the declaration will draw more attention and resources to fighting the disease. this is deed albany is leih from berlin. up next is dock film. with a look at india's hysterectomy scandal. and remember, you can always get more news analysis and video on our website, d, w dot com. i've told me online for many thanks for watching. ah, imagine how many portion of us are now in the world. climate change can be very comp, the story. this is my plan, the way from just one week. how much was going to really get we still have time to go. i'm going with

ah my, the are more valuable to me from center. how can you remove such an important part of your body? just because a doctor tells you to dig now bad and under more than a month and i was afraid i am young. i was afraid for my life. i cafe with a strange phenomenon as occurring amongst indians, sugar cane cutters. i in our region alone, and there are more than a 100000 young women who no longer have yet to receive. it is very strange how you, jasper, thereby fell of love. i tried in the last few years and the

maharishi try reaching one out of every 3 female agricultural workers has lost their uterus. the global average is only 3 percent them. unlimited. doctor said that my uterus was not functionally to had to be removed. if i house though, my luck, i'm going to have when these women go to the doctor complaining of a regular or heavy ministration or poor stomachache. i said i was, they are always told to do a hysterectomy diary, the nasa of a different belief. these are major surgeries and bring about premature menopause in young women. if they don't remove the uterus, it's a problem for us. they are less productive. and if they get cancer, they are no longer useful. in india, some 1000000 workers are sent to the sugar cane fields every year. the country is one of the world's largest sugar producers. how can we explain this incredibly high rate of hysterectomies among female workers?

industries along the river banks is something which is no more acceptable thing. a slug one word to consider the human health of the country or the publishing health as a, as a property or cd. while i am from these women are suffering from acute toxic exposure. you see formula are engine sugar cane cutters, the victims of poisoning oh oh. oh oh oh rub, marty has been working in these fields and she was 10 years old. come on,

we have to speed up my live event. she worked 10 hours every day under the blazing sun with only one day off per month. when i have we have to get up at 3 am to work in these came to the old miss hartley long, i'm sweating all over and it will be worse. this afternoon he suffers not only from the heat, but also from a very premature menopause. at 26 property had to undergo an irreversible operation . a total hysterectomy, the removal of the uterus and the ovaries. what are the, what i'm, what is the doctor said i had to have my uterus removed, otherwise i would get cancer. so i had the hysterectomy. and since the operation i've had trouble working, it hurts me at night and it hurts me when i been down like this about the life i my

family has to help me. who else can i ask? i had to take my young son out of school to help me. he had to quit school. why do i think if, what if i don't work what we eat family to day. she is 33 years old. that looks much older than there are many cases like probabilities in the region. an unknown evil has been spreading and recent years around the bead district. this agricultural region is called the sugar belt. thousands of hector's of sugar cane fields are used for processing and export. here the testimonies of female cane cutters without wounds are becoming more and more common. what is this evil that eats away at the sugar cane workers? one woman is fighting to find answers. for the past 6 years, manisha truckler,

a social worker has been traveling the region to record all cases of hysterectomies this morning, accompanied by camina her assistant. she is in cut water. many started to investigate this issue 6 years ago when she was approached by a sugar cane cutter, who confided that she had had her uterus removed at the age of 20. since then, she has been fervently collecting stories of women who no longer have a uterus authority lagoon couldn't get lily gentle, dental bish, those of you who have had the uterus removed, raise your arm and he got at fisheries. i, lilian, i ignored one, the 2345 seat and the one who left with her mother and in all 7 and her own school . every day i need is out when i did, she is out, but art that's 8 in this village alone. i don't know, i like all the details or no to down to support the investigation

for some entity which of these are intimate details that are usually taboo and these villages by far not done with her, i had a stomachache and was bleeding. heavily learning bone part in some of these items, i probably wouldn't be able to add him a young man that local that headaches had a lot of i knew your periods, regular blog setting manually. no. always irregular. yeah. now guy, i listened on could you or so when was your operation a 6 years ago? when what does i hate you? problems like many of the sugar cane cutters in our area have had hysterectomy kehoe, the large number is one problem. regardless, most of learning for, for have on take on the surgery to very young aid have told me this is the most important problem. you, i am, i did then to got a voucher i had to push, regardless at the how brit with bridgenet. i'm in our region alone,

but there are more than 100000 young women who no longer have a yo taurus on monday. this is very strange, i just forgot by saying as lyla by guide. yet minissha interviewed gynecologist and researched hysterectomies. she learned to read the medical files of the women who underwent the surgery. here is the fall of a woman who was operated on at the age of $25.00. i mean, oh, by the alter sound is clear, your ovaries completely. no mo, hey kitty. i, according to the activists, and the majority of the cases, the symptoms described in the files did not justify the surgery. my, this woman was healthy. no, probably my job. i house thought of my luck. and when these women go to the doctor with irregular or heavy menstruation or letter or a stomach ache here, they are always prescribe a hysterectomy dairy than nasa of a different view. oh, in the safety of their homes,

women talk about their experiences. often for the 1st time, sheila was 22 years old when she had her operation. today she is 32. 0 wow. said you needed to hysterectomy. i had a stomach ache, and a woman from the village told me to go to the hospital. se what was wrong. i was hospitalized immediately. i would just go, they wouldn't let me leave iraq play a dozen back after a simple ultrasound. the doctor prescribed a total hysterectomy, the uterus and ovaries were removed to guard over sheila, like all the other women we met, was not made aware of the side effect of my aggressive a plethora than i thought. my health problems have not been resolved. the pain is still there, it has even gotten worse. got in my neck, hurts my wrists, hurt my whole body aches. sometimes i can't even feel my legs. and if i carry heavy things my scar hurts, it's very painful. i need to sell the body, pays

a very high price for the separation. part of you see problems like osteoporosis. i pain in the muscle in the body. i was that man by to collect the debt. i'm what a hard help with dish and ellie went away. operation was done 10 years ago. so she has had many pools since she was 22 years old. i mean, a woman with mental pools at this age has many emotional problems due to hormonal deficits. and can fall into severe depression of how many total dod muncie done to you know, gum? no, no, it's true. sometimes i trial day. what can i do? i do 10 years after an operation that cost as much as 6 months of her work. sheila is still in debt that give how much did you borrow 30030000 rupees. those $300.00 euros land to pay the hospital and the doctor. and she is still in debtor. typically. how much was you?

loan 5 percent, 5 percent for every $100.00 rupees, she gives 5 to her employer. sheila is indebted to her employer. he is a man hired by a sugar factory to recruit agricultural labourers. ah, venetia denounces the system that coerces women into having a hysterectomy. these women are exploited and used. they are among the poorest workers in india for whom very few protective measures exist. mm. in india, we call the backward cause they should do god surrender tribes. most of the should work in hardware stores about their tribal labors earned the ballad bluebirds. that means lucy, do goss easier, traditional par mopar glass discrimination because the people who didn't have access to be pi immense and access to would be knowledge and

education bieber. they were loudly toiling people. they go with their family, how to can promptly to field because they do have very hard work. they start early in there and be out of bid on the beast use of boot. actually harder with that be do labor laws are hardly implemented in india and go there are reports in terms of trade unions to organize them, but they don't succeed in getting securing basic human rights. and that's labor condition is very pathetic when we went to one of the villages where many labourers live to try to understand the situation before the cutting season, which will last 6 months. the sugar factories need to recruit some 1000000 workers

who come from all over my restaurant. the sugar companies send recruiting agents, the so called look had to hire entire family. the mac, i don this pay directly by the sugar factories to ensure the productivity of the workers in the field. oh yeah. why then i'm just a lot of the he see these workers we take from the village to the factory. i manage their money and their expenses, their hospital bills, they're food shopping, of all of that. i manage how i give them their money only when it is vital. the rest at the end of the season was here today. on this october day, it's time to leave for the sugar cane fields. the whole village prepares for the move and hard work. those will be good, but also to review, of course, and they know it, they have to get up at 3 am to go to work in the field either below. bottled legs are so many women complain of pain. well yes, and when that happens,

they are taken to the hospital. there they are treated, they are given medicine, they are operated on and then they go back to work in the field. but when they are in the hospital, they give us back their wages recommended you to us from italy. ah, yes. if they don't remove their uterus, it's a problem for us. they are less productive. and if they get cancer, they no longer useful little bit. women are operated on to keep them productive, no more children, periods or pain. he believes a mundane operation. that's almost inevitable. reca is already thinking about a hysterectomy at age 20. she suffers from her current and violent pain, the cause of which she does not know. my boy, i take it back to you. well, me, i have a very bad headache because i'm so tired. i am exhausted in my stomach hurts a lot. oh, i love bought out, hulu. mcadam told her about the operation for the end of the season.

yeah. but since she was 10 years old, reca has been working in the sugar cane fields with her family. this year she will be accompanied by her husband, her 2 children, her mother and her sisters. they have only a few hours left to prepare their provisions. they have a long road ahead of them. like with record belongs to one of the poorest cath in india. at the age of 13, her father forced her into an arranged marriage. at 15 she gave birth to her 1st child, her daughter, who will also work this year. let them know that every year, some 1000000 seasonal workers go to work in the fields. one of the biggest

migrations of workers in the world, 12 hours on the road at night, and without stops, these workers go to the sugar belt a plantation that's 1000 kilometers long in the west of the country. there they will cut and collect sugar cane to supply the processing plants for the season. the factory set up these tent camps on vast, empty plots of land. there is no electricity or running water. this is where the sugar workers from all over the country will live. ah, we find reca here. she arrived a couple of days ago.

here's what the amount off of carol this is our bathroom where we wash ourselves. oh yeah, we died a sorry to make a door damn about that and here again, a toilet. i come children. yeah, of course it's our little hut we live here. it is our small house for, for, for 6 months. we sleep here. we cook here. who might have been with us and we are sad for the children with the lack of hygiene and sanitary facilities in these camps, can cause sugar cane cutters to develop infections that contribute to their gynecological pain. a during benson, women should be explained how to maintain their opinion. hygiene. they should be

using clean clothes if they are using and how do i maintain it to that they don't catch an infection because this is the dime their majority of the females have unity tract infection and other infections and no opinion region. because in menz's, ph changes and without men's is the be, it is as a dig which prevent from infection and once minutes is a start this be it changes and then it to do it. but it is, poses these females to be channel infections with it's 6 p. m and the men leave to deliver the stock of the day to the factory. it's an opportunity to talk discreetly with reca and the women of her village. they tell us about the pressure that they are under despite their health problems, with our employ yells at us, if we don't work in your so it's very hard,

we are feeling very bad. he hits us to look at our meals and our husbands, that we're not working hard enough and that we need to pay back on waiters. for this reason, when the mcadam and the doctors offer them a hysterectomy, they accept but they're looking at them a look. i stomach was hurting a lot, so i had my uterus removed, the doctor said my uterus wasn't working very well and that there was no treatment in it, had to be removed. i have to connie it down. we think that if we don't have the operation, we will have problems at work a lot. if i'm in too much pain, if the doctor tells me to have surgery and i'll have my uterus removed, i can't afford not to work for several years. india has been in fierce competition with present when it comes to sugar protection. with some 30000000 tons produced in 2019 the country. finally

ranked number one in the world. it will go to countries like to buy afghanistan and of course europe only 19 to be the post robert. do you that really well this debit in sixties and seventies. they became more prominent and why they wrote to 200 because everyone bought or to be a leader to work team became a very important cash crop. and people are particularly part of most the quality readers they could get, you know, good returns for the a great big baby growing. and they gave a lot of support in terms of irrigation and electricity power to pump the water to irrigate the crop. so sugar came and became

a very important and not only economic grub, but also politically ended. the sugar barons del greer did go to barrow all. busy i'm interest groups all over the state. this is sugar game barons a vakari on guard bacon broadly. busy mars prostrate economically and politically, ah, in 2020 my restaurant alone provided half of the country's exports and recorded a 20 percent increase in production. sugar cane cutters have never worked so hard. is the manager aware that many of his workers have had surgery? he has vaguely heard about the problem many so the keen cutters have undergone hysterectomies. do you know about their very serious side effects?

since these women only work for you was but i was saying that the women who walked for you had hysterectomies so that they can work every day of the month. oh my god, you know, i don't know anything about it. it's not my field. i don't know anything about medicine. if there is a problem, they can go to court and tell the politicians. frankly, i have nothing to do with it. raising awareness among politicians is exactly what manisha has been trying to do. we find the activist as she continues her field investigation. many times she has witnessed the same story. the doctors talk about the risk of cancer, while the records show only mild infections. she wants to introduce us to santa by a sugar cane cutter who escaped a hysterectomy with

ha, but if one of the city of yuma and the local to the level again, sort of the doctor told me i could have cancer in my uterus, had to be removed, but look at the biopsy report, it's negative, there is no cancer, i sell them every round in round or out of mouth. but if a doctor tells you about cancer, it's normal to be afraid. hm. okay. natalie. i think she just had an infection at the opening of the uterus as a test will likely will. thanks to many, she went to get a 2nd opinion at a public hospital. the doctor told her that no hysterectomy was required and prescribed a 3 month treatment admitted. and now my ignorant that i would that these women dont know anything about their bodies and they get cheated enough. they are in pain and they want to stop it. they want the problem to go away. so they agreed to have their uterus removed, even if they don't know if it's really appropriate. besides, they are not offered all the treatments that they are told jenny, that there are no other solutions to read my birth of the gold counseling to make

us all breath good, which i did when that it was a foot and a half upward fee's. a, i can't imagine that a doctor could cheat them, that he could prescribe a procedure that is not needed to do. and these doctors make money by threatening them with cancer. for example, i'm not saying that all doctors in the area involved there was some more her last ard that the her look at the so kind of thought that the sense of what of what i said. yeah. okay. impatient to get their patients. these doctors do not hesitate to go directly to the villages unless they regularly organized for you screenings to attract a maximum number of women. mike, mike was younger, learns got my wife, had a problem there, had my wife kept telling me that during her menstrual cycle at the time she was bleeding too much. now my mother died because of this. and so i was afraid of my dad. one day the news came to her village that dr. gov was giving free consultation to select. this news was given to us by medical assistance. i bought my wife went through an emergency count, organized by doctor golf. 20023000 women were there,

the fact she was examined, ultrasound was assigned to them and everything was free. and they told her that you have to have an emergency surgery today. looks like the other person got all of them. mm. why would organizers and doctors encourage these procedures in before leaving the region? we collected medical records of women. we met who had undergone surgery in the last 2 years. ah, wish this be maybe because of infection persistent infection. lake majority of the females are having chronic be id chronic. so if i did, this is the cause of infections in them. if that is infection treat with medicine, he was just having infection. and they're all these are normal. this is an algorithm. it's a young female if he had the moving over these at this young kid,

this is going to create a problem in her future life as it helps in oxy didn't metabolism like towards mid to one is it is important for you. bonehead for your cardiovascular health, even for your mental health. if we have some infection enough finger, we can just drop it off. we have to 1st find out the cause of that infection, treat that infection with medicine. and if there is any problem that is ganglion to some major problem, then only me to quite amputation. so you can just remove an organ because it's having some problem leaking in the b, dest, the epi center of the problem. many shall talk, clay says she has discovered an elaborate fraudulent scheme. in 5 years, she has collected hundreds of testimonies together with her daughter, she has gathered enough evidence to denounce the so called hysterectomy market. these surgeries are now built by private clinics between 60900 euros,

which is twice as expensive as a child birth. who by another day who by an okay, any of the, it's terrifying, ah, terrifying, had the, the local doctors abuse this practice. that's why there are so many hysterectomies on such a large scale. it agreed to my, the doctors have set up a whole system to make a lot of money a hey, arnie down wallace center. oh, i took it up and the dinner is still only held that in 2018 manisha went to mum by the economic capital accompanied by female sugar cane cutters. at a press conference, she denounced the private clinics and this very profitable market. the scandal made headlines and the local media, the government intervened and said they wanted to put an end to these abusive operations. they set up controls. since then in the city of feed,

the number of operations has dropped from $120.00 per month to 80. this is still very high. in this city of 200000 inhabitants, private clinics are everywhere. and they all boast of performing hysterectomies. they are among the most expensive operations. we go to one of these clinics where hysterectomies are performed every week. on this day some 10 women are in the waiting room. most of them are agricultural workers. there is the doctor said i had fibroids in my uterus was very swollen. he said it was better to remove it. it wouldn't get better with medication that i needed surgery, operation cost or the equivalent of 8 months of work in the fields. she also had to go into debt. we meet doctor gulf in his office. he was the one who prescribed a total hysterectomy to santa by due to a simple infection. we reservations already. this is cara. how was she said as you go shows you and she did like all the examinations and everything. and she said

that she was saying that she needed that i but then she left another and you said as she didn't need me, how did it maybe bigger? i don't know exactly what it is. yeah. see, maybe she's like normal i using she is laying maybe some me just say that some of the video, the young pro fees of someone who might use as and again thank you still have the same. i think this is not true. no, liz, though, the guy who is digging the punish marcial soldier after the commission after the guy negligence checking policy like or b only when he used the one mission, then that people are being a safer according to him, cases of removal of the uterus for simple infections do not occur any more. he

invites us to follow the morning operation. a sugar cane catcher will have her uterus removed. he tells us it is for very good reasons. or the b 5. and they will greg with enough of medicine. i do remember. thirdly, your paper, look up your profile, are you find a lot of that kind of cases here in america? i was supposed to live with in their course been gone. this is a woman dr. golf a does not explain the striking and frequent cases of 5 boys. these fibers could be the cause of the intense and chronic pain that these women experience. but then why do so many fema agricultural workers develop such conditions in the region? in the sugar belt? no one asks questions,

women get sick as early as 20 years old. they suffer and they are operated on. we will how to look for answers elsewhere. how do you explain that? so many women are suffering maybe your period year and we're mature. susan, you, there we go. do beginning to so mr. science to abortion, to the environment. about best decides, didn't know a very few studies are dead and no study has ling this. so fibroid or endometriosis, widow. i exposure of heavy metals. so i have gone to the literature and another phone doctor. they have studied for 3 heavy metals for the lead for cadmium, and my judy. they found that there are few odds of females who had fibroids, who would expose to get members could therapy a link between the pain this woman experienced that leads to these mass hysterectomies and environmental pollution. this is an angle we want to explore.

engine agriculture uses a lot of pesticides, some of which are banned in europe. we returned to be treated with a kid, provided by a french laboratory. this kid is the only one able to detect the presence of more than 1800 different pollutants. and 49 metals. we collect strands of hair from 5 sugar cane cutters who have undergone hysterectomy. what do you want to say here? i can grade though that i've gotten a good idea when i yes you oh oh, the samples were sent to france to be analyzed in a laboratory. one months later, we received the results, which were very worrying me. the analysis revealed the presence of pesticides,

but that was not the worst part. the woman's hair contained metals in unprecedented quantities, never seen before in the laboratory. on observing mental suggestion, incontinent national or by young, we observed to poisoning from barium contamination. wanted in order to speak about toxicity here, but you have to be precise about what accoutrements audacity precise because it is really quite high at 80 times also, or even 170 times the threshold of chronic toxicity in what we found. and these examinations is something far beyond what we are used to encountering and observing the dog. the claim of survey bombing upon his officially off just wanted to, nor domino's down or among the 1st reactions are gastrointestinal pain, abdominal pains that fibroids occur. so symptoms could be fibroids to certain skin

diseases where you cardiac problems are yawned, severe fatigue it or given the high levels of barium we found or said, we're sure that these women are suffering from acute toxicity. the 5 women had the same results. if i'm, if there is an environmental issue at the origin under her says he doing all the on without me. this land is highly contaminated, barium and rare earth metals occur naturally in this environment, but in very small quantities. they are used in the chemical and high tech industry, as well as in the production of agricultural fertilizers. they are highly soluble in water and can spread over hundreds of kilometers in rivers and water tables, and pull large areas. this pollution could come from electronic waste and industrial sites, even if they are far away in india, 70 percent of human requirement for water is completed through ground water table.

but 40 percent of the diseases nowadays are no emanating from the water that has been used on this one water table. so i'm in the central water commission and this report has been emphatically seen that you know, all the 4 or 5 major was an india rubber for drug. angel's, not another good audi. the, the heavy mental content has been over and above the world health organization limits. and as well as the bureau of indian standard, setting up industries, allowing household or domestic know discharges, influence into the reverse. and industries along the river banks is something which is now no more acceptable thing. if one were to consider the human health of the country or the population health as a, as a priority the joint and abdominal pain that these women suffer could be

due to their work on these contaminated lands. the hysterectomy is performed as a consequence, do not solve their problems on the country. they worse than their state by making these women h quicker. we send the results of our tests by email to manisha. from the reports you shared with us, the situation looked really alarming. it's something to be concerned about. and for that we need to understand the causes. if we are able to know the causes, we will be able to work finding solutions. i mean,

if there is contamination in the soil in water than it could affect every one children to me. yesterday we went to the village of god, kara julie, which is one kilometer away from the village of cat water in one family. there were 3 people who had symptoms of poisoning some children to me we are going to talk to the doctors in bead and the people working in the government laboratories. we will also contact the people who work in water testing laboratories. in young woman, you have to 1st understand ourselves what is going on. then we can educate the

people concerned if such cases are reported in the whole district, we will have to work on a larger scale. i don't for chris are real or so to show the until to preserve their health. when you have to remove the contaminant content, it's not fatal waiver. they need to get away from the source. and when do this case, it's their environment of your given the high level, it's easy to conclude. we will have to get away from that environment or can be afforded one or 2 can be not afforded to leon. that's another problem. i'll tell him we are not in problem where so sir, no problem. we tried to contact the health authorities of marashi. try to inform them of our test results. the other scott go 19. go by. need it. ok, please got it. okay, good. okay, dicky with bob,

when you, when you but he called me back giant yukon since the coven 19 pandemic. it has been difficult to get anyone on the phone. our calls and written requests have so far gone unanswered. in the meantime, manisha efforts continue to inspire and southern mahar rush tra, in the sugar belt people are starting to raise their voices so that the problem is no longer ignored. 4 years ago, a parent conte director of a local radio association learned of the situation faced by female cane cutters in her region. or the odd marvel. yes. yes. she then decided to create a special station to give them a voice and make their voices heard. every week,

a partner goes to these villages to do prevention work, and collect testimonies of women who have undergone this operation, and who regretted today this afternoon. she has an interview with san gaeta, and a 26 year old sugar cane cutter who had surgery a few months ago. their interview is recorded. what are your sim to laugh that alpha i've been, i was bleeding a lot in my stomach, hurt for how many years did you have this problem? 2 to 3 years. like thousands of others sanky to had her uterus running under pressure from a doctor. the young woman refused at 1st, but her husband and family pushed her to have the operation, thinking it would save her life and thank you to has since fallen into depression. as the mother of 2 children, she regrets that she will never be able to give birth again. andre, yes, i live, i wanted to have another child exam, but i had this problem and i was afraid to you regretted being fin avenue.

yes, i regret it. ever ended, i am young, i was afraid for my life as uterus is a part of the body that is very important for a woman. if we don't have a room, how can we give birth to a child? i can't. how can i remove such an important part of your body? just because the doctor tells you to up we are. do you understand how serious this is now? bad and yes. and a martin vera. nothing angular. a video of i yet can cervical lou. although it all out with, if we have cancer of the uterus, what only then should we have a hysterectomy. there is no need to do a hysterectomy otherwise. that's why i go around telling people not to have a hysterectomy level, but that's what they look like. i love their family and i said we're looking every actually many times. is that better?

yeah, late. but don't we try like these many of them are they didn't just do one example offered. we're in this area. you can have many, many meetings or to problems which we are dealing in in our building. so every time these something, we have to think of all the broad of anger and we have repeated are that you should stop from thing to with sanky test testimony will be air to night. unders community radio station a he, yes. i know my classes. numbers go for the all, you know, any 912 of them were, these are the ones of it. so it is a striking example that our partner hopes will raise awareness among other fema

agricultural workers and dissuade them from taking this action. all of these women and activists have already won their 1st fight. the female cane cutters have emerge is from the shadows. their problems are getting attention in india. one of the world's largest sugar producers, ah is one of the great always on the move between milan, vienna, new york store tanner, jonas kaufman. a even in corona virus times is not easy to types. meet dot in need to be artist. humans come on through human

do. oh, what secrets lie behind these walls? discover new adventures in 360 degrees. and explore fascinating world heritage sites with d. w world heritage 360. get out now. love has no limits. a love is for everybody. love is live, i love matters and that's my new podcast. i'm evelyn sharma. and i really think we need to talk about all the topics that more survive and deny that

this. i have invited many deer and well known guests. and i would like to invite you to an in ah ah, this is d, w to use live for less than a day after cube and moscow sign a deal to allow grade shipments out of ukraine. the ukraine, an army says russian missiles struck the port city of odessa, ukrainian president villa, dimmer zalesky says the attack proves russia is already violating the agreement. the head of the world health organization declares the monkey pox outbreak of

global health emergency is the disease could spread rapidly to more.