Jane Chen: A warm embrace that saves lives

124,265 views ・ 2010-01-28

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譯者: Lucy Jaryen Hsu 審譯者: WEN SHAN LAI
00:15
Please close your eyes,
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請各位閉上眼睛
00:18
and open your hands.
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把手掌打開
00:21
Now imagine what you could place in your hands:
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想想看你手上可以放什麼?
00:24
an apple, maybe your wallet.
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蘋果,還是錢包?
00:27
Now open your eyes.
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請張開眼睛
00:29
What about a life?
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如果放個小生命在手上呢
00:31
What you see here is a premature baby.
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這是個早產兒
00:33
He looks like he's resting peacefully, but in fact he's struggling to stay alive
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他看似睡的安穩,但其實正掙扎求生
00:36
because he can't regulate his own body temperature.
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因為他沒辦法控制自己的體溫
00:39
This baby is so tiny he doesn't have
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這個嬰兒還太小
00:41
enough fat on his body to stay warm.
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沒有足夠的體脂肪保持體溫
00:43
Sadly, 20 million babies like this
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令人傷心的是,每年有兩千萬這樣的嬰兒
00:46
are born every year around the world.
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出生在世界上
00:49
Four million of these babies die annually.
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而當中每年死亡數目是四百萬
00:51
But the bigger problem is that the ones who do survive
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更糟的是
00:54
grow up with severe, long-term health problems.
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活下來的嬰兒都有嚴重的後遺症
00:57
The reason is because in the first month of a baby's life,
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因為嬰兒出生第一個月
01:00
its only job is to grow.
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都該努力成長
01:02
If it's battling hypothermia, its organs can't develop normally,
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如果體溫過低,嬰兒就沒辦法正常發育
01:05
resulting in a range of health problems
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造成許多健康問題
01:07
from diabetes, to heart disease,
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像是糖尿病,心臟病
01:09
to low I.Q.
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還有智能不足
01:11
Imagine: Many of these problems could be prevented
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這些問題都可以避免
01:14
if these babies were just kept warm.
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只要能讓這些嬰兒保持溫暖
01:17
That is the primary function of an incubator.
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保溫箱就是要讓嬰兒保暖
01:19
But traditional incubators require electricity
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但傳統保溫箱必須插電
01:21
and cost up to 20 thousand dollars.
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而且要價將近台幣七十萬
01:24
So, you're not going to find them in rural areas of developing countries.
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所以發展中國家的鄉間地區根本找不到保溫箱
01:27
As a result, parents resort to local solutions
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因此早產兒的父母只好用當地的辦法
01:30
like tying hot water bottles around their babies' bodies,
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像是用熱水瓶繞著嬰兒的身體
01:33
or placing them under light bulbs like the ones you see here --
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或像圖片這樣,把嬰兒放在燈泡下面
01:36
methods that are both ineffective and unsafe.
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這些方法沒什麼用,又不安全
01:39
I've seen this firsthand over and over again.
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我親眼證實,好幾次都是這樣
01:42
On one of my first trips to India, I met this young woman, Sevitha,
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我去印度的時候,遇到這位年輕婦女Sevitha
01:45
who had just given birth to a tiny premature baby, Rani.
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她剛生的早產兒名叫Rani
01:49
She took her baby to the nearest village clinic,
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她帶Rani到村裡最近的診所
01:52
and the doctor advised her to take Rani
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醫生叫她帶Rani去城裡的醫院
01:54
to a city hospital so she could be placed in an incubator.
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那裏才有保溫箱
01:58
But that hospital was over four hours away,
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但去醫院的路程要四個小時
02:01
and Sevitha didn't have the means to get there,
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Sevitha也沒辦法去
02:04
so her baby died.
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Rani因此夭折
02:06
Inspired by this story, and dozens of other similar stories like this,
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由於這件事和其他許多類似的事
02:09
my team and I realized what was needed was a local solution,
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我們團隊了解,必須想出當地的解決方法
02:12
something that could work without electricity,
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因地制宜又不用電的方法
02:14
that was simple enough for a mother or a midwife to use,
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又要簡便,讓母親和接生婆都會用
02:17
given that the majority of births still take place in the home.
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因為大多數嬰兒還是在家裡出生的
02:20
We needed something that was portable,
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這個解決工具要能帶著走
02:22
something that could be sterilized and reused across multiple babies
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能消毒後再給其他嬰兒使用
02:25
and something ultra-low-cost,
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價格又要壓到最低
02:27
compared to the 20,000 dollars
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起碼要低於
02:29
that an incubator in the U.S. costs.
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台幣七十萬的保溫箱
02:32
So, this is what we came up with.
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而這就是我們的成果
02:34
What you see here looks nothing like an incubator.
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這看起來一點也不像保溫箱
02:36
It looks like a small sleeping bag for a baby.
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比較像嬰兒睡袋
02:39
You can open it up completely. It's waterproof.
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可以整個打開,這是防水的
02:42
There's no seams inside so you can sterilize it very easily.
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裡面沒有接縫,非常容易消毒
02:45
But the magic is in this pouch of wax.
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特別的地方在於這一袋蠟
02:49
This is a phase-change material.
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這個袋子裡的物質會改變型態
02:51
It's a wax-like substance with a melting point
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像蠟一樣
02:53
of human body temperature, 37 degrees Celsius.
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融點是攝氏37度,相當於人的體溫
02:56
You can melt this simply using hot water
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只要用熱水就可以融解
02:59
and then when it melts it's able to maintain one constant temperature
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溶解以後就可以保持恆溫
03:03
for four to six hours at a time,
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每次維持四到六個小時
03:05
after which you simply reheat the pouch.
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凝固後再重新加熱融解就可以了
03:08
So, you then place it into this little pocket back here,
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把這個袋子放在這後面的小口袋
03:15
and it creates a warm micro-environment
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就能為嬰兒
03:17
for the baby.
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打造溫暖的小天地
03:20
Looks simple, but we've reiterated this dozens of times
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看起來簡單,但我們重做了好多次
03:24
by going into the field to talk to doctors, moms and clinicians
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徵詢當地醫生和婦女的意見
03:27
to ensure that this really meets the needs of the local communities.
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確保能滿足當地的需要
03:30
We plan to launch this product in India in 2010,
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產品計劃在2010年於印度上市
03:33
and the target price point will be 25 dollars,
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目標定價台幣875元
03:37
less than 0.1 percent of the cost
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這個價格
03:39
of a traditional incubator.
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不到傳統保溫箱的0.1%
03:42
Over the next five years we hope to save the lives
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接下來五年,我們希望
03:44
of almost a million babies.
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能拯救一百萬個嬰兒的生命
03:46
But the longer-term social impact is a reduction in population growth.
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長期來說,更能降低人口成長
03:49
This seems counterintuitive,
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聽起來好像違背直覺
03:51
but turns out that as infant mortality is reduced,
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但如果嬰兒死亡率降低
03:54
population sizes also decrease,
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人口數也會降低
03:56
because parents don't need to anticipate
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因為父母不用怕孩子會夭折
03:58
that their babies are going to die.
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而生太多孩子
04:00
We hope that the Embrace infant warmer
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希望這個產品 "溫暖的擁抱"
04:03
and other simple innovations like this
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和其他類似的發明
04:05
represent a new trend for the future of technology:
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代表未來科技的新方向
04:09
simple, localized, affordable solutions
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簡單,便宜,又符合當地需求
04:12
that have the potential to make huge social impact.
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對社會有巨大的影響力
04:15
In designing this we followed a few basic principles.
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設計這個產品時,我們有幾項原則
04:18
We really tried to understand the end user,
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我們努力了解使用者的需求
04:20
in this case, people like Sevitha.
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也就是Sevitha他們的需求
04:23
We tried to understand the root of the problem
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我們努力了解問題的根源
04:25
rather than being biased by what already exists.
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不要受現有的東西影響
04:28
And then we thought of the most simple solution we could
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並且,我們努力用最簡單的方法
04:31
to address this problem.
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來解決問題
04:33
In doing this, I believe we can truly bring technology to the masses.
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這樣一來,我相信科技能造福大眾
04:37
And we can save millions of lives through the simple warmth of an Embrace.
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而"溫暖的擁抱",能拯救數百萬的生命
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