I amtheinterimprovostoftheCollegeofSTBenedictandSTJohn's University.
Letmegiveyou a littlebackgroundonthecreationofthislectureseries A coupleofyearsagoatSTJohn's Alumnusfromthe 19 seventies, whowishestoremainanonymouscametouswiththedesiretoendow a lectureseries.
HavingadmiredDrAusterhomemanyyearsatthedonor's request, thelectureseriesisnamedinhonorofoneofhisfavoriteandmostinspiringprofessors, ProfessoremeritusDrNorman L.
It's 7:45 a.m. on a Wednesdaymorning, andNormFordandhisclasshavealreadybeenatwork.
Didhearthatstudentstheyhadalreadybeenatworkin a 7 45 uh, hecameearlytogetherwithhisstudentsin a fieldandlistentothemorningsilence, thesilenceandthebirdsongsthatpunctuatedit.
Hecameearlytohelpstudentstunetheirears, traintheireyestonoticethingsthecolorof a feather, thetoneof a matingcall, whichtherestofusmightpassbyleavingthemunnoticedandunknownformorethan 30 years, Normcalledhisstudentstoe a moreperceptiveunderstandingoftheirworldbecauseofhisfinecraftedpresentationsandemphasisoncriticalthought, manystudentsconsiderDrNormFordtobethefinestprofessoroftheirundergraduatecareers.
On a personalnote 26 yearsago, DrFordwelcomemeas a youngfirstyearprofessoronthiscampus, and I classifyhimasoneofmymentors, and I thankyou, normforthat.
Inmanyways, thislectureseriesinDrFord's honoris a continuationofnorms.
Missionasourspeakerscallusto a moreperceptiveunderstandingofourworld.
And I'd liketowelcometothestageDrBarbaraMay, associateprofessorofbiology, tointroduceourguestspeakertonight.
Thankyou.
Itisanhonorand a pleasuretointroduceDrMichaelFosterhome, asareaninauguralspeakerfortheNormFordScienceLiteracyLecture, a graduateofLutherCollegeinDecorah, IowadoctorUlcerHome, continuedhisgraduateworkattheUniversityofMinnesotawiththeMastersinScience, a PhDand a master's inpublichealth.
Hislistofaccomplishmentsarevast, and I'm sure I couldspend a longtimetalkingaboutallthese.
And I'm justgonnamention a few.
Hisauthoredover 300 papers, 21 bookchaptersandhaswritten a bookentitledLivingTerrors.
Helednumerousinvestigationsofoutbreaksofinternationalimportance, includingfoodbornediseases, theassociationoftamponsandToxicshocksyndrome, thetransmissionofhepatitis B inhealthcaresettingsandthehumanhumanimmunodeficiencyvirusinfectioninhealthcareworkers.
HisrolechangeslightlyintheearlytwothousandswhenhebecamethedirectoroftheCenterforInfectiousDiseaseResearchandPolicyattheUniversityofMinnesotafrom 2001 to 2005.
Healsoservedas a specialadvisortothe U.
S.
DepartmentofHealthandHumanServiceisUnderSecretaryTommy G.
Whileit's a bitoldbecauseitwaspublishedinlittlepast 2000.
Ifyoulook, youcanseefirstlast 150 years, itliterallytookusover a yeartocircumnavigatetheglobearoundtheworldwithfastshowingbustles.
Andbythe 19 fifties, withtheadventofjetengines, wecoulddothatinlittleover a day.
Well, I cantellyouthatthatflatpartofthelineisactuallymaybethemostdynamicpartofthelinetonight, and I'llshowyouwhyandwhatthat's about.
I thinkaboutthat.
LastTuesdayafternoon, I wasin a meetinginSeoul, Korea, one o'clockintheafternoonand I wasactuallyon a conferencecallbackhereinMinneapolisatfive o'clockthatafternoon.
Justinrecentweeks, I'vebeeninvolvedwithseveralcasesofhighlevel I t expertsfromIndiaonconsultationbasishereinUnitedStates, whoonlyfoundoutafter 4 to 6 weeksofcoughingattheirworkplace, thattheyhadmultidrugresistantTBandeveryonehadbeenexposedtoit.
It's notjusttheslumsthemselves.
It's a spilloverthat's occurringintheworld.
In 1968 whentheworlddecidedthattheywoulderadicatesmallpoxfromtheworldofhorribledisease, theywereabletodoitfortworeasons.
Andwhenthosetwocountriesdecidedanythinginthesixtieswithseventies, ithappenedbecauseeverydominobehinditwas a country, andwhensoonisoneofthetwosuperpowerspushed a button, everybodyfellinline.
Andasminutesintheintroduction, I sharedthePandemicPreparednessCommitteeforthatgroup.
ButthisreportcameoutfromanothersectionoftheWorldEconomicForumthispastyear, andit's a prettyimportantreport.
Itinterviewedandfollowedupfromthebestmindsintheplanningandpreparednessworld, and I don't have a pointerhere, butifyoulookatthelegend, youcouldseeonthebottom, likelihoodgoesfromlowestlefttorighttheimpactgoesfromlowestbottomtotop.
LastFebruary, JamesClapper, thedirectorofnationalintelligencefortheUnitedStatesgovernment, issuedhisannualreport a reportunlikeyou'veeverissuedbefore, and I saythatbecauseitwas a wholesectionontheissueofinfectiousdiseasescontinuestothreatenhumansecurityworldwide.
Andtheyhighlightedthisthatthishadtheabilitytounderminewhatevergovernmentswehadoutthereandcouldcreateliterally a colossalglobalcalamity.
JimKim, PresidentWorldBankgave a veryimportanttalkinJanuaryofthisyear, inwhichtheheadlinesaysthatalltheworldisdangerous, unpreparedforfuturepandemics.
I'vespentmywholelifetryingtogetreadyforoutbreaksorlargeglobalpandemics, and I cantellyouwe'veneverbeenlesspreparedand I'llgiveyouthereasonswhytonightandwhatwehavetodototurnthataround.
Andwhythethosestudentsinthisroom?
I'm countingonyoutohelpusgetoutofthismess.
Andfrankly, youdon't have a choicebecauseyoudon't havetogetoutofjailcard.
We'vegottofigureouthowtodealwiththis.
BillGates, someonewouldsay, knows a lotabout a lotofthings.
I personallyappreciatewhathedidinMicrosoft, but I cantellyoutheBillandMelindaGatesFoundationhasbeenthebedrockofpublichealthsupportingpreparedusforthelastdecade.
ButforBillGates, I don't knowwhatwe'd bedoingrightnowforsupportforpublichealtharoundtheworld.
Ifyoulook a travelersrightnow, tourismisobviously a boomingbusiness.
Over 1.1 billionpeoplecrossinternationalborderlastyearjustforpurposesoftourism.
NexttimeyoutakethattriptotheCaribbeanbottleofthistalklater, and I wanttoaskyouaboutyourmosquitomosquitoexposure, whatthatmeanstoyou, orwhatitmightmeantoyou.
I don't wanttodismiss a numberofimportantthings, likeantibioticresistanceandtheavailabilityofantibiotics.
Justthinkofthiseverytime a childisborn, weassumeittakeshimabout 20 yearstohit a nextgenerationlevel.
Rightnow, we'reveryconcernedabout a majorpoliooutbreakintheUkrainebecauselessthan 25% ofthepopulationisvaccinatedforpolio.
Givenallthat's goingonthere, andwenowjusthavecasesintroduced, lookattheissuesofsomethinglikemeasles, a diseasethatwedon't evenreallyworryaboutinthiscountrybecausewe'vedonesuch a goodjobofextendingourkids.
Probablythemostpoignantmomentinmypublichealthcareerthat I willstillneverforget.
Andithauntsmetothisday.
I hadthegoodfortuneofservingas a personaladvisortoHisMajestyKingHusseinofJordanfor a numberofyearsontheissuesofbioterrorism.
BeforehediedinJanuaryof 1999 I wasstillatthestatehealthDepartment.
I got a callfromtheJordanianEmbassysayingHisMajestywantedtoseemerightaway, whichusuallymeantsometimeinthenextfewweekswesetsomethingup.
No, rightaway.
Tomake a longstoryshort.
I wason a planetoLondon, wherehewasathisestateAscotoutsideofLondon.
Withinfourhours, inthesameclothes I wenttoworkin, I landedatHeathrowearlythatnextmorning, overnightflight I waspickedupbythesecuritydetailtakentothemainhouse.
Usually, if I wouldcome, I wouldstayatoneoftheouthouseareas.
But I havenodoubtatthattimethatsmallpoxwasnotjustsecurelyintwolabsattheCentersforDiseaseControlandPreventionandattheRussianresearchstationatNovaSevereSiberia.
I stilldon't believeit's true, butwedon't evenworryaboutthatanymorebecausehere's a disease.
Daythreeand a youngchildday, fivedays, nineday 13 Andknowingthatupto 30% ofthesepeoplewilldie, a largenumberwillbeleftblindandotherhealthproblems, not a gooddisease.
There's a younggirlfromPakistanwhohadhemorrhagicsmallpox, whichisverycommoninpregnantwomen.
And 19 nightarein 2001 ResearchgroupatStonyBrookinNewYorkreconstructed a poliovirustoNovofromjusttakingthepublishedsequences, buyingaminoacids, nowputtingthemtogetherliketinkertoys.
Andtheymade a virusthatwaslethal.
Well, weneverthoughtwecouldmakesmallpoxvirusbecauseitwas a 1600 storygeneticbuilding.
Itwasjusttoobig.
Nobodycouldmake a 1600 storage.
Really?
Justis.
Thisarticlesayswecantoday.
I havenodoubtit's gonnabejust a matteroftimingforsomebody.
Makesmallpoxlayers.
I don't evenknowthinkit's necessaryfornefariouspurposes.
Butifitgetsout, we'rescrewed.
That's partofthemodernworldweliveinthat I wouldneverhaveimaginedmyself 15 or 20 yearsago.
Influenzaremainsalso a lyingkingofinfectiousdiseases.
Well, wedidworryin 2004 when H five n onetypeofinfluenzavirusshowedupwhileinbirdsinAsiacausedussomerealconcerns.
Well, itkindofyoucanseefromthedataontheleftthere.
Wehadcasesinhumans, butweneversawsustainedhumantohumantransmission, and I don't thinkanybodyhaven't heardaboutthisinthemedia.
Lookwhat's happenedinEgyptoverthelastyear.
It's exploded.
Wecan't explainwhyitcouldbemoreexposure.
Butastheviruschangedandwhatwe'reworriedaboutisovertime, thisvirusislikeit's like a dripphenomenaboom, boom, boomandprettysoonthere's enoughwaterinthatbarreltoputout a fireortodrownsomeone.
Andwhatwe'reworriedaboutisweareseeingthesechangesnowwith H five n oneafterhavingeverybodygetupsetin 2004 andthenby 2000 andtheysaid, Oh, don't bothermewiththatagain.
IsEgypt a harbingerofthingstocome?
Well, I don't know, butthisistheonethatevenscaresmemore h seven n nine, anothertypeoffluvirusoutofbirdsthatwehadnevereventhoughtofhisbeing a potentialriskfactorforhumans.
The W H O putout a ratherstrongstatementinFebruarythisyearbasicallysayingwarningsignalsfromthevolatileworldofinfluenzaviruses, thecurrentglobalinfluenzasituation, characterizedby a numberoftrendsthatmustbecloselymonitored.
Wethinkyourreportingisaboutsomewhereintheneighborhoodof 50 to 80 foldoftheactualcases, sowereport a 1,000,000 casesyoucanreadandassumethatthat's 50 to 80 millionpolicecases.
That's prettysignificant.
Thisis a paperthat I publishedinLancetAh, majorMedicaljournal a fewyearsago 2011.