Bruce Aylward: Humanity vs. Ebola. The winning strategies in a terrifying war
40,667 views ・ 2015-02-03
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00:00
Translator: Eriko T
Reviewer: Morton Bast
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譯者: Sherry Chen
審譯者: Katherine LEI
00:12
When I was invited to give this talk
a couple of months ago,
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幾個月前,我受邀來進行這場演講時
00:17
we discussed a number
of titles with the organizers,
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我們與主辦方探討了幾個題目
00:20
and a lot of different items were
kicked around and were discussed.
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從多個角度考慮並討論了很多不同的可能
00:24
But nobody suggested this one,
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但沒有人建議用“擊敗伊波拉”
00:26
and the reason for that
was two months ago,
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而其原因正是在兩個月前
00:29
Ebola was escalating exponentially
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伊波拉病毒以指數增長級滋生
00:32
and spreading over wider geographic areas
than we had ever seen,
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蔓延到前所未見的廣大地區
00:36
and the world was terrified,
concerned and alarmed
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而全世界都為之驚恐、擔憂、警惕
00:39
by this disease, in a way we've not
seen in recent history.
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其緊張程度在近代史上是前所未見的
00:44
But today, I can stand here
and I can talk to you about beating Ebola
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但今天,我能夠站在這裡
與大家討論擊敗伊波拉這個話題
00:50
because of people
whom you've never heard of,
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多虧了那些你們從未聽說過的人們
00:54
people like Peter Clement, a Liberian
doctor who's working in Lofa County,
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比如彼特•克萊蒙德
賴比瑞亞-洛法鎮的一名醫生
01:01
a place that many of you have
never heard of, probably, in Liberia.
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你們當中許多人可能從未聽說過
賴比瑞亞的洛法鎮
01:07
The reason that Lofa County
is so important
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洛法鎮變得如此重要的原因
01:09
is because about five months ago,
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是因為在大約五個月前
01:12
when the epidemic was
just starting to escalate,
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當伊波拉疫情剛剛開始蔓延時
01:16
Lofa County was right at the center,
the epicenter of this epidemic.
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洛法鎮正是這場疫情的中心
01:21
At that time, MSF
and the treatment center there,
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那時,駐紮在那裡的無國界醫生組織和治療中心
01:25
they were seeing dozens of patients
every single day,
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每天都要見數十位病人
01:28
and these patients, these communities
were becoming more and more terrified
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而這些病人,這些社區隨著時間流逝
01:32
as time went by, with this disease
and what it was doing to their families,
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變得愈發恐懼,這場疾病
給他們的家人帶來了滅頂之災
01:36
to their communities,
to their children, to their relatives.
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還有他們的社區,孩子以及親戚
01:40
And so Peter Clement was charged with
driving that 12-hour-long rough road
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因此彼特•克萊蒙德卯足了勁
在顛簸的公路上開了12個小時
01:45
from Monrovia, the capital,
up to Lofa County,
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從賴比瑞亞首都蒙羅維亞開到了洛法鎮
01:49
to try and help bring control
to the escalating epidemic there.
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去試著幫助控制正在逐漸蔓延的疫情
01:53
And what Peter found when he arrived was
the terror that I just mentioned to you.
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而彼特到達洛法鎮時,
發現了我之前提到的恐慌
01:59
So he sat down with the local chiefs,
and he listened.
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他和當地領袖們會面聆聽他們的看法
02:03
And what he heard was heartbreaking.
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他聽到的是令人心碎的消息
02:06
He heard about the devastation
and the desperation
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他聽到了那些患者的
悲痛和絕望
02:11
of people affected by this disease.
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02:14
He heard the heartbreaking stories
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他聽到了那些令人心碎的故事
02:16
about not just the damage
that Ebola did to people,
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不僅僅是關於伊波拉對人們
所造成的破壞
02:20
but what it did to families
and what it did to communities.
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還有它對家庭、社區造成的影響
02:24
And he listened to the local chiefs there
and what they told him --
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他聽著當地領袖們訴說的故事
02:28
They said, "When our children are sick,
when our children are dying,
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他們說:“當我們的孩子生病時
當我們的孩子瀕臨死亡邊緣
02:32
we can't hold them at a time when
we want to be closest to them.
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我們在最想靠近他們的時刻,卻不能抱住他們
02:36
When our relatives die, we can't take care
of them as our tradition demands.
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當我們的親人死去,我們無法
依傳統習俗照料他們的遺體
02:40
We are not allowed to wash
the bodies to bury them
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我們被禁止洗梳他們的遺體
為他們下葬
02:43
the way our communities and
our rituals demand.
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正如我們的社區和習俗
所要求的那樣
02:46
And for this reason, they were
deeply disturbed, deeply alarmed
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正因如此,他們身心不寧,高度警惕
02:50
and the entire epidemic
was unraveling in front of them.
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而整場瘟疫就在他們面前拉開帷幕
02:53
People were turning on the healthcare
workers who had come,
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人們開始寄望那些來到鎮上的醫務人員
02:56
the heroes who had come to try
and help save the community,
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那些來試著拯救這個社區的英雄
03:00
to help work with the community,
and they were unable to access them.
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來幫助這個社區的英雄
但他們無法接近這些英雄
03:05
And what happened then was
Peter explained to the leaders.
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接下來,彼特為當地領袖們進行了解釋
03:10
The leaders listened.
They turned the tables.
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領袖們聆聽著,他們扭轉了局面
03:13
And Peter explained what Ebola was.
He explained what the disease was.
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彼特解釋了伊波拉病毒是什麼
他解釋了這種疾病是怎麼回事
03:16
He explained what it did
to their communities.
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他解釋了伊波拉對他們社區造成的影響
03:19
And he explained that Ebola threatened
everything that made us human.
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然後他還解釋了
伊波拉病毒威脅著我們的人性
03:24
Ebola means you can't hold your children
the way you would in this situation.
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伊波拉意味著你不能在孩子們
奄奄一息時抱住他們
03:28
You can't bury your dead
the way that you would.
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你無法按照傳統習俗安葬他們的遺體
03:30
You have to trust these people
in these space suits to do that for you.
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你必須相信那些身著“太空服”的人
相信他們會為你做這些事情
03:35
And ladies and gentlemen, what
happened then was rather extraordinary:
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女士們先生們,接下來發生的
相當非比尋常:
03:38
The community and the health workers,
Peter, they sat down together
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整個社區和醫護人員,還有彼特
一起坐了下來
03:42
and they put together a new plan
for controlling Ebola in Lofa County.
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他們共同規劃了新方案
以在洛法鎮控制伊波拉病毒
03:47
And the reason that this is such
an important story, ladies and gentlemen,
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而這個故事重要的原因
女士們先生們
03:51
is because today, this county, which is
right at the center of this epidemic
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就在今天,這個位於疫情中心的鎮
03:56
you've been watching,
you've been seeing in the newspapers,
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你一直在關注的疫情
你一直在報紙上見到的疫情
03:59
you've been seeing on
the television screens,
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你一直在電視螢幕上看到的疫情
04:03
today Lofa County is nearly eight weeks
without seeing a single case of Ebola.
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在今天的洛法鎮,已經有將近八週
沒有新病例產生了
04:09
(Applause)
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(掌聲)
04:16
Now, this doesn't mean that
the job is done, obviously.
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顯然,這並不意味著大功告成
04:19
There's still a huge risk
that there will be additional cases there.
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那裡會產生更多病例的風險仍然很大
04:23
But what it does teach us
is that Ebola can be beaten.
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但這個故事教給我們的是
伊波拉病毒是能夠被擊敗的。
04:26
That's the key thing.
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那才是關鍵
04:28
Even on this scale,
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甚至是在這麼大的規模下
04:29
even with the rapid kind of growth
that we saw in this environment here,
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甚至是以我們在這個環境中
所看到的這般蔓延速度
04:33
we now know Ebola can be beaten.
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如今我們知道伊波拉是能被擊敗的
04:36
When communities come together
with health care workers, work together,
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當社區聚到一起,再加上醫護人員
大家共同努力
04:40
that's when this disease can be stopped.
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此時,這場疫情就能被終止
04:43
But how did Ebola end up
in Lofa County in the first place?
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但伊波拉在最初是如何
在洛法鎮出現的呢?
04:46
Well, for that, we have to go back
12 months, to the start of this epidemic.
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要回答這個問題,我們必須回到
12個月前,回到這場疫情的開端
04:51
And as many of you know,
this virus went undetected,
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你們當中許多人都知道
這種病毒當時沒有被檢測到
04:54
it evaded detection for three
or four months when it began.
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疫情爆發前,這個病毒
已經潛伏了三至四個月
04:58
That's because this is not
a disease of West Africa,
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那是因為伊波拉並非西非的疾病
05:01
it's a disease of Central Africa,
half a continent away.
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而是來自相距半塊大陸之遠的中非
05:04
People hadn't seen the disease before;
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人們之前從未見過這種病
05:06
health workers hadn't seen
the disease before.
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醫護人員之前也從未見過這種病
05:09
They didn't know what
they were dealing with,
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他們不知道自己面對的是什麼
05:11
and to make it
even more complicated,
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而令事情更為複雜的是
05:13
the virus itself was causing a symptom,
a type of a presentation
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病毒本身引起了一種症狀
一種這種病非典型的表現
05:17
that wasn't classical of the disease.
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05:20
So people didn't even recognize
the disease, people who knew Ebola.
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所以知道伊波拉的人
也並未認出這種疾病
05:24
For that reason it evaded detection
for some time,
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由於這個原因,它潛伏了一段時間
05:28
But contrary to public belief
sometimes these days,
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但與如今公眾所相信的,恰恰相反的是
05:31
once the virus was detected,
there was a rapid surge in of support.
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當病毒被檢測到時
有一大批支援湧入了疫情中心
05:37
MSF rapidly set up an Ebola treatment
center, as many of you know, in the area.
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無國界醫生組織在這片地區
迅速設置起了伊波拉治療中心
05:42
The World Health Organization
and the partners that it works with
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世界衛生組織和其合作夥伴們
05:45
deployed eventually hundreds of people
over the next two months
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在接下來的兩個月內
逐步部署了幾百人
05:49
to be able to help track the virus.
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以幫助追蹤病情的發展
05:51
The problem, ladies and gentlemen,
is by then, this virus,
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問題是,女士們先生們
當時這個病毒
05:55
well known now as Ebola,
had spread too far.
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這個如今以“伊波拉”之名
聞名於世的病毒,早已蔓延開來
05:58
It had already outstripped what was
one of the largest responses
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它的規模早已超越了當時
06:02
that had been mounted so far
to an Ebola outbreak.
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為伊波拉爆發所做出的最大準備
06:05
By the middle of the year,
not just Guinea
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年中時,不僅僅是幾內亞
06:08
but now Sierra Leone and Liberia
were also infected.
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還有獅子山國和賴比瑞亞也遭受感染
06:12
As the virus was spreading geographically,
the numbers were increasing
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隨著病毒大面積擴散
受感染人數不斷增加
06:17
and at this time, not only were
hundreds of people infected
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此時,不僅有幾百人受到伊波拉感染
06:22
and dying of the disease,
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並死於此病
06:24
but as importantly,
the front line responders,
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而且同樣重要的是
在前線抗爭的人們
06:26
the people who had gone to try and help,
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那些來試著幫忙的人
06:29
the health care workers, the other
responders
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醫護人員和其他人們
06:32
were also sick and dying by the dozens.
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也有數十人因此病倒
並死於伊波拉病毒
06:35
The presidents of these countries
recognized the emergencies.
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這些國家的總統意識到問題的急切性
06:38
They met right around that time,
they agreed on common action
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他們就在那時進行了會面
並一致同意共同採取行動
06:42
and they put together an emergency
joint operation center in Conakry
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然後他們在柯那克里(幾內亞首都)
成立了一個應急聯合行動中心
06:46
to try and work together to finish this
disease and get it stopped,
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來試著通過合作消滅這場疾病
阻止它的蔓延
06:50
to implement the strategies
we talked about.
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並執行我們探討過的戰略
06:54
But what happened then was something
we had never seen before with Ebola.
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但當時我們所面臨的情況
是早前對抗伊波拉時從未遇見的
06:58
What happened then was the virus,
or someone sick with the virus,
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當時伊波拉病毒,
或者是攜帶著這病毒的人
07:01
boarded an airplane,
flew to another country,
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登上了飛機,到了另一個國家
07:05
and for the first time,
we saw in another distant country
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而有史以來第一次
我們在另一個遙遠的國度看到
07:09
the virus pop up again.
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伊波拉病毒再度出現
07:11
This time it was in Nigeria,
in the teeming metropolis of Lagos,
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這一次,是在奈吉利亞
在熱鬧的大都市拉哥斯
07:16
21 million people.
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有兩千一百萬人口
07:18
Now the virus was in that environment.
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病毒到了那樣的一個環境中
07:21
And as you can anticipate,
there was international alarm,
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正如你所預計的,國際警報就此拉響
07:24
international concern on a scale that
we hadn't seen in recent years
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引發了一場我們近年來都不曾見到的
大規模國際性關注
07:28
caused by a disease like this.
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正是由這樣的一場疾病所導致的
07:30
The World Health Organization immediately
called together an expert panel,
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世界衛生組織立即召集了一個專家小組
07:35
looked at the situation,
declared an international emergency.
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研究了當下情況,
並宣佈這是一場國際性緊急狀況
07:39
And in doing so, the expectation would be
that there would be a huge outpouring
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這樣做是期望之後會湧現一大批
07:44
of international assistance
to help these countries
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國際援助,來幫助這些國家
07:47
which were in so much trouble
and concern at that time.
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這些當時充滿難關和憂慮的國家
07:51
But what we saw was
something very different.
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但我們所見到的卻截然不同
07:54
There was some great response.
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那時的反響十分強烈
07:57
A number of countries came to assist --
many, many NGOs and others, as you know,
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許多國家前來支援 ﹣ 許多許多
非政府組織,正如你所了解的
08:02
but at the same time, the opposite
happened in many places.
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但與此同時,恰恰相反的回應
在許多地區也在發生
08:06
Alarm escalated, and very soon
these countries found themselves
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警報逐步升級,
很快這些國家發現自己得不到所需的援助
08:10
not receiving the support they needed,
but increasingly isolated.
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而且變得愈發孤立
08:14
What we saw was commercial airlines
[stopped] flying into these countries
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我們見到商業航線開始飛入這些國家
08:19
and people who hadn't even been
exposed to the virus
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而那些根本沒有接觸過伊波拉病毒的人們
08:21
were no longer allowed to travel.
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被禁止旅行
08:24
This caused not only problems, obviously,
for the countries themselves,
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很顯然,這不單為
那些國家帶來了問題
08:27
but also for the response.
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還對救援工作造成了麻煩
08:30
Those organizations that were
trying to bring people in,
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那些正試著將人帶入這些國家的組織
08:33
to try and help them
respond to the outbreak,
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那些想要幫助他們對抗
伊波拉病毒爆發的組織
08:35
they could not get
people on airplanes,
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他們無法將人送上飛機
08:37
they could not get them into the
countries to be able to respond.
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也無法把人帶到施以援助的國家
08:40
In that situation,
ladies and gentleman,
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在那樣的情況下,女士們先生們
08:42
a virus like Ebola takes advantage.
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像伊波拉這樣的病毒就會趁虛而入
08:45
And what we saw then was something
also we hadn't seen before.
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我們所面臨的局面是前所未見的
08:50
Not only did this virus
continue in the places
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伊波拉病毒不單在這些已受感染的地方繼續傳播
08:53
where they'd already become infected,
but then it started to escalate
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然後病毒甚至開始升級
08:57
and we saw the case numbers
that you see here,
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於是我們得到了你們眼前所見的病例數量
08:59
something we'd never seen before
on such a scale,
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這種規模是前所未見的
09:02
an exponential increase of Ebola cases
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伊波拉病例以指數般增長
09:05
not just in these countries or the areas
already infected in these countries
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不單是在這些國家
或是這些國家中已受感染的地區
09:10
but also spreading further and
deeper into these countries.
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並且它在這些國家擴散得更廣更深
09:13
Ladies and gentleman,
this was one of the most concerning
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女士們先生們
這是我們所見過最令人擔憂的
國際性公共衛生緊急狀況之一
09:16
international emergencies in public health
we've ever seen.
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09:22
And what happened in these countries then,
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而之後在這些國家發生的事情
09:24
many of you saw, again, on the television,
read about in the newspapers,
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正如你們許多人在電視上所看到的
或是在報紙上所讀到的
09:28
we saw the health system start to collapse
under the weight of this epidemic.
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這些國家的健康體系開始在
這場伊波拉戰役的重壓下崩潰
09:34
We saw the schools begin to close,
markets no longer started,
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學校開始關閉,市場不再開門
09:38
no longer functioned the way
that they should in these countries.
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也不再如往常般在這些國家運行
09:42
We saw that misinformation and
misperceptions started to spread
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誤報和誤解在這些社區
09:46
even faster through the communities,
which became even more alarmed
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開始以更快的速度流傳
09:49
about the situation.
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令他們對局勢變得愈發緊張
09:51
They started to recoil from those people
that you saw in those space suits,
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他們開始疏遠那些
被稱為“身著太空服的人”
09:54
as they call them,
who had come to help them.
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而那些人是來幫助當地社區的
09:57
And then the situation
deteriorated even further.
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然後局勢進一步惡化
10:00
The countries had to declare
a state of emergency.
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這些國家不得不宣告本國處於緊急狀況
10:02
Large populations needed to be quarantined
in some areas, and then riots broke out.
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這些地區大量人口要被隔離
然後更爆發騷亂
10:08
It was a very, very terrifying situation.
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此時的局勢非常非常的可怕
10:11
Around the world,
many people began to ask,
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在全球各地,許多人開始問
10:14
can we ever stop Ebola
when it starts to spread like this?
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當伊波拉病毒開始如此瘋狂擴散時
我們還能阻止它嗎?
10:18
And they started to ask, how well
do we really know this virus?
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他們開始問
我們對這個病毒到底有多少了解?
10:23
The reality is we don't know
Ebola extremely well.
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事實上,我們對伊波拉病毒了解的並不多
10:26
It's a relatively modern disease
in terms of what we know about it.
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就我們所了解的而言,它是一種相對現代的疾病
10:30
We've known the disease only for 40 years,
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我們知道這種病僅僅 40 年
10:33
since it first popped up
in Central Africa in 1976.
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它第一次出現是在 1976 年的中非
10:36
But despite that, we do know many things:
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但除此之外,我們的確知道許多事情:
10:39
We know that this virus
probably survives in a type of a bat.
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我們知道這種病毒很有可能
存活於一種蝙蝠體內
10:43
We know that it probably enters
a human population
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當我們接觸受伊波拉感染
10:46
when we come in contact with a wild animal
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或是已遭此病侵襲的野生動物時
10:49
that has been infected with the virus
and probably sickened by it.
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3558
我們知道它很有可能會進入人類社會
10:53
Then we know that the virus
spreads from person to person
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我們還知道這種病毒
在人與人之間的擴散
10:56
through contaminated body fluids.
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是通過體液感染
10:58
And as you've all seen,
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正如你們都見到的
11:00
we know the horrific disease
that it then causes in humans,
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我們也知道這種病毒
在人體內所造成的可怕疾病
11:03
where we see this disease cause
severe fevers, diarrhea, vomiting,
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這種疾病會導致發高燒、腹瀉、嘔吐
11:08
and then unfortunately, in 70 percent
of the cases or often more, death.
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不幸的是,在超過70%的病例中,
患者會死亡
11:14
This is a very dangerous,
debilitating, and deadly disease.
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這是一種十分危險、令人逐步衰竭、
並且置人于死地的疾病
11:20
But despite the fact that we've not known
this disease for a particularly long time,
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4173
然而,儘管我們了解
這種疾病的時間並不長
11:24
and we don't know everything about it,
we do know how to stop this disease.
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4877
也並沒有了解它的一切
但我們的確知道如何阻止伊波拉
11:29
There are four things
that are critical to stopping Ebola.
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有四件十分關鍵的事可以阻止伊波拉
11:32
First and foremost, the communities
have got to understand this disease,
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4314
首先,社區必須要去理解這種疾病
11:36
they've got to understand
how it spreads and how to stop it.
189
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3521
他們必須要理解伊波拉
是如何擴散、如何阻止的
11:40
And then we've got to be able to have
systems that can find every single case,
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4076
然後我們必須建立一個體系
能夠找到每一宗病例
11:44
every contact of those cases,
191
704519
2006
以及那些病例的所有聯繫人
11:46
and begin to track the transmission chains
so that you can stop transmission.
192
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4157
並且開始追蹤傳播鏈
這樣才能阻止傳播
11:50
We have to have treatment centers,
specialized Ebola treatment centers,
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3622
我們必須要建立治療中心
專門研究伊波拉的治療中心
11:54
where the workers can be protected
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2513
在那裡,醫療工作者們能得到保護
11:56
as they try to provide support
to the people who are infected,
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4872
在他們努力為那些受感染的人提供幫助時
12:01
so that they might survive the disease.
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2445
這樣他們才能夠活下來
12:04
And then for those who do die,
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2200
而對於那些逝者
12:06
we have to ensure there is a safe, but at
the same time dignified, burial process,
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我們必須確保有一個安全
而又保有尊嚴的埋葬流程
12:12
so that there is no spread
at that time as well.
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以確保在此流程中不會造成病毒的擴散
12:16
So we do know how to stop Ebola, and these
strategies work, ladies and gentlemen.
200
736798
4501
女士們先生們,
我們真的知道如何有效的阻止伊波拉
12:21
The virus was stopped in Nigeria
by these four strategies
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741299
4159
我們以這四個策略
成功在奈及利亞阻止了伊波拉病毒
12:25
and the people implementing
them, obviously.
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2104
當然的,也多虧了執行這四個策略的人
12:27
It was stopped in Senegal, where it had
spread, and also in the other countries
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4022
該病毒也在之前不斷擴散的塞內加爾被阻止
同時,這次疫情爆發中受感染的其他國家
也阻止了伊波拉
12:31
that were affected by this virus,
in this outbreak.
204
751584
3593
12:35
So there's no question that
these strategies actually work.
205
755177
3841
因此,毋庸置疑,這些策略的確奏效
12:39
The big question, ladies and gentlemen,
was whether these strategies could work
206
759018
5308
女士們先生們,而最大的問題在於
這些策略是否能在這樣的規模下
這樣的情況中奏效
12:44
on this scale, in this situation,
with so many countries affected
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764326
4274
已有這麼多國家受到感染
擴散的速度如你所見以指數增加
12:48
with the kind of exponential
growth that you saw.
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768600
3606
12:52
That was the big question that we were
facing just two or three months ago.
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4551
那就是我們在兩到三個月前所面對的大問題
12:56
Today we know the answer to that question.
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4044
今天,我們知道了解決這個問題的答案
13:00
And we know that answer
because of the extraordinary work
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而我們之所以知道答案
就是因為一群人的傑出努力
13:03
of an incredible group of NGOs,
of governments, of local leaders,
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4767
包括一群了不起的非政府組織
一群政府,當地領袖
13:08
of U.N. agencies and many humanitarian
and other organizations
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4386
聯合國機構,以及,許多人道主義組織
13:12
that came and joined the fight
to try and stop Ebola in West Africa.
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3918
他們前來加入了阻止伊波拉在西非擴散的抗爭中
13:16
But what had to be done there
was slightly different.
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3443
但在那裡要完成的有稍許不同
13:20
These countries took those strategies
I just showed you;
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2925
這些國家採取了我剛剛展示的那些策略
13:23
the community engagement,
the case finding, contact tracing, etc.,
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5406
社區聯合,尋找病例,追蹤聯繫人,等等
13:28
and they turned them on their head.
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1924
然後他們改變了策略
13:30
There was so much disease,
they approached it differently.
219
810548
2933
疾病已擴散得如此猖獗
他們要用不同的手法來解決
13:33
What they decided to do was they would
first try and slow down this epidemic
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5431
他們決定先試試延緩傳播速度
13:38
by rapidly building as many beds as
possible in specialized treatment centers
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4987
通過在專治伊波拉的治療中心
快速搭建儘可能多的床位
13:43
so that they could prevent the disease
from spreading from those were infected.
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5304
這樣一來他們就能阻止疾病
從已感染的人身上擴散開來
13:49
They would rapidly build out
many, many burial teams
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2449
他們會快速成立許多安葬隊伍
13:51
so that they could safely
deal with the dead,
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這樣一來他們就能安全地處理病人的屍體
13:53
and with that, they would try
and slow this outbreak
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2567
從而減緩這場傳染病的傳播速度
13:56
to see if it could actually then
be controlled using the classic approach
226
836394
4219
看看是否真的能夠控制伊波拉擴散
通過利用這種“尋找病例和追蹤聯繫人”的經典手法
14:00
of case finding and contact tracing.
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2751
14:03
And when I went to West Africa
about three months ago,
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3293
當我三個月前去西非時
14:06
when I was there
what I saw was extraordinary.
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3012
我在那兒看到了一副超凡景象
14:09
I saw presidents opening emergency
operation centers themselves against Ebola
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4926
我看到總統們親自打開
急診手術中心的大門以對抗伊波拉
14:14
so that they could personally coordinate
and oversee and champion
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3768
如此一來他們就能夠親自協調、監督、支持
14:18
this surge of international support
to try and stop this disease.
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4087
大量湧入的國際支援,以對抗這場疾病的肆虐
14:22
We saw militaries from within
those countries and from far beyond
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3551
我們看到來自那些國家,甚至其他國家的軍隊
14:26
coming in to help build
Ebola treatment centers
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2740
來到這裡幫助搭建伊波拉治療中心
14:28
that could be used to isolate
those who were sick.
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3250
用以隔離那些病人
14:31
We saw the Red Cross movement working with
its partner agencies on the ground there
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871991
4426
我們看到紅十字會運動在那裡
與它的夥伴機構一起合作
14:36
to help train the communities so that
they could actually safely bury their dead
237
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5157
來幫助訓練社區成員
使他們安全地安葬死去的親友
14:41
in a dignified manner themselves.
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2558
並以有尊嚴的方式,親自為死者下葬
14:44
And we saw the U.N. agencies,
the World Food Program,
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2801
我們還看到聯合國機構和世界糧食計劃署
14:46
build a tremendous air bridge
240
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1901
搭建了一架巨大的空運橋樑
14:48
that could get responders to every single
corner of these countries rapidly
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3902
將救援者快速送至這些國家的各個角落
14:52
to be able to implement the strategies
that we just talked about.
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3353
以實施我們剛剛提到的策略
14:56
What we saw, ladies and gentlemen,
which was probably most impressive,
243
896089
3345
女士們先生們,我們看到
或許最為令人影響深刻的
14:59
was this incredible work
by the governments,
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899434
3017
是這些國家的政府和領導人
與社區一起做出的驚人努力
15:02
by the leaders in these countries,
with the communities,
245
902451
3017
15:05
to try to ensure people
understood this disease,
246
905468
3018
來試圖確保人們理解這場疾病
15:08
understood the extraordinary things they
would have to do to try and stop Ebola.
247
908486
5683
理解為了阻止伊波拉的傳播
他們必須做出非凡的努力
結果,女士們先生們
15:14
And as a result, ladies and gentlemen,
248
914169
2293
15:16
we saw something that we did not know
only two or three months earlier,
249
916462
4443
我們就看到了在兩三個月前
我們甚至不知道是否可能的事情
15:20
whether or not it would be possible.
250
920905
2274
15:23
What we saw was
what you see now in this graph,
251
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3130
我們看到的正是你現在在這張圖表上所見的
15:26
when we took stock on December 1.
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2809
我們在 12 月 1 日評估狀況時製作了這張表格
15:29
What we saw was we could
bend that curve, so to speak,
253
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3442
打個比喻來說,我們看到的是
我們能夠壓制這條曲線
15:32
change this exponential growth,
254
932560
2374
改變指數型增長模式
15:34
and bring some hope back
to the ability to control this outbreak.
255
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4229
並且對控制這場病毒爆發的能力
重新帶回希望
15:39
And for this reason, ladies and gentlemen,
there's absolutely no question now
256
939163
4054
由於這個原因,女士們先生們,毋庸置疑,
我們能追上這場疾病在西非爆發的速度
並且擊敗伊波拉
15:43
that we can catch up with this outbreak
in West Africa and we can beat Ebola.
257
943217
5801
15:49
The big question, though,
that many people are asking,
258
949785
3173
然而最大的問題在於,許多人都在問
15:52
even when they saw this curve, they said,
259
952958
1983
甚至當他們看到了這張曲線圖,他們還會說
15:54
"Well, hang on a minute --
that's great you can slow it down,
260
954941
2904
「嘿,等會兒 ﹣ 你能把傳播速度減慢,這很贊
15:57
but can you actually
drive it down to zero?"
261
957845
2051
可是你真的能夠把病例數下降為零嗎?」
15:59
We already answered that question
back at the beginning of this talk,
262
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3541
我們已在這演講開頭回答過這問題
16:03
when I spoke about Lofa County in Liberia.
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4153
當我談到賴比瑞亞的洛法鎮時
16:07
We told you the story
how Lofa County got to a situation
264
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3426
我們告訴你洛法鎮,如何到達他們如今的局面
16:11
where they have not seen
Ebola for eight weeks.
265
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2813
他們已經八週沒有出現新病例了
16:13
But there are similar stories from
the other countries as well.
266
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3376
但其他國家也有類似的故事
16:17
From Gueckedou in Guinea,
267
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2246
從幾內亞的蓋凱杜
16:19
the first area where the first case was
actually diagnosed.
268
979451
4508
也就是第一個伊波拉病例
真正得到確診的地方
16:23
We've seen very, very few cases
in the last couple of months,
269
983959
3414
我們在過去的幾個月內
見到非常非常少量的新病例
16:27
and here in Kenema, in Sierra Leone,
another area in the epicenter,
270
987373
4427
而在獅子山國的凱內馬
也就是另一個疫情中心
16:31
we have not seen the virus
for more than a couple of weeks --
271
991800
3261
我們已經好幾周都沒有看到
伊波拉病毒出現了
16:35
way too early to declare
victory, obviously,
272
995061
3095
當然啦,要宣告勝利還為時過早
16:38
but evidence, ladies and gentlemen,
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但證據表明,女士們先生們
16:39
not only can the response
catch up to the disease,
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我們的救援不僅能夠趕上疾病肆虐的步伐
16:43
but this disease can be driven to zero.
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還能將這場疾病徹底消滅
16:46
The challenge now, of course,
is doing this on the scale needed
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當然啦,目前的挑戰在於
在這三個國家所需的規模上實施這些策略
這真是個巨大的挑戰
16:50
right across these three countries,
and that is a huge challenge.
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16:56
Because when you've been at something
for this long, on this scale,
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因為當你對抗大規模的事物如此之久時
17:00
two other big threats
come in to join the virus.
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另外兩個巨大的威脅
會令這場病毒災難雪上加霜
17:04
The first of those is complacency,
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首先是自鳴得意
17:08
the risk that as this
disease curve starts to bend,
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風險在於
隨著疾病曲線圖開始彎曲
17:11
the media look elsewhere,
the world looks elsewhere.
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媒體開始關注其他事情
全世界開始關注其他事情
17:14
Complacency always a risk.
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自鳴得意永遠都是一個風險
17:16
And the other risk, of course, is when
you've been working so hard for so long,
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當然,另一個風險則是
當你這麼努力了這麼久
17:20
and slept so few hours
over the past months,
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過去幾個月睡眠時間這麼少時
17:24
people are tired, people become fatigued,
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大家都會很疲憊,變得全身乏力
17:26
and these new risks
start to creep into the response.
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而這些新風險開始偷偷
進入對伊波拉的響應中
17:30
Ladies and gentlemen, I can tell you today
I've just come back from West Africa.
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女士們先生們,我今天能告訴大家
我剛剛從西非回來
17:34
The people of these countries,
the leaders of these countries,
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這些國家的人民和領導者們
17:38
they are not complacent.
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他們並沒有自鳴得意
17:40
They want to drive Ebola to zero
in their countries.
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他們想要將伊波拉在自己的國家徹底消滅
17:43
And these people, yes, they're tired,
but they are not fatigued.
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而這些人們,他們的確很疲憊
但並沒有感到乏力
17:47
They have an energy, they have a courage,
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他們充滿精力與勇氣
17:49
they have the strength
to get this finished.
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他們有力量完成這個使命
17:52
What they need, ladies
and gentlemen, at this point,
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女士們先生們,他們在此刻需要的
17:55
is the unwavering support of the
international community,
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是來自國際社區堅定不移的支持
17:58
to stand with them,
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堅定地與他們同在
18:00
to bolster and bring even more support
at this time, to get the job finished.
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在此時此刻支持甚至是帶來更多支持
以完成這項使命
18:05
Because finishing Ebola right now
means turning the tables on this virus,
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因為戰勝伊波拉在此刻意味著
人類對伊波拉從劣勢扭轉為優勢
並且開始進行反擊
18:10
and beginning to hunt it.
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1735
18:11
Remember, this virus, this whole crisis,
rather, started with one case,
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記住,這個病毒
這整場開始於一個病例的災難
18:17
and is going to finish with one case.
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也將以一個病例結束
18:19
But it will only finish if those countries
have got enough epidemiologists,
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但它的結束只有靠著那些國家
擁有足夠多的流行病學家
18:24
enough health workers, enough logisticians
and enough other people working with them
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足夠多的醫護人員,足夠多的物流人員
以及足夠多的其他人來一起合作
18:28
to be able to find every one
of those cases, track their contacts
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才能找到那些病例所有的相關人
并追蹤他們的聯繫人
18:32
and make sure that this disease
stops once and for all.
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確保這場疾病永遠消失
18:36
Ladies and gentleman, Ebola can be beaten.
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女士們先生們,伊波拉是能夠被擊敗的
18:39
Now we need you to take this story out
to tell it to the people who will listen
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我們需要你們把這個故事講給那些願意聽的人
18:44
and educate them
on what it means to beat Ebola,
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並教育他們,擊敗伊波拉意味著什麼
18:47
and more importantly,
we need you to advocate with the people
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更重要的是,我們需要你們
鼓動那些能夠幫助我們
把資源送到這些國家的人們
18:51
who can help us bring the resources we
need to these countries,
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3554
18:54
to beat this disease.
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以擊敗這場疾病
18:56
There are a lot of people out there
who will survive and will thrive,
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有許多人能夠從這場疾病中活下來
並且從此茁壯成長
19:00
in part because of what you do
to help us beat Ebola.
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其中一部份原因就是因為
你能夠為擊敗伊波拉所做的
19:04
Thank you.
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謝謝大家
19:05
(Applause)
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(掌聲)
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