what do you do with infected bats orwhen it comes to cattle? with are working closely the government of saudi arabia to help them get a handle on the outbreak. we have learned a great deal. it is increasingly clear that the large increase in cases was spread in a hospital. it is bad news because it shouldn't happen. it is good news because it is easy to control. we began doing studies. where did the first cases start? there may be a camel source of this. the more we investigated, they were almost all associated with hospitals. that is the first important finding we have had. ofhave seen a plummeting

cases since we identified that. we have embedded staff with the saudi response. we want to identify those initial cases to understand what the source maybe. >> i think it's important understand that the cdc is a human health agency. we don't have a lot of authority or ability to work on diseases when they are happening in animals unless they are associated with an active human outbreak. there are many effective physicians who work on animal borne diseases at cdc. we liveis we recognize in such interconnected world at the idea of ones health becomes important. , withk with our partners united states apartment agriculture. we work with local veterinarians. when we don't have a piece of the puzzle we tried to connect with partners who do.

we try to make sure we are covering those bases. >> give time for 1-2 more questions. there are two in the middle. >> i have a question. interest inhas an whether the cdc is working on anything in particular, is there something on your website to ask a question to find out if you guys are doing research on a particular issue? somewhere they are planning on visiting? >> you can store the cdc website. we have apps, including the yellow book, the bible for anyone who wants to travel anywhere in the world. what to do, what to worry about. 1800 cdc info.

>> good evening. i have a question regarding the spread of open call for which has now in southern california, there are outbreaks in certain areas. recently i had friends fly from lax with a woman infected, and i would like to know what regulatory body would have input or control, or authority guys late people, because so many are exposed. rushend has spent a year to the hospital several times. when this one was coughing, she was whooping. she was sitting between them, both were infected. what can we do as citizens who

happen to travel quite a bit to put pressure on those individuals or that particular authorities to control this? it seems to be getting out of hand. during bird flu when i was flying back and forth i would see a of individuals coming from china or parts of the asian continent wearing masks. that?n't we insist upon what role would you have in that? that is a big concern of mine. off -- whooping cou gh is resurging. we are not vaccinating enough people because people have misconceptions about vaccines and think these are things of the past. the vaccine is not as effective as we would like.

-- wane afterayne 00 three years. coughthe whooping bacteria has evolved and seems to be invading our vaccines. this is a question of working with the fda to come up with a better vaccine. in terms of regulatory action, certain things are appropriate. it is often the state or local government that has the authority in terms of people coming into the country. operates quarantines. but the solution is not to try to build a perfect moat around the country. safer andle will be we will be safer as well. i don't know if you want to say any last words. >> we are out of time. >> i think i'm going to sleep i would knowing

these incredibly talented people [inaudible] [applause] >> more now from the aspen ideals council as professionals discuss their work in developing countries including technology used to deny -- to d diagnose a jv -- to diagnose hiv aids. [applause] >> thank you. i am so excited to welcome everyone here. i work with an organization called global health court. we bring new talent to the field

of global health. we work with amazing young to bring their voices. which is why i love the aspen new voices fellowship read it ensures we have diverse thinkers raising voices to affect social change. we'll have the opportunity to listen to great stories and meet 10 great innovators who will bring them to live for us. storytelling is a powerful tool. any great storyteller is a great teacher, which is something i knew growing up. teachermother who was a and librarian. sometimes defined seem like it would never stop with a mother who was a librarian. but my mother knew the powers stories had to open the world for my sister and me. my mother realized stories could her.our world to

every day when i got back home from school, she would say tell me a story. we would just talk. that is the way we learn to communicate in our family. now that i work in global health my world is dominated by numbers. we look at databases and spreadsheets. we read percentages. the biggest lesson i have seen in global health is that for us, numbers don't inspire people to act. stories do. if you work in global health you have to remember every single day that statistics aren't just a random number. they are action representing people and families we are trying to serve. those people stories desperately want to be heard. with that, i am excited to turn the microphone over to two people who have been enormous neworters of the aspen voices fellowship. john and courtney. tonight many of us will never have the opportunity to visit the congo or kenya, but by

getting to listen to their stories we can bear witness to the courage they have brought to their work and clemson to the little moments they get to witness every single day. i want to turn it over to john and courtney. i want to end with a quote i read this week. we were coordinating for this week. it is the quote that is in her signature. it is perfect for tonight. "engrave this upon your heart. there isn't anyone you could love once you heard their story -- there isn't anyone you couldn't love once you heard their story." [applause] >> good evening. it is fantastic to see so many people here to share in stories that our aspen new voices are about to bring to the stage. courtney and i are partners in life and in work. my name is john.

we work to help people tell their stories. it is amazing work. the best part about it is watching people share their lives. they have the most incredible tales to tell. when cory knight will reflecting back on the year that we had previously, 2013, both of us without reservation said meeting the new voices fellows in japan this. johannesburg was the most extraordinary thing. they have very unique, humanizing stories. we are just delighted to be able to share with them today. >> here is a little bit about the structure. we wanted to keep it fast, surprising, something that would be a fresh shift from the panel experience you have been having. this is going to be unlike anything else that happened.

we're going to have a three-minute stories, and each scholar is answering the question why do you do what you do through a story. image.ntly, one you will see one image appear and here one three-minute story. what i want emphasize is that all of these fellows, and you're not actually hearing from all of policyll of them are experts, essentially. they could stand up here and do the data saying, and the policy thing, any give you an analysis. all of them are deep experts in our field. if any of you are media looking for experts, funders looking for amazing organizations, all of them have them. you're not going to hear that side of them. we wanted to bring that story omen. i just want to say that clearly. there is a lot more where this came from. you are only going to get these

personal stories. i want you to be there with them. they are often sharing vulnerable things. the best thing you can do as an audience is receive that gift and return it with your warmth, attention. that means turning off your cell phones and actually being present here and receiving the gift that you are about to receive, which i feel, as john said, is one of the biggest gifts, working with this grip people who are warm, kind, and making true change in the world. i'm going to welcome our first a country director from in gender health. she loves home-cooked mills, but -- meals, but hates cooking. [applause] >> thank you courtney.

it was back in 1989, after five years of going through medical became one oft i the few medical -- stethoscope around my neck like most senior doctors do, i felt so proud of myself. theeems my addition to medical doctors would change the landscape of health and disease. and, when i was first assigned as an intern to the i met withal world,

a senior gynecologist and a resident, and we went to the room labeled abortion. of beds, 10 on each side. a girl fighting for her life. undergone, had through backstreet abortions, arriving at the hospital losing so much blood and having serious infections. the fragile bodies of these girls lying on the beds, iv fluids attached to their arms, oxygen, each one gasping and fighting for her life, and parents and relatives in the

back frantically crying, and chanting prayers. these tragic situations change me deeply. life i first time in my felt guilty. i felt guilty because of the shelter life i had enjoyed. sufferingvious to the my community, my peers were undergoing. i felt angry at the same time. these were preventable situations. i came to realize what is driving this underlying injustice and vulnerabilities that these women have to go through in their lives, when i

las born it was such a joyfu occasion. , it is therls beginning of discrimination. --ls are considered and are unfairly discriminated. i was already in grade one having fun, playing high jump with my friends while girls at that age in real communities are burdened with taking care of other siblings. when i was aged 15 years old, i was already deep into my studies and in high school while girls, many girls in my own community, are forced to drop out of school to get married to a man they

have never seen before. their first sexual experience is a coerced experience, and these girls have to travel several toometers barefoot collect water for the household. they work from dawn to dusk. when i was 23 years old i was already an intern. looking forward to embrace the good life. already in the end of their life's journey. too young to die, in the loss of goodwill.lent, and i chose to marry my husband, and went to marry him. i went to get pregnant, and

decided the number of children i wanted to have. decided the type of contraception i wanted to use. i strongly believe that these choices, these critical decisions, should be made available to all girls and women regardless of when they l ive. that is why i work with women's health, and that is why i'm committed to the present to the voices of those girls, and i'm whentted until the time sexual and reproductive health quality health services are available to each girl and woman and their rights are respected. i thank you. [applause]

>> wow. thank you. fellow is dr. utay effune. him wearing michigan apparel every single minute of the day. right now here it is -- right now he is sporting socks. he says i blink three times whenever i feel a sense of danger, and i think it keeps me and my family safe.

[applause] >> i remember this as if it was yesterday. i had walked a mile that that shrinking water. without thinking, i thought i was going to be a medical doctor. of age and the care from a poor neighborhood. that dream was real to me. dad taught-- my me to believe in myself. nine years later as i traveled 12 hours on the bus, within weeks i became ill. my dream died as soon as it became real.

clutching headaches, morning fevers. i went to class. wended -- i wanted to be in medical school. but i died. i lapsed into a, and remained unresponsive for two weeks. when i came back to life i had lost my hearing to complications of meningitis. meningitis is common in northern nigeria. northern nigeria is in a climate extends from the east. to the hills in the year,egion every thousands of young adults get ill with meningitis. 10% die. no matter what you do.

i'm one of the few who survived. i was lucky. i had never been to the north of my country. when i travel between the north change,h, the climate and i wonder was climate change widening the belt? was that why i got meningitis? was i vaccinated? was that vaccine any good? dream again, of doing things to stop this from happening. i became a physician. researcher of public health. the reality still goes on. we speak, nigeria is battling the worst outbreak of meningitis in recent years. this year alone we have 70,000

cases, 1000 deaths. but i dream. i now walk at the global intersection of health and global diseases. very the filling. i dream of a day when having --ources is not put o [inaudible] it has impeded good health care. but i still dream. i know that as we walk together this dream will come true. thank you. [applause]

>> next up, the executive director of psi haiti. she loves to sing in the shower. she was belting out whatever song she wanted for this. there are no statistics involved. [applause] i always knew i wanted to change the world. i knew i wanted to change haiti. i wanted to have an impact. here i was doing it every single day in and out. i was working with youth, with ,omen and reproductive health and hiv prevention.

i was going all over the country anding, providing services activities that would change their lives and have an impact and help them change their behaviors. the more i started working, the more i had responsibilities. withame frustrated because responsibilities, i started to understand the bureaucracy around our work. i do started to understand the priorities that did not always meet the priorities of the people. i started to see programs that had a huge impact on the population, and programs closing and not being able to continue because of lack of funding. worst of all, i started to see my people, the ones we wanted to help, sitting around and waiting for the international community to come and help. i was mad. my optimism was diminishing. i was beginning to ask myself,

is this the life i want to have? do i want to continue doing this work? is it worth it? on generate 12, 2010, the unbelievable happened. i was at home with my husband and children. the ground started to shake beneath us. we had no idea what was going on. we were not prepared for this. we had not talked about it. i was scared. we were -- it was unbelievable. mywere fine, but what about friends and family? city?bout my what was going on. all we could hear were the screams. all we could see were the smoke coming from the city. i felt powerless. here i was wanting to change my country and i couldn't do anything. my government was on the floor. i felt i was shaken to my core.

the next morning at sunrise we woke up to see what was going on, to see the city. as i drove, i was speechless. there were no words to describe what i was saying. the city was destroyed. there was so much fear, so much pain, so much suffering. we had no idea how we would stand there and be able to continue as a country. in the middle of all of this, i saw something unbelievable, something unexpected. i started to see courage in people's eyes. i saw men pick up rocks from rubble to clear a house where a stranger was stranded. i saw a baker opened a store to give bread to people that had been there all night long. i started to see health professionals leave their families to be able to be there to help others. i saw haitians wanting to be there for each other. and being a solution instead of

having to wait for the international community to do the work. i saw that lie in their eyes. i saw the possibility, the glimpse of the possibility that together we could come as one to be able to help each other. in the middle of the chaos i was if i did want to just leave the chaos, leave the country. there was no way that this could get better. there was no way that haiti could stand up again. my answer was no. it was not because i saw that light in their eyes that showed me that we as a people can come together and make this country better. [applause] >> thank you.

fellow is dr. mary sando. unicef. specialist with you will be even more impressed loves tohat she seeing and can do a mean imitation of celine dion. [laughter] [applause] >> thank you. two of my happiest days of my life were in 2009 and 2010 when i gave birth to my two children at a consultancy hospital. joy, ands i felt the the dignity of having survived to safe deliveries, i could not forget that five years earlier, i was not the woman on the

stretcher, but the woman trying to save the life of a woman on a stretcher. i failed. we all failed. and it was brought to the labor room while i was working as an intern in that hospital. state. in a very weak her eyes were barely open. she was pale. her gallant was stained with blood. own was stained with blood. we took her vitals. she needed emergency blood transfusion. annae span of 30 minutes, had difficulty breathing. we did everything we could to save her. all our efforts were in vain. anna in a looking at

pool of blood and felt this data even though i didn't , i knew she must've had a whole life in front of her. how could she have just died like that? later, i gathered courage and tot down to the labor room meet her husband. i recall a painful moment of having had to inform him of the unfortunate passing of his wife of just one year. was so difficult because their baby girl died just a few hours earlier in childbirth. , i gathered medical records to certify and his death. i realized she was anemic from the time she was pregnant in the

beginning until the end. her anemia made it difficult to severe following the bleeding she suffered after the birth of her child. despite all of our efforts, anna became one among many women who suffer due to the severe mayding after birth that most succumb. seeing anna in so many after that died because of maternal complications continues to be very heartbreaking. even today, 24 women die each day in my country because of maternal complications. we know now that more than 90% of these deaths can be prevented using simple things.

that any pregnancy danger signs identified and managed. using simple medication such as delivery women after to prevent them from the possibility of bleeding like anna. medicationsimple like magnesium sulfate and would be able to prevent and manage women who may be complications following high blood pressure induced by the pregnancy. controlling infections, after birth, and improving emergency care. they have been proven to work. ,s a doctor and a mother myself i chose to make the difference because it was a life of all onee women and the death of that inspired me to do that

work. anna would have been 10 years older. her daughter would have been 10 years. i do my work for them. thank you. [applause] >> that really hits me. i gave birth seven months ago and i was severely anemic in my pregnancy. it feels so recent and relevant. maria's work is so important. we have a bit of a shift. this fellow is a doctor. not like the others. cofounder of bio since technology. he is a fountain of ideas. he came to me a couple of minutes ago and said i have an idea.

we should build an app where we count coral reefs. he is just constantly having incredible ideas. you are so lucky to hear from and absolutely energetic infectious human being. his interesting facts, he was named after a character in a novel, and he is glad no one in primary school was into russian literature. [laughter] mishkin. guys whoone of those just loves technology. the latest gadget. i can't help myself. how it works. i'm one of those guys. me, iqind of people like

citrate marketing and marketing and evil.incarnation treat marketing and marketing people as the incarnation of evil. i was happy to get a innce to work for nokia india. that was a big thing for me. it was big in india at the time. i was pumped up for the first day of foreign. hundreds of ideas buzzing. we can do this. we can change this. just poured it out to my boss, who listened patiently. understand the mobile phone business is not about mobile phones. he explained to me how it works. i didn't quite get it.

i was a young kid that had optimism about technology. slowly i started understand. it hit home to me once. i was in a shopping mall negotiating a contract with a distributor. i went out of the office and i was walking through the mall. it was a nice, big mall. i could see different brands, people walking past getting into the shops. it was wonderful. suddenly, everything moved in slow motion. i could see how it worked. i could see that it was not about technology. it was not about the phones in the washing machine. kidsld see parents and running around.

they could see what was happening. i could see their lives -- and see their eyes light up. they are buying a new life. they are buying an idea and hope that their life will be better or different. that is what marketing had done to them. this is not really a bad thing. in india this was changing the face of india. i walked out of the mall. i still love technology but something change inside of me. youarted thinking, what if could use capitalism, this idea, this hope and apply it to other stuff. sanitation, water, energy. what if you could do that? if you years later i happened to be working with a team of doctors, and we had a big idea. we could use mobile phones, android devices to take health

care to places where otherwise it did not exist. we eventually ended up building a platform on android that could bloodne testing and testing. it could diagnose diabetes and other complications less than $.10 per test. it and used it. my doctor friends said let's try to sell it. i realized the mall thing. build it together. we worked with users and entrepreneurs. issues.re a few design about a big was not

idea. it was about being a small part of a big user story. days, i get a lot of big ideas thatet come to me and say they have this fantastic thing. i just did $1 million to prove it. y bests why i put my keanua reeves faced -- reeves face and said no. [applause] keanu.k you wonderful. thank you. our next fellow and speaker is an amazing person.

amanithe founder of global works, the proud parent of four children, and a choral director. when fromlasting mark the other side of the world he recited almost arrayed him in article courtney and i had written, focus on dignifying and design. since that time every time we interact we talk about the word dignity and what it means to us. it is with no greater pleasure than now that i get to introduce my special friend, jaques. >> when we hear about congo in the news it is always about genocide, women being raped,

worse. fromtiny island where i am of 20,000 people, that is building innovative health care , --em [inaudible] nine years ago my wife and i couldn't stand by while many were dying from preventable diseases. we couldn't stand by while girls were being married just to be taken away from their families and given to men so they could be fed. and live't just sit the good life. we decided to go back. the best way we thought to ourge and bring contribution to this community,

by building. we thought by building that would provide jobs to people. we believe that if people have jobs they will be able to take care of their families. later, while exploring possibilities, and where to build them, we stubbled into the native village. we learned to children have died. [inaudible] no one would look at us. no one would touch us. i couldn't believe that in the 20th century, pygmies were marginalized.

they still exists. pygmies believe they are not humans. other members of the community believe they are not humans. they are not seen or heard. i ask what they thought about this. the eldest said we love the idea but what if you built it for us? will be treated like other human beings. it is not what i thought was good for them. with a believe it is good for them? the weaker, the powerless. communities and they made it clear that they were the only people who will have to build their infrastructure. although they did not have money, we decided that they had

to use whatever they had. with sticks and mud they built their first clinic. for the first time, those who consider themselves humans and nonhuman's work together to build the first clinic. they felt the need to expand the clinic. i believe in a dignifying design. i believe that if you build in the community, a beautiful building that is part of the community, that gives them hope. we didn't much learn. a powerful land owner planted sugarcane. sugarcane plantations can be a breeder of mosquitoes. people up treated at the

hospital would leave suffering from malaria. we did everything we could. the sugarld not take plantation away. we couldn't shut down the clinic until we solve the problem. upn one morning, i was woken hopeful. we finish theid job and the clinic is safe. -- these powerless people who have been looked down brought this beautiful idea of building a clinic. a hotust we will reopen hut with solar power,

running water. it is this determination, this courage, this belief that they the deserve being part of community that wakes me up every morning to work with them. that is what i do what i do. thank you. [applause] y we weren see wh moved by that man. our next speaker is a gentle soul. i have had the pleasure of working with him on his writing. i have been touched by hal gentle and insightful he is. gross medicalare stories with me that freak me out. most of the time he is gentle.

clinical director of the university hospital. he broke my heart. he loves walking in the rain. here he is. [applause] >> we humans are in a battle with life. here is the story. wherein a medical mission school thatoly accommodates priestess and deacons. the church was home for the poor and destitute. clothes,om change

and are infested with body lies. -- lice. many people were sick and they were an epidemic of fever. priestsar, one of the told us, this is the result of body lice infestation. them manually.l we spray holy water on them. they continue killing us. creature this small could cause this much trouble? tiny bloodsucking

hitchhiker lived with humans for millennia. in spite of our attempts to get along them, they were the ride when humans conquer the globe. they moved in changed. losthumans evolved and lice for, -- their fur, lost their wings. they flattened and changed their color to adopt a new mail in an environment. lice changed faster and tended to change smarter. actually [indiscernible] lice infestation is actually

nothing compared with the bacteria they transmit. and theld cause eating germ they carry could call dea th. -- cause death. that is what happened in the church. the fever is not known any part of the world except the high lands of ethiopia and parts of the sudan. with increasing migration, it is dikely that the fever could reemerge in the world. lice are everywhere.

it is changing the globe, becoming more conducive tfor lice. harder thanat lice ever. otherwise they will continue killing us. thank you. [applause] >> that man's smile and gleaming hash juxtaposed with that to be one of the oddest sights today. thank you. our next fellow and speaker is managing director of flying doctors nigeria. when we first met she tried

convincing me lots of doctors are helicopter pilots. i didn't think so. as you might notice when she steps on stage, she is much beler that i would comfortable walking on, she reports she loves shopping. [applause] >> thank you. he is 70 years old, the ceo of a multinational company, and the billionaire. now meet his girlfriend. she is 22 years old. she is broke as hell. she has been dating him for the past six months.

her sugar daddy. basis of the relationship is he takes responsibility for giving her various favors and money, and gifts in exchange for whatever he wants. what she is getting. she dictates what he wants. the weirdest thing i think about he has aationship is lot of experience in business and economics, and could very easily empower candy to be a business person just like him. candice on aeeps

leash, giving her enough to keep her happy, but never enough to prevent her from running back to him. there is similar dynamic between the west and africa. policiesr, there are and article protocols, and best , copied and pasted directly into africa. they are often far too expensive , which makes them unsustainable. and inappropriate. little thought given to the concept of reverse innovation. the ability of african entrepreneurs ourselves to develop solutions and not only focus on our health care problems, but across the globe. africa, weparts of

transact in shops and marketplaces using mobile phones. .e have mobile wants i can go up to a person selling her with my and pay mobile phone. even buyspen, i can't a louis vuitton handbag with mobile money. this small area of mobile technology, we've managed to leapfrog over the west and start using technology that has not been adapted here before. if we can succeed and leapfrog in this single area of mobile technology, we can leapfrog in health care as well. of west founder and ceo africa's first indigenous air ambulance service. we conduct hundreds of rescues

africa withcentral a team of doctors. our service runs cheaper and much leaner than our western counterpart. we have had to think outside the box a lot when it came to sourcing medical equipment, when it came to keeping operating costs low. we operate primarily in nigeria. terrain togerous rescue people from. that africaneve entrepreneurs, and the next few years, can join the leagues of deliver thetric to next generation of health care solutions, and not just be or honors of aid

trade. i often hear development say --iies executives have to put on my american accent. we are not the organization that just gives them fish. we teach them how to fish. [laughter] [applause] that is, what if i don't like fish. what if i want steak? is, the sugar daddy relationship like this one are unsustainable, and rarely stand the test of time. by a relationship between equals -- but, a relationship between equals has a fighting chance. [applause]

>> all right. louis vuitton and state. we know the kind of lady this one is. jane, someone i have four.und respect for directuched at the service work she does. she is a senior program designer. her interesting fact is she cooking but has a hard time following western recipes that she cannot find the ingredients in kenya.

>> i sleep very light. i work in nehru be. nairobi. women and girls in these communities have scant information about health and especially family-planning. about them even in my sleep. many of them are illiterate women. i have to bring across the messages of health to you. a 26-year-old lady, but when you look at her you would and she is 40 because she is worn out.

thesee sneaks into one of young ladies club she got in with her little baby. it hit me many women here about health issues on radio and television. they need to interact with other women to have information about how planning work. clubs have been set up where we meet quickly to discuss issues of health, issues of family-planning, issues of marital relationship. we talked to them every week, and the message comes through. i find there is a way i can

communicate with them. i use with these women. into fourthe women women who havese many children, soon they run out sticks because they are not able to provide food and clothing for their children. we ask what are some of the clothing mechanism. if you're not able to provide an education, what do you do? >> they say, we give younger children food or we take the boys to school and the girls remain home because we cannot take all the children to school.

say, in myhose who family there are 10 children. finally, they realize there is a relationship between having many children and whether you can be able to provide for these children. asked what have we learned in the few weeks we have been together. she raises her hand and says she i gave herntribute. a too many children, and i continued giving birth because they were dying. so many of them. i have their aid seven children.

i have an implant, and it can protect you for five years. actually this program is making an impact. family-planning, child providing, and provision. that's the work i do, and it keeps me awake every night. thank you. [applause] >> thank you, jane. amazing. so powerful to see jane on the

openings age yesterday. present toeaker to you tonight is an amazing person. he is founder of a consultancy in his name. he submitted to us that he loves apple product. i think there is much more to this amazingly courageous person , and you are about to meet him right now. >> when i was growing up i wanted to be either a lawyer or an actor. admissionen i got into the university to this cover theater arts, -- to discover