Parasitic worms hold back human progress. Here's how we can end them | Ellen Agler

64,754 views ・ 2020-02-25

TED


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Prevodilac: Ivana Korom Lektor: Aleksandar Korom
00:12
These are worms.
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Ovo su gliste.
00:14
Not the kind of worms you find crawling in the dirt.
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Ne ona vrsta koju nalazimo pod zemljom.
00:16
These are parasitic roundworms.
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Ovo su parazitske valjkaste gliste.
00:18
They live inside a human being's intestines.
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One žive unutar ljudskih creva.
00:21
Each of these worms can grow up to 12 inches long,
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Svaka od njih može da naraste do 30 cm,
00:24
and there are 200 of them in this jar for a reason,
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a razlog zažto ih je 200 u ovoj tegli jeste,
00:26
because that is the number you might typically find
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jer je to broj koji uglavnom možemo naći
00:28
in the belly of a single infected child.
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u stomaku jednog zaraženog deteta.
00:31
Worm infections have been around for thousands of years.
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Infekcija crvima postoji već hiljadama godina.
00:34
They have influenced the outcomes of wars,
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Ona je uticala na ishode ratova,
00:36
and they have long stymied human health.
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i dugo je ometala ljudsko zdravlje.
00:38
Roundworm, hookworm,
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valjkaste gliste, ankilostomijaza,
00:39
whipworm, schistosomiasis:
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trihurijaza, šistozomijaza:
00:41
infections from these species cause pain and discomfort.
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infekcija ovih vrsta izaziva bol i nelagodu.
00:44
They steal nutrients and zap energy.
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One uzimaju nutrijente i crpe energiju.
00:46
They stunt both physical and cognitive growth.
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One sputavaju i fizički i kognitivni rast.
00:49
In most cases, these worms may not be fatal,
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U većini slučajeva, ove gliste nisu fatalne,
00:52
but paradoxically, that's part of the problem.
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ali paradoksalno, to je deo problema.
00:54
It means that many countries
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To znači da većina zemalja
00:55
simply have not been able to prioritize their treatment.
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jednostavno nije odredila lečenje kao prioritet.
00:58
There's a social cost to that:
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Tu leži društvena cena:
01:00
children without access to deworming treatments
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deca koja nemaju pristup lečenju od glista
01:02
have lower rates of school attendance.
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imaju niže stope pohađanja škole.
01:04
Adults who grow up without deworming medicine
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Osobe koje su odrasle bez lekova protiv glista
01:06
are less productive and have lower lifelong earnings.
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su manje produktivne i imaju niže prihode u toku života.
01:09
What intestinal worms do, really,
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Ono što crevne gliste rade, zapravo,
01:11
is limit potential.
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jeste ograničavanje potencijala.
01:13
Currently, there are 1.7 billion people in the world still at risk for worms.
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Trenutno, 1,7 milijardi ljudi je još uvek u riziku od glista.
01:17
Six hundred million of them are in Africa.
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600 miliona njih je u Africi.
01:19
For every dollar invested in worm control and prevention,
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Za svaki dolar koji se uloži u kontrolu i prevenciju,
01:23
African countries see up to 42 dollars return in economic benefits.
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afričke zemlje vide čak do 42 dolara povrata u vidu ekonomske koristi.
01:27
The good news is that deworming treatment is extremely easy.
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Dobra vest je ta da je lečenje izuzetno lako.
01:30
One to three pills given once or twice a year
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1-3 tablete date jednom ili dva puta godišnje
01:32
is enough to take a child from 200 worms to zero
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su dovoljne da zaraženo dete sa 200 glista svedu na nula
01:35
and to protect them from infection going forward.
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i zaštite od budućih infekcija.
01:38
In communities where there's a high prevalence of worms,
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U zajednicama gde je veća prisutnost glista,
01:40
treatment can be done right at school.
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lečenje se može sprovesti u školama.
01:42
This process is extremely simple and fast.
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Ovaj proces je izuzetno lak i brz.
01:45
In Ethiopia, for example, this is done for 20 million children
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U Etiopiji, na primer, se ovo sprovede za 20 miliona dece
01:48
in a matter of weeks.
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u roku od nekoliko nedelja.
01:50
The world has come a long way
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Svet je prešao dugačak put
01:51
on getting deworming medicines to the people who need them,
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do isporuke lekova ljudima kojima je potrebno,
01:54
and African governments want to gain more traction.
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i afričke vlade žele još veću inicijativu.
01:57
It's now time to match their ambition.
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Vreme je da ispratimo njihovu ambiciju.
01:59
The END Fund will work with governments
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Fondacija "Kraj" će raditi sa vladama
02:01
to create a plan that drastically reduces the burden of disease caused by worms.
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da napravi plan koji će drastično smanjiti teret bolesti uzrokovane glistama.
02:06
They’ll work together to ensure prevention and treatment programs
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Zajedno će raditi na prevenciji i programima lečenja
02:09
can serve everyone.
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koji mogu služiti svima.
02:10
The END Fund has an audacious idea:
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Fondacija "Kraj" ima jednu odvažnu ideju:
02:13
they believe we are the generation to end sickness from worm infections forever.
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veruju da će naša generacija iskoreniti bolesti nastale glisnim infekcijama.
02:17
The key is not simply to build new programs from scratch,
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Ključno je da ne treba stvarati nove programe iz temelja,
02:20
but to amplify the efforts of the programs that are already taking shape.
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nego da treba proširiti trud već postojećih programa.
02:24
By examining the problem of how worms transmit disease,
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Ispitivanjem problema kako gliste prenose bolest,
02:27
the END Fund has identified five key areas where they can drive improvement.
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Fondacija "Kraj" je odredila 5 ključnih oblasti koje može poboljšati.
02:32
Number one: lower the cost of treatment.
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Broj jedan: smanjiti trošak lečenja.
02:34
Many pharmaceutical companies offer deworming medicines for free,
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Mnoge farmaceutske kompanije nude besplatno lekove protiv glista,
02:37
so the END Fund works with the right partners
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tako da fond "Kraj" radi sa pravim partnerima
02:39
to coordinate their delivery.
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kako bi uskladio njihovu isporuku.
02:41
They will continue to secure drug donations
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Nastaviće da obezbeđuju donaciju lekova
02:43
for additional at-risk populations.
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za ugroženi deo populacije.
02:46
They can now do it for less than 25 cents per child per year.
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Sada to rade za manje od 25 centi po detetu godišnje.
02:51
Number two: focus on prevention.
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Broj dva: fokus na prevenciji.
02:53
The END Fund calls in the right partners to educate communities
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Fondacija "Kraj" poziva prave partnere u edukaciji zajednica
02:56
on sanitation and hygiene
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o sanitaciji i higijeni
02:58
in order to change behaviors around things like hand-washing
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sa ciljem da promeni ponašanje vezane za stvari kao što su pranje ruku
03:01
and latrine use,
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i korišćenje nužnika,
03:02
ensuring people are not continually reinfected.
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kako bi osigurala ljude od ponovne zaraze.
03:04
Number three: invest in innovation.
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Broj tri: ulaganje u inovaciju.
03:07
The END Fund has contributed to deworming
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Fond "Kraj" je doprineo oslobađanju od glista
03:09
by introducing innovative techniques that effectively target and treat people.
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uvođenjem inovativnih tehnika koje efektivno nalaze i leče ljude.
03:14
They will test new delivery methods,
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Testiraće nove metode isporuke,
03:15
target the environments where parasites thrive
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pronaći će okruženja u kojima paraziti bujaju
03:18
and influence behavior change.
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i podsticaće promenu ponašanja.
03:19
Number four: monitor and evaluate.
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Broj četiri: nadgledati i proceniti.
03:22
The END Fund collects detailed data on all programs on a regular basis
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Fondacija "Kraj" redovno skuplja detaljne podatke o svim programima
03:26
to help them get better and better over time.
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kako bi im pomogla da postanu sve bolji i bolji.
03:29
Number five: increase local ownership.
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Broj pet: povećati lokalno vlasništvo.
03:31
At all stages of the process,
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U svim fazama procesa,
03:33
the END Fund works with government and local stakeholders
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Fondacija "Kraj" radi sa vladama i lokalnim akterima
03:36
to encourage cofinancing commitments that support deworming efforts.
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kako bi podstakla sufinansiranja koja potpomažu borbu protiv glista.
03:40
They also worked with African philanthropists
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Ona sklapa partnerstva sa afričkim filantropima
03:42
and corporate leaders to partner on these efforts.
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i korporativnim liderima kako bi zajedno radili na ovom cilju.
03:45
There's an incredible opportunity to work together to create a new system
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Postoji odlična šansa za zajednički rad koji bi stvorio novi sistem
03:49
for disease elimination for the next decade and beyond.
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za eliminaciju bolesti u sledećoj deceniji, a i nadalje.
03:52
Part of the money the END Fund needs
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Deo sredstava potrebnih fondu "Kraj"
03:54
will go directly toward delivering deworming treatments
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bi išao direktno za isporuku lekova protiv glista
03:57
to communities that need it
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zajednicama kojima je potrebno,
03:58
and part will go towards facilitating the handover of programs
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a deo bi išao za olakšavanje predaje programa
04:01
to local ownership.
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lokalnom vlasništvu.
04:03
Together, these efforts will create prevention and treatment programs
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Zajedno, ovi napori će stvoriti programe lečenja i prevencije
04:06
that are sustainable far into the future.
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koji su održivi i za daleku budućnost.
04:09
If this plan gets fully funded for the next six years,
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Ako se ovaj plan u potpunosti finansira u narednih 6 godina,
04:12
tens of millions of people will receive deworming treatment.
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desetine miliona ljudi će dobiti lečenje protiv glista.
04:16
With that, countries will be interrupting the cycle of disease transmission
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Sa tim, države će prekinuti krug prenošenja zaraze
04:20
at all levels,
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na svim nivoima,
04:21
and most importantly, people will experience significant improvements
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i najbitnije, ljudi će doživeti značajan napredak
04:25
in their mental, physical and social health.
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u svom mentalnom, fizičkom i društvenom zdravlju.
04:28
Just imagine the potential that will be gained
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Samo zamislite potencijal koji će se dobiti
04:31
when people can stop worrying about these
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kada ljudi prestanu da brinu o njima
04:33
and can put their energy into things like these.
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i mogu da ulože svoju energiju u stvari kao što su ove.
04:37
(Students' overlapping voices)
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(Glasovi učenika)
04:39
(Clapping and singing)
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(Tapšanje i pevanje)
04:42
(Cheering)
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(Navijanje)
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