How can we control the coronavirus pandemic? | Adam Kucharski

274,459 views ・ 2020-03-16

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Translator: Claudia Álvarez González Reviewer: Serv. de Norm. Lingüística U. de Santiago de Compostela
00:12
[How can we control the coronavirus pandemic?]
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[Como podemos controlar o coronavirus?]
00:14
[From infectious disease expert Adam Kucharski]
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[Adam Kucharski, experto en enfermidades infecciosas]
00:17
[Question 1: What does containment mean when it comes to outbreaks?]
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[Cuestión 1: Que é a contención cando falamos de brotes?]
00:21
Containment is this idea that you can focus your effort on control
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A contención é a idea de que podemos enfocar os nosos esforzos en controlar
00:24
very much on the cases and their contacts.
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moito os casos e os seus contactos.
00:27
So you're not causing disruption to the wider population,
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Sen causarlle alteracións á poboación xeral,
00:29
you have a case that comes in, you isolate them,
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se se atopa un caso que xorde, íllase,
00:32
you work out who they've come into contact with,
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trabállase para buscar con quen tivo contacto,
00:34
who's potentially these opportunities for exposure
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quen tivo a oportunidade potencial de estar exposto
00:38
and then you can follow up those people,
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e fáiselle un seguimento a esas persoas,
00:40
maybe quarantine them, to make sure that no further transmission happens.
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póñense en corentena, para asegurar que a transmisión non continúa.
00:43
So it's a very focused, targeted method,
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É un método moi focalizado, cunha meta clara,
00:46
and for SARS, it worked remarkably well.
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e funcionou moi ben co SARS.
00:49
But I think for this infection,
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Pero eu creo que para esta infección,
00:51
because some cases are going to be missed, or undetected,
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como algúns casos van pasar desapercibidos, sen detectar,
00:54
you've really got to be capturing a large chunk of people at risk.
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vai haber que abranguer unha gran parte da poboación de risco.
00:58
If a few slip through the net,
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Se uns poucos quedan fóra
00:59
potentially, you're going to get an outbreak.
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podería producirse un brote.
01:01
[Question 2: If containment isn't enough, what comes next?]
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[Cuestión 2: Se a contención non abonda, que facemos despois?]
01:05
In that respect,
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Nese caso,
01:06
it would be about massive changes in our social interactions.
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representaría cambios enormes nas nosas interaccións sociais.
01:10
And so that would require,
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Iso implicaría que,
01:12
of the opportunities that could spread the virus
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as situacións que puideran expandir o virus
01:14
so these kind of close contacts,
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e calquera clase de contactos cercanos,
01:16
everybody in the population, on average,
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toda a poboación, de calquera idade,
01:18
will be needing to reduce those interactions
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debería reducilas
01:21
potentially by two-thirds to bring it under control.
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en dous terzos para ter a situación baixo control.
01:24
That might be through working from home,
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Poderíamos traballar desde a casa,
01:27
from changing lifestyle
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cambiar o noso estilo de vida
01:28
and kind of where you go in crowded places and dinners.
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e a forma en que acudimos a sitios cheos de xente e cear.
01:32
And of course, these measures, things like school closures,
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E por suposto, medidas como o peche de escolas
01:35
and other things that just attempt to reduce
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e outras diferentes, que tentan reducir
01:37
the social mixing of a population.
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o contacto social da poboación.
01:39
[Question 3: What are the risks that we need people to think about?]
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[Cuestión 3: En que riscos ten que pensar a poboación?]
01:43
It's not just whose hand you shake,
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Non é só a quen lle damos a man,
01:45
it's whose hand that person goes on to shake.
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senón quen lle deu a man a esa persoa.
01:47
And I think we need to think about these second-degree steps,
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Temos que pensar neses pasos de segundo grao,
01:50
that you might think you have low risk
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que che poden parecer de pouco risco
01:52
and you're in a younger group,
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e que eres unha persoa nova,
01:54
but you're often going to be a very short step away
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pero podes estar a un pequeno paso
01:57
from someone who is going to get hit very hard by this.
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de alguén que pode sufrir graves consecuencias.
02:00
And I think we really need to be socially minded
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Temos que ter conciencia social
02:02
and think this could be quite dramatic in terms of change of behavior,
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e isto pode ser bastante drástico para o cambio de comportamento,
02:06
but it needs to be
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pero temos que facelo
02:07
to reduce the impact that we're potentially facing.
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para recudir o impacto que enfrontamos.
02:10
[Question 4: How far apart should people stay from each other?]
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[Cuestión 4: A canta distancia temos que estar uns dos outros?]
02:14
I think it's hard to pin down exactly,
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É difícil de precisar exactamente,
02:16
but I think one thing to bear in mind is that there's not so much evidence
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pero algo que cómpre termos en mente é que non hai moitas probas
02:19
that this is a kind of aerosol and it goes really far --
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de que isto sexa como un aerosol que vai moi lonxe:
02:22
it's reasonably short distances.
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soen ser distancias curtas.
02:23
I don't think it's the case
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Non creo que se dea o caso
02:25
that you're sitting a few meters away from someone
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de que esteas sentado a uns poucos metros de alguén
02:28
and the virus is somehow going to get across.
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e o virus vaia chegar dalgunha forma.
02:31
It's in closer interactions,
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Nas interaccións próximas
02:32
and it's why we're seeing so many transmission events
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é onde observamos máis posibilidades de transmisión,
02:35
occur in things like meals and really tight-knit groups.
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por exemplo, en comidas ou grupos moi cercanos.
02:39
Because if you imagine
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Porque, como poden imaxinar
02:40
that's where you can get a virus out and onto surfaces
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aí é onde o virus pode expulsarse e quedar sobre superficies
02:43
and onto hands and onto faces,
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ou sobre as mans e a cara.
02:45
and it's really situations like that we've got to think more about.
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Temos que pensar sobre todo nesas situacións.
02:49
[Question 5: What kind of protective measures
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[Cuestión 5: Que medidas de protección deberían implantar os países?]
02:51
should countries put in place?]
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02:53
I think that's what people are trying to piece together,
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Iso é o que a xente está intentado encaixar,
02:56
first in terms of what works.
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primeiro en termos do que funciona.
02:58
It's only really in the last sort of few weeks
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Realmente, só nestas últimas semanas
03:01
we've got a sense that this thing can be controllable
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temos a impresión de que isto pode controlarse
03:04
with this extent of interventions,
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con certas intervencións,
03:06
but of course, not all countries can do what China have done,
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pero non todos os países poden facer o mesmo ca China.
03:09
some of these measures
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Algunhas desas medidas
03:10
incur a huge social, economic, psychological burden
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orixinan unha gran carga social, económica e psicolóxica
03:14
on populations.
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sobre a poboación.
03:16
And of course, there's the time limit.
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E por suposto, hai un límite no tempo.
03:18
In China, they've had them in for six weeks,
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En China, as medidas duraron seis semanas,
03:20
it's tough to maintain that,
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é difícil manter iso,
03:21
so we need to think of these tradeoffs
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temos que pensar nas compensacións
03:23
of all the things we can ask people to do,
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de todo o que lle pedimos á xente que faga,
03:26
what's going to have the most impact on actually reducing the burden.
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que é o que vai ter un maior impacto á hora de reducir esa carga.
03:30
[To learn more, visit: Centers for Disease Control and Prevention]
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[Máis info en: Centros para o Control e Prevención de Doenzas]
03:33
[World Health Organization]
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[Organización Mundial da Saúde]
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