>> GOOD MORNING
Document Sample


>> GOOD MORNING. WE ARE GOING TO GET STARTED. I'M EDWARDO MONTAFLO. A MEMBER OF THE STEP COMMITTEE. AND TODAY WE HAVE A FORUM ON GLOBAL WARMING, MORE THAN JUST HOT AIR. I'D LIKE TO ACKNOWLEDGE THE OTHER MEMBERS OF THE COMMITTEE. JILL CARRINGTON, VALERY GORDON, CHRISTOPHER HATCH, KELLY, LAURA MOEN, VISHNU~PUROHIT AND NANCY~SHINOWARA. WHEN WE MET ABOUT A YEAR AGO TO DECIDE ON THIS FORUM, WE DECIDED TO GO ON THE PREMISE THAT GLOBAL WARMING IS REAL, BASICALLY. THAT MOST SCIENTISTS AGREE THAT GLOBAL WARMING IS ACTUALLY HAPPENING. AND BASED ON THIS PREMISE, MODEL PROJECTIONS SUGGESTED THAT WEATHER CHANGES WILL EFFECT THE WATER WE DRINK, THE AIR WE BREATHE AND THE PLANTS AND ANIMALS AROUND US. BASED ON THIS INFORMATION, WE DECIDED TO GET THE FOLLOWING LIST OF SPEAKERS AND WE ARE VERY PRIVILEGED AND HONORED TO HAVE SOME DISTINGUISHED PANEL OF SPEAKERS TODAY. THE AGENDA FOR TODAY IS AT 8:35, DR. PAUL EPSTEIN WILL GIVE AN OVERVIEW ON HEALTH CONSEQUENCES AND CLIMATE INSTABILITY. THIS WILL BE FOLLOWED AT 9:10 BY DR. STEVEN MORSE FROM COLUMBIA UNIVERSITY WHO WILL SPEAK ABOUT RESPIRATORY INFECTIONS. AND THEN AT 9:50 WE'LL HAVE JOAN ROSE SPEAKING ON THE INTERSESSION BETWEEN WATER, HEALTH AND CLIMATE. THEN WE'LL HAVE A 15 MINUTE BREAK FROM 10:30 TO 10:45. AT 10:45, DR. RITA COLWEL WILL SPEAK ABOUT CLIMATE, AND INFECTIOUS DECEASES AND THEN AT 11:25, DR. LEWIS CRIS IS CAWILL BE SPEAKING TO US ABOUT THE LINK BETWEEN CARBON DIOXIDE, CLIMATE CHANGE, PLANT BIOLOGY AND PUBLIC HEALTH. WE HAVE A LUNCH BREAK FROM 12:05-1 O'CLOCK. HOPEFULLY ALL OF YOU WILL RETURN AT 1:00. AND AT 1:00, DR. COMPTON TUCKER WILL SPEAK ABOUT THE USE OF SATELLITE DATA TO PREDICT EBOLA, RIVER AND CHICKEN GUNYAVIRUS OUTBREAKS. AND THEN, DR. KENNETH LITHICUM WILL SPEAK ON THE IMPACT OF GLOBAL CLIMATE ON RISK VALLEY FEVER OUTBREAKS. THEN AT 2:20, DR. EPSTEIN WILL COME BACK AND GIVE CONCLUDING REMARKS. AT 2:30 WE WILL HAVE A PANEL DISCUSSION. DURING THE PANEL DISCUSSION, WE DO HAVE MICROPHONES AVAILABLE FOR EVERYONE. BUT YOU CAN ALSO USE SOME CARDS TO SUBMIT YOUR QUESTIONS THAT ARE INCLUDED IN YOUR FOLDERS. BEFORE WE GET STARTED, THERE IS A FEW ADMINISTRATIVE ISSUES I HAVE TO MENTION. THE FIRST IS THAT THIS FORUM IS BEING VIDEO CAST LIVE, SO BOTH SPEAKERS AND PERSONS ASKING QUESTIONS, PLEASE GO UP TO THE MICROPHONE SO THAT PEOPLE THAT ARE VIEWING ON THEIR COMPUTER SCREEN CAN HEAR WHAT YOU HAVE TO SAY. THE SECOND IS, AFTER EACH PRESENTATION, WE WILL ALLOW, DEPENDING ON THE LENGTH OF THE TALK, BETWEEN 5-10 MINUTES FOR QUESTIONS. PLEASE TRY TO LIMIT THESE QUESTIONS AND CLARIFICATION ISSUES. OTHER QUESTIONS CAN ALWAYS BE ASKED DURING THE PANEL DISCUSSION. FOR THOSE OF YOU THAT ARE LISTENING ON VIDEO CAST, YOU CAN SUBMIT YOUR QUESTIONS AT STEP@OD. NIH . GOV. AND WE WILL TAKE YOUR QUESTIONS AND BRING THEM UP TO THE SPEAKERS DURING THE PANEL DISCUSSION. FINALLY, BY DIRECTION OF THE FIRE MARSHAL, PLEASE DO NOT BLOCK THE ISLES. MAKE SURE THAT THERE IS A CLEAR PATH TO GET OUT. AND ALSO, PLEASE TURN OFF OR PUT YOUR CELL PHONES OR BLACK BERRYS ON SILENT MODE. AT THIS TIME, I'D LIKE TO INTRODUCE OUR MODERATOR -- [LAUGHTER] OUR MODERATOR FOR TODAY'S FORUM, DR. PAUL EPSTEIN, THE ASSOCIATE DIRECTOR FOR THE CENTER OF HEALTH AND GLOBAL ENVIRONMENT AT HARVARD MEDICAL SCHOOL. AND HE WILL BE THE MODERATOR FOR THE ENTIRE FORUM. PLEASE JOIN ME IN WELCOMING DR. EPSTEIN. [APPLAUSE] >> THANK YOU EDWARDO AND THIS ENTIRE TEAM AND ESPECIALLY CHUCK SULLIVAN WHO PUT UP WITH US SWITCHING AND CHANGING THINGS AT THE LAST MOMENT. WE HAVE A FULL DAY AND I THINK IT WILL BE A RICH DAY GOING FROM ZONES TO WATER TO OCEAN, BACK TO LAND, DISEASES AND HOW CLIMATE CHANGE CAN EFFECT THOSE DISEASES EITHER IN TERMS OF VIRTUE OR IN SURGENCE OR REDISTRIBUTION OF THOSE DISEASES. CLEARLY MANY FACTORS ARE INVOLVED IN THAT. YOU ARE ALL VERY AWARE OF THAT IN TERMS OF GLOBAL CHANGE THAT IS OCCURRING IN HABITAT AND SO ON. WE ARE GOING TO FOCUS ON CLIMATE TODAY AND HOPE TO GET YOUR INTERACTION. SO WE SPECIFICALLY LAID OUT WE HAVE THIS DISCUSSION AFTER EACH TALK. WITHOUT FURTHER ADIEU LET ME LAUNCH INTO MY REMARKS. I'M GOING TO TALK ABOUT CLIMATE FOR A MOMENT TO SET THE STAGE AND THEN SOME OF THE OVERVIEW AND THEN AT THE END, CONCLUDING REMARKS, TALK ABOUT HEALTHY SOLUTIONS AS WE DID AT NIEHSYESTERDAY. A WHOLE DISCUSSION OF HOW THE HEALTH COMMUNITY GETS INVOLVED IN SOLUTIONS SO WE DON'T END UP WITH LOTS MORE PUBLIC HEALTH PROBLEMS FROM ENERGY SOLUTIONS AND THEIR UNINTENDED CONSEQUENCES. FROM WHOLE RESEARCH AGENDAS THERE THAT WE'LL JUST TOUCH UPON AT THE END. THANK YOU. THANK YOU TO MIA. THIS IS THE BASIC FINGERPRINT WORK OF THE ICC-- INTERGOVERNMENTAL PANEL ON CLIMATE CHANGE REPORTS. THE U.N AUTHORIZE THIS HAS BODY IN 89 OR 88. 1990 WAS THE FIRST REPORT. 95 AND 2001 AND 2007. THIS ACTUALLY WAS IN 2001. I HAVE A POINTER HERE -- [INAUDIBLE] FINGERPRINT STUDIES, WE HAVE THE EARTH HERE. SO GLOBAL STUDIES ARE DIFFERENT THAN CONTROLLED STUDIES. WE REALLY DON'T HAVE A CONTROL AND WE CAN'T REPEAT THE EXPERIMENT. SO THE PHYSICS OF CLIMATE CHANGE IS UNDERSTOOD THROUGH OUR MODELS, OUR UNDERSTANDING OF HOW THE EARTH WORKS AND THE SUBSTANCE OF ENERGY AND THEN THE DATA, DO THEY MATCH? THAT'S THE BASIC FINGERPRINTS THAT WE TRY TO ACCUMULATE, FINGERPRINTS, UNTIL WE GET HOOF BEATS. HERE WE ARE WITH THE BASIC DATA ON CLIMATE CHANGE, BUT IF WE TOOK NATURAL FORCING ONLY, IN OTHER WORDS, THE EARTH GOES AROUND THE SUN, I'LL COME TO THAT IN A MOMENT. WE FIND A -- NOT A QUITE GOOD EXPLANATION OF WHAT IS HAPPENING IN THIS CENTURY. IF WE LOOK AT ONLY WHAT HUMANS HAVE DONE, WE DON'T QUITE MATCH IT. IF WE PUT THEM TOGETHER, WE GET A VERY GOOD FIT. THE POINT HERE IS THAT WHAT WE SEE NOW AND ONLY THIS BY -- ADDING NATURAL VARIABILITY AND THE BASIC FINDING OF GREENHOUSE GAGSES CHANGING THE DYNAMICS. WHAT ARE THE DYNAMICS? JUST QUICKLY, THIS IS WORK OF A MATHEMATICIAN WHO WAS IN PRISON IN 1917 WHO CAME UP WITH THE ANALYSIS OF THE EARTH'S BASIC MOVEMENTS AROUND THE SUN. 3 ARE DOMINANT, THE WOBBLES, CHANGES INO BLIQUITY, EXENTRICITY AND A PRO ESSENTIAL CHANGE THAT ARE REALLY KEY TO HELP US UNDERSTAND WHY 11,000 YEARS AGO THERE WERE FORESTS IN THE SAHARA DESERT AND NOW WE ARE POINTING AT A DIFFERENT DIRECTION WHERE THE SUN IS BEATING INTO THE SOUTHERN OCEAN AND WE SEE WE ARE IN A COLDER PERIOD. SO IT'S THOSE WOBBLES THAT HAVE DRIVEN THIS BUT THE 3 CYCLES TOGETHER IS WHAT IS DETERMINED WHETHER WE ARE IN AN ICE AGE OR A WARM AGE. AND IT'S BIKELY FLAMED EVERYTHING EXCEPT FOR VOLCANIC ACTION -- WHICH LASTS FOR SEVERAL YEARS. COMPTON TUCKER WILL TALK ABOUT THIS A LITTLE BIT IN TERMS OF WHAT THE ICE SHOWS US BUT THIS IS WHAT WE MEAN BY NATURAL VARIABILITY. IT BASICALLY EXPLAINS THE EARTH'S TEMPERATURE UNTIL WE GET TO THE 20th CENTURY. AFTER THAT, WE CAN ONLY EXPLAIN WHAT HAPPENED IN TERMS OF CHANGES IN WARMING BY ADDING THE FACTORS. AGAIN, ALSO, WE ARE GOING TO TALK AFTERWARDS BUT IF I SAY ANYTHING THAT IS TOTALLY UNCLEAR, PLEASE JUST SHOOT YOUR HAND UP. THAT IS VERY ACCEPTABLE. NOW WE ALL HAVE HAD LOTS OF INFORMATION ABOUT THE ICE. I'M JUST GOING TO JUMP RIGHT EXPHEAD SAY, WHY IS CLIMATE -- JUMP AHEAD AND SAY -- WHY DO MODELS APPEAR TO BE CHANGING FASTER? HERE WE HAVE 400,000 YEAR OLD CORE. WE HAVE IT BACK TO 720. IN FACT, ABOUT TWO MILLION YEARS AGO IS WHEN THE PANAMA WAS CLOSED OFF AND THE GULF STREAM GOT STARTED AND THAT'S PROBABLY WHEN WE STARTEDOS LATING BETWEEN LARGE POLAR CAPS AND MEDIUM-SIZED CAPS. SO HERE WE ARE, 180, 280. WE ARE OVER 380 NOW. ARE WE HEADED TOWARDS SMALL CAPS OR EVEN A COLD RESERS RESERS -- REVERSAL? SO THIS IS THE BASIC FINDING THAT WE ARE OUTSIDE THIS ENVELOPE THAT WE PROBABLY HAVE BEEN IN FOR TWO MILLION DOLLARS. WHEN IT WENT TOO HIGH, TREES GREW, WHEN IT WENT TOO LOW, METHANE WAS RELEASED FROM THE OCEANS. WE DON'T UNDERSTAND ALL THE MECHANISMS BUT SOMETHING IN THE BIOLOGY HAS HELPED MAINTAIN RELATIVE STABILITY FOR 2000 YEARS. AND THEN WE HAVE BEEN IN THIS PERIOD, THIS RECENT PERIOD, OF 10,000 YEARS. THESE MODELS I SHOWED YOU ARE ONLY DRIVEN BY CARBON DIOXIDE. BUT WE KNOW THAT THERE ARE OTHER GREENHOUSE GASSES THAT TRAP OUT GOING INFRARED RADIATION. THESE ARE THE MAIN ONES: AND WATER IS ACTUALLY ABOUT TWO-THIRDS OF GREENHOUSE EFFECT. SO HERE WE ARE WITH A WHOLE LOT MORE TO DEAL WITH AND IF WE ADD THEM UP, YOU CAN CALCULATE ABOUT 460 PARTS PER MILLION CARBON DIOXIDE EQUIVALENT. THE GLOBAL WARMING POTENTIAL OF THE 4 OF THEM IS GREATER. NOW THAT IS NOT THE WHOLE STORY. WE HAVE THINGS THAT HAVE COME AND GONE BUT THEY CAN REDUCE THE GREENHOUSE EFFECT BY REFLECTING LIGHT, HEATING CLOUDS. AND THEN A POSITIVE THING TO MENTION, IT CAN ALSO ABSORB HEAT LIKE CO2 AND ALSO LAND AND SNOW AND REDUCE DEFLECT ACTIVITY. SOME OF THIS IS, WE DON'T REALLY KNOW WHERE WE ARE, BUT WE ARE PROBABLY A LOT GREATER THAN THAN 380 PARTS PER MILLION. THAT MAY BE WHY OUR MODELS ARE NOT REALLY REFLECTIVE OF WHERE WE ARE. WHERE ARE WE? WELL, WE ARE SEEING ICE MELTS ACCELERATING. WE ALL HAVE BEEN HEARING ABOUT THAT. THIS IS CLEARLY AN ISSUE FOR ICE SHELVES THAT ARE IN WATER. ICE SHEETS ON LAND WHEN WE LOSE THEM, CAN RAISE SEA LEVELS. SO ICE IS MELTING AND ONE OF THE THINGS THAT DOES IN SIBERIA AND NORTHERN CANADAA IS RELEASE METHANE. SO THEY ARE THE POSITIVE FEEDBACKS. THIS IS THE ISSUE FOR SEA LEVEL RISE AS I MENTIONED, ICE SHEETS, PRIMARILY AND ICE SHEETS NOW, SOME OF THE OUTLET GLACIERS ARE GOING AT 14 KILOMETERS A YEAR AND THEN GOING TO 7 KILOMETERS A YEAR IN 2001. SO WE ARE REALLY SEEING AN ACCELERATION AS THE SALTWATER GOES DOWN TO THE BASE AND LUBRICATES THE BASE AND WE ARE SEEING MOVEMENT OF ICE SHEETS IN NONLINEAR WAYS THAT WE HAVEN'T REALLY THOUGHT ABOUT, PERHAPS JUST A DECADE AGO. AND HERE WE ARE DECREASED EL NINO -- IT IS THE REFLEK ACTIVITY AND FOR THE WHOLE EARTH IT'S ABOUT 30% FIT GOES DOWN TO 29.1 FOR EXAMPLE, WE DON'T FINISH THAT'S ANOTHER TRIGGER POINT THAT MIGHT ALSO CONTRIBUTE TO A POSITIVE FEEDBACK. BECAUSE LESS ICE MEANS MORE HEAT GOING INTO THE OCEAN, LESS BEING REFLECTED. AND THEN, MELTING ICE ALSO RELEASES WATER VAPOR AND GREENHOUSE GAS. THERE ARE A NUMBER OF ISSUES HERE WE REALLY HAVE TO CONSIDER IN TERMS OF UNDERSTANDING DYNAMICS. UNDERSTANDING THE DYNAMICS, WE'RE GOING TO JUMP RIGHT INTO THE OCEAN. RITA IS GOING TO TAKE US THERE IN A LITTLE BIT. BUT THIS IS THE BASIC DATA FROM NOAH AND THE DEPARTMENT OF COMMERCE. THE OCEANS COMPARE THE CONT COMMENTS GLAISERS AND ABSORBED 22 TIMES AS MUCH HEAT AS THE EARTH'S SURFACE AND AS THE ATMOSPHERE -- THIS IS FROM ALL THE ARRAY THAT IS WE HAVE BEEN ABLE TO PUT THIS SINCE 1957, WHICH IS THE FIRST IGY . SO THIS IS DATA NOW OVER 50 YEARS. AND THIS IS THE REPOSTOURS OVER THE LAST CENTURY -- REPOSTORYS. NOT THE ATMOSPHERE. WHAT WE ARE GOING TO GET IS DETERMINED BY THE BUILDUP IN THE OCEAN. SO WHEN WE LOOK AT SEA SURFACE TEMPERATURES, IT'S ONE PART OF THIS. THE OCEANS TURN OVER AND THEY BURIED SOME OF THIS. AND THIS CHANGES THE HIDE LOGICAL CYCLE. IT MEANS THERE IS MORE WARMING OVER LAND, EVAPORATION, MORE DRY AREAS, TEMPORIZES OVER LAND. WE ARE SEEING IT ACCELERATE. WATER IS WARMING ESSENTIALLY. EXCUSE ME. WATER, WHICH MAKES OUR LIVES POSSIBLE IS CHANGING. WATER IS WARMING, ICE IS MELTING AND WATER VAPOR IS RISING AND THAT IS CHANGING WEATHER PATTERNS ON LAND. HERE WE ARE WITH TEMPERATURES GOING UP, WE SEE THAT REFLECTED IN THE PRESSURES. AS WE SEE WARMING, HOT AIR RISES, PRESSURES COME DOWN, WIND COMES IN, THE BASIC PHYSICS OF MODELS AND TEMPERATURE, PRESSURE, WIND, WEATHER. AS WE SEE CHANGES IN TEMPERATURE OVER LAND AND IN THE OCEAN, WE SEE CHANGES IN PRESSURE GRADEIENT. THAT'S WHAT DRIVES THE WEATHER. NOW AS WE SEE WINDS CHANGE, AND I WILL SAY HERE, WHAT OF THE NEW FINDINGS? THIS IS USUALLY -- HERE WE HAVE SEVERAL THAT ARE -- THE CONCLUSIONS YOU'RE ALL AWARE OF. IF THE WINDS CHANGE, THE WINDS ABOUT BOTH POLES. THE WEST MID LATITUDES, HIGH LATITUDE, CHANGING. THIS IS THE MOST OM NOWS SIGN OF INSTABILITY -- OMINOUS SIGN -- THAT WE REALLY CONCLUDED. BEING CHANGED BY WHAT IS HAPPENING AT THE POLES AND THIS IS EFFECTING WIND STORMS IN EUROPE, ALSO EFFECTING DROUGHT PATTERNS IN AUSTRALIA. IT HAS IMPLICATIONS FOR WEATHER AND HEALTH. PRESIPITATION OVER THE CONTINENTAL U.S., FOR EXAMPLE. HERE WE HAVE MORE WATER VAPOR IN THE ATMOSPHERE. RAIN HAS GONE UP 7% SINCE 1970. TWO INCHES A DAY. 14%. THAT IS A THRESHOLD FOR EVENTS AND YOU'LL HEAR FROM JOAN ROSE ABOUT THAT. BUT WE ARE SEEING A 20% RISE IN FOREST. IT'S THE HEAVY RAIN EVENTS BECAUSE OF THE WATER IN THE ATMOSPHERE. WE HAVE A PUSH AND PULL. THE WATER IS WARMING AND EVAPORATES FASTER. A WARM ATMOSPHERE HOLDS MORE WATER. FOR EVERY ONE DEGREE IT WARMS UP IT HOLDS 6% MORE WATER. SO IT WILL PUSH AND PULL IT AND MEANS WE CAN HAVE MORE DROUGHT BECAUSE IT STAYS UP THERE AND IT'S WARM. BUT WHEN WE HAVE RAIN, IT COULD COME DOWN IN A HEAVY RAIN EVENT WHICH HAVE IMPLICATIONS FOR WATER BORNE DISEASES AND RODENT BORN DISEASES. THIS IS THE HEAVIEST PRECIPITATION WE HAVE SEEN IN MUMBAI IN 2005. ABOUT A METER IN A DAY. HERE WE HAD SOME EVENTS IN OUR OWN COUNTRY HERE WITH 12-14 FEET SNOWS IN BUFFALO. THIS WAS A REMARKABLE EVENT BECAUSE THERE WAS NO FREEZING. THERE WAS SUCH A WARM JANUARY, YOU MAY REMEMBER LAST JANUARY, THAT WE DIDN'T HAVE A FREEZING IN THE GREAT LAKES. SO WE GOT AN EXTRA SNOW EVENT. SO WE HAVE TO LOOK AT THE COMPOUNDING ISSUES. WARMING THEN PUNKIATED BY A FRONT. THIS IS THE KIND OF THING WE HAVE TO LOOK AT NOT JUST THE EXTREMES BUT THESE SEQUENCES OF EXTREMES, BECAUSE IT'S THE WARM DROUGHT PERIODS PUNK WAITED BY HEAVY RAINS THAT CAN DESTABILIZE THE ECK LOGICAL SYSTEM AND -- ECK LOGICAL SYSTEM. AND THEN THERE IS THE LAST PIECE ON THIS. THIS IS FROM NASA, THE MOTOR SATELLITE. THIS IS THE ICE SHELVES THAT WENT IN 10 DAYS. AGAIN, THAT DOESN'T RAISE SEA LEVELS. WHAT IT DOES DO IS JUST AS SAND ON A BEACH, WHEN IT'S LOST, THE DUNES ARE MORE VULNERABLE TO COME DOWN. WHEN YOU TAKE SHELVES DOWN, IT TAKES THE BACK PRESSURE OFF THE ICE AND THE GLAISERS ON LAND CAN START MOVING FASTER. AGAIN, ANOTHER DIMENSION OF INSTABILITY AND HERE AS SCIENTISTS, WE DON'T OFTEN THINK ABOUT THE WHOLE SYSTEM, BUT WE HAVE TO BEGIN THINKING ABOUT RATES OF CHANGE, NOMLIES, EXTREMES, AND SIGNS OF INSTABILITY. AND WE MAY NOT BE ABLE TO PROJECT EXACTLY WHAT CAN HAPPEN IN TERMS OF TRIGGERS. WHAT WE MAY HAVE SOME SENSE OF CONDITIONS IN THE SYSTEM THAT THEY CAN -- MAKE IT MORE VULNERABLE. SO THAT IS THE BAD NEWS. THE GOOD NEWS IS UNSTABLE SYSTEMS CAN BE DESTABILIZED AND WE WILL COME TO THAT. SO HERE IS THE FINGERPRINTS. THESE ARE THE 3 FINGERPRINTS. AND THESE ARE 3 THAT ARE IMPORTANT TO BIOLOGY. NIGHTTIME AND WINTER TEMPERATURES GOING UP TWICE AS FAST AS OVER ALL WARMING. THIS IS IMPORTANT FOR HUMANS IN TERMS OF HEAT WAVE. IT'S IMPORTANT IN TERMS OF OVER WINTERING. MANY ISSUES IN BIELGY AND AGRICULTURE AND SO ON. NIGHTTIME TEMPERATURES. WE ARE ALSO SEEING MORE WARMING AT HIGH ELEVATIONS AND NEAR THE POLES. SO BOTH TEMPORAL AND SPACIALY WE ARE SEEING THIS IN CANADA TOWARDS THE ARTIC. THAT HAS IMPLICATIONS AS WE LOOK AT LIME DISEASE. WE ARE SEEING MORE NIGHTTIME AND WINTER TEMPERATURE WARMING IN THIS AREA AND AT THE POLES. SO WE HAVE A REAL DISPORE PORTION AT WARMING GOING ON THAT MAY HELP EXPLAIN SOME OF THE BIELG CALL -- BIOLOGICAL RESPONSES. AND FINALLY, AS WE SWITCH -- AS THE MEAN GOES UP, WE'LL SEE MORE EXTREMES THIS. CURVE IS PROBABLY A VERY INACCURATE REPRESENTATION. IT MAY BE MUCH MORE LIKE THIS. WE REALLY DON'T UNDERSTAND THIS. BUT WE ARE SEEING MORE COLD PERIODS, MORE WARM PERIODS. SO IN FACT, THE SYSTEM DOESN'T JUST BEHAVE LIKE A BELL-SHAPED CURVE AS IT WARMS. IT'S CHANGING BEHAVIOR. AND WE ARE SEEING WIDER SWINGS. AND THIS IS WHAT IS HAPPENING. I WAS JUST IN VIETNAM FOR A CONFERENCE ON OCEANS AND CLIMATE. AND THEY HAD A DRASTIC COLD PERIOD 38 DAYS IN JANUARY AND FEBRUARY THAT KNOCKED OUT THEIR RICE CROP, AQUACULTURE. SOME OF THE REPTILES IT HAS HUGE ECONOMIC AFFECTS. IT'S VERY STRANGE. WE KNOW WE HAVE HAD SOME VARIABILITY. THAT'S THE KEY ISSUE. THE COLLEGE OF INFECTIOUS DISEASES IS THE FOREFRONT OF DEVELOPING RESEARCH ON THIS ISSUE. SOME BASICS CONCEPTS. OUR STRATEGIES RAPIDLY INCREASE THEIR NUMBERS RAPIDLY REPRODUCE. THESE ARE THE LITTLE ONES, THE MICROBES, THE VECTORS TEND TO BE OUR STRATEGY OPPORTUNITIES. IT'S THE STRATEGISTS THAT LEVEL OFF WHEN THEY USED UP THEIR RESOURCES OR GENERATE WASTE AT THE PARTICLE LEVEL. HUMANS ARE KING STRATEGISTS. WE HAVEN'T QUITE LEARNED TO LEVEL OFF EVEN THOUGH WE ARE GENERATING WASTE. AND IT'S THIS MISMATCH THAT HAS TO DO WITH INFECTIOUS DISEASES IN MANY WAYS. IT'S THE PREDATORS THAT HELP CONTROL THE PRAY. IT PREVENTS THEM FROM CARRYING PATHOGENS. THIS IS A BASIC CONCEPT AS WE LOOK AT THESE MEASURES. PREDATOR, PREY, HABITAT CHANGE, TOO MUCH OF ORGANIC DPLIEWT ENTS. -- GLUTE ENTS. IT TURNS OUT RODENTS CAN -- THEY CAN SPRAY SO MUCH FOR MALARIA THEY KILL THE CATS IN THE AREA. WHEN THEY REALIZED THIS,IBLYIAN FEVER SETTLED DOWN. SO IT'S THIS MISMATCH AND MATCHING THAT NEEDS TO BE CONTROLLED IN INFECTIOUS DISEASES. IN TERMS OF WARMING. SO WARMING AFFECTS THE RANGE OF INFECTIOUS DISEASE. IT'S THE WEATHER THAT AFFECTS THE TIMING AND INTENSITY OF OUTBREAKS. HERE IS SOME BASIC GEOGRAPHIC INFORMATION. THIS IS THE SPOTS ON EARTH WITH GLACIERS, AND YOU'LL HEAR MORE ABOUT THIS FROM TUCKER. BUT HERE IS THE WARMING WE ARE SEEING ACROSS THE GLOBE. THERE ARE A FEW THAT ARE SOMEWHERE THAT ARE CREATING BUT AS I MENTIONED WITH THESE -- HERE WE ARE WITH UPWARD PLANT MIEIGRATION. YOU'LL NOTICE THE PATTERN. SO THESE ARE KEY AREAS AND AS WE LOOK AT INFECTIOUS DISEASES, AND VECTORS, WE ARE SEEING THE SAME THING. FINGERPRINTS. BIOLOGICAL FINGERPRINTS, MODELS TELL US THEY WILL WARM GREATER AT HIGHER LATITUDES AND ALTITUDES. HERE WE ARE SEEING THE PHYSICS OF THE GLACIERS AND THE PLANTS AND ANIMALS. VARIABILITY IS THE KEY ISSUE FOR CLIMATE CHANGE. VARIABILITY IS OFTEN THE NOISE AROUND THE SIGNAL. CLIMATE CHANGE, GLOBAL CHANGE, VARIABILITY HAS BECOME A SIGNAL. BECAUSE IT'S THE SEQUENCES OF EXTREME. THEY DESTABILIZE. THE KIND OF WARMING WE ARE SEEING IN JANUARY, AND PEOPLE SNIFFLING AND CONJURNGHTITIS IS MORE RELATIVE THAN LAST YEAR, WE ARE SEEING CHANGES IN FRUITING TREES AND MAPLE SYRUP IN VERMONT AND UP IN CANADA. THERE IS THE ISSUES FOR TIMING FOR AGRICULTURE OF HERBA VOARS AND POLLINATING AS WELL AS THE PREDATORS, LADY BUGS THAT COMEIN AND TAKE CARE OF SOME OF THE BIRDS AND SO ON. AND SO THE FOOD SECURITY ISSUES AND THEN THERE ARE ISSUES WITH THE AVIAN FLU IN TERMS OF COLD AND WARM THAT HAVE AFFECTED PATTERNS IN MIGRATION THAT WE UNDERSTAND LITTLE OF ON THESE ISSUES IN TERMS OF SPREADS. SO HERE WE ARE WITH THE EXTREMES FOR A MOMENT. THESE ARE CLUSTEREDDERS. THIS WAS DURING THE EL NINO -- CLUSTEREDDERS. 98. THE STRONGEST OF THE CENTURY. WHAT WE DID WAS MAP RODENT BORN, WATER BORNE, INSECT BORN, DISEASES AND SURE ENOUGH, THEY WERE DIRECTLY COINCIDING WITH NOT JUST THE RAIN BUT ALSO DROUGHT AND YOU'LL HEAR ABOUT THIS OCCURRING WITH DROUGHT. PEOPLE STORING WATER AND SO ON. MOZAMBIQUE WHERE I LIVED FOR SEVERAL YEARS. HERE WE ARE IN 2000. 5 FOLD INCREASE IN MALARIA. EXTREMES AND UPSURGES ARE SOMETHING WE ARE SEEING MORE OF. DECKY FEVER NOW IS GETTING A BIG BOOST FROM THE HEFTY RAINS GOING ON NOW. THEY MAY NOT HAVE STARTED THAT WAY BUT IT'S ADDING TO IT. 2007 IS SIMILAR. WE LOOKED AT WEST NILE DISEASE AND BY TRYING TO UNDERSTAND THE PATTERN OF ST. LOUIS IN SELFITIS, THAT HELPED LOOK AT THE -- WHAT WAS HAPPENING TO THE WEATHER AND WEST NILE. AND ST. LOUIS IN CEPHALITIS WAS THE SAME CYCLE, BASICALLY THE SAME CYCLE, APPEARED IN THE DUST BOWL AND FOR THE FIRST SEVERAL DECADES, WOULD COINCIDE WITH THE DROUGHT INDEX ON WEATHER SERVICE. AFTER 76, LOTS OF THINGS CHANGED AND PATTERNS CHANGED. THIS IS WHAT GAVE US A SENSE OF MAYBE DROUGHT WHERE THINGS COULD GROW WELL WITH A LITTLE WATER AND MIGHT BE GETTING A BOOST FOR WEST NILE. WE LOOKED AT WEST NILE, WE JUST HAVE KINGS REPORTS IN BOGOTA, RIS REALLY, U.S 2002 IT WAS SO WARM AND DRY, THERE WAS NO SNOW IN THE ROCKIES AND THAT'S WHY WEST NILE RACED ACROSS THE COUNTRY IN 44 STATES AND 5 CANADIAN PROVINCES. THIS IS AGAIN NOW ONCE IT'S ESTABLISHED, THERE ARE DIFFERENT VECTORS, DIFFERENT WILDLIFE ISSUES ONCE IT'S ESTABLISHED. THE DROUGHT MAY HELP US EXPLAIN EXPLOSIVE OUTBREAKS AND APPEARANCE OF THIS DISEASE IN YOUR CITY. HERE WE ARE WITH LIME DISEASE, THE COMPLEX DISEASE. WE HAVE ECOLOGICAL REASONS FOR IT. LOTS OF DEER, FEW PREDATORS OF DEER. WE HAVE SOCIAL REASONS AND THIS IS HOW THE CDCCALLS THE LOOP AND LOLLIPOP DEVELOPMENT WHICH EXPOSES FRAGMENT HABITATS. AND THEN WE HAVE CLIMATE ISSUES. SO HERE IS A MODEL GOING FORWARD TO 22080, WHICH SHOWS THE AREA CONDUCIVE TO -- SO THOSE ARE THE 3 WORDS. CONDITIONS CONDUCIVE TO, THEY ARE KEY. WE CAN'T ALWAYS PROJECT WHERE MALARIA WILL BE OR WHAT MOVEMENT HAS TO DO WITH IT. BUT THIS IS THE ENVELOPE WHERE IT COULD EXIST. WE ARE ALREADY SEEING SIGNS OF MORE TICKS IN MAINE. THESE ARE REPORTED. WE HAVE SEEN SOME IN CANADA. ARE WE AHEAD OF SCHEDULE? ARE WE AHEAD OF SCHEDULE JUST AS WE MENTIONED? BEFORE WE HAVE MORE WARMING IN WINTERS. ARE THEY EFFECTING THE BIOLOGICAL RESPONSES? THE CDCLOOKED ACROSS BIOLOGICAL RESPONSES AND FOUND ABOUT 8,000 BITS OF DATA THAT REFLECT WARMING IN TERMS OF BIRD, FISH MIGRATION AND SO ON. OTHER BIOLOGICAL RESPONSES AS WELL. THIS WILL WIND IT DOWN HERE. WE SEE A GENERAL TREND. WE SEE A SIGNAL, EL NINO SOUTHERNOSALATION, WARM PERIODS, LOTS OF BLEACHING. WHAT WE HAVE DONE HERE AT THE NIH IS WORK SHOWING THAT THIS INDEED IS KNOW INFECTIOUS DISEASE AND THE COMPONENT AS WELL THAT THE SPECIES CONTRIBUTES TO THE INFECTION, DECREASES IMMUNITY. BOTH OF THOSE ARE TEMPERATURE DEPENDENT AND WHEN IT GOES OVER THE THRESHOLD, WE SEE ALLERGY THAT ARE PROVIDING THE PHOTO SYNTHESIS. SO HERE AGAIN, YOU'LL HEAR MORE ABOUT THIS FROM RITA COLWEL ABOUT BIOLOGY AND FUNCTION AND IT'S A VERY INTERESTING QUESTION. SHE WAS ASKING IT YESTERDAY. PHIS ANOTHER ISSUE FOR CORPSAL. IT'S NOW .1 DOWN BUT IT'S 30% BELOW PREINDUSTRIAL LEVELS. THAT HAS TO DO WITH CALCIUM. IT HAS TO DO WITH RECOVERY ABILITY FROM BLEACHING. IT HAS TO DO WITH BASICALLY OSTEOPROSIS OF THE CORAL REEFS. THIS IS AN ISSUE FOR CALCIUM CONTAINING ANIMALS IN THE SEA, LOBSTERS, CRABS, SMALL PLANKTON AND SO ON. SOME HAVE CALCIUM. AND THEN THERE IS AN ISSUE FOR MEDICINES FROM NATURE AND THIS IS WORK ALSO DONE HERE. THEY ARE NOT ADDICTING. THEY LIVE IN CORAL REEFS. SO IF WE LOSE CORAL REEFS, WE LOSE MEDICINES AND THE SOURCE OF MEDICINES AS DIRECT MEDICAL CONSEQUENCES. SO FINALLY, AND THIS IS THE FINAL THING. WE NOW HAVE SOME MORE QUESTIONS FOR ALL OF YOU AND I DON'T HAVE ANSWERS. BUT THESE BATS AND FROGS, LET'S THINK FOR A MOMENT. THESE WE KNOW WE HAVE A BIG PROBLEM WITH. VIRUSES THAT PERHAPS WITH IMMUNITY TISSUES. BATS GETTING DISEASES IN MY NECK OF THE WOODS IN THE NORTHEAST. AGENTS AND THE ENVIRONMENT. AGENTS AND THE HOST AND THE ENVIRONMENT. CLEARLY IT'S NOT AN OR. IT'S ANAND. WE HAVE TO UNDERSTAND WHERE THE AGENTS AND SO ON FIT IN WITH HOST IMMUNITIY AND FIT IN WITH THE ENVIRONMENT THAT IS CHANGING AND WE WANT ALL THE FACTS THAT CONTRIBUTE. SO, THIS IS JUST A BUNCH OF QUESTIONS FOR YOU THAT I THINK ARE KEY INDICATORS OF WHAT IS GOING ON. THERE ARE FUNCTIONAL IMPLICATIONS, ALL OF THESE THINGS HAVE ROLES, POLLINATION, MOSQUITO CONTROL, SO THESE ARE ISSUES NOT JUST IN AN AREA, BUT ALSO SIGNIFICANT IN TERMS OF CONTROLS OF INFECTIOUS DISEASE AND AGRICULTURE. SO FINALLY, I'M GOING LEAVE WITH YOU THIS. IN STUDYING THIS, WE HAVE TO DO A LOT MORE THAN BENCH WORK. WE HAVE TO DO A LOT MORE THAN EVEN MATHEMATICAL MODELING. HERE ARE SOME OF THE THINGS WE DO TO STUDY GLOBAL CHANGE. WE HAVE TO MONITOR AND MAP AS WELL AS MODEL. WE NEED OUR GISs TO OVERLAY DATA SO WE GET CORRELATIONS TO LATER STUDY. WE HAVE TO LOOK AT TRENDS AND DATA AND WE MAY HAVE TO AGGREGATE DATA IN TERMS OF THE OCEAN, WHAT IS HAPPENING WITH HUMAN DISEASE. BUT WHAT IS HAPPENING WITH FISH, WITH SEAURE CHINS, MAMMALS, WITH SEA BIRDS. WE HAVE TO LOOK ACROSS THESE TO UNDERSTAND WHERE THERE ARE IN TERMS OF GEOGRAPHICAL AND AS WELL AS TEMPORAL. WARM YEARS, COLD YEARS. DERIFFATIVES OF TRENDS. IF WE ARE SEEING INCREASES, WE HAVE TO SEE HOW THEY CAN BE INDICATORS OF CHANGE. WE HAVE TO DO PATTERN RECOGNITION AS WE LOOKED AT WITH THE MOUNTAINS. FINGERPRINTS, AS I MENTIONED, ANALYSIS, WE HAVE TO USE WHAT WE KNOW. JUST PRIOR PROBABILITIES. WE ARE NOT GOING TO BE ABLE TO DO ALL THE RESEARCH THAT WE NEED FORWARD. WE HAVE TO USE WHAT WE ALREADY KNOW TO ALSO MAKE ADVICE AND UNDERSTAND BETTER. HERE WE ARE. WE HAVE TO MODEL NEW EVENTS. WE ARE SEEING HURRICANES IN THE SOUTHERN HEMISPHERE IN BRAZIL IN TERMS OF CLIMATE. VIETNAM HAD TROPICAL CYCLONE THAT IS CHANGED THEIR PATH IN THE SOUTHERN PART. THESE ARE WHAT THEY ARE TELLING US ABOUT CLIMATE ITSELF. PROBABILITY ATTRIBUTION ANALYSIS IS A WHOLE NEW BUNCH OF SCIENCES NOW TO LOOK AT HEAT WAVES. THE HEAT WAVES OF 2003 AND EUROPE. NOW CALCULATED TO BE 2-4 TIMES AS MORE PROBABLE WITH CLIMATE CHANGE. SO THESE ARE THE KINDS OF THINGS THAT MY FRIENDS IN THE INSURANCE WORLD AND SOME OF THE LAWYERS WANT TO KNOW ABOUT, LIE BUILTY AND SO ON, IT HAS IMPLICATIONS FOR HOW WE UNDERSTAND AND HOW THE SOLUTIONS GET DRIVEN. AND FINALLY, CLUSTER AND PRINCIPLE COMPONENT ANALYSIS AS WE LOOK AT DATA ACROSS SYSTEMS. AND THEN THAT IS THE EQUALITATIVE AND QUANTITATIVE MODEL. SO WE HAVE TO USE A FULL RANGE OF SCIENCE TO UNDERSTAND GLOBAL CHANGES AND CLIMATE CHANGE. I WANT TO END WITH THAT AND TAKE A DRINK AND TAKE A BREAK. THANK YOU VERY MUCH. [APPLAUSE] ANY QUICK ARROWS OR COMMENTS AND QUESTIONS? GREAT. WE REALLY DO GO ON TIME HERE THIS. IS MARVELOUS. ALL RIGHT. OUR NEXT PRESENTER AT 9:10:00 A.M. IS SOMEONE WHO PROBABLY NEEDS NO MAJOR INTRODUCTION. STEVEN MORSE, BIOLOGICAL ISSUES FOR MANY YEARS, WORKED WITH JOSH WHO RECENTLY PASSED AND I HOPE TO HAVE A TRIBUTE TO HIM IN SCIENCE MAGAZINE A COUPLE OF MONTHS AGO AND PART OF THE EMERGING INFECTIOUS DISEASE ON THE PANEL FORUM ON INFECTIOUS DISEASES. IT'S A GREAT PLEASURE. STEVEN MORSE. >> THANK YOU VERY MUCH. [LOW AUDIO] THANK YOU ALL VERY MUCH FOR COMING TODAY AND I'M DELIGHTED TO BE IN SUCH DISTINGUISHED COMPANY IN EVERY MANAGEINABLE WAY. I HAVE TO TELL YOU THAT THERE IS GOOD NEWS. I WAS LISTENING TO THE RADIO THIS MORNING AND NOW OUR PRESIDENT SAID WE HAVE UNTIL 2025 TO SOLVE THIS PROBLEM [LAUGHTER] SO, I DON'T WANT TO TAKE AWAY YOUR MOTIVATIONS BUT -- [LAUGHTER] FOLLOWING ON WHAT PAUL TALKED ABOUT, I JUST LIKE TO SAY A FEW WORDS, THOSE OF YOU WHO KNOW ME, KNOW THAT'S AN IRONIC TERM ABOUT SOME OF THE EMERGING INFECTIONS AND OTHER INFECTIONS THAT ARE LIKELY TO BE AFFECTED BY CHANGES IN CLIMATE. AND OF COURSE, WE THAN INFECTIOUS DISEASES, WHICH IS GOING TO BE THE ACCESS TODAY AND FOR MY TALK, REMAINS A MAJOR CAUSE OF DISEASE AND DEATH. YES, WE HAVE TAKEN IT FOR GRANTED IN MANY PARTS OF THE WORLD. BUT IN MOST OF THE WORLD, THIS IS STILL AN IMPORTANT ISSUE. AND THEN OF COURSE, WE DISCOVERED OVER THE YEARS LIKE WHAT WE CALL EMERGING SECTIONS OR WHAT I ORIGINALLY CALL IN TERMS OF VIRUSES, EMERGING VIRUSES, APPEAR FROM IT SEEMS, OUT OF NOWHERE AND I'LL COME BACK TO THAT IN A MOMENT. AND THEN FOR INFECTIONS, TB, FOR EXAMPLE, DIPHTHERIA IN EASTERN EUROPE. SUDDENLY IT REAPPEARS AS A RESULT OF DEFICIENCIES IN PUBLIC HEALTH MEASURES THAT HAD KEPT THEM UNDER CONTROL. SO, IN A FORMAL SENSE, I WOULD DEFINE EMERGING INFECTIONS AS THOSE THAT ARE RAPIDLY INCREASING IN INCIDENT, THE NUMBER OF NEW CASES, OR IN GEOGRAPHIC RANGE. THERE ARE QUITE A FEW OF THEM DEPENDING ON WHICH LITERATURE SEARCH YOU WANT TO DO. PETER DASH ALSO WORKED ON THE KIT RICK FUNGUS AND SOME COLLEAGUES AT COLUMBIA, WHICH WORKS ON CLIMATE AND OTHER GEOLOGICAL ISSUES, RECENTLY IDENTIFIED PERHAPS 4 IN THE INSTITUTE OF MEDICINE REPORT FROM 1992, CAME UP WITH A SIMILAR FIGURE IN THE LAST COUPLE OF DECADES, THINGS WE HASN'T HEARD ABOUT BEFORE. I'M SURE THEY EXISTED IN MOST CASES, BUT WE DIDN'T KNOW ABOUT THEM FOR A VARIETY OF REASONS. AND OFTEN THESE ARE NOVEL PREVIOUSLY UNRECOGNIZED DISEASES. YOU ARE GOING TO HEAR ABOUT QUITE A FEW TODAY IN VARIOUS CONTEXT. AND IT TURNS OUT, VERY OFTEN THE ENEMY IS OUT HERE. VERY OFTEN YOU HEARD ABOUT A FEW CAUSES ALREADY. SUCH AS CHANGES IN PREDATOR DISTRIBUTION OR CHANGES IN AG CULL -- AGRICULTURAL. THIS IS A SLIDE I BORROWED FROM OUR FREPPED, TONY FAUCI -- FRIEND -- SHE DIRECTOR OF NIAID. AND THIS IS SIMPLY A MAP SHOWING VARIOUS EXAMPLES OF EMERGING AND REEMERGING INFECTIOUS DISEASES IN THE LAST COUPLE OF DECADES. SOME OF THEM WERE KNOWN BEFORE RIFT VALLEY FEVER, WHICH YOU'LL HEAR ABOUT LATER. OTHERS WERE DISCOVERED, IF THAT'S THE WORD, IN THE LAST 30-40 YEARS, SUCH ASEE BOWL ALOSS OF FICHE IS AN INTERESTING ONE -- EBOLA -- LOSS OF FICHE -- I GOT TO READ THE NOVEL, THE ANDROMEDAE STRAIN TWASN'T UNTIL YEARS LATER WE FOUND OUT WHEN I BECAME A VIROLOGIST, IT WAS BASED ON AN OUTBREAK OF LOSS OF FICHE, PREVIOUSLY UNKNOWN BUT QUITE SCARY. FEVER -- IN AFRICA. THAT OCCURRED IN THE LATE 1960s AND BY COINCIDENCE, SOME OF THE VICTIMS, THOSE WHO SURVIVED ENDED UP BEING TREATED AT COLUMBIA FOR REASONS THAT I WON'T GO INTO BUT THAT ARE THEMSELVES VERY INTERESTING. AND WE HAVE PULMONARY SYNDROME, WHICH I'LL SAY A FEW WORDS ABOUT. SARS AND MANY OTHERS THAT HAVE APPEARS ONLY RECENTLY AS HUMAN DISEASES. SO WE HAVE A VERY RICH CAST OF CHARACTERS. WHAT CAUSES THIS TO HAPPEN? OF COURSE ALL OF US WHO READ THE ANDROMEDAE STRAIN OR SEEN THE MOVIE THAT INDICATES PROBABLY A CERTAIN AGE, THINK ABOUT THE ANDROMEDAE STRAIN. IN FACT, THERE WERE WELL-KNOWN SCIENTISTS, ONE NOBEL WINNER WHO DIED A FEW YEARS AGO, WHO ACTUALLY BELIEVED -- AND I USED TO GET LETTERS PUBLISHED IN NATURE ON EYE REGULAR BASIS EVERY TIME SOMETHING NEW CAME AROUND, THAT THIS HAD FALLEN FROM SPACE. WE KNOW THE REALITY IS ACTUALLY MUCH CLOSER TO HOME. THE MYSTERIOUS INTRODUCTION OF THESE PREVIOUSLY UNKNOWN TO HUMAN MEDICINE OR TO WESTERN MEDICINE INFECTIONS, USUALLY IS A RESULT OF ENVIRONMENTAL CHANGES OR CHANGES IN THE RELATIONSHIP BETWEEN HUMANS AND THE ENVIRONMENT THAT ALLOWED PREVIOUSLY SEE QUESTERED OR PREVIOUSLY UNRECOGNIZED INFECTION TO ENTER THE HUMAN POPULATION. AND YOU KNOW, THERE ARE MANY POSSIBILITIES BUT LUCKILY FOR US, I SAY LUCKILY, BECAUSE WE ARE ALL STILL HERE, AT LEAST MOST OF US. EXCEPT THOSE OF US LIKE ME WHO ARE STILL ASLEEP. BUT WE ARE STILL HERE, AT LEAST OUR BODIES ARE. AND THE REALITY IS THAT THIS WOULDN'T BE TRUE OF COURSE IF IT WEREN'T FOR THE FACT THAT THE INTRODUCTION STEP, ALTHOUGH THERE ARE MANY POSSIBILITIES S-OFTEN NOT SUCCESSFUL IN ESTABLISHING A NEW HUMAN DISEASE. BUT WE DO SEE THIS HAPPENING. HIVIS PROBABLY THE MOST NOTABLE EXAMPLE THAT AWAKENED US FROM COMPLACENCY. SOME 20 YEARS AGO. AND THIS WAS SUCCESSFUL FOR A VARIETY OF REASONS IN ESTABLISHING AND DISSEMINATING ITSELF WITH OUR HELP THROUGHOUT THE WORLD. SO MANY ARE CALLED AND THERE ARE MANY CANDIDATES OUT THERE. LUCKILY FOR US, FEW ARE CHOSEN. WHEN YOU LOOK AT EMERGING INFECTIONS, IT TURNS OUT WE KNOW SOME BASIC THINGS ABOUT THEM. THEY ARE NOT THE ANDROMEDAE STRAIN. THEY ARE JUST, IN MOST CASES, SIMPLY INFECTIONS OF OTHER SPECIES THAT HAVE HAD THE OPPORTUNITY TO EXPLORE THE HUMAN BODY AS WELL AND SOMETIMES IT'S TO THEIR LIKING AND SOMETIMES IT ISN'T. EBOLA IS AN EXAMPLE OF ONE THAT IS NOT EASILY TRANSPITTED TRANSPITTED -- TRANSMITTED. IT HAS A NATURAL RESERVOIR AND SUCH MAMMALS AS BEST PROBABLY -- BATS. BUT THAT'S THE BEST EVIDENCE RIGHT NOW. SO IT DOESN'T MATTER IF THE VIRUS GETS INTO HUMAN BEINGS AND KILLS US BECAUSE AFTER ALL, THEY HAVE A NATURAL LIFE CYCLE IN NATURE THAT MAINTAINS THEM. AND THAT'S IMPORTANT TO UNDERSTAND BECAUSE OBVIOUSLY EBOLA IS A NONSTARTER IN TERMS OF A WORLDWIDE EPIDEMIC. HIVKILLS MUCH MORE SLOWLY AND THAT GAVE US MANY MORE OPPORTUNITIES TO SPREAD AND IT'S DONE SO VERY SUCCESSFULLY. THAT TOO PROBABLY CAME FROM CHIMPANZEES, QUITE POSSIBLY FROM THE BUSH ME TRADE. ALTHOUGH WE DON'T HAVE ANY SMOKING GUNS OR EVEN SMOKING MEAT IN THIS RESPECT TO PROVE IT. SO WHAT I LIKE TO CALL THE 0 NOTTIC POOL, IS A VERY DEEP AND RICH SOURCE OF POTENTIAL EMERGING PATHOGENS. AND AS I MENTIONED, VARIOUS CHANGES IN THE ENVIRONMENT MAY INCREASE HUMAN CONTACT WITH HITHERTO UNFAMILIAR INFECTIONS AND JUST IF YOU THINK ABOUT IT STATISTICALLY, THIS INCREASES THE CHANCE OR FREQUENCY OF INTRODUCTION AND THE CHANCES PERHAPS THAT SOME NEW INFECTION PREVIOUSLY UNKNOWN TO MOST OF US WILL GAIN ENTRY AND SOMEHOW MANAGE TO SUCCEED IN THE HUMAN POPULATION. RARE AS THAT IS, THE MORE OPPORTUNITIES THERE ARE, THE MORE POSSIBILITIES OBVIOUSLY OF THIS HAPPENING. THERE ARE MANY OTHER SOCIAL CHANGES, WHICH I'LL SAY MUCH LESS ABOUT, I WILL SAY A FEW WORDS, SUCH AS THE INCREASING MOVEMENT FROM RURAL AREAS TO CITIES THAT INDEED MAY INCREASE THE SPREAD OF PREVIOUSLY ISOLATED DISEASES. SO, DISEASES LIKE HIV OR LIKE AIDS AND THE VIRUS, HIV MAY HAVE HAD POCKETS IN NATURAL, FAIRLY UNSETTLED AREAS THROUGHOUT AFRICA. COLLEAGUES BELIEVED THAT HIV WAS INTRODUCED INTO THE HUMAN POPULATION PROBABLY NOT ONCE BUT POSSIBLY AS MANY AS 8 TIMES, WHICH IS REALLY AMAZING WHEN YOU THINK ABOUT IT. HOWEVER, IT WAS THE MOVEMENT OF ESPECIALLY YOUNG MEN FROM THE REMOTE AREAS WHERE THEY MAY HAVE PICKED UP HIV INTO CITIES WHERE THEY NOW HAVE THE OPPORTUNITY TO SPREAD IT TO MANY OTHERS WHICH DIDN'T EXIST BEFORE. AND THOSE ARE -- THAT'S AN INCREASING MOVEMENT, RURAL TO URBAN MIGRATION AND URBANIZATION WHICH BASICALLY CONTINUES TO INCREASE LARGELY FOR ECONOMIC AND SOMETIMES FOR ENVIRONMENTAL REASONS. AND OF COURSE, WE ALL KNOW NOW ABOUT THE ROLE OF FOOD ANIMALS IN THIS RESPECT SIMPLY BECAUSE OF H5N1 AND THE FACT THAT IT'S BASICALLY IF YOU'RE A CHICKEN, VERY, VERY BAD NEWS. I MEAN, WE THINK IS THIS GOING TO BE THE NEXT PANDEMIC FOR THE CHICKENS ESSENTIAL IT ALREADY IS. FOR CHICKEN FARMERS, THOSE WHO WORK OCCUPATIONALLY WITH POWELL TREE, IT IS ALSO A DANGER -- POULTRY -- FOR OCCASIONAL ACQUISITION. AND WE ALL SORT OF HOLD OUR BREATH AS LONG AS WE CAN SINCE THIS IS A RESPIRETORY DISEASE, WONDERING, IS IT GOING TO MAKE THE LEAP INTO HUMAN TO HUMAN TRANSMISSION. SO FAR, IT HASN'T. BUT WE ALL KNOW THAT ANOTHER INFLUENZA PANDEMIC IS MORE OR LESS INEVITABLE. THERE HAVE BEEN 3 IN THE LAST CENTURY VARYING IN SEVERITY AND WE ALL KNOW. I HAPPEN TO BE A LITTLE FIX 8OD INFLUENZA AT THE MOMENT. AND THE REASON IS -- FIXIATED -- OF ALL THE EMERGING INFECTIONS, MY FRIEND AND LATE COLLEAGUE, HOWARD, ONE OF MY OLD PROFESSORS, USED TO SAY, IT'S CHEATING TO SAY THAT INFLUENZA IS AN EMERGING INFECTION. BUT OF COURSE IT HAS ALL THE CHARACTERISTICS. WE GET NEW INTRODUCTIONS, WE GET EVOLUTION OF THE VIRUS AND WHEN IT IS CAPABLE OF HUMAN TO HUMAN SPREAD, I DON'T NEED TO TELL WHAT YOU IT CAN DO. BUT NOBODY CAN PREDICT THIS WITH ANY DEGREE OF ACCURACY. AND THOSE EXPERTS WHO TRIED AS IN THE 1976 WHEN THEY THOUGHT THERE WAS A PANDEMIC, THE SUBJECT OF A FAMOUS BOOK BY RICHARD AND HARVEY, NOW THE PRESIDENT OF THE INSTITUTE OF MEDICINE, CALLED THE PANDEMIC THAT WASN'T. I GOT MY INFLUENZA SHOT IN 1976 JUST IN CASE. BUT THE REALITY IS, IT NEVER HAPPENED AND WE STILL DON'T FULLY UNDERSTAND IT. SARS OF COURSE FOCUSED A LOT OF ATTENTION ALSO ON THE ROLE OF FOOD ANIMALS. SO, THAT SAN INCREASINGLY IMPORTANT AREA TO THINK ABOUT. SO WHAT I WANT TO DO WITH MY REMAINING SOMEONE'S TO GIVE YOU A LITTLE BIT OF INTRODUCTION -- MINUTES -- TO EMERGING INFECTIONS AND GIVE YOU A FEW EXAMPLES OF HOW THEY MAY BE AFFECTED BY CLIMATE IN WAYS THAT ARE OFTEN NOT AS OBVIOUS AS WE MAY THINK. SO AS I MENTIONED, MANY OF THE CHANGE THAT IS ALLOW PREVIOUSLY UNRECOGNIZED INFECTIONS TO INCREASE THEIR RANGE OR TO BE INTRODUCED INTO THE HUMAN POPULATION, INVOLVE THESE CHANGES VERY OFTEN AGRICULTURE, FOOD HANDLING PRACTICES, I MENTIONED THOSE, FOOD ANIMALS WITH SARS, H5 NONE AND OTHER INFLUENCAS AND -- H5N1 AND CHANGES IN WATER ECOSYSTEMS. WE TAKE IT FOR GRANTED BUT IT IS ALMOST A GIVEN THAT IF YOU PUT IN NEW DAMS, SOMING THE WORLD BANK LOVES TO DO BECAUSE IT INVOLVES A LOT OF CONSTRUCTION, YOU HAVE AN INCREASE IN VECTOR BORN MOSQUITO BORN DISEASES. NOW, IT'S NOT QUITE THAT SIMPLE. BUT WHEN THE JAMMA DAM WAS PUT IN ALONG THE SENEGAL RIVER IN SENEGAL IN AFRICA, WE SAW AN ENORMOUS INCREASE, SEVERAL HUNDREDS OF CASES OF SOMETHING CALLED RIP VALLEY FEVER, WHICH THE NAME SEEMS TO ORIGINATED IN FEDERAL AFRICA AND SUDDENLY WE HAVE HUNDREDS OF CASES IN WEST AFRICA. ALL THANKS TO THE JAMMA DAM WHICH BY THE WAY WAS AN ENVIRONMENTAL DISASTER IN A NUMBER OF WAYS. AND SO, THE SAME HAPPENS WITH A WORM INFECTION THAT HAS AN INTERMEDIATE HOST IN SNAILS AND MANY OTHER. SO WE HAVE TO BE CAREFUL OBVIOUSLY ABOUT THE FULL RANGE OF ENVIRONMENTAL AND ECOLOGICAL CHANGES, INCLUDING CLIMATE CHANGES FOR WHICH I'LL GIVE YOU A FEW EXAMPLES. ONE PROBLEM WITH CLIMATE CHANGE AND ITS EFFECT ON INFECTIOUS DISEASES IS THAT THESE CHANGES, LIKE THE DISEASES THEMSELVES, HAVE COMPLEX ECOLOGYIES, THEY ARE MULTIFAKITORIAL AND OF COURSE THE PEOPLE WHO LIKE TO BE CLIMATE CHANGE DENIERS OR CLIMATE DENIERS, WILL SAY, WELL, HOW DO YOU KNOW IT'S GOING TO HAPPEN? MAYBE WE'LL HAVE MALARIA BACK IN THE UNITED STATES, YES WE ONCE HAD IT. AND I'LL SHOW YOU SOME OTHER EXAMPLES. AND MAYBE WE'LL HAVE MALARIA IN CANADA. BUT MAYBE ON THE OTHER HAND, MALARIA WILL BE ELIMINATED FROM TROPICAL AFRICA AND WE'LL SUDDENLY HAVE WONDERFUL TROPICAL FRUIT PRODUCTION IN CANADA. AND ALL OF THAT DEPENDS ON WHAT SCENARIO OF CLIMATE CHANGE YOU WANT TO BELIEVE IN. AND WE DON'T KNOW EXACTLY WHAT IS GOING TO HAPPEN. HOWEVER, I THINK THERE IS A LOT OF SCIENTIFIC CONSENSUS AS YOU SAW FROM PAUL EPSTEIN'S TALK, THAT CLIMATE IS CHANGING. THAT CLIMATE CAN BE EXPECTD TO CHANGE WHETHER FOR NATURAL OR AS MANY OF US SUSPECT, ATH ROWGENIC REASONS, THAT WE OUGHT TO BE MORE AWARE OF AND GET OUR HEADS OUT OF THE PER VERBAL SAND BEFORE WE ARE ALL SIMPLY COVERED IN SAND. AND THAT, THERE ARE A LOT OF POSSIBILITIES DEPENDING ON YOUR EXACT SCENARIO. THAT INCLUDES CHANGES IN RANGE OR PREVALENCE OF A NUMBER OF DISEASES. CHANGES IN SEASONALITY. SEASONALITY IS SOMETHING WE ALL TALK ABOUT AND LIKE THE WEATHER, NONE OF US REALLY UNDERSTAND. AS I DISCOVERED WHEN A STUDENT, A GRADUATE STUDENT IN ONE OF MY CLASSES ASKED ABOUT SEASONALITY AND I GAVE HIM A GLIB ANSWER. AND SAID, A LOT ARE FAMOUS REVIEWED BY SO AND SO AND WENT TO FIND IT, SINCE I FELT I HAD TO GIVE HIM THE REFERENCE, ONLY TOW DISCOVER THERE WAS NO DECENT REVIEW ON SEASONALITY. AND WE ARE STILL WORKING ON UNDERSTANDING THIS. SO SOMETHING IS SIMPLE AS WHAT WE THINK THE SEASONALITY WITH A STABLE CLIMATE IS A HARD NUT TO CRACK. LET ALONE, AND TO REALLY UNDERSTAND. MOST OF WHAT THE UNDERSTANDING IS INFLUENCE APROBABLY BASED ON A VERY FLIMSY FOUNDATION. AND I MENTIONED MOVEMENT FROM RURAL AREAS TO CITIES. SO WHAT ARE SOME OF THE POSSIBLE CONSEQUENCES? ONE OF THE FIRST THINGS PEOPLE WILL LOOK FOR IS THE DANGER SIGN AND MALARIA AT HIGHER ATITUDES IN EN DEMIC AREAS. IF YOU HAVE WARMING, YOU CAN EXPECT TO SEE MOSQUITOES THAT CARRY MALARIA AND OTHER VECTOR BORN DISEASES, FINDING HIGHER ATITUDES WHICH NORMALLY ARE COLDER AND LESS HOSPITABLE, MORE PROMISING. AND THAT IS ONE MARK THEY'RE PEOPLE ARE OFTEN THINKING ABOUT LOOKING FOR AND AS OFTEN BEEN MENTIONED. WE CAN EXPECT A CHANGE IN DISTRIBUTION OF OTHER VECTOR BORN DISEASES WHICH ARE OFTEN VERY SENSITIVE TO CHANGES IN TEMPERATURE AND HUMIDITY AND WE WILL HEAR A GREAT DEAL ABOUT THAT WITH DR. LITHICUM AND OTHERS LATER TODAY. CERTAINLY THERE WILL BE CHANGES IN AGRICULTURE AND FOOD ANIMAL USE WHICH MAY HAVE SOME OF THE CONSEQUENCES I ALREADY HAVE DISCUSSED. AND IF AGRICULTURE BEGINS TO FAIL AS A RESULT OF CHANGES IN CLIMATE, RAINFALL, TEMPERATURE AND SO ON, AS WE ALREADY HAVE BEEN SEEING AS AGRICULTURE FAILED IN PARTS OF SUB SA HEROIN AFRICA, AND ELSEWHERE -- SUBSAHARAN AFRICA -- AS IT IS, 2025 COMES UP AN AWFUL LOT IN PEOPLE'S ESTIMATES. I DON'T KNOW WHY. IT USED TO BE 2020. BUT THE U.N ESTIMATES THAT BY 2025, MOST OF THE WORLD'S POPULATION WILL BE LIVING IN CITIES. WHEN I WAS BORN, I WAS BORN IN NEW YORK CITY. ONE OF THE FEW IN DISPUTABLY MEGACITIES OF THE WORLD. TOKYO, MOSCOW AND LONDON USED TO CLAIM EQUALITY IN POPULATION. NOW THERE ARE AT LEAST A DOZEN CITIES, MOSTLY IN DEVELOPING COUNTRIES, BANCOCK, MEXICO CITY, LAGOSAND MANY OTHERS, THAT ARE FAR LARGER IN POPULATION, EVEN OFFICIALLY THAN NEW YORK, LONDON AND MOSCOW OR TOKYO. SO I'LL GIVE YOU JUST A FEW CASE STUDIES VERY, VERY BRIEFLY. AND HERE THEY ARE. A NUMBER OF THE OTHER TALKS IN THIS SYMPOSIUM WILL GO INTO THESE EXAMPLES IN FURTHER DETAIL. WELL, YELLOW FICHE HAS BEEN ONE OF THE GREAT SUCCESS STORIES YOU-ALL KNOW ABOUT WALTER REED AND HOW IT WAS POSSIBLE TO DIG THE PANAMA CANAL ONLY BECAUSE OF THE CONQUEST, IF WILL YOU, OF YELLOW FEVER IN THIS AREA. I'M AT COLUMBIA MEDICAL CENTER AND AT THE UNIVERSITY OF MEDICAL CENTER THERE IS A PLAQUE TO TWO PEOPLE WHO WERE INVOLVED IN THIS EFFORT, ODDRA, WHO LATER WENT ON TO BECOME SURGEON GENERAL GENERAL AND A LES LUCKY INDIVIDUAL, JESSE, WHO WAS A MEDICAL STUDENT AT COLUMBIA PHYSICIANS AND SURGEONS AT THE TIME AND DIED AS PART OF AN EXPERIMENT IN YELLOW FEVER TRANSMISSION. SUBSEQUENTLY, YELLOW FEVER THROUGH STRENUOUS EFFORTS WERE ELIMINATED BY CONTROLLING THE VECTOR IN MUCH OF LATIN AMERICA. BUT NOT ERADICATED. SINCE THEN, PEOPLE HAVE BECOME COMPLACENT, COMPLACENCY BEING ONE OF OUR GREATEST ENEMIES, I THINK, AND IT HAS COME BACK. IN SPACE YOU CAN SEE ALL OVER MANY PARTS OF SOUTH AMERICA, YELLOW FEVER HAS STAGED A RESURGENCE ALONG WITH ITS VECTOR WHICH HAS BEEN THE REAL REASON&WE ALL WONDER, INDIA IS ONE OF THE FEW TROPICAL AREAS THAT HAS BEEN SPARED. THE INDIAN SUBCONTINENT, YELLOW FEVER AND WE WONDER HOW LONG IT WILL BE BEFORE THAT GETS IN THERE. WE OFTEN FORGET THAT THE UNITED STATES ACTUALLY HAD BOTH YELLOW FEVER AND MALARIA NOT ADDS BADLY AS AFRICA, AND THAT IN FACT, WE HAD QUITE A FEW PLACES AS FAR NORTH AS BOSTON THAT SUFFERED FROM YELLOW FEVER, REPORTED IN COLONIAL TIMES. THE LAST OUTBREAK IN THE U.S. WAS NEW ORLEANS. POOR NEW ORLEANS. THESE WERE PREKATRINA DAYS OF COURSE. IN 1905. SO WE NEEDENT BE COMPLACENT THAT IT CAN'T HAPPEN HERE. IT CERTAINLY CAN. ONE THAT DID HAPPEN HERE WAS THE RATHER FAMOUS HAUNTA VIRUS PULMONARY SYNDROME. AND I'M SORRY THAT SOME OF OUR COLLEAGUES, LIKE JAMIE CHILDS AND OTHERS, CAN'T BE HERE TODAY TO TALK ABOUT THIS EXAMPLE. BUT FOR THOSE WHO THINK OF THE REVENGE OF THE RAIN FOREST, MY FRIEND, RICHARD PRESTON WROTE A BOOK, CALLED THE HOT SEWN, AND I DISAAGREE -- ZONE -- WITH HIS LAST CHAPTER ABOUT THE REVENGE OF THE RAIN FOREST. IT'S NOT JUST THE RAIN FOREST. IT'S ANY AREA OF UNTAPPED BIODIVERSITY. AND EVEN SOME PLACES APPARENTLY BORING AND ARID AS THE U.S. SOUTHWEST, ALTHOUGH IT'S A FUN PLACE TO LIVE, IS CAPABLE OF GIVING US SURPRISES. AND THIS PULMONARY SYNDROME, WHICH IS ALL VERY WELL-KNOWN, WAS WAY BACK IN 1993 IN THE 4 CONERS REGION OF THE AMERICAN SOUTHWEST. AND LET'S SEE -- CAN WE GO BACK? YES. AND IT TURNED OUT THAT A NUMBER OF PEOPLE WEPT INTO EMERGENCY DEPARTMENTS -- WENT -- IN THIS AREA AND ONE CLINICIAN FOUND A FAMILY THAT ALL HAD THE SAME MYSTERIOUS DISEASE. THE STATE HEALTH DEPARTMENT LATER CDC, CAME IN AND COULD VERY RAPIDLY ELIMINATE THE OBVIOUS SUSPECT LIKE PLAYING, YES THERE IS A LITTLE POCKET OF PLAGUE HERE LEFT OVER FROM THE IMPORTATION OF PLAGUE AT THE END OF THE 19 CENTURY FROM ASIA. AND COULD RULE OUT A NUMBER OF OTHER OBVIOUS THINGS. AND FINALLY IDENTIFIED THIS RATHER WIN SOMLOOKING CREATURE, KNOWN AS THE WHITE FOOTED DEER MOUSE AS MY FRIEND FORMERLY AT THE CDC, SAYS, HARDWORKING TYPICAL SINGLE MOM. [LAUGHTER] AND THAT'S WHY SUCH A SUCCESSFUL RODENT. THE COMMON RODENT IN THE WHOLE AREA. BUT IT ALSO HAPPENS TO CARRY THIS VIRUS THAT CAUSES THE DISEASE WE NOW KNOW AS HAUNTA VIRUS PULMONARY SYNDROME. A RELATIVE, COMMON FIELD MOUSE IN ASIA, CARRIES THE DISEASE WE USED TO KNOW AS KOREAN HEMORRHAGIC FEVER. AS BIG A SURPRISE WHEN IT WAS FOUND. AND IT TURNS OUT THAT IT'S BEEN HERE ALL ALONG. IT'S JUST THAT THERE WERESOME SPORADIC CASES WE NEVER NOTICED IT UNTIL IT WAS A BIG CLUSTER. AND WHAT CAUSED THAT BIG CLUSTER WAS PROBABLY FIRST OF ALL, THE FACT THAT THERE HAD BEEN MANY YEARS OF DROUGHT WHICH LED TO A RODENT CRASH FOLLOWED BY A VERY WET AND WARM WINTER AND SPRING LEADING TO A DOCUMENTED, THANKS TO THE NATIONAL SCIENCE FOUNDATION, RODENT POPULATION EXPLOSION. INCLUDING THE ROAD ENT THAT IS CARRIED THIS PARTICULAR VIRUS -- RODENT -- AND ONCE PEOPLE STARTED LOOKING WITH A DIAGNOSTIC TEST, IT WAS FOUND TO BE FOUND EVERYWHERE. LITERALLY EVERYWHERE. RELATIVES HAVE BEEN FOUND ALL OVER THE NEW AND THE OLD WORLD, EVERYWHERE EXCEPT AFRICA, TO THE BEST OF OUR KNOWLEDGE. ANOTHER EXAMPLE IS NEAPA VIRUS. WHICH SUDDENLY APPEARED IN MALAYSIA AND SOME OTHER PLACES IN THE LATE 90s CAUSING SERIOUS DISEASE IN PIGS, DOGS AND THEN HUMANS ON FARMS. AND IT TURNS OUT TO HAVE LED JUST LIKE THE H5N1 INFLUENZA TODAY, TO A MASSIVE CALLING ATTEMPT TO CONTROL IT, IN THIS CASE A LOT OF PIGS IN MALAYSIA THAT CARRIED IT. AND WHERE DID IT COME FROM? IT'S NATURALLY CARRIED BY THIS RATHER INTERESTING CREATURE, THE SO-CALLED FLYING FOX OR FRUIT BAT, WHICH OCCURS IN NUMBERS, IF ANY OF YOU HAVE BEEN IN SIDNEY, YOU SEE RELATED SPECIES FLYING AROUND THE SIDNEY HARBOR BRIDGE AT NIGHT. THE WAY WE ARE USED TO SEEING PIGEONS OR SEAGULLS IN OTHER PLACES. AND THEY ARE ACTUALLY VERY CUTE AND HARMLESS EXCEPT FOR THE FACT THAT THEY EXCRETE VIRUSES LIKE NEAPA VIRUS. AND IT TURNS OUT, MY COLLEAGUE, PETER DASHA BELIEVES THAT DURING THE BURNING OF FORESTS IN INDONESIA, WHOLESALE IN THE LATE 1990s, THESE BATS WERE FORCED OUT OF THEIR NATURAL HABITAT, HERE ARE SOME FLYING FOXES, AND BROUGHT INTO THE AREA OF NEAPA WHERE NEAPA CAN NOW BE FOUND IN MALAYSIA AND NOW BANGLADESH. APPARENTLY CARRIED ON THE WINGS OF THESE BATS AND THE FECES. AND URINE THEY LEFT BEHIND IN FARMING AREAS WHERE THEY FOUND A MORE HOSPITABLE HOME. EVEN DISEASES AS MUNDANE BUT WORLDWIDE ASTHMA NINJA COCKAL MENINJITIS IS CLOSELY RELATED TO CLIMATE. IT'S INDEMNIC IN A CERTAIN PART OF SUB SAHARAN EEK WAITORIAL AFRICA. AND OUTBREAKS ARE COMMON DURING THE DRY SEASON LARGELY FOR HOST FACTOR REASONS AND THEN STOP BECAUSE THE RAINY SEASON SEEMS TO HYDRATE THE NASAL PASSAGES. THIS IS A DISEASE USUALLY SOME PEOPLE CARRY BUT CAN ALSO SPREAD TO OTHERS AND IT CAN BE QUITE SERIOUS. WHAT WOULD HAPPEN IF THERE WERE PROLONGED DROUGHT? PROBABLY IT WOULD PROLONG THE PERIOD OF LOCAL MENINJITIS OUTBREAKS CONSIDERABLY AND ALSO ACCELERATE THE MOVEMENT OF PEOPLE TO CITIES LEADING PROBABLY TO THE CONDITIONS FOR EVEN MORE CASES OF MENINJITIS. IS THERE A FAMOUS CASE BY MY FORMER COLLEAGUE, PAT MOORE AND U.N CHAN NOW IN PITTSBURGH. PAT MOORE SHOWING WHEN HE WAS AT CDC, THE MOVEMENT OF MA NINJA COCKEL MENINJITIS FROM AFRICA TO MUCH OF THE REST OF THE WORLD THROUGH THE ANNUAL PILGRIMAGE IN MECCA. INFLUENZA IS ONE WE OFTEN DON'T THINK ABOUT, BUT IT HAS A KNOWN SEASONALITY IN THE UNITED STATES. WE CAN SEE A NUMBER OF DISEASES THAT ARE SEASONAL IN TEMPERATE AREAS BUT THE MOST INTERESTING THING IS THAT IN TROPICAL AREAS, AND SUBTROPICAL AREAS, INFLUENCA DOESN'T SHOW THE SAME SEASONALITY. EVERYONE IN HONG KONG KNOWS IT SHOWS TWO PEAKS, ONE IN THE WINTER LIKE US AND ONE IN THE SUMMER, WHICH EVEN THEY DON'T UNDERSTAND. AND THAT IN OTHER PLACES LIKE TROPICAL REGIONS, THE LIMITED, VERY LIMITED DATA WE HAVE SO FAR SUGGESTS POSSIBILITY YEAR AROUND TRANSMISSION OR POSSIBLY TWO PEAKS. WE ARE STILL WORKING ON THAT VERY ISSUE. SO IN FACT, WHAT WOULD HAPPEN WITH INFLUENZA IN CLIMATE CHANGE COULD VERY WELL BE A MARKED AND STRIKING PATTERN IN A CHANGED PATTERN IN INFLUENZA PATTERN OF DISEASE AND ITS PREVALENCE. AND WHEN IT HAPPENS, BECAUSE WE DON'T UNDERSTAND SEASONALITY. FINALLY, THE WORLD SAY MUCH SMALLER AND MORE MOW BILL PLACE PROVIDING MANY OPPORTUNITIES -- MOBILE -- FOR DISEASES TO SPREAD THROUGHOUT THE WORLD, MUCH MORE QUICKLY. WE SEEN THIS HAPPEN IN MANY EXAMPLES, CONSIDER SARS FOR EXAMPLE&THERE ARE MANY OPPORTUNITIES. I PUT IN A PLUG FOR LIST SERVE CALLED PRO MED MAIL WE STARTED A LITTLE OVER 10 YEARS AGO WHICH REPORTS ON OUTBREAKS AROUND THE WORLD BY E-MAIL, WHICH WAS THEN A NOVELTY. BECAUSE SURVEILLANCE IS ONE OF THE MANY THINGS WE NEED TO DO, INCREASE AWARENESS AND EARLY EARLY WARNING SYSTEMS. IN THE END, WE KNOW THAT CLIMATE CHANGE IS CAUSING MAJOR FEECTS INFECTIOUS DISEASE, DISTRIBUTION -- AFFECTS -- WHAT WE DISCUSSED ARE SOME POSSIBILITIES. WE DON'T KNOW WHAT THE REAL SCENARIO IS GOING TO BE, THE SPECIFICS WILL BE SCENARIO DEPARTMENT BUT THESE ARE GOING TO BE -- DEPENDENT -- GLOBAL PROBLEMS AND I THINK WE CAN BE PRETTY SURE THAT GIVEN THE HIGH RATE OF CO2 IN THE ATMOSPHERE, UNPRECEDENTED IN THE FACT, WE ARE GOING TO SEE CHANGES. THERE IS NO POINT -- NO VALUE IN FINGERPOINT BEING WHO IS RESPONSIBLE. WE ARE GOING TO SEE CLIMATE CHANGES. WE NEED TO BE PREPARED FOR THEM. AND WITH THAT, I THANK YOU FOR YOUR TIME AND EFFORT. [APPLAUSE] >> THANK YOU. I AM HOLDING MY BREATH AND LEARNING TO THINK LIKE A CHICKEN. ANY QUESTIONS, BRIEF QUESTIONS? [LOW AUDIO] >> IT'S A VERY INTERESTING QUESTION BECAUSE UNFORTUNATELY ONE OF THE THINGS WE ARE TRYING TO GUESS SOME LABORATORY DATA TO DETERMINE THE SUB TYPES. FOR EXAMPLE, H1 N1, WHICH IS THE DEFENDANT THROUGH A LONG PROS, SOME OF IT NOT ENTIRELY NATURAL PROBABLY OF 1918 AND H3 N2, THE DESCENDANTS OF THE 1968 PANDEMIC, THE MAIN CIRCULATING SEASONAL FLU, WE ARE NOT SURE -- SOME PEOPLE ARGUE THAT WE COCIRCULATE UNDER DIFFERENT PATTERNS AT DIFFERENT TIMES. WE SOMETIMES SEE CIRCULATION AT THE SAME TIME AND WE STILL DON'T KNOW IF THERE IS ANY GENERAL RULE SO WE ARE TRYING TO GET LAB DATA FROM SOME OF THESE PLACES TO UNDERSTAND WHAT THE PATTERNS ARE. THAT'S VERY DIFFICULT FOR OBVIOUS REASONS. BECAUSE IT'S EASIER TO IDENTIFY CLINICALLY BUT ONE OF THE MANY QUESTIONS THAT STILL TEXTBOOKS WILL GIVE YOU AN ANSWER AND DIFFERENT TEXTBOOKS WILL GIVE YOU DIFFERENT ANSWERS AND PROBABLY THE TRUTH IS, WE DON'T KNOW THE ANSWER. >> THANK YOU. GREAT. THANK YOU. AND WE WANT TO REMEMBER TO ALSO -- THANK YOU VERY MUCH. NOW EILEENE COORDINATES THE IOMNAS PANEL ON MICROBIAL THREATS. OUR NEXT SPEAKER IS JOAN ROSE FROM MICHIGAN STATE UNIVERSITY. JOAN HAS BEEN WORKING ON WATER BORNE DISEASES AND CLIMATE CHANGE SPECIFICALLY EXTREME WEATHER EVENTS. WELCOME JOAN ROSE. [APPLAUSE] >> THANK YOU VERY MUCH FOR THE INVITATION. IT'S A PLEASURE TO BE HERE. [INAUDIBLE] OKAY. I'LL GET SIT WAITED HERE. IT'S A PLEASURE TO BE HERE AND TALK ABOUT MICROBIELGY AND WATER BORNE DECEASES. I HAVE GIVEN MANY OF THE REFERENCES THAT I USED FOR THE SLIDES TOWARDS SOME SLIDES IN THE BACK WHERE I TRIED TO PUT THEM ON THE SLIDES. BUT IF I MISSED SOMETHING AND YOU HAVE SOME INTEREST, FEEL FREE TO E-MAIL ME OR TALK TO ME LATER AT THE BREAK. SO LET'S TALK ABOUT WATER BORNE DISEASES FIRST. IT'S BASICALLY DEFIND AS A TRANSMISSION OF DISEASE TO THE CONSUCHGZ OF CONTAMINATED DRINKING WATER OR RECREATIONAL EXPOATIONURE. THAT'S THE PRIMARY DEFINITION. -- EXPOSURE. WE HAVE SOME FOCUS ON WATER BASE OR WATER WASH DISEASE. WATER BASE DISEASE BEING THE VECTOR BORN DISEASES. WHERE YOU HAVE WATER ASSOCIATED WITH MOSQUITOES AND THE VECTORS OR WATER WASH, WHAT THEY CALL THAT WHICH IS RELATED TO THE SANITATION THAT YOU HAVE ENOUGH WATER TO PREVENT DISEASES VIA SANITATION. MOST OF THE STATISTICS ON WATER BORNE DISEASE FOCUS ON OUTBREAKS AND THAT IS WHY I WANT TO TALK ABOUT EXTREMES BECAUSE WE DEAL WITH EXTREMES ON THE CLIMATE SIDE, ON THE WEATHER SIDE, AND THEN WE ALSO DEAL WITH EXTREMES ON THE WATER SIDE. IF WE LOOK AT EN DEMIC WATER BORNE DISEASE IN THE U.S., THERE IS SOME ESTIMATES MANDATED BY CDC UNDER THE SAFE DRINKING WATER ACT. AND WE HAVE GOT A VARIETY OF ESTIMATES ANYWHERE FROM 4-11 MILLION ANNUAL CASES, WHAT THEY ARE CALLING REAL ILLNESS. THEY DEFIND IT BY A SYSTEM RATHER THAN THESE AGENTS, TO COME EXTENT THAT HAS SOME PROBLEMS AND WE'LL TALK ABOUT THAT A BIT. AND UP TO AS MANY AS 32 MILLION CASES. YOU CAN SEE THIS IS A VERY ROUGH ESTIMATE OF HOW MUCH INDEMNIC DISEASE SPREAD THROUGH RECREATIONAL AND DRINKING WATER. OF COURSE IF WE GET TO THE GLOBAL LEVEL, WE ARE TALKING ABOUT VERY SERIOUS GLOBAL BIRD EN OF DISEASE ASSOCIATED WITH CONTAMINATED WATER. WE ARE TALKING ABOUT A BILLION PEOPLE LACKING ACCESS. 4 BILLION CASES OF DIARRHEA, MANY PEOPLE HAVE REPEAT TYPES OF ILLNESSES AND HIGH MORTALITY IN INFANTS. SO THE PREDOMINANT WATER BORNE MICROORGANISMS ARE FECAL, ORAL AGENTS, WE HAVE A WHOLE LIST OF VIRUSES AND BACTERIA AND THESE ARE THE PREDOMESTIC NANTS THAT HAVE BEEN IDENTIFIED -- . PREDOMINANT. LEGIONELA IS INCLUDED IN THE WATER BORNE DISEASE OUTBREAK DATA SETS. I'LL TALK ABOUT WHEN THAT HAPPENED. THAT'S A RESPIRATORY WATER BORNE DISEASE BUT IT HASN'T BEEN COUNTED AS PART OF THE STATISTICS EARLY IN ITS HISTORY. AND I DON'T THINK WE ACCOUNT VERY WELL FOR OTHER DISEASE ENDPOINTS OTHER THAN GASTROINTESTINAL SYMPTOMS AND WE START TALKING ABOUT WATER BORNE DISEASE. THIS SLIDE SHOWS SOME OF THE DATA FROM WHEN IN THE UNITED STATES BY ECOLOGICAL AGENTS. WHEN WE STARTD TO TRY TO TAKE A NATIONAL LOOK AT OUTBREAKS, THESE ARE OUTBREAKS IN DRINKING WATER. SO THIS IS A DRINKING WATER OUT AND THESE ARE THOSE THAT HAVE BEEN FROM AN EPIDEMIOLOGICAL STANDPOINT TIED TO THE COMMUNITY WATER SUPPLY. OF COURSE TYPHOID WAS VERY PROMINENT IN THE UNITED STATES AND IF YOU LOOK AT THIS, LOOK BY AGENTS IN THIS BACTERIAL PURPLE BAR, YOU WOULD SEE IT'S MOSTLY TYPHOID AND IT CAME DOWN DRAMATICALLY AS WE SEPARATED OUT SEWAGE FROM OUR WATER SUPPLY LIKE IN THE GREAT LAKES AND IN THE CHICAGO AREA. AND WHEN WE STARTED CHLORINATING. SO THOSE ARE TWO EVENTS WHERE THEY CAN DOCUMENT THIS DECREASE IN TYPHOID. THIS IS ACUTE GASTRO INTERRITIS. YOU CAN SEE THIS GOING UP AND DOWN. AND THIS IS WHERE WE DO NOT HAVE A DEFIND ECOLOGICAL AGENT. IF YOU GET TOWARDS THE LATER YEARS, YOU SEE THAT WE HAVE DONE A BETTER JOB, REALLY, OF DEFINING THESE AGENTS, GRDIETS CAME ON THE SCENE IN THE 60s AND IDENTIFIED BY THE MEDICAL COMMUNITY AS A DEC CAUSING AGENT -- DISEASE-CAUSING AGENT. OTHER THINGS STARTED COMINGIN AND WE HAD BETTER DIAGNOSTICS FROM THE MEDICAL SIDE WHICH LED THEN TO VERY WATER BORNE INVESTIGATIONS, THE IDENTITY OF THE ECOLOGICAL AGENTS. AND HERE IS THE MORE RECENT DATA BY VERY SPECIFIC -- YOU CAN SEE THAT LIEGE NELLA SHOWS UP HERE AND IT'S NOT -- IT WAS IDENTIFIED IN THE 70s BUT IT DIDN'T GET ADDED TO THE WATER BORNE DISEASE DATABASE UNTIL JUST RECENTLY. SO IF YOU GO BACKWARDS AND YOU LOOK IN MORBIDITY AND MORTALITY, WE REPORT THE WATER BORNE OUTBREAKS DOCUMENTED FOR CERTAIN YEARS, YOU'RE NOT GOING TO HAVE THE LIEGE NELLA DATA SETS THERE. AND YOU SEE AGI WAS DOING A BETTER JOB DIAGNOSING THE CAUSE OF THESE AGENTS AS WEUENTED THROUGH THE YEARS. AS WE WENT THROUGH THE YEARS. THIS IS 03-0 4. AND AGAIN, YOU SEE SOME OF THE LIEGE NELLA SHOWING UP AND THESE ARE A NUMBER OF OUTBREAKS. AND THIS IS TYPICALLY WHAT WE SEE IN THE EARLY YEARS IT WAS ANYWHERE FROM 20-40, THE PLANE CRASH IN THE COMMUNITY WHEN THEIR WHOLE WATER SUPPLY WAS CONTAMINATED AND NOW WE MOVED TO ANYWHERE FROM 4-5 -- 1-4 OUTBREAKS PER MONTH AND UP TO 20 -- TALKING ABOUT 10-20 OUTBREAKS NATIONALLY, DOCUMENTED. THAT'S WHAT HAS BEEN DOCUMENTED. SO, LET'S GET TO THIS ISSUE OF TODAY'S DISCUSSION. WHAT IS THE ROLE OF CLIMATE IN REGARD TO WATER BORNE DISEASE? IF WE BELIEVE WE CAN DEFINE THAT ROLE, WHAT ARE THE MECHANISMS AND HOW CAN WE PREVENT THAT? AND PRETTY MUCH CLIMATE AND WATER, WE CAN THINK ABOUT THE ROLE OF CLIMATE AND WATER. CERTAINLY THE DIRECT EFFECT ARE QANTITY AND THE WATER INDUSTRY IS AWARE OF THAT AND WEATHER AND CLIMATE AND THEIR WHOLE IDEA OF PRECIPITATION, TEMPERATURE IS GOING TO EFFECT THEIR ABILITY TO MANAGE THEIR WATER RESOURCES IN TERMS OF QUANTITY. ESPECIALLY WHEN OVER USING THEIR WATER LIKE THEY ARE IN THE WEST WHERE THEY HAVE OVERALL INDICATED THEIR WATER. AND THEY HAVE PROBLEMS WITH STORAGE. AND EVEN IN THE SOUTH -- LAND USE AND COMMUNITY BASED ISSUES TO RUN OFF, TO SOIL MOISTURE, SO AS WE START TO PUT THE PICTURE TODAY ON QUALITY, WE CANNOT RELATE IN MANY CASES, EVEN THOUGH WE HAVE PRECIPITATION AND RUN OFF MODELS, WE HAVE A VERY DIFFICULT TIME SCALING THAT TO ACTUALLY MODEL THAT CHANGE IN QUALITY. MANY CASES WE CAN GET TO CHANGES IN SOLIDS IN THE WATER, CHANGES IN TERBIDDITY AND THE GOAL IS, HOW DO WE RELATE THOSE PHYSICAL CHANGES IN WATER OR EVEN TEMPERATURE CHANGES TO THE BIOLOGICAL CHANGES, MICROBIAL CHANGES THAT MIGHT EFFECT HEALTH VIA THE WATER BORN DISEASE ROUTE? THAT'S A DIFFICULT JUMP IN TERMS OF OUR UNDERSTANDING. NOW THE GOAL IS ADEQUATE AND SUFFICIENT WATER SUPPLY. IT'S RELATED TO STORAGE, RESERVOIR AND GROUNDWATER LEVELS AND WE ARE TALKING ABOUT SUPPORTING HUMANS AND COMMUNITIES AND ECOSYSTEM SERVICES AND OF COURSE WE WANT ADEQUATE -- AND THIS IS RELATED TO CONTAMINANT SPREAD. AND I HAVE TO SAY FROM THE CLIMATE PERSPECTIVE, IF YOU LOOK AT BOTH IN TERMS OF POLICY AS WELL AS TRYING TO DEFINE THE IMPACT, WE HAVE GOT A TIME SPACE PROBLEM. RIGHT? USUALLY WE HAVE OR TALKED ABOUT CLIMATE AND A LONG TIME FRAME START TALKING ABOUT WEATHER IN A SHORTER TIME FRAME AND WE START TALKING ABOUT WATER MANAGEMENT AND WATER QUALITY IN PARTICULAR AT A VERY DIFFERENT TIME FRAME. I'M GOING MENS THOSE TIME FRAMES AS WE TALK ABOUT THE EVIDENCE THAT I THINK WILL HELP US TO UNDERSTAND THESE RELATIONSHIPS. SO YOU SEE SOME OF THIS HEALTH IMPACT. WE HAVE -- I DIDN'T GET THAT. OOPS. HERE WE GO. SO CLIMATE AND CLIMATE CHANGE IN THESE REGIONAL WEATHER CHANGES, OF COURSE EXTREMES HAVE BEEN MENTIONED ALREADY. PRECIPITATION AND TEMPERATURE&I'M GOING TO FOCUS ON PRECIPITATION BECAUSE THAT'S WHERE MOST OF OUR EVIDENCE LIES OR CONNECTS US FROM THE WEATHER CLIMATE SCENARIOES TO HEALTH. WE HAVE CONTAMINANT PATHWAYS AND HERE WE WILL TALK ABOUT WATER BORNE DISEASES DISEASES AND I WILL TALK ABOUT EXTREME EVENTS AS WELL. I'LL MENTION SOME TO THE DEGREE WHAT WE MIGHT BE DOING IN TERMS OF ADAPTATION MEASURES AND RESEARCH. AND I WILL BE FOCUSING ON EXTREMES AND SLEDS. AS IT TURNS OUT, AS I HAVE BEEN EXPLORING THIS WHOLE AREA I GUESS IN MORE DETAIL, THAT'S WHERE MOST OF OUR DATA, GLOBALLY LIES. ARE IN THESE WHAT THEY CALL THE DISASTER DATA SETS. ALTHOUGH I DON'T -- OFTEN IN THESE DISASTERS, INFECTIOUS DISEASE IS NOT WELL ACCOUNTED FOR BECAUSE IF YOU'RE WORIED ABOUT DROWNING, OR YOU'RE WORIED ABOUT INJURY, AND JUST FINDING SHELTER, YOU -- THE ISSUE OF DIARRHEA OR ANY KIND OF INFECTIOUS DISEASE SOMETIMES FALLS THROUGH THE CRACKS IN TERMS OF MONITORING THAT. SO, I THINK THAT IS -- NOW THERE ARE OTHER FACTORS OBVIOUSLY THEY INFLUENCE WATER BORNE DISEASE. WE HAVE TO HAVE A SOURCE OF THE THIS IS THE LATEST LEVEL OF DISEASE IN HUMANS AND ANIMALS. PATHIGENCE ARE KNOW ISSUE IN WATER BORNE DISEASE. WE KNOW THAT. I'LL SHOW YOU SOME EXAMPLES NURBANIZATION AREAS, WASTE DISPOSAL AREAS AND PORVETY AND OVERCROWDING AND POOR WASTE TREATMENT. AND I FOUND INTERESTING DATA COMING OUT OF BRAZIL THAT I'LL MENTION LATER&OUR DOMESTIC ANIMAL PRACTICES AND THAT CONNECTION BETWEEN WHAT WE ARE DOING WITH OUR FOOD AND OUR PROTEIN AND WHAT WE ARE DOING WITH IT TRYING TO MEET THESE NEW -- AND THE MANURE THAT IS CREATED AS A RESULT OF THIS. AND OF COURSE FROM THE CLIMATE PERSPECTIVE, I ALREADY MENTIONED PRECIPITATION. TRANSPORT, MEANS FLOW. WHAT WE HAVEN'T REALLY CAPTURED VERY WELL ARE THESE RESERVOIRS. I KNOW THAT RITA COLWEL WILL TALK ABOUT THESE RESERVOIRS, SO LIKE SEDIMENT, 0 PLANKTON -- ZERO PLANKTON. THERE IS A RESERVOIR THERE WE DON'T CAPTURE VERY WELL. AND TEMPERATURE IS HIGHLY RELATED TO SURVIVAL OF THESE PATHOGENS AND WE CAN MODEL A PIECE OF THAT BUT WE CAN'T EXPLAIN ALL OF IT. HUMANS ARE A SOURCE AND DEPENDING ON YOUR INFRUSTRUCTURE, AND I JUST READ THAT IN THE GLOBAL WORLD, THEY ARE TALKING ABOUT ACCESS TO SANITATION MEANS HOW MANY PEOPLE AREN'T DEFECATING IN THE YARD OR MAYBE THEIR NEIGHBOR'S YARD ANYMORE AND OF COURSE WE HAVE THE STORMWATER, STORMWATER IS ALWAYS PUT IN A SEPARATE CATEGORIY AND IT DRIVES A LOT OF THESE OTHER THINGS THAT WE HAVEN'T REALLY ADDRESSED READILY. STORM SEWER OVERFLOWS AND THEN WE HAVE AG CULL TELL -- AGRICULTURAL RUN OFF. AND NATURALLY OCCURRING PATHOGENS. I'M NOT GOING TO TALK ABOUT THE TOXIC AGGIE AND -- ALLERGY. BUT THERE IS A GROWING AND EMERGING AREA ASSOCIATED WITH WARMING TRENDS BECAUSE IT'S A HUGE ISSUE IN THE GREAT LAKES WHEN WE HAVE LONGER WARMING TRENDS AND MORE OF THE BLOOMTION BLOOMS AND THE WHOLE DYNAMIC THERE. I WON'T BE ADDRESSING THAT TODAY. SO LOCAL AND REGIONAL WEATHER CHANGES AND THIS IS ONE OF THE REASONS WHY THE WATER SIDE WHERE WE HAVE NOT GONE A VERY GOOD JOB, IS THAT PEOPLE THOUGHT OF IT AS WORLD GOAL AND WE DON'T EVEN SEE IT AS A RISE TO THE LEVEL OF EVEN AT THE STATE OR NATIONAL DATABASES. AND AS YOU LOOK AT THE GLOBAL HEALTH ASSEMBLY, THEY ONLY INCLUDE ONE WATER BORNE DISEASE ON THEIR LIST, THAT'S REPORTABLE AS A GLOBAL EXPLEFL THAT'S CHOLERA. NONE OF THE OTHER -- LEVEL -- DISEASES ARE MANDATED TO BE REPORTED. I FOUND THAT ODD THAT WE COULDN'T CAPTURE THIS INFORMATION. SO, PEOPLE THINK OF WATER AT THE LOCAL LEVEL AND THAT'S HOW THEY THINK OF MANAGING THAT AND SO GATHERING THE DATA, MORE THAN NEQUALS 1 HOPEFULLY TO A RELATIONSHIP. SO HOW DO THESE THINGS WHERE OUR LOCAL LAND USE, OUR LOCAL WEATHER, AND THESE SPECIFIC ISSUES EFFECT THE TRANSPORT AND SURVIVAL OF THE CONTAMINANTS CONCERN AND HOW DO THEY EFFECT WATER AND RECREATIONAL WATER? SO, OUTBREAKS. I WANT TO MENTION OUTBREAKS. IN THE UNITED STATES, DRINKING WATER OUTBREAKS ARE GENERALLY COMMON SOURCE OUTBREAKS. THEY ARE ASSOCIATED WITH EITHER SOURCE WATER CONTAMINATION FAILURE AT THE DRINKING WATER PLANT OR CROSS CONTAMINATION AT THE DISTRIBUTION SYSTEM. THE TRUE DEFINITION IS TWO OR MORE PEOPLE THOUGHT TO HAVE A COMMON EXPOSURE TO A POTENTIAL SOURCE. BUT I CAN TELL THAT YOU WATER BORNE OUTBREAK DATA SET I SHOWED YOU BEFORE IN THE UNITED STATES, THE AVERAGE ATTACK RATE IS ABOUT 40%. AVERAGE. SO WE ARE TALKING ABOUT VERY DRAMATIC EVENTS IN A COMMUNITY. WE DON'T START DETECTING WATER BORNE OUTBREAKS UNLESS THEY START REACHING 20 OR PROBABLY 20%. I THINK ONE OF THOSE LOW ENDS MAY BE 15%. MAYBE WE ARE DOING A LITTLE BIT BETTER JOB NOW ADAYS BUT THAT IS WHAT HISTORICALLY WE HAVE BEEN ABLE TO DO. THAT'S WHERE THIS DISEASE COMES FROM. BELOW THAT. THERE IS OTHER DEFINITION THAT IS HAVE BEEN BEEN USED. AND IF YOU LOOK AT IN SOME OF THIS LITERATURE THAT TALKS ABOUT, THEY DIDN'T HAVE AN OUTBREAK, YOU ARE NOT REALLY SURE WHAT DEFINITION THEY HAD USED AND WHAT TOOLS THEY HAD USED TO DEFINE WHETHER THEY HAD REALLY HAD AN OUTBREAK OR NOT. AND WHETHER THEY WERE ADHERING TO THESE TYPES OF DEFINITIONS. OF COURSE WE ALREADY HAVE BEEN INTRODUCED TO THIS IDEA OF THE EXTREME WEATHER EVENTS. AND BOTH ON THE DROUGHT SIDE AND FOR RAINFALL AND ON THE HIGH RAIT RAIN EVENT. I MIGHT MENTION THAT WE HAVEN'T DONE A GOOD JOB WITH WIND BUT I'M GOING TO SHOW YOU AT LEAST ONE EXAMPLE WHERE WIND HAS PLAYED A SIGNIFICANT ROLE INFLUENCING WATER BORNE DISEASE AND THAT IS SOMETHING WE PROBABLY WILL HAVE TO CAPTURE IN THE FUTURE. AND THEN THIS WHOLE IDEA OF TEMPORAL, SPACIAL DISTRIBUTION WHERE SOME OF THESE EXTREME EVENTS, WE HAVE VERY DIFFICULT TIME IN PREDICTIONS. MAYBE WITH FLOODING WE MIGHT SAY, WE MIGHT BE GETTING THESE EXCESS RAINS BUT FLOODING IS RELATED TO THE COMMUNITY AND HOW WELL THEY CONTROL FLOODWATERS AND AT WHAT LEVEL THEY PREPARED FOR IN TERMS OF FLOODING. SO LET'S GET RIGHT TO THE EVIDENCE ISSUES. LET'S TALK ABOUT OUTBREAKS AND EXTREMES IN THE UNITED STATES. WE HAVE SOME EXAMPLES OF INDIVIDUAL OUTBREAKS IN COMMUNITIES WHERE RAINFALL OR CLIMATE LOOK TO BE UNUSUAL AND LIKELY PLAYED A ROLE. IN MILWAUKEE, 400,000 PEOPLE WERE SICK. ABOUT HALF OF THAT POPULATION, THE SOUTH -- DRINKING WATER FACILITY WAS AFFECTED. THEY HAD EXTREME RAINFALL EVENT IN THE MONTH PRECEEDING. THEY HAD A COMBINED OVERFLOW AND IF YOU KNOW WHAT THAT IS, THAT'S A SYSTEM WHERE YOU COMBINE YOUR UNTREATED SEWAGE AND YOUR STORM DRAIN AND UNDER HIGH RAIN EVENTS IT DISCHARGES WITHOUT TREATMENT INTO THE WATER SYSTEM. NOW WE ARE UNDER MANDATE AND RULES IN THE UNITED STATES TO FIX THOSE. SOME PEOPLE WON'T GET THOSE FIXED UNTIL 200015. MILWAUKEE GOT THOSE IN PLACE FOR THEIR CSO IN 1994. THIS WAS BEFORE THAT. CATTLE WERE BLAMED BUT PHENOTYPING LATER ON SUGGESTED IT WAS SEWAGE. E.COLI INFECTION IN WALKERTON, ONTARIO, A RURAL AREA, IT WAS A GROUNDWATER SUPPLY IN THIS CASE. THEY ALSO HAD INFECTIONS. MANURE WAS THE SOURCE. AGAIN, EXTREME RAINFALL EVENT, I THINK IT WAS UP TO ABOUT 150%, THEIR 50 YEAR AVERAGE OF WHAT THEY USUALLY GET IN THAT AREA. SALMONELLA OUTBREAK RECENTLY IN COLORADO. NOW, THAT'S A VERY INTERESTING OUTBREAK. >> We: HAVEN'T HAD A LARGE DRINKING WATER OUTBREAK OF SALMONELLA LIKE THIS SINCE 1960s IN THE UNITED STATES. SO WHAT'S GOING ON THERE? IT'S NOT CLEAR. THEY DID HAVE A HIGH SNOW PACK AND A RAPID MELTING. THEY DON'T GET A LOT OF RAIN IN THAT PART OF COLORADO. SO WITH THIS HIGH SNOW PACK AND HIGH PRECIPITATION IN THE WINTER MONTHS FOLLOWED BY THE MELTING, THEY DON'T KNOW THE SOURCE OF THE SALMONELLA. THEY THINK IT'S A DISTRIBUTION SYSTEM OUTBREAK WHERE THERE WAS CROSS CONTAMINATION BUT DON'T KNOW WHETHER IT WAS SEWAGE OR COMING FROM ANIMALS AND WASHING INTO THE PIPES. SO WE DON'T KNOW THERE. BUT WHAT DO WE KNOW FOR MORE THAN THESE LITTLANTIC DOATLE EXPLANATIONS? --ANT DOATLE EXPLANATIONS? WE HAVE LOOKED SEVERAL YEARS BACK WITH JONATHAN PECK ON WATER BORNE OUTBREAKS IN THE UNITED STATES. WE WERE ABLE TO GET THE INFORMATION FROM THE ENVIRONMENTAL PROTECTION AGENCY ON THE LOCATION OF THE OUTBREAK BY CITY BUT NOT THE IN TAKE. SO THEY DIDN'T HAVE A GPS. THAT WAS A PROBLEM IN TERMS OF RESOLUTION BUT IT WAS BY CITY. AND THE MONTH OF THE OUTBREAK. WE DEPENDENT HAVE THE START AND EN DATE IN THE DATABASE. YOU CAN SEE THE RED DOTS ARE REALLY AGI. I DON'T HAVE THE COLORS THAT ARE MISSING THERE. BUT THE RED DOTS ARE THE AGI, THAT I SHOWED YOU FOR THE UNKNOWN. IF WE LOOK DOWN AT THIS IN DETAIL, WE SEE REALLY -- WE DON'T SEE TEMPORAL ASSOCIATIONS OF OUTBREAKS. IN OTHER WORDS, THESE OUTBREAKS THAT OCCURRED IN THIS WATERSHED RIGHT HERE AND THESE OUTBREAKS THAT OCCURRED IN THIS WATERSHED RIGHT HERE ARE NOT TEMPERATURE REALLY RELATED. THEY DIDN'T OCCUR IN THE SAME YEAR. BUT THEY ARE GEOGRAPHICALLY RELATED. WE HAVE SPACIAL RELATIONSHIPS IN KEY WATER SHEDS. SO WHAT THAT MEANS IS WE HAVE A WATERSHED WHERE THEIR SOURCES OF PATHOGENS THAT ON OCCASION GET IN HIGH ENOUGH CONCENTRATION THAT OVERWHELM THE WATER TREATMENT PROCESSES IN PLACE AND ARE DETECTED AT A HIGH ENOUGH LEVEL TO BE REPORTED AS AN OUTBREAK. TO BE REPORTED AS AN OUTBREAK. THIS IS A GROUNDWATER STATE. PENNSYLVANIA IS A GROUNDWATER STATE FOR THE MOST PART. YOU CAN SEE THAT THESE ARE RELATED EVEN THOUGH THEY ARE USING GROUNDWATER SOURCES. SO WE GOT EVIDENCE OF SOME SPACIAL RELATIONSHIPS OF THE OUTBREAK BUT WE DIDN'T REALLY HAVE EVIDENCE OF TEMPORAL RELATIONSHIPS. WHEN WE STARTED LOOKING AT A BROADER SCALE, SAY CAN WE RELATE THIS TO ANY DEGREE TO CLIMATE VARIABLES, WE WANTED TO CHOOSE PRESIPITATION AND TEMPERATURE. TEMPERATURE MADE IT MORE COMPLICATED TO ADD TO THE ANALYSIS. SO WE JUST STUCK WITH RAINFALL. AND I'M SORRY THAT THE REFERENCE IS CUT OFF BUT I THINK IT'S CLEAR IN YOUR PACKAGE. YOU'LL BE ABLE TO LOOK IT UP. IN EVERY PLACE, THERE IS A LITTLE DOANE US SHAPE -- DONUT SHAPE -- IS WHERE IS THERE A RELATIONSHIP BETWEEN THE OUTBREAK AND EXTREME PRECIPITATION. IN TIME AND SPACE. SO IN THIS CASE, WE ARE ABLE TO GO IN TIME AND SPACE AND TRY TO RELATE THE OUTBREAKS TO EXTREME PRECIPITATION. NOW, WHAT DOES THAT MEAN? FIRST OF ALL WE HAVE TO USE THE LARGE WATER BASINS. SO WE HAVE A LARGE SCALE AND 50 YEARS OF DATA FOR OUTBREAKS. WE HAD TO GO LARGE WATER BASIN SCALE. WE COULDN'T GO TO SMALLER WATERSHED SCALE AND HAVE ENOUGH POWER TO LOOK AT THIS. AND BASICALLY OVER 540 OUTBREAKS. WE TOOK OUT THE DISTRIBUTION SYSTEM OUTBREAKS OUT OF THIS DATA BIS AND TOOK OUT ALL RECREATIONAL OUTBREAKS. THAT'S A WHOLE OTHER DATA SET. WE ARE NOT SURE ABOUT CROSS CONTAMINATION AND PIPES BREAKING AND IT'S PROBABLY LIKELY IT COULD BE RELATED TO EXTREME PRECIPITATION. BUT BASICALLY, THERE WAS 540 OUTBREAKS EVALUATED. 51%, WE WERE SURPRISED TO FIND THIS, WERE PRECEDED BY RAINFALL EVENTS. ABOVE THAT 90 PERCENTILE. WE TOOK 25 YEAR AVERAGE IN THE RAIN GAUGES AROUND THE OUTBREAK AND THE LOCATION OF THE OUTBREAK AND WE LOOKED IN TIME PRESEEDING THAT OUTBREAK TO LOOK AT WEATHER THAT WAS EXTREME EVENT IN THAT PIECE OF THE TAIL. THAT'S HOW WE DEFIND IT. SO, HALF OF THE OUTBREAKS WERE ASSOCIATED. BOTH GROUNDWATER AND SURFACE WATER WERE RELATED. INTERESTINGLY ENOUGH, THERE WAS A DIFFERENT LAG. AND IT MIGHT MAKE SENSE IF YOU THINK ABOUT SURFACE WATER AND GROUNDWATER. A ONE MONTH LAG WITH THE STATISTICAL RELATIONSHIP WITH SURFACE WATER SOURCES AND A TWO MONTH LAG WITH GROUNDWATER AND IT MIGHT MAKE SENSE WHEN YOU THINK ABOUT TRANSPORT FROM THE FECAL SOURCES TO THE EXPOSURE TO THE DISEASE. SO SEWAGE SPILLS ARE A BIG DEAL. SEWAGE SPILLS OCCUR A LOT WHEN THERE ARE STORMS AND RAINFALL. AND WE CONTINUE TO HAVE THESE KINDS OF THINGS AND EVEN THOUGH MILWAUKEE HASN'T HAD ANOTHER LARGE OUTBREAK, IS THERE -- THEY HAD RECREATIONAL OUTBREAKS IN THESE AREAS AND THEY ARE STILL CONCERNED WHETHER THE SEWAGE AND THE IN FRA STUBLGHTURE CLIMATE INTERFACE -- INFRUSTRUCTURE -- IS ASSOCIATED WITH THESE DISEASE. A COMPLICATION IS TRYING TO LOOK AT THE SOCIAL CONTEXT AND THE PUBLIC HEALTH CONTEXT. WE KNOW THAT ECONOMIC STABILITY OF THE COMMUNITY IN THE STATE THAT IS RELATED TO WHETHER WE HAVE GOOD INFRUSTRUCTURE AND INVESTMENT IN OUR INFRUSTRUCTURE IF OUR FOOD AND AG SYSTEM AND OUR GOVERNMENT AND POLICIES THAT ARE ALL PLAYING A ROLE IN THESE PATHOGENS AND WHETHER THEY ARE GAINING ACCESS TO THE ENVIRONMENT. OF COURSE WE HAVE THE HYDROGEN CONTEXT, THEOLOGY AND HIGHDROLOGIY AND CLIMATE IS ONE PIECE OF THAT. THE AQUATIC ECOLOGIY, NOW FINDING WET LANDS AND FINDING LARGE SCALE WET LANDS INVERSELY RELATED TO FECAL POLLUTION AND WATER QUALITY. SO, WE KNOW WHAT WE ARE DOING WITH OUR ECOSYSTEMS IS RELATED TO WATER QUALITY BUT WE VIOLENT BEEN ABLE TO FIND IT. HAVEN'T BEEN ABLE TOO FIND IT. THIS CYCLE HAS ALREADY BEEN MENTIONED AND IF YOU LOOK GLOBALLY, WE DON'T HAVE TOO MANY NATIONAL WATER SYSTEMS ANYMORE. THAT AREN'T CONTROLLED IN SOME WAY BY FLOW AND BY HUMANS. HARDLY ANYWHERE IN THE WORLD. SO WE HAVE AN ENGINEERED SYSTEM THAT WE ARE CONTROLLING AND WE HAVE THE PUBLIC HEALTH CONTACTS THAT LOOKS AT THIS MONITORING AND DO WE HAVE DISEASE? WE DON'T HAVE CHOLERA. SO WE HAVE A FLOOD IN THE UNITED STATES, WE ARE NOT GOING TO SEE CHOLERA BUT I'LL SHOW YOU THE REST OF THE EVIDENCE THAT IS SOMETIMES AN ISSUE WITH FLOODING. SO THIS EXAMPLE FROM A RECENT OUTBREAK IN GREAT LAKES. IT OCCURRED IN SOUTH BASS ISLAND WHICH IS IN LAKE EERIE. MASSIVE GROUNDWATER CONTAMINATION, 1500 PEOPLE I'LL. AND WHAT I WANT TO POINT OUT IS THIS LAKE EVENT HERE. THIS TURNS OUT THAT IN THE GREAT LAKES AND MANY OTHER AREAS, WIND IS THE DRIVER OF WATER FLOW. WIND IS HOW WE MEASURE WATER FLOW. AND SO IN IN LAKE EVENT HERE WHERE YOU SEE THESE BIG ARROWS WHIPPING AROUND, WHICH OCCURRED JULY 24, THAT MOVES THE WATER AND IT MOVES THE WATER LEVEL. IT ACTUALLY MOVES. THEY CAN DOCUMENT AND IT MOVES THE WATER LEVEL UP IN THE LAKE. A BIG LAKE MOVES THE GROUNDWATER LEVEL UP. AND WE DON'T KNOW HOW FAR THAT GOES BACK IN THE NEAR SHORE BUT IN THESE ISLANDS IN THE NEAR SHORE, WE HAVE THESE EVENTS OCCURRING. NOW N.IF WE LOOK AT THE DATA AND EPIDEMIOLOGY, THIS IS THE RAINFALL IN THE BLUE LINE. THIS IS ABOUT 200% THE 50 YEAR AVERAGE IN THE LAKE EERIE REGION FOR THIS YEAR. SO THERE IS RAINFALL GOING ON. HERE IS THE DISEASE CASES STARRING IN MAY. A FEW CASES STARTING TO COME UP. WE STARTED SEEING MORE CASES. JULY 24 THERE IS THAT WIND EVENT ABOUT LAKE EERIE AND THEN A PEAK AND THEN IT WAS RECOGNIZED IT WAS AN OUTBREAK. HERE IS OUR BOIL ORDER. WE FINALLY GOT IN THERE AND THIS IS THE BOIL ORDER. AND SO THIS WAS SORT OF A PERFECT STORM. THEY WERE DOING A LOT OF THINGS WITH MINIMAL WASTE WATER TREATMENT ON THIS ISLAND. THEY WERE USING GROUNDWATER WITHOUT DISINFECTION. INTERESTINGLY ENOUGH, STATISTICALLY FROM AN EPIDEMIOLOGICAL POINT OF VIEW, PEOPLE WHO DRAMPG LAKE EERIE WATER WHO WAS TREATED, HAD THE SAME ATTACK RATE OF THOSE DRINKING GROUNDWATER. SO THE SOURCE WATER WAS JUST AS CONTAMINATED, OVERWHELMING THE TREATMENT BARRIER. AND IT WAS NEUROVIRUS GASTRO INTERRITIS, THERE WERE SOME PEER ORIA AND GASTRO INTERRITIS IN THIS OUTBREAK. SO WE DO HAVE NGAL-1 AND 500. -- EQUAL -- AND WE HAVE RELATIONSHIPS BETWEEN WHAT WE ARE DOING WITH OUR INFRUSTRUCTURE AND THESE DISEASE OUTBREAKS. AND IF WE LOOK AT EXTREME WEATHER AND LOOK AT FETE FATALITY, HEAT. I DON'T THINK ANYBODY WILL TALK ABOUT HEAT TODAY. BUT HEAT HAS BEEN ASSOCIATED WITH -- ARE WE HAVING SOME HEAT TALKS? [LAUGHTER] BUT, IF WE START TALKING ABOUT ACTUALLY DISEASE, WATER BORNE DISEASE, I FOUND THIS PARTICULAR PAPER VERY INTERESTING. THEY LOOKED AT GEOPHYSICAL DISAFTS. SO THEY DIDN'T REALLY INCLUDE -- DISASTERS -- HIDE LOGIC DISASTERS. THERE WERE TWO TSUNAMIS IN HERE. AND HERE THEY SAID -- AND THIS IS THEIR TITLE, NEGLIGIBLE RISK. WHICH I THOUGHT THAT WAS AN INTERESTING TERM TO PUT IN THE TITLE. AND THEN THEY USED THE WORD, EPIDEMIC. I WASN'T SURE HOW THEY DEFIND EPIDEMIC OR OUTBREAK IN THIS PAPER. BUT BASICALLY, I DIDN'T THINK IT WAS TOO NEGLIGIBLE. THEY LOOKED AT 26 DISASTERS AND ABOUT 20% REPORTED THESE DISEASES. AND SOME RESPIRATORY DISEASES AND OR DIARRHEA. AND THEY SAID THAT 8% DIDN'T REALLY REPORT OUTBREAKS. SO I DIDN'T KNOW WHAT THEY MEANT BY OUTBREAKS IN THAT CASE. I DIDN'T KNOW WHAT THE DENOMINATOR OR THE NEWELERATOR WAS IN THAT CASE -- NEWELERATOR. BUT I DIDN'T AGREE WITH THEIR TITLE AND I THOUGHT THAT THAT WAS PROBABLY PRETTY SIGNIFICANT. AND IF YOU GO TO FLOOD AND ON THE NEXT SLIDE IS THE REFERENCE TO THE DATA, BUT IF YOU GO DIRECTLY TO FLOOD, FLOOD, MAYBE NOT FROM A DIRECT MORTALITY BUT EVEN INDIRECT, IT HAS THE MOST DRAMATIC EFFECT ON COMMUNITIES. AND WHAT YOU SEE IS ABOUT FROM AN AVERAGE 2000-2004, 45% OF THE VICTIMS BY DISASTER WERE ASSOCIATED WITH FLOOD. AND WE HAVE 2005 DATA HERE, 47%. AND IN 2006, 60%. THIS COMES FROM THE GLOBAL DATABASE BECAUSE THERE IS MUCH MORE INFORMATION IN THIS AND THIS IS THE REFERENCE. I'LL JUST PASS THROUGH THAT BECAUSE YOU HAVE THAT IN YOUR PACKET. SO, MOST OF OUR DATA ASSOCIATED WITH DISASTERS COMES FROM FLOODS. MOST COMMON ILLNESSES ARE ASSOCIATED WITH FLOODS ON THE LITERATURE AND GENARRIC DIARRHEA AND TYPHOID. WE DO HAVE SOME UNUSUAL ILLNESSES SUCH AS TETANUS AND YOU HAVE AGENTS LIKE: INTERESTING, ENOUGH, THERE WERE CASES IN BRAZIL FINDING NOW THAT THAT IS THE MOST COMMON IDENTIFIED DISEASE WITH FLOOD. AND THEY ACTUALLY FOUND THAT IT WASN'T RELATED TO WHETHER THE MICE WERE THERE, WHETHER THERE WAS FOOD IN THE HOUSE BUT RELATED TO INFRUSTRUCTURE. ACCESS TO INADEQUATE SEWAGE AND SEWER SYSTEMS OR THE MICE AND THE RATS COULD GET IN FROM THE SOURCE OF THE HOUSE. SO, IT WAS THIS POOR URBAN AREA WHERE YOU HAD THAT SOCIAL PIECE OF IT, THAT PIECE RELATED WITH FLOODS TO THE DISEASE. SO STARTING TO FIND THAT OUT. WE STILL HAVE CHOLERA AND TYPHOID. ONE THING ABOUT TYPHOID AND I NEVER UNDERSTAND WHY IT WASN'T IN THE GLOBAL REPORTABLE DATABASE. WE ARE SEEING MORE ANTIBIOTIC RESISTENCE IN TYPHOID RESISTANCE. RITA WILL TALK MORE ABOUT THAT. BUT CHOLERA MAY BE BECAUSE IT IS ON THE REPORTABLE DATABASE, IS MUCH -- IS THE MOST FREQUENT BACTERIAL ILLNESS ASSOCIATED WITH FLOODS IN THE DEVELOPING WORLD. AND OF COURSE THEY FOUND IT IN PREAND POST HURRICANE MITCH AND THEY DOCUMENTED THAT VERY WELL. SO THAT WAS VERY TRAUMIC. SO THE PERFECT STORM. WE HAVE CONSTRUCTION OF INFRUSTRUCTURE, IMPACT ON DISTRIBUTION OF UNTREATED SEWAGE AND CONTAMINATED WATER, WE HAVE RESUSPENSION OF CONTAMINATED SEDIMENTS AND SOIL AND WE HAVE DISPLACEMENT OF PEOPLE AND SHELTERS. THAT IS ONE OF THE ISSUES WITH KATRINA. AND THEY DID HAVE 500 SEWAGE TREATMENT PLANTS FLOODED DURING THIS TIME AND SOME STILL ARE NOT OPERATING. WE HAVE A LOT MORE WASTE WATER GOING INTO THE SYSTEM. THEY DIDN'T CALL THIS AN OUTBREAK. I WOULD HAVE CALLED IT AN OUTBREAK. THEY CALLED THE NEUROVIRUS IN THE SHELTER AN OUTBREAK. BUT THAT WAS CERTAINLY IF YOU TAKE THE DEFINITION OF AN INCREASE IN THE NUMBER OF ILLNESSES AND TIME AND SPACE OF THE COMMON EXPOSURE, IT FITS THE DEFINITION IN MY MIND. AND THIS IS A VERY UNUSUAL EXPOSURE WHERE IT'S BY CONTACT. THESE PARTICULAR INFECTIONS. AND SO I WOULD HAVE CALLED THAT AN OUTBREAK BUT IT WASN'T IN THIS CASE. AND EVEN THE DIARRHEA, IF YOU LOOK AT THE DIARRHEA THAT WAS REPORTED N-RESPIRATORY DISEASE, IT WAS STILL -- IT WASN'T CALLED AN OUTBREAK BUT A LOT OF PEOPLE WERE COMING INTO THE CLINICS AND TO THE OUTPOSTS WITH BOTH DIARRHEA AND RESPIRATORY DISEASE. I JUST WANT TO EN BY SAYING THAT MANY PEOPLE ARE TRYING TO LOOK AT MODELING. I KNOW NIH FUNDED THE MIDAS PROJECT WHERE WE ARE TRYING TO UNDERSTAND THE MODELING OF INFECTIOUS DISEASES. WE HAVE A 7 INSTITUTION CENTER CALLED, CAMERA, WHICH IS TRYING TO LOOK AT INFECTIOUS DISEASE MODELING AND THE ENVIRONMENTAL PIECE INTO IT. HOW DO WE MODEL THE ENVIRONMENTAL EXPOSURE PIECE AND BRING THIS IN RELATIONSHIP TO THESE THINGS? AND SO THIS IS THE USE OF QUANTITATIVE MICROBIAL RISK ASSESSMENT. WE ARE STARTING TO LOOK AT WHETHER WE CAN START TO BUILD COMPLICATED MODELS WHEN WE LOOK AT FLOODING. WE HAVE CHOSEN 5 ORGANISMS WHERE WE HAVE DOPE RESPONSE DATA SETS AND BASICALLY I'M GOING GIVE YOU SOME OF THE INITIAL ANALYSIS. THIS IS PROBABLISTIC ASSESSMENT AND IT USES VARIABILITY OF CONCENTRATIONS OF THESE ORGANISMS IN SEWAGE. UNTREATED SEWAGE. HAVE YOU THAT DISTRIBUTION. YOU HAVE A DISTRIBUTION AROUND THE SURVIVAL OF THESE ORGANISMS IN WATER. AND HAVE YOU GOT A DISTRIBUTION AROUND THEIR PROBABILITY OF INFECTION GIVEN A CERTAIN EXPOSURE. SO WE SET UP A CERTAIN SCENARIO AND WE LOOKED AT RISK. I'LL POINT OUT A COUPLE OF THINGS HERE. IF YOU GET TO SOMETHING LIKE HEPATITIS AND WROTA VIRUS YOU'LL SEE THIS FLATLINE ALONG THIS TIME THIS. IS TIME AND PROBABILITY OF INFECTION. THIS IS THE 50%ILE AND THE 90 PER SEATBELTILE LEVEL OF RISK -- PERCENTILE -- THIS IS A 10% RISK TO GIVE YOU PERSPECTIVE. THIS FLATLINE RIGHT UP HERE IS RELATED TO HIGH POTENCY PATHOGENS WHICH MEANS THAT EXPOSURE TO LESS NUMBERS STILL GIVES YOU HIGH PROBABILITY OF INFECTION. BECAUSE YOU HAVE THAT, EVEN WITH DILUTION OF SEWAGE AND THAT TYPE OF THING AND THE VARIABILITY AROUND THE CONCENTRATIONS, IT'S HIGHLY INFLUENCED, HIGH RISK DURING THE FIRST FEW DAYS. THEN YOU SEE THAT DECAY RATE START TO INFLUENCE THE RISK OVER TIME. HERE YOU CAN SEE THAT WE STILL HAVE VERY HIGH RISK IN THE DEVELOPING WORLD. WE HAVE ENTRY TO SEWAGE MIXING WITH WATER THAT PEOPLE ARE GOING TO IN GEST WITHOUT TREATMENT. IF WE AD ADEQUATE CHLOR NATION, WE CAN REDUCE THIS RISK IN THE FIRST FEW DAYS. MAYBE DOWN TO 10 MINUS 3. NOW IS THAT SEBL? ONE OUT OF EVERY 1,000 PEOPLE? -- ACCEPTABLE -- SO THIS IS WE ARE TRYING TO UNDERSTAND ONE OF THE VARYABLES HERE IN LOOKING AT THOSE 3 AREAS&I'LL BE HAPPY TO TALK TO ANYBODY THAT IS INTERESTED N.MORE ABOUT THIS. SO ADAPTATION. I THINK WE NEED AS THE SPEAKER SAID BEFORE, BETTER ASSESSMENT OF INDEMNIC DISEASE, INFECTIONS AND ANIMALS AND HUMANS. THESE ARE OUR SOURCES FOR WATER BORNE PATHOGENS. AND I KNOW IN THE UNITED STATES WE ARE TRYING TO COME UP WITH A CONSOL DAYLIGHTED DATABASE WHERE WE CAN ACT AS WHAT IS GOING ON IN ANIMAL POPULATION, LIKE IN THE DOMESTIC ANIMALS. HOW THEY HAVE -- HOW MANY COW ARES -- COWS ARE INFECTED WITH X, YAND Z. MATCH THAT UP WITH HUMANS IN TIME AND SPACE. WE DON'T HAVE A GOOD WAY TO DO THE WILDLIFE YET. ADD THAT TO THE MIX. WASTE WATER TREATMENT IS NEEDED. IF WE LOOK AT THE 30 BILLION DOLLARS OVER THE NEXT 50 YEARS, IT'S NEEDED FOR US TO INVEST IN OUR INFRUSTRUCTURE. I'M CONCERNED THAT WE ARE MOVING MORE AND MORE TOWARDS MORE OF THOSE PERFECT STORMS. WHERE WE CONVERGE, CLIMATE, AND WEATHER PATTERNS WITH OUR INADEQUATE INFRUSTRUCTURE AND EXPOSURE TO THESE PATHOGENS. BOTH FROM THE ZONATIEXPR. HUMAN SOURCES. WE HAVE TO HAVE ACCESSMENT SOURCES -- AND WE HAVE MOLECULAR TOOLS TO ASSESS THE SOURCES. WE HAVE DONE THAT IN KATRINA TO LOOK. THERE WAS A LOT OF QUESTIONS LIKE IS THIS COMING FROM SEWAGE AND IS THE SEWAGE STILL THERE? AND HOW LONG DO WE HAVE TO GO WITHOUT THIS MODELING? WHETHER WE STILL GOT CONCERN AND SEND MEANT. SO WE NEED MORE MONITORING TO GATHER TRANSPORTING EXPOSURE DATA. EVENT MORATORRING IS REALLY TYPICAL. IF YOU HAVE EVER BEEN OUT IN A STORM TRYING TO MONITOR. AND MONITORING THE PEOPLE IS DIFFICULT IN AN EVENT BECAUSE YOU'RE TRYING TO MANAGE THESE PROBLEMS AND IT'S TYPICAL. I THINK WE CAN USE THESE MODELS TO START TO ADDRESS LEVELS OF CONCERN, ESTABLISH HYPOTHESIS, ESTABLISH WHAT OUR DATA GAPS ARE, START TO LOOK AT WHERE WE CAN PUT OUR MONEY OR OUR ADAPTIVE DOLLARS TO START TO PREVENT. COULD WE HAVE PREVENTED THE ISLAND IF WE HAD BEEN MORE COG SENT OF THE FACT THAT WE NEEDED TO INVEST IN THEIR WASTE WATER INFRUSTRUCTURE ON THIS LITTLE ISLAND AND PERHAPS THEIR DRINKING WATER INFRUSTRUCTURE. THIS IS MY INTEREST IN KIND OF LOOKING AT MICROBIAL DETECTION AND WHAT IS GOING ON IN THE WATER SIDE AND THE WEATHER AND CLIMATE CHANGE AND RISK. TRYING TO BRING THAT ALL TOGETHER SO WE CAN UNDERSTAND HOW WE PROVIDE WATER SECURITY AND SAFETY AND THEN TO PRESENT NEXUS BETWEEN QUANTY AND QUALITY AND THESE OTHER FACTORS. SO, THANK YOU VERY MUCH FOR INVITING ME [APPLAUSE] >> ANY QUESTIONS FOR JOAN ROSE? >> I HAVE A QUESTION FOR YOU. I WONDER IF YOU COULD COMMENT ON THE ROLE OF CAPEOS AND CONCENTRATED ANIMAL SEATING OPERATIONS AS A SOURCE? >> WELL, I DO THINK THAT PROBABLY CAPEOS AND JUST THE BYE WAY WE HANDLE ANIMAL MANURE IN GENERAL ARE A ISSUE. IT'S NOT CLEAR TO ME IT IS SIDES RELATED. ONE OF THE PROBLEMS WITH CAPEOS IS THOUGHT IF YOU HAVE ONE FARM EVEN A SMALL SPHARM, AND THEN YOU HAVE ANOTHER LARGE FARM, THEY LAND SUPPLY IN A VERY BROAD GEOGRAPHIC REGION. WE HAVEN'T BEEN ABLE TO MAP. WE CAN MAP MAYBE WHERE THE CAPEOS ARE BUT KEPT MAP THAT CAPEO OR THAT SMALL ANIMAL FARM EVEN THEIR IMPACT BECAUSE THEIR IMPACT FROM THIS PERSPECTIVE IS WHERE THEY ARE PUTTING THEIR MANURE IN MANY CASEOS LAND AND WHETHER THEY ARE PUTTING IT ON LAND. SO WE ARE LACKING THAT RESOLUTION. NOW THE GOODBYES ARE A DIFFERENT STORY. BECAUSE THE LA GOONS DO LEAK AND THEY ARE ALLOWED TO LEAK BY DESIGN. I DIDN'T KNOW THAT. SO REALLY IT'S THE SOIL CHARACTERISTICS, SATURATION THAT INFLUENCES TRANSPORT TO GROUNDWATERS AND GROUNDWATER SURFACE WATER INTERACTION. THERE ARANT DOATLE INCIDENCES --ANTIC DOATLE INCIDENCES, WHERE APPLICATION ON LAND OR A LEAKY TANK, HAS RESULTED IN AN OUTBREAK. SO, WE DO HAVE OR WE KNOW IT OCCURS. BUT CAN WE LOOK AT IT FROM A BIGGER PICTURE AND THEN PUT IN BETTER POLICY? I THINK ANIMAL MANURE SHOULD BE TREATED BEFORE IT'S PUT ON LAND. I THOUGHT MANURE SHOULD MEAN LIKE BIOSOLIDS IN A RULE THAT WE HAVE A BECIAL PRODUCT WITHOUT HOAR - BENEFICIAL -- AND I DON'T THINK MANURE MEETS THAT DEFINITION. SO SOMEBODY SAID, AGRICULTURAL COMMUNITY, I WAS CALLING IT ANIMAL WASTE. IT'S CALLED MANURE. MANURE. WHEN YOU TELL ME IT'S BENEFICIAL WITHOUT HARM THAT'S WHAT TING SHOULD BE. AND SO, THAT'S A HUGE CHALLENGE TO TAKE CARE OF THE SOURCE&IT'S EVEN MORE DIFFICULT BECAUSE IT'S LIGHT AND STRIKE. IT'S NOT AS DRAMATIC AS A POINT SOURCE AS WHERE YOU CAN GO RIGHT TO THAT EXCEPT FOR TILE DESCRAINS. WE HAVE TILE DRAINS FOR POINT SOURCES AND WE HAVE WATER QUALITY. IN THE BACK, I HAVE SOME OTHER PUBLICATIONS WHERE WE TRIED TO CLAIM THAT LAND USE AND WATER QUALITY CHANGES BUT NOT DISEASE OUTBREAKS. BUT IT'S A DIFFICULT CHALLENGE AND I THINK WE NEED TO DO A BETTER JOB IN THAT. [LOW AUDIO] >> I'LL ANSWER IT IN A COUPLE OF WAYS. LIEGE NELLA IS A NATURAL AQUATIC BACTERIUM AND WE FIND IT IN GROUNDWATER, SURFACE WATERS AND A DISTRIBUTION SYSTEM. IT LIKES WATER. WE DON'T ALWAYS FIND THE SPECIES IS ASSOCIATED WITH HUMAN DISEASE. WE ACTUALLY HAVE RESPONSE DATA FOR LIEGE NELLA AND WE CAN GET -- IT WAS DEVELOPED IN ANIMAL MODELS, NOT HUMANS. BUT WE HAVE TRIED TO TEST ITS APPLAUSABILITY AGAINST OUTBREAK DATA. BUT IN JESHELS, WE HAVE A PROBABILITY OF INFECTION -- JECIALS. THE RISKS START TO BECOME UNACCEPTABLE WHEN THE LIEGE NELLA NUMBERS GOAT A CERTAIN RATE AND IT IS BY RATE. THERE IS SPORADIC CASES THEY THINK ARE FROM THE SHOWER AND THE REST MAY BE COMING FROM CHLORINE TOWERS AND OTHER THINGS. SENSITIVE POPULATIONS ARE HIGHLY AT RISK. WE DON'T KNOW WHETHER TEMPERATURES. WE KNOW IT LIKES TO GROW IN TEMPERATURES AND WITH THE AMOEBA. WE DON'T KNOW IF IT'S THE CLIMATE OUTDOOR ENVIRONMENT IS INFLUENCING THESE WATER BORNE DISEASES OR ENGINEERED CLIMATE SO TO SPEAK AND HOW MUCH OF OUR PIPES CHANGING. LIKE PIPES CHANGE PG TEMPERATURES. SO IS THE PIPES CHANGING, IS THE MOEBA CHANGING? WHERE THEY HAD OUTBREAKS, THEY HAVE BEEN ABLE TO -- THEY KNEW IT WAS IN THE GROUNDWATER, SPHROX IN NEW SON WHERE THEY HAD OUTBREAK IN THEIR HOSPITAL -- FOR EXAMPLE IN TUCSON. THEY HAD NO MONITORING SYSTEM FROM THE GROUNDWATER INTO THEIR DISTRIBUTION SYSTEM AND NO POINT WHERE THEY WERE TRYING TO PREVENT IT. AND THERE IS A LOT OF DISCUSSION FROM A DISTRIBUTION SYSTEM STANDPOINT OF WHAT CLIMATE MEANS FOR THE DISTRIBUTION SYSTEM IN TERMS OF BREAKS OF PIPES, OLDFRAIN STRUCTURE AND BIOFILM CHANGES. SO WE DON'T KNOW AND I DON'T KNOW ANYBODY THAT ANALYZED LIEGE NELLA IN THAT REGARD. BUT I DO THINK IT'S A WATER BORNE DISEASE. I THINK IT'S RELATED TO THE NICHE THAT ITS ABLE TO GROW IN TO A HIGH ENOUGH CONCENTRATION TO CAUSE HIGH LIKELIHOOD OF ATTACKS&I THINK WE CAN ADDRESS THAT. >> SURVIVOR OF VERMONT CRUD, WHICH WAS AN INFECTION AND PNEUMONIA THAT HAPPENS ALMOST EVERY WINTER, IT WAS ONLY AFTER THE BIG LIEGE NAIRS OUTBREAK THAT PEOPLE STARTED LOOKING AT THE BACTERIA THAT WAS GIVING US PNEUMONIA. AND A LOT OF US USED HUMIDIFIERS, PUT A PAN OF WATER ON THE WOOD STOVE, GREENHOUSE HUMID I'VE INDICATION, AND I THINK -- HUMIDIFICATION. AND I THINK WE WERE DOSING OURSELVES WITH THIS STUFF. >> YES. I THINK WATER GROWS THINGS AND STAGNANT WATER REALLY LIKES TO GROW THINGS AND I THINK IF WE TAKE SOME WATER WITH THE RIGHT MIX, IT'S GOING TO -- ESPECIALLY FOR CYSTIC FIBROSIS PATIENTS AND OTHERS. THERE IS GOOD DOCUMENTATION THAT IS COMING FROM THE WATER SYSTEM. AND TO MOST OF US, IT'S NOT A PROBLEM. AND SO I THINK WE HAVE TO THINK MORE ABOUT THIS MICROBIAL EXPIEWP HOW WE HANDLE WATER -- SOUP. AND IF YOU LOOK AT RECREATIONAL WATER BORNE DISEASES, ONE OF THE HIGHEST SYMPTOMS IS RESPIRATORY DISEASE. AND THAT WE DON'T KNOW WHAT THE ECOLOGICAL AGENTS ARE WHEN WE SIM IN THE -- SWIM -- IN THE POLLUTED WATERS AND AMIENT WATERS. WHAT ARE THE ECOLOGICAL AGENTS CAUSING RESPIRATORY DISEASE FROM THAT ROUTE? THERE MAY BE OTHER THINGS THAT WE HAVEN'T THOUGHT ABOUT. [APPLAUSE] >> WE ARE NOW GOING TO TAKE A BREAK UNTIL 10:45. WHEN WE GET BACK, DR. COLWELWILL CONTINUE THE WATER THEME FOLLOWED BY DR. LINTHICUM. >> IF YOU COULD PLEASE TAKE YOUR SEATS, WE'LL TRY TO GET GOING. >> WELCOME BACK. WE'RE GOING TO JUMP INTO CLIMATE CHANGE, THE OCEANS AND HUMAN HEALTH. AND OUR SPEAKER IS WELL-KNOWN TO YOU, RITA COLWEL MICROBIOLOGIST WORKING ON CHOLERA FOR MANY DECADES LOOKING FOR THE ENVIRONMENTAL RESERVOIR AND FOUND IT FOR ALL OF US. AND AS YOU KNOW, IS HEAD OF NSF FOR 6 YEARS AND CONTINUES TO WORK GLOBALO THIS ISSUE AND IT'S A GREAT PLEASURE TO WELCOME RITA COLWEL. [APPLAUSE] >> MY APOLOGIES. I HAVE LARYNGITIS. SO I WILL PERCENT VEER AND I ASK YOUR INDULGENCE. IT'S IRONIC TO BE AT NIH GIVING A TALK ON DISEASE WHILE I'M SICK. YOU ALREADY HAVE SEEN THIS SLIDE PRESENTED BY STEVE MORE SO BUT I THINK IT'S USEFUL -- STEVEN MORSE -- WE ARE TALKING ABOUT A WHOLE SERIES OF DISEASES. I THINK IT'S IMPORTANT TO EMPHASIZE THAT IN FACT IT'S DUBOIS TO A TREMENDOUS AMOUNT OF PASSENGER TRANSFER AROUND THE WORLD. AND FRANKLY, I BELIEVE THAT MY LARYNGITIS IS DUBOIS TO BEING ON A DELTA FLIGHT FROM MI SULA MONTANA TWO DAYS AGO WITH A FELLOW NEXT TO ME COUGHING HIS HEAD OFF. PERHAPS YOU MIGHT WANT TO DO THE STUDY OF TRANSMISSION OF DISEASE VIA AIRCRAFT. BUT IN ANY CASE, THIS IS WHERE EVERYBODY IS GOING TO AND FROM. AND I THINK THAT IT TELLS US THAT ALL THE CONTINENTS OF THE WORLD ARE IN FACT TRANSPORTING PEOPLE, GOODS, VERY RAPIDLY. FORTUNATELY, NOT ONLY PEOPLE AND GOODS, BUT ALSO KNOWLEDGE GETS TRANSPORTED VERY RAPIDLY. SO AS AN EPIDEMIC, WITHIN A MATTER OF MONTHS, ALLOWED US TO DETERMINE NOT ONLY THAT IT WAS A CORONA VIRUS, BUT THAT JUST MORE RECENTLY THAT IT WAS PROBABLY THE RESERVOIR. AND MORE INTERESTINGLY, WE NOW CAN DOWNLOAD FROM THE WEB, PROBABLY 2-3 HUNDREDS OF SEQUENCES WE DIDN'T HAVE AT THE TIME OF THE OUTBREAK 3-5 YEARS AGO. NOW JONATHAN SUMMARIZED A RATHER NICE SLIDE, MANY OF THE TOPICS THAT WE HAVE BEEN COVERING TODAY. AND WE'RE FOCUSING PRETTY MUCH ON THE SPECIFIC DISEASES CAUSED BY BACTERIA VIRUSES. I'M GOING TO EMPHASIZE A WATER BORNE DISEASE THAT I PREFER TO CONSIDER A VECTIBLE DISEASE AND YOU'RE GOING TO FIND THAT SURPRISING BUT I HOPE LIE THE END OF MY TALK, YOU WILL AGREE WITH ME THAT CHOLERA IS PERHAPS A VECTOR BORN DISEASE. WE HAVE HEARD A LITTLE BIT ABOUT SEASONALITY. THIS IS CAMP LA VECTOR. JOAN ROSE MENTIONED IT. IT'S A 10 YEAR STUDY I DID WITH AN DROW PEARSON IN ENGLAND COVERING THIS IN ENGLAND AND IN WHALES OVER THE PERIOD 1990-2,000. AND YOU CAN SEE A VERY DRAMATIC SEASONALITY IN THE SPRING MONTHS YEAR AFTER YEAR. THERE IS AN INCREASE OF THIS VECTOR. WE WERE ABLE TO TRACE IT TO WATER AND IN FACT, THOSE COMMUNITIES THAT DREW ON SURFACE WATER DEMONSTRATED THIS REMARKABLE SEASONALITY. THOSE THAT DREW ON GROUNDWATER DID NOT. AN INTERESTING SIDE BAR IS THAT YOU SEE FROM THE TOP CHART, RED INDICATES CHILDREN UNDER THE AGES OF 4. GRAY ARE THOSE OVER 70. SO IT'S CHILDREN THAT ARE VERY SUSCEPTIBLE. THE LOWER BAR, OR THE LOWER CHART, YOU SEE BLUE ARE MALES, RED ARE FEMALES. NOW THE MALES ARE MORE SUSCEPTIBLE. THE UNIVERSITY OF GEORGIA FOOTBALL TEAM SHOWED THEIR MACHO CAPACITIY, THEIR TESTOSTERONE BY EATING RAW CHICKEN AND CAME DOWN WITH THIS. SO MUCH FOR MACHO. IN ANY CASE, IT IS WATER BORNE AND IT IS A RESERVOIR IN CHICKENS BUT THE SEASONALITY I THINK IS REMARKABLE. STEVEN MORSE ALREADY TOLD BUS THIS VIRUS. I SUMMARIZE HERE THE AREA IN THE UPPER LEFT, THE RED IS FROM MODELING THE AREAS THAT ARE MOST LIKELY TO BE HIGH RISK. THE WORK OF GREG FLOSS AT HOPKINS WITH THE LATE TERRYIATES OF THE UNIVERSITY OF NEW MEXICO -- YAITS. GAVE US THE BACKGROUND OF UNDERSTANDING THE VIRUS BEING RESIDENT IN THE DEER MICE POPULATION AND THE TRANSMISSION THROUGH THE EXCRETION IN THE URINE, AND THEN THE DESTROY VIRUS, DESTROYED URINE BEING N.INHALED BY SWEEPING AND SCUFFING UP THE DUST. THE INTERESTING POINT ABOUT THE GEOGRAPHIC STUDY THAT WAS DONE WAS THROUGH THE MODEL THAT WAS DEVELOPED, IN AN AREA THAT IS IN LINE IN RED, IS ACTUALLY THE CANYON WHICH THE NATIVE-AMERICAN INDIANS SAID IF YOU WENT INTO THAT CANYON, YOU COME OUT SICK. SO THERE VE ENFORCEMENT FROM A LEDGE THAT HE UNDERSTAND IS VERY INTERESTING. AND THE WORK OF TERRY YATSE-- YATESSHOWS AS YOU HAVE A EL NINO EVENT IN 91 OF 92 AND 97-98, THAT THERE WAS MORE FOOD FOR THE MICE. THIS LED TO LARGER POPULATIONS, TRANSMISSION OF THE MICE OF A VIRUS AMONG THE MICE, AND THEN THEREFORE MORE INFECTED RODENTS AND THE GROWN VIRUS. AND AGAIN JUST SUMMARIZING THE PARTICULAR ENVIRONMENT RELATED DISEASE. ONE POINT THAT I WOULD LIKE TO EMPHASIZE IS THAT THE ENVIRONMENTAL BURDEN DISEASE REALLY RESTS ON THE POPULATIONS OF AFRICA AND SOUTH AMERICA. IN OTHER WORDS, THE SOUTH OR THE THIRD WORLD. LET ME USE THE CASE OF COLRAR TO REALLY DRILL DOWN ON THIS INTERACTION OF THE ENVIRONMENT AND THE DISEASE. WE SPENT 30 YEARS STUDYING CHOLERA AND WE HAVE FOUND SOME VERY INTERESTING THINGS ABOUT THIS BACTERIUM AND ABOUT THE DISEASE CHOLERA. IT'S CERTAINLY WE ALL KNOW IT'S CAUSED BY A BACTERIUM WITH THE CAPACITIY TO ATTACH TO SURFACES SHOWN IN THE LOWER LEFT, ATTACHED TO THE MOUSE -- AND SIMILAR BEHAVIOR IN THE HUMAN AND IN THE LOWER RIGHT IS A SCANNING ELECTRON MIKEO GRAPH SHOWING THE ABILITY TO FORM ATTACHMENT STRUCTURES. THE DISEASE IS AN ANCIENT ONE. THE EVIDENCE AND STORY DESCRIPTION GOES BACK TO SAND SCRIPT WRITING. WE HAVE BEEN TOLD OVER THE YEARS THAT THE ORGANISM FOLLOWS A PATH FROM THE EN DEMIC AREAS. I WOULD LIKE TO DISWADE YOU OF THAT NOTION BY THE END OF THIS TALK. IN ANY CASE, IT'S A RAPID ONSET. THIS IS A WOOD CUT FROM 1832, AN EPIDEMIC IN PARIS. WITHIN 24 HOURS, YOU CAN GO FROM BEING WELL, TO BEING DEAD. THE DISEASE WAS IN THE UNITED STATES AND UP UNTIL 1900, WHEN WE INTRODUCED WATER TREATMENT, IT WAS EPIDEMIC. AND POINTED BYE OUT BY STEVEN MORSE AND OTHERS, THE DISEASES THAT WE ASCRIBE TO THE THIRD WORLD WERE DISEASES IN THE U.S. UNTIL THE INTRODUCTION OF SAFE DRINKING WATER AND BETTER SANITATION. WASHINGTON D CWAS CONSIDERED TO BE SWAMP SIMPLY BECAUSE OF YELLOW FEVER AND WHATEVER. IT'S A DIFFERENT REASON BUT STILL A SWAMP. [LAUGHTER] THE BEGINNING OF EPIDEMIOLOGY WAS WITH JOHN SNOW WHO CREATED THE GHOST MAP, TERMED BY A JOURNALIST, STEVEN JOHNSON, WHO WROTE A BOOK, PUBLISHED JUST LAST YEAR CALLED, THE GHOST MAP. IN THIS A GHOST MAP OF JOHN SNOW WHERE I HIGHLIGHTED IN RED HIS DOTS SHOWING DEATH. AND HE HE IS ASCRIBING THE DISEASE, CHOLERA TO WATER CONTAMINATED AND TAKEN FROM THE BROAD STREET PUMP. NOW THE MYTH IS THE HANDLE WAS TAKEN OFF BY JOHN SNOW AND THE DISEASE ABATED. IN FACT, THE DISEASE DIDN'T DECLINE IN SUPPORT. THAT WAS -- CEMETERY -- SEP 10 BEM. IT WAS A NATURAL EVENT IN THEICALLY KLINE. A COUPLE OF THINGS ABOUT JOHN SNOW, HE WAS FAMOUS FOR INTRODUCING -- AND HE WAS THE PHYSICIAN FOR QUEEN VICTORIA IN DELIVERING HER 7th CHILD AS A PAINLESS CHILDBIRTH. HE OF COURSE TESTED HIS ANESTHESIA ON HIMSELF AND DELIVER DIED AS A DRUG ADDICT AT A EARLY AGE. HIS ELEGANT WORK YOU ASSUME WOULD HAVE BEEN ACCEPTED IMMEDIATELY. IT WASN'T. IT WAS FIERCELY OPPOSED BY THE WATER SANITATION ENGINEER OF LONDON AND IT TOOK ANOTHER 20 YEARS BEFORE THE MYTH OF JOHN SNOW -- BECAUSE UNDERSTANDING CHOLERA TRANSMISSION THROUGH DRINKING WATER WAS FINALLY ACCEPTED. NOW IN SUMMARIZING HERE, 30 YEARS WORK, AS FOLLOWS. WE HAVE SHOWN THAT WITH SUNLIGHT IN WARNING OF A SEA SURFACE IN THE SPRING, PHYTOPLANK ON TO THE CHLOROPHYLL VARYING ORGANISMS BECOME ABUNDANT. THE MICROSCOPIC CATTLE OF THE SEA, GRAZE ON THE PHYTOPLANKTON AND THEY BECOME ABUNDANT. A SINGLE -- CARRIES ABOUT 10,000 TO 100,000. SO THEY NORMALLY ARE PRESENT IN MAYBE ONE OR 10 PER LITER BUT WITH THE BLOOMS MAY HAVE A 10 OR 100 FOLD INCREASE, WHICH GIVES AN INFECTED DOSE, WHICH IS ABOUT A MILLION CELLS PER MILLILITER. AND I'D LIKE TO EMPHASIZE THE DATA THAT JOAN ROSE SHOWED. ONLY 25% OF THOSE INFECTED END UP IN HOSPITALS. 75% MAY HAVE A MILD DIARRHEA AND NOT SHOW UP IN A DOCTOR'S OFFICE. IT'S VERY MUCH DOSE DEPENDENT. IF YOU HAVE ONLY A FEW CELLS, AND YOU'RE NOT NECESSARILY HIGHLY SUSCEPTIBLE AND YOU'RE PRETTY HEALTHY OTHERWISE, YOU MAY HAVE ONE BOUT OF DIARYRA AND THAT'S IT -- . BUT FOR CHILDREN WHO ARE MALL NOURISHED AND ARE GETTING THIS, THAT'S WHEN THE DISEASE BECOMES EPIDEMIC AND LETHAL. LET ME TAKE YOU NOW - EYE WANT TO TAKE TO YOU THE COUNTRIES OF THE WORLD WHERE CHOLERA OCCURS. PERU IN 91 AND 92, HAD A HORRENDOUS EPIDEMIC OF CHOLERA. HUNDREDS OF THOUSANDS WERE ILL AND THOUSANDS WERE DEAD. AS A RESULT OF THE DISEASE. WE HAVE USUALLY ASCRIBED THE ORIGIN OF CHOLERA AS BEING INDONESIA INDIA AND BANGLADESH. HERE I WANT YOU TO NOTE THAT THE HIMALAYANS PLAY A ROLE WITH THE MONSOON RAINS DRIVING THIS INTO DELTA AND THE WINDS AND THE CURRENTS DRIVE UP INTO THE RIVER A SEEDING OF THE PLANKTON. THIS IS THE AREA WHERE WE HAVE DONE MOST OF OUR WORK, BANK LA DESH. AND THESE AREAS ARE THE HOTSPOTS OF CHOLERA IN THAT PROVINCE OR LET'S SAY, COUNTY OF BANGLADESH. THE DISEASE'S RAPID ONSET, THE UPPER RIGHT IS THE CHOLERA STILL USED TODAY AS A TRUE MEASURE OF THE FLUID LOSS FROM DISEASE AND IN THE HOSPITAL IT'S A LOWER RIGHT. THE HOSPITAL BEGAN MY WORK 35 YEARS AGO WITH SIMPLY A SLAB, CANVASS ROOF, AND THE CANVASS SIDES WERE DROPPED DURING THE MONSOON RAINS. NOW WITH THE HYPOTHESIS ON THE LEFT, THE BACTERIUM ASSOCIATION AND CONGESTION BY PEOPLE WITH WATER TREATMENT, AND THE INCIDENT OF THAT, THE TRIGGERING BEING SUNLIGHT IN SEA SURFACE WARMING, IT OCCURRED TO US THAT WE COULD PROBABLY MONITOR THE ONSET OF THE DISEASE USING SATELLITE IMAGERY AND THE SENSORS ON SATELLITES. AND THIS INDEED PROVED TO BE THE CASE. AND WITH A SERIES OF SATELLITES SHOWN ON THE RIGHT, WE HAVE BEEN ABLE TO GET HISTORIC DATA AS WELL AS CURRENT DATA IN THE FIRST STUDY WE DID THERE IS A CORRELATION OF SEA SURFACE TEMPERATURE AS IT INCREASES. THERE IS A TIME DELAY WHEN CHOLERA EP DEMMICS OCCURRED. THERE IS A RELATIONSHIP BETWEEN SEA SURFACE HEIGHT AND SEA SURFACE TEMPERATURE AND THE DISEASE. AND THE DISEASE IS VERY MUCH RELATED TO THE CLIMATE EVENTS OF EL NINO THIS IS THE 97-98 EL NINO. THE BRIGHTER THE RED, THE HIGHER THE SEA SURFACE TEMPERATURE&YOU CAN SEE THAT THERE WAS A SPRING AND THEN AGAIN A FALL WARMING. THE SPRING AND FALL WARMING OCCURRED NATURALLY BUT WITH EL NINO THEY ARE MUCH MORE INTENSE. SO YOU CAN SEE THE 98 SEA SURFACE TEMPERATURE IN JUNE AND THEN AGAIN IN THE FALL. DIRECTLY CORRELATED WITH CHOLERA EVENTS. PUTTING THE DAYA -- DATA INTO A MODEL THAT INCLUDED THE SATELLITE DATA BUT 10 YEARS OF GROUND TRYING DATA THAT WE HAVE BEEN ACCUMULATED AND I MUST ADMIT AND THANK NIH FOR FUNDING THE WORK. STUDYING CONNECTIVITY AND DISSOLVED OXYGEN AND TEMPERATURE AND CHLOROPHYLL AND OTHER PARAMETERS, IDENTIFYING THE PLANKTON THAT ARE PRESENT, WE HAVE BEEN ABLING TO DETERMINE VERY NICELY A CORRELATION IN A NEW SET OF DATA FROM 98 TO 2000 WHICH SHOWS INDEED IT WAS VALID. NOW THE 2003 NOMLY TO THE RIGHT WAS A DELAYED ONSET OF MONSOONS. SOCIETY PREDICTED CHOLERA RATE WAS LESS FOR THE SPRING MONTHS BECAUSE OF THAT DELAY. THE MODEL IS HOWEVER, A VERY USEFUL PREDICTED ONE. NOW CHOLERA IS A CONTINUING SERIES PROBLEM. IN 91-92, WITHOUT THE -- JUST IN LATIN AMERICA, THERE WERE 350,000 CASES AND 4,000 DEATHS JUST UP TO DECEMBER. BY THE TIME IT WAS OVER. IT WAS CLOSE TO 4-500,000 VICTIMS AND 10,000 DEAD FOR THAT PARTICULAR EL NINO. IN ECUADOR WHERE I DIDN'T WANT TO -- WHERE I DID A LOT OF WORK DURING THE 91-92 EPIDEMIC, IT WAS A SERIOUS PROBLEM BECAUSE THE ONLY TREATMENT WAS INTERVENUS REHYDRATION AND WE HAD TO TRIAGE THE PATIENTS AND UNFORTUNATELY WE HAD MOLECULAR GENETIC RAPID TEST THAT ALLOWED US TO TRIAGE THOSE WHO NEEDED TO GO ON IVAND THEN THE SALMONELLA AND OTHER DISEASES VICTIMS COULD SIMPLY BE TREATED BY ANTIBIOTICS. THE 97-98 EL NINO, GAVE US AN OPPORTUNITY TO DO AN EXPERIMENT IN THE ENVIRONMENT. THIS WAS AN OPPORTUNITY TO HAVING BEEN TOLD 4-5 YEARS AHEAD OF TIME THAT THERE BOOKKEEPER'S SECOND EL NINO -- THERE WOULD BE A SECOND EL NINO. WE CALLED OUR COLLEAGUES FROM BRAZIL, ARGENTINA, CHILLY, AND TRAINED THEM IN THE DETECTION TECHNIQUES OF GENE PROBES AND MONOCLONAL ANTIBODIES SO THEY COULD GO TO THE SITES WHERE THERE WAS EP DEMMICS DURING THE 91-92 EL NINO AND BEGIN MONITORING IN SEPTEMBER, OCTOBER, NOVEMBER, DECEMBER, 97 INTO 98. OF COURSE THAT'S SPRING AND SUMMER MONTHS. AND SURE ENOUGH, THEY WERE ABLE TO DETECT THE BACTERIUM IN THE WATER IN INCREASING NUMBERS FROM SEPTEMBER, OCTOBER, NOVEMBER AND UNTIL CASES BEGAN TO OCCUR AS THE NUMBERS GOT HIGHER. THAT ALLOWED US TO HAVE A TRIAL AND ESSENTIALLY CARRY ON AN EXPERIMENT AS WE MIGHT HAVE DONE IN A LABORATORY. THIS SHOWS THE RELATIONSHIP YELLOW AT SEA SURFACE TEMPERATURE AND AGAIN THE RED IS THE CHOLERA NUMBERS OF CHOLERA CASES DURING THE 97-98 PERIOD OF TIME. SAME PATTERN. NOW, THE CASES OF CHOLERA IN 3 STEARPS MONITORED BY US -- CITIES -- DURING THE 97-98 PERIOD BECAUSE THERE HAD BEEN A PAPER PUBLISHED SAYING IT WAS 91-92 EPIDEMIC WAS REALLY CAUSED BY A SHIP GOING INTO FEMA HARBOR AND DROPPING ITS BOWS. AND THAT SHIP HAD COME FROM A CHOLERA INDEMNIC REGION. WELL, IN THE 97-98 EPIDEMIC, AN OUTBREAK OF CHOLERA, WE FOUND IT SIMULTANEOUSLY, 1500 KILL METERS NORTH AND SOUTH CASE IS WERE OCCURRING. FURTHERMORE, WE WENT BACK TO THE 91-92 HOSPITAL RECORDS, THIS IS WORK DONE WITH BRAD AND JON JOHN'S HOPKINS AND CLAUDIA AND HANA GILL IN PERU. AND OUR TEAM. AND WE LOOKED AT THE RECORDS FOR THE HOSPITAL ADMISSION 6 MONTHS EARLIER THAN THE CHOLERA EPIDEMIC IN 91-92. AND WE OBSERVED THAT THERE WERE CASES OF DIARRHEA BEGINNING TO BE ADMITTED. AND IF IT'S GOING TO BE 1500 METERS NORTH, KILL METERS NORTH ACCIDENT SOUTH LIMA, IT'S IMPOGHT POSSIBLE FOR ONE SHIP TO HAVE CAUSED THAT EPIDEMIC. IMPOSSIBLE. THESE ARE THE RESULTS OF A 97-98 STUD THEY WE DID. YOU CAN SEE FOR OR KEEP B. THE BARS OF THE CASES AND THE LINES ARE THE SEA SURFACE TEMPERATURE AND THE EL NINO WARMING. SO IS THAT CORRELATION IS VERY STRONG. SIMILARLY FOR THE DATA, IN MEXICO, IN THIS CASE, SEA SURFACE TEMPERATURE RAINFALL AND THEN THE CHOLERA IS THE DARK LINE AND YOU CAN SEE THE CORRELATIONS. THIS WORK WILL BE PUBLISHED SHORTLY IN THE ENVIRONMENTAL MICROBIOLOGY JOURNAL. UNBEKNOWN TO US, WORKING ON A PHDTHESIS IN FRANCE, A SCIENTIST TOOK THE PAPERS THAT WE HAD PUBLISHED AND CARRIED OUT THE SAME ANALYSIS FOR HIS PHDTHESIS AND HE DOWNLOADED THE WHO DATA AND THE SATELLITE DATA. AND RAINFALL&HE WAS ABLE TO DO THE CALCULATIONS USING WAVE ANALYSIS, PHASE ANALYSIS, COHERENCY ANALYSIS, AND HE SHOWED THAT FOR THE PERIOD OF 90-94 AND AGAIN OTHER EL NINO THAT OCCURRED LATER, THAT THE SAME PATTERN WAS OBSERVED FOR GHANA AND FOR THE LATIN AMERICA. RIGHT NOW, 95, 96, AND CURRENTLY, THERE IS A VERY LETHAL STRAIN OF CHOLERA MAKING ITS WAY AROUND SENEGAL. AND THE INTERESTING THING ABOUT THIS PARTICULAR SITUATION IS YOU CAN SEE THE NUMBERS OF DEATHS IN RED. AND THE TOTAL NUMBER OF CASES IN BLUE. THE DEATH RATE IS ABOUT 20%. NORMALLY IT'S ABOUT 2%. SO WE FORTUNATELY HAVE BEEN ABLE TO GET OUR HANDS ON THE CULTURES AND SINCE WE ARE IN THE PROCESS OF SEQUENCING ABOUT 50 RELATED CHOLERAS TO GIVE A SENSE OF EVOLUTION AND GEOGRAPHY OF CHOLERA, THIS MIGHT BE ABLE TO TELL US SOMETHING ABOUT THIS PARTICULAR STRAIN. THE CASE US ARE TYPICAL IN THAT PARTICULAR REGION OF AFRICA. AND AGAIN, WHAT'S FASCINATING FOR THE 92 -- 2005 OF THIS BEGINNING OF THIS OUTBREAK, YOU CAN SEE IN THE UPPER LEFT, THE NOMLY THAT IS THE RED INCREASE SEA SURFACE TEMPERATURE OFF THE COAST OF SENEGAL. AND THE NOMLIES IN SEA LEVEL HEIGHT. AND JOAN ROSE MENTIONED WIND AND WAVES. INDEED, SEA SURFACE HEIGHT PLAYS A MAJOR ROLE AND AGAIN, THE GREEN SHOWS ANOMALY INCREASED HEIGHT DURING THE OUTBREAK IN 2005. SO, WATER PRECIPITATION ANOTHER FACTOR. AND SO THESE CORRELATIONS HAVE BECOME VERY, VERY STRONG FOR THAT REGION. SUMMARIZING THE DATA, WHICH WE ARE NOW PREPARING FOR PUBLICATION IN THE UPPER LEFT ARE THE DATA FOR BANGLADESH. IN THE LOWER LEFT, ARE THE DATA FOR CALCUTTA. WE HAVE BEEN ANALYZING THOSE DATA IN COLLABERATION WITH A FORMER STUDENT WHO IS NOW THE DIRECTOR OF A NATIONAL CENTER FOR CHOLERA AND INHERENT DISEASES IN CALCUTTA. THE UPPER RIGHT IS GHANA. AND THE LOWER RIGHT IS LIMA. IT HASN'T BEEN AS CONSISTENT A COLLECTION OF DATA IN LIMA BUT NEVERTHELESS, THE PATTERN CAN BE DISCERNED. WE ARE NOW LOOKING TO SEE WHAT WHETHER WE CAN PREDICT EVEN EARLIER WHEN THESE EP DEMMICS WILL OCCUR AND THAT IS BY LOOKING 3 MONTHS AHEAD OF TIME AT THE SATELLITE DATA SOUTH OF INDIA. I HAVE BEEN DOING THIS WORK WITH DR. RAGU AND HIS TEAM AT THE UNIVERSITY OF MARYLAND WHO ARE OCEANOGRAPHERS AND PLANKTON EXPERTS. AND BY LOOKING AT THE ANOMALY, MEANING MORE THAN USUAL, HIGHER CHLORRA FILL THAN USUAL, SOUTH OF INDIA, AND THEN FOLLOWING THE WAVES AT THE CURRENT THAT DRIVES NORTHWARD ALONG THE COAST OF INDIA UP INTO THE BAY OF VEN GAL, THAT GIVES US A LEAD TIME AND SURE ENOUGH, BY CALCULATING THE ZOPLANKTON NOMLIES THAT MOVE ON UP INTO THE BAY OF BENGAL, WE FEEL WE HAVE 3, PERHAPS 6 MONTHS PRECEEDING THE OUTBREAK OF CHOLERA AND A PREDICTED CAPACITIY JUST EVEN EARLIER THAN WE HAD BEFORE. MOST OF THE WORK HAS BEEN DONE IN THE BARRIER REGION OF THE BAY OF BENGAL. TWO LITTLE AREAS IN PINK OR RED. THESE ISLANDS ARE SUBJECT TO FLOODING. AND I WANT YOU TO KEEP NA IN MIND WHEN I TALK ABOUT SEA LEVEL RISE. WE ARE NOW HONING IN ON JUST WHICH ONE OF THOSE ZOPLANK TONS ARE THE CULPRITS CARRYING THIS. WE KNOW FROM THE ANALYSIS WE HAVE DONE TO DATE THAT -- MAKE UP 50% OF THE ZOPLANKTON IN THE AREAS HERE. THIS IS INTERESTING BECAUSE THESE ARE MANGROVE SWAMPS AND THE ZOPLANKTON SPECIALISTS HAVE KNOWN FOR DOZENS OF YEARS THAT COPODS ARE DOMINANT IN THE ROOTS OF THE MANGROVE TREE. THAT'S SORT OF WHERE THE NOTION THAT BANGLADESH IS THE SOURCE OF CHOLERA. IT SIMPLY IS BECAUSE IT IS THE COMBINATION OF THE HOST, THE TEMPERATURES, THE SELINNITY AND TITLE EVENTS ALL COMING TOGETHER FOR THAT PERFECT STORM, SO TO SPEAK AND FOR CHOLERA TO BE DOMINANT. SO, WE ARE IN THE PROCESS NOW OF HAVING 10 YEARS OF DATA WHERE WE HAVE BEEN WORKING WITH OUR VERY GOOD COLLEAGUES IN BANGLADESH WHO ARE EXPERTS ON IDENTIFYING PHYTOPLANKTON AND ZOPLANKTON IN GETTING THESE SPECIFIC COPA POD SPECIES THAT CARRIES THE CHOLERA. WE NOW KNOW THAT THERE ARE 3 GROUPS OF ZOPLANKTON THAT ARE DOMINANT. FASCINATINGLY, ALL CONTAIN KITE NEB THEIR STRUCTURAL COMPOSITION. WHY DO I MAKE A FUSS ABOUT THAT? IT'S BECAUSE AWL THEY ARE ALL CHITON DIGESTERS. AT A THEY PLAY A NATURAL ROLE IN THE ENVIRONMENT. WE KNOW THEY CAN ERADICATE THEM FROM THE ENVIRONMENT, BECAUSE THAT IS WHAT THEY DO. RECYCLE CARBON AND ALSO NITROGEN. AND THE COABA -- COPA PODS FEEL THE MOST INTERESTING SEASONAL PATTERN THAT SUGGESTS THAT IN FACT THEY ARE MORE CLOSELY RELATED TO THE CARRYING THE CHOLERA DISEASE. SO, LET ME SUMMARIZE BY SHOWING YOU ON THE LEFT HERE THE BACTERIA THAT ARE INCREASINGLY ABUNDANT WITH SEA SURFACE TEMPERATURE WARMING AND THE INCREASE OF PHYTOPLANKTON THAT LEADS TO THE FOOD OF THEIR NATURAL HOST. AND THEN THE NATURAL HOST, COPA POD, IS FED ON BY SHELLFISH AND IT IS ASSOCIATED AS WELL WITH CRABS. AND THAT OF COURSE MEANS THAT PEOPLE WHO WILL PICK UP AND EAT CONTAMINATED SEAFOOD OR DRINK CONTAMINATED WATER WILL THEN CARRY THROUGH THE TYPICAL PERSON TO PERSONNASM LIVE INDICATION OF THE DISEASE. -- AMPLIFICATION. AND I WANT TO SHARE WITH YOU THAT IN A DIVE, ON ALVIN, WE WERE ABLE TO ISOLATE COPA PODS. AND THIS WAS AT 2,500 METERS DEPTH AND IT WAS 250 MILES OFF THE COAST OF OREGON. AND, SINCE WE HAD SEQUENCED THE CHOLERA AND DETERMINED TWO CHROMOSOME SEQUENCES IN 2000, YOU JUST NOW COMPLETED CAUSING PENITATING AND CLOSING THE -- WE ISOLATE FRIDAY THE COPA PODES FROM THAT DEEP SEA HYDROTHERMAL REGION. AND FOUND THAT IT'S 98% SIMILAR TO THE CHOLERA. IT'S FASCINATING THAT THIS ORGANISM FROM THE DEEP SEA IS SO CLOSELY RELATED. IT'S ALSO VERY CLOSELY RELATED TO VIB RECALL -- IT MAY BE ANNAN CESTER. I DON'T SAY ARCHAICKIC BUT PERHAPS HISTORIC OR ANCESTRAL. IN TERMS OF JEANOLOGIES OF THAT BACTERIUM. SO NOW WE ARE LOOKING AT THE GENOMICS OF THIS AND WE HAVE COMPLETED THE FULL SEQUENCES OF ABOUT 27 STRAINS THROUGH THE GOOD WORK OF MARIA AND FAUCI FROM THE NIAIDPROVIDEING THE FUNDING AND ALSO FROM LOS ALAMOS NATIONAL LAP LABORATORY, AND TOM AND RON WHO MADE THE FUNDING POSSIBLE WORKING TOGETHER. WE HAVE BEEN ABLE TO SEQUENCE THESE TO DATE AND PROBABLY WITH SOME ADDITIONAL SEQUENCING, SHOULD HAVE A TOTAL NUMBER OF AROUND 50 WHEN WE COMPLETE BY THE END OF IS THIS YEAR. LOOKING AT THE DATA TO DAID DATE, ONE OF THE INTERESTING FINDINGS WAS THAT FIB ROW MIM CUSS, WHICH MANY OF US THOUGHT MIGHT BE SIMPLY A CHOLERA WITH JUST A FEW MINOR DIFFERENCES TURNS OUT TO BE SEPARATE SPECIES. AND WE HAVE ISOLATED SOME NEW SPECIES. THE POINT I WANT TO MAKE HERE IS THAT WE CAN NOW DEVELOP A BIOGEOGRAPHY AND THERE ARE TWO IMPORTANT POINTS TO MAKE. ONE IS THE DISEASE ARRIVES AS LOCALLY. IT IS NOT TRANSPORTED AROUND THE WORLD. IT IS PRESENT INESTIARIES, RIVERS, AND STREAMS THROUGHOUT THE WORLD WHEN THE TEMPERATURE IS RIGHT IT BECOMES ABUNDANT. THE OUTBREAKS ARE COLONIAL AND VERY, VERY LOCAL. WE ARE IN THE PROCESS OF GATHERING THE DATA ON THAT. AND SO, NOW WE ARE NOW ABLE TO HAVE A COMPARATIVE GENOMICS OF THIS SPECIES TO DETERMINE THE CORE GENES, THE VARIABLE GENES AND THEN THE OTHER JEANS THAT -- GENES THAT MAY BE PICKED UP AND DEFIND THE SUB SPECIES STRAINS. SO WE HOPE TO BE ABLE TO HAVE A MECHANISM OF EVOLUTION WERE THIS AND TO DEFINE THE PAN GENOME AND WHAT DEFINES THE SPECIES. THIS IS JOAN. JOAN SHOWED THIS EARLIER. THIS IS WATER BORNE DISEASE IN THE UNITED STATES. BUT THIS IS A PATTERN WE HAVE IN THIS COUNTRY. SO I WANT TO MAKE THIS POINT, BECAUSE THOUGH WE DON'T HAVE CHOLERA, WE HAVE VIB ROW -- AND IT IS PERHAPS EVEN NASTIER IF IT GOES SIS STEMMATIC. IT LITERALLY LIQUEFIES THE INTERNAL ORGANS. NOTICE IN THE UPPER LEFT, SEATTLE, FOR THE FIRST TIME EVER IN THE LAST COUPLE OF YEARS THERE ARE SOME OUTBREAKS OF VIB ROW -- FOR THE FIRST TIME IN HISTORY WE ARE HAVING OUTBREAKS IN ALASKA AND THAT'S BECAUSE THE SEA SURFACE TEMPERATURE, TEMPERATURE IS A MAJOR DRIVER. WHEN IT REACHES 15 DEGREES CELSIUS OR ABOVE, THE ORGANISM POLICE OFFICER ACE. NOW JUST -- PROLIFERATES. NOW JUST A FINAL COMMENT OF THE MODELS OF SEA LEVEL RISE, YOU CAN TICK A VERY CONSERVATIVE ESTIMATE OR TAKE A VERY LITTLE ESTIMATE. IF YOU TAKE FAIRLY LIBERAL, 3 METERS SEA LEVEL RISE MEANS IF YOU'RE LIVING IN MIAMI YOU MAY WANT TO BUY A HOUSEBOAT [LAUGHTER] WITHOY ONE METER SEA LEVRISE -- WITH A ONE METER -- THE LIGHT BLUE AREA OF SAN FRANCISCO IS UNDER WATER. SO SOME OF THE SAN FRANCISCO CHRONICLE PUBLISHED THIS LAST YEAR. BUT FOR LANG LA DESH, IT'S TRAGEDY. 20% OF THE COUNTRY WILL BE PERMANENTLY UNDER WATER AND WE WILL HAVE MILLIONS OF REFUGEES. AND YOU MAY THINK, WELL, THAT'S REALLY SAD. BUT IT'S NOT GOING TO EFFECT US. WELL, THERE IS ALREADY DISCUSSION ABOUT THE RESPONSIBILITY OF A DEVELOPED WORLD TAKING IN THOSE REFUGEES. SO, THIS CAN LEAD TO SERIOUS SOCIAL DISORDER, ECONOMIC DISRUPTION AS WELL AS PROBLEMS IN THE NATIONAL SECURITY. AND IT'S THAT AREA, HALFWAY BETWEEN THE HIMALAYAS AND THE BARRIER ISLANDS THAT WILL BE PERMANENTLY UNDER WATER. SO, LET'S BE WORIED. TIME MAGAZINE SAYS, LET'S BE VERY WORIED. AND ROBERT COKE, NOT KNOWN TO BE AN ENVIRONMENTALIST, SAID IN 1884, I'M NOT A SUPPORTER OF THE EXCLUSIVE DRINKING WATER THEORY. I THINK THE WAYS IN WHICH CHOLERA CAN SPREAD IN A PLACE THAT IS EXTREMELY DIVERSE AND THAT IS ALMOST EVERY PLACE HAS ITS OWN PECULIAR CONDITIONS, WHICH MUST BE THROUGHLY SEARCHED OUT. THE MEASURES WHICH ARE USED FOR PROTECTING PROTECTING THAT PARTICULAR PLACE FROM A PESTILENCE MUST CORRESPOND TO THESE CONDITIONS. HE WAS TALKING ABOUT ENVIRONMENTAL INTERACTIONS IN THE CLIMATE RELATIONSHIPS BUT OF COURSE DIDN'T KNOW IT. SO I CONCLUDE BY SAYING THAT WE CANNOT WORK IN A WAY THAT WE THINK WE CAN PROJECT OURSELVES IF WE DON'T COLLABORATE INTERNATIONALLY. AND EMERGING DISEASES, REEMERGING DISEASES AND ALL OF THE DISEASES, WEATHER IT'S OF A DEVELOPING COUNTRY OR A DEVELOPED COUNTRY, THE UNITED STATES, IS OURS. IT IS NOT SOMEONE ELSE'S. AND THE COLLABRATORS I'D LIKE TO THANK IS THE INTERNATIONAL CENTER FOR DISEASES RESEARCH INCLUDING PHYSICIANS, MICROBIOLOGISTS, SO ISOLOGISTS, STUDENTS, COLLEAGUES, VISITORS, NASA AIMS, OTHER COUNTRIES, AND EZERIE WAS VERY HELPFUL IN HELPING US WITH THE MAPPING. AND I DO HAVE TO THANK NOAH AS WELL AS NIH, AND NSF, FOR FUNDING THE WORK WE HAVE DONE OVER THE LAST 35 YEARS. THANK YOU. AND I HOPE NEXT TIME I SPEAK TO YOU I SOUND A LITTLE BIT BETTER. [APPLAUSE] QUESTIONS FOR RITA COLWEL? YOU HAVE TO HAVE A LITTLE SHOT OF RUM FOR HER TOO. >> YOU TALKED A LOT ABOUT SURFACE WATER TEMPERATURES BUT HOW MUCH IS THAT CORRELATED WITH THE SLINNITY? SO YOU SHOWED ALONG THE COASTAL AREAS THIS RIGHT-HAND USE CHANGE, THE DESTRUCTION OF THESTIARIES, THE WETLANDS, ANDSOME THINGS ARE CHANGING, LAYERING OF THE WATER AND SA LINTY, FILTRATION IS CHANGING. WHAT ARE THOSE CORRELATIONS? >> SA LINTY IS A VERY IMPORTANT FACTOR. WE SHOWED THIS 20 YEARS AGO THAT FIB ROW CHOLERA IS IN CHESAPEAKE BAY. IT'S THERE. AND IT HAS BEEN EVEN THOUGH WE DON'T HAVE CHOLERA. BUT IT IS ONLY DOWN TO MID BAY WHERE THE SA LINTY IS 15 PARTS PER 1,000. SORT OF HALFWAY BETWEEN SEA WATER AND FRESHWATER. AND THEN OFTEN PEOPLE SAY, WELL, PEOPLE GOT CHOLERA FROM LAKES&THAT'S BECAUSE AGAIN STUDIES WE DID 25 YEARS AGO SHOWING THAT YOU CAN SPARE THE SODIUM REQUIREMENT IF YOU HAVE LESS AMOUNTS OF -- SO IN A FRESHWATER SYSTEM IS A LOT OF CALCIUM AND JUST ENOUGH SODIUM TO KEEP THE INTEGRITY OF THE WALL. AND THERE ARE FRESHWATER COPA PODS AND THERE IS AN ASSOCIATION WITH COPA PODS. AND THERE IS SOME WORK THAT WAS DONE BY TRISH IN AUSTRALIA WORKING ON CHOLERA OUTBREAK IN AUSTRALIA WAY UP STREAM BEYOND THE TITLE EFFECT OF THE RIVERS FROM WHICH PEOPLE WERE DRINKING THE WATER. SA LINTY IS A CRITICAL FACTOR. >> I'M CURIOUS ABOUT THE TEMPORAL LAGS BETWEEN YOUR DIFFERENT ENVIRONMENTAL PARAMETERS THAT YOU'RE EVALUATING ON THE DISEASE CASES AND WHAT IS THE RANGE OF THOSE TEMPORAL LAGS? >> IT'S VERY INTERESTING. WE HYPOTHESIZED IN 1985 THAT THERE WOULD BE ABOUT 4 WEEKS BASED ON THE PHYTOPLANKTON GROWTH PERIOD, 4 WEEKS, 2-4 WEEKS FOR ZOPLANKTON PEAK AND THEREFORE THERE SHOULD BE 6-8 WEEK DIFFERENCE FROM THE ONSET OF SEA LEVEL RISE N.AND THE CASINGS OF CHOLERA. I WILL NEVER FORGET WHEN I WAS WORKING WITH BYRON WOOD AND BRAD AND WE DID THE CALCULATIONS AND BINGO. IT WAS 6-8 WEEKS. AND SO, IT'S THAT DELAY UNTIL YOU GET THE INCREASED NUMBERS OF ZOPLARNG TON WITH THE INCREASED NUMBERS -- PLANKTON. IT WAS ONE OF THOSE WHERE YOU DANCE AROUND AND SAY, WE DONE IT. SO IT WAS A VERY GOOD CORRELATION. NOW FOR SOME BUTTERED RUM. >> THANK YOU. [APPLAUSE] >> AND YOUR STORY ABOUT THE RAW CHICKEN REMINDS ME OF ANOTHER TRUE STORY. A GOOD LEAD INTO LOU. 1991 DURING THE EPIDEMIC OF CHOLERA IN PERU, THE MINISTER OF COMMERCE, I BELIEVE, WENT ON TELEVISION AND ATE RAW FISH TO PROVE THAT IT WOULD NOT RELATE TO CHOLERA AND HE WAS -- HE WOUND UP IN THE HOSPITAL. [LAUGHTER] >> [INAUDIBLE] >> SO HE DID WIND UP IN THE HOSPITAL WITH IVOOF FLUIDS AND TET -- IV FLUIDS AND TETRI PSYCHE LEAN. IT DID EFFECT THE MARKETS. SCHISM EXPORTS WERE DOWN -- SHRIMP. TOURISM TRAVEL WAS DOWN AND I MENTION THAD THAT ALSO BECAUSE THERE ARE ECONOMIC CONSEQUENCES OF EPIDEMICS AND OF DISEASE AND THIS IS CLEARLY AN ISSUE OF THAT WE ARE ALL AWARE OF. AND AS PART OF THE POLITICAL MOTIVE FOR TALKING ABOUT THE ECONOMICS OF DISEASE, THAT STORY SORT OF LED ME TO THINK ABOUT THE HEALTH ECOLOGICAL AND ECONOMIC CONSEQUENCES. WE WENT TO RIO IN 92. THE RIO SUMMIT AND TALKED ABOUT THIS CONNECTION WITH CHOLERA AND THE ENVIRONMENT. IT WAS LARGELY IGNORED AND LATER PUBLISHED IN THE JOURNAL, BUT ONE JOURNAL DID PICK UP ON THIS STORY AND THAT WAS THE WALL STREET JOURNAL [LAUGHTER] SO, FOR THAT, 16 INTILDZ WHAT WE SPEND -- BILLION DOLLARS -- ASTHMA PER YEAR AND WE ARE ABOUT TO HEAR A STORY ABOUT SOMETHING WE DIDN'T THINK ABOUT 10 YEARS AGO, THE ROLE OF CARBON DIOXIDE IN PLANTS THIS. GOES WITH THE USDAAND A PIONEER IN THIS FIELD AND I WELCOME LEWIS SIS CA [APPLAUSE] >> THANK YOU VERY MUCH FOR THE KIND INVITATION. I DON'T KNOW IF PAUL MENTIONED IT OR NOT BUT I'M THE MONTY PYTHON SCIENTIST OF THE GROUP. I'M GOING TO GIVE YOU SOMETHING COMPLETELY DIFFERENT AND TO INTRODUCE TO YOU TO THIS TOPIC COMING FROM THE PLANT SIDE OF THINGS. IN PARTICULAR, I WANT TO TALK A LITTLE BIT ABOUT WARMING BUT I ALSO WANT TO TALK ABOUT THE OTHER ASPECT OF RISING CO2, WHICH WILL ALSO EFFECT ALL LIFE ON THE PLANET AND ONE THAT DOESN'T GET TALKED ABOUT VERY MUCH. AND AS ALWAYS, THERE IS A FINE GROUP OF PEOPLE TO THANK TO WITH REGARD TO THIS RESEARCH. LET'S GO SORT OF OVER THIS AGAIN. WE KNOW THAT ATMOSPHERIC CO2 IS INCREASING. WE HAVE DIRECT MEASUREMENTS TAKEN SINCE 1960. THE AMOUNT OF CO2 IN THE ATMOSPHERE INCREASED BY 23%. WE KNOW THIS INCREASE IN CARBON DIOXIDE IS A RESULT OF EMISSIONS PRINCIPALLY THE BURNING OF FOSSIL FEW WHEN YOU TAKE CARBON AND OXIDIZE IT YOU GET COTOAS A BIPRODUCT SO EMISSIONS KEPT PACE WITH THE ATMOSPHERIC CONCENTRATION. IF YOU LOOK AT THE PROJECTIONS, LOOKING AT THE 450 STABLIZATION OR 650Y STABLIZATION, COMPARED TO THE BUSINESS AS USUAL, A1 F1 PROJECTION, YOU CAN SEE THAT IN FACT, IF YOU COMPARE THE ACTUAL EMISSIONS OF CO2 FOR 05 AND 06, THEY ARE QUITE HIGHER THAN THE BUSINESS AS USUAL PROJECTIONS. SO FOR THOSE OF YOU WHO ARE CONSERVATIVES THAT BELIEVE THEY GET IT WRONG, YOU ARE OR HAVE A THROWING STAND ON HERE, AS IT WERE. [LAUGHTER] SO WHY SHOULD YOU CARE WHETHER OR NOT CARBON DIE OXIDE GOES UP? -- DIOXIDE? WE KNOW THAT IN FACT CARBON DIOXIDE RESONATES LIKE TWO STRINGS ON A VIOLIN RESINATE WHEN YOU TUNE THEM TO THE SAME FREQUENCY BUT IN THIS CASE WE KNOW THAT IT RESINATES IN THE INFRARED PART OF THE SPECTRUM AND BY DOING SO PREVENTS THE ENERGY THAT WOULD BE LOST INTO SPACE FROM LEAVING, THAT THE SURFACE TEMPERATURES GO UP, THAT CARBON DIOXIDE AND WATER VAPOR ARE BOTH GREENHOUSE GASSES, THAT WITHOUT THOSE TWO GASSES IN THE ATMOSPHERE, THE EARTH'S TEMPERATURE WOULD BE MINUS 18 DEGREES. THERE IS A NATURAL AMOUNT OF GLOBAL WARMING THAT DOES OCCUR AND THAT'S NOT NECESSARILY A BAD THING. BUT IT'S FAIRLY CLEAR THAT ADDING WATER VAPOR OR ZO2 WILL REDUCE THE AMOUNT OF HEAT LEAVING THE ATMOSPHERE AND INVERSE PROPORTION TO EACH OTHER. WHERE HAVE YOU PLACES ON THE EARTH WHERE WATER VAPOR IS HIGH, ADDING CO2 WILL HAVE NOT MUCH OF AN EFFECT. CONVERSELY IF YOU HAVE PLACES WHERE WATER VAPOR IS LOW, IT WILL INCREASE SURFACE TEMPERATURE. WATER VAPOR IS LOW IN THE POLES. LOW IN THE DESERT AND LOW IN THE FUNCTION OF ALTITUDE AND LOWER IN WINTER AND NIGHTTIME. THAT'S WHEN WE SEE THE LARGEST INCREASE IN OVER ALL TEMPERATURES. 2007 WAS TIED FOR THE SECOND WARMEST YEAR SINCE 1880. WE MEASUREDDED TEMPERATURE FROM THE POST WAR LATE 1940s TO ABOUT THE MID 1980s. SO WE SEE THIS OVER ALL CHANGE IN TEMPERATURE IS IN FACT OCCURRING AND IT IS MOST LIKELY TIED TO THIS INCREASE IN THE GREENHOUSE GAS. NOW, LET ME SEGUE INTO THE DIRECT EFFECT OF RISING CO2 ON BIOLOGY. WE KNOW THAT CARBON DIE OXIDE IS THE SOURCE OF CARBON FOR PHOTO SYNTHESIS. ALL THE CARBON IN YOUR BODY RIGHT NOW COMES IN FACT FROM CARBON DIOXIDE THROUGH PLANTS. PLANTS HAVE THE ONLY ORGANISMS THAT CAN TAKE LIGHT, THEY CAN TAKE NEWT EXPRENTS WATER AND CO2 AND PRODUCE FOOD. -- NUTRIENTS. THE REST OF US ARE IN FACT JUST PARASIGHTS. [LAUGHTER] PLANTS ARE IMPORTANT. WE DON'T REALIZED THIS. WE DON'T THINK ABOUT THEM. IT'S JUST A NICE GREEN BACKGROUND MATERIAL WE SEE ON I-95 AND THERE MIGHT BE A DEER WE LOOK AT OR BIRD WE LOOK AT BUT THAT NICE GREEN KURT AN IS VERY DYNAMIC. -- CURTAIN. 90% OF ALL LIVING BIOMASS IS IN FACT PLANT MATERIAL. PLANTS DEPEND IN TURN ON 4 RESOURCES. WHAT ARE THE 4 THINGS THAT PLANTS NEED IN ORDER TO GROW? I JUST SHOWED IT IN THE PREVIOUS SLIDE. >> what: DO PLANTS NEED IN ORDER TO GROW? WATER, LIGHT, NUTRIENTS, CO2. RIGHT? NOW, HYPOTHETICALLY, JUST USE YOUR IMAGINATION FOR A MOMENT. WHAT IF THE AMOUNT OF LIGHT REACHING THE SURFACE OF THE EARTH HAD GONE UP BY 23% SINCE 1960? WOULD PLANTS RESPOND TO THAT? SURE THEY WOULD. WOULD ALL 250,000 PLUS PLANT SPECIES RESPOND IN THE SAME WAY? NO. WHAT IF YOU CHANGED THE AMOUNT OF WATER BY 23%? WOULD ALL 250,000 PLANT SPECIES RESPOND THE SAME WAY? NO. WHAT ABOUT THE AMOUNT OF NITROGEN IN THE SOIL? NO. AND YET, WE KNOW THAT THERE IS THESE 4 RESOURCES AND WE KNOW THAT NOT USING OUR IMAGINATION, NOT HYPOTHETICALLY, THAT IN FACT THE AMOUNT OF CARBON DIOXIDE HAS GONE UP 23% SINCE 1960. SO IN FACT, WHAT WE SEE IS A DIFFERENT PLANT SPECIES RESPOND DIFFERENTLY TO THIS CHANGE IN RESOURCE. PLANTS EVOLVE IN A TIME WHEN CO2 WAS HIGHER THAN IT IS TODAY. INCREASE IN CO2 REPRESENTS A VERY RAPID CHANGE IN THE NEEDED RESOURCE AND INCREASING RESULT IN OVER ALL STIMULATION OF PLANT GROWTH UP TO ABOUT 1,000 PARTS PER MILLION. SO, BUT WAIT A MINUTE. MORE PLANT GROWTH. THAT'S DESIRABLE RIGHT? THAT'S A GOOD THING. SHIRE QUOTE FROM THE WALL STREET JOURNAL. WE ARE LIVING IN A LUSH ENVIRONMENT OF PLANTS AND ANIMALS AS A RESULT OF CARBON DIOXIDE INCREASE THIS. SAY WONDERFUL AND UNEXPECTED GIFT FROM THE INDUSTRIAL REVOLUTION. NOW THERE IS A LARGE ASSUMPTION IN THAT QUOTE. THE ASSUMPTION OF COURSE IS THAT CO2 IS A VERY SMART MOLECULE. BECAUSE IT'S ABLE TO DISTINGUISH BETWEEN CROPS AND WEEDS. CO2 CAN DISTINGUISH BETWEEN INVASIVE PLANTS THAT WE DON'T WANT TO HAVE GROWING AROUND [LAUGHTER] CO2 WILL NOT SIMULATE THE GROWTH OF POISONOUS PLANTS AND HAVE NO EFFECT ON POISON I'VEY AND NO EFFECT ON NARCOTICS LIKE HEROIN. OR NOT. [LAUGHTER] AND POINT OF FACT, GREEN IS NOT ALWAYS GOOD. SO, ALL LIFE OF AND ITSELF WILL BE AFFECTED BY THE INCREASE IN CARBON DIOXIDE AND AS A PLANT PHYSIOLOGIST AND A WEED ECOLGIST HEARING THINGS THAT ARE LIKELY TO BE AFFECTED. CROP WEED COMPOSITION FOOD SUPPLY. THE SPREAD AND BIOLOGY OF INVASIVE WEEDS AND THE ISSUE I WANT TO TALK ABOUT TODAY, PUBLIC HEALTH. HOW CAN CO2 AND PLANTS -- I MEAN PLANTS DON'T CARRY DISEASE, SO HOW COULD THEY POSSIBLY IMPACT PUBLIC HEALTH? WELL, HERE SAY COUPLE OF REASONS. ALLERGIES AND ASTHMA. CONTACT DERMATITIS. POISON, TOXICOLOGY, LET'S LOOK AT THE FIRST ONE. WE KNOW THAT PLANTS PRODUCE POLLEN OVER 3 MAIN SEASONS AND IN THE SPRING IF YOU GO OUTSIDE YOU WILL SEE IT'S TREES IN THE SUMMER IT'S GRASSES AND IN THE FALL, 90% OF THE POLLEN COMES FROM RAGWEED. 35 MILLION PEOPLE IN IN THE U.S. THAT SUFFER FROM RAGWEED ALLERGIES. SO WE SET OUT TO LOOK AT TO DETERMINE POLLEN PRODUCTION. BY CAPTURING THE POL THEN CAME OFF THE RAGWEED AND LOOKING AT THE RELATIONSHIP BETWEEN THE AMOUNT OF POLLEN THAT COULD BE PRODUCED, WAS WE FOUND IF YOU CHANGE CO2, YOU SEE THAT ON THE LEFT THAT GRAPH IS THE ACTUAL BIOMASS OF RAGWEED AT MATURITY IN GRAMS PER PLANT FROM 280 PARTS PER MILLION. CO2 CONCENTRATION IN THE MIDDLE OF THE NEERN CENTURY. 370, WHICH IS BACK IN THE 90s WHEN WE DID THIS AND 600 PARTS PER MILLION OCCURRING BY THE MIDDLE OF THIS CENTURY. IN ADDITION TO HAVING A LARGER PLANT, POLLEN PRODUCTION ALSO CHANGED FROM ABOUT 5 GRAMS AT 280 TO 11 GRAMS AT 370 TO 20.5 GRAMS AT 600 PARTS PER MILLION IN ADDITION TO PRODUCING MORE POLLEN, THE POLLEN CHANGED. LOOK AT THE PROTEIN ON THE SURFACE OF THE POLLEN. WE FIND THAT ANTIGEN A1, THE PROTEIN ON THE SURFACE THAT CAUSES ALLERGIES ALSO INCREASES FOR A PORTION OF THE TOTAL PO TEEN ON THE SURFACE OF THE POLLEN. THIS IS A CHAMBER SCUD STUDY THAT WAS DONE. WE DO IT LIKE MOST SCIENTISTS DO. LOOK AT THE ONE VARIABLE THAT IS CHANGING, KEEP EVERYTHING ELSE AT OPTIMAL LEVELS. WE ALSO WANTED TO DO IT IN A DIFFERENT FASHION. WE ASKED THE QUESTION, IN FACT, IS CO2 THE SAME EVERYWHERE? BECAUSE WE LOOKED AT THE MODEL DATA AND SAID, THE REASON SUSPECT IT'S AT 10,000 FEET IN THE MOST ISOLATED PLACE ON EARTH FI WALK OUTSIDE RIGHT NOW I'M I'M PRETTY SURE THE CO2 CONCENTRATION IS NOT 385 PARTS PER MILLION. WE SET UP A GRADEIENT TO MONITOR CO2 FROM DOWNTOWN BALTIMORE NEAR THE IN ERP HARBOR TO THE SUBURBS TO AN ORGANIC FARM. WE FOUND THIS MORE OR LESS FOR THE LAST 6 YEARS THAT WE HAVE DONE THIS, THAT THE AVERAGE DAYTIME CO2 IN DOWNTOWN BALTIMORE IS ABOUT 450 PARTS PER MILLION. THIS IS NOT MODELS OR PROJECTIONS. THIS IS ACTUAL CARBON DIOXIDE CONCENTRATIONS. WE KNOW THAT CO2 IS CHANGING AND WE ALSO KNOW THAT CITIES ARE IN FACT THAT THE TEMPERATURE FOR DOWNTOWN BALTIMORE IS ABOUT TWO DEGREES WARMER THAN FOR THE ORGANIC FARM CONTROL SITE. GEE, IF WE HAVE A LOCATION THAT HAS MORE CO2 AND IT HAS WARMER TEMPERATURES AND A LONGER GROWING SEASON, WHY CAN'T WE USE THAT IN REALTIME TO SEE HOW RAGWEED WILL RESPOND? WE DID. WE WENT TO THE INNER HARBOR AND DUG DOWN TO 110 SENT EXPHEERTS PUT OUT TWO AND SLOTS BUILT THEM USING THE SAME SOIL, SAME SEED BANK WHICH CONTAINED 35-40 DIFFERENT PLANT SPECIES AND THEN WE LOOKED AT WHAT HAPPENED TO THE RAGWEED FOLLOWING THOSE PLACEMENT. WE MONITORED THESE SITES PRETTY HEAVILY TO LOOK AT MACRO ENVIRONMENT AND WHAT WE FOUND IS IF YOU LOOK AT RAGWEED POLLEN CONCENTRATION IN GRAINS PER CUBIC METER, AT THE FARM SITE, YOU SEE THAT AT ABOUT DIE 228, YOU START GETTING POLLEN. IT PEEKS AT 245 DAY OF THE YEAR AND THEN GOES DOWN. THOSE ARROWS YOU SEE FOR THE SUBURBAN SITE AND DOWNTOWN URBAN SITE CORRESPOND TO THE POLLINATION FOR THE FARM SITE AND THE MAXIMUM POLLINATION INITIATION TIME. WHAT WE SEE IS WE GO TO THE SUBURBS AND AS WE GO TO THE URBAN AREAS, WE ARE SEEING EARLIER ONSET OF POLLEN AND A TREMENDOUS AMOUNT MORE POL EP GOING PRODUCED PER PLANT. REMEMBER, SAME SOIL, SAMERING. THE THEY THINK STOOD OUT WAS IT HAD A LONGER GROWING SEEG SEASON AND MILDER WINTER AND WARMER TEMPERATURES AND MORE CARBON DIOXIDE. ALL THE OTHER MEASUREMENTS DIDN'T CHANGE VERY MUCH. SO THOSE ARE THE THINGS THAT PICKED UP IN TERMS OF BEING ABLE TO CORRELATE WITH THE CHANGE IN POLLEN PRODUCTION FOR RAGWEED. NOW SOME OF THE CHANGES IN BIOLOGY CAN BE MORESULTS THAN THIS. WE KNOW FOR EXAMPLE THAT PEOPLE ARE ALLERGIC TO HAY. IT'S NOT THAT IT IS PRODUCING POLLEN BUT WHAT IS HAPPENING IS DIFFERENT THINGS HAVE A ASSOCIATIVE RESPIRATORY PROBLEMS. INCLUDING ASTHMA, ALLERGIC SIGN YOU SILENTIS AND IT'S THE SPORES -- SIGN YOU YOUICITIS. AND IT'S THE SPORES. WE LOOKED AT TIMOTHY GRASS USED AS A SOURCE FOR HAY IN THE UNITED STATES AND LOOK AT THE TIMOTHY GRASS BEING GROWN UNDER 4 DIFFERENT CO2 CONCENTRATIONS AND 100% PER MILLION INTERVALS WHICH IS SHOWN AT THE BOTTOM LEFT HAND GRAPH AND LOOK AT THE RATE OF SPORE GROWING ON THAT MATERIAL. WHAT WE FIND IS THAT AS YOU GROW TIMOTHY GRASS UNDER HIGHER CO2 YOU GET LESS NITROGEN. IT'S THAT CHANGE THAT SHIFTS OVER TO INCREASED SPORES ON THE PART OF THE FUNGUS THIS. IS PRELIMINARY DATA BUT WE THINK THE TRENDS ARE VERY INTERESTING. NOW, LET ME SEGUE INTO CONTACT DERMATITIS. HOW MANY HAVE YOU COME IN CONTACT WITH POISON I'VEY AND HAD A REACTION AS A RESULT OF THAT? YOU KNOW WHAT THAT LOOKS LIKE. THIS IS THE DUKE UNIVERSITY PHASED SITE. FREE AIR COSTWO ENRICHMENT. TO GIVE SMU IDEA, THESE ARE 50-60 FEET TALL. WHAT THEY ARE DOING IS BLOWING CARBON DIOXIDE INTO THE CENTER OF THE RING AND THE IDEA WAS TO SEE HOW MUCH OF THAT CARBON DIOXIDE WOULD BE TAKEN UP BY THE PINE FOREST. AND AS IT TURNS OUT, OF THE FOREST UNDER STORY AND THE FOREST ITSELF, THE ONE SPEEDS THESE SHOWED THE STRONGEST RESPONSE TO THE CHANGE WAS POISON IVY. EXACTLY [LAUGHTER] SO THIS IS SOME WORK BY JACK. IF YOU LOOK AT THE MEAN PLANT UNDER AMIENT CONDITIONS AT 370Y AND ELEVATED CONDITIONS AT 570 OVER A 6 YEAR PERIOD, YOU SEE A CONTINUED SUSSTAINED PRODUCTION OF POISON IVY. IN ADDITION TO THAT, WE FIND THE DIFFERENT OIL IN POISON I'VE ECONOMY CAUSES CONTACT DERMATITIS SHIFT. THERE WAS WORK DONE? THE THAICTS SHOWS THE -- SHOWED THE RAINSHOWERIOSE WERE IN FACT A WAY TO DETERMINE HOW VEER LENT THE FORM OF THAT OIL WAS. THE GREATER IT WAS THE MORE LIKELY YOU WERE GOING TO BREAKOUT IN A RASH. WHAT WE FOUND WAS THAT WHEN YOU EXPOSE THESE PLANTS TO ELEVATED CO2, YOU HAVE A MORE VEERULANT FORM OF THE OIL. SO NOGZ HAVING MORE OF THE IVY, YOU HAVE A MORE VEERULANT FORM OF THE OIL BEING PRODUCED AS WELL. LET ME SEGUE INTO PLANTS AND POISONS. PLANTS CANNOT PULL UP THEIR ROOTS AND RUN AWAY WHEN THEY ARE ATTACKED. WHAT IS THAT A CAN DO IS THEY CAN PRODUCE SOME OF THE MOST TOXIC CHEMICALS ON ARGT. HOW MANY HEARD OF RICIN? RICIN IS PRODUCED BY CASTER BEAN. IT'S ONE OF THE DEADLIEST POISONS KNOWN TO MAN. UNFORTUNATELY WE HAVE ABSOLUTELIY NO DATA ON HOW CO2 AFFECTS TOXICOLOGY OF PLANTS. I THINK I USED MY GOODWILL IN MY GROUP STUDYING POISON IVY AND RAGWEED. I'M TRYING TO SLOWLY GET THEIR MIEPPED SET LOOKING INTO TOXICOLOGY BUT IT'S A UPHILL BATTLE SO FAR. HOW ELSE CAN PLANTS EFFECT PUBLIC HEALTH? HERE ARE SOME INDIRECT WAYS. WHEY KNOW THAT PLANTS EFFECT THE FOOD SUPPLY. THEY CAN EFFECT THE NUTRIENT QUALITY. THEY CAN EFFECT MEDICINE. THEY CAN EFFECT NARCOTICS. THEY CAN EFFECT DISEASE VECTOR BIELGY AND EFFECT PESTICIDE USE. BIOLOGY. WHEN WE LOOK AT COTWO. AND HUMAN NUTRITION, ONE OF THE EFFECTS WE SEE ON PLANTS IS A INCREASE IN THE AMOUNT CARBON RELATIVE TO THE AMOUNT OF NIGHT GLEN ALL PLANT PARTS. WHEN YOU LOOK AT THE PERCENT PROTEIN IN FLOWER BEING PRODUCED FROM WEED, WHETHER IT WAS A VARIETY RELEASED IN 1903 OR RELEASED IN 1996, YOU FIND THAT AS YOU INCREASE CO2, YOU DECREASE PROTEIN CONCENTRATION. NOW THERE IS IT ALSO WORK ON A POSITIVE SIDE WITH BOB HERE AT NIH LOOKING AT OMEGA 3S AND OMEGA 6S AND VEGETATIVE SOURCES AND WHAT WE FOUND THERE WAS CO2 RESULTED IN A POSITIVE INCREASE. THE BOTTOM LINE IS AS CO2 CHANGES, YOU'LL SEE CHANGES IN THE QUALITY OF THE FOODS THAT WE EAT. AND WE DON'T UNDERSTAND THE CONTEXT OR THE SCOPE OF THOSE CHANGES QUITE YET. LET ME JUST MENTION A LITTLE BIT ABOUT FOOD SUPPLY AND FOOD SECURITY. AND LET ME TRY AND DO IT IN THE CONTEXT OF WATER. THE LARGEST AMOUNT OF FRESHWATER BETWEEN THE POLES IS LOCATED IN THE HIMALAYAS. WHAT WE SEE, THIS IS A GOOGLE EARTH SATELLITE AT THE END OF LAST SUMMER. INCREASED RATE OF GLACIAL MELTING IN THE HIMALAYAS. AND AS THEY MELT, YOU WILL SEE THESE RESERVOIRS CAPTURE THE WATER HERE. RIGHT NOW THOSE RESERVOIRS ARE AT THE BURSTING POINT. AND AS INCREASE MELTING OCCURS, OF COURSE YOU'RE GOING TO SEE INCREASED FLOODING. THAT'S THE INITIAL RESPONSE AND YOU ALREADY TALKED ABOUT WHAT THE IMPACT OF THAT FLOODING WILL BE WITH RESPECT TO THE PUBLIC HEALTH. IN THE LONG-TERM YOU'LL FIND THAT DROUGHT WILL BE THE END RESULT. THAT IS ALL THE RAIN THAT WILL FALL WILL FALL DURING THE MONSOON SEASON. THAT WATER THAT WOULD BE RENTED BY THE SNOW AND ICE WILL NO LONGER BE THERE. AND THAT HAS A TREMENDOUS IMPLICATION WITH RESPECT TO FOOD SECURITY. AND LET ME TELL YOU WHY. LET'S LOOK AT RICE AND WATER. THE UPPER RIGHT HAND GRAPH SHOWS THE GLOBAL ROUGH RICE PRODUCTION SINCE 1990. THE AVERAGE AND ROUGH RICE PRODUCTION HAS GONE UP EVERY YEAR UNTIL ABOUT 2000. AND NOW IT'S PRETTY MUCH STUCK ABOUT 600 MILLION METRIC TONS THASN'T CHANGED. THERE ARE 3 CEREALS, RIGHT, WHEAT AND CORN, SUPPLYING 50% OF THE FOOD FOR THE 6 1/2 BILLION PEOPLE ON THE PLANET RIGHT NOW. RICE IS NOT KEEPING PACE WITH POPULATION. WHEAT IS NOT KEEPING PACE WITH POPULATION. THE ONLY SERIAL WHICH KEPT PACE IS CORN -- CEREAL&AS SOON AS I HEARD THAT SOMEBODY WAS GOING TO PUT CORN INTO BIOETHANOL, YOU KNEW THAT FOOD SHORTAGES WERE GOING TO BE THE END RESULT. I TRIED TO THINK OF THE CORRECT SCIENTIFIC TERMINOLOGY TO REALLY CAPTURE THAT. I THINK STUPID IS THE ONLY THING I CAN COME UP WITH [LAUGHTER] BUT THE POINT OF ALL THIS IS TO SHOW THAT WITHOUT IRRIGATION, WITHOUT THAT WATER INPUT, YOU CAN NOT HOPE TO MAINTAIN A LEVEL OF PRODUCTION THAT YOU NEED IN ORDER TO FEED THAT MANY PEOPLE. IF YOU LOOK AT THE LOWER RIGHT HAND GRAPH, WHAT YOU FIND IS RICE PRODUCTION, 75% OF RICE PRODUCTION IS OR COMES FROM IRRIGATED OR PATTY RICE. 25% OR LESS THAN 25% COMES FROM RAIN FED RICE. WITHOUT THAT WATER, WITHOUT THE RIVER SYSTEMS THAT ARE SUPPLIED BY THE HIMALAYAN GRAISH AL SNOW PACK, YOU ARE GOING TO HAVE A MAJOR -- GLACIAL -- AMOUNT OF FOOD UNCERTAINTY IN ADDITION TO CLIMATE UNCERTAINTY. LET ME SEGUE NOW INTO CO2 PLANTS AND MEDICINES. WE KNOW THAT PLANTS ARE A MAJOR SOURCE OF MEDICINES THROUGHOUT THE WORLD. EVEN IN DEVELOPED COUNTRIES, LIKE THE U.S. AND EUROPE, 15% OF ALL THE PRESCRIPTIONS THAT ARE WRITTEN ARE DERIVED FROM PLANT MATERIALS. BUT IF YOU GO TO DEVELOPING COUNTRIES, THAT PERCENTAGE GOES UP TO 85%. THERE IS NO QUESTION THAT PLANTS ARE A MAJOR CORNERSTONE OF PUBLIC HEALTH IN MOST DEVELOPED COUNTRIES. BECAUSE THEY KNOW WHAT PLANTS TO TAKE AND HOW MUCH OF THAT PLANT TO TAKE IN ORDER TO TREAT DIFFERENT ILLNESSES. NOW, HERE IS TO GIVE YOU SOME SENSE OF SOME OF THAL CACLOIDS THAT ARRIVED: HOW MANY USE AT LEAST ONE OF THESE SUBSTANCES? [LAUGHTER] HOW MANY OF YOU USE TWO? [LAUGHTER] IF YOU USE 3, THERE IS A 12 STEP PROGRAM [LAUGHTER] THE POINT OF ALL THIS IS JUST SIMPLY TO SHOW WHAT WE SOMETIMES FORGET BECAUSE IT'S SO EASY TO GO TO WALGREENS TO GET YOUR PRESCRIPTION FILLED IS THAT IN FACT PLANTS CAN PRODUCE THESE KINDS OF VERY POWERFUL SUBSTANCES WHICH ARE USED AS PART OF YOUR PUBLIC HEALTH. WHAT WE DID IS LOOKED AT HOW CO2 AND TEMPERATURE EFFECT THE PRODUCTION OF AT ROW PENE COMING FROM GYP SON WEED, THE SOURCE OF THESE TWO DRUGS USED IN TURKEY AND IN SOME CASES IN INDIA. WHAT WE FOUND TO MAKE A LONG STORY SHORT, IS THE CONCENTRATION OF AT ROW PENE INCREASES THE FUNCTION OF TEMPERATURE, CONCENTRATIONS INCREASES THE FUNCTION OF CO2. AND THAT BOTH CO2 AND TEMPERATURES CAN HAVE IMPLICATIONS WITH RESPECT TO CONCENTRATION BUT BECAUSE RISING CO2 AND TEMPERATURE ALSO INCREASE THE GROWTH OF THE PLANT, THE AMOUNT OF AT ROW PENE OR THE OTHER THAT COMES PER PLANT ALSO INCREASES AS A RESULT. NOW AT ROW PENE IF YOU EVER BEEN ON ACTIVE DUTY IN THE MILITARY, YOU'RE GIVEN A STICK THAT IS AT ROW PENE, YOU STICK IT IN YOU IF YOU'RE EXPOSED TO NERVE GAS BECAUSE IT CHANGES THE COLEAN TO ALLOW YOUR MUSCLES TO RELAX. Y AND PAL MEAN IS A VERY SIMILAR TO EXCITIES. IT WAS USED BY THE ANCIENT GREEKS TO GIVE TO WOMEN DURING CHILDBIRTH TO EASE THE PAIN. SO THESE ARE VERY POWERFUL SUBSTANCES. THE FLIP SIDE OF MEDICINES ARE OF COURSE NARCOTICS. IF THE DRUG ENFORCEMENT NEADGES THEIR WILDEST WEB DREAM MANAGES TO ELIMINATE 50% OF ALL THE LAND THAT IS PRODUCING COCA IN SOUTH AMERICA BUT THE OTHER 50% IS STIMULATED BY CO2 SO OVER ALL PRODUCTION DOESN'T CHANGE, YOU KIND OF LIKE TO KNOW THAT. EXCEPT WE HAVE NO DATA ON HOW TOTHIS WILL RESPOND TO CO2. WE KNOW THAT IN TOBACCO THE GROWTH INCREASES AS A FUNCTION OF CO2 AND I'LL SHOW YOU WORK WE HAVE DONE WITH NICOTINE. THE MOST AMOUNT OF DATA WE HAVE IS FROM MARIJUANA GROWERS ON THE WEB. [LAUGHTER] I KNOW. SADLY VERY FEW ARE PUBLISHED IN SCIENTIFIC LITERATURE [LAUGHTER] BUT THERE IS A LOT OF DATA OUT THERE THAT TELLS YOU HOW MUCH CO2 TO GIVE YOUR MARIJUANA PLANT, HOW MANY MORE BUDS YOU CAN EXPECT AND HOW MUCH MORE THCYOU CAN GET. SO THE FACT IS THAT AS YOU CHANGE CO2, YOU NOT ONLY EFFECT THE CHANGE IN TERMS OF CONCENTRATIONS OF BENEFICIAL MEDICINES, BUT YOU ALSO HAVE THE POTENTIAL FOR ABUSE OF THOSE MEDICINES AND CERTAINLY DRUG ABUSE IS CONSIDERED A PUBLIC HEALTH ISSUES TO LOOK MORE CLOSELY AT THE ISSUE, WE WENT AHEAD AND EXAMINED SCIENTISTS AND WHAT HAPPENS WHEN YOU EXPOSE -- TO RISING CO2 LEVELS. I CANNOT LEGALLY GROW THIS. THERE IS 130 DIFFERENT SPECIES TWO. THAT PRODUCE OPIATES ARE THE WILD POPPY AND THE COMMERCIAL POPPY. IT'S ILLEGAL TO GROW THIS IN CASE YOU'RE WONDERING. WE LOOKED AT 3-600 PARTS PER MILLION. THESE ROUGHLY CORRESPOND TO THE CO2 CONCENTRATIONS FROM THE 1950s. THE CURRENT CO2 AND THAT PROJECTED FOR THE UPCOMING CENTURY. SO WHAT WE FOUND WAS IF YOU LOOK AT ABOVEGROUND BIOMASS GOING FROM LEFT TO RIGHT AGAIN, THAT ABOVEGROUND BIOMAS VERY RESPONSIVE TO CHANGES IN CO2. ON THE BOTTOM OF THE GAFF, VERY RESPONSIVE TO CHANGES. WE SEE THIS SENSITIVITY EVEN A SMALL CHANGE BUT WHAT IS SPHWROG ME IS THE GREATEST RELATIVE STIMULATION OCCURRED WITH RECENT CHANGES THAN CO2. A CHANGE FROM 3-400 PARTS PER MILLION THAT. SUGGESTS THE CHANGES ALREADY OCCURRED AND IT HAS BEEN SUFFICIENT TO CHANGE THE AMOUNTY ABILITY TO GROW TO PRODUCE MORE OPIATES. TO SEE WHAT THAT HAPPENS WITH RESPECT TO WILD POPPY, HERE ARE THE REPRODUCTIVE DATA. CAPS UL NUMBER, WEIGHT, LATEX. YOU SEE ESSENTIALLY A EXTRA GROUPELLING GOING FROM 3-600 PARTS PER MILLION&EACH A SIGNIFICANT CHANGE IN THE PERCENT OF MORPHINE. IF YOU LOOK AT PRODUCTION OF THE DIFFERENTIAL CALLOYDING AS A FUNCTION OF COSTWO ON A PER PLANT BASIS, HERE IS WHAT WE SEE FOR: THIS IS 3-4 INCREASE INIAL CALLOYD PRODUCTION THIS. HAS BEEN ACCEPTED INTO THE JOURNAL, CLIMATIC CHANGE. NICOTINE PRODUCTION IS INTERESTING. WHAT WE SEE IS NICOTINE PER PLANT GOES UP. NOT SURPRISING BECAUSE AS YOU GIVE THE PLANT MORE CO2, YOU GET MORE NICOTINE. BUT CONCENTRATION GOES DOWN. AND OF COURSE THE CONCENTRATION OF THE NICOTINE HAS NOT GONE DOWN IN YOUR CIGARETTES WHICH SUGGESTS TO YOU THAT WHAT? [LAUGHTER] RIGHT. THEY COULD BE DOING THAT. NOT THAT THEY WOULD -- ANY WAY [LAUGHTER] ONE OF THE THINGS WE ARE LOOKING -- WORKING ON IS IF WE SEE THIS CHANGE IN NIGHT DISWROAN CARBON WITH INCREASING CO.TWORKS 2, THERE ARAL CALOIDZ THAT HAVE NITROGEN IN THEM ARE DECREASING IN CONCENTRATION WHERE THOSE OF PHARMACEUTICAL INTERESTS DON'T HAVE A LOT OF NITROGEN, THEIR CONCENTRATION WILL STAY THE SAME OR GO UP. ONE OF THE ONES WE ARE LOOKING AT NOW IS AN HERBAL REMEDY FOR MALARIA. WE DON'T UNDERSTAND WHY THE PLANT THAT PRODUCES THIS PRODUCES THIS PARTICULAR COM FOUND. WE DON'T UNDERSTAND THE PAL PATHWAY FOR IT AND DON'T UNDERSTAND HOW CO2 OR OTHER CLIMATIC AREAS ARE GOING TO CHANGE THAT. THAT'S ONE OF THE THINGS WE WANT TO FOCUS ON. WE TALKED ABOUT THE FACT THAT PLANTS ARE NOT DISEASE VECTORS, PER SE. HOWEVER, IT'S ALSO MENTIONED AND SEVERAL TIMES THIS MORNING, WITH REGARD TO THE ANTIVIRUS THAT WHEN YOU LOOK AT CHANGES IN TEMPERATURE, CHANGES IN CO2, YOU WILL EFFECT FOOD SOURCES&WHEN YOU EFFECT FOOD SOURCES, YOU ARE GRG TO EFFECT THE RANGE OF THESE DIFFERENT DISEASE RESERVOIRS. AND IN THE CASE OF RODENTS, WE SAW WHAT HAPPENED WITH EL NINO EVENT IN THE SOUTHWEST. BUT TWROPT MOSQUITOES -- BUT RESPECT -- THEY NEED BLOOD TO LAY EGGS, THEY USE POLLEN AS A FOOD SOURCE. SO IF YOU CHANGE THE ABILITY OF PLANTS TO PRODUCE POLLEN, YOU CAN CHANGE THE CAPACITIY OF THE NUMBER OF MOSQUITO LARVAE. BUT WE DON'T KNOW MUCH ABOUT IT. WE DON'T KNOW IF THERE IS IN FACT A CONCENTRATION OF CO2 AROUND URBAN AREAS, IS THAT SUFFICIENT TO ACTUALLY ATTRACT THE MOSQUITO? WHAT IS THE MINIMUM BASELINE THAT MOSQUITOES NEED IN ORDER TO BECOME ATTRACTED TO A GIVEN SOURCE OR A POINT SOURCE OF CO2? WITH RESPECT TO CO2 PLANTS AND PESTICIDES, AT SOME POINT, SOMEONE IN THE MEETING WILL SAY, EXCUSE ME, HAVE YOU NEVER HEARD OF HOME DEPOT? YOU DON'T KNOW WHAT ROUND UP IS? YOU JUST GO DOWN, BUY SOME OF THIS STUFF, SPRAY THE WEED AND END OF STORY. THAT'S IT. [LAUGHTER] ALL RIGHT. WHY CAN'T WE JUST CONTROL THE WEEDS? IT SEEMS SEPARATE PRETTY STRAIGHTFORWARD THERE. IS AN ASSUMPTION THERE. AS CO2 CHANGES, THAT IN FACT, IT WILL NOT CHANGE THE EFFICACY OF THE HERBICIDES YOU ARE APPLYING TO THE WEED. AND WE FIND THAT FOR ROUND UP, THE ACTIVE INGREDIENT IN ROUND UP, IF YOU LOOK AT THIS MORE NAUSEOUS WEEDS IN THE U.S., ON THE LEFT IN THAT CHAMBER, WE SPRAYED AT THE RECOMMENDED DOSEAGE, ABOUT 80% CONTROL. ON THE RIGHT, WE ALSO SPRAYED WITH THE RECOMMENDED DOSEAGE. WE GOT 0 CONTROL. IT TURNS OUT THAT WHEN YOU IEWZ GIVE THEM MORE CO2, A LOT OF IT GOES INTO THE ROOTS AND WITH THE RATIO, THE SAME AMOUNT OF HERBICIDE IS INSUFFICIENT TO KILL ALL THE ROOTS AND THEY ARE CAPABLE OF REGENERATING A SINGLE PLANT. SO WE FOUND IT ALL COME BACK AGAIN. CAN YOU STILL CONTROL IT? YESUX YOU YOU CAN BUT INCREASE THE DOSEAGE. YOU HAVE TO INCREASE THE NUMBER OF SPRAYINGS AND THERE IS A CONSEQUENCE FOR THAT. THERE IS AN ENVIRONMENTAL CONSEQUENCE AND THERE IS A ECONOMIC ONE. SO JUST BRIEFLY TO SUM UP ALL THE WORK WE HAVE DONE LOOKING AT THE EFFICACY AND THE GROWTH RATE FOR HERBICIDE APPLICATION AND RECOMMENDED DOSAGES ARE SHOWN FOR DIFFERENT WEEDS AND DIFFERENT HERBICIDES AND THEN SHOWING B, FOR THE SAME RECOMMENDED DOSEAGE BUT FOR PLANTS AND WEEDS GROWN UNDER HIGH CO2. WE SEE THE EFFICACY IS REDUCED. THE BASIS FOR THE REDUCTION IS DIFFERENT DEPENDING ON DIFFERENT SPECIES YOU LOOK AT. BUT AGAIN, IT'S MORE PESSIDES ARE NEEDED, THE MORE TRACE CHEMICALS WILL OCCUR IN THE ENVIRONMENT. AND FINALLY JUST TO WRAP UP, WE HAVE THEN IN SUMMARY, DIRECT AFFECTS INCLUDING ALLERGIES, CONTACTDENTIAL TITIS, TOXICOLOGY, INDIRECT AFFECTS, NUTRITION, FOOD SUPPLY, MEDICINE, SPREAD OF DISEASE VECTORS AND INCREASED PESTICIDE USE. AND FINALLY, WHAT IS USDA DOING? WE ARE DOING QUITE A BIT [LAUGHTER] IN THE LAST 6 YEARS, WE HAVE LOST ONE FULL-TIMIST AND LAST WEEK WE LOST ANOTHER TECHNICIAN. TWOF OUR SCIENTISTS ARE SCHEDULED TO RETIRE NEXT YEAR. OUR BUDGET HAS BEEN CUT EVERY YEAR FOR THE LAST 6 YEARS. WE HAVE NO MONEY UNDER THE CURRENT BILL TO STUDY CLIMATE CHANGE OR FOOD SUPPLY AND OUR NATIONAL. >> OKAY, SO OR WHOMEVER WHAT I HAVE DONE? SO IT'S ACTUALLY MASS, IF YOU LOOK AT THIS TIME PERIOD RIGHT IN HERE, THERE'S VERY STRONG EVES THAT AIR POLLUTION IN THE FORM OF AEROSOLS WHICH ARE A PROUCT, SAY BURNING DIRTY COAL AND THESE ARE AIR O SOL THIS HAS A COOLING EFFECT. NOW WHEN YOU LOOK AT WHERE THESE TEMPERATURE TRENDS OCCUR, YOU NOTICE THAT THEY'RE ALL AT THESE HIGH NORTHERN LATITUDES. NOW BEFORE I GO TO THAT, I'LL REENFORCE WHAT PAUL EPISTEIN MENTION THIS MORNING AND THAT IS IF WE LOOK AT GLOBAL WARMING FOR THE PAST 50 OR 60 YEARS OR SO, THE VAST MAJORITY OF THE HEAT HAS GONE INTO THE OCEANS. I WILL EXPLAIN LATER HOW THIS IS INFERRED AND ONLY 5 PERCENT OF THIS HAS GONE INTO WARMING THE ATMOSPHERE AND ANOTHER 5 PERCENT HAS GONE INTO MELTING ICE. SO WHEN YOU MELT ICE, WHAT HAPPENS IS IT TAKES ENERGY TO DO THAT AND THEN YOU MOVE ICE FROM BEING WATER IN THE SOLID PHASE AND INTO THE LIQUID PHASE AND THAT HAS A COOLING EFFECT. SO THESE ARE THE THREE COMPONENTS OF WHERE THE WARMING HAS GONE AND MOST OF IT HAS GONE INTO THE OCEANS AND ON LAND WHERE WE HAVE THESE STRONG TEMPERATURE TRENDS IS THE LATITUDE. ABOUT A YEAR AGO THE HEAD OF NASA WAS ON NPR AND THEY CANNED HIM ABOUT CLIMATE CHANGE AND HE s AUTONOT REALLY IMPORTANT IF THE EARTH WARMS UP BY 1 DEGREE. THAT WAS AN IGNORANT STATEMENT. IT IS IMPORTANT WHERE IT OCCURS, IF YOU OCCURS IN THE NORTHERN ALTITUDE WHERE THERE'S ICE AND SNOW, THEN THERE IS GOING TO BE A FEE BACK. IF IT'S TROPICAL, HE'S PROBABLY RIGHT, HE NEED TO ADD THIS ARK DITIONAL CAVEAT AND IT'S IMPORTANT AND IT'S PERSON FOR CLIMATE CONCERNS TO LOOK AT WHERE IT'S HAPPENING. NOW YOU CAN DO A SIMPLE CALCULATION IN A MICROSOFT EXCEL SPREAD SHEET WHERE YOU CAN CALCULATE HOW MUCH ENERGY COME FROM THE SUN, ABOUT 1365 AND THEN THE ALBIDOOF THE EARTH, HOW MUCH IS REFLECTED BACK INTO SPACE AND THEN YOU CALCULATE THE ABSORBED ENERGY AND THEN FROM THAT YOU CAN MOVE BACK TO WHAT THE TEMPERATURE IS, BECAUSE THE EARTH IS A PERFECT RADIATOR. AND WHEN YOU DO THAT YOU SEE FOR A 1 PERCENT CHANGE IN OUR AVERAGE REFLECTIVITY, YOU WILL WARM OR COOL THE EARTH BY 1 DEGREE CENTIGRADE. THIS IS WITHOUT AN ATMOSPHERE AND AS WAS MENTIONED BEFORE THAT BECAUSE WE HAVE AN ATMOSPHERE, MUCH WE'RE MUCH WARMER THAN WE WOULD BE IF WE DIDN'T HAVE AN ATMOSPHERE. THIS IS A SIMPLE CALCULATION. THIS SHOWS YOU WHERE THE FEEDBACK COMES IN. AS YOU MELT ICE AND NO SNOW, BECAUSE DURING THE LAST GLACIAL MAXIMUM, A 30 OR ABOUT A THIRD WAS COVERED BY ICE AND SNOW AND THAT WAS REFLECTING A LOT OF UNERGY FROM THE SUN BACK INTO SPACE. SO AS THAT STARTED TO MELT IT HAD THIS POSITIVE FEEDBACK OF WARMING UP THINGS MORE AND CONVERSELY AS ICE AND SNOW EXPAND YOU'LL COOL THE EARTH. OKAY, NOW ICE. NOW THIS IS JUST AN INTRODUCTION TO A GRAPHIC WHICH I WILL SHOW ABOUT ARCTIC SEA ICE. SO NOW WE'RE LOOKING AT DATA WHERE WE CAN STUDY ARCTIC SEA ICE, DAY/NIGHT AND WE'RE LOOKING AT THE SUMMER MINIMUM. AND THESE ARE DATA WHICH ARE DERIVE FROM PASSIVE MICROWAVE SENSORS. SO THERE'S A SLIGHT DOWNWARD TREND AND THERE'S VARIABILITY WHEN WE BOUNCE ALONG AND THEN WE COME TO 2000, WE MOVE ON TO 2005, TWO THEN SIX AND IN 2007 WE REALLY SHOOT DOWN. THIS IS EXTREMELY INTERESTING AND NEEDS TO BE LOOKED AT AS ACTUALLY VERY, VERY, SERIOUS BECAUSE THE ALBEAT O OR REFLECTIVITY OF SEA WATER IS VERY, VERY, LOW. AUTOA DARK TARGET WHICH IT ABSORBS THE SHORT WAVE FLUX FROM THE SON, WRASSE ARCTIC SEA ICE REFLECTS A LOT SO WE'RE SETTING A MOTION TO HAVE LESS ICE AS TIME GOES ON. SO THAT'S JUST A BRIEF INTRODUCTION WHICH I'LL COME BACK TO IN A MINUTE ABOUT CLIMATE BUT LET'S TALK ABOUT THE USE OF SATELLITES AND REMOTE SENSING TO LOOK AT INFECTIOUS DISEASES FOR THE TWO DISEASES WHICH I MENTIONED. SO FROM SATELLITE DATA WE CAN LOOK AND GET AN IDEA OF WHERE THERE ARE OUTBREAKS IN THE DISEASES WHAT IS THE SETTING GEOGRAPHICALLY AND SPACIALLY WHERE THEY ENCOWER. ARE WE IN SAFE RAJA, OR GALLERY OR DO THESE OCCUR IN URBAN AREAS BUT MOST IMPORTANTLY WE CAN USE SATELLITE DATA TO DERIVE THREE VERY IMPORTANT ABIOTIC VARIABLES OF THE SURFACE, AND THAT IS RAINFALL, TEMPERATURE AND SURFACE TEMPERATURE HUMIDITY. BECAUSE MANY INVERTEBRATES AND MANY MIKE ROBES ARE SENSITIVE TO THESE THREE ABIOTIC VARIABLES. SO IF YOU'VE SEEN THE MOVIE OUTBREAK THIS IS KEVIN SPACY, WITH EBOLA, WE CRACKED THE DVD CODE AND WE WERE ABLE TO PULL OUT JPEG FROM IT SO HERE'S KEVIN SPACE SCHEHE SUFFERS, EBOLA BUT HE SURVIVED BECAUSE HE STILL WITH US. AND ONE OF THE CURIOUS THINGS ABOUT EBOLA IS IT HAS A VERY HIGH CASE FATALITY. , 60 VERY CURIOUS WHICH ATTRACTED THE ATTENTION OF PEOPLE, ISEC BOLA WHEN IT FIRST APPEARED AND WAS DOCUMENTED IN THE 1970S AT SEVERAL LOCATIONS AT ABOUT THE SAME TIME AND THEN THERE WEREN'T ANY REPORTS OF EBOLA RIVER EMERAGIC FEVER OUTBREAKS UNTIL 1994 SO THERE WAS THIS LONG DORMANT PERIOD. IN THE INTERVENING PERIOD, THE VIRUS COWBOYS AND COW GIRLS WERE IN THE OUTBREAK AREAS OF EQUATORIAL AFRICA LOOKING FOR ANTIBODY TO THE VIRUS OR TO THE VIRUS ITSELF. AND THEN SINCE 1994 THERE HAVE BEEN MANY, MANY, OUTBREAKS OF EBOLA. THIS IS AFRICA AND I HAVEN'T UPDATED THIS SINCE LAST YEAR. SO WHAT MY GROUP AT THE GOD ARD SPACE SPLIT CENTER IN NEARBY GREEN BELL DID IS WE TOOK THE DOCUMENTED CASES AND WE WENT INTEREST OUR SATELLITE DATA AND LOOK AT THOSE SPECIFIC LOCATIONS AND THOSE SPECIFIC TIMES TO SEE, WAS THERE ANYTHING UNUSUAL IN TERMS OF OUR ABIOTIC VARIABLES AT THOSE LOCATIONS THEN WE RAN THAT FORWARD AND BACKWARDS IN TIME TO SEE IF WHAT WE FOUND WAS UNIQUE. NOW FIRST, BECAUSE I'M TRAINED AS A BIOLOGIST ORIGINALLY EVEN THOUGH I'M NOW MORE OF A PHYSICAL SCIENTIST, LET'S LOOK AT THE PHYLOGENY OF THE EBOLA VIRUS. THERE ARE FOUR STRAINS, ONE FROM AFRICA, ONE FROM THE IVORY COAST AND ONE FROM SOUTHERN SUDAN AND ONE FROM ALL PLACES REST IN VIRGINIA, WELL THIS WAS DOCUMMED IN A PRIMATE LAB THERE AND AFTER A GREAT DEAL OF RESEARCH AND TRACE BACK, THOSE ANIMALS WERE TRACED BACK TO THE PHILIPPINES EVEN THOUGH EBOLA HAS NEVER BEEN REPORT FROM THE PHILIPPINES. SO THIS ADDS TO THE COMPLEXITY ABOUT IT AND GIVEN RISE A LOT OF CONSPIRACY THEORIESES AMONG THE SAME PEOPLE WHO DOUBT CLIMATE CHANGE. JUST JOKING. AND THEN THE FIRST COULD YOU SAY IN OF THE EBOLA VIRUS IS THE MAR BERG VIRUS. SO WHAT WE FOUND, WE, BEING MY GROUP. WHEN WE LOOK WE PHON THAT ALL EBOLA HEMORRHAGIC FEVER UT BREAKS HAVE OCCURRED IN AREAS OF TROPICAL FOREST INEC QUATORIAL AFRICA. EITHER CONTINUOUS LIKE YOU SEE HERE, HERE'S A PHOTOGRAPH WHICH I'VE TAKEN FROM A SMALL PLANE FLYING OVER SOME OF THESE TROPICAL FORESTS THIS, IS WHAT THEY LOOK LIKE ARK A CONTINUOUS CARPET OF TREES, OR THEY HAVE OCCURRED IN AREAS OF GALLERY TROPICAL FOREST AND HERE IS A TONGUE OR FINGER OF TROPICAL FOREST IN A MATRIX OF SAVANNAH. SO IF YOU LOOK AT ALL THEEC BOLA OUTBREAKS HAVE OCCURRED, IT'S BEEN IN UPON ONE OR TWO OF THOSE ECOLOGICAL SETTINGS. NOW, IT HAS BEEN UNKNOWN WHERE THE RESERVOIR OF THE EBOLA VIRUS IS AND WHAT THE VECTORS ARE IN ITS TRANSMISSION ALTHOUGH THERE HAVE BEEN ONE OR TWO REPORTS RECENTLY WHERE IN CERTAIN SPECIES OF BATS THE ANTIABOUTS TO THE VIRUS HAVE BEEN FOUND. BUT THIS IS A PUBLICATION FROM A FEW YEARS AGO WHERE YOU LOOK ON THE LEFT IN THE ANIMAL KINGDOM. SO WHEN YOU SEE SOMETHING LIKE THIS AS A RESEARCHER, IF YOU CAN NARROW IT DOWN TO PLANTS OR ANIMALS THAT WOULD BE A MAJOR ACCOMPLISHMENT. SO WE THOUGHT WOW, LET'S LOOK AT THIS. BUT IT MEAN IT'S VERY INTERESTING. AND THEN THERE'S ALL SORTS OF POSSIBILITYS FOR INVERTEBRATES AND INVERTEBRATES AND BATS AND RATS, THE FAVORITES OF MAIMOLOGYSTS WHICH COULD BE INVOLVED IN THE TRANSMISSION TO PRIMATES. AND IT'S KNOWN TO EFFECT IN A VERY VIRULENT WAY PRIMATES, HUMANS, GORILLAS, AND OTHER PRIMATES WHICH MEANS IT IS A NEW DISEASE BECAUSE HERETOFORE NO ANTIABOUTS HAVE BEEN FOUND IN PRIMATES PRIOR TO SOME RECENT EXPOSURE. OKAY, SO WHAT WE HAVE IS AND MY GROUP AT THE GOD ARD SPACE FLIGHT CENTER, WE'VE TAKEN A WIDE VARIETY OF INNER SILENTS AND WE CALCULATED IT WHICH MEANS WE SPENT TIME WORKING ON CALIBRATION ISSUES AND WE HAVE THIS GLOBAL DATA SET THAT RUNS FROM MID1981 THROUGH PROBABLY YESTERDAY OR MAYBE TWO DAYS AGO. BECAUSE WE TRY TO KEEP CURRENT PROCESS DATA FOR A WIDE VARIETY OF CLIMATE QUESTIONS AND SO WE USED THOSE DATA THEN TO LOOK AT WHERE WE HAD THESE OUTBREAKS OF THE OH BOLA WAS UNIQUE ABOUT IT AND SHOULD IS A SPAGHETTI CHART. AND IF YOU LOOK AT EACH OF THESE CURVES, EACH OF THESE LINES REPRESENTS ONE OF THESE AREAS WHERE THERE WAS AN OUTBREAK OF EBOLA. THE ARROWS INDICATE THE TIME AND THE YEAR WHEN THESE OUTBREAKS OCCUR. IT'S KIND OF CONFUSING. THE IMPORTANT THING IS WHEN WE LOOK AT WHERE THE OUTBREAK OCCUR, WHAT WE FOUND FOR MOST OF THE CASES WE HAD A TWO STANDARD DEVIATION OR DRY PERIOD, AS THE RAINY SEASON WASSENNING, IT COULD BE THEN OF THE LONG RAINS OR THE SHORT RAIN, IF YOU HAVE THE EQUATOR, HAVE YOU A DRY AND A RAINY SEASON. IF YOU'RE ON IT, HAVE YOU A BIMODAL RAINY SEASON AS THE RAINS OF THE INTERTROPICAL CONVERGENCE SOUTH PASS OVER THE EQUATOR AND THEN SOUTHWARD FOLLOWING THE SUN AND THESE OCCUR AND IT WAS PUNCTUATED BY A TWO STAND ARD DEVIATION DRY PERIOD WHICH WAS THEN INTERRUPT BY A TWO STANDARD DEVIATION RETURN TO VERY WET CONDITIONS. AND SO WE PHON THAT THESE LOCATIONS, IS THISUCNIQUE OR DID THIS HAPPEN EVERYWHERE ALL THE TIME. SO WE LOOKED WHERE WE HAD THESE CONDITIONS IN OUR ENTIRE DATA SET AND THIS IS WHERE WE MAPPED THEM OUT TO BE. THE IMPORTANT THING HERE FOR THESE RED POINTS ISSUES THESE ARE POINTS WHICH WHERE WE FOUND THESE CONDITIONS TO BE TRUE, FOR THESEICALLY AREAS WE DIDN'T. SO WE DIDN'T KNOW, DID SOMETHING ELSE HAPPEN HERE AND WE'RE WRONG OR DID PEOPLE TRAVEL TO THESE LOCATIONS FROM ONE OF THESE SITES? BUT THIS IS ONE WAY OF USING SATELLITE DATA TO FOCUS VERY SPECIFIC QUESTIONS TO BE ASKED AT CERTAIN TIMES AND CERTAIN PLACES. THEN WE TOOK THE SAME DATA AND WE RAN IT BACKWARDS IN TIME. EACH EACH OF THESE HISTOGRAMS REPRESENTS THE MAGNITUDE IN TERMS OF AREA WHERE THESE WERE EFFECTED WITHIN THE TROPICAL FOREST STRATAWHERE WE HAD THESE SIMILAR CONDITIONS OF AT LEAST A TWO STANDARD DEVIATION, DRY PERIOD, PUNCTUATED BY A TWO STANDARD DEVIATION AND IMMEDIATE RETURN TO WET CONDITION. WE HAVE AN ORBCONTRARY FLESH HOLD I'VE DRAWN HERE. THE ARROW INDICATE TIME WHEN IS WE HAD ACTUAL DOCUMENTEDEC BOLAITY BREAKS IN THOSE YEARS YEARS. IN 1991 IT'S VERY HIGH. SO WAS THERE AN OUTBREAK AND WE DIDN'T KNOW IT? OR MAYBE IT WASN'T REPORTED? DID IT AFFECT PRIMATES? OR IT WASN'T DOCUMENTED AND BROUGHT TO THE ATTENTION OF MEDICAL PERSONNEL? BUT WE DO CATCH MOST OF THEM. SO, THIS IS ONE OF THE CONCLUSIONS WHICH WE HAVE. WE THINK WE HAVE A CLIMB TO LOGICAL MODEL WITH A HIGH DEGREE OF GEOGRAPHICAL SPECIFICITY WHERE THE HOT ZONE OF EBOLA IS, BUT WE CAN'T REALLY DO TOO MUCH BEYOND THAT EXCEPT WAIT FOR MORE OUTBREAKS WHICH OF COURSE YOU DON'T WANT TO HAPPEN AND SEE HOW THING LOOK. SO THAT'S WHERE THINGS STAND WITH OUR WORK ON EBOLA AND WE'RE DOING THIS. ANYTIME THERE'S AN OUTBREAK WE USE PROMED, WE GET THE REPORTS IN, WE COLLABORATE WITH THE WORLD HEALTH ORGANIZATION, AND WITH OTHER GROUPS, AND WE'RE EXTREMELY INTERESTED IN THIS AS TIME GOES ON SO WE CAN BETTER KNOW WHAT'S HAPPENING. NOW I WILL TURN MY ATTENTION TO A DISEASE WHICH MANY OF HAVE YOU NOT HEARD ABOUT. WHICH IS CHIKUNGUNYA. IT IS A FEVER LIKE DINGHY FEVER AND I'LL SHOW RESULTS OF OUR SATELLITE DATA ARKINAL SIS OR OR SATELLITE DATA ANALYSIS FROM EAST AFRICA AND THE INDIAN OCEAN. THIS WILL BE A VERY DIFFERENT PRESENTATION IN THE SENSE THAT IN STARTING IN 2004 AND CONTINUING THROUGH 2005 AND 2006 THERE WERE SEVERAL OUTBREAK OF THIS DISEASE IN THE INDIAN OCEAN AREA AND EAST AFRICA BUT THEY WERE ASSOCIATED WITH VERY DRY CONDITIONS. SO NORMALLY A CHIKUNGUNYA IS ASSOCIATED IN AREAS OF EQUATORIAL AREAS OF AFRICA AND ASSOCIATED WITH EXCESSIVE RAINFALL, BUT SOMETHING HAPPENED IN 2004 VERY LARGE SERIES AND SCALE OF OUTBREAKS WHICH PROPAGATED OVER TIME AS PEOPLE MOVED FROM ONE LOCATION TO ANOTHER AND WAS STRONGLY ASSOCIATED WITH DROUGHT. AND THE ARK SUSMGZ IS THAT DURING PERIODS OF DROUGHT, THEY STORE WATER, THEY STORE WATER IN CONTAINERS WHICH WERE NOT COVERED THIS THEN MADE AN IDEAL STORAGE AND BREEDING WAS A WATER STORAGE SITUATION WHICH WAS AN IDEAL BREEDING HABITAT FOR THE SPECIESS OF MOSQUITOES WHICH TRANSMIT THIS DISEASE. NOW, ONE OF THE PROBLEMS WHEN YOU STUDY SOME UNUSUAL DISEASES LIKE THIS IS REPRESENTED IN THIS FIGURE. SO HERE YOU SEE IN YELLOW ARE THE CASES WHERE HOSPITALS HAVE REPORTED THE INCIDENCE OF MALARIA, THIS IS FROM LAMU,OT INDIAN OCEAN COAST OF KENYA IN 2004. AND THE HISTOGRAM ARE THE MEMBER OF CASES OF CHIKUNGUNYA. AND SO WHAT YOU NOTICE IS THAT AT FIRST WHAT HAPPEN HERE IS THE OUTBREAK OF CHIKUNGUNYA WAS CONFUSED WITH JUST A FAIRLY PREVALENT LEVEL OF MALARIA IN THE AREA AND THEN YOU COME TO THE APRIL/MAY AREA WHEN THE DROUGHT CAME ON AS I'LL SHOW IN A SEC, AND THESE CASES SPIKED UP. SO, OUR DATA AND THE MEDICAL DATA INDICATE THAT THIS OUTBREAK OCCURRED FIRST OF ALL IN LAMU, IN KENYA AND THEN PEOPLE MOVED TO OTHER PLACES LIKE THE MOBASA IN KENYA, TO SEVERAL OF THE INDIAN OCEAN ISLANDS LIKE THE SEA SHELL, THE KOMOSH ROS, REUNION ISLAND AND SUBSEQUENTLY THERE WERE OUTBREAKS OF THIS DISEASE THERE. SO NOW WE USE A DIFFERENT TYPE OF SATELLITE DATA WHERE WE LOOK GOING ON THE OUTWAVE LONG GOING RADIATION. THIS IS THE HEAT OF THE EARTH. AND WHEN YOU HAVE DRY CONDITIONS HAVE YOU A LET OF ENERGY GOING OUT, DURING DRY PERIODS AND EXTENSIVE DOUBTS, YOU DON'T HAVE CLOUDS SO HAVE YOU A LOT OF LONG WAVE RADIATION WHICH GOES OUT INTO FACE. ASK WHAT YOU NOTICE IN MAY, IN MAY, THIS IS AN EXTREME DRY CONDITION HERE AND THAT WAS WHEN WE SAW THE SPIKE IN THE CASEIS OF AUTORIGHT THERE. THIS IS THE CENTER OF THE DOUBT AREA. VERY UNUSUAL, VERY UNEXPECTED. HERE WE HAVE A DOUBT IN A VERY SEVERE DROUGHT WHICH WAS IMPPLICATED IN THE SPREAD OF THIS DISEASE. THIS IS A FIGURE WHICH SHOWED THE SAME THING. IF WE LOOK IN THE RED CURVE OR THE RED LINE IN THESE TWO FIGURES FROM 2004, TWO THEN FIVE, THE FIRST ONE IS FROM LAAMERICA U, AND THE SECOND ONE IS ALSO FROM KENYA FROM THE TOWN OF MARK BASA. WHAT YOU SEE INDEED RED LINE IS WHAT THE LONG RAINFALL IN THESE LOCATIONS AND THE BLUE DATA ARE THE ACTUAL RAINFALL FROM METEOROLOGICAL STATIONS AND IT'S THIS DIFFERENCE RIGHT IN HERE AND RIGHT IN HERE WHERE WE HAD THESE OUTBREAKS OF O HERE OF CHIKUNGUNYA IN THESE TWO LOCATIONS. FIRST IN LAMUAND THEN SUBSEQUENTLY IN LAMBASA. WE CAN INFER THE SAME THING FROM THE SATELLITE DATA WHICH WE HAVE, THAT HERE WE HAVE THE DEPARTURE IN THE LONG RAINFALL, CALLED THE RAINFALL ANOMALY. SITUATED HERE IN BLUE. AND OUR SATELLITE DATA TRACK THIS CAREFULLY AND SO HERE, THEY'RE BOTH NEG95 AND HERE WAS THE FIRST WAS THE FIRST INITIAL OUTBREAK. SO WHAT WE HAVE HERE ARE TWO EMPLOY EXAMPLES OF HOW WE USE SILENT DATA AND WE'RE LOOKING AT CLIMATIC EVENTS WHICH WE'VE SEEN SEVERAL EXAMPLES EARLIER WHICH CAN BE AND WILL BE STRONGLY EFFECTED BY CLIMATE AS WE MOVE TO WARMER CONDITION. NOW, I'LL WHAT I WOULD WILL LIKE TO DO NOW IS SHOW OTHER WAYS OF LOOKING AT THE CLIMATE SYSTEM TO SEE, FIRST OF ALL, IS CLIMATE CHANGE OCCURRING AND WHAT IS IT POSSIBLY DUE TO? AND THE PREVIOUS SPEAKER WHO IS A HARACT TO FOLLOW SHOWED THINGS ABOUT COSH TWO, THIS IS A PLOT OF THE ATMOSPHERIC CO2 CONCENTRATION VERSES TIME WHICH STARTS IN THE LATTER PART OF THE 18TH CENTURY AND THEN IT RUNS ON UP TO WHERE WE ACTUALLY STARTED THE DAY BY DAY, WEEK BY WEEK, HAWAII MEASUREMENTS OF UPDATE AND WHEN YOU LOOK AT THESE, THERE ARE THREE DISTINCT SLOPE TO THESE DATA. SO THESE COME FROM ICE CORES, THESE ARE ALSO ICE CORES, AND SO, WE STARTED AT A PRE OF 280 PART PER MILLION. EXCUSE ME AND THEN WE BURN WOOD AND COAL AND WE HAVE A SLIGHT INCREASE UNTIL JUST AFTER THE AMERICAN CIVIL WAR WHEN THE AGE OF PETROLEUM CAME IN AND THEN THE SLOPE CHANGED DRAMATICALLY AS WE WERE BURNING MORE AND THEN AFTER THE END OF WORLD WAR II IN 1950 WE HAD THIS RAPID INCREASE BECAUSE OF THE TREMENDOUS ECONOMIC EXPANSION. AND WE'RE PRESENTLY NOW AT 385 OR 390 PART PER MILLION. NOW, YOU CAN ARGUE ABOUT GLOBAL WARMING WITH SOME PEOPLE AND I'VE BEEN IN NUMEROUS ARGUMENTS WITH THEM. SO LET'S LOOK AT SEA LEVEL RISE AND SEE WHAT WE CAN INFER FROM THAT AND WHAT MAY BE CAUSING THEM. HERE ARE DATA WHICH RUN THROUGH 2007. EXCUSE ME. AND THEY STARTED IN VERY LATE 1992 AND THESE ARE DATA WHICH ARE BASED UPON HAVING RADARS ON SATELLITES WHICH THEN SHOOT A BEAM DOWN TO THE EARTH'S SURFACE OR THE OCEAN'S SURFACE AND THEN THEY MEASURE THE RETURN. AND JUST LIKE THE POLICE CAN CATCH YOU FOR SPEING, AUTOTHE VERY SAME PRINCIPLE. SO I DON'T THINK MANY PEOPLE WOULD DISAGREE THAT YOU CAN USE RADARS THAT TELL SPEE OR DISTANCE. IT'S COMMONLY USED IN A VERY WIDE VARIETY OF PURPOSES. AND SO CAN YOU DO THIS, YOU CAN AVERAGE THE DATA OVER THE WORLD'S OCEANS AND YOU CAN LOOK AT THE SEA LEVEL. SO THESE ARE SPACIALLY CONTINUOUS DATABASED UPON RADAR ALTIMETERS AND THEY 10 TO VERYY LIKE YOU SEE HERE BUT THIS IS THE SO THIS IS A SLIGHT VARIATION SO WE'RE LOOKING AT THE DEPARTURE FROM THE MEAN AND WE'RE LOOKING AT SEA LEVEL RISES, GOES ALONG AND ALL THE POINTS ARE HERE AND THEN WE COME TO THIS TIME PERIOD. SO WHEN YOU ANALYZE THESE DATA, YOU SEE SOMETHING WHICH IS VERY, VERY, INTERESTING WHICH IS THE EARLY EARLY TIME PERIOD AND THE FIRST SEVEN YEAR, YOU HAD A SEA LEVEL RISE BASED UPON TWO DIFFERENT METHODS, JUST UNDER 3 THEN FOR THE LAST SEVEN YEAR IT'S ABOUT 4 SO THIS IS INTERESTING, AND YOU ASK THE QUESTION, ARE THESE MEASUREMENTS WRONG AND WHAT IS CAUSING THIS. NOW YOU KNOW THAT 60% APPROXIMATELILY AND THE SEA LEVEL RISE IS DUE TO THE THERMAL ECPANGS OF THE WATER AS IT WARMS AND 40% IS DUE TO GLACKIERS OR ICE EXPLAIN THAT. SO THIS IS ONE OF THE TESTS. SO ONE OF MY CO WORKS AT THE SPACE FLIGHT CENTER s s LET'S SEE IF THIS IF THIS MILLIMETERS PER YEAR, CAN WE MEASURE IT BY USING NEW SATELLITE DATA WHICH ARE GRAVITY DATA. THIS IS NOT STAR TREK BUT THERE'S AN INTERESTING NASA SATELLITE CALLED G. R. A. C. E. WHICH STANDS FOR THE GRAVITY, RECOVER AND ACTIVITY AND CLIMATE AND THERE'S ACCURATE I'M NOT SURE WHAT THE RADAR IS, BUT ACCURATE RANGING BETWEEN THEM WHERE YOU MEASURE THE DISTANCE BY A HUMAN HAIR. ACCURATE DISTANCE. AND AS THESE TRAVEL AROUND IN THE SAME ORBIT, PAIRED ORBIT. IF YOU GO OVER A DISCONTINUITY ON THE MASS, MASS VARIATIONOT SURFACE. A PERSON WILL SLOW DOWN IF THERE'S MORE MASS OR SPEED UP IF THERE'S LESS MASS AND FROM THIS VARIATION OF THE DISTANCE, CAN YOU BACK OUT WHAT THE MASS IS BETWEEN THE SILENT. SO LET'S LOOK AND SO HOW THOSE DATA LOOK. NOW BEFORE I DO THAT, WITH GLOBAL WARMING WE EXPECT TO HAVE AN ACTIVE HYDROLOGICAL CYCLE, PAUL AND OTHERS HAVE SHOWN SOME FIGURES ON THAT THIS MORNING AS YOU EXPECTED TO RAIN MORE AND SNOW MORE BECAUSE YOU'RE EVACERATING NOR WATER EVAPORATING MORE BECAUSE OF THE WATER. NOW I'LL SHOW SATELLITES THEN FROM GREEN LAND, ALASKA AND ANT ARCTICCA WHERE WE SEE CLEARLY THERE'S MORE ACCUMULATION OF SNOW BUT MORE OF IT MELTING BECAUSE AUTOWARMER. NOW THESE ARE THE GRACE RESULTS FROM GREEN LAND, SO WE'RE LOOKING AT MASS CONS WHICH IS MASS CONCENTRATION AND WHAT YOU SEE, YOU HAVE THESE MEASUREMENTS EVERY MONTH AND YOU SEE THE ACCUMULATION IN WINTER AND LOSS DURING THE WARMER PART OF THE SUMMER AND THEY OSCILLATE LIKE THIS. SO YOU LOOK AT THE BALANCE AND WHAT YOU SEE FOR GREEN LAND IS YOU HAVE A LOSS OF 150 GIGA TONS OF WATER PER YEAR BECAUSE YOU'RE MEASURING ICE. IT DOESN'T MATTER BECAUSE THE UNITS ARE THE SAME WHETHER IT'S WATER OR ICE. NOW YOU CAN BREAK THAT OUT, BUT FOR THE NORTHERN PART OF GREEN LAND WAY UP HERE AUTOONLY ABOUT 30 GIGA TONS BUT FOR THE REGIONS OF THE SOUTH, EVERYTHING ELSE IS MUCH, MUCH, MORE. THIS IS COINCIDENCE IS ENTIRELY CONSISTENT WITH THE TEMPERATURE DATA FROM GREEN LAND. LET'S LOOK IN TERMS OF ELEVATION. WELL, THERE'S ANOTHER NASA SATELLITE WHICH IS CALLED I. S. A. P. AND THIS HAS A LASER WHICH BEAMS DOWN AT THE EITHER'S SURFACE AND AUTOACCURATE FOR MEASURING HEIGHT. AND BECAUSE THE FREQUENCY OF THE LASER LIGHT IS MUCH, MUCH, SMALLER, AUTOBETTER FOR LOOKING AT SMALL VARIATIONS OF THE SURFACE TO GET THEIR ELEVATION. SO YOU USE A COMBINATION OF THE GRAVITY DATA IS AND THE ELEVATIONAL DATA OF GREEN LAND AND WHAT YOU SEE IS THAT ABOVE 2000 E. BECAUSE ABOVE 2000 MUCH, KOHLER. AND SOMETIMES THE CLIMATE CHANGE SKEPTICS WILL SAY, IN GREEN LAND SNOW IS ACCUMULATING ABOVE 2000 IS THIS TREMENDOUS LOSS AND THE DIFFERENCE IS 150 GIGA TONS OF WATER PER YEAR. NOW LET'S LOOK AT ALASKA. SO WHAT THESE TWO CO SO WHAT THEY'VE DONE IS LOOK AT LARGE AREAS OF ICE TO GET DETAILED INFORMATION OVERTIME, MONTH BY MONTH AND SEE WHAT THE MASS BALANCE CHANGE ARE AS THIS RELATES TO THE SEA LEVEL RISE COMPONENT THAT IS ATTRIBUTED TO GLACIAL MELT. SO NOW FOR ALL OF ALASKA, THEY CAN ACTUALLY LOOK AT AREAS THAT ARE AS SMALL AS 50,000 SQUARE KILL METER AND THEY SAY FOR ALASKA THERE IS A NET LOSS OF ABOUT 80 GIGA TONS OF WATER PER YEAR. BUT YOU SEE THIS VARIATION, THAT IT DOES INCREASE IN THE WINTER AND THEN IT DECREASED IN THE SUMMER. AND THEN IT INCREASES IN THE WINTER AND SO ON AND SO FORTH, BUT THE SLOPE IS NEGATIVE IS VERY, VERY, CONSTANT. CAN YOU BREAK THIS OUT TO THE WESTERN PART OF LA LAS, THE EASTERN PART OF ALASKA, SO ON AND SO FORTH BUT YOU SEE THE SAME THING. THERE'S THIS NET LOSS OF GLACIAL MASS FROM ALASKA ON THE ORDER OF 80 GIGA TONS A YEAR. NOW LET'S LOOK AT SORT OF THE BIG DAY OR THE BIG MAMA OF THEM ALL WHICH IS ANT ARCTICCA. YOU'RE TALKING ABOUT SEA LEVEL, ANTARCTICCA BECAUSE IT ALL MELTS THAT PORTION WHICH IS ABOVE SEA LEVEL IS ABOUT 80 OF SEA LEVEL RISE. TO GO TO GREEN LAND AUTOA MAGNITUDE LESS, AUTOSIX OR 7 OF POTENTIAL SEA LEVEL RISE AND THEN GO TO THE MOUNTAIN GRATIERSS AND IT'S LESSOT ORDER OF 60 OR 70 SO WE'RE VERY CONCERNED ABOUTER SPECIALLY GREEN LAND AND ANTARCTICA AS IT RISE. SO AS YOU LOOK, WHAT YOU SEE IS IN WEST ANT ARCTICCA, THESE ARE IT RIGHT HERE, HAVE YOU A LOSS OF 120 GIGA TONS A YEAR EVEN THOUGH THE TEMPERATURE THERE ARE VERY WARM. SO WHAT IS HAPPENING, THE OCEANS AROUND IT ARE WARMING. HAVE ALL THESE GLACIERS COMING OUT AND YOU SEE IT MELTING AND ACCEL BERATING THE FLOW FROM THERE TO THE OCEANS. IF YOU LOOK TO THE EAST, YOU SEE THERE IS A METAACCUMMULATION THERE ON THE ORDER OF 10 TO 20 GIGA TON PER YEAR. SO, BUT THE TOTAL IS A NET LOSS OF 100 GIGA TONS A YEAR. SO THESE COWORKER OF MINE ARE NOW DOING THE SAME FOR THE NORTHERN PART OF CANA, PAT GONIA AND THE HIMALAYAS. AND SO FAR THE RESULT INDICATE THAT THE SEA LEVEL RISE OF ABOUT 1.6 OF THE 4 ENTIRELY CONSIST SPENT THEY'RE ABLE TO CONTRIBUTE THIS TO THESE VARIOUS SOURCES. OKAY, SO LET'S HAVE A CARTOON AND THEN LET'S TALK ABOUT MORE SERIOUS THINGS. SO HERE IS PERHAPS SOMEONE DOWN ON THE MALL OR CLOSE TO IT, AND THEY'RE SIT NOTHING WATER AND THEIR FEET AND THEIR SOCKS ARE WET AND THEY'RE SAYING, PERHAP IT'S TIME, LIKE OUR PRESIDENT YESTERDAY, THAT WE GAVE SOME SERIOUS THOUGHT TO THE POSSIBILITY OF CLIMATE CHANGE. BUT THE FACT IS WENY TO DID IT NOW AND NOT WEIGHT 17 YEAR. SO THERE'S STRUCK BY OUR VEHICULAR INSANITY FOR BURNING FOSSIL FUELS. THIS IS WHY I RIDE MY BIKE TO WORK AS MUCH s AS I CAN. BUT WHAT WE WE HAVE TO WORRY ABOUT IS BURNING OF COAL, AND BURNING OF OIL FROM TAR SANDS AND BURNING OF OIL FROM TAR SHALE BECAUSE THE CARBON RELEASE FROM THOSE THREE FUELS, YOU GET THREE TIMES THE AMOUNT OF CARBON PER BDU AS YOU GET OF BURNING NATURAL GASES. AND WENY TO START NOW AND NOT WAIT 17 OR 20 YEAR: SO THIS IS FROM JIM HANSEN'S WORK AT THE SPACE CENTER. AND THE BIG KILLER GOING TO BE COAL. SO HERE WE HAVE THE BIOSPHERIC COMPONENT. THIS IS DUE TO LAND USE CHANGES. HERE WE HAVE OIL AND NATURAL GAS. SO WHAT CAN WE DO? IF WE GO TO A SENSIBLE USE OF COAL WHICH MEANS WE OHM BURN COAL IF WE HAVE CARBON SEQUESTRATION, CARBON CAPTURE, WE CAN STABILIZE THE ATMOSHPHERIC CONCENTRATION SOMEWHERE BETWEEN 404 HICK PARTS PER BUT THE IMPORTANT THING IS NOT NO FURTHER THIS ON. SO I THINK I'LL STOP THERE AND ANSWER ANY QUESTIONS. SO, THE IMPORTANT THING THAT WORK ON THE IS IT OF GLOBAL PHOTOSYNTHESIS IS CHANGING, WE'RE MOVING TO WARMER CONDITIONS I'VE SHOWN TWO INFECTIOUS DISEASES ASSOCIATED WITH EXTREME WEATHER EVENTS ONE WITH DROUGHT AND THE OTHER WITH A VERY CURIOUS DRY PERIOD IN AN EQUAITORIAL TROPICAL FOREST WHICH WAS PURCHGHTUATED BY A WET CONDITION WHICH SEEMED TO BE ASSOCIATED WITH OUTBREAKS OF A VIRUS FROM AN UNKNOWN RESERVOIR AND SO I THINK THE TALK ABOUT CLIMATE CHANGE AND INFECTIOUS DISEASES IS VERY PERTINENT AND THESE ARE JUST TWO EXAMPLES. (APPLAUSE). >> THANK YOU JIM. AND LET'S REMEMBER THERE ARE A LOT OF PEOPLE LOOKING IN AND THIS IS ALL BEING RECORDED. >> OH MY GOD. >> ON TO TAPE, SO, ANY QUESTIONS FOR JIM? >> JUST A QUICK ONE. THERE WAS A RECENT REPORT THAT THE OCEAN TEMPERATURE AT LEAST SHALLOW OCEAN TEMPERATURES HAD STOPPED WARMING, I THINK IT WAS IS THAT DUE TO THIS INPUT OF WATER COMING IN FROM GLACIAL MELT? >> I'M NOT SURE. THERE WAS ONE REPORT. WELL WHAT HAPPENED IN 2003 OR FOUR A NEW SERIES OF FLOATING BUOYS, AUTONOMOUS BUOYS WERE DEPLOYED AND CO INSIDING WITH THEIR DEPLOYMENT, THREES WERE BUOYS WHICH TOOK A PROFILE OF TEMPERATURE AND SALINITY WITH DEPTH AND THEY COME UP AND STORE THE DATA AND TRANSMIT IT TO A SILENT AND THEN IT'S PROCESSED. IN THOSE IT WAS DISCOVERIED THAT AS SOON AS THEY WERE DEPLOYED THERE WAS THE INICATION OF A SLIGHT OCEAN COOLING BUT BECAUSE THE VOLUME AND THE MASS OF THE OCEAN IS SO GREAT, PEOPLE SAID WELL, THIS IS THE CASE THSH IS VERY STRANGE, THE OCEAN OCEANS ARE COOLING. IT TURNED OUT TO BE A CALIBRATION IN THE INSTRUMENTS BECAUSE IT CO INSIDED WITH THE DEPLOYMENT OF THESE. NOW JUST A FEW MONTHS, THE ORIGINAL AUTHORS OF THIS, THEY DISCOVERED THEIR ERROR AND THEY HAVE RETRACT IT AND CORRECTED IT. SO NOW THERE'S NO DISCUSSION OF OCEAN COOLING. >> I HAD A QUESTION GOING BACK TO THE DATA YOU WERE SHOWING ABOUT THAT INTERESTING ARK NOMELY OF THE TEMPERATURE FLUX WITH THE DROUGHT AND THE HEIGHT AND THE WETNESS PERIODS YOU ASSOCIATED WITH THE OUTBREAKS. HAVE YOU OR MAYBE SOMEBODY ELSE GONE BACK NOW AND STARTED TO LOOK AT POTENTIALS OF VEES RESERVOIRS TO FIGURE OUT IF THERE'S RISE IN THE SPECY OR BACTERIA ASSOCIATED WITH THOSE PERIOD OF OUTBREAK? >> WELL, LAST TIME I CHECK THERE HAD BEEN SEVERAL 10S OF THOUSANDS OF INDIVIDUAL DETERMINATIONS DONE ON INVERTEBRATES, INVERTEBRATES FROM EQUATORIAL AFRICA FROM THE OH BOLA I HAVE RUSE OR EBOLA VIRUS. ANTIBODIESS HAVE BEEN FOUND IN FRUIT BATS. NOW WE DON'T KNOW IF THAT IS THE RESERVOIR OR A VECTOR. SO THE WORK IS STILL GOING ON. BUT THERE HAVE BEEN 10S OF THOUSANDS OF INDIVIDUAL ASSAYS OF SPECIMENS COLLECTED, REPTILE, AMPHIBIANS, INSECTS, MAMMALS, BIRDS, AND THE COME UP NEGATIVE. >> ( INAUDIBLE ). >> THERE'S A PERSON WHO WAS A GRADUATE STUDENT STUDIED A LOT OF PLANT PHYSIOLOGY, I THINK IT WOULD BE WILD IF IT WAS THE PLANTS THAT WERE RESPONSIBLE. (LAUGHTER). >> THANK YOU. (APPLAUSE). >> LAST SWEEKER IS SOMEONE WHO WORK CLOSELY WITH JIM TUCKER THEY WORK TOGETHER, THEY WORK ON CHIKUNGUNYA AND RIFT VALLEY FEVER THRK IS CLEARLY A DISEASE THAT HAS MAJOR ECONOMIC IMPACT AND AUTOA GREAT PLEASURE TO WELCOME KEN LINTHICUM. >> THANKS. (APPLAUSE). >> THANKS, PAUL, VERY MUCH. I WOULD LIKE TO FIRST THANK EDWARD O FOR INVITING ME TO PARTICIPATE IN THIS GREAT GROUP OF SPEAKER ON A VERY INTERESTING TOPIC THAT I THINK IS OF IMPORTANCE TO EVERYBODY IN THE WORLD AND IS SOMETHING THAT'S IMPORTANT TO US IN THE USDECA. COLLABORATORS CONCERNING THE WORK THAT I'M GOING TO BE SHOWING. A NUMBER OF PEOPLE AT GOD ARD SPACE FLIGHT CENTER, INCLUDING JIM TUCKER AND OTHERS, ALSO IN THE DEPARTMENT OF DEFENSE COLLEAGUES, BOTH HERE IN WASHINGTON AS WELL AS AT LABORATORIESES DEPLOYED OVERSEAS. YOU KNOW ABOUT 45 YEARS AGO ALMOST EXACTLY 45 YEARS AGO, NOT TOO FAR FROM HERE, WHEN PRESIDENT KENNEDY WAS SPEAKING AT A COMMENCEMENT EXERCISE AT AMERICAN UNIVERSITY, TALKING ABOUT NUCLEAR DISARMAMENT, HE SAID, IN THE FINAL ARKINAL SIS, AUTOALMOST T COMMON LINK IS THAT WE ALL INHABIT THIS PLANET AND WE ALL BREATHE THE SAME AIR AND WE EAT THE SAME FOOD, AND WE LIVE IN THIS RELATIVELY SMALL AND FRAGILE PLANET AND ADDITIONALLY AND I THINK YOU COULD TELL FROM THE TALKS THAT ARE GOING ON TODAY THAT WE ALL DISEASES. URBANIZATION CHANGES THE LANDSCAPE IN SURROUNDING ECOSYSTEMS. IT AFFECTS INTERACTIONS AND VECTORS IN THE CASE OF VECTORS I MEAN ARTHROPOD VICTORIORS, NOT BACTERIA VECTORS FOR TRANSFIRMATION EXPERIMENTSS BETWEEN ANIMALS AND PEOPLE, AND BETWEEN THE VECTOR OF THING REGARDING CONTROL OF INSECT THAT TRANSMIT DISEASES OR CONTROL DISEASES, CAN YOU SEE HERE, FROM THIS IMAGE OF THE EARTH AT NIGHT, THE TREMENDOUS LAND THAT'S COVERED BY HUMAN POPULATION, YOU KNOW IN THIS AREA HERE, NEAR HONG KONG THIS IS MEGAOP LIS THAT INCLUDES SEVERAL LARGE CITIESES THAT DIDN'T USE TO OCCUR MAYBE 20 OR 30 YEARS AGO THERE OFN'T ANYTHING THERE. TREMENDOUS CHANGES IN THE EARTH, AND IT AFFECTS THE CLIMATE AND WE'VE BEEN TALKING A LITTLE BIT ABOUT THE EARTH'S OCEANS. AND THEY SERVE AS REALLY THE DRIVES, THE ENGINE OF THE EARTH'S CLIMATE AND THEY'RE VERY CLOSELY LINKED, THE OCEANS AND THE CLIMATE. SO WHAT I'M GOING TO TALK ABOUT HERE IS A BIT ABOUT THAT LINK AND HOW DISEASES FIT INTO IT. WE'RE VERY LUCKY BECAUSE WE CAN OBSERVE NOW, AND ACTUALLY FOR THE PAST 28 YEARS OR SO, GLOBAL SEA SURFACE TEMPERATURES CLIMATE AND VEGETATION, WITH REALLY CONSISTENT AND RELIABLE SATELLITE OBSERVATIONS, THE LAND OBSERVATIONS SHOWN FOR EXAMPLE IN THIS IMAGE OVER ALL THE LAND, NORMALLY DIFFERENT VEGETATION ARK NOMELYS. JIM DIDN'T MENTION THIS EXACTLY, BUT HE'S REALLY THE ONE RESPONSIBLE FOR ASSIMMULATING THAT DATA SINCE 1980 OR 1981 AND I'VE HAD THE GOOD FORTUNE OF COLLABORATING WITH HIM FOR THAT PERIOD OF TIME AND THEN OF COURSE WE HAVE THE OCCASION TEMPERATURES IN THIS CASE, SEA SURFACE TEMPERATURE. SO WHAT I'LL TALK ABOUT HERE BRIEF LYE IS A LITTLE BIT OF BACKGROUND ON RIFT VALLEY FEVER VIRUS AND ABOUT THE ECOLOGICAL DYNAMICS. TALK ABOUT SATELLITE MAPPING AND CLIMATE VARIABILITY RELATED TO RIFT VALLEY FEVER AND THEN GO ON TO TALK ABOUT AN OPERATIONAL CLIMATE APPLICATION THAT WE ACTUALLY USE AND PUBLISH ON THE WEB WHERE WE MONITOR RISK MAPPING FOR RIFT VALLEY FEVER AND GIVE A COUPLE QUICK EXAMPLES OF RECENT OUTBREAKS AND HOW A CLIMATE HAS IMPACT THE HORN OF AFRICA IN 2,000,006 AND 2007 AND IN SUDAN IN 2007 AND THEN JUST A COUPLE CONCLUSION. RIFT VALLEY FEVER IS A ZOO NOSH TIRK C DISEASE. IT AFFECTS LIVESTOCK. IT WAS DISCOVERIED IN KENYA IN 1981 IN A FATAL EPISODE IN SHEEP. IT CAUSE FEVER IN LIVESTOCK AND FAIRLY MILD DISEASE IN INDIGENOUS WILD ANIMALS IN AFRICA. IT'S A FLU LIKE DISEASE BUT CAN BE SERIOUS INCLUING ENCEPHALITIS AND HEMORRHAGE. THERE'S REALLY NO TREATMENT FOR THE DISEASE AND NO LICENSED VACCINE AND MORTALITY CAN CHANGE FROM 1 PERCENT IN POPULATIONS IN ENDEMIC AREAS TO MAYBE AS HIGH AS 10 TO 20% AND IMMUNOLOGICALLY NAIVE POPULATIONS AND MUCH, MUCH, HIGHER THAN LIVESTOCK. SO THE GENOUS SLEEPER VIRUS. A BIT UNUSUAL, OTHER VIRUSES ARE TRANSMITTED BY SAND FLIES BUT THIS ONE IS TRANSMITTED BY MOSQUITO. RIFT VALLEY FEVER COME TO GREATER INTENTION BEFORE 1997, BEFORE THAT WAS THEN IT IT CHANGE. IT APPEARED AROUND THE AREA OF THE NILE AND MOVED UP INTO THE DELTA AREA OF EGYPT. FIRST TIME LEAVING SUB AFRICA IN 77. OTHER NOTABLE OCCURS ENSS IN 1987 IT APPEAR IN A SARK HELEAREA, IT OCCURRED IN HABE STATS WHICH CAN ONLY BE DESCRIBED AS SAND DUNESS IN EARLIER STEVE MORSE MENTION IT WAS CAUSED BY THE CLOSING OF THE DAM AND THAT'S EXACTLY WHAT HAPPENED. IN 1997 EAST AFRICA RELATE TO THE ELNIN O I'LL TALK ABOUT IN A MOMENT AND ANOTHER LANDMARK OCCURRENCE HAPPENED IN 2000. IT MOVE OUT OF THE COAST OF THE AFRICA INTO THE ARABIAN PENINSULA IN THIS REGION BOTH IN YEMEN AND IN SOUTHERN SAUDI ARABIA ALONG THE RED SEA COAST OCCURRING IN A PLAIN HERE AND DEPICTED IN THIS LAND SET IMAGE. WHEN I'M GOING TO TALK ABOUT NOW, IS ACTUALLY A SUMMARY, OF DR. KALD WELL SAID OF 30 YEAR OF HER WORK, THIS IS 30 YEARS OF WORK THAT I'VE BEEN DOING. AND IN THE EARLY 1980S WE RECOGNIZE THEREOF A STRONG LINK BETWEEN RIFT VALLEY FEVER OUTBREAKS AND RAINFALL AND THIS GRAPH DEPICTS ITS DOWN HERE. THIS IS SURPLUS RAINFALL INDICATED BY POSITIVE AREAS HERE, HERE, AND HERE. AND THOSE CORRESPONDED PRECISELY WITH LARGE OUTBREAKS IN 1950, 61, 68, 1977 AND THEN AGAIN IN 82, 83 IT HAPPENED. WE MADE THAT LINK. SO, HERE'S THE RIFT VALLEY FEVER LIFE CYCLE AS I PICTURE IT. IT LOOK A LITTLE COMPLICATED AND I'LL SPECT YOU TO KNOW THIS BY THE END OF THE PRESENTATION. BASICALLY IT'S AN UNDEMMIC CYCLE INVOLVES 80S MOSQUITOES, TRANSFECT AND THEY OVERPOSIT IN LOW LYING AREAS ALONG RIVERS AND STREAMS AND WHEN A SUFFICIENT RAIN FLOOD THESE AREA, INFECTED VIRUS, INFECTED MOSQUITOESS ARE RELEASED AND CONTAMINATE DOMESTIC LIVESTOCK. TYPICALLY THESE THING HAPPEN FAIRLY FREQUENTLY BUT AT SMALL SCALES, LOCAL RAINFALL THE EVENT. THE EPIDEMIC CYCLE IS TRIGGER THE SAME WAY. THIS IS WHAT HAPPENS WHEN THERE'S A LARGE RAINFALL EVENT INFECTED IN MOSQUITOESS EMERGE AND DOMESTIC LIVE STOCK AND THEN THOSE AREA REMAINING ON FLOODED LONG ENOUGH FOR SUBSEQUENT HELIX MOSQUITO TO TRANSMIT THE VIRUS NOT ONLY BETWEEN ANIMAL BUT TO PEOPLE CAUSING EPIDEMICS. AND WE'VE SEEN THAT A NUMBER OF TIMES IN RECENT YEAR AND I'LL TALK AGAIN ABOUT THAT IN JUST A MOMENT. THE REASON THIS HAPPENS AND THE REASON IT'S RELATED TO RAINFALL IS BECAUSE OF THE FLOODING OF THOSE HABITATS. AGAIN IF IT'S INITIAL FLOODING THE FIRST PRODUCTION IS OF MOSQUITO INFECT WITH VIRUS, AND IF THOSE DON'T REMAINING ON LONG ENOUGH, YOU GET A PRODUCTION OF THE VIRUS AND VIREMIA AND DOMESTIC ANIMALS AND THEN IT ALL SUBSIDES. INFECTED MOSQUITOES LAY INFECTED EGGS INTO THESE HABITATS AND THEN BASICALLY NOBODY KNOW ANYTHING HAPPEN. HOWEVER IF THEY REMAINING ON FLOODED FOR LONG PERS OF TIME THESE SPECIESS EMERGE AND CREATE EPIDEMICS AND EPIZOOTICS. THIS IS MONITORING AND DATA I ALIEUD TOO, 27 TREMENDOUS RECORD IN CALIBRATE INFORMATION THAT WE HAVE AVAILABLE TO US AND THAT WE HAVE BEEN USING SINCE 1981. IN 1998, WE NOTICE ANOTHER PHENOMENON, THIS SHOWS, SOUTHERN ASALATION INDEX DATA FROM 1950 TO 2006, I GO BACK TO 1950 BECAUSE WELL, BASICALLY THAT'S WHEN I OF BORN. I THOUGHT THE WORLD STARTED THEN. SO EVERYTHING STARTS THERE IN MY MIND. I KNOW WE'VE SEEN THINGS THAT GO BACK BEFORE THAT. BUT FROM 1950 ON, EVERY SINGLE RIFT VALLEY FEVER OUTBREAK DENOTED BY THESE RED BAR AT THE BOTTOM CORRESPONDED TO AN EL NIN O EVENT. COINCIDENTALLY WE NOTED THAT THESE EVENT HERE FOR EXAMPLE IN 19 PEAT EXAMPLE HERE IN 1973. SO WE KNEW SOMETHING ELSE WAS GOING ON AND WHAT THAT WAS, WAS IT HE PACIFIC OCEAN THAT HAPPENS DURING ELNINIO BUT YOU HAVE TO HAVE WARMING OF THE THE INDIAN OCEAN CONCURRENTLY AS DEPICT HERE BY THESE SURFACE TEMPERATURE MAPS. SO IF HAVE YOU CONCURRENT WARMING HERE AND HERE, YOU'LL GET AN EPIDEMIC OCCURRING IN EAST AFRICA AND THE REASON FOR THAT IS, WHEN THE OCEAN IS WARM, YOU GET TREMENDOUS CONVECTIVE ACTIVITY AND TREMMENNOUS RAINFALL. AND FOR EXAMPLE, HERE IN THE 97 WARMING WHICH STARTS OVER THE OCEAN AND MOVES OVER THE LAND. SO BASICALLY, IT'S A CONVERGENCE, THE CONVERGENCE OF THE PACIFIC INIAN OCEAN TEMPERATURES AND AS YOU CAN SEE FOR THIS EXAMPLE IN 82, 83, BOTH INDIAN OCEAN AND SPECIFIC OCEAN SIGNIFICANTLY ELEVATED FROM ONE TO 3 THAT ALL OF THE CASE. SO BASED ON THIS INFORMATION WE DEVELOPED AN OPERATIONAL APPLICATION FOR MONITORING AND SUB DIVIDE AFRICA INTO THREE REGIONS AND AREAS AND HENS THAT IS WHEN IT MOVE TO THE ARABIAN PENINSULA WE HAD TO INCLUDE AN AREA THERE IN OUR OPERATIONAL AREA. NOW I LOST THAT MAP, BUT MAYBE IT WILL COME BACK. SO RIFT VALLEY FEVER EPISOS OCCUR UNDER FAVORABLE ECOCLIMATIC CONDITIONS AND THEY CAN BE MAPPED THROUGH RAINFALL AND INTEGRATION AND THE ALEGORITHMS WE USE IS A POTENTIAL EPIZOOOTOTTIC AREA AND IT WAS AN AREA THAT FIT THE SAVANNAH AREAS OF AFRICA AND THAT'S THE EPIZOOOTIC AREAS WHERE WE THINK EPIZOOOTICS CAN OCCUR. IT CAN OCCUR ANYWHERE INCLUDING GALLERY FORCE IN CENTRAL AFRICAN FOREST BUT THE EPIZOOOTIC ONLY OCCUR IN LARGE ANIMAL POPULATIONS. SO HERE'S THE AREA HERE. AND YOU CAN SEE, IT'S A FAIRLY LIMIT AREA, BUT THESE ARE THE AREA THAT ARE BASED ON CLIMB TO LOGICAL AND LITERATURE INFORMATION WE'VE DETERMINE, WE USELESS USE VEGETATION IN THE CALCULATION WHERE WE LOOK AT BASICALLY GREENING UP OVER A THREE MONTH PERIOD THAT WE KNOW IS INDICATIVE OF PERSISTENT RAINFALL. AND THEN PERSISTENT ANOMALY MUST HAVE A THREE MONTH MEAN OF GREATER THAN .1 AND THEN ALL PIXEL THAT MEET THAT CRITERIA THIS CAN BE FOUND READILY AT THIS WEB SITE. THIS IS OPERATED BY THE DEPARTMENT OF DEFENSE GLOBAL EMERGING SYSTEM, WE PLOT NOT ONLY SEA SURFACE TEMPERATURE BUT ALL LONG WAVE OUTGOING INFORMATION FOR THE ENTIRE WORLD. NOW LONG OUTGOING RADIATION FROM THE PREVIOUS SPEAKER IS THE OPPOSITE IN THE SENSE OF VEGETATION. THIS BROWN AND RECOLOR INDICATE VERY DRY CONDITIONS WHERE THE BLUE INDICATES HEAVY CLOUD COVER OR CONVECTIVE ACTIVITY. SO AT ANY GIVEN TIME HERE IN 97 OF CHOW AND RAINFALL IN THE PACIFIC, A DRY NORTHERN AND SOUTH AMERICA, A VERY RAINY EAST AFRICA INIAN OCEAN AND A VERY DRY SOUTHEAST ASIA INDONIESIA COMPONENT. IT'S ALWAYS IN BALANCE. AT LEAST WE HOPE IT STAYS IN TAY KINE OF BALANCE. WITH GLOBAL CHANGE THINGS COULD CHANGE DRAMATICALLY BUT AS THE WE'RE IN THIS GOOD BALANCE. WE ALSO PUBLISHED A MONTHLY RAINFALL DATA. IN THIS CASE, ACTUAL RAINFALL DATA OR WE PUBLISH ANOMALY DATA FOR AFRICA VEGETATION DATA FOR ALL OF SUB INCLUING THE ARABIAN PENINSULA AND THEN THE RISK MAP. FOR EXAMPLE, HERE'S A RISK MAP FOR THE EPD OF 1997 SHOWING AS RED HIGH LEVEL OF RISK, THE AREA OF EAST AFRICA WHERE THE OUTBREAK DID OCCUR. SO ABOUT A YEAR OR SO AGO, IN SEPTEMBER OF 2006, WE NOTICED SOMETHING HAPPENING AND WE CONCURRENT ELEVATION IN INDIAN OCEAN TEMPERATURE AND PACIFIC OCEAN TEMPERATURES, SO, A CONCURRENT ELEVATION. WILL ANYBODY VENTURE TO GUESS WHAT MIGHT HAVE HAPPENED AFTER THAT? YOU THINK SOMETHING HAPPENED? OKAY. THAT'S WHAT WE THOUGHT. SO, WHAT WE DID WAS A COUPLE THINGS. WELL FIRST THIS LOOK LIKE DIAGRAMMATICALLY, A WARMING OF THE PACIFIC, OF THE RAINFALL AND THE INDIAN OCEAN, WE THOUGHT GHEE, SOMETHING DOESN'T LOOK GOOD. IT LOOK LIKE 97 THE RAINFALL STARTED FALL NOTHING SOMALIA AND HERE'S THE RAINFALL ANOMALY, AUTOTHREE OR 400 RAINFALL FOR THE MONTH. SO BIG, BIG, RAINS IN SOMALIA. AND YOU KNOW IT'S GOT A LOT OF PROBLEMS BUT WE THOUGHT WE BETTER PUT OUT WARNING TO ALL OF THIS AREA. HERE'S THE VEGETATION INDEX DATA THAT WE START SEEING AND THEN, THE INITIAL RISK MAP LOOKED LIKE THIS IN SEPTEMBER. ELEVATED RISK IN SOMALIA AND THEN IN NOVEMBER, EXTREMELY INCREASE RISK IN SOMALIA EXTENNING INTO EASTERN KENYA AND OTHER PARTS OF DENNIA, ALSO IN ETHE I DON'T MEAN BECAUSE WE THOUGHT THAT WAS WAS GOING TO HAPPEN. WE START PUTTING OUT WARNINGS AND WE WROTE ANA VISERY FOR THE DEPARTMENT OF DEFENSE PROGRAM THAT WENT OUT TO ALL OF OUR DEPARTMENT OF DEFENSE LABORATORIESS, PARTICULARLY THE LABORATORY WE HAVE IN KENYA AND ASK THEM TO INCREASE SURVEILLANCE. WE SUBMITTED A PAPER TO THE INTERNATIONAL JOURNAL OF HEALTH GEOGRAPHICS DESCRIBING WHAT WE THOUGHT MIGHT BE THE IMPLICATIONS OF THIS ELNINO AND WE ISSUE A SECOND ALERT IN EARLY NOVEMBER BECAUSE IT KEPT GETTING WORSE AND WORSE AND THE FAO FOR THE FIRST TIME EVER I DON'T KNOW IF THAT'S CORRECT TO SAY, BUT PROBABLY IS, FOR THE FIRST TIME EVER THEY ACTUALLY BELIEVE WHAT WE WERE SAYING. AND THEY ACTUALLY THEY TOOK IT VERY SERIOUSLY AND AT A PUBLISHED AT THIS WEB SITE AND SENT OUT TO THEIR REGIONAL OFFICE, A WARNING THROUGH THE IMPRESS SYSTEM, THE EMERGENCY PREVENTION SYSTEM AND I'M GLAD THAT THEY DID. ALSO, THIS GOT PICKED UP IN VARIOUS MEDIA, WE REPORTED IT AT VARIOUS MEETING. HERE'S THE EMPRESS WATCH THAT CAME OUT IN NOVEMBER 2006 AND BASICALLY IT SHOWED THAT THE DATA THAT WE HAD ON THE WEB SITE AND EVENTUALLY THE DEPARTMENT OF DEFENSE TEAM WORKING WITH THE KENYA MEDICAL RESEARCH INSTITUTE AND INTERNATIONAL AUTHORITIESES SORT START COLLECTING MOSQUITOES IN THIS PART OF KENYA IN EARLY DECEMBER AND EVENTUALLY WERE ABLE TO FIND IN DECEMBER INFECTED MOSQUITOES, AND SHORTLY FOLLOW SUBSEQUENTLY BY HUMAN CASES AND THEN THE CLEAR RECOGNITION THAT AN OUTBREAK HAD START. AT THIS TIME, WE HAD ESSENTIALLY NO DATA COMING FROM SOMALIA AND YOU MAY REMEMBER IN THIS 2006 HAD INVADED SOMALIA SO SOMALIA WAS IN TURMOIL AGAIN AND U.S. FORCES WERE OPERATING WITHIN THIS AREA. AND NOTHING WAS COMING OUT OF SOMALIA. RISK WAS PREDICT FOREC THY I DON'T MEANIA, AND NOTHING WAS REPORTED FROM ETHIOPIA. WE DIDN'T GET INFORMATION FROM THEM. BUT EVENTUALLY SOMALIA WAS CONFIRM TO HAVE OUTBREAKS OF CASES. SO THIS WAS INCREASE SURVEILL AN THAT HAPPENED. SO IN DECEMBER IT STILL REMAINING ONED WARM. STILL HAD RAINFALL, ALTHOUGH IT START SHIFTING TO THE SOUTH NOW, SOUTH OF SOMALIA AND KENYA, HERE'S RAINFALL YOU SEE, IT'S RAINING IN TANZANIA NOW, WHEN WE SAW THIS ACTIVITY, AGAIN, WARNINGS WENT OUT FOR TANZANIA AND HERE'S VEGETATION DEVELOPMENT IN KENYA, ETHIOPIA AND SOMALIA, AND WE SAW THIS INCREASED VEGETATION AND ON A RISK MAP INDICATED ELEVATED RISK IN TANZANIA, AND WE CONTINUED WITH THE WARNING AND EVENTUALLY DISEASE WERE REPORT IN ANIMAL AND IN PEOPLE AND IN TANZANIA, SO WHO, CDC, FAO, GOVERNMENT OF KENYA MOBILIZED THEIR TEAM RESOURCES AND THE GOVERNMENT OF KENYA BAN SLAUGHTER OF LIVESTOCK, REALLY PROACTIVE ACTIVITIESS. VACCINE WAS APPLIED MAYBE NOT IN TIME, BUT IT WAS THE FIRST TIME IT WAS ACTUALLY DONE IN ESSENTIALLY A PROACTIVE MANNER. ATTEMPTS WERE MADE FOR NO SWEET O CONTROL, BUT THEY CAME A LITTLE LATE. BUT IN ANY CASE, AUTOOUR FEELING THAT THE RESPONSE ACTIVITIESES WERE ONE TO ONE AND HALF MONTHS EARLIER THAN HAD BEEN THE CASE IN 1997 IT STILL WAS EXTREME ECONOMIC BURDENOT COUNTRY. OBVIOUSLY, FOR THE WHOLE COUNTRY, BUT PARTICULARLY THOSE PEOPLE THAT WERE AFFECTED IT CAUSED HUMAN ILLNESS, HUMAN DEATH, LOSS OF ANIMALS, LOSS OF LIVELIHOOD, EXTREMELY DISEERS DISEASE BUT IMPORTANT IMPLICATION, BUT BECAUSE OF CLIMATE AND THE UNDERSTANDING OF CLIMATE AND DISEASE TRANSMISSION, I THINK WE HAD A BIG IMPACT. JUST SOME MORE OF THE ACTIVITIESES THAT WENT ON DURING THIS TIME. LET ME JUST GIVE YOU, THAT'S ON THE BIG SCALE, LET ME GIVE YOU AN EXAMPLE ON A SMALL SCALE HOW THIS CLIMATE INFORMATION CAN BE USE. HERE'S A FARM THAT'S LOCATE JUST BELIEVE IT OR NOT 20 FEBRUARY AND YOU KNOW BASICALLY ALL THEIR SHEEP POPULATION WAS WIPE OUT. THEY HAD THEM CLASSIFY AS SHOWN IN THIS SLIDE EITHER AS SEVERE DISEASE, MILD DISEASE OR RECOVERING AND NOBODY GOT TO THE RECOVERING, EVERYBODY WENT TO THE SEVERE DISEASE AND DIED. BUT INTERESTINGLY, THIS IS SOME OF THESE HABITATS THAT IN FACT WE HAD BEEN STUDYING FOR MANY, MANY YEAR SIN THE LATE 1970. THEY WOULD KEEP THEIR DAIRY CATTLE NEAR THE FARM HOUSE, SO THESE WERE NOT ALLOWED TO GRAZE ANYWHERE YEAR THE MOSQUITO HABITATS HERE BUT THE SHEEP WERE ALLOW TO GRAZE ANYWHERE ON THE FARM. SO WE GOT THERE AND WE s, WELL, YOU KNOW DON'T LET THE SHEEP GO OUT THERE WHERE THE MOSQUITO ARE INFECT WITH THE VIRUS, AND WE CONVINCE THEM BECAUSE THE CATTLE NEVER WENT THERE. EACH THOUGH THE CATH WERE ONLY A COUPLE KILOMETERS FROM WHERE THE SHEEP WERE HELD, NONE OF THE CATTLE BECAME SICK AND APPARENTLY NONE OF THEM WERE INFECT. SO WE'RE ABLE TO JUST ON A DRAMATIC CHANGE THE COURSE OF WHAT HAPPEN ON THIS FARM JUST SIMPLY BY THE RECOGNITION OF CLIMATE RECOGNITION OF DISEASE BEING SPREAD BY MOSQUITO. SO HERE'S A SUMMARY OF ALL THE AREAS IN THAT OUTBREAK THAT WERE AFFECT. WE WERE ABLE TO MAP HOW WELL OUR RISK MAPPING WORK AND WE WERE IN THE PROCESS NOW OF MOOIFYING THAT RISK MAP, PERFECTING THAT RISK MAP. IT OBVIOUSLY WORK BUT WE'RE NOW TRYING TO DEFINE IT AT A HIGHER SPACIAL RESOLUTION. JUST FOR YOUR INFORMATION, THESE THREE OCCURRENCE ARE THE NORMAL RAINFALL FOR PLACE IN SOMALIA AND ONE PLACE IN KENYA AND ONE IN TANZANIA, AND THESE ARE THE RAINFALL THAT HAPPEN IN ZERO SICK AND 07 THEAVEN START THE OUTBREAK IN KENYA AND SOMALIA AND THEN THIS IS THAT VERTIAL LINE. AND THEN WE KEPT HEARING WILL THE DISEASE MOVE FROM SOMALIA DOWN? IT DOESN'T MOVE, BUT IT STARTED IN SOMALIA AND BECAUSE OF RAINFALL IT END UP TO TANZANIA, IT IT OCCURS AT DIFFERENT TIME BECAUSE OF ECOLOGICAL WEATHER AND CLIMATE CONDITIONS. I'LL SKIP THIS SLIDE. LET ME JUST GO ON NOW, SO IN JULY OF LAST YEAR, RIGHT AFTER THIS HAPPENED IN IN KENYA, WE SAW SOMETHING DIFFERENT. ALL OF A SOEN, HERE'S WE WERE SEEING RAINFALL OCCURRING IN THE U.S., AND ALL ACROSS THIS REGION INTERESTINGLY, SOMETHING WAS HAPPENING DIFFERENT AND WE ALSO SAW IT IN THE INDIAN OCEAN. THE ATC IS THE ZONE OF INTERTROPICAL CONVERGENCE WHERE RAINFALL OCCURS IN MY ORIGINAL SLIDE IT WASN'T DOWN HERE AND SHOULDN'T BE DOWN THERE, IT WAS UP HERE. BUT WHAT HAPPEN WAS, AND WE DON'T REALLY TOTALLY UNDERSTAND, BUT THE INDIAN OCEAN HAD COOLED OFF BUT THEN IT WARM UP AGAIN AND BECAUSE OF THE IRPT TROPICAL CONVERGENCE ON REMAINING ONING SO FAR NORTH OF US, AUTOTREMENDOUS HEAVY RAINFALL GOING ON THERE. SO WE START FOLLOWING THAT AGAIN AND HERE YOU SEE THE PACIFIC HAD COOL DOWN AND WE'RE STARTING THE LA NINNIA FACE AND THAT WARMED UP AGAIN AND IT CREATED AGAIN POTENTIAL FOR ELEVATED RAINFALL. AND HERE YOU SEE IT MORE DRAMATICALLY IN AUGUST. YOU SEE THIS ALL ACROSS THE WORLD, THIS TREMENDOUS RAINFALL PATTERN, SOMETHING WAS TRAINCHLG BUT IT WAS A GLOBAL CLIMATE EVENT. AND SO WE STARTED SLIDE I'M GOING TO SHOW FRO NOW ON, ARE OF THIS PART OF SUDAN. SO HERE'S THE BORDER WITH SO MOLLIA RIGHT HERE, THE RED SEA, THERE, AND THIS AN AREA JUST SOUTH, BETWEEN THE NILE RIVERS IN AN AREA VERY HEAVY CULTURE VEGETATION. WE SAW THIS TREMENDOUS RAINFALL OCCURRING THERE WHICH OF COURSE LED TO US PUBLISHING ON THE RISK, THERE JUST SOUTH. WILL QUARTERBACK I KNOW YOU COULD GUESS. YEAH, YOU'RE RIGHT. YEAH, THERE OF ANOTHER OUTBREAK IN SUDAN. THE WARNINGS HAD GONE ON OUT IN JULY AND WE KEPT TELLING INTERNATIONAL AUTHORITIESS, THAT THEY BETTER LOOK. SUDAN DIDN'T ACKNOWLEDGE THAT. WE LATER HEARD THERE WAS ACTUALLY ACTIVITY OCCURRING, BUT IT WAS KEPT FAIRLY SECRET. IF YOU LOOK AT IT, WHAT HAPPENS, THESE ARE THE DOTS WHERE THE CASES OCCUR. THIS IS AN AREA WHERE WE THOUGHT THEY WERE AT RISK. DID IT OCCUR IN THESE OTHER AREA, WE DON'T KNOW BUT IT DID OCCUR IN THESE AREA. AND IT HERE'S THAT SAME KINE OF A CHART. HERE'S RAINFALL AND HERE'S THE ANOMALY RAINFALL THIS DOT LINE HERE. THIS ALL HAPPEN IN JULY AUGUST, BUT THE FIRST CASE DIDN'T HAPPEN UNTIL OCTOBER. SO JUST LIKE IN THE MORN OF AFRICA, SEVERAL MONTH WARNING. NOT MUCH HAPPEN THOUGH IN TERM OF RESPONSE HERE. LET ME JUST CONCLUDE HERE. I THINK WE ALL CAN UNANIMOUSLY AGREE THAT WE'RE ALL AT RISK FOR EXPANSION OR GLOBALIZATION OF VARIOUS DISEASE, PARTICULARLY VECTOR DISEASES LIKE RIFT VALLEY FEVER AND WE HAVE TO BE ON SURVEILL AN FOR THESE CHANGES. BUT UNDERSTANDING CLIMB AT CHANGE CAN HELP US WITH CRITICAL AND SURVEILLANCE AND CONTROL OPERATIONS. OBVIOUSLY STILL RESEARCH ON DISEASEECICOLOGY AND VECTOR BIOLOGY, ON VECTOR CONTROL, GENETICS, VACCINE ARE GOING TO BE ESSENTIAL TO RESPOND QUICKLY. WE UUSING CLIMATE, SAY WHEN A DISEASE IS GOING TO HAPPEN BUT WE DON'T HAVE THE TOOL OR VACCINES OR PROPER MOSQUITO CONTROL METHOD. SO WE'RE WORKING HARD TO TRY TO IMPROVE THOSE. BUT AGAIN, FORCASTING DISEASE IS REALLY CRITICAL FOR THE TIMELY AND EFFICIENT PLANNING OF THE OPERATIONAL CONTROL PROGRAM. WE HAD SOME SUCCESS AS A LONG WAY TO GO AND THE GLOBAL AND RESULT IN THE REGIONAL CLIMBAT ANOMALY CAN BE USED TO FORECAST DISEASE RISK AND THEY HAVE THAT POWER AND THE TOOLS TO MAKE RATIONAL JUDGMENTS TO CONTAIN OR PREVENT AND MITIGATE TO DEVELOP BETTER MITIGATION STRATEGY. SO IN SUMMARY, I THINK THE UNDERSTANDING OF VECTOR BORN DISEASE CRITICAL AND AUTOHELP TO DESIGN BETTER CONTROL METHODS OR EXCLUSION METHODS. BETTER METHOD WE CAN USE IN THIS COUNTRY TO PREVENT DISEASE FROM BEING INTRODUCED HERE, IF WE KNOW DISEASE GOING TO HAPPEN IN EAST AFRICA AND WE KNOW SHIPS ARE COMING TO CONTAINERS TO PORTS IN VARIOUS PARTS OF THE COUNTRY WE CAN PREPARE FOR THAT AND IN THE USDA WE ARE DOING THAT. WE ARE CONDUCTING RESEARCH TO FIND OUT WHERE SHIP CONTAINERS GO IN THE U.S., DO THEY CONTAIN MOSQUITOES, WELL WE KNOW THEY DO AND WHY AREN'T THEY BEING CONTROLLED BEFORE THEY'RE OPENED. THOSE ARE QUESTION THAT ARE DIFFICULT TO ANSWER BUT WE'RE OBVIOUSLY WORKING HARD TO DO THAT. KNOWING ABOUT CLIMATE CHANGE CAN REALLY ALSO MINIMIZE THE COST FOR SURVEILLANCE OVER LARGE AREAS AND I THINK THAT'S BEEN VERY WELL DOCUMENT. AND FORCAST RISK WILL ANTICIPATE ANTICIPATE OF GLOBALLATION OF VECTOR BORN DISEASES AND HERE WE ALL AGREE WITH THAT. THAT CONCLUDES MY SLIDE AND JUST ANOTHER LIST OF CONTRIBUTORS AND COLLABORATOR. THANK YOU. KD (APPLAUSE). >> THANK YOU SO MUCH, KEN. THANK YOU FOR ANY COMMENTS, QUESTION FOR KEN BEFORE WE WELL WE'RE GOING TO HAVE THE PANEL IN A MOMENT AND THEN WE'LL HAVE EVERYONE COME UP. OH, GREAT. CLEARLY WE'VE TALKED A LOT ABOUT EARLY WARNING SYSTEMS OF CONDIGS TO VECTOR BORN DISEASES, CHOLERA, I'M GOING PLAY ON YOUR PERSEVERANCE AND STAMINA HERE, JUST THOSE THREE LAST SLIDES TO INDICATE WHERE I THINK WE NEED TO GO AS A PUBLIC HEALTH COMMUNITY IN LOOKING AT SOLUTIONS, HOW DO WE WAY IN ON THAT. >> ( INAUDIBLE ). >> OH WELL THEN IT'S SOMEWHERE BACK THERE. >> SO ONE OF THE SCHEMES THAT'S BEEN PROPOSE TO LOOK AT ENERGY SOLUTIONS ARE THESE STABILIZATION WEDGES, AND HOW DO WE BEN THE CURVE AND LEVEL OFF CO2 INITIATIVES? THERE ARE ABOUT 15 PROPOSALS, THIS IS WORK OF SACK FIRST GROUP IS EFFICIENCIENCY MEASURES AND THEN THERE'S RENEWABLES, SOLAR THERMAL, GEOTHERMAL, JUST BELOW THE GRAND FOR HEAT PUMP OR DEEP. THEN THERE'S A WHOLE RANGE OF NATURAL ISSUES OF PRESERVING FORESTS AND NURTURING FORESTS AND AS WELL, CONSERVATIONS AND OTHER AGRICULTURAL PRACTICES, WASTE MANAGEMENT, NOW A NEW WEDGE. HERE'S THE POSSIBLE FUEL BASE AND THEN NUCLEOFISSION. SO THAT'S THE RANGE OF THINGS THAT HAVE BEEN PROPOSED. SO TAKE A FIRST PASS AT WHAT WE MIGHT DO THAT HAS LOTS OF BENEFITS. GO FOR PUBLIC HEALTH, GO FOR THE ENVIRONMENT AND MOST OF THESE ARE BEING LOOKED AT AS TECHNOLOGICAL AND ECONOMIC QUESTION AND THIS IS TO INTERVIEWS THE HEALTH AND ENVIRONMENTAL WAVE. SO JUST A FIRST PASS A WHOLE LOT OF WONDERFUL THINGS. WE NEED SEVEN OR EIGHT OF THESE RESPONSES IS WHAT THE CALCULATION IS. SO A WHOLE LOT OF THINGS THAT PRODUCE JOBS, GOOD FOR PUBLIC HEALTH AND HELP STABILIZE THE CLIMATE. THEN THERE'S THE FOSSIL FUEL ISSUES AND BIOFUELS WHICH NEED RESEARCH AND NUCLEAR FISSION IS GIVEN THREE ASSAY, STORAGE, SAFETY, AND SECURITY. SO LOTS TO HAVE LOOK AT AND NOT GOING TO GO INTO THE DETAIL OF ANY OF THIS NOW EXCEPT TO POINT IDENTITY VISIONS FOR WHAT WE MIGHT DO NOW, SCALE UP AND WHAT WENY TO STUDY AND WHAT IS PART OF A RESEARCH AGENNA. HERE'S THE HEAT IRK LAN AND WHAT WE DON'T KNOW IS WHAT 03 AND DOING IN TERMS OF PHYSICS OR COSH TWO IN TERM OF CITY. BUT I PUT THIS UP HERE IN TERM OF SOLUTIONS BECAUSE GREEN BELLINGS, ROOF TOP GARDENS, TREE LINED STREET, WALKING WAY, BIKING PATH, SMART GROWTH PUBLIC TRANSPORT ARE ALL ABOUT DECREASING THESE LOCAL ISSUE THAT SORT OF MAY BE AFFECTING OUR HEALTH IN TERM OF RAG WEED, IN TERM OF VULNERABLE, TO HEAT WAVE AND CLEARLY ARE ALL METHODS FOR DECREASING CARBON, INCREASING HOPEFULLY STABILITY OF CLIMATE. SO LOTS OF MEASURE THAT I CAN DO. AND IN UNDERDEVELOPED AREAS THIS IS SOMETHING CALL ENERGY POVERTY, A WHOLE SERIES IN SEPTEMBER AND OCTOBER LE BY LONDON SCHOOL OF HYGIENE AND TOPICAL MEDICINE FOLKS ABOUT THE ROLE OF ALL THESE. LET ME JUST GO BACK TO THAT FOR A SEC EMPLOY BECAUSE ALL THESE ISSUE ARE RELATE TO OUR MDG'S MILLENNIUM DEVELOP GOAL. CLEAN WATER, CLINICS, HOMES WITH LIGHTING FOR IS ITING, SMALL BUSINESSES, COOKING WE KNOW IS A MAJOR ISSUE, INDOOR AIR POLLUTION. SO LOTS OF ENERGY ISSUES AND HERE THE ARGUMENT IS THAT WE'RE TALKING ABOUT MITIGATION IN THIS CORNER. ADOPTATION OVER HERE, CLEAN ENERGY SYSTEMS, DISTRIBUTED GENERATION, RESILIENT SMART GRID AND DEVELOP NATION, THESE ARE PART OF ADAPTIVE MEASURES TO PROTECT US AGAINST HEAT WAVE BUT ALL PROMOTE THE KIND OF DEVELOPMENT THAT IS UNDERLYING VULNERABILITY AND ADAPTABILITY TO CLIMATE CHANGE. SO FINALLY, HERE'S A DIAGRAM STEALING FROM OUR AHE, THE HOST OF THE ENVIRONMENT AND IN THIS CASE HOW DO WE DO THESE WONDERFUL THINGS? WE SCALE UP AND NEED TO CONCLUDE, WE NEED CARROTS, WENY STICKS, WENY A PROGRAM THAT LOOK AT HOW TO ALIGN THE REWAR AND REGULATION AND THE RULES AND THERE'S ONLY A FEW THINGS THAT GOVERNMENT MUST DO AND THAT'S PROVIDE THE INFRASTRUCTURE AND PROCUREMENT AND GUIDE THE RESEARCH, HELP SET PRICE OF CARBON AND SO ON. WE NEED A COMPREHENSIVE ENERGY PLAN, WE NEED TO DEAL WITH CORN, COAL AND NUCLEAR LOBBYS AND SPECIAL INTERESTS AND IF WE MOVE THEM OUT OF THE WAY AND LEAD WITH OUR CARROTS, THIS CAN BE THE ENGINE OF GROWTH FOR THE 21STCEPTORY. IF WE DO THIS RIGHT, IT CAN BE GOOD FOR PUBLIC HEALTH, GO FOR SECURITY, GOOD FOR THE ECONOMY AND WE CERTAINLY HOPE IT WILL STABILIZE THE CLIMATE. THOSE ARE OUR WEB SITES AND I THANK YOU VERY MUCH FOR THAT. (APPLAUSE). >> PANELISTS PLEASE COME UP AND LET'S CAN HUH. >> WE'RE NOW GOING TO HAVE A PANEL DISCUSSION. JUST COME UP TO THE MIKE AND ASK THE QUESTIONS HAVE YOU FOR THE ENTIRE PANEL. BEFORE WE GET QUESTIONS, WE'RE GOING TO GIVE DIPLOMAS, CERTIFICATES TO THE PANEL IN APPRECIATION FOR A WONDERFUL FORUM TODAY. THANK YOU VERY MUCH. (APPLAUSE). >> THANK YOU VERY MUCH. (APPLAUSE). >> SO GO AHAD. ANYBODY HAVE A GENERAL QUESTION, BUT A NUMBER OF YOU HAVE TALK ABOUT YOUR RESEARCH AND OTHERS THAT HAS USED CLIMATE VARIABILITY TYPICALLY YEAR TO YEAR OR MULTIYEAR VARIATION AS A VERY IMPORTANT EXPERIMENTAL TOOL TO GIVE US A LOT OF INFORMATION USEFUL TO PUBLIC HEALTH. THE LONG CHALLENGE FOR EXPERIMENTAL WORK OF COURSE SO MY QUESTION IS, RATHER OPENED. WE KNOW AT ONE LEVEL THAT WE CAN GENERATE USEFUL RESEARCH AND DATA FROM THESE OF OUR CAREER OR IN THE TIME FRAME OF A RESEARCH GRANT. HOW CAN WE USE THAT AND WHAT DO THE LONG MOOLE SAY ABOUT CLIMB AT VARIABILITY IN RELATION TO THE SPAN OF THE ACCUMULATE CHANGE OF GLOBAL CLIMATE? >> ( INAUDIBLE ). >> SO I BELIEVE YOUR QUESTION IS: IN A WARMING EARTH WHAT HAPPEN TO CLIMB AT VAIRABILITY? THERE'S STRONG IMPERICAL EVIDENCE FROM METEOROLOGICAL RESOURCES FROM TERM OF TEMPERATURE AND PRECIPITATION THAT EXTREME EVENTS ARE MORE FREE KEPT. THIS CAN ONLY BE DRAWN FROM AREA WHERE YOU HAVE GOOD CLIMBA TO LOGICAL DATA TO BASE THOSE ON, BUT THE ARK SUSMGZ IS THAT A YOU WILL HAVE MORE PRECIPITATION AND TELL BE DISTRIBUTED DIFFERENTLY AND YOU WILL EXPECT MORE AS A CONQUENCE OF THAT BECAUSE OF SENSIBLE HEAT ANDALATEN HEAT AND YOU'LL HAVE MORE EXTREME TEMPERATURE EVENTS. NOW WHETHER THIS WILL BE SUBSTANTIALLY DIFFERENT, SO PEOPLE WILL NOTICE IT OR ONLY SLIGHTLY DIFFERENT, IS AN OPEN QUESTION. >> I MIGHT JUST GO ON TO SAY THAT ANOTHER FACET OF THIS IS IF THERE IS CONTINUED CHANGE WHAT WILL BE THE IMPACT ON DISEASES AND OF COURSE NOBODY CAN REALLY PREDICT THAT. I MIGHT USE AN EXAMPLE OF RIFT VALLEY FEVER THOUGH, WE'VE SEEN THAT THE INDIAN OCEAN IS CONTINUING TO WARM. SO THAT MEANS THAT WE WILL GENERALLY ASSUME THAT MEANS THERE'S GOING TO BE MORE RAINFALL OVER THE INDIAN OCEAN AND MORE RAINFALL OVER EAST AFRICA AND THAT HAPPEN TO BE CORRECT. THERE'S MORE RAINFALL. SO THE NEXT ASSUMPTION YOU MIGHT MAKE IS WELL, IF THERE'S MORE RAINFALL, THEN THERE MUST BE MORE DISEASE OUTBREAK. WELL THAT DOESN'T EXACTLY FIT. WHAT WE SEE IS, THERE'S MORE SMALL OUTBREAKS AND WHAT HAPPENS IS, YOU DEVELOP AN IMMUNITY BECAUSE OF THE SMALL OUTBREAKS SO IT APPEAR THAT THE CHANCE OF HAVING A LARGER OUTBREAK BASED ON OCEAN WARMING, INCREASE RAINFALL MAY BE DIMINISH, BUT AGAIN, I THINK YOU KNOW THIS IS IN A FAIRLY SMALL CONPARTICULAR AND THIS IS ALL BASE ON THIS EARTH THAT THERE'S AN EQUILL LIBRIUM M THAT EVERYTHING REMAINING ONS IN TACT AND IF AND WE NEED TO START ALL OVER AND THAT'S SAYING THAT IF EVERYTHING I'VE DONE IS IRRELEVANT BECAUSE OF NEW CLIMATE PARADIGM. >> I WILL SAY, JUST AS A NONECPERT ON THIS PARTICULAR SUBJECT THAT IF YOU HAD GONE TO TALKS LIKE THIS, 10 YEARS AGO, YOU WILL HAVE FOUND A NUMBER OF GENERALIZATIONS MADE BUT THE LEVEL OF RESOLUTION WILL HAVE BEEN MUCH LESS, THE SPECIFICITY WOULD HAVE BEEN MUCH LESS. SO THE SEN I HAVE IS WE'RE BEGINNING TO BETTER COLLECT AND EXPLOIT THOSE DATA ADMITTEDLY AS KEN AND JIM POINT OUT, AUTOPROBABLY GOING TO BE A MOVING TARGET BUT WE'RE DOING A MUCH BETTER JOB OF COLLECTING AND EXPLOITING THOSE DATA AND LOOKING AT VARIABLES THAT ARE MEANINGFUL. SO YOU KNOW THAT GIVE ME SOME ENCOURAGEMENT TO THINK THAT WE ARE AT LEAST BEGINNING TO THE SURFACE OF WHAT'S CAN BE DONE HERE AND I THINK IT'S REASONABLE TO THINK THAT WE WOULD HAVE CONTINUED PROGRESS AS WE CONTINUE TO COLLECT MORE DATA AND HAVE BETTER METHODS. >> I'M GOING TO SAY FROM THE WATER INDUSTRY'S PERSPECTIVE THAT THERE ARE I THINK TRYING TO CONVINCE COMMUNITIES AND PART OF THE NEXT 50 YEAR OUT. SO THEY'RE LOOKING AT THESE CLIMATE PROJECTION BUT FOR EXAMPLE, IN THE GREAT LAKES THERE'S ONE MODEL THAT SUGGEST AUTOGOING TO BE DRYER AND WARMER AND MY MODEL SUGGEST IT'S GOING TO BE WETTER AND WARMER, NOW WARMER MEANS LESS WATER GENERALLY IN THE GREAT LAKE BECAUSE OF THE INCREASE EVAPORATION SO EVEN THE WATER INDUSTRY THAT DRAW WATER FOR COOLING BEING HAVE ISSUES. SO THERE'S A WHOLE LIST OF THINGS THAT THE INDUSTRY THAT INTERSECTS WITH QUANTITIES STARTING TO THINK ABOUT, I THINK ON THE WASTE WATER SIDE THEY'RE NOT THINKING TOO MUCH ON THE QUALITY. THEY'RE NOT THINKING TOO MUCH ON THE QUALITY SIDE, BOTHOT DROUGHT THEY'RE STARTING TO DEAL WITH THESE PREDIC AND UNCERTAINTY AND VARIABILITY OF THESE PREDICTIONS AND THEIR PLANNING, THE QUALITY IS MUCH MORE DIFFICULT FOR THEM TO GRAPPLE WITH AND WHAT SHOULD WE DO. >> SO THIS QUESTION GOES TO DR. EPSTEIN'S CLOSING COMMENTS WHERE YOU MENTION STABILIZATION WEDGES. THESE IDEAS OF THINGS WE CAN DO TO HALT THE CHANGE AND KNOW I KNOW THIS OPENS UP A COMPLETELY DIFFERENT CAN OF WORMS THAN WHAT WE'RE ADDRESSING TODAY IN DEALING WITH GLOBAL TREATIES BUT I WOULD BE CURIOUS TO HEAR YOUR BRIEF THOUGHTS ON IT BECAUSE YOU BROUGHT IT UP, YOU KNOW ALL THESE THING WE DO THAT WE TALK ABOUT DOING, LIKE, YOU KNOW HYBRID VEHICLE WHICH IS FROM FOSSIL FUEL AND ALL OF THAT ARE FAIRLY EASY FOR DEVELOP COUNTRY AND THEN HAVE YOU DEVELOPING COUNTRIES LIKE CHINA THAT HAVE HUGE COAL RESERVES AND ARE BURNING COAL AND DON'T CAPTURE OR SEQUESTER THE CARBON AND ALL OF THAT. ANDNYING TO GET GLOBAL COOPERATION TO ACHIEVE STABILIZATION IS SOLUTIONS, IS GUESS. >> THANK YOU. I THINK LET'S EXCHANGE CARDS TOO SO WE SHOULD COMMUNICATE FURTHER, BUT I JUST YOU, WE NEED A LOT MORE COLLABORATION. WE NEED MORE FUNDS ON AN INTERNATIONAL BASIS FOR ARK AT THAT POINTATION AND LITIGATION AND THAT WAS SOMETHING THAT OF PROPOSE AT KYOPARTICULAR O BY THE BRAZILLIANS CLEAN DEVELOPMENT FUND AND WE WOUND UP WITH A CLEAN DEVELOPMENT MECHANISM AND SEVERAL OF THEM AND WE'RE SUFFERING BECAUSE OF THE CONSEQUENCES OF THAT. BUT LET'S TAKE THIS OFFLINE AND CONTINUE BECAUSE I DO THINK AUTOA WHOLE AREA AROUND TO THE GROUP BECAUSE WE HAVE E BACK TO YOU, WE HAVE NIH, U. S. D. A., N. S. F. U. S. D. A., NASA REPRESENTED HERE, U.S. GLOBAL CHANGE RESEARCH PROGRAM WAS STARTED 21 YEARS AGO AND THEN BECAME THE CLIMATE PROGRAM BUT DID INVOLVE 17 AGENCIES INCLUDING NIH. SO I WONDER WHAT YOUR SENSE IS WHERE WE MIGHT TAKE THIS IN TERM OF INITIATIVES ON CLIMATE AND HEALTH? >> THROUGH THE NEXTA MINISTRATION >> I'M NOT SURE I CAN ANSWER. SO I THINK I'LL TURN IT OVER TO >> ULAR IN GROUP, AS A PROGRAM. AND TO HOPE FOR BETTER TIMES WHERE WE HAVE THE RESOURCES TO INVEST IN THE PRIORITY AREAS THAT WE SEE OCCURRING. I THINK FOR US, THE NUMBER ONE PRIORITY AREA HAS TO BE FOOD SECURITY, HAS TO BE FOOD SUPPLY. IF EVERYTHING ELSE, EVERY OTHER PUBLIC HEALTH ISSUE IS SUBSERVEIENT AS TO WHETHER THERE'S FOOD ON THE TABLE AND IF THAT'S AFFECT, EVERYTHING ELSE IS AFFECT. SO WENY TO VERY SOON MITIGATION AND STRATEGIES TO INVEST IN MORE INFRASTRUCTURE THAT CAPTURES RAIN WATER THAT WON'T BE THERE AS SNOW OR ICE. WHETHER AUTOAN ADAPTATION TO EVALUATE GERM PLASM TO TOLERATE DROUGHT UNTIL THAT ISSUE GETS ON THE TABLE AND UNTIL THAT ISSUE GET ON PEOPLE'S RADAR, I DON'T THINK THERE'S GOING TO BE THE POLITICAL WILL TO TRY AND BEGIN TO DO THE RESEARCH THAT WE REALLY NEED TO DO. THE OTHER ISSUE AND I CAN'T SPEAK FOR EVERYONE HERE BUT I THINK, IN SOME SENSE A LOT OF PEOPLE HAVE TOLD ME THIS AND AUTOTRUE FOR OUR AGENCY, OUR AVERAGE AGE OF SCIENTIST IS IN THE 50S. WE DESPERATELY NEED YOUNG SCIENTISTS, YOUNG Ph.D.S TO COME ON BOARD. WE NEED NEW PEOPLE, WE NEED NOW IDEAS, WE'RE JUST NOT GETTING IT. THE PRIORITY IS NOT FOR SCIENCE AND ENGINEERING AND TECHNOLOGY, THE PRIORITY SEEMS TO BE FOR HEDGE FUND MANAGERS. BUT THAT'S GOT TO CHANGE. WE HAVE TO SOMEHOW GET YOUNG PEOPLE ON BOARD AND GET THEM INVOLVED WITH THESE ISSUES. SO, ANYWAY, THAT'S MY TAKE ON IT. (APPLAUSE). >> I THINK PERSONALLY AUTONAIVE TO BELIEVE THAT THESE ISSUES COULD REMAINING ON MERELY SCIENTIFIC ISSUES AND BE DEPOLITICIZED WHICH IS PROBABLY WAS NEEDS TO HAPPEN AND I MEAN IN AN AGE WHEN PEOPLE CONSIDER EVOLUTION TO BE A POLITICAL ISSUE, SOMETHING THAT SCIENTISTS CONSIDER LONG SETTLED, I THINK, YOU KNOW IT IS NAIVE FOR ME TO HOPE THAT WE CAN GET THE POLITICS OUT OF IT AND GO BACK TO DOING THE SCIENCE. I THINK THAT FUNDAMENTALLY IS WHAT WE NEED. BUT, I'M HOPEFUL THAT PERHAP SOMEDAY THAT THAT MAY HAPPEN. ALSO DURING LUNCH, ONE OF THE THINK SUGGEST THAT THERE'S THE NEED FOR A STANDING PLATFORM IF YOU WILL FOR A GENERAL OPPORTUNITY FOR PEOPLE ON A REGULAR BASIS WHO ARE INTERESTED IN THESE ISSUES TO TALK ABOUT THEM AS WE ARE TODAY AND BE ABLE TO EXCHANGE INFORMATION TO BUILD A COMMUNITY THAT'S LARGER THAN WHAT WE HAVE NOW. >> WELL I MIGHT JUST MAKE ANOTHER SORT OF GENERAL COMMENT THAT ACTUALLY RIGHT NOW IN FEDERAL REGULATIONS, THERE ARE SOME FAIRLY SUBSTANDIAL REQUIREMENT FOR FERAL AGENCIES TO DO MUCH OF WHAT YOU'VE BEEN TALKING ABOUT, PAUL. AND OUR LABORATORY IS A FAIRLY SMALL LABORATORY IN FLORIDA, BUT AS A DIRECTOR THERE, I TRY TO ENFORCE OUR FERAL ENERGY POLICY AND REGULATION AND WE HAVE A MANDATE TO REDUCE OUR ENERGY USAGE, REDUCE OUR WATER USAGE AND OUR SCIENTISTSS AND OUR TECHNICIAN ARE ALSO EVALUATED ON THEIR ABILITY TO MANAGE THE WE'RE LUCKY IN GAINVILLE THAT OUR REGIONAL UTILITIESS OFFERS TREMENDOUS INCENTIVES SO WE'VE ENTER INTO A MULTIMILLION DOLLAR FEDERAL ENERGY SAVING PROCUREMENT CONTRACT TO BORROW MILLION OF DOLLARS TO UPGRADE ALL OF OUR LIGHTING SYSTEM, OUR HVAC ISS WE'RE PUTTING IN POTENTIALLY PHOTOCELLS TO GENERATE POWER AND WE'LL SELL THAT BACK TO THE GRID AND MUCH OF THIS WILL BE SUBSIDIZE BY LOCAL AND STATE. WE ALREADY REDUCE OUR ENERGY USAGE BY 10 TO 15% EACH OF THE LAST TWO YEAR. AUTONOT THAT DIFFICULT TO DO. I THINK THE COMMENTS ABOUT THAT WE NEED MORE NEW SCIENTISTS, YOUNG SCIENTISTS IN OUR FIELD IS CORRECT. BUT I'M REALLY ENTHUSED BY OUR YOUNG SCIENTISTS WHO REALLY EMBRACE THIS CONCEPT. MAY THE LITTLE BITOLER ONES TO GET ON BOARD AND SO WE HELP OUT. WE PLANT INDIGENOUS PLANTS, DOUBT RESISTANT LABORATORY AND WE MOVE ALL OF OUR GLASS, IT'S ALL MULCH. WE HAVE ENDANGERS SPECIES OF PLANT AT OUR LAB RAY TORSCHEWE GET EXTRA CREDIT IF WE GO OUT AND HELP WEED IN THE MULCH AREA. ON EARTH DAY WE'RE GOING TO HAVE THAT EVENT AND WE'LL GET EXTRA CREDIT FOR IT. SO, I THINK THERE ARE THINGS BEING DONE, BUT IT'S A MATTER OF DOING MANY OF THOSE. AT LEAST FROM THE FEDERAL STANDPOINT I THINK. JUST A QUICK COMMENT, ONE OF THE THING I'M IMPRESSED WITH AND GIVE ME HOPE IS THAT AT THE REGIONAL LEVEL, AT THE LOCAL LEVEL, THERE IS LOTS OF STUFF GOING ON. LOTS PEOPLE ARE AWARE OF THE PROBLEM. LOTS OF PEOPLE ARE DOING THINGS TO ADDRESS IT. EVEN AT THE STATE LEVEL. IT'S THE FEDERAL LEVEL, THE UNITY LEVEL THAT YOU DON'T SEE ANY SORT OF LEADERSHIPOT ISSUE AND THAT'S BEEN VERY DISAPPOINTING. >> AND I JUST WANT TO TAKE THIS OPPORTUNITY TO RECOGNIZE MARY GAUNT, E. H. I. S INITIATIVES FOR SEVERAL DECADES. (APPLAUSE). >> SO AS YOU KNOW THAT SOME PEOPLE DOUBT ABOUT THE DIVERSE EFFECTS OF GLOBAL WARMING, ARE THERE ANY REPORTS SHOWING BENEFICIAL EFFECTS OF ( INAUDIBLE ). >> WHEN YOU LOOK AT WARMING AND WE LOOK AT THE RISE IN CO2, THERE ARE CERTAINLY GOING TO BE SOME PLANT SPECIES, I TALKED ABOUT THE BAD ONES BUT THERE ARE SOME GOOD ONES THAT RESPOND TO IT AS WELL, THINGS LIKE RICE AND WHEAT AND SOYBEAN THAT RESPONPOSITIVELY TO CONSIDERINGOSH TWO AND ONE OF THE THING WE HAVE BEEN WORKING ON AND PUBLISHING PAPERS ABOUT IS HOW DO WE SELECT FOR BEST VARIETIESS OF THESE SPECIESS IN ORDER TO EXPLOIT THE RISE IN CO2. THE PROBLEM IS THIS, THERE ARE ONLY ABOUT 12 SPECIES THAT FEED 90% OF THE WORLD, AND OF THOSE THREE, CORN, WHEAT AND RICE ARE 50% OF THAT. THERE ARE 10 WEED SPECIES ARE EACH OF THOSE CROP SPECIESS. NOW IF I HAVE A SITUATION WHERE I HAVE THE CROP GROWING IN THE FIELD AND I HAVE EIGHT TO 10 DIFFERENT WEED SPECIES GROWING IN THE FIELD AND THE CROP IS GENETICALLY UNIFORM AND THE WEEDS ARE NOT, THEY'RE DIVERSE AND I CHANGE A RESOURCE, YEAH, WHAT'S GOING TO RESPOND, THE CROP? OR THE WEEDS? AND WE SEE TIME AND TIME AGAIN AUTOTHE WE THAT RESPOND AND THE CROP YELLS GO DOWN. IT'S NOT THAT THEY'RE NOT CAPABLE, THEY JUST DON'T RESPOND AS MUCH AS THE WE. SO THERE CAN POTENTIALLY BE BENEFIT BUT PART OF THOSE HAVE TO BE TAKEN INTO CONSIDERATION WITH WHAT'S HAPPENING IN THE ENVIRONMENT OVERALL AND THAT'S SOMETHING WE DON'T KNOW ENOUGH ABOUT YET AND THIS IS AN AREA WE NEED TO ADDRESS. >> ANYONELE WANT TO WEIGH IN HERE IN? >> JUST A COUPLE HEALTH REPORTS, THERE'S SOME MOOLING, BECAME DRYER. WE DID WORK IN HONDURAS IN 1983 SHOWED THAT MALARIA DECREASE IN THE SOUTHERN PART BECAUSE IT HAD BECOME A DESERT FROM SO MUCH WARMING AS WELL AS COASTAL REDUCTION AND THE MANGE ROVES FOR ACWACULTURE AND SO ON AND A WHOLE SERIES OF THINGS TO THE DESERTIFICATION SO THE MOSQUITOES MOVE OR DISAPPEARED. UNFORT MATILY THE PEOPLE ALSO GOT DRIVEN OUT, WENT TO THE FOREST IN THE NORTH WHERE THEY CONTINUE TO BE EXPOSED TO MALARIA. ONE AREA THAT'S GOTTEN A LOT OF ATTENTION IS WILL WE HAVE LESS COLD WINTER RELATE DISEASE AND SO ON AND I THINK STEVE HINT AT SOME OF THE DIFFICULTIESS IN THAT CONCLUSION. THERE ARE OTHER CONCERNS THAT THE EPECULIARA HAS BEGUN LOOKING AT IN TERM OF WEATHER PATTERNS AND ANOMALY, AND WINTER EXCUSE ME IF YOU GET MORE WINTER PRECIPITATION FALLING AS RAIN AND SNOW AND THEN A COLD NAP OR NIGHT TIME COLD, YOU CAN GET MORE ICE STORMS. SO ARE WE SEEING MORE ICE STORMS? DOES THAT PRODUCE >> DOES THAT PRODUCE ISSUES FOR MOTOR VEHICLE ACCIDENTS? ORTHOPEDIC WEATHER WE MIGHT CALL THIS? SO THERE ARE MANY QUESTION ABOUT THE STABILITY, AGAIN THE VARIABILITY OF IT AS A KEY ISSUE. >> THIS HAS BEEN A VERY INTERESTING GROUP OF TALKS AND WONDERFUL. I HAVE A COUPLE OF QUESTIONS AND OF COURSE, I DON'T KNOW PRICEIS IN ASIA. IT'S VERY DRAMATIC AND THAT IS REALLY AFFECTING THE POPULATION. I'M NOT SURE IF AUTOALL CONTRIBUTED DUE TO THESE CHANGE IN THE WEATHER PATTERN, BUT THIS WILL GO ON. AUTONOT GOING TO STOP. THIS IS JUST GOING TO CREATE MORE AND MORE PROBLEMS. HOW DO WE SOLVE IT sA A GROUP, AS SOMEBODY NOT JUST ONE COUNTRY OR TWO COUNTRY, BUT AS PEOPLE LIVING IN THE SAME PLANET, YOU KNOW ON THE SCALE? AND THEN ALL THE ISSUES WE TALKED ABOUT, WE TALKED ABOUT HOW MUCH INTEREST THERE IS IN THE AWARENESS THERE IS ON THE LOCAL LEVEL AND SMALLER LEVEL, BUT HOW DO WE AS SCIENTISTS CREATE AWARENESS ON THE GLOBAL LEVEL AS MUCH AND CREATE A POLITICAL WORLD. THAT'S THE BIGGEST THING UNLESS THERE IS POLITICAL WORLD, WE CAN THINK UP AS MANY SCENARIOS AND WISH LISTS AND WE ARE GOING NOWHERE. >> LET ME JUST COMMENT QUICKLY ON FOOD CRISIS. YES YOU'RE RIGHT. IT ISN'T JUST CRIMEATIC ON DRIVING FOOD PRICES, IT'S SORT OF THE PHRASE PERFECT STORM AGAIN COMES TO MIND BUT YOU'RE LOOKING AT AS DIFFERENT PARTS OF THE WORLD GAIN IN ECONOMIC STATURE, THERE'S A GREATER DEMAND FOR MEAT SO SOME OF THAT CORN IS GOING TO GO TO MEAT. THERE'S ALSO OIL RISES THAT WILL REFLECT NO GRAIN. BUT CERTAINLY THERE'S ISSUE TO THAT AND BIOFUEL IS AN ISSUE. I'M NOT ANTIBIOFUEL, BUT THE PROBLEM THAT I SEE IS THAT IF YOU ONLY HAVE THREE GRAINS THAT ARE FEEDING THE WORLD, WHEAT, RICE AND CORN AND THE ONLY ONE THAT KEPT PACE WITH POPULATION AND YOU SUDDENLY SAY I'M GOING TO CONVERT THAT OVER INTO BIOFUELS, AS I SAID THAT'S NOT THE BEST POLICY TO PURSUE. BUT OTHER ISSUES LIKE WE JUST FINISHED A IS IT WITH AUBURN UNIVERSITY LOOKING AT KASABA GROWTH IN PLANTS, THIS IS GROW IN SEVERE DOUBT AND IT PRODUCE MORE CARBOHYDRATES THAN CORN DID, TWICE AS MUCH WE WERE LOOKING AT SWEET POTATO, THEY PRODUED THREE TIME AS MUCH CARBOHYDRATE AS CORN. AN INVASIVE VINE THAT I SHOW CAN PRODUCE A CARBOHIGHERATE. THEY GET RID OF AN INVASIVE AND TURN IT INTO A BIOFUEL. SO THERE ARE LOTS OF OPPORTUNITIESES FOR BIOFUEL, BUT TAKING THE ONE GRAIN THAT CONVERTS INTO BIOFUELS, IS REALLY JUST ASININE. SO ALL OF THOSE WILL CONTINUE. WHAT CAN WE DO? TO A LARGE EXTENT WHAT WE CAN TRY AND DO IS TO MAKE A MORE INTELLIGENT ASSESSMENT OF WHAT WE SHOULD PURSUE WITH RESPECT TO BIOFUEL AND GIVING FARMERS MONEY TO GROW CORN FOR BIOFUELS IS ONE OF THE THING WE CAN STOP DOING. AGAIN, THIS IS MY PERSONAL OPINION IF YOU'RE WATCHING AT HOME. THIS IS NOT THE U. S. D. A. POLICY, THERE'S A LOT OF WORK WE CAN DO WITH RESPECT TO INVESTING FUNDS IN RESEARCH TO TRY AND LOOK AT THE GERM PLASM, TO LOOK AT WHAT WE HAVE AVAILABLE AND SEE IF WE CAN INCREASE YIELD ON THAT. FOR EXAMPLE, THERE'S A PROPOSAL WE'VE BEEN WORKING ON TO TRY AND TURN RICE INTO A CFOUR PLANT WHICH WOULD BOOST YIELD BY 50% DRAMATICALLY. IT WOULD REQUIRE A TREMENDOUS AMOUNT OF INVESTMENT IN TERM OF THE NUMBER OF SCIENTISTS AND TO DO THE GENE JOCKEYING THAT YOU WILLNY TO DO TO GET THAT BUT AUTOA HIGH PAY OFF SITUATION, IF ABOUT AND HER HAPPENS MORE THAN ANYTHING ELSE, WENY TO TALK ABOUT THEM. WE NEED TO GET THEDIFFERENT SCIENTISTS FROM THE DIFFERENT AGENCIES AND DISCIPLINESS AND GET THEM IN THE ROOM AND GET THEM ON THE TABLE AND TRY AND GET THE POLICY MAKERS ON BOARD WITH IT. AS FAR AS YOUR SECOND QUESTION, HOW DO WE GET THE POLICY MAKERS ON BOARD? I HAVE ABSOLUTELY NO IDEA. I, AGAIN AT THE REGIONAL LEVEL, THERE'S A LOT OF INTEREST, A LOT GOING ON, AT THE FEDERAL LEVEL, WE JUST DON'T SEE ANY INTEREST IN PURSUING THIS. >> I THINK IT MUST BE A SIGNAL OF SOMETHING. YOUR POINT ABOUT POLITICAL WILL IS VERY WELL TAKEN THAT'S CERTAINLY NECESSARY, AND OBVIOUSLY ALL THE VARIOUS EFFORTS, YOU KNOW AS POWERFUL AS THE IPC C, AND THE NOBEL PEACE PRIZE HAVE NOT YET BEEN SUFFICIENT, SO I'LL MAKE A SORT OF MODEST OBSERVATION WHICH MAY OR MAY NOT BE USEFUL. WHEN YOU THINK OF ALL THE ORGANIZATION THAT PAUL SHOW FOR EXAMPLE THAT OBVIOUSLY ARE INTERESTED IN CONTINUING THE WAY WE ARE NOW, AND YOU CONSIDER THEIR LOBBYING POWER, YOU KNOW LIKE THE ELECTRIC POWER RESEARCH INSTITUTE FOR EXAMPLE, THE COAL COMPANIES, THE OIL COMPANIES AND SO ON, THE LOBBYING POWER WITH GOVERNMENTS AND YOU KNOW WHICH ARE ABSOLUTELY OBVIOUSLY, WE ALL KNOW HOW LARGE THAT IS, AND YOU CAN CONSIDER HOW SMALL THE LOBBY IS, I MEAN AUTOJUST US, SO I THINK WE NEED TO ORGANIZE, WHEN YOU THINK ABOUT HOW SMALL THE LOBBY IS, COMPARED TO THESE ENORMOUS CORPORATE LOBBYS, YOU KNOW FOR THESE OTHER ISSUES. SO TO TAKE A LEAP FROM PAUL'S BOOK, ORGANIZE MORE, I DON'T KNOW BUT THERE IS A NEED FOR A MORE CONCERTED RESPONSE IN BRINGING TOGETHER ALL THESE PEOPLE WHO HAVE THESE CONCERNS BUT HAVEN'T YET BEEN ABLE TO STATE THEM IN A POLITICALLY FORCEFUL WAY. SO THAT'S A NAIVE THOUGHT BUT I'LL OFFER IT FOR WHAT IT'S WORTH. >> GO AHAD. >> OKAY. I DO THINK THAT GREATER SPECIFICITY OF INFORMATION AND COMMUNICATION IS ONE OF THE GOAL. THERE HAS BEEN A DECLINE OF SCIENCE COMMUNICATION TO POLICY LEADERS AND WE DON'T HAVE GOOD PATHWAY CURRENTLY TO DO THAT. AND I PART OF IT IS JUST THE MILLENNIUM GOALS OF ACCESS TO SAFE WATER OR ACCESS TO SANITATION THEY'RE VERY ILL DEFINED. I DON'T UNDERSTAND WHY WE DON'T SAY ERADICATION OF CHOLERA ANDIFY FOR IDENTIFICATION WHICH WE DID IN THE UNITED STATES BY IMPROVING SANITATION AND DRINKING WATER AND IF WE HAD GREATER SPECIFICITY AND DIRECTED TOWARDS THOSE TARGETS THAT ARE MEASURABLE AND REPORTABLE, I THINK WE WOULD BE A LOT BETTER OFF. SO WE HAVE TO START ARTICULATING THAT MEASURABLE GOAL AND THEN TRYING TO MEASURE THEM AND IT JUST, IT TAKE A LONG TIME TO MOVE THE POLITICAL WHALE. I'VE SEEN IT DONE BUT ON THINGS THAT ARE OBVIOUS, IT MAY TAKE A DECADE AND SOME WHALE ARE HARDER TO MOVE THAN OTHER. BUT I THINK ONE OF THE KEYS IS GOOD SCIENCE THAT HAS GREATER SPECIFICITY AND COMMUNICATION FROM A BROAD GROUP AND AN AUTHORITATIVE GROUP. >> JUST BEFORE YOU ASK QUESTION OR COMMENT ON FOOD. FIRST THE PROPER REFERENCE SINCE WE'RE A SCIENTIFIC COMMUNITY THAT'S MOTHER JOAN, SO, ON FOOD. SLIP INTO LIEU'S COMMENTS WERE ABOUT FOUR OR FIVE THINGS, CLIMATE AND SEVERE WEATHER, BIOFUELS, FUEL PRICES, WHICH IS UNDERLIE SPECIFIES AND FERTILIZER AS WELL AS FUEL AND THEN THE MEAT DEMAND AND DECLINING FISHERS IS ANOTHER ISSUE THAT SET THE MARGINAL STAGE. BUT THE FIRST THREE I MENTION ARE ALL ABOUT FUEL AND CLIMATE, THEY'RE ABOUT ENERGY, BIOFUEL. FUEL PRICES AND SEVERE WEATHER AS WE'VE JUST TALKED ABOUT TIED TO CLIMATE CHANGE. SO FOR ME, THERE'S A LOT BEING WE BE. THOSE ARE THE THINGS I THINK HAVE KICK IT UP ABOUT 83% IN THE LAST THREE OR FOUR MONTH. WITH THE CIVIL UNREST IN 33 COUNTRIES ACCORDING TO ROBERT OF THE WORLD BANK, SO WE'RE REALLY IN A VERY TIGHT SPOT AND THAT COMES TO WHERE WE CAN MOVE TOWARD, THAT BEING STABILIZE THESE ISSUE, WE'RE ALL IN ANOTHER CRISIS WHICH IS THE FINANCIAL ONE. AND HOW MIGHT WE PUT THIS ALL TOGETHER IS THE QUESTION FOR US, I THINK IN ADDITION TO THE CORPORATIONS WE'VE JUST TALKED ABOUT, THERE ARE CORPORATIONS LIKE JP MORGAN CHASE, AND CITY GROUP, AS WELL AS REINSURERS AND INSURURES AND A. I. D. AND LLOYDSS AND SO ON, THAT ARE LOOKING FOR AN INVESTMENT IN REAL WEALTH GIVEN THE PAPER WEALTH THAT'S JUST GONE UP IN SMOKE. AND ABOUT IT'S ACTUAL BEEN $45 TRILLION WORTH OF EXOTIC DERRIFFATIVE, IN TWO THEN ONE THERE WERE 900 BILLION. SO WE'VE SEEN AN ESCALATION OF SOMETHING, SO WE'RE UNSTABLE IN MANY WAYS AND THAT MIGHT BE THE BAD STORY, IT MIGHT ALSO BE A WAY OUT OF REALLY INVESTING IN CLEAN ENERGY AS A WAY OF ADDRESSING FOOD AND SECURITY. >> I JUST WANT TO THANK THE PANEL FOR GIVING US EICATIONAL AND VERY INFORMATIONAL TALK ABOUT THIS FIELD. BECAUSE TALKING ABOUT THINGS MOST RELATED TO OUR LIFE, THE AIR, THE WATER, AND THE FOOD; AND INDEED THE ENVIRONMENT. THAT ESSENTIAL FOR OUR HUMAN BEINGS AND ANIMAL. I HAVE A COMMENT AND ALL HAVE A QUESTION. YOU ALL TALKING ABOUT CO2, THIS IS A NAIVE QUESTION, MAYBE AUTOLAUGHABLE, WHAT IS THE LOW OF A HUMAN BEING OURSELVES, WE INHALE OCGEN, WE EXHALE CO2 AND YOU SEE THE POPULATION BECOME MORE AND MORE, PEOPLE LIVE LONGER AND LONGER AND WE BECOME BIGGER, BIGGER, HIGHER, HIGHER SO PRESUMABLY WE CONSUME MOREOX OXYGEN, EXPEL MORE OF THE PRODUCT. IS THIS ACCUMULATION OF THAT CONTRIBUTE A LITTLE BIT MAYBE BECAUSE ALL THE FOOD OR THE PLANT CONVERT IT BACK? I DON'T KNOW THAT IS MY THE LAST CONCLUSION ABOUT ALL OF THE WAYS, HOW CAN WE CHANGE? HOW CAN WE STABILIZE THE ENVIRONMENT? I THINK ONE THING I'VE BEEN THINKING BECAUSE YOUR LECTURE VERY INTRIGUING AND INSPIRING TO THINK ABOUT, HOW ABOUT WE EVEN GO TO FURTHER BUT IT'S DIFFICULT PROBABLY IMPOSSIBLE FOR ALL OF US IN THE GROUP, THINK OF THE LIFESTYLE OF AMISH PEOPLE. HOW MUCH ENERGY THEY CONSUME. THEY DON'T HAVE ELECTRICITY, EVERYTHING MANUAL, YOUR OWN FOOD AND THEN THEY PRODUCE THE LOCAL FOOD, NEED NO TRANSPORTATION AND THEN OF COURSE, FOR US WE WERE NOT BORN TO THIS SOCIETY, IF WE GO THERE THE IMPOSSIBLE FOR US, BUT EACH LITERALLY IN EVERY ASPECT MAYBE CAN WE'RE TALKING ABOUT IS HUMAN ACTIVITIES. WE CONSUME. WE ENTERTAIN. WE USE ELECTRICITY. WE TRAVEL. EDUCATION. AND THEN I THINK WE CANNOT GO BACK LIKE AMISH PEOPLE DO BUT I THINK IN CERTAIN DEGREE, WE MAY GO TO THE CHILD TO WORK, THING LIKE THAT AND EAT THE SIMPLE FOOD, NOT THE PROCESSING FOOD. SO THAT'S MY COMMENT AND I HAVE A QUESTION ABOUT WATER. SINCE WE WANT TO TAKE SOME WATER WE DRINK, CAN YOU GIVE US SOME IDEA ABOUT OUR TAP WATER. IS THIS A GOOD PRACTICE TO DRINK BOILING WATER, THE WATER AND THEN ALL WHAT'S THE STORY IN BECAUSE I ARE ARTICLE ABOUT THE PLASTIC BOLGHT WATER, HOW DO WE DEAL WITH WATER, CAN YOU GIVE US SOME IDEA? THANK YOU. >> JUST A QUICK RESPONSE TO THE FIRST PART, EUROPE AND JEOPARDY AN ARE TWICE AS ENERGY EFFICIENT AS THE U.S. THAT'S THE FIRST STEP WHERE WE ALL CAN CONTRIBUTE AND WE ALSO HAVE TO THINK ABOUT THE ENABLING REGULATIONS AND CENTERS AND TECHNOLOGIES THAT CAN MAKE US MUCH MORE EFFICIENT. FOR ME THAT'S THE FIRST NO AND WE CAN GENERATE A LOT OF JOB OUT OF THE TECHNIQUES AND COMPUTERS AND FEEDBACK SYSTEMS AND MUCH BETTER BATTERY AND ALL OF THAT TO SET THIS AS A NEW LIFESTYLE. I THINK IT IS A NEED THAT KIND OF INITIATIVE THAT WE CAN'T DEPEND ON EVERY INDIVIDUAL TO CHANGE THE BEHAVIOR BUT THEY WILL IF THERE'S THE RIGHT INCENTIVE AND THE ABILITY TO DO SO. >> THAT'S A WHOLE OTHER LECTURE, BUT I'M GOING TO LEAVE THE BOTTLED WATER ASIDE, IT HAS A PHILOSOPHICAL ISSUE BECAUSE OF THE COST, AND ACCESS, BUT SPREADING, THE IDEA OF IDEA OF BOLGHTED WATER IS BIG ISSUE OF WHETHER IT'S SAFER OR NOT SAFER AND THE PLASTIC AND JUST THE COMSUMPTION OF IT ALL IS A WHOLE OTHER STORE AND I THINK ANY INDUSTRY THAT USES A LOT OF WATER IS GOING TO HAVE TO START LOOKING AT EFFICIENCIENY AND IN FACT IN AUSTRAILIA AND THE STOP HOM PRIZE WINNER THIS YEAR CREATE A UNIT FOR PRODUCTS. EVERYTHING FROM 52 TO OTHER PRODUCTS THAT WE MIGHT USE IN OUR DAILY LIVES THAT HAVE A WATER UNIT ASK THEN START TO LOOK AT WATER EFFICIENCIENY. COMMUNITY TAP WATER CAN BE MADE SAFE. I'M MORE WORRIED NOW ABOUT TAP WATER BEING SAFE WITHOUT YOU HAVING TO BOIL IT. YOU KNOW SOME COUNTRY THEY JUST BOIL IT ON A ROUTINE BASIS. IN ASIA MANY CASES THEY WON'T DRINK UNBOILED TAP WATER. HAS TO BE BOILED FIRST. SO I AM MORE CONCERNED ABOUT THAT BUT THE WATER ENERGY NEXUS IS VERY, VERY, INTERESTING. BECAUSE WATER UTILITY NEED TO LACK AT HOW THEY USE THEIR ENERGY AND WASTE WATER UTILITIESS CAN CREATE ENERG AND THAT GOES BACK TO POLICY. SO WASTE WATER TREATMENT TO ENERGY APPROACHES AND ALSO DISTRIBUTED NETWORKS FOR WASTE WATER TREATMENT MIGHT IMPROVE THINGS WHERE WE USE WIND ENERGY TO DRIVE SMALLER WATER PLANTS IN SMALL COMMUNITIESS. SMALL NEIGHBORHOODS OR SOLAR TO DRIVE WATER TREATMENT PLANTS OR TO PASTEURIZE WATER. SO INNOVATIONS LIKE THAT WHERE AUTOSO DISTRIBUTED NETWORKS, THINKING ABOUT ENERGY AND THINKING ABOUT THE BROADEREC FICIENCIENCY OF ARE PART OF THIS PICTURE OF THE WATER WATER AND PEOPLE ARE STARTING TO THINK ABOUT THOSE KINDS OF ISSUES. >> WE'RE GOING TO TAKE LAST QUESTION THAT CAME IN FROM E >> THE ISSUES OF DEVELOPING ALTERNATIVE ENERGY SOURCES SUCH AS NUCLEAR, SOLAR AND WIND ARE BROADER THAN JUST GLOBAL WARMING. ANOTHER KEY DRIVER IS TO DECREASE OUR DEPENDEN ON OIL GIVEN ALL THE SURROUNDING POLITICAL ISSUES. HAVE THERE BEEN HIGH LEVEL DISCUSSIONS TO TRY TO LEVERAGE THIS BROAD ISSUE? FINALLY THERE'S A STATEMENT FOLLOWING THAT QUESTION. THE NEED TO REDUCE DEMAN FOR FOREIGN SOURCE FOSSIL FUELS SHOULD BE QUITE CLEAR TO ANYONE STOPPING AT THEIR LOCAL GAS STATIONS. THE REDUCTION OF EMISSION OF CO2 WILL BE AN IMPORTANT BENEFIT OF A NATIONAL STRATEGY TO DECREASE OUR DEPENNEN ON FOREIGN OIL. SO AGAIN THE QUESTION, HAVE THERE BEEN HIGH LEVEL DISCUSSIONS TO TRY TO LEVERAGE THIS BROAD ISSUE? >> WELL, I REALLY WELCOME THIS QUESTION. I GUESS THE EASY ANSWER TO THE SECOND PART IS NO, NOT THAT I KNOW OF. BUT, BEHIND THE QUESTION IS A WHOLE SENSE OF THAT WENY A LIFE CYCLE ANALYSIS, OF WHERE WE ARE AND WHERE WE'RE GOING. AND IF ONE LOOKS AT OIL, ONE HAS TO THINK ABOUT THE PROBLEMS WITH EXPLORATION AND EXTRACTION AND TRANSPORT AND THEN WE REFINING AND THEN TRANSFORT AND THEN WE COME TO COMBUSTION AND WE KNOW WE GET POLLUTION AND NOW WE GET ACID RAIN AND THEN WE GET THE CLIMATE CHANGE SO THAT'S THE ICING OR THE DE AND THEN I HAVEN'T EVEN MENTION SOME OF THE OTHER ISSUES WHICH ONE IS PETROL CHEMICALS ARE DERIVEDDED FROM PETROL AND WE KNOW THOSE PROBLEMS AND CARC O GENEISITY AND REPRODUCTIVEET EATS AND THEN WE COME TO THE SOCIAL ISSUES OF CONFLICT AND ALL OF THE INSECURITY WE'RE FACING MUCH OF IT, MANY PEOPLE HAVE DIED TO THE PRIZE AS WHAT DANIEL CALLED OIL. SO I AGREE WITH THIS, THE PREMISE BEHIND THIS. THIS IS THE KIND OF LOOK WE NEED TO DO IN COAL AND OIL, NOT JUST BURNING IT WITH CO2, THERE'S MERCURY AND THEN THERE'S MOUNTAIN TOPS THAT ARE LOOKED AT TO PROCURE IT ASK OBTAIN AND ITEN WE HAVE TO DO THE SAME FOR NUCLEAR, SOLAR, WIND, TAR SANDS AND SHALE OIL SO WE DON'T CONTINUE TO FIND OURSELVES FOR PROBLEMS FOR HEALTH AND THE ENVIRONMENT AND THEN HAVE TO BACK TRACK. >> THANK YOU. >> THANK YOU CAN WE TAKE THE >> YEAH. GO AHEAD. >> YES THANK YOU VERY MUCH FOR YOUR CONTRIBUTIONS AND INTERESTING WORDS OF WISDOM. QUESTION FOR DR. MORSE, THERE ARE MANY REASONS FOR THE EMERGENCE OF VARIOUS DISEASES AND INFECTIOUS AGENCIES AND OTHERWISE. HOW DOES THE LOSS OF BIODIVERSITY AND LOSS OF SPECIES INTERSECT WITH THESE MIKE ROBIAL ADAPTATIONS AND CHANGES THAT YOU KNOW ARE A BIG FACTOR IN THE MERGE ENS OF DISEASE. THANK YOU, I THINK THAT'S AN INTERESTING QUESTION AND I THINK IN MANY WAY, SIMILAR IN COMPLEXITY TO THE CLIMATE CHANGE ISSUE. TRYING TO PREDICT THE EFFECT TO SOME EXTENT DEPENDSOT CONDITIONS AND WE CERTAINLY KNOW IN CERTAIN ENVIRONMENTS THAT FOR EXAMPLE, YOU HAVE DIDDEN HOST FOR SOME INFECTIONS, AND IN MANY CASES IN THESE NATURAL ENVIRONMENTS, THERE IS AN EQUILIBRIUM MAINTAIN WITH THESE INFECTION WHICH GET INTO DEADEN HOSTS AND THEREFORE ARE NOT AMPPLIFIED TO INFECT OTHER. IF YOU BEGIN TO REMOVE SOME OF THESE AND INTERPOSE YOURSELF OR DOMESTIC ANIMAL, YOU MAY OFTEN FIND THAT THE OBVIOUSLY THE SUSEPTIBILITY TO DISEASE INCREASES. IN ESSENCE YOU'VE REMOVE A LOT OF THE BUFFERING POWER AND IN FACT THERE WAS ANOLE RUSSIAN IDEA THAT THEY USEDDED TO DO IN PRACTICE CALLED ZOAPPROVE LAXIS SO THAT IN AREA LIKE RIFT VALLEY FEVER, YOU WOULD MOVE THE ANIMALS FIRST BEFORE THE PEOPLE. AND PEOPLE DO THIS WITH THEIR SUMMER HOME, TO TO ASOY GETTING FLEES THEY BRING THRR DOGS IN FIRST. SO IT'S AN INTERESTING STORY BUT THE LOSS OF BIODIVERSITY MEANS THE LOSS OF THIS BUFFERING CAPACITY. >> TAKE A LAST QUESTION FROM JILL. >> JUST ALONG SIMILAR LINES ACTUALLY A LOT OF WHAT YOU DISCUSS TODAY AND A LOT OF WHAT WE ARE HAS TO DO WITH INCREASED EXPOSURE TO AGENTS AS A RESULT OF THE CLIMB AT CHANGE BUT MUCH OF WHAT YOU TALK ABOUT WITH REGARD TO OUTBREAK HAS TO DO WITH POPULATIONS THAT MAY WELL BE UNDERSTRESS AS WELL, FOR CONDIGS OF DROUGHT AND FLOOD AND I GUESS THIS IS MORE OF A COMMENT BUT I DON'T KNOW HOW MUCH THAT'S BEING TAKEN INTO ACCOUNT BUT WITH CLIMATE CHANGE, WITH ALTERATION IN OUR FOOD SUPPLY AND OUR WATER SUPPLY, MAY WE FIND OURSELVES BEING MORE OF POPULATIONS UNDER STRESS AND THEREFORE MORE SUSEPTIBLE TO THE DISEASES THAT WE'RE BEING ECPOSED TO AS WELL. >> WELL, THANK YOU I THINK IT'S A LEGITIMATE POINT AND ONE'S NOT BEEN INVESTIGATED AS MUCH AS IT COULD BE. THERE ARE PEOPLE WHO ARGUE THAT DENSE CITIES ARE A FORUM OF INCREASE CERTAIN TIMES OF PATHOLOGY IT'S CERTAINLY EASIER. SOME YEARS AGO, PEOPLE LOOKED A CONDITION IN CHINA WHICH OCCURSES IN AREA THAT HAVE LOW SELENIUM IN THE SOIL AND YOU CAN ARE PRODUCE THIS IN INTERESTING WAY IN A MOUSE MODEL THAT MELINDA BECK DID AT THE UNIVERSITY OF NORTH CAROLINA AND ORVILLE AT USDA AND FIND THAT CAN YOU HAVE SIMILAR EFFECT AND NOT ONLY THAT BUT THESE HOST EFFECT SEEM TO SELECT FOR MORE VIRULENT PATH GENES. SO THERE'S SO WE'RE TRYING TO SKIM THE SURFACE OF WHAT IS REALLY, I AGREE THESE ARE COMMECH ISSUES TO EVERYONE IN THE WORLD WANTS TO LIVE THE WAY WE DO. SOMEONE ASKED A QUESTION ABOUT THE AMISH. SO I'LL ASK, ARE WE HAPPIER FOR IT NOW, FOR OUR VERY ENERGY INTENSIVE AND EXPENNIVE LIFESTYLE. I DON'T KNOW. WAS I HAPPIER BEFORE I HAD A BLACKBERRY OR NOT, I'M NOT SURE. (LAUGHTER). >> ARE THERE ANY OTHER QUESTION. IF NOT, THANKS AGAIN FOR A WONDERFUL DISCUSSION. SO BEFORE YOU LEAVE, PLEASE FILL THIS OUT AND WE REALLY ENJOYED YOUR DISCUSSIONS TODAY. (APPLAUSE).
Related docs
Other docs by HC12070506218
Minutes of the meeting of the Warwick Medical School Intra-School ... - Download as DOC
Views: 9 | Downloads: 0
Get documents about "