in 1798 i have asked the surgeon general of the public health service. to talk with us tonight about vaccines. and the soak vaccine in particular? he has served as an officer in the service since 1930. and as your surgeon general since 1948 it is my privilege. to present a distinguished public servant dr. leonard a shealy many questions have been raised and recent weeks about the new vaccine against poliomyelitis. people are asking is it absolutely safe. does it really protect against polio? will there be enough vaccine for large-scale use this summer? i will give you the facts about the vaccine as i know them. and i want to give you some idea of the outlook for the future. first something about the disease itself polio occurs everywhere in this country and throughout the world it is caused by a virus. so small that its presence cannot be known except by its effect on living animals or on cells in tissue culture. nearly everyone is in repeated contact with the virus and is infected by it at some time in his life. the disease is generally very mild and go

the department of public health, you had another hearing on treasure island and department of public aid they are not investigating the people who live at treasure island hunters point for health conditions. why not? residents of san francisco, black and brown and all residents in hunters point and treasure island have not-their health situations have not been investigated by malfeseance of these departments so i suggest you subpoena these department heads and ask them who is running their department? is it the corporation, the developers in hunter point and treasure island running their agencies? it appears that is actually the circumstance. they continue to build condos at treasure islands- >> all public comment is limited to 2 minutes. next caller, please. >> hello. my name is dr. robert gold president of san francisco bay physician frz social responsibility and representing hundreds of physicians and other health professionals throughout the san francisco bay area. i want to express our organization's outrage at mayor breed's dismissal of the grand jury report. we already have a s

it is going to be expensive and it is going to take a long time to link public health with the health system. make it interoperable, timely, accurate and complete. at the same time, retain people's privacy. it is going to be a heavy load but it is an important piece of the action. the last thing, you will be supposed to hear former cdc directors say this. there needs to be structural change in the way cdc is funded. we cannot have the famine -- feast or famine approach. people need to understand maybe there is a billion dollars coming in for outbreak x, but as soon as it is over the money goes away. we cannot hire people on one-time money. it is a systemic issue that congress is going to need to fix. lawrence: a segway. i want to add, we have talked in a while ago about congressional funding and you have been so checked in. this is no time to be complacent. tell us, are we going to get the funding, both white house response, vaccine, therapeutic, cdc data systems? how optimistic are you? dr. jha: it is an absolutely essential thing. you can't have health response against covid, monkey

it's great that he worked on tests for the public health labs are we on the public health labs. they are not what we call high throughput laboratories. platforms that they made, the tests were in general platforms that could do a handful or less than 100 tests a day. we're going to need millions attests a day so we had to bring on board our commercial laboratories. until nancy mess and they made that comment the end of february, i don't know -- >> host: at the cdc at the time so our audience does come cdc senior official. >> guest: when nancy said she was worried, , but that was in e february, i was worried in six weeks earlier, so i wasn't here, i didn't watch it play out. i try not, i don't know what data they had or didn't have. i just know when i arrived on the second of march we were incredibly flat-footed as a country. >> host: a lot of your book particularly in the first third to half was about the u.s. response, so just wanted to dig in here a little bit, debbie. you talk about missteps and bright spots, and i thought let's start with the missteps and then get on to the

"that comment," says the professor, "was incredibly "damaging to public health." would you agree?s being a bit unfair. i don't know who that person is, but might have a political agenda. i'm not sure. the president could have used better words than that. but i don't want this to be a politicisation. everybody understands in the united states that president biden takes the covid outbreak very seriously, as do all of us. so i think we might be just stretching it a bit by essentially making something out of this which it is not. but in terms of the removal of some of... ..many of the restrictions, is there now, for you as a public health expert, is there an acceptable level of covid death? well, you know, it's very difficult to say an acceptable level of death. you do as best as you can to get the level of morbidity and mortality as low as possible. you have to accept some reality and take a look at the various stages of control of an outbreak. for example, we're not going to eradicate sars—cov—2. we've only eradicated one infectious disease in the history of global health, and that'

strategies around drug narcotic interventions and identified cities doing successful jobs at addressing public health and public safety challenges many of them are in europeful amsterdam and frankfurt and vienna. looked at what other cities do. including some in the united states. put it together in a resolution. it is san francisco recovers. any we identified all the city department this is would have a role to play if we were to implement the things we wanted to do. our think burglar this what we want to do is really flip the script a bit on how won't governor in san francisco. up to now i think too often and too much the board of sprierdzs can function as the board of complainers we will propose thing and see with we can codo to complain why this would not work the board of supervisors also charged with governing the city. and one of the lessons of every city that has done a good job is get past the political ranker first. get to a place of consensus even photocopy it is not universal we will get rowing in the same direction. that's when i'm committed to do with stan san francisco recovers asking

lab, but we all know public health labs. they're not what we call high throughput laboratories the platforms that they made the tests for were in general platforms. that could do a handful or less than a hundred tests a day. we were going to need millions of tests a day so we had to bring on board our commercial laboratories until nancy messi'' a made that comment the end of february. i i don't know. i haven't saw our audience knows senior official at cdc. yes, so in nancy said she was worried but that was the end of february. i was worried in six weeks earlier so i don't i wasn't here i didn't watch it play out. i i try not. i don't know what data they had or didn't have. i just know when i arrived on the second of march. we were incredibly incredibly flat-footed as a country. yeah, and you know a lot of your book particularly in the you know first, you know third to half was was about the us response. so just i wanted to dig in here a little bit debbie the the you talk about missteps and bright spots and and i thought we w

it's great they worked on test for the public health lab but we know public health labs, they are not call high put laboratories. the platforms they made tests for were platforms that could do a handed full or less than 100 tests a day. we would need millions of tests a day so we had to bring on board commercial laboratories. until nancy made that comment at the end of february, i was worried what they were doing. s when nancy said she was worried, that was the end of february, i was worried six weeks earlier. i do know what data they had or didn't have, i. just know when i arrived on the second of march we were flat-footed as a country. >> and a lotot of your books particularly the first third, it was about that. i want to dig in, you talk about missteps and bright spots and let's start with missteps and get onto the bright spots, operational but testing was a big part of the story. you started talking a bit about labs. expand on that, why was the cdc so off-base on testing kits? also talk about state epidemiology efforts, take us back to early difficult days in the testing capacity

public health is a very i remember 40 years ago public health was a big issue then and krez it is still a big issue now. i mean we are in the richest country why don't we have universal health care. poor marginalized people don't get the right diagnose. they get pushed oust hospitals like my fellow peoples my fellow board of supervisors y'all said. candidates said. i'm a little nervous. but yea, i'm know the face of one of the people who got misdiagnosed for years. i know what it is like. i know what like i said earlier. it is people that, cities that do and the cities that don'ts. san francisco wake up. we know exactly what we have to do. we have to do. it is a shame they have not done it yet. i'm here for change. do we want a 12 more years of the same politics we just got, just left. do we want 12 years of the same nothing that was there before temperature is time for change. put me put machine like me from the other side of the track in city hall. you know let me bring up my game and show what you i can do. >> thank you. . that's how it feels up here. didn't it. >> weyy returning to

i've known youwe for many decad, we've not all known you in the public health field. privilege for me to be here with you, to talk about your brilliant new book. i want to start simply, explained the title silent invasion and the reasons you wrote book, you talk about in the beginning of the book. you larry.g to call thank you, it is really an opportunity to be with you again. we've had a long career together battling pandemics around the globe they can trust the most vulnerable are served and i hope we take that message here in this country but i called it silent invasion to raise the alert that despite the capacity, we hadn't been diagnosing, truly diagnosing respiratory diseases ever in this country. i was confronted that in africa, actually in 1998 where fever was treated first as malaria and then something else and then something else maybe it was tuberculosis and maybe hiv and it was all presenters and we didn't know specifically what was o harming the people i africa. we worked with the private sector and now we can diagnose hiv,af tuberculosis matter if yu are

also extends funding for vital federal education, health, housing and public safety programs. it keeps up school, job training and child nutritional investments and it keeps funds flowing to address badly needed affordable housing problems which plague so many families in florida. anyone who understands the housing struggles that millions of americans face cannot possibly ignore the relief that this c.r. offers. and this legislation also keeps america's security intact. while also supporting those brave veterans who defended us. this c.r. also kronlts russia's fake -- confronts russia's fake elections, to annex parts of ukraine whose families urgently need our support to defend global democracy and turn back a murderous communist tyrant. i am pleased that this continuing resolution before us reflects that vanishing breed of bipartisan, bicameral negotiated compromise. i hope our colleagues on the other side of the aisle respect that and honor the trust that americans hand us to maintain an orderly economy and state of affairs. this c.r. provides that basic test of governance.

and love going back to my own days in public health, always struggle with term health disparities because i feel like it kind, just sanitized the or packages what a stunning difference ways of life and material conditions for people you're talking about on both ends both in a birth and in early death. a significant difference in how people live and die. can you tell us more about. what is actually one of the things that are going this thing we call health and these gaps that kind of get sanitized at like who are really you asked that because i just kind of push over that go right through it and i thank you for allowing me to slow down a little bit and to think that. and i think the big idea of book is that america has arguably the best health care in the world, definitely the most expensive. and we spend so much money on health care more than every other country. we also have, you know, our good we have good clinical health care have good innovations. we have technology, yet we have poor health outcomes, relation to other wealthy countries in the world. and it starts at infant mortality a

i given by government on public health? ~ . ., , given by government on public health? inating figures from your foundation, a real terms cut of 24% 41% in foundation, a real terms cut of 24% km in terms of tobacco and smoking services. in one local authority area blackpool, the cut has been about £40 in real person since 20152016. thank you forjoining us on bbc news. you are news 5; at breaching the ministerial code. was his home secretary right to resign last week for breach of security? he asked about the home secretary, the home secretary made an error ofjudgment but she recognised that, she raised the matter and she accepted her mistake. and the chancellor delays his statement on the government's finances — it had been planned for halloween, now it'll be on november the 17th. public health directors in england urge the government not to make further cuts to their budgets — amid warnings over the effects on the poorest communities. there's a call to make childcare a political priority — with a warning that the sector in england is understaffed and underfunded. sport

it's a problem for professionals and public health.e to what it's done to the people in the last two years and it really botched covid and it's unimaginable. and harm to people across the country and we can only recover once public health acknowledges -- >> laura: there's accountability. like so much in politics, there has to be accountability. doctor, now you're called anti-vax by a lot of the same characters on television if you don't want to get the special updated super-duper booster. how is that fair? >> this is a modern day mccarthyism, california just passed a law you can't disagree with a public health authority or you can lose your license. the fda's own experts said they should not go through and be treated as a new medication and that's why the fda didn't have them vote. >> laura: so, again, we are told one thing in the truth ends up being something else. doctors, great to see you both. if when we come back, another said goodbye tonight and attribute. i explained next. ♪ ♪ scout is protected by simparica trio, and he's in it

the department of health and social care says public health grants for next year will be announced inoorest communities will suffer. dominic hughes, bbc news, gateshead. reforming the childcare industry was part of liz truss's growth agenda during her brief period in number 10. now the early years alliance, the biggest membership organisation for childcare providers in england, is urging the new prime minister to make the sector a top priority. they say childcare is underfunded and in the middle of a recruitment crisis. our education correspondent elaine dunkley has this report. nice and high! at these sessions in manchester, a chance for toddlers to play and parents to have a catch—up. and it's notjust crying babies keeping them awake at night, but the eye—watering cost of childcare. more than my wage for the day to send them both to childcare, and before i've even left the door, i'm out of pocket. every week, i'm thinking, what can i cut down or how can i cut down this, and bills...? it's just endless stress, i suppose, now, it really is. natasha has also had to make big changes. sh

it is a public health issue. we want to protect american lives and what we know based on the best public health science is that covid -- we will prevent more deaths over the next 3-6 months that by doing everything else and what you heard from the president is a clear statement that we are focused on because that is the right public health response. we want to help people, particularly seniors. >> you mentioned the rights that we you are seeing in pediatric respiratory help and assist. 75% of hospital says there beds are filled. how concerned are you about limited capacity and how -- what you saw -- or covid? dr. jha: we are seeing the rise of three respiratory viruses and all of them going up around the same time so the big picture is for two of the three, we have vaccines that are highly effective. the first thing i would recommend to parents is getting kids vaccinated because if you can get them vaccinated against flu and covid, that takes two of the three issues off the table and has more capacity in the heal

public health is a very i remember 40 years ago public health was a big issue then and krez it is still a big issue now. i mean we are in the richest country why don't we have universal health care. poor marginalized people don't get the right diagnose. they get pushed oust hospitals like my fellow peoples my fellow board of supervisors y'all said. candidates said. i'm a little nervous. but yea, i'm know the face of one of the people who got misdiagnosed for years. i know what it is like. i know what like i said earlier. it is people that, cities that do and the cities that don'ts. san francisco wake up. we know exactly what we have to do. we have to do. it is a shame they have not done it yet. i'm here for change. do we want a 12 more years of the same politics we just got, just left. do we want 12 years of the same nothing that was there before temperature is time for change. put me put machine like me from the other side of the track in city hall. you know let me bring up my game and show what you i can do. >> thank you. . that's how it feels up here. didn't it. >> weyy returning to

a public health to pick up the younger girls and paralyze them. they went back to the older one she locked herself in the bedroom. shego said what happened and she went to the hospital, 1973 and said the girls are here in theiw gowns and crying and screaming, we heard help us. she had the wherewithal to get to the law center in montgomery which was new. the president of it, it was pretty new, they took the case and to washington and testified the three girls in the parents testifying inbu front of the senate. they won the lawsuit. it also uncovered 100,000 -- 150,000 other women, poor and black women also have been sterilized. what happened was they kind of fell off the radar and you see their stories and museums, online, old pictures from 1973 or up, a picture from ebony cut out and put in my wallet because i became obsessed with finding him. i was in montgomery trying everything i could to find them. i had a researcher on the ground who was a lawyer and i'm like i know we are going to find them. we are asking but nobody knows how to find them so

they also got on the radar of the public health service. and at the time because always of black folks as the end of the great migration, those were the ones who didn't quite make it to chicago or did not make it to the north. they flooded into cities in the south. and at the same time the sinister thing that happened was the government was saying this is getting too expensive for us. we need to control the alpopulation. it started they were 12, 14, and 17. d it started with depo-provera. it was still in clinical trials. they were given that. in the public health service workers went to the mother and said what she understood was give your girls immunizations but she signed it x on the paperwork. what wasrs was to get them sterilized because the public health workers will read they said it that boys were hanging around. the youngest ones were 12 and 14. so our nurse kyiv or public health worker came picked up the two younger girls and sterilize them. they went back for the older one but she locked herself in her bedroom. she went and toldat

public health views it. et cetera, and so i think however we do it it does make sense to better integrate the work we do around substance use treatment with mental health treatment services and look at it as more of an integrated component than separate. >> can i get you to talk about when i almost a -- factual question butt like do we have treatment on demand in the 19 nic or 2008 sense or not? i mean are we -- the approximate suspicion of d ph seems to be we are pretty much there. there is a need to tinker and anecdotal things that go wrong. i will ask criminal yesterday to come up when i hear from that world is, no. but -- may be not. may be we'll hear today this things are peach and he you can access. >> i think purchase of this goes become to the measurement issue and the way we measure. won't don't know. the other thans it your question. will you ever laura pointed out this we are not measuring necessary low all of the people who are out there who want or are seeking ready for treatment. we are not hit

care operations not every consultant is used to working within a large public health system with all the bureaucracies and requirements. that's when we have. that also i think contributed to the escalation in our improvement efforts. >> thank you. so much and i think what you said about the huddle and bring the information to the staff also is so important and -- why success leads to success. thank you so much. >> thank you vice president green. commissioner chow. >> and i would like to thank mr. pickens for a clear and very promising [inaudible] to date i finds gratifying surprising we are doing and glad you add last week's report that shows there was acceleration in the progress being made on the 3 major factors. and we are looking at. i was wondering to follow up of -- commissioner green's question about patients whether or not we are seeing that patients actually using more of the ombuds person or actually working with our own staff in trying to understand their needs and perhaps to also more important we understand not just parents but families. how they have been making use