en case toda a costa de América do Sur e Illa de Pascua.
03:52
And then, in early 2015,
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Entón, a inicios do 2015,
03:56
there was an upsurge of cases of a dengue-like syndrome
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houbo un rexurdimento de casos dunha síndrome similar ao dengue
04:01
in the city of Natal in northeastern Brazil.
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na cidade de Natal, no nordeste de Brasil.
04:05
The virus wasn't dengue, it was Zika, and it spread rapidly --
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O virus non era dengue, era Zika, e estendeuse rapidamente.
04:11
Recife down the coast, a big metropolitan center, soon became the epicenter.
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A gran metrópole de Recife máis ao sur axiña se converteu no epicentro.
04:17
Well people have speculated that it was 2014 World Cup soccer fans
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A xente especulou que foran os seareiros do Mundial de fútbol de 2014
04:22
that brought the virus into the country.
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os que trouxeran o virus ao país.
04:25
But others have speculated that perhaps it was Pacific Islanders
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Outros especularon se viñera do Pacífico,
04:29
participating in championship canoe races
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cos insulares que participaban no campionato de canoas
04:32
that were held in Rio that year that brought it in.
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celebrado en Río aquel mesmo ano.
04:35
Well today, this is only a year later.
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Hoxe xa pasou un ano.
04:39
The virus is being locally transmitted by mosquitoes
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Os mosquitos transmiten o virus localmente
04:43
virtually throughout South America, Central America, Mexico
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practicamente por toda América do Sur, América Central, México
04:46
and the Caribbean Islands
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e as illas do Caribe.
04:48
Until this year, the many thousands of cases
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Ata este ano, os milleiros de casos
04:51
that have been diagnosed in the US were contracted elsewhere.
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diagnosticados nos EUA contraéronse noutra parte.
04:56
But as of this summer, it's being transmitted locally in Miami.
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Pero dende este verán, xa se transmite localmente en Miami.
05:02
It's here.
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Está aquí.
05:03
So what do we do about it?
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Que imos facer contra el?
05:04
Well, preventing infection
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Previr a infección
05:09
is either about protecting people or about eliminating the mosquitoes.
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consiste tanto en protexer a xente como en eliminar os mosquitos.
05:14
Let's focus on people first.
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Imos falar primeiro da poboación.
05:16
You can get vaccinated.
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Podes vacinarte.
05:18
You can not travel to Zika areas.
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Non viaxar a zonas con Zika.
05:22
Or you can cover up and apply insect repellent.
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Ou podes cubrirte ata os ollos e botar repelente.
05:26
Getting vaccinated is not an option, because there isn't a vaccine yet
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Vacinarse non é unha opción porque aínda non hai vacina
05:30
and there probably won't be for a couple of years.
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e seica non a haberá ata dentro dun par de anos.
05:33
Staying home isn't a foolproof protection either
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Ficar na casa tampouco é infalíbel
05:37
because we now know that it can be sexually transmitted.
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porque agora sabemos que se transmite por vía sexual.
05:42
Covering up and applying insect repellent does work ...
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Taparse e aplicar repelente para mosquitos funciona...
05:45
until you forget.
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...ata que che esquece.
05:47
(Laughter)
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(Risos)
05:49
So that leaves the mosquitoes, and here's how we control them now:
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Iso deixa só os mosquitos e así é como os controlamos ata hoxe:
05:53
spraying insecticides.
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botando insecticidas.
05:56
The protective gear is necessary because these are toxic chemicals
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Fai falla unha roupa especial por tratarse de substancias tóxicas
06:00
that kill people as well as bugs.
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que matan tanto á xente coma ós bechos.
06:02
Although it does take quite a lot more to kill a person than to kill a bug.
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Aínda que fai falta maior dose para matar a alguén.
06:06
These are pictures from Brazil and Nicaragua.
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Estas son fotografías de Brasil e Nicaragua.
06:10
But it looks the same in Miami, Florida.
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Pero pasa o mesmo en Miami (Florida).
06:13
And we of course can spray insecticides from planes.
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Por suposto, podemos espallar insecticida dende avións.
06:19
Last summer, mosquito control officials in Dorchester County, South Carolina,
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No verán, oficiais do control de mosquitos
06:25
authorized spraying of Naled, an insecticide,
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autorizaron o uso do insecticida Naled en Dorchester County (Carolina do Sur),
06:29
early one morning, as recommended by the manufacturer.
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pola mañanciña como recomenda o fabricante.
06:32
Later that day, a beekeeper told reporters
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Nese mesmo día, unha apicultora contoulles aos xornalistas
06:37
that her bee yard looked like it had been nuked.
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que a súa colmea parecía arrasada pola bomba atómica.
06:41
Oops.
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Arre demo!
06:43
Bees are the good guys.
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As abellas son os bos.
06:45
The citizens of Florida protested, but spraying continued.
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Malia as protestas cidadás
06:53
Unfortunately, so did the increase in the number of Zika fever cases.
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a fumigación continuou. Tamén os casos de Zika.
06:58
That's because insecticides aren't very effective.
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Isto é porque os insecticidas non son moi efectivos.
07:02
So are there any approaches that are perhaps more effective than spraying
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Haberá logo outros enfoques máis eficaces cá fumigación
07:10
but with less downsides than toxic chemicals?
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con menos efectos secundarios ca as substancias tóxicas?
07:16
I'm a huge fan of biological controls,
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Son unha gran defensora do control biolóxico,
07:19
and I share that view with Rachel Carson, author of "Silent Spring,"
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e comparto a visión de Rachel Carson, autora de Primavera silenciosa,
07:24
the book that is credited with starting the environmental movement.
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o libro considerado coma o inicio do movemento medioambiental.
07:29
In this book she tells the story, as an example,
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Nese libro conta, como exemplo, a historia
07:32
of how a very nasty insect pest of livestock
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de como unha molesta praga do gando
07:38
was eliminated in the last century.
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foi eliminada no século pasado.
07:41
No one knows that extraordinary story today.
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Ninguén coñece xa esa historia.
07:44
So Jack Block and I, when we were writing an editorial
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Jack Block e mais eu recuperámola
07:48
about the mosquito problem today, retold that story.
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cando escribimos un artigo sobre a problemática actual do mosquito.
07:51
And in capsule form, it's that pupae -- that's the immature form of the insect --
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Na fase capsular, as pupas (é dicir, a forma inmatura do insecto)
07:56
were irradiated until they were sterile, grown to adulthood
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foron radiadas ata volvelas estériles, creceron ata a adultez
08:01
and then released from planes all over the Southwest,
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e logo foron liberadas dende avións por todo o Suroeste, o Sueste,
08:05
the Southeast and down into Mexico and into Central America
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ata México e América Central,
08:09
literally by the hundreds of millions from little airplanes,
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centos de millóns dende avionetas,
08:13
eventually eliminating that terrible insect pest
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eliminando ao fin esta terrible praga
08:18
for most of the Western Hemisphere.
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en practicamente todo o hemisferio norte.
08:21
Our real purpose in writing this editorial
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O noso auténtico propósito co artigo
08:24
was to introduce readers to how we can do that today --
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era amosarlles aos lectores o que podiamos facer hoxe:
08:27
not with radiation but with our knowledge of genetics.
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non con radiación senón con xenética.
08:31
Let me explain.
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Déixenme que llelo explique
08:33
This is the bad guy: Aedes aegypti.
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Velaquí o malo: Aedes aegypti.
08:36
It's the most common insect vector of diseases,
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É o vector da maioría de enfermidades,
08:40
not just Zika but dengue, Chikungunya, West Nile virus
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non só o Zika, tamén o dengue,
o chikungunya, o virus do Nilo occidental e a antiga praga, a febre amarela.
08:44
and that ancient plague, yellow fever.
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08:48
It's an urban mosquito,
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Trátase dun mosquito urbano
08:50
and it's the female that does the dirty work.
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e a femia fai todo o traballo sucio.
08:54
She bites to get a blood meal to feed her offspring.
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Pica para obter unha comida sanguenta para a súa prole.
09:00
Males don't bite; they don't even have the mouth parts to bite.
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Os machos non pican, nin sequera teñen elementos trabadores na boca.
09:04
A little British company called Oxitec genetically modified that mosquito
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A pequena compañía británica Oxitec modificou xeneticamente o mosquito
09:10
so that when it mates with a wild female, its eggs don't develop to adulthood.
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para que cando copulase coa femia salvaxe os ovos non chegaran á idade adulta.
09:16
Let me show you.
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Deixen que llelo amose.
09:18
This is the normal reproductive cycle.
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Aquí temos o ciclo normal.
09:21
Oxitec designed the mosquito so that when the male mates with the wild female
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O deseño de Oxitec fai que ao copularen entre eles
09:26
the eggs don't develop.
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os ovos non crezan.
09:28
Sounds impossible?
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Parece imposible?
09:30
Well let me show you just diagrammatically how they do it.
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Vóullelo amosar cun diagrama.
09:34
Now this represents the nucleus of a mosquito cell,
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Aquí está o núcleo da célula dun mosquito,
09:37
and that tangle in the middle represents its genome,
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e esta lea no medio é o xenoma,
09:40
the sum total of its genes.
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a suma total do seus xenes.
09:43
Scientists added a single gene
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Os científicos engadiron tan só un xene
09:46
that codes for a protein represented by this orange ball
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que codifica esa bola laranxa, a proteína,
09:51
that feeds back on itself to keep cranking out more of that protein.
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que se retroalimenta cuspindo máis proteína.
09:57
The extra copies, however, go and gum up the mosquitoes' genes,
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As copias extra, pola contra, afectan aos xenes do mosquito
10:01
killing the organism.
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matando o organismo.
10:04
To keep it alive in the laboratory they use a compound called tetracycline.
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Para mantelo con vida no laboratorio, usaron o composto tetraciclina.
10:08
Tetracycline shuts off that gene and allows normal development.
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A tetraciclina anula ese xene e permite o desenvolvemento normal.
10:13
They added another little wrinkle so that they could study what happens.
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Engadiron outra pequena engurra para poder estudar o que pasaba.
10:18
And that is they added a gene that makes the insect glow under UV light
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O que fixeron foi engadir un xene que brilla baixo luz ultravioleta
10:25
so that when they released it they could follow exactly how far it went
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de modo que cando o soltaran podían seguilo por moi lonxe que fora
10:28
how long it lived and all of the kinds of data
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por moito que vivise e todos eses datos necesarios
10:32
for a good scientific study.
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para un bo estudo científico.
10:34
Now this is the pupal stage, and at this stage
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Aquí temos a fase de pupa. Nesta etapa
10:39
the females are larger than the males.
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as femias son máis grandes ca os machos.
10:42
That allows them to sort them into the males and the females
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Isto permítelles distinguir entre machos e femias,
10:46
and they allow only the males to grow to adulthood.
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só permiten aos machos chegar á madurez.
10:51
And let me remind you that males don't bite.
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Permítanme recordarlles que os machos non pican.
10:53
From there it's pretty simple.
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A partir de aí é moi simple.
10:55
They take beakers full of male mosquitoes,
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Colleron vasos cheos de mosquitos macho
10:58
load them into milk cartons, and drive around the city,
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vertéronos en cartóns de leite e conduciron pola cidade
11:01
releasing them guided by GPS.
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liberándoos guiados por un GPS.
11:04
Here's the mayor of a city releasing the first batch
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Velaí o alcalde da cidade liberando o primeiro lote
11:07
of what they call the "friendly Aedes."
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do que deron en chamar o "Aedes amigábel".
11:10
Now I wish I could tell you this is an American city, but it's not.
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Oxalá fose nos EE. UU., pero non foi.
11:13
It's Piracicaba, Brazil.
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Foi en Piracicaba (Brasil).
11:15
The amazing thing is that in just a year
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O máis incríbel é que nun só ano
11:20
it brought down the cases of dengue by 91 percent.
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os casos de dengue baixaron nun 91 %.
11:26
That's better than any insecticide spraying can do.
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Iso é mellor que calquera insecticida.
11:30
So why aren't we using this remarkable biological control in the US?
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Daquela, por que non usar nos EUA este extraordinario control biolóxico?
11:35
That's because it's a GMO: a genetically modified organism.
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Porque é un OMX: un organismo modificado xeneticamente.
11:42
Notice the subtitle here says if the FDA would let them
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Fíxense que o subtítulo di que se a FDA lles deixase
11:47
they could do the same thing here, when Zika arrives.
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poderían facer o mesmo aquí, cando chegue o Zika.
11:50
And of course it has arrived.
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Abofé que xa chegou.
11:52
So now I have to tell you the short form
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Debo contarlles a versión curta
11:56
of the long, torturous story of GM regulation in the US
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da longa e tortuosa historia da lexislación sobre OMX nos EUA.
12:02
In the US, there are three agencies that regulate genetically modified organisms:
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Nos EUA, hai tres axencias que regulan os organismos modificados xeneticamente:
12:09
the FDA, the Food and Drug Administration,
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a FDA (Departamento da Alimentación e Medicamentos),
12:12
the EPA, the Environmental Protection Agency,
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a EPA (Axencia de Protección do Medioambiente)
12:14
and the USDA, US Department of Agriculture.
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e a USDA, o Departamento Estadounidense de Agricultura.
12:18
Took these folks two years to decide that it would be the FDA
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A esta xente levoulle dous anos decidir que debería ser a FDA
12:23
that would regulate the genetically modified mosquito.
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quen lexislase sobre o mosquito modificado xeneticamente.
12:26
And they would do it as a new animal drug, if that makes any sense.
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E que o tratarían como un novo animal medicamento, se iso ten sentido.
12:33
Took them another five years going back and forth and back and forth
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Levoulles outros cinco anos indo de aquí para alá
12:36
to convince the FDA that this would not harm people,
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convencer á FDA da súa inocuidade para a xente
12:42
and it would not harm the environment.
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e para o medio ambiente.
12:45
They finally gave them, this summer, permission to run a little test
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Finalmente, déronlles permiso para facer un pequeno test este verán
12:50
in the Florida Keys,
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nas Florida Keys,
12:52
where they had been invited years earlier when they Keys had an outbreak of dengue.
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onde os invitaran uns anos antes cando o brote do dengue.
12:59
Would that it were that easy.
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Non ía ser tan doado.
13:02
When the local residents heard
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Cando os residentes oíron
13:04
that there would be genetically modified mosquitoes tested in their community
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que ían probar na súa comunidade mosquitos modificados xeneticamente
13:08
some of them began to organize protests.
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algúns comezaron a convocar protestas.
13:11
They even organized a petition on the internet with this cuddly logo,
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Incluso organizaron unha petición en internet con ese logo tan curriño
13:16
which eventually accumulated some 160,000 signatures
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chegando a conseguir unhas 160 000 firmas.
13:23
And they demanded a referendum
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Pediron un referendo
13:24
which will be conducted in just a couple of weeks
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que vai ter lugar nun par de semanas
13:27
about whether the trials would be permitted at all.
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sobre se permitir ou non as probas.
13:32
Well it's Miami that really needs these better ways of controlling insects.
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De certo é Miami onde se precisan mellores modos de controlar os insectos.
13:38
And there the attitudes are changing.
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E aí si están cambiando as actitudes.
13:40
In fact, very recently a bipartisan group of more than 60 legislators
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De feito, hai pouco un grupo bipartidista composto por máis de 60 lexisladores
13:46
wrote to HHS Secretary Sylvia Burwell
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escribiulle a Sylvia Burwell, Secretaria de Saúde,
13:49
asking that she, at the Federal level, expedite access for Florida
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pedíndolle que, como autoridade federal, lle facilite a Florida o acceso
13:55
to this new technology.
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a esta nova tecnoloxía.
13:58
So the bottom line is this:
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O punto crucial é este:
13:59
biological control of harmful insects
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o control biolóxico dos insectos daniños
14:03
can be both more effective and very much more environmentally friendly
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pode ser á vez efectivo e moito máis amigábel co medio ambiente
14:08
than using insecticides, which are toxic chemicals.
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que usar insecticidas, que son substancias tóxicas.
14:13
That was true in Rachel Carson's time; it's true today.
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Era así no tempo de Rachel Carson e segue a ser así hoxe.
14:16
What's different is that we have enormously more information
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O que cambiou é que temos infinitamente máis información
14:22
about genetics than we had then,
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sobre xenética da que tiñan daquela,
14:24
and therefore more ability to use that information
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e polo tanto maior capacidade para usar esa información
14:28
to affect these biological controls.
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para preferir estes controis biolóxicos.
14:32
And I hope that what I've done is aroused your curiosity enough
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E espero que conseguise espertar a súa curiosidade o suficiente
14:37
to start your own inquiry -- not into just GM mosquitoes
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para comezar a indagar pola súa conta, non só sobre os mosquitos MX
14:42
but to the other genetically modified organisms that are so controversial today.
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senón sobre outros organismos modificados tan controvertidos agora.
14:49
I think if you do that, and you dig down through all of the misinformation,
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Penso que se o fan e rebuscan máis alá da desinformación,
14:54
and the marketing
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e da publicidade
14:55
on the part of the organic food industry and the Greenpeaces
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da industria da comida orgánica ou dos Greenpeaces
14:59
and find the science, the accurate science,
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e atopan a ciencia, a verdadeira ciencia,
15:02
you'll be surprised and pleased.
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ficarán sorprendidos e encantados.
15:04
Thank you.
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Moitas grazas.
15:06
(Applause)
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(Aplausos)
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