to keep it polio free but we need to see real progress on routine immunizations and be part of the solution but so also working in those areas and then a final lesson the hard way and completely obvious he might have permanent the original date was 2000, the target date is planned for the contingencies because it will take long good than a think and obviously going to cost more money than you think. one of the things we learned through eradication is it doesn't end it with just interrupt in the last poliovirus. as you can see here i've made time line for the post eradication and once we stop the last virus we still have a multi-year program of work to make it free of polio which will include stopping and eventually the use of the oral polio vaccine and then there i find

the full elimination which you alluded to and the viruses. so it summarizes the lessons learned in their navigation initiative and. i didn't speak to those more obvious but i think it's been the issues of management, the issues of on the ground technical expertise in communications, some national advocacy that made the difference in getting polio vaccine to the children that are now being reached. what do have to do next to finish? first half for our five sides to show where we are and where emphasis is right now. this is where the countries and areas affected with polio of the last six months, as you can see the dots are in red for type one polio and blue for teitell because on of the three types have been eradicated. we saw the last case in 1999 in india to to the wild polio virus who still have that associated with tied to an outbreak susan

the vaccine derived poliovirus but this is what the picture looks like with wild viruses. four of these countries, the northern part and pakistan and afghanistan in nigeria have never interrupted their indigenous polioviruses but in addition to that we have another group of countries that are infected from spread from nigeria as well as tad and the sudan, they added two key countries that and fight the spread in this area and then in addition we've had the challenge we are facing to to the spread of polio from india and angola. i don't to be labor everything to get the job of revocation finished as published in this document and isn't the topic of today's discussion but that test, the things we're doing over the course of my presentation. the key thing will be sustaining implementation and the core strategy is very have an independent evaluation on going of the major barriers to

interrupt in transmission this year to give a fresh look at what we're doing in each of the remaining impacted areas. assessing a number of new approaches, we're in the process of developing and evaluating a new vaccine by type one and three polio to try to augment the tools we have and take additional strategy is to try and limit international spread. to get a sense of the scale of the international response to the outbreaks ongoing you can see the scale and complexity of the court made an outbreak response going on in the foreign -- one of africa to get those finished. when we speak of the new approaches we are trying one of the things we just had an agreement with nato and isaf forces in afghanistan, southern zones is to work with us on days of tranquillity in the 11 highest risk -- districts seem to be sustaining transition to

china in reach sufficient children in a safe enough environment to get the job finished there. from a technical perspective we are just -- this data is brand-new, looking at is accelerating the eradication initiative with a new polio vaccine that targets of the type and polio and the type three together in one vaccine. we're taking the time to come gone out and these are results -- this is a picture of me making the vaccine, that his colleagues in india, but here you can see in this graphic here just out promising this tool might be in a final push to finish your avocation. what to see at the far left and the red graphic how much this is the response after two doses of eight monovalent vaccine or trivalent vaccine against type one polio and similarly results for the type three. this new vaccine, data we got

last week, look like superior to the trivalent vaccine for both types one and tied three and not inferior to the monovalent vaccine is. not a statistical difference but this now they greatly simplify the logistics' everything kids in sub-saharan africa with more efficacious vaccines and also in the conflict affected areas of afghanistan and pakistan in a bid to get the job finished more quickly. you can see from this map the complexity of the situation we're facing now of the many countries are still attracted with polio. in fact, very few districts in the world still had polio as you can see from the smack into challenges maybe this person out briggs and acute at branson west africa but with a range of new tools and political commitments i believe we can, indeed, accelerate the progress making to reaching all children and eventually eradicating this

disease for ever. if there is one last lesson i perhaps close the presentation with it is this one -- if we have learned one thing is been that in this battle as in any no plan is going to survive contact with the enemy and you have to constantly be revising its as necessary to reach the kids which, indeed, we can i think as shown to this program. thank you. [applause] >> here is a look to developments in the field of mental health. in this discussion you will hear from mental health advocates tipper gore who talks about her personal experiences. following her remarks political pollsters talk about americans' opinions on health care changes. this is an hour and a half.

>> welcome everyone is always just so and lightning to be in a room filled with advocates and people who are just so committed to making the difference is that we need to make in this country to get us back on the path of becoming the house of this nation and we know that unless mental health and substance used conditions are a core part to what happens to make us the house this nation we are not going to get to where we need to get so every time i am with you and i get a great sense of energy and opportunity. for the few mqm not have met yet for don't know i am the president and ceo of a mental health america. and this is my third annual conference and i'm delighted to be here. we have a fantastic conference this year, it is a very full and exciting in terms of the number and variety of plenary sessions

we have a. and we played it this many months ago right after the election, loss of talk about health care reform and then as these things go you might have read about in the paper there was a minor economic disruption that the country went through with many analysts were worried that some how health care reform which we saw as fundamental to the american economy would fall of the top-10 list and not get the kind of currency that it needed and deserved. but we bet on the fact that it would continue to be the issue that, in fact, has turned out to be because i think we now more clearly and a stand than ever that speed to reform and building a healthier nation is fundamental to real building economic structure and the

mental health and substance-abuse issues will be core to having that happen. other to take a minute to a knowledge the people who have helped us put this together. we have a very active and opinionated advisory group. it made up of several of our affiliates that has been terrifically helpful both in the selection of contents and also in the organization and layout of the conference to staging and other things. out like to thank them so much for their work. [applause] as i said in an earlier session this morning at 12 and knowledge tipper gore, she has just been phenomenal in terms of her help. oftentimes honorary chairs of events as i said earlier are just that, honoraria and the lender name entered office to

legitimize his endeavors and open doors. in tipper has done much more than that and i would like to thank you for all that you have done. [applause] and i think as you know she does this because of her deep and long live commitment to these issues. she is a well-known mental health advocate, she co-founded and cheered the families for the homeless in 1986 an issue that we continue to do with and develop a fantastic photographic exhibition which toured the country in 1980 she founded tennessee voices for children which is a coalition to promote services for children and youth with serious emotional or substance used disorders. issue is a leader in fermi i

think us before adding typically of the clinton years and all the one on one in the clinton years and she was instrumental in my turn now to be a very important era and think for us, the legacy of which we continue to enjoy today. and she stimulated the president's conference on mental health and i so clearly remember that. we had in local activities that the u.s. that we were conducting in conjunction with a presidential focus and i clearly remember steve -- showing these pictures are so powerful showing in a granary person who doesn't have a mental condition in here is the picture how the brain is functioning differently for a person who has depression and you said here is a picture of a brain for a person who has had a

depression treated with ss our eyes and is he loves to read much like the normal brain and than the one thing he did and which had a profound affect, here is a picture of a brain and a person who had depression to successfully treated with conative and behavioral therapy in a look like the brain treated from a cynically so the point of that is no meaningful distinction between our ability to learn and change or to use psychopharmacological interventions to get that chemistry back again was in a fine for me. tipper and al gore i am told at the olympics in atlanta and said that that had motivated us, the surgeon general's report on fitness, wouldn't it be terrific if we had a report on mental health and they approached the surgeon general and as i am told from the surgeon general himself

and howard goldman who can't keep a secret, when david was initially approached by the course he didn't think that the science was really adequate for a surgeon general's report on mental health and he became to the process and complete and absolute convert to an impact on how they people, 2010 goals were developed for of the top-10 related to mental health because he came to understand that mental health is fundamental to howff in every way. you might remember in 96 we had a purity law passed, it wasn't all that we wanted but was enormously important in terms of its symbolism. i do remember the year, tipper does but president clinton ordered parody in the programs and had the power to do that. by doing that he created a

parity benefit and it was that benefit to which allowed us to really to understand looking at large covered a populations the fact that parity in a managed-care environment is not only cost effective and, it is very horrible and you can't do that so obviously when we think of national leaders in the mental health arena and think of people who have been important to our movement tipper gore is clearly one of those people and out like to invite her to make a few remarks for us today. [applause] >> good morning everyone and thank you so much coming david, for the introduction in the

energy and the leadership you provide. we all really appreciate you and i hear nothing but just wonderful things about you from some different people. i want to return the compliment and i'm so delighted to be here with all of you and to serve as the honorary chair for this year's conference. when i was asked i didn't think twice. i wanted to be involved when ever i can be for mental health and mental wellness, it's a lifetime commitment for me and the mental health movement that began in 1909, we know has encountered obstacles of the last 100 years but with every single mountain we have had to climb the was a time of reaching the top of that and a scene that promise and i think we are here again. i think we can see the other side. i think it is such an exciting time for all of us to come together with renewed energy and

around the issue of the mental health and the parity bill and implementation of it around this great nation of ours. i know some of us can feel like charlie brown here, but i believe i am an optimist at heart so i really think we can do but i think this is the time per of us to collaborate and come together and put the issues aside and put our shoulders to the grindstone and work really hard to make sure that happens because we choose to work on mental health issues and with those that day and night we are really strengthening families and now we are also not taking life easy road. that is why gatherings like this one i really so very important. we come together as advocates and professionals and consumers who care so much about this

issue and understand the importance of the issue, the death and feelings that brings about in each of us, co-worker or anybody. one in five families in america will be touched with a mental health issue. we understand that and is important to communicate and reinforce that with other people. coming together like this gives us a chance to reinforce the sense of community and at this juncture in our history and this time to consolidate our sources and of that is something you're going to be doing because we do need solidarity to face the challenges and also at times we should look around and say we have had victories so let's celebrate their victories and take a minute to celebrate the legacy and the crown the room

and and that each of us are here because we care so deeply and passionately about this issue and to say good morning and thank you for all you do for mental health. and give yourselves a hand. [applause] it doesn't happen that much [applause] but like many of you i came to the issue of mental health through personal experience, my own mother seven with clinical depression and i was a child growing up in the '50s. issue is a single working mother as you'd have a bout of depression and, of course, lose your job, she then be hospitalized and recover and then it wouldn't want to tell her that next prospective employer would have happened because, of course, they would not hire her because of the stigma associated with a mental health issue. i would witness this, i would watch her go through these things periodically and had the

courage to rebuild her life again and again but i noticed also that she felt strongly in deeply that she could not be honest about what her disease was so we were fortunate to have a very strong and extended the and loving family, but my family wasn't any different. we didn't talk about it outside the family. even as a young child and was very aware of the stigma that was associated iran my mother's disease with a sample that she said voice coming back and rebuilding her life and getting another job helped me seek treatment when i was faced with my own and mental health crisis. in 1989 our son was hit by a car leaving a baseball game, he was critically injured and in the hospital for a month. al and i never left to sign and we want our daughters to go on

with their lives as normal, we thought that was the thing to do. it was the counselors at the hospital who took as a sign and said, you know what, it might be better if you gave each of them a role in your son's recovery so they could feel they were in active part so family counseling helped us at johns hopkins even iran and physical injury. over the course of that year albert recovered and am happy to report that he is a very beautiful healthy young man today living in very good life. naturally he is on a trekking in nepal right now which i am very happy about, he has a job and taking a break in doing that going from honest jury to monastery -- i probably said it and tell you that's. he was out for his first boxing match and is part of his whole new life style. and he won. [laughter]

and took photographs. anyway, he is great and he lives in l.a. and the quiet after the storm i realize that i had been taking care of some of the other people that like many wives and mothers that i had neglected my own needs and was really stretched then. in the days that followed a bunch of my friends talk to me and said what is going on here so i went and got help and i enlisted i needed it to bear in i remembered my mother and i also have a degree in psychology but god forbid i would apply that to myself. [laughter] so looking back i realize that my family history and educational background did make me feel secure enough to embrace treatment that i needed and alice so fortunate to be able to get with love and support. we all do know that mental illnesses are diagnosable

untreatable an entirely unmanageable for the most part. if not fully recoverable. 80 to 90% of the people who seek the necessary form of treatment can function the way they did before the onset of their illness or perhaps even better. but for some many years little was known about how mental illnesses arise, how can they be treated and what services can help on the road to recovery. there is still a great number of wrongs that need to be right when it comes to mental illness, i am talking about the course discrimination, the shame, the stigma. i'm talking about how mental illnesses have been segregated from other illnesses which is absolutely ridiculous if you take a look at the human body. right? the brain, the second most important organ -- that is a joke. [laughter] of kay, it is all one, right?

so even though it has been painful as heart disease or coronary diseases, and diabetes, cancer recovery -- you name it all the ellises that were so familiar with and that have come through kind of their own transitions in being socially acceptable we need to understand that mental illnesses are exactly the same way. we also need to understand that they have unique effects on family members particularly because of the stigma and shame. if you have diabetes to go this is somebody. i have a friend who recently tried to take his life basically because of the recession. i'm sure there was more involved but business -- we all love this, the stories are out there.

and i said send flowers, i am calling -- most people don't know what to do but to do the same thing you would do no matter what the particular illness is and that is part of the way to educate people. so when i first approached the whole subject the really was astounded and how we could discuss this publicly and the kind of shame and stigma that was attached to its. i think that is something that we really have to address. cannot allow to be trivialized as a character witness when it is a medical disease. part of said answer in combating all that is in research being done and yet to be done, the role that genetics and the environment play in the genesis of the most serious mental illnesses. part of the answer lies in better access to the full range of eight health care and that is something on the table these days. and part of the answer lies in

improvement of medication and identification of service programs that foster of recovery the something that is important individual resilience. a lot of folks in this room understand the concept of individual resilience. we have a new generation of medications now available and growing more readily accessible. many of these are now free from this terrible side effects i saw in my own mother, they are free from that. there are much more efficacious and easy to take. part of the answer also lies in the and in the stigma -- i can say this enough. ending the stigma associated with these disorders. that somehow seems to remain whether we call them severe mental illnesses where brain diseases or mental health problems or emotional disorders. we still seem to have a stigma and sadly while moving closer to the answer is we have a long way to go but i also want to say i

think we've come a long way. i really do appear, i think that a lot of the efforts, listening to, him speaking to 7,000 young people, all the work that you all do, all the time, helps to educate and education displaces ignorance and fear and that is what we have to do this illness. and so i do think it is getting a lot better for this dittman is concerned. so to fight our scientific breakthroughs, the shame and years of nontank mental illnesses still do exist. said that is our challenge even though i think we have made a lot of progress and will continue to. as was mentioned when al became vice president of was determined to use the platform afforded to me to change a bit outdated attitudes about mental health

and mental illness so as a special adviser to the president had traveled around the country speaking about this issue and words closely with many of you in your states and listen to what you had to say about what you can do to create meaningful change so we have work to together and shared many milestones including your fantastic partnership in 1986 that led to publishing homeless and america but a graphic project which tried to raise awareness about homelessness and particularly the homeless mentally ill and around the country and now we were very proud of that. as has been stated their release in 1999 of the first surgeon general's report on mental health and suicide was an incredible achievement eliminating the signs that can lead to better treatment and prevention. many join me at the first white

house conference, we had the first ever white house conference 10 years ago on mental health, his or gathering of more than 300 professionals and advocates and the consumers. we all talked about what was going on and mental health in this country so it was an opportunity to highlight the scientific advances that have been made in an understanding the brain particularly and the decade of the brain. we want to discuss at parity in insurance practices and work toward that goal, changing the attitudes so that parity could become past and, of course, we have seen it is. we have worked together to dissuade -- persuade the personnel management to change their policy and require that every ensure participating in a federal employee benefit program provide coverage for mental health care and that wasn't the

full parity that we had hoped to find a the end of the rainbow but it was a small step in the right direction. as the largest employer in the nation when changes are occurring within the federal government it often serves as a catalyst for the private sector to follow. with the signing of the mental health parity act it victory owed in large part to your efforts and the efforts of a broad coalition of sp one advocacy organizations, the dream of a parity is finally within reach, it has been achieved and now we need to make sure it is implemented. is a momentous piece of legislation and, of course, it was a champion by first senator paul wellstone and carry through to fruition and by senator pete to medici and senator ted kennedy and it will provide a protection for about 113 million people across the country. ..