No one should die because they live too far from a doctor | Raj Panjabi

翻译人员: Jerry Kong 校对人员: Yanyan Hong

I want to share with you something my father taught me:

我想与大家分享一些 我父亲告诉我的事情，

no condition is permanent.

世界在改变，

It's a lesson he shared with me again and again,

他不断地跟我重复这个道理，

and I learned it to be true the hard way.

而我用一种更为困难的方式 真正理解了这个道理。

Here I am in my fourth-grade class.

这是我小学四年级的班级，

This is my yearbook picture taken in my class in school

我的学校在蒙罗维亚，利比里亚。

in Monrovia, Liberia.

这是我在学校拍的年册照片

My parents migrated from India to West Africa in the 1970s,

我的家庭在七十年代从印度移民到西非，

and I had the privilege of growing up there.

于是我有机会在那里成长。

I was nine years old,

那时候我九岁，

I loved kicking around a soccer ball,

喜欢踢足球，

and I was a total math and science geek.

还痴迷于数学和科学，

I was living the kind of life that, really, any child would dream of.

我过着每一个孩子都会羡慕的生活，

But no condition is permanent.

但是世界会改变。

On Christmas Eve in 1989,

在1989年的圣诞夜，

civil war erupted in Liberia.

利比里亚爆发了内战，

The war started in the rural countryside,

战争从农村开始，

and within months, rebel armies had marched towards our hometown.

在数月内，反抗军就行进到了我的家乡，

My school shut down,

我的学校被关闭，

and when the rebel armies captured the only international airport,

而当反抗军控制了唯一的国际机场，

people started panicking and fleeing.

人们开始恐慌。

My mom came knocking one morning and said, "Raj, pack your things --

有天早上，我的母亲来敲我的门， 说：“Raj，收拾好你的行李，

we have to go."

我们得走了。”

We were rushed to the center of town,

我们赶到镇子的中心，

and there on a tarmac, we were split into two lines.

在那我们被分成两条队伍，

I stood with my family in one line,

我跟我的家庭站在一条队伍里，

and we were stuffed into the cargo hatch

接着就被挤进了

of a rescue plane.

救援机舱。

And there on a bench, I was sitting with my heart racing.

坐在那的椅子上， 我的心扑通扑通地跳着

As I looked out the open hatch,

当我向着舱外望去，

I saw hundreds of Liberians in another line,

我看见几百个利比里亚人 站在另一条队伍里，

children strapped to their backs.

他们的背上用皮带绑着他们的孩子。

When they tried to jump in with us,

当他们试图爬上机舱，

I watched soldiers restrain them.

我看见士兵们在阻止他们，

They were not allowed to flee.

他们逃不了，

We were the lucky ones.

我们是幸运的，

We lost what we had,

我们失去了我们所拥有的，

but we resettled in America,

但我们被重新安置在了美国。

and as immigrants, we benefitted from the community of supporters

而作为移民，我们能从一个 充满了热心群众的社区里，

that rallied around us.

获得很多帮助。

They took my family into their home,

他们把我的家庭带到他们的家里

they mentored me.

教育我，

And they helped my dad start a clothing shop.

甚至协助的我父亲开了一家服装店。

I'd visit my father on weekends as a teenager

当我还是个青年， 我会在双休日到店里，

to help him sell sneakers and jeans.

帮我父亲买些鞋子和牛仔裤。

And every time business would get bad,

而每当生意不好做的时候，

he'd remind me of that mantra:

他总会提起那句格言，

no condition is permanent.

世上没有什么是不变的。

That mantra and my parents' persistence and that community of supporters

这句格言和我父母的坚持， 以及社区的帮助者，

made it possible for me to go through college

使我有机会读完我的大学，

and eventually to medical school.

甚至最后进入医学院。

I'd once had my hopes crushed in a war,

我的希望曾在战争中被击碎，

but because of them,

但因为他们，

I had a chance to pursue my dream to become a doctor.

我有机会追求我的从医梦想，

My condition had changed.

我的世界改变了。

It had been 15 years since I escaped that airfield,

距离那次逃难，已经有15年，

but the memory of those two lines had not escaped my mind.

但关于那两条队伍的印象 在我脑中挥之不去。

I was a medical student in my mid-20s,

作为一个二十多岁的医学生，

and I wanted to go back

我想回去看看我能否

to see if I could serve the people we'd left behind.

为留在那里的人们做些什么。

But when I got back,

但当我回到那儿，

what I found was utter destruction.

我看到的是完全的毁灭。

The war had left us with just 51 doctors

这场战争给我们留下的是 仅存的51名医生

to serve a country of four million people.

要去服务近四百万的人民，

It would be like the city of San Francisco having just 10 doctors.

这就好比旧金山只有10名医生。

So if you got sick in the city where those few doctors remain,

因此，如果你在那些 有医生的城市里生病了，

you might stand a chance.

你可能还有一丝希望，

But if you got sick in the remote, rural rainforest communities,

而一旦你在遥远的雨林社区里生病，

where you could be days from the nearest clinic --

最近的诊所在几天的路程之外，

我看到我的病人死于 完全不该致死的病症，

I was seeing my patients die from conditions no one should die from,

all because they were getting to me too late.

而这全都是因为他们 向我寻求救治来的太晚了，

Imagine you have a two-year-old who wakes up one morning with a fever,

试想，你发现你两岁的孩子 在早晨醒来，并且发烧了，

and you realize she could have malaria,

于是你意识到她可能感染了疟疾，

and you know the only way to get her the medicine she needs

而你所知道唯一为她取得药物的途径，

would be to take her to the riverbed,

是把她带到河边

get in a canoe, paddle to the other side

坐上木舟，划到彼岸，

and then walk for up to two days through the forest

再走上两天穿过树林，

just to reach the nearest clinic.

找到最近的诊疗师。

One billion people live in the world's most remote communities,

十亿人生活在世界上最偏远的社区里，

and despite the advances we've made in modern medicine and technology,

无论我们的现代医学技术 做出了多少进步，

our innovations are not reaching the last mile.

这些进步无法踏遍世界的每个角落。

These communities have been left behind,

这些社区被落下了，

because they've been thought too hard to reach

只因为人们觉得这些地方

太难普及医疗。

and too difficult to serve.

Illness is universal;

疾病踏遍了世界，

access to care is not.

而医疗没有。

And realizing this lit a fire in my soul.

这个事实在我的心中燃起了一团火，

No one should die because they live too far from a doctor or clinic.

人们不该因为生活在偏远地区而死亡。

No condition should be permanent.

一切都应当能够被改变，

And help in this case didn't come from the outside,

在这情况下，援助不来自于外部，

it actually came from within.

而它应该恰恰来自于

It came from the communities themselves.

社区本身。

Meet Musu.

这是穆苏，

Way out in rural Liberia,

远在利比里亚乡村，

where most girls have not had a chance to finish primary school,

女孩们往往没有机会完成小学教育，

Musu had been persistent.

而穆苏坚持学业。

At the age of 18, she completed high school,

在18岁的时候，她完成了他的高中教育，

and she came back to her community.

然后回到了她的家乡，

She saw that none of the children were getting treatment

她发现没有一个生病的孩子

for the diseases they needed treatment for --

获得了他们应当获得的治疗，

deadly diseases, like malaria and pneumonia.

而这些这些疾病往往 是致死的，像疟疾、肺炎，

So she signed up to be a volunteer.

于是，她报名去做志愿者。

There are millions of volunteers like Musu in rural parts around our world,

世界上有上百万个 像穆苏一样的志愿者，

and we got to thinking --

很自然地，我们会想，

community members like Musu could actually help us solve a puzzle.

这些像穆苏一样的社区成员 能够帮助我们解决这个问题。

Our health care system is structured in such a way

我们的医疗系统被一种框架限制着

that the work of diagnosing disease and prescribing medicines

在这框架中，诊断病症， 开出处方等工作，

is limited to a team of nurses and doctors like me.

只能由医生或护士团队来完成，

But nurses and doctors are concentrated in cities,

但医生和护士集中在城市中，

so rural communities like Musu's have been left behind.

因此像穆苏的社区就被拉下了。

So we started asking some questions:

于是，我们开始发问，

What if we could reorganize the medical care system?

如果我们能重塑这个系统，

What if we could have community members like Musu

如果我们能让像穆苏一样的社区成员

be a part or even be the center of our medical team?

成为医疗队伍的一员甚至是核心，

What if Musu could help us bring health care from clinics in cities

如果穆苏能帮我们 把医疗从城市的诊所

to the doorsteps of her neighbors?

移到她邻居的门前？

Musu was 48 when I met her.

在我遇到她时， 穆苏48岁了，

And despite her amazing talent and grit,

尽管她很有天赋，也很坚韧，

she hadn't had a paying job in 30 years.

她却有近三十年 不曾从事过带薪的工作。

So what if technology could support her?

如果我们能够用科技来帮助她，

What if we could invest in her with real training,

如果我们能以实际的训练来投资她，

equip her with real medicines,

以实际的药物来武装她，

and have her have a real job?

让她，有个真正的工作？

Well, in 2007, I was trying to answer these questions,

在2007年，我尝试回答这些问题，

and my wife and I were getting married that year.

我的妻子与我也在那年结婚了，

We asked our relatives to forgo the wedding registry gifts

我们没让我们的亲戚 给我们结婚礼物，

and instead donate some money

反而， 我们让他们捐些钱

so we could have some start-up money to launch a nonprofit.

给我们来启动我们的非盈利公益活动。

I promise you, I'm a lot more romantic than that.

相信我，我本人比这要浪漫多了。

(Laughter)

（笑声）

We ended up raising $6,000,

我们最后募得了6000美金，

teamed up with some Liberians and Americans

找到了一些利比里亚和美国队员，

and launched a nonprofit called Last Mile Health.

启动了这个非盈利组织 叫做“最后一英里健康”。

Our goal is to bring a health worker within reach of everyone, everywhere.

我们的目标是给世界上 每一个人带去一个医疗工作者，

We designed a three-step process --

我们设计了一个三步走计划：

train, equip and pay --

训练，武装，支付。

to invest more deeply in volunteers like Musu

为了投资更多像穆苏一样的志愿者

to become paraprofessionals,

成为辅助性专业人员，

to become community health workers.

成为社区保健工作者，

First we trained Musu to prevent, diagnose and treat

首先我们训练穆苏 去防护，诊断，治疗，

the top 10 diseases afflicting families in her village.

十种她村庄里最为猖獗的疾病，

A nurse supervisor visited her every month to coach her.

一个护士监察者每月 探访她并训练她，

We equipped her with modern medical technology,

我们用现代医疗技术去武装她，

like this $1 malaria rapid test,

像是这个一美元疟疾速诊。

and put it in a backpack full of medicines like this

我们把这些放在一个 满是类似药品的背包里，

to treat infections like pneumonia,

来治疗包括肺炎的感染。

and crucially,

最关键的

a smartphone, to help her track and report on epidemics.

我们还提供了一个智能手机， 让穆苏能跟踪和汇报流行病的情况，

Last, we recognized the dignity in Musu's work.

最后，我们认识到了 穆苏工作的严肃性。

With the Liberian government, we created a contract,

在与政府的合作下， 我们与穆苏建立了合同

paid her

支付她薪水，

and gave her the chance to have a real job.

并且给她一个真正的工作，

And she's amazing.

而她真是特别棒！

Musu has learned over 30 medical skills,

她习得了超过30种医疗技能，

from screening children for malnutrition,

从筛查营养不良的孩子

to assessing the cause of a child's cough with a smartphone,

到用手机来评估孩子咳嗽的原因，

to supporting people with HIV

再到帮助人们对抗艾滋病

and providing follow-up care to patients who've lost their limbs.

以及提供失去四肢的病人后续帮助。

Working as part of our team,

作为我们团队的一员，

working as paraprofessionals,

作为辅助性医疗人员，

community health workers can help ensure

社区健康工作者能够帮助做到

that a lot of what your family doctor would do

很多你的家庭医生能做的

reaches the places that most family doctors could never go.

而去到那些你的家庭医生去不了的地方。

One of my favorite things to do is to care for patients

我最爱的事情之一， 就是和社区健康工作者一起，

with community health workers.

诊疗病人。

So last year I was visiting A.B.,

因此，去年我去拜访A.B.，

and like Musu, A.B. had had a chance to go to school.

像穆苏一样，A.B.曾有机会读书，

He was in middle school, in the eighth grade,

那时，他在中学， 就读于八年级，

when his parents died.

他的父母死了，

He became an orphan and had to drop out.

他成了一个孤儿，只能辍学。

Last year, we hired and trained A.B. as a community health worker.

去年我们雇佣了他， 并将他训练成了一个社区健康工作者，

And while he was making door to door house calls,

当他在一户一户地进行检查时，

he met this young boy named Prince,

他遇到了这个男孩，他叫普林斯，

whose mother had had trouble breastfeeding him,

他的母亲不能用母乳喂养他，

and by the age of six months, Prince had started to waste away.

到了他六个月大的时候， 他开始消瘦，

A.B. had just been taught how to use this color-coded measuring tape

A.B.刚刚被教授了 怎么用这个彩色码测量带。

that wraps around the upper arm of a child to diagnose malnutrition.

环绕在孩子的上臂上来诊断营养不良，

A.B. noticed that Prince was in the red zone,

他意识到普林斯在红区了，

which meant he had to be hospitalized.

这意味着普林斯必须得被送到医院，

So A.B. took Prince and his mother to the river,

于是A.B.把普林斯和他妈妈送到河边，

got in a canoe

坐上木舟，

and paddled for four hours to get to the hospital.

划船四小时抵达医院。

Later, after Prince was discharged,

后来，普林斯从医院回家后，

A.B. taught mom how to feed baby a food supplement.

A.B.教会了这个母亲 怎么喂养这个孩子。

A few months ago,

几个月之前，

A.B. took me to visit Prince, and he's a chubby little guy.

A.B.带我去见了普林斯， 他是个肉墩墩的孩子，

(Laughter)

（笑声）

He's meeting his milestones, he's pulled himself up to a stand,

他刚刚经过了他生命的里程碑， 他开始走路了，

and is even starting to say a few words.

甚至开始说话。

I'm so inspired by these community health workers.

我被这些社区健康工作者 深深地激发了，

I often ask them why they do what they do,

我常问他们为什么他们要这么做？

and when I asked A.B.,

当我问到A.B.，

he said, "Doc, since I dropped out of school, this is the first time

他说：“医生，从我辍学起

这是我第一次有机会用笔写字，

I'm having a chance to hold a pen to write.

My brain is getting fresh."

我的大脑像是获得了新生。”

The stories of A.B. and Musu have taught me something fundamental

A.B.和穆苏的故事教给我，

我们作为一个人类 所拥有的最根本的东西，

about being human.

Our will to serve others

我们愿意帮助他人的意愿

can actually help us transform our own conditions.

能够真切地帮助我们改变自己的世界。

I was so moved by how powerful the will to serve our neighbors can be

在几年前，

我深深地被这种强大的意愿感动了。

a few years ago,

when we faced a global catastrophe.

在2013年的十二月，

那时我们正在面对全球性灾难，

In December 2013,

something happened in the rainforests across the border from us in Guinea.

一件事情在几内亚的雨林里发生了。

A toddler named Emile fell sick with vomiting, fever and diarrhea.

一个叫艾米尔的孩子感到 不适并伴随着呕吐发烧和腹泻，

He lived in an area where the roads were sparse

他住在道路稀疏的地方，

and there had been massive shortages of health workers.

而那里极度稀缺健康工作者。

Emile died,

艾米尔死了，

and a few weeks later his sister died,

又过了几周，他的姐姐死了，

and a few weeks later his mother died.

又是几周，他的母亲也死了，

And this disease would spread from one community to another.

这种疾病从一个村庄 扩散到另一个村庄。

And it wasn't until three months later

直到三个月后，

that the world recognized this as Ebola.

世人才意识到这就是埃博拉，

When every minute counted, we had already lost months,

在这需要争分夺秒的情况下 我们已经失去了几个月的时间，

and by then the virus had spread like wildfire all across West Africa,

那时，病毒已经 像野火一样肆虐了整个西非，

and eventually to other parts of the world.

而最终到达世界上的其他地方。

Businesses shut down, airlines started canceling routes.

商业停滞，航线被取消，

At the height of the crisis,

在这场灾难的顶点，

when we were told that 1.4 million people could be infected,

我们被告知有 一百四十万人感染了这种病毒，

when we were told that most of them would die,

而他们中的大多数都将死亡。

when we had nearly lost all hope,

我们几乎丧失了所有希望。

I remember standing with a group of health workers

我记得那时我和 一群健康工作者站在一起，

in the rainforest where an outbreak had just happened.

在雨林中，一场病毒刚刚爆发，

We were helping train and equip them to put on the masks,

我们教会他们戴上面具，

the gloves and the gowns that they needed

手套，防护衣

来抵御病毒。

to keep themselves safe from the virus

while they were serving their patients.

当他们帮助他们的病患时，

I remember the fear in their eyes.

我看到了他们眼中的恐惧，

And I remember staying up at night, terrified if I'd made the right call

我也记得彻夜不眠，怀疑自己选择，

to keep them in the field.

让他们继续在前线工作是否是正确的。

When Ebola threatened to bring humanity to its knees,

当埃博拉的阴影开始摧毁人心，

Liberia's community health workers didn't surrender to fear.

利比里亚的社区工作者没有向恐惧屈服，

They did what they had always done:

他们坚持他们一贯的做法，

they answered the call to serve their neighbors.

继续回应邻里的医疗请求。

Community members across Liberia learned the symptoms of Ebola,

全利比里亚的社区成员都 习得了如何分辨埃博拉的症状。

teamed up with nurses and doctors to go door-to-door to find the sick

他们联合起医生和护士 挨家挨户地寻找患病的人，

and get them into care.

让他们获得医治，

They tracked thousands of people who had been exposed to the virus

他们追踪上千个接触过病毒的人，

and helped break the chain of transmission.

来截断病毒的传染链，

Some ten thousand community health workers risked their own lives

万余名社区健康工作者以身犯险，

to help hunt down this virus and stop it in its tracks.

追踪并消灭病毒源。

(Applause)

（掌声）

Today, Ebola has come under control in West Africa,

今天在西非， 埃博拉已经被控制住了，

and we've learned a few things.

我们也学到了一些事情，

We've learned that blind spots in rural health care

我们发现了乡村医疗的盲区，

can lead to hot spots of disease,

会变成疾病滋生的热区，

and that places all of us at greater risk.

而这会让我们所有人处于更危险的境地，

We've learned that the most efficient emergency system

我们学到了，最有效的应急系统

is actually an everyday system,

正是日常系统。

and that system has to reach all communities,

这样的系统必须延伸到所有的社区，

including rural communities like Emile's.

包括像艾米尔所在的社区

And most of all,

而最重要的，

we've learned from the courage of Liberia's community health workers

我们从利比里亚社区工作者的勇气中

that we as people are not defined by the conditions we face,

认识到了人们不会被 他们遇到的环境所定义的。

no matter how hopeless they seem.

无论环境多么的无助，

We're defined by how we respond to them.

我们被我们的处理问题的方式所定义。

For the past 15 years,

在过去的十五年中，

I've seen the power of this idea

我多次印证，这种想法的力量，

to transform everyday citizens into community health workers --

能够把普通市民， 变成社区健康工作者

into everyday heroes.

变成——英雄。

And I've seen it play out everywhere,

我也同样在别处看到它发挥作用，

from the forest communities of West Africa,

从西非的雨林社区

to the rural fishing villages of Alaska.

到阿拉斯加的乡村渔村，

It's true,

这是真的。

these community health workers aren't doing neurosurgery,

这些社区健康工作者 是没法作神经手术，

but they're making it possible

但他们在使

to bring health care within reach of everyone everywhere.

把医疗带给每个人， 变成可能。

So now what?

所以，现在呢？

Well, we know that there are still millions of people dying

我们清楚地认识到，

from preventable causes

仍然有上百万生活在乡村里的人

in rural communities around the world.

死于可预防的疾病。

And we know that the great majority of these deaths are happening

我们也知道，大部分这些死亡

in these 75 blue-shaded countries.

在这七十五个蓝色区域里发生，

What we also know

但我们知道，

is that if we trained an army of community health workers

如果我们训练一支 由社区健康工作者组成的队伍，

to learn even just 30 lifesaving skills,

教会他们30种救命的技能，

we could save the lives of nearly 30 million people by 2030.

到2030年，我们能够救活三千万人。

Thirty services could save 30 million lives by 2030.

三十种服务，就能救三千万。

That's not just a blueprint --

这不是纸上谈兵，

we're proving this can be done.

我们已经证明这是可行的，

In Liberia,

在利比里亚，

the Liberian government is training thousands of workers like A.B. and Musu

政府已经在训练 上千名像A.B.和穆苏一样的工作者。

after Ebola,

在埃博拉之后，

to bring health care to every child and family in the country.

把医疗带给每个孩子和家庭，

And we've been honored to work with them,

能与他们工作，我们感到很荣幸。

and are now teaming up with a number of organizations

现在，我们也联合了

that are working across other countries

数个跨国公益组织

to try to help them do the same thing.

来让他们进行相同的操作。

If we could help these countries scale,

如果我们能够帮助这些国家，

we could save millions of lives,

我们能够救活百万条性命。

and at the same time,

同时，

we could create millions of jobs.

我们能够提供百万个工作

We simply can't do that, though, without technology.

而科技是这一切的支撑，

People are worried that technology is going to steal our jobs,

人们担心科技会夺走人们的工作。

but when it comes to community health workers,

但在这个领域

technology has actually been vital for creating jobs.

科技是创造就业的核心，

Without technology -- without this smartphone,

没有科技——没有智能手机，

without this rapid test --

——没有快速测试，

it would have been impossible for us to be able to employ A.B. and Musu.

我们不可能雇佣A.B.和穆苏。

And I think it's time for technology to help us train,

我想是时候让科技来帮助我们训练，

to help us train people faster and better than ever before.

帮助我们更快更好地训练人们

As a doctor,

作为一个医生，

I use technology to stay up-to-date and keep certified.

我通过科技来 更新自己的技术，并获得认证，

I use smartphones, I use apps, I use online courses.

我使用手机，使用软件， 使用网上课程，

But when A.B. wants to learn,

但当A.B.想要学习时，

he's got to jump back in that canoe

他必须得坐那艘独木舟，

and get to the training center.

来到那个训练中心。

And when Musu shows up for training,

当穆苏来参加训练，

her instructors are stuck using flip charts and markers.

她的指导还只能用翻板和马克笔 来讲课，

Why shouldn't they have the same access to learn as I do?

为什么他们不能像我们一样 可以容易得学到知识呢？

If we truly want community health workers to master those lifesaving skills

如果我们真的想让社区健康工作者 掌握那些救命的技术，

and even more,

甚至更多,

we've got to change this old-school model of education.

我们得改变这种老掉牙的教育模式，

Tech can truly be a game changer here.

科技将成为一个转折点，

I've been in awe of the digital education revolution

我一直以来都被由可汗学院和edX引起的

that the likes of Khan Academy and edX have been leading.

数字化教育革命所震撼。

And I've been thinking that it's time;

我想也是时候了，

it's time for a collision

是时候来一场数字化教育革命

between the digital education revolution

和社区健康革命

and the community health revolution.

的碰撞了。

And so, this brings me to my TED Prize wish.

因此，我要在此处说出我的TED大奖愿望：

I wish --

我希望，

I wish that you would help us recruit

我希望你们可以帮助我们招募

the largest army of community health workers the world has ever known

最大的社区健康工作者军队，

by creating the Community Health Academy,

通过成立社区健康学社，

a global platform to train, connect and empower.

建立一个全球化的平台， 来训练，联合和使人们更有能力。

(Applause)

（掌声）

Thank you.

谢谢。

(Applause)

（掌声）

Thank you.

谢谢

Here's the idea:

这是具体的想法：

we'll create and curate

我们会发展并管理，

the best in digital education resources.

最佳的数字教育资源，

We will bring those to community health workers around the world,

我们会把这些资源带到 全世界社区健康工作者的手里，

including A.B. and Musu.

包括A.B.和穆苏，

They'll get video lessons on giving kids vaccines

他们会看到关于给孩子 注射疫苗的视频课程，

and have online courses on spotting the next outbreak,

以及获取线上关于 发现下一个热点的课程，

so they're not stuck using flip charts.

因而他们将不会再 因为只能用翻板，而不能好好上课，

We'll help these countries accredit these workers,

我们会帮助这些国家鉴定这些工作者，

so that they're not stuck remaining an under-recognized, undervalued group,

让他们不再被低估和轻视，

but become a renowned, empowered profession,

而是受到尊敬和授权，

just like nurses and doctors.

就像医生和护士一样，

And we'll create a network of companies and entrepreneurs

我们还会建立一个企业与公司的网络，

who've created innovations that can save lives

这些机构都发明了可以救命的产品，

and help them connect to workers like Musu,

网络把穆苏和这些机构联合在一起，

so she can help better serve her community.

让像穆苏一样的工作者 能够更好地服务社区，

And we'll work tirelessly to persuade governments

我们会不知疲倦地说服政府，

to make community health workers a cornerstone of their health care plans.

把社区健康工作者 作为他们医疗计划的基石，

We plan to test and prototype the academy in Liberia

我们正计划在利比里亚 和其他几个合作国家

and a few other partner countries,

测试并初步架构这种机构，

and then we plan to take it global,

也计划着将它推向全球化，

including to rural North America.

包括北美的乡村。

With the power of this platform,

有着这个平台的支持，

we believe countries can be more persuaded

我们认为这些国家会更容易相信，

that a health care revolution really is possible.

医疗革命是可能的。

My dream is that this academy will contribute to the training

我的梦想这个机构能够

of hundreds of thousands of community members

训练千百个社区成员

to help bring health care to their neighbors --

来把医疗带给他们的邻居。

the hundreds of millions of them

上亿居住在世界最偏远角落

that live in the world's most remote communities,

的邻居，

from the forest communities of West Africa,

从西非的雨林社区

to the fishing villages of rural Alaska;

到阿拉斯加的乡野渔村，

from the hilltops of Appalachia, to the mountains of Afghanistan.

从阿巴拉契亚山顶到阿富汗的山上，

If this vision is aligned with yours,

如果你也希望这个设想成真，

head to communityhealthacademy.org,

进入 communityhealthacademy.org

and join this revolution.

加入这场改革。

Let us know if you or your organization or someone you know could help us

在我们决定明年开始建立这个机构的时候，

as we try to build this academy over the next year.

让我们知道你和你的组织或者你认识的人 是否愿意帮助我们，

Now, as I look out into this room,

现在，正如我环视这个大厅，

I realize that our journeys are not self-made;

我意识到我们的路程并不是孤立的，

they're shaped by others.

它是也由别人铸造的。

And there have been so many here that have been part of this cause.

有太多的东西让我们发起这个活动，

We're so honored to be part of this community,

我们非常荣幸能成为这个社区的一员，

and a community that's willing to take on a cause

这个敢于启动，

as audacious as this one,

这个项目的社区。

so I wanted to offer, as I end,

因此，在最后，我想提出

a reflection.

一些反馈，

I think a lot more about what my father taught me.

我更多地想到我父亲教会我的事，

These days, I too have become a dad.

近来，我也成为了一个父亲，

I have two sons,

我有两个儿子。

and my wife and I just learned that she's pregnant with our third child.

我的妻子和我也刚刚 知道她怀上了第三个孩子，

(Applause)

Thank you.

（掌声）

(Applause)

谢谢

（掌声）

I was recently caring for a woman in Liberia

我最经在为一个 利比里亚的女人提供帮助，

who, like my wife, was in her third pregnancy.

她，像我的妻子一样， 在她的第三次妊娠期,

But unlike my wife,

但不像我的妻子,

had had no prenatal care with her first two babies.

她从没有产前护理过她的前两个孩子，

She lived in an isolated community in the forest that had gone for 100 years

她生活在一个与世隔绝的雨林社区，

without any health care

那儿，已经有一百年没有医疗了。

until ...

直到

until last year when a nurse trained her neighbors

直到去年，一个护士训练了她的邻居

to become community health workers.

成为一个社区健康工作者。

So here I was,

所以我在那

seeing this patient who was in her second trimester,

诊疗这个在她的妊娠中期的病人，

and I pulled out the ultrasound to check on the baby,

一边用超声波检查胎儿，

and she started telling us stories about her first two kids,

一边听她说她前两个孩子的故事，

and I had the ultrasound probe on her belly,

我的超声探头在她的腹部，

and she just stopped mid-sentence.

她说到一半突然停住了。

She turned to me and she said,

她转向我说，

"Doc, what's that sound?"

“医生，这是什么声音？”

It was the first time she'd ever heard her baby's heartbeat.

这是第一次她听到她孩子的心跳，

And her eyes lit up in the same way my wife's eyes and my own eyes lit up

她的眼睛发亮，

when we heard our baby's heartbeat.

就像我和我妻子听到 我们孩子的心跳时那样发亮。

For all of human history,

在人类历史上，

illness has been universal and access to care has not.

疾病是普遍的，而医疗不是。

But as a wise man once told me:

但就像一个智者曾告诉我的，

no condition is permanent.

世上没有什么是不变的。

It's time.

是时候了，

It's time for us to go as far as it takes

是时候让我们用尽全力，

to change this condition together.

一起来改变现状。

Thank you.

谢谢。

(Applause)

（掌声）