This simple test can help kids hear better | Susan Emmett

Prevoditelj: Sanda L Recezent: Ivan Stamenković

Listen to the sounds of why hearing matters

Poslušajte zašto je sluh važan

to the Alaskan Native people.

domorodcima Aljaske.

Hearing loss makes it hard to fish on the open water,

Gubitak sluha otežava pecanje ribe u otvorenim vodama,

hunt caribou and harvest berries,

lovljenje soba i prikupljanje bobičastog voća,

activities central to Alaskan Native culture.

aktivnosti ključne za pripadnike kulture Aljaske.

Hearing loss isn't unique to rural Alaska.

Gubitak sluha nije tipičan samo za ruralnu Aljasku.

It's global.

Globalan je.

The Global Burden of Disease Project estimates there are 1.1 billion people

Projekt Globalnog Tereta Bolesti procjenjuje da ima 1,1 milijarda ljudi

living with hearing loss worldwide.

koji žive s gubitkom sluha diljem svijeta.

That's more people than the entire population here in sub-Saharan Africa.

To je više ljudi nego cijela populacija supsaharske Afrike.

Over 80 percent are in low- and middle-income countries,

Preko 80% njih živi u državama niskih i srednjih prihoda

and many have no access to hearing care.

i puno njih nema pristup klinikama za sluh.

The impact on people's lives is tremendous.

Utjecaj toga na ljudske živote je ogroman.

Anuk is a three-year-old boy I treated in Alaska.

Anuk je trogodišnji dječak kojeg sam liječila na Aljasci.

Ear infections started when he was barely four months old.

Infekcije uha su započele kad je imao jedva četiri mjeseca.

His parents brought him into clinic,

Roditelji su ga doveli u kliniku,

worried he didn't say much compared to his brothers.

zabrinuti jer nije puno pričao, u usporedbi sa svojom braćom.

Sure enough, many rounds of infections had resulted in hearing loss.

Velik broj infekcija rezultirao je gubitkom sluha.

Without treatment, Anuk's speech will continue to lag behind.

Bez liječenja, Anukov govor će i dalje zaostajati.

He's more likely to do worse in school,

Veća je vjerojatnost da će imati lošije rezultate u školi,

have worse job prospects

imat će slabije izglede za zapošljavanje

and experience social isolation.

i doživljavati društvenu izoliranost.

But it doesn't have to be this way.

Ali, to ne mora biti tako.

The World Health Organization estimates that half of all global hearing loss

WHO procjenjuje da polovina svjetskih problema sa sluhom

can be prevented.

može biti spriječena.

If Anuk's hearing loss is identified and treated promptly,

Da je Anukov gubitak sluha bio brzo prepoznat i tretiran,

his life and the opportunities he has as he grows up

njegov život i mogućnosti koje ima dok odrasta

could look vastly different.

mogle su izgledati puno drugačije.

I'm an ear surgeon working with partners around the world

Ja sam kirurg za uši i radim s partnerima diljem svijeta

on new pathways for hearing loss prevention.

na novim putevima prevencije gubitka sluha.

This solution comes from my collaboration with a tribal health organization

Rješenje dolazi iz moje suradnje sa zdravstvenom organizacijom Aljaske,

called the Norton Sound Health Corporation.

Norton Sound Health korporacija.

Hearing loss evaluation traditionally requires testing by an audiologist

Procjena gubitka sluha obično zahtijeva testiranja audiologa

in a soundproof room,

u zvučno izoliranoj sobi

with a lot of permanent equipment.

s puno stalne opreme.

An ear surgeon then examines Anuk's ears under a microscope

Kirurg specijaliziran za uši tada bi pregledao Anukove uši pod mikroskopom

and decides a treatment plan.

i donio odluku o daljnjem tretmanu.

These resources simply aren't available in remote settings.

Ovi resursi jednostavno nisu dostupni u udaljenim mjestima.

In a state where 75 percent of communities aren't connected to a hospital

U državi gdje 75% zajednica nije cestom povezano

by road,

s bolnicom,

an expensive flight is required.

potrebni su skupi letovi.

To overcome these barriers, Alaska has developed

Kako bi prevladala ove barijere, Aljaska je razvila

a state-of-the-art telemedicine system

najmoderniji sustav telemedicine,

that connects over 250 village health clinics

koji povezuje preko 250 seoskih klinika

with specialists who triage all types of health concerns.

sa specijalistima koji se bave svim vrstama zdravstvenih tegoba.

My colleagues have validated that ear-related telemedicine consults

Moje kolege su potvrdile da je daljinsko dijagnosticiranje i liječenje problema uha

are equivalent to an in-person exam.

jednako onome uživo.

In 2016, travel was prevented for 91 percent of patients

2016. godine 91% pacijenata nije trebalo putovati

receiving specialty telemedicine in the Norton Sound region.

jer su primili telemedicinsko savjetovanje u regiji Norton Sound.

Telemedicine has saved over 18 million in travel costs in this single region

Telemedicina je u toj regiji uštedjela preko 18 milijuna u putnim troškovima

over the past 15 years.

u zadnjih 15 godina.

Our team is taking the power of telemedicine to a new level,

Naš tim diže moć telemedicine na novu razinu

through a project

preko projekta

funded by the Patient-Centered Outcomes Research Institute.

financiranog od strane Patient-Centered Outcomes Researc instituta.

For the first time, we are merging telemedicine

Po prvi put, spajamo telemedicinu

with mobile screening technology

s tehnologijom mobilne analize

that extends the reach of expert triage beyond health care settings.

koja proširuje doseg stručne trijaže izvan zdravstvenih ustanova.

This cell-based screen, developed in South Africa,

Ovakav zaslon razvijen u južnoj Africi

costs over 10 times less than traditional equipment

preko 10 puta je jeftiniji od tradicionalne opreme

and does not require advanced training.

i ne zahtijeva dodatnu obuku.

If I were screening Anuk at school,

Da sam ispitivala Anukov sluh u školi,

sound-attenuating headphones and noise monitoring

slušalice koje prigušuju zvuk i nadziranje buke

would take the place of a sound booth,

zamjenili bi zvučnu kabinu,

and I would use a phone adapter instead of a microscope

a adapter telefona bih koristila umjesto mikroskopa

to examine his ears.

za pregled njegovog sluha.

In a matter of minutes, screening and images are done.

Za samo par minuta, analiza i snimke su gotovi.

We then apply Alaska telemedicine technology

Zatim primijenjujemo tehnologiju telemedicine Aljaske

to transmit the data to specialists,

kako bismo poslali podatke stručnjacima

who connect Anuk to the treatment he needs.

koji povezuju Anuka s potrebnim liječenjem.

Our team is launching a randomized trial

Naš tim pokreće nasumično ispitivanje

in 15 communities along the Bering Sea

u 15 zajednica duž Beringovog mora

to study how well this intervention works.

radi proučavanja uspješnosti ove intervencije.

Our goal is to prevent childhood hearing loss across the state of Alaska.

Cilj nam je diljem Aljaske spriječiti gubitak sluha već u djetinjstvu.

But the concept is bigger than a single state.

Ali ovaj koncept nadilazi granice jedne države.

The impact is global.

Utjecaj je globalan.

Mobile telemedicine can revolutionize access to care.

Mobilna telemedicina može drastično promijeniti pristup liječenju.

In Malawi, for example, there are only two ear surgeons and 11 audiologists

U državi Malavi, na primjer, postoje samo dva kirurga za sluh i 11 audiologa

for a population of 17 million.

za populaciju od 17 milijuna.

This technology could empower teachers and community health workers

Ova tehnologija bi mogla osposobiti nastavnike i zdravstvene radnike zajednice

to provide access to care to children in places like Malawi.

da osiguraju pristup liječenju djece na mjestima kao što je Malavi.

Scaling up globally could change children's lives

Globalna ekspanzija bi mogla promijeniti živote djece

who have never had access to hearing care before,

koja nikada nisu imala pristup liječenju sluha,

using just the power of a cell phone.

samo uz pomoć mobilnog telefona.

It's time to change the course of preventable hearing loss.

Vrijeme je da promjenimo tijek preventive gubitka sluha.

Anuk and countless children like him are depending on us.

Anuk i bezbroj djece poput njega ovise o nama.

Thank you.

Hvala.

(Applause)

(Pljesak)