Parasitic worms hold back human progress. Heres how we can end them Ellen Agler

These are worms.

Not the kind of worms
you find crawling in the dirt.

These are parasitic roundworms.

They live inside
a human being’s intestines.

Each of these worms
can grow up to 12 inches long,

and there are 200 of them
in this jar for a reason,

because that is the number
you might typically find

in the belly of a single infected child.

Worm infections have been around
for thousands of years.

They have influenced the outcomes of wars,

and they have long stymied human health.

Roundworm, hookworm,

whipworm, schistosomiasis:

infections from these species
cause pain and discomfort.

They steal nutrients and zap energy.

They stunt both physical
and cognitive growth.

In most cases, these worms
may not be fatal,

but paradoxically,
that’s part of the problem.

It means that many countries

simply have not been able
to prioritize their treatment.

There’s a social cost to that:

children without access
to deworming treatments

have lower rates of school attendance.

Adults who grow up
without deworming medicine

are less productive
and have lower lifelong earnings.

What intestinal worms do, really,

is limit potential.

Currently, there are 1.7 billion people
in the world still at risk for worms.

Six hundred million of them are in Africa.

For every dollar invested
in worm control and prevention,

African countries see up to 42 dollars
return in economic benefits.

The good news is that deworming
treatment is extremely easy.

One to three pills
given once or twice a year

is enough to take a child
from 200 worms to zero

and to protect them
from infection going forward.

In communities where
there’s a high prevalence of worms,

treatment can be done right at school.

This process is extremely simple and fast.

In Ethiopia, for example,
this is done for 20 million children

in a matter of weeks.

The world has come a long way

on getting deworming medicines
to the people who need them,

and African governments
want to gain more traction.

It’s now time to match their ambition.

The END Fund will work with governments

to create a plan that drastically reduces
the burden of disease caused by worms.

They’ll work together to ensure
prevention and treatment programs

can serve everyone.

The END Fund has an audacious idea:

they believe we are the generation to end
sickness from worm infections forever.

The key is not simply to build
new programs from scratch,

but to amplify the efforts of the programs
that are already taking shape.

By examining the problem
of how worms transmit disease,

the END Fund has identified five key areas
where they can drive improvement.

Number one: lower the cost of treatment.

Many pharmaceutical companies
offer deworming medicines for free,

so the END Fund
works with the right partners

to coordinate their delivery.

They will continue
to secure drug donations

for additional at-risk populations.

They can now do it for less
than 25 cents per child per year.

Number two: focus on prevention.

The END Fund calls in the right partners
to educate communities

on sanitation and hygiene

in order to change behaviors
around things like hand-washing

and latrine use,

ensuring people
are not continually reinfected.

Number three: invest in innovation.

The END Fund has contributed to deworming

by introducing innovative techniques
that effectively target and treat people.

They will test new delivery methods,

target the environments
where parasites thrive

and influence behavior change.

Number four: monitor and evaluate.

The END Fund collects detailed data
on all programs on a regular basis

to help them get better
and better over time.

Number five: increase local ownership.

At all stages of the process,

the END Fund works with government
and local stakeholders

to encourage cofinancing commitments
that support deworming efforts.

They also worked
with African philanthropists

and corporate leaders
to partner on these efforts.

There’s an incredible opportunity
to work together to create a new system

for disease elimination
for the next decade and beyond.

Part of the money the END Fund needs

will go directly toward delivering
deworming treatments

to communities that need it

and part will go towards facilitating
the handover of programs

to local ownership.

Together, these efforts will create
prevention and treatment programs

that are sustainable far into the future.

If this plan gets fully funded
for the next six years,

tens of millions of people
will receive deworming treatment.

With that, countries will be interrupting
the cycle of disease transmission

at all levels,

and most importantly, people
will experience significant improvements

in their mental, physical
and social health.

Just imagine the potential
that will be gained

when people can stop worrying about these

and can put their energy
into things like these.

(Students' overlapping voices)

(Clapping and singing)

(Cheering)

这些是蠕虫。

不是那种
在泥土中爬行的蠕虫。

这些是寄生的蛔虫。

它们生活
在人类的肠道内。

这些蠕虫中的每一个都
可以长到 12 英寸长,这个罐子

里有 200 条
是有原因的,

因为
你通常会

在一个受感染的孩子的肚子里找到这个数字。

蠕虫感染已经存在
了数千年。

它们影响了战争的结果

,长期以来一直阻碍人类健康。

蛔虫、钩虫、

鞭虫、血吸虫病:

这些物种的感染
会引起疼痛和不适。

他们窃取营养并消耗能量。

他们阻碍身体
和认知的成长。

在大多数情况下,这些蠕虫
可能不会致命,

但自相矛盾的是,
这是问题的一部分。

这意味着许多国家

根本
无法优先考虑他们的治疗。

这会带来社会成本:

无法
获得驱虫治疗的儿童

入学率较低。


没有驱虫药的情况下长大的成年人

生产力较低,终生收入较低。

实际上,肠道蠕虫所做的

是限制潜力。

目前,世界上仍有 17 亿人
处于感染蠕虫病毒的风险之中。

其中六亿人在非洲。


在蠕虫控制和预防上投入一美元,

非洲国家就会获得高达 42 美元
的经济效益回报。

好消息是驱虫
治疗非常容易。

每年一次或两次

服用一到三粒药丸足以让孩子
从 200 条蠕虫减少到零,

并保护他们
免受感染。


蠕虫高发的社区,

可以直接在学校进行治疗。

这个过程非常简单和快速。

例如,在埃塞俄比亚,
这是在几周内为 2000 万儿童完成

的。

世界

在为需要驱虫药的人提供驱虫药方面取得了长足的进步

,非洲各国政府
希望获得更多的牵引力。

现在是时候满足他们的野心了。

END 基金将与各国政府

合作制定一项计划,大幅
减少由蠕虫引起的疾病负担。

他们将共同努力,确保
预防和治疗计划

能够为每个人服务。

END Fund 有一个大胆的想法:

他们相信我们这一代人将
永远终结蠕虫感染引起的疾病。

关键不是简单地
从头开始构建新程序,

而是要扩大
已经形成的程序的努力。

通过研究
蠕虫如何传播疾病的问题

,END 基金确定了
它们可以推动改进的五个关键领域。

第一:降低治疗成本。

许多制药公司
免费提供驱虫药,

因此 END 基金
与合适的合作伙伴合作

以协调其交付。

他们将继续

为其他高危人群争取药物捐赠。

现在,
每个孩子每年只需不到 25 美分就能做到这一点。

第二:注重预防。

END Fund 呼吁合适的合作伙伴
对社区

进行卫生和个人卫生教育

,以改变
洗手

和使用厕所等行为,

确保
人们不会不断地再次感染。

第三:投资于创新。

END 基金

通过引入
有效针对和治疗人群的创新技术,为驱虫做出了贡献。

他们将测试新的交付方法,

针对
寄生虫繁衍的环境

并影响行为改变。

第四:监控和评估。

END 基金
定期收集所有项目的详细数据,

以帮助它们
随着时间的推移变得越来越好。

第五:增加地方所有权。

在该过程的所有阶段

,END 基金与政府
和当地利益相关者合作

,鼓励共同
资助支持驱虫工作的承诺。

他们还
与非洲慈善家

和企业
领导人合作,共同开展这些工作。

这是一个难得的机会
,可以共同努力,

为未来十年及以后的疾病消除创造新的系统。

END 基金需要的部分资金

将直接用于向

有需要的社区提供驱虫治疗

,部分资金将用于促进
将项目移交

给当地所有权。

总之,这些努力将创建

在未来很长一段时间内可持续的预防和治疗计划。

如果这个计划
在未来六年内得到全额资助,

数以千万计的人
将接受驱虫治疗。

如此一来,各国将在各个层面
中断疾病传播循环

,最重要的是,人们

的心理、身体
和社会健康将得到显着改善。

试想一下,

当人们不再担心这些

并将他们的精力
投入到这些事情上时,将会获得怎样的潜力。

(学生重叠的声音)

(鼓掌和唱歌)

(欢呼)