This simple test can help kids hear better | Susan Emmett

Prevodilac: Ivana Korom Lektor: Ivana Krivokuća

Listen to the sounds of why hearing matters

Slušajte zvuke važnosti sluha

to the Alaskan Native people.

za urođenike na Aljasci.

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

Gubitak sluha otežava pecanje na otvorenoj vodi,

hunt caribou and harvest berries,

lov irvasa i žetvu bobica,

activities central to Alaskan Native culture.

glavne aktivnosti u kulturi starosedelaca Aljaske.

Hearing loss isn't unique to rural Alaska.

Gubitak sluha nije jedinstven za ruralnu Aljasku.

It's global.

On je globalan.

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

Projekat The Global Burden of Disease procenjuje da postoji 1,1 milijarda ljudi

living with hearing loss worldwide.

koji žive bez sluha, širom sveta.

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

To je više ljudi nego cela populacija podsaharske Afrike.

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

Preko 80 procenata njih je iz zemalja niskih ili srednjih prihoda,

and many have no access to hearing care.

a mnogi nemaju pristup lečenju sluha.

The impact on people's lives is tremendous.

Uticaj na ljudske živote je ogroman.

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

Anuk je trogodišnji dečak kog sam lečila na Aljasci.

Ear infections started when he was barely four months old.

Infekcije uha su počele kad mu je bilo jedva četiri meseca.

His parents brought him into clinic,

Roditelji su ga doveli na kliniku,

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

zabrinuti jer nije mnogo govorio u poređenju sa svojom braćom.

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

Naravno, brojne infekcije su dovele do gubitka sluha.

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

Bez lečenja, Anukov govor će nastaviti da zaostaje.

He's more likely to do worse in school,

Veće su šanse da će biti lošiji u školi,

have worse job prospects

imati lošije izglede za zaposlenje

and experience social isolation.

i da će biti društveno izolovan.

But it doesn't have to be this way.

Ali ne mora da bude tako.

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

SZO procenjuje da polovina slučajeva gubitka sluha u svetu

can be prevented.

može biti sprečena.

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

Ako se Anukov gubitak sluha otkrije i leči brzo,

his life and the opportunities he has as he grows up

njegov život i prilike koje bude imao dok odrasta

could look vastly different.

bi mogli biti mnogo drugačiji.

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

Ja sam ušni hirurg i sarađujem sa partnerima širom sveta

on new pathways for hearing loss prevention.

na novim načinima prevencije gubitka sluha.

This solution comes from my collaboration with a tribal health organization

Ovo rešenje proizlazi iz moje saradnje sa plemenskom zdravstvenom organizacijom

called the Norton Sound Health Corporation.

koja se zove Zdravstvena korporacija Norton Sound.

Hearing loss evaluation traditionally requires testing by an audiologist

Procena gubitka sluha tradicionalno podrazumeva testiranje kod audiologa

in a soundproof room,

u zvučno izolovanoj prostoriji,

with a lot of permanent equipment.

sa mnogo standardne opreme.

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

Ušni hirurg zatim pregleda Anukove uši pod mikroskopom

and decides a treatment plan.

i donosi plan lečenja.

These resources simply aren't available in remote settings.

Ova sredstva prosto nisu dostupna u udaljenim sredinama.

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

U zemlji gde 75 procenata zajednica nije povezano sa bolnicom putevima,

by road,

an expensive flight is required.

neophodni su skupi letovi.

To overcome these barriers, Alaska has developed

Da bi prevazišla ove prepreke, Aljaska je razvila

a state-of-the-art telemedicine system

najsavremeniji sistem telemedicine

that connects over 250 village health clinics

koji spaja preko 250 seoskih zdravstvenih klinika

with specialists who triage all types of health concerns.

sa specijalistima koji trijažiraju sve vrste zdravstvenih problema.

My colleagues have validated that ear-related telemedicine consults

Moje kolege su procenile da su pregledi sluha putem telemedicine

are equivalent to an in-person exam.

jednaki pregledima uživo.

In 2016, travel was prevented for 91 percent of patients

U 2016. godini, putovanje je izbegnuto za 91 procenat pacijenata

receiving specialty telemedicine in the Norton Sound region.

koji su lečeni telemedicinom u oblasti Norton Sound.

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

Telemedicina je uštedela preko 18 miliona u putnim troškovima u jednoj oblasti

over the past 15 years.

tokom prethodnih 15 godina.

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

Naš tim podiže moć telemedicine na novi nivo, putem projekta

through a project

koji finansira Institut za istraživanje ishoda fokusiranih na pacijenta.

funded by the Patient-Centered Outcomes Research Institute.

For the first time, we are merging telemedicine

Prvi put spajamo telemedicinu

with mobile screening technology

sa mobilnom tehnologijom skrininga

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

koja širi domete ekspertne trijaže van zdravstvenih ustanova.

Ovaj ekran, razvijen u južnoj Africi,

This cell-based screen, developed in South Africa,

costs over 10 times less than traditional equipment

košta preko 10 puta manje nego tradicionalna oprema

and does not require advanced training.

i ne zahteva naprednu obuku.

If I were screening Anuk at school,

Da ispitujem Anuka u školi,

sound-attenuating headphones and noise monitoring

slušalice koje prigušuju zvuk i kontrolisanje buke

would take the place of a sound booth,

bi zamenili zvučnu kabinu,

and I would use a phone adapter instead of a microscope

a adapter telefona bih koristila umesto mikroskopa

to examine his ears.

da mu pregledam uši.

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

Za samo par minuta, skrining i slike su gotovi.

We then apply Alaska telemedicine technology

Zatim primenjujemo tehnologiju telemedicine Aljaske

to transmit the data to specialists,

da pošaljemo podatke stručnjacima

who connect Anuk to the treatment he needs.

koji povezuju Anuka sa potrebnim lečenjem.

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 procene uspeha ove intervencije.

Cilj nam je da sprečimo gubitak sluha u detinjstvu širom Aljaske.

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

But the concept is bigger than a single state.

Ali ovaj koncept prevazilazi granice jedne države.

The impact is global.

Uticaj je globalan.

Mobile telemedicine can revolutionize access to care.

Mobilna telemedicina može revolucionisati pristup lečenju.

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

U Malaviju, na primer, postoje samo dva ušna hirurga i 11 audiologa

for a population of 17 million.

za populaciju od 17 miliona.

This technology could empower teachers and community health workers

Ova tehnologija bi mogla da osposobi nastavnike i zdravstvene radnike zajednice

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

da obezbede pristup lečenju dece u mestima kao što je Malavi.

Scaling up globally could change children's lives

Globalna ekspanzija bi mogla da promeni živote dece

who have never had access to hearing care before,

koja nikada do sada nisu imala pristup lečenju 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.

Vreme je da promenimo tok predupredljivog gubitka sluha.

Anuk and countless children like him are depending on us.

Anuk i brojna deca kao što je on zavise od nas.

Thank you.

Hvala vam.

(Applause)

(Aplauz)