流行病：如何预防流感大爆发（2020）

A couple of months ago.
几个月前
He is her husband, explain to him. She is his second wife.
他是她丈夫 向他解释 她是他第二位妻子
As you are staying with her,
你要留在她身边吗？
your two children with your other wife are sick.
你另一位妻子的两个孩子都病了
Keep her away from those kids.
让她远离那些孩子
Because... Yes.
因为…是的
Because of their illness, she might have to suffer.
因为他们得了病 她可能会遭罪
She'll be at a high risk and there may be a threat to her and the child...
她会有很大风险 对她和她的孩子可能都有威胁
We told them that a positive case was reported here.
我们告诉他们这里报告有确诊病例
So some were alarmed, some were concerned.
所以一些人很惊恐 一些人很担忧
What will happen to us?
我们会怎样？
There is no problem, come out. There is no problem.
没问题的 出来吧 没问题的
We are from the hospital.
我们是从医院来的
You have to take Tamiflu, because you are close to a swine flu case.
你得要服用达菲 因为你很靠近猪流感病例
We send a team to conduct surveys within a radius of one kilometer.
我们派出一支团队 在方圆一公里内进行调查
This is good work.
这是好事
It's a good step from the government.
这是政♥府♥的好措施
Even if we miss one case, we still find 100 cases.
就算漏掉了1例病例 我们也依然找到了100例
And we stopped 500 from happening.
我们阻止了500人染病
Is anyone sick in your house?
你家里有人生病吗？
Cough, cold, fever...
咳嗽、感冒、发烧…
The problem is, everyone should be vaccinated.
问题是 所有人都应该要接种
But it is a costly vaccine.
但这种疫苗不便宜
And our population is very high.
我们的人口又非常多
It is hard for health care workers to reach every corner.
医务人员很难覆盖到每个角落
That's why in India, there is higher activity of flu during epidemics.
所以在疾病流行期间 印度的流感活动才更加猖獗
（美国俄克拉荷马州沃里卡）
So, we just have three.
我们有三个病人
These two are stable. I've seen everybody today.
两个很稳定 我今天看过所有人了
She came in yesterday, had had the flu,
她是昨天进来的 得了流感
got a little bit better and then suddenly got really bad.
康复了一点点 然后突然恶化
Had a fever of over 103, has bilateral pneumonia.
发烧超过39度4 有双侧肺炎
So we may have to watch that a little bit.
所以我们得多留意一点
Okay, sounds good.
好的 听起来不错
Bye, Lizzie.
再见 丽兹
Bye. See you later, Dr. Goracke.
再见 戈拉克医生
When I begin my 72-hour shift, I'm kind of in this high-energy mode.
在72小时值班开始时 我处在高能量模式下
About 12 to 15 hours before the end of the shift,
离值班结束还有12到15小时时
that's when I begin to feel that fatigue sets in.
我会开始感觉疲劳袭来
Probably at least three to four times a month,
每个月至少有三四次
I think, "Ugh. I can't do this anymore. I'm done. It's just too hard."
我会觉得 “我做不下去了 完蛋了 这太难了”
And then I get some sleep and I feel better.
然后我只要睡一觉 就会感觉好些
Or something really great happens, or, you know...
或是有很好的事情发生 或是…
Something happens that changes my mind and I do better.
有事情改变了我的想法 我会做得更好
Father in Heaven, we thank you so much.
天父在上 我们非常感激
Thank you for the time to be able to come together in your presence with friends.
感激能和朋友一起与您同在
Lord, thank you for this meal.
主啊 感激您赐予我们食物
We always wanna give you praise and glory. In Christ Jesus' name. Amen.
我们会一直想要赞美您 奉基♥督♥耶稣的名 阿们
-Great. -Holly, I brought out your good napkins.
-真棒 -霍莉 我把你的好纸巾拿出来了
Oh, good. Do you want...
很好 你想要…
We love entertaining people at our home and we have some incredibly great friends.
我们喜欢在家招待客人 我们有一些非常棒的朋友
Yeah.
是啊
And one of the main focuses of our private time
我们私人时间的重点之一
has been prayer with our friends.
就是和朋友们一起祈祷
All right, Lord, thank you so much.
好的 主啊 非常感谢
Lord Heavenly Father, we come before you tonight...
天父在上 我们今晚来到你面前
Just pray that you would guide the doctors' hands
只为祈祷您能指导医生的双手
and let them see everything, uncover everything.
让他们看清一切 发现一切
That you would keep them safe as much as they travel...
祈祷您能保护他们旅途安全
Lord, I thank you for this prayer right now.
主啊 感谢您让我们祈祷
Are we good?
准备好了？
When I dedicated my life to Jesus,
当我献身于耶稣时
I said, "I'm not going to be like the world anymore.
我说：“我再也不要像这世界一样
I'm gonna be like Jesus,"
我要像耶稣那样”
and Jesus was loving and he was kind and he laid down his life for others.
耶稣慈爱善良 为他人献出了自己的生命
I have my own little place in the community.
我在社群里也有自己一小块地方
But from my tiny little place, it ripples outward
但从我这一小块地方会向外扩散
and I know that there are hundreds, maybe thousands of lives
我知道有成百 或许是成千条生命
that are different because they came in contact with me.
因为与我的接触而有了改变
And there's still a lot of time left of this year's flu season,
但今年的流感季还很长
so I have to just be in prayer that God has it in His hands
我不得不祈祷一切尽在上帝掌握中
and I can continue to do what I'm supposed to do in His will.
我也能继续按他的意愿做我该做的事
（第六章 前事不忘 后事之师）
Coffee.
咖啡
Coffee, coffee, coffee.
咖啡…
（黎巴嫩贝鲁特）
I have a pretty full day, every day.
我每天都很忙
But coffee...
但是咖啡
Starts in the morning with coffee.
但都是从早晨的咖啡开始的
I was born here and it's still my favorite city,
我出生在这里 这里依然是我最爱的城市
my favorite place to be.
最愿意待的地方
Every time I come back, it just brings me back to my childhood, early days.
每次回来 都能带我回到童年 小时候
So the samples that we have been collecting over the last three days,
我们过去三天搜集到的样本
we're gonna run some molecular analyses on them
我们将会做一些分子分♥析♥
and that will tell us if we have the virus itself.
这会告诉我们 有没有找到病毒
Do we have influenza or not?
有没有找到流感？
All of my staff are graduate students.
我所有的员工都是研究生
So as they're working on the project, they're also learning.
他们一边在做项目 一边也在学习
I did my PhD at the University of Iowa in the United States.
我在美国爱荷华大学拿到了博士学位
So for me, having graduate students start developing their careers
所以对我来说 让研究生开始发展他们的事业
while they're working on a problem that's relevant to their countries
同时试图解决与他们祖国相关的问题
and doing it in their countries,
而且还就在他们的祖国进行
it's incredibly important.
这是异常重要的
（亚斯明莫塔森 博士生）
Science has always been my passion since I was a child.
我从小就对科学有热情
I've always wanted to be like...
我一直想要变成…
Do you know how Einstein looked while he was working, with his scruffy hair?
你知道爱因斯坦工作时的样子吧 他乱蓬蓬的头发？
I really liked that, I wanted to be the same.
我很喜欢 我也想要那样
Without the scruffy hair.
只是不要乱蓬蓬的头发
Dr. Ghazi is my mentor and everything I learned is coming from him.
加兹博士是我的导师 我学到的一切都是他教的
He doesn't approach science in a conventional way.
他没有以传统方式进行科研
Actually, we're supposed to be interested in what we do.
实际上 我们应该要 对所做的事情有兴趣
To do something that we love.
要做我们喜爱的事情
Chief!
头儿
Let's take this.
拿上这个
What do we have here?
这是什么情况？
--It looks like we have some activity.
看起来有一些活动
So we do have a finding.
所以的确是有发现了
We have to have a certain number in order to call something positive.
为了判断是否为阳性 我们必须要有一个数字标准
We use a cutoff point of 80.
我们用80做分界点
-So H was what again? -Human.
-所以H代表什么？ -人类
-Where was his origin? Backyard? -Yeah.
-来源是哪里？后院？ -是的
Thirty-two, which we call the negative.
32 所以是阴性
Not high enough to call him positive, so it's below the limit that we detect.
达不到阳性标准 低于我们的检出限
Second human, another backyard. He's at 6♥4♥.
第二个人 也是后院 他是6♥4♥
We would still call that a negative.
还是当做阴性
And the third human, I think we sampled at the farm.
第三个人 在农场取的样
That's another negative.
又是阴性
For the bats, they're below 40.
而蝙蝠 还不到40
None of them make the cut, so we're gonna call them negative.
都没达到标准 都当做阴性
But then we have a chicken that's 256.
但鸡达到了256
So that's definitely a positive for avian influenza H9N2.
这肯定是H9N2禽流感阳性
That was on the farm.
这是农场里的
On the farm, the virus is what we call endemic,
在农场里 病毒算是地方性流行
which means it's always around.
也就是说一直都存在
Either the chickens were vaccinated,
如果不是鸡被接种过
or during their growing period, they had an infection.
那就是在成长♥期♥间感染过
This is very, very expected.
这非常符合预期
Nothing of concern, but this is the nature of surveillance.
没什么值得担心的 但这就是监控的本质
Regardless, this is a good learning experience for my students.
无论如何 这对我的学生们来说 都是很好的学习体验
We have some antibodies. Why don't we have virus?
我们有些抗体 但为什么没有病毒？
It might be because of vaccination.
可能是因为接种