WEBVTT 1 00:00:04.200 --> 00:00:19.559 Thank you for listening to Pictures Media Radio. Welcome to Policy and Rights, 2 00:00:21.160 --> 00:01:06.359 the show about the government policy and human rights. Welcome about the policy and 3 00:01:06.359 --> 00:01:11.560 writes her in Depictions Media Radio, I'm your host. Michael Cloggs. Disease 4 00:01:12.000 --> 00:01:19.280 X may to some people sound like a lot of fear mongering and preparing for 5 00:01:19.359 --> 00:01:26.599 nothing, but it could be just the opposite that by preparing for disease X, 6 00:01:26.760 --> 00:01:36.680 we build a global system of healthcare that shares information that ensures that medications, 7 00:01:36.799 --> 00:01:45.200 vaccines, and other needed things to keep people healthy are available. We 8 00:01:45.280 --> 00:01:56.000 did see through the pandemic that by sharing the vaccines through different systems that were 9 00:01:56.000 --> 00:02:02.560 set up by the WHL, it ensures that some of the underdeveloped countries had 10 00:02:02.719 --> 00:02:13.360 access to vaccines and that instead of watching vaccines that as they expired, go 11 00:02:13.479 --> 00:02:23.360 down the drain, instead they were stored and distributed to other countries that had 12 00:02:23.400 --> 00:02:31.680 trouble affording vaccine. And it isn't just vaccine, it's information. How does 13 00:02:31.800 --> 00:02:42.199 one country build a system to prevent a disease or deal with a epidemic, 14 00:02:43.599 --> 00:02:47.240 Because it may be something more than COVID nineteen. It could be something like 15 00:02:47.360 --> 00:02:52.520 a bubba, which is a much deadlier virus that kills people in a matter 16 00:02:52.520 --> 00:03:02.400 of days instead of killing them, which I see not so much killing them 17 00:03:02.719 --> 00:03:09.879 or placing them in in hospital care. There are other tools that were needed, 18 00:03:10.719 --> 00:03:22.560 like ventilators and things that help doctors deal with the symptoms of different diseases 19 00:03:22.800 --> 00:03:30.759 through the pandemic. They could have been shared how to build that technology and 20 00:03:30.840 --> 00:03:40.000 how to use the technology and techniques use to ensure that that technology is used 21 00:03:40.120 --> 00:03:46.439 in the best way possible to deal with symptoms and to keep people alive and 22 00:03:46.599 --> 00:03:54.719 healthy. It is also some part of dealing with disease acts. We're going 23 00:03:54.800 --> 00:04:03.560 to hear from a panel of experts, and one is doctor Tetros from the 24 00:04:03.759 --> 00:04:12.719 WHL. We're gonna hear from a communicable disease expert from India. We're also 25 00:04:12.759 --> 00:04:19.480 going to hear from the CEO of Astrosenica who developed COVID nineteen vaccine. Keeping 26 00:04:19.519 --> 00:04:30.560 in mind the Astrosenica was not a vaccine manufacturer until COVID nineteen hit. By 27 00:04:30.720 --> 00:04:43.759 using shared information and minds through Oxford University, they came up with a vaccine. 28 00:04:44.399 --> 00:04:51.279 And there's all the others that are experts in disease and healthcare that we're 29 00:04:51.319 --> 00:04:59.079 going to hear from as they all spoke at the World Economic Forum about how 30 00:04:59.160 --> 00:05:06.800 to prevent disease. X at the vol Economic Forum is working on By the 31 00:05:06.800 --> 00:05:10.639 way, my name is Sambishane and I head up the Center for Health and 32 00:05:10.680 --> 00:05:14.079 Healthcare at the Volt Economic Forum, So we've been working on this. There 33 00:05:14.120 --> 00:05:19.360 is an initiative called Partnership for Health Systems, Sustainability and Resilience. Many of 34 00:05:19.439 --> 00:05:24.360 the folks here in the room are working with us on that. Basically, 35 00:05:24.360 --> 00:05:26.879 the idea is how do we prepare, As I said, how do we 36 00:05:26.920 --> 00:05:30.680 prepare the health system to respond to not just you know, pandemics, but 37 00:05:30.759 --> 00:05:33.600 also other crisis. You know, we know there is a looming crisis of 38 00:05:33.639 --> 00:05:39.000 climate change that's going to impact our health system. How do we respond to 39 00:05:39.079 --> 00:05:44.519 increased number of diseases, whether it's communicable disease, non communicable disease. We 40 00:05:44.639 --> 00:05:49.560 have to prepare the system well for that. So that's an important discussion here. 41 00:05:49.759 --> 00:05:57.040 We also have initiatives in terms of biothreats disease surveillance. How do we 42 00:05:57.079 --> 00:06:00.560 make sure that we have a good global disease surveillance. We have data systems 43 00:06:00.560 --> 00:06:04.639 that can be accessed quickly so that private sector can do their job. They 44 00:06:04.680 --> 00:06:12.279 can come up with the medical countermeasures, whether it's vaccines, diagnostics, therapeutics, 45 00:06:12.519 --> 00:06:15.319 so we've been working on that as well. We are looking at vaccine 46 00:06:15.360 --> 00:06:20.120 equity. We are looking at ways to make sure that there is manufacturing in 47 00:06:20.199 --> 00:06:24.720 various parts of the world. You know, Africa was a big example, 48 00:06:25.000 --> 00:06:30.120 making sure that we have capacity there to make vaccines in case there is another 49 00:06:30.720 --> 00:06:33.120 pandemic. So those are some of the things we've been working on. But 50 00:06:33.199 --> 00:06:39.000 I think today we are really grateful for this distinguished panelist here to talk about 51 00:06:39.000 --> 00:06:43.680 this. Without taking much time, I will hand it over to our excellent 52 00:06:44.079 --> 00:06:50.360 moderator here, doctor Nancy Brown. Nancy is the CEO Chief executive officer of 53 00:06:51.240 --> 00:06:56.319 American Heart Association. Nancy, I will hand it over to you to introduce 54 00:06:56.360 --> 00:06:59.519 the panelists and take it on from here. Thank you, Thank you, 55 00:06:59.560 --> 00:07:03.240 sham. Thank you all so much for attending this very important discussion, and 56 00:07:03.319 --> 00:07:08.120 I appreciate your opening comments. I have the highest regard for the Center for 57 00:07:08.199 --> 00:07:12.800 Health and Healthcare and the work that only the World Economic Forum can do to 58 00:07:12.920 --> 00:07:17.240 bring all of the actors together to address really important issues. I had the 59 00:07:17.319 --> 00:07:25.000 honor of serving as the Chair of the Health and Healthcare Governors during January twenty 60 00:07:25.079 --> 00:07:30.680 twenties meeting when we first were planning for what we then know, of course 61 00:07:30.800 --> 00:07:35.279 was a global pandemic, and I admired then and I continue to admire now 62 00:07:35.360 --> 00:07:40.279 how the World Economic Forum thinks ahead. And so, as Sham said, 63 00:07:40.439 --> 00:07:45.079 the goal of our discussion today is to really talk about what can we and 64 00:07:45.120 --> 00:07:48.759 should we be doing to make sure our health systems are prepared for any future 65 00:07:48.800 --> 00:07:57.160 crisis that might come along that requires global collaboration and participation, and how can 66 00:07:57.199 --> 00:08:01.519 we be sure that we learn from the past to strength systems for the future, 67 00:08:01.519 --> 00:08:03.959 And that will be the goal of our discussion today. We do have 68 00:08:05.120 --> 00:08:11.800 a very esteemed panel of experts here that I'm honored to introduce, and in 69 00:08:11.800 --> 00:08:16.160 introducing each of them, I'm going to ask them to give some opening comments 70 00:08:16.199 --> 00:08:20.560 as well about the key components very briefly, that they each of them believe 71 00:08:20.680 --> 00:08:26.199 health systems should prioritize for an effective response to a potential crisis. And of 72 00:08:26.240 --> 00:08:31.360 course it's our honor always to have doctor Tadros with us, the Director General 73 00:08:31.399 --> 00:08:35.320 of the World Health Organization, and doctor Tatris. May I ask you to 74 00:08:35.360 --> 00:08:39.320 answer that very simple question to start with, thank you. Can you rephrase 75 00:08:39.360 --> 00:08:43.360 maybe the question, yes, of course, at the highest level, what 76 00:08:43.440 --> 00:08:48.960 do you think health systems should prioritize for an effective response to a potential crisis. 77 00:08:50.879 --> 00:08:54.840 I think that's a big question. But I would like to start to 78 00:08:54.919 --> 00:09:03.519 is especially the disease x's attracting a lot of attention, and I hope you 79 00:09:03.559 --> 00:09:09.480 have seen in the social media, but it's not a new idea. The 80 00:09:09.559 --> 00:09:16.000 first time we used the terminology was in twenty eighteen. The discussions were in 81 00:09:16.039 --> 00:09:22.440 twenty seventeen. I was just new director general. As you know, we 82 00:09:22.960 --> 00:09:33.320 annually list the emerging disease and mers could be one zeke ebola. Those we 83 00:09:33.440 --> 00:09:39.360 know, But then we said, there are things that are unknown that may 84 00:09:39.440 --> 00:09:45.919 happen, and anything happening is a matter of when not if, so we 85 00:09:46.039 --> 00:09:48.480 need to have a place holder for that, for the disease we don't know 86 00:09:50.240 --> 00:09:54.440 that may come. And that was when we gave the name this is X. 87 00:09:56.879 --> 00:10:07.480 So this is X is a place is older forknown disease. I just 88 00:10:07.519 --> 00:10:11.320 wanted to start by clarifying that because there is already at a lot of attention. 89 00:10:11.159 --> 00:10:20.399 If I may although COVID came immediately. We were preparing for COVID like 90 00:10:20.919 --> 00:10:31.799 disease. You may even call COVID as the first disease X. And it 91 00:10:31.960 --> 00:10:37.279 may happen again. Of course, there are some people who say, oh, 92 00:10:37.360 --> 00:10:41.679 this may create panic. No, it's better actually to anticipate something that 93 00:10:41.799 --> 00:10:46.080 may happen because it has happened in our history many times, and prepare for 94 00:10:46.120 --> 00:10:54.039 it. We shouldn't fate things unprepared. We can prepare for some unknown things 95 00:10:54.120 --> 00:10:58.360 as well, because there are basic things you can you can do. Then 96 00:10:58.399 --> 00:11:05.320 that takes me your question, of course, then we should prepare means it 97 00:11:05.320 --> 00:11:11.679 could be an early warning system that could be installed and then preparedness planning, 98 00:11:11.679 --> 00:11:16.840 for instance with COVID. We have seen it in prepared planning when our hospitals 99 00:11:16.840 --> 00:11:22.320 were stretched beyond their capacity. But in terms of space and also workforce, 100 00:11:22.840 --> 00:11:30.320 how can you have a search when anything comes you can expand quickly so you 101 00:11:30.360 --> 00:11:35.720 can manage your patients. We lost many people because we could manage them. 102 00:11:35.080 --> 00:11:39.679 They could have been saved, but there was no space, there was no 103 00:11:39.840 --> 00:11:43.759 enough oxygen. So how can you have a system that can expand when the 104 00:11:43.879 --> 00:11:48.000 need comes? This, whatever disease, you should prepare for it. You 105 00:11:48.039 --> 00:11:52.200 don't need to know that there are common factors in terms of supply chain for 106 00:11:52.279 --> 00:11:58.679 instance. The same so whether it's in health systems or even the private sector. 107 00:11:58.679 --> 00:12:01.240 By the way, in research and developed and for instance, you can 108 00:12:01.360 --> 00:12:05.840 prepare for it. Actually started with this. This is x issue with research, 109 00:12:05.919 --> 00:12:13.159 research and development blueprint. It's a blueprint and research and development should be 110 00:12:13.159 --> 00:12:22.919 at the center also to test drugs, to test other other tools. And 111 00:12:22.960 --> 00:12:31.039 then of course the health infrastructure. I said it a bit, but the 112 00:12:31.039 --> 00:12:35.360 health infrastructure is bigger than what I said, the oxygen and the space. 113 00:12:35.120 --> 00:12:41.440 So preparing that in all its forms, especially with a focus on primary healthcare. 114 00:12:43.200 --> 00:12:50.440 High income countries were surprised because their investments in the last many decades was 115 00:12:50.480 --> 00:12:58.960 on high tech technology high you know, cutting a technology, in tertiary services, 116 00:12:58.399 --> 00:13:03.240 even robotic surgery, but their investment in primary healthcare was not there. 117 00:13:03.559 --> 00:13:09.480 Even some countries couldn't do contact tracing. So to prepare countries, I think 118 00:13:09.159 --> 00:13:15.440 renewed commitment to strengths and primary health care is very important. So it starts 119 00:13:15.440 --> 00:13:18.759 from there, and then of course we can go. Then the other is 120 00:13:20.000 --> 00:13:22.080 we shouldn't see it in terms of wealth services, in terms of research, 121 00:13:22.080 --> 00:13:26.639 development and zone. We should see it also in terms of communities. I 122 00:13:26.840 --> 00:13:31.399 communities can prepare for diseas X. There are many things that can be done 123 00:13:31.480 --> 00:13:37.960 at community level and then public health, education and communication should be at the 124 00:13:39.039 --> 00:13:43.200 center. So this is what I would like to say as a start. 125 00:13:43.440 --> 00:13:46.360 Thank you, thank you doctor Taylors, and welcome back, and drill down 126 00:13:46.399 --> 00:13:50.200 into some of those comments in a moment. Pritha ready, thank you for 127 00:13:50.240 --> 00:13:56.720 being here from India where you and your family lead a very large healthcare system 128 00:13:56.879 --> 00:14:00.960 of Hollow Health. I would love you to enter, produce a little bit 129 00:14:01.320 --> 00:14:05.320 about yourself and your health system and maybe also answer the brief question what do 130 00:14:05.399 --> 00:14:11.200 you think health systems should do to prioritize. So I'm preta vice chair of 131 00:14:11.919 --> 00:14:18.600 Healthcare private sector healthcare group in India. We've been there for forty years. 132 00:14:18.360 --> 00:14:22.440 What we've done in forty years, I think the learning over the past post 133 00:14:22.559 --> 00:14:30.519 COVID has really you know, intensified what needs to be done and disease X. 134 00:14:30.600 --> 00:14:35.200 I know the name seems like a science fiction film, but basically it's 135 00:14:35.200 --> 00:14:41.440 something all of us need to be aware and alert definitely for future times to 136 00:14:41.480 --> 00:14:46.279 come, because it's definitely a clear and present danger. I want to draw 137 00:14:46.279 --> 00:14:50.919 an analogy with the army, especially the Indian Army. We know that every 138 00:14:50.000 --> 00:14:54.759 day the infantry actually prepares for war. You know, they go through intense 139 00:14:54.799 --> 00:14:58.039 training and at any time, if there is war at the border, they're 140 00:14:58.080 --> 00:15:03.039 ready to go and face that. Healthcare workers, healthcare systems, we now 141 00:15:03.159 --> 00:15:05.840 have to look at the future like that that at any time, anything can 142 00:15:05.879 --> 00:15:09.840 happen and we don't know which side it's going to come from, and there's 143 00:15:09.879 --> 00:15:13.759 no going away from that. So I think we have to prepare and be 144 00:15:13.879 --> 00:15:20.000 prepared. Like there are alerts for you know, global scenarios. For US, 145 00:15:20.000 --> 00:15:24.240 it's usually cyclone of floods, there's a red alert or an Orange alert. 146 00:15:24.440 --> 00:15:28.399 I think the red alerts have to be flagged much quicker, which means 147 00:15:28.399 --> 00:15:33.000 we need to be able to realize that this could be potentially a huge problem. 148 00:15:33.399 --> 00:15:39.519 And for that, there's been so much of discussion about AI and how 149 00:15:39.559 --> 00:15:43.200 can AI really help us to find and detect the problem so early that we 150 00:15:43.279 --> 00:15:48.879 can actually plan and prepare for interventions. I think that that is extremely important. 151 00:15:48.440 --> 00:15:52.960 But more than anything else, I am a very proud Indian, and 152 00:15:52.000 --> 00:15:58.759 I think that the leadership, the quick decisions and the insistent decisions to do 153 00:15:58.840 --> 00:16:02.759 what we have to do at the right time. Sometimes they are hard decisions. 154 00:16:02.799 --> 00:16:06.200 You'll face that, but I think to take the right decision, the 155 00:16:06.320 --> 00:16:10.399 hard decision, but to take a decision has been very important. And I 156 00:16:10.440 --> 00:16:14.720 think a population of one point three billion people, if we have been able 157 00:16:14.799 --> 00:16:18.200 to come out of this relatively, you know, better than which could have 158 00:16:18.200 --> 00:16:23.639 been anticipated. And the fact that there was early intervention of vaccination, there 159 00:16:23.720 --> 00:16:27.360 was a lockdown. It was hard, but it was a decision making which 160 00:16:27.399 --> 00:16:30.840 I think helped us. So I think that's important going forward. Thank you, 161 00:16:30.919 --> 00:16:36.200 Preter. Next Ward Jacobs, who was the chief executive officer of Phillips 162 00:16:36.200 --> 00:16:37.720 Healthcare, Why i'd love you to say a little bit about your company and 163 00:16:37.720 --> 00:16:41.639 give us your perspective. Yeah, thank you so much. Phillips on a 164 00:16:41.679 --> 00:16:48.120 thirty three years old we focused fully on delivering healthcare solutions and we were very 165 00:16:48.120 --> 00:16:52.240 active also during COVID, and I think some major lessons we learned as a 166 00:16:52.240 --> 00:16:55.799 company. But I think also we should take away for the healthcare system. 167 00:16:56.360 --> 00:16:59.720 First of all, it's all about the patient, and I think that one 168 00:16:59.759 --> 00:17:03.159 of the learnings during COVID wars that actually you cannot treat the patient maybe like 169 00:17:03.200 --> 00:17:06.599 you would normally do because you need to isolate you cannot touch the patient. 170 00:17:07.880 --> 00:17:11.640 Also, what are the specific means that you need to ramp up very quickly, 171 00:17:11.720 --> 00:17:15.480 like respiratory devices, monitors we had, of course, the vaccines, 172 00:17:15.960 --> 00:17:19.119 and how do you mobilize the supply chain globally to actually do that? So 173 00:17:19.160 --> 00:17:22.880 I think that's the second big lesson. Thirdly, it's all about the staff 174 00:17:22.880 --> 00:17:26.880 that needs to take care of these patients, and very quickly we saw that 175 00:17:26.920 --> 00:17:30.799 actually it became more and more challenging for the healthcare systems to actually keep the 176 00:17:30.880 --> 00:17:37.039 staff up and running to keep them motivated, but also actually to protect them 177 00:17:37.200 --> 00:17:41.680 from the disease and keep doing their job. And then thirty was how can 178 00:17:41.720 --> 00:17:45.359 you then apply the latest also digital technology to help them in their daily jobs, 179 00:17:45.400 --> 00:17:48.440 because there's a lot of technology available, but actually how do you then 180 00:17:48.480 --> 00:17:52.799 make sure that that quickly gets into the hands of the staff of the system 181 00:17:52.119 --> 00:17:56.279 and you can actually scale it very rapidly. Last, but not least act 182 00:17:56.359 --> 00:18:00.440 to the agility I think we all learned that we need to have. It 183 00:18:00.480 --> 00:18:04.200 was also about fair allocation of means and as an industry player. That is 184 00:18:04.240 --> 00:18:08.640 not an easy task, and actually we were very close with the WHO as 185 00:18:08.640 --> 00:18:12.920 well to make sure that actually in the allocation mechanisms that we had, that 186 00:18:12.960 --> 00:18:17.559 we made sure that everybody in the world could benefit from equipment, because very 187 00:18:17.599 --> 00:18:22.400 quickly, what you see people get very centric on their own interest and actually, 188 00:18:22.440 --> 00:18:25.720 if the system closes down and everybody only focusing on their own interests, 189 00:18:25.720 --> 00:18:29.599 actually cannot solve a global crisis. So I think keep the world open, 190 00:18:29.960 --> 00:18:33.920 make sure that we allocate fairly and that actually we keep the scaling up possible 191 00:18:34.000 --> 00:18:37.640 is something that we took away as some of our lessons. Wonderful, Roy, 192 00:18:37.720 --> 00:18:44.119 Thank you so much. Next is my honor to introduce her Excellency Nisha 193 00:18:44.279 --> 00:18:48.240 trend and Leman from Brazil, the Minister of Health of Brazil, and I 194 00:18:48.279 --> 00:18:53.359 would invite you to use your headphones as her excellency will speak in Portuguese. 195 00:18:53.920 --> 00:18:59.200 If you could introduce yourself and say a little bit about your perspective on health 196 00:18:59.279 --> 00:19:11.400 systems strengthening. Thank you, yeah, yeah, yeah. You speaking in 197 00:19:11.680 --> 00:19:22.920 fourth is a premier. First of all, I'd like to say that I 198 00:19:22.960 --> 00:19:30.559 bring the perspective of Brazil's the vision of the ministry of health. Would I 199 00:19:30.880 --> 00:19:36.079 like to make a sort of more encompassing reflection along the lines of what my 200 00:19:36.960 --> 00:19:44.079 fellow pananists have done. First of all, doctor cads added on made a 201 00:19:44.079 --> 00:19:52.640 good explanation about the origin of disease X. Nevertheless, I believe that all 202 00:19:52.720 --> 00:19:59.000 of us see this issue in the light of the impact of the COVID nineteen 203 00:19:59.039 --> 00:20:06.960 pandemic. Several evaluations were performed in Brazil, and the first point that I 204 00:20:06.960 --> 00:20:14.480 would like to bring up is to remind you and remind you of Klaus Edward, 205 00:20:14.519 --> 00:20:18.440 the German sociologists, who says that society has learned, but it is 206 00:20:18.519 --> 00:20:22.000 difficult for the world to change. So we have the learnings of the pandemic, 207 00:20:22.319 --> 00:20:30.200 but we need some transformative forces in order to think about an effective ability 208 00:20:30.279 --> 00:20:41.960 to respond to potential diseases that may call cause pandemics. And this regard to 209 00:20:41.000 --> 00:20:48.240 have brasilient health systems is fundamental. This has also been set here. Still, 210 00:20:48.400 --> 00:21:00.359 I would like to start by mentioning that and situations of a pandemics threat 211 00:21:00.920 --> 00:21:10.440 or in a picture of a pandemic or epidemics that may have a severe national 212 00:21:10.480 --> 00:21:15.839 impact, there is a preceding factor in my view. I mean not proceeding, 213 00:21:17.039 --> 00:21:26.720 but it leads to bringing these uh preconditions of a health system together, 214 00:21:26.799 --> 00:21:32.480 which is the time for a political response and that is valid domestically in a 215 00:21:32.519 --> 00:21:37.559 pandemic as well as around the world. There have been there has been important 216 00:21:37.640 --> 00:21:44.119 analytical work done in that regard, and in the case of the administration prior 217 00:21:44.160 --> 00:21:49.920 to that of President's Lula, what we saw was a very negative response in 218 00:21:51.039 --> 00:21:56.119 view of the possibilities of the health health system. The country failed to respond 219 00:21:56.279 --> 00:22:11.240 in that pandemic present eleven percent of COVID caused deaths with a population that if 220 00:22:11.279 --> 00:22:15.960 we work this out comes out as four percent. So what to do as 221 00:22:17.000 --> 00:22:21.240 of now? A few points that I consider important. First, the investment 222 00:22:21.480 --> 00:22:26.759 in R and D and innovation and decreasing the inequality amongst countries in this regard, 223 00:22:27.000 --> 00:22:37.079 especially concerning the development and production of vaccines, medication, diagnoses and tests. 224 00:22:37.319 --> 00:22:45.000 So we are proposing an alliance for such production to be made at a 225 00:22:45.039 --> 00:22:52.680 local and regional level. At the same time, it is very important for 226 00:22:53.240 --> 00:23:06.680 a vision to be implemented about encompassing surveillance for diseases and possible epidemics and pandemics. 227 00:23:06.720 --> 00:23:15.640 That surveiliance should be seen in a whole fashion, starting with primary care. 228 00:23:15.799 --> 00:23:22.480 As doctor that this has said, we also want to reinforce epidemiological centers 229 00:23:22.519 --> 00:23:27.319 in the country so that surveillance can be better oriented. In this regard, 230 00:23:27.480 --> 00:23:37.799 I'd like to stress a Brazilian experience of the Center for Health Data Collection and 231 00:23:37.839 --> 00:23:44.480 Analysis, which is an agency that attempts to integrate data, which is another 232 00:23:44.559 --> 00:23:49.400 crucial factor when you think about structuring to respond to pandemics, to integrate data 233 00:23:49.440 --> 00:23:55.519 and to be able to analyze them in order to ensure such surveillance work. 234 00:23:55.640 --> 00:24:03.960 One of the projects in course is one of early Warning for possible outbreaks, 235 00:24:04.359 --> 00:24:17.880 which integrates primary care, including the role of community health workers in the country, 236 00:24:17.960 --> 00:24:22.119 all the way up to genomic surveillance. I think that this is a 237 00:24:22.200 --> 00:24:29.680 very important aspect. Lastly, a national strategy that we have and that we 238 00:24:29.720 --> 00:24:37.079 want to expand in a global health discussion, putting together an industrial health economic 239 00:24:37.160 --> 00:24:45.359 complex that allows for us to under organize this production of imports and thereby decrease 240 00:24:47.160 --> 00:24:55.359 equalities, thus strengthening national systems, especially in low income countries and middle income 241 00:24:55.559 --> 00:25:02.759 countries to namely developing countries. Lastly, to draw your attention to a critical 242 00:25:02.880 --> 00:25:14.039 aspect, which is that of establishing a virtuous relationship between science production and scientific 243 00:25:14.079 --> 00:25:21.119 knowledge as a decision making process. I believe we should also have a more 244 00:25:21.160 --> 00:25:27.720 in depth look at that what is the best way to make this association, 245 00:25:29.119 --> 00:25:34.519 to build this bridge and comparatively analyze the different formats we observed in the process 246 00:25:34.640 --> 00:25:42.839 of responding to the COVID nineteen pandemic and other diseases like Ebola and the creation 247 00:25:42.960 --> 00:25:49.720 of CDC Africa, among several other initiatives, namely to center the discussion around 248 00:25:49.759 --> 00:25:57.680 the best way to have the public policies defined by scientific evidence on the one 249 00:25:57.759 --> 00:26:03.400 hand, and bensening health systems on the other hand in an intego fashion. 250 00:26:03.519 --> 00:26:07.559 I think that these are the best ways. And to conclude, I think 251 00:26:07.599 --> 00:26:15.960 that we are discussing a tool for pandemics in the WHO and I think it 252 00:26:17.960 --> 00:26:25.400 health alone cannot just resolve all of the discussions in matters, so we have 253 00:26:25.480 --> 00:26:30.240 to include in this agenda the social protection systems which are vital in times of 254 00:26:30.359 --> 00:26:36.240 crisis like the ones that we lived through recently. Thank you, Thank you, 255 00:26:36.640 --> 00:26:40.359 Her excellency, and I really agree on this with all that you've said, 256 00:26:40.440 --> 00:26:45.440 especially the last point about the expanding outside of healthcare those systems that must 257 00:26:45.480 --> 00:26:51.519 be part of our response. Next, I will introduce the kind gentleman to 258 00:26:51.559 --> 00:26:55.319 my left, Michelle Dmayer, who is the chairman of the board of AstraZeneca. 259 00:26:55.519 --> 00:26:56.519 I wonder if you'd like to give us your opening come. Yes, 260 00:26:56.559 --> 00:27:00.119 of course. I think what we can sayst of all is that a good 261 00:27:00.119 --> 00:27:04.880 preparation for a crisis happens when there is no crisis. So having a panel 262 00:27:06.039 --> 00:27:08.359 like this here is already a great start because we have all the players of 263 00:27:08.519 --> 00:27:12.599 the health care coresystem group presented here. Because at the end we have to 264 00:27:12.640 --> 00:27:18.039 all work together to try to address it. Now, as you said in 265 00:27:18.119 --> 00:27:22.680 the chairman of s Twezeneca that obviously has played a pretty special le during the 266 00:27:22.720 --> 00:27:26.400 COVID crisis, and I think we have a few lessons that we can share 267 00:27:26.480 --> 00:27:29.799 from this. Just as a reminder, we are not We were not a 268 00:27:29.880 --> 00:27:33.359 vaccine company at the time. We just decided that this was a call for 269 00:27:33.480 --> 00:27:38.240 action that we had to try to use or now or networks to try to 270 00:27:40.000 --> 00:27:42.880 help, and so we signed the license agreement with the University of Oxford. 271 00:27:45.039 --> 00:27:49.960 We then put together a network of more than twenty contract manufacturing organization to whom 272 00:27:51.000 --> 00:27:56.279 which we transferred technology and skills to basically help building the vaccine, which is 273 00:27:56.559 --> 00:28:00.880 it's not like building a pill, it's much more complicated than that. And 274 00:28:00.920 --> 00:28:06.920 then finally we managed to distribute more than three billion dollars of vaccines at no 275 00:28:07.039 --> 00:28:11.880 profit, of which a more or less two third went to law and medium 276 00:28:11.880 --> 00:28:18.400 income countries, mainly through Covacts, which was obviously a very important organization at 277 00:28:18.400 --> 00:28:22.400 the time too, and obviously said you were here to witness this. Well, 278 00:28:22.440 --> 00:28:26.160 I think it's important if you do all the lessons from this experience. 279 00:28:26.200 --> 00:28:30.960 First of all, quick action, quick decision making extremely important, but even 280 00:28:30.039 --> 00:28:36.720 more important partnerships and especially PPPs you have earned me. We have partnered with 281 00:28:36.799 --> 00:28:42.279 academia obviously, with governments, with regulators, with third party commercial contractors, 282 00:28:42.359 --> 00:28:47.640 and with engrs. And it's only because of that that we finally managed to 283 00:28:48.720 --> 00:28:53.000 distribute the largest doors actually of COVID vaccines during this crisis. So that is 284 00:28:53.319 --> 00:28:57.480 lessons learned. But I would say spontaneous reaction, because the crisis was at 285 00:28:57.480 --> 00:29:00.680 the door when this has happened. If you sink back a little bit, 286 00:29:00.720 --> 00:29:04.079 say, oh, could we better prepare next time? We put a lot 287 00:29:04.119 --> 00:29:11.400 of emphasis nowadays on sustainability and resilience of health systems. We've seen that health 288 00:29:11.480 --> 00:29:17.359 systems were not prepared for that last time, not only to handle the sheet 289 00:29:17.359 --> 00:29:19.920 of volume of COVID case, but you know some examples. For instance, 290 00:29:19.960 --> 00:29:25.759 in the UK, it is estimated that a million cancer cases were not diagnosed 291 00:29:26.079 --> 00:29:30.759 during COVID just because of lack of resources in the health system. So obviously 292 00:29:30.799 --> 00:29:34.319 that cannot happen. It is a transformation that will take a certain time, 293 00:29:34.400 --> 00:29:40.240 and I would have basically three recommendations for that. First of all, I 294 00:29:40.319 --> 00:29:44.920 say it's important that heals become a strategic asset for every country, and it's 295 00:29:44.960 --> 00:29:48.039 not always the case. I can tell you that we do that for energy, 296 00:29:48.079 --> 00:29:51.920 why not for health? Is there anything more important that the good health 297 00:29:52.000 --> 00:29:56.559 of your population? Because good health do ice prosperity, do ice work efficiency, 298 00:29:56.680 --> 00:30:00.839 and so economy grows, and so we really to work on that. 299 00:30:00.920 --> 00:30:06.839 There's a McKinsey study that says that with good health we could add twelve trillion 300 00:30:06.920 --> 00:30:11.000 dollars to the global GDP by twenty forty. That is quite an impact if 301 00:30:11.039 --> 00:30:15.039 we work on it. So there's pin one. The secondness, it's not 302 00:30:15.160 --> 00:30:22.640 just about spending more, it's also spending smart and shocking statistics. For instance, 303 00:30:22.680 --> 00:30:27.160 in OECD countries, the average pens on prevention is three percent of the 304 00:30:27.160 --> 00:30:32.359 budget of health systems. And obviously if you spend so little on prevention, 305 00:30:32.839 --> 00:30:37.640 you end up spending the majority of your budget on hospitalization and on late treatments. 306 00:30:37.839 --> 00:30:41.119 So there's a lot of change that needs to happen there and that can 307 00:30:41.160 --> 00:30:45.119 be extremely useful. And then the turn one is obviously we have to build 308 00:30:45.160 --> 00:30:49.720 on technology, on data management, on artificial intelligence. I agree with you, 309 00:30:49.839 --> 00:30:53.839 there's a lot to do. We can start building crossed aboard the libraries 310 00:30:53.920 --> 00:30:59.279 of viruses, of vaccines, share all data with each other, because it's 311 00:30:59.319 --> 00:31:03.599 quite important it happens. Then artificial intelligence can also help a lot, not 312 00:31:03.640 --> 00:31:07.680 only in drug discovery it's a lot of potential there, but also in the 313 00:31:07.720 --> 00:31:12.480 administration of health systems and to inter rationalize and to make sure that finally, 314 00:31:12.960 --> 00:31:18.440 most of the budget is we spend for the primary care and for innovations rather 315 00:31:18.519 --> 00:31:22.640 than being always reactive. So I would hold it here for the wonderful ideas. 316 00:31:22.680 --> 00:31:25.400 Thank you, thank you so very much, and welcome back around. 317 00:31:25.440 --> 00:31:27.839 On several of those doctor Tajos, I would like to come back to you. 318 00:31:27.839 --> 00:31:33.240 You know, obviously the World Health Organization is in the unique place to 319 00:31:33.519 --> 00:31:41.720 assure global collaboration among countries, and certainly you have some work products underway to 320 00:31:41.839 --> 00:31:48.160 address these emerging challenges and to promote sustainable improvements in healthcare delivery worldwide. I 321 00:31:48.319 --> 00:31:51.960 wonder if you could share a little bit more about your plans in that regard. 322 00:31:52.079 --> 00:31:56.759 Yeah, thank you. I think I should start from thanking Astraseneka. 323 00:31:56.839 --> 00:32:04.039 Also what Michelle said is correct, I think he asked, also said my 324 00:32:02.759 --> 00:32:07.039 my friend to to attest to it. Since I'm here, I hope I 325 00:32:07.119 --> 00:32:14.839 represent both of US and Astrasenica. The vaccine has reached many developing and you 326 00:32:14.880 --> 00:32:19.599 know, middle and low income countries and the volume he he he, he 327 00:32:20.039 --> 00:32:24.559 said, and we're very very grateful. So we we we know that and 328 00:32:24.599 --> 00:32:32.119 the technology transfer you have met with other countries to produce yes, and I 329 00:32:32.160 --> 00:32:37.599 think that really really helped and that could be a model for the for the 330 00:32:37.640 --> 00:32:42.880 future. So I fully agree with what you said with regard to as Strasenica's 331 00:32:42.880 --> 00:32:50.279 contribution, and where recognition is Jewish, it should be given. And this 332 00:32:50.440 --> 00:32:57.000 is an honest witness. I think said he's saying that, so thank you 333 00:32:57.039 --> 00:33:01.720 so much, Michelle and Astragenica. Then on the issues, I think to 334 00:33:01.839 --> 00:33:08.240 prepare. Of course, as I said that, after we started putting a 335 00:33:09.880 --> 00:33:15.200 place holder, you know, the first that game was in the disease xs 336 00:33:15.759 --> 00:33:22.200 COVID. So we have experience now and we're preparing based on that experience. 337 00:33:22.279 --> 00:33:28.960 A lot of assessment has been done by independent panels and experts, and based 338 00:33:29.000 --> 00:33:36.319 on the recommendation, many initiatives have We have already started many initiatives and one 339 00:33:36.440 --> 00:33:39.839 is together with many partners, by the way, it's not just who, 340 00:33:40.519 --> 00:33:45.400 but with many partners, for instance, with the World Bank and other colleagues, 341 00:33:45.079 --> 00:33:52.720 we have established a pandemic fund, so that's basically for preparedness and some 342 00:33:52.759 --> 00:33:57.119 countries have already benefited from it. And second round is in the pipeline. 343 00:33:57.720 --> 00:34:02.599 And then there are in hand said systems tools we were working on. For 344 00:34:02.640 --> 00:34:07.640 instance, one of the problems, as you may remember, is the equity. 345 00:34:07.880 --> 00:34:13.159 Again, while thanking Austrasienca, it was a serious problem many countries. 346 00:34:13.360 --> 00:34:17.320 High income countries were holding vaccines and low income countries were not getting vaccines. 347 00:34:17.440 --> 00:34:22.800 Access was a problem, and to address the equity problem We have established the 348 00:34:22.920 --> 00:34:29.800 Marine Technology Transfer have in South Africa. This is to increase local production and 349 00:34:30.360 --> 00:34:36.079 fifteen countries are participating and Brazil is one which is already represented here. But 350 00:34:36.480 --> 00:34:42.920 there are countries represented almost from every every region Europe, Asia and the Pacific, 351 00:34:43.800 --> 00:34:47.079 Latin America, Africa and so on. So that's going well and we 352 00:34:47.159 --> 00:34:52.679 hope we will have an increased production capacity that can address the equity problem. 353 00:34:53.079 --> 00:34:59.280 And there are still in systems and tools. There were weaknesses as we all 354 00:34:59.320 --> 00:35:04.079 know, in cer valance in sharing samples, and we have established the who 355 00:35:04.280 --> 00:35:12.800 BIOHAP to share samples and to improve surveillance. We have the Pandemic Intelligence Collective 356 00:35:12.800 --> 00:35:17.519 Intel Collaborative Intelligence HAVE which we established and it's up and running now. It's 357 00:35:16.960 --> 00:35:22.280 in good shape. And there are other things we're doing. I don't want 358 00:35:22.280 --> 00:35:28.360 to bother you outlining everything. There are things we're doing with workforce, but 359 00:35:28.480 --> 00:35:34.199 the key is the capacity we build in each and every country. We're as 360 00:35:34.199 --> 00:35:37.280 strong as the weakest link, So where are we weak and especially at the 361 00:35:37.280 --> 00:35:42.920 country level, that's where we should focus, while also investing in the global 362 00:35:43.599 --> 00:35:49.199 initiatives that we have started. And then the other key in order to have 363 00:35:49.360 --> 00:35:52.400 better prepared and to address that. This is X is the Pandemic Agreement. 364 00:35:53.719 --> 00:35:59.559 The Pandemic Agreement can bring all the experience, all the challenges that we have 365 00:35:59.639 --> 00:36:06.920 faced, and all the solutions into one and that agreement can help us to 366 00:36:07.039 --> 00:36:12.480 prepare for the future in a better way because this is about a common enemy 367 00:36:13.000 --> 00:36:20.480 and without a shared response starting from the preparedness, you know we will face 368 00:36:20.519 --> 00:36:25.400 the same problem as COVID. And deadline for the Pandemic Agreement is May twenty 369 00:36:25.480 --> 00:36:31.039 twenty four and member states are negotiating. This is between countries, and I 370 00:36:31.079 --> 00:36:38.440 hope they will deliver this Pandemic Agreement by that time on the deadline, because 371 00:36:39.159 --> 00:36:44.599 if this generation cannot do it, we're the lived community. We have the 372 00:36:44.639 --> 00:36:49.920 first hand experience. I don't think coming generation, the next generation will do 373 00:36:49.960 --> 00:36:54.519 it. So for our children and grandchildren's sake, I think we have to 374 00:36:54.599 --> 00:37:00.159 convert all the lessons we have learned into this pandemic and prepare the world for 375 00:37:00.079 --> 00:37:07.159 the future because this is a common global interest and national interest, very narrow 376 00:37:07.280 --> 00:37:10.760 national interest should not come into the way. Of course, national interest is 377 00:37:10.840 --> 00:37:17.400 natural, but it's the narrow national interest that could be difficult and affecting the 378 00:37:17.440 --> 00:37:24.800 negotiations even as we speak, so we're still not prepared. But I think 379 00:37:24.840 --> 00:37:30.599 there are many moving parts. We have started good ones, all of us 380 00:37:30.679 --> 00:37:36.599 together, that can prepare us better if we focus on the implementation of these 381 00:37:37.280 --> 00:37:42.000 initiatives. Take you back to you, Thank you, Teos Michelle, may 382 00:37:42.000 --> 00:37:45.440 I come back to you for a moment. Estra Zeneca is a co founder 383 00:37:45.519 --> 00:37:51.079 of the Partnership of Health System Sustainability and Resilience, a really important initiative of 384 00:37:51.119 --> 00:37:54.360 the World Economic Forum. Tell us about some of the solutions this partnership is 385 00:37:54.440 --> 00:37:59.519 driving and how that is going to help us be prepared, you know, 386 00:37:59.559 --> 00:38:04.039 across border. Yeah, with pleasure. It's a partnership that was also born 387 00:38:04.800 --> 00:38:08.320 out of the crisis. We started that in twenty twenty in partnership with a 388 00:38:08.920 --> 00:38:13.920 London School of Economics and with the f and after that we had all the 389 00:38:13.960 --> 00:38:19.519 partners joining us, like Phillips and KPMG. The idea is really to try 390 00:38:19.559 --> 00:38:22.440 to make an assessment of all the health system in the world. So far 391 00:38:22.760 --> 00:38:27.559 we have gone to thirty countries to do that and to produce a report, 392 00:38:27.800 --> 00:38:30.559 you know, with the conclusions, but as well all the recommendations that we 393 00:38:30.599 --> 00:38:36.880 can do We then kind of take over with our partners and organized one tables 394 00:38:36.920 --> 00:38:40.199 in each of the countries where we try to put together all the actors of 395 00:38:40.280 --> 00:38:45.880 the ecosystem and really try to work on solutions, get them and what you 396 00:38:45.920 --> 00:38:49.119 see is more and more we get there and it becomes a source of inspiration. 397 00:38:50.559 --> 00:38:52.800 You know. I can give you a few examples. For instance, 398 00:38:52.840 --> 00:38:58.360 in Greece where based on the recommendation they started the whole program for scanning conic 399 00:38:58.440 --> 00:39:02.440 kidney diseases and trying to anticipate that. Or in Japan were based on the 400 00:39:02.480 --> 00:39:09.599 recommendation they finally managed to consolidate all the data in one electronic system that they 401 00:39:09.599 --> 00:39:14.519 can use for the future. So these are a few examples that can be 402 00:39:14.599 --> 00:39:16.519 done. We continue to work on that because at the end, it's each 403 00:39:16.559 --> 00:39:21.880 of the small initiative for which each time we can find the white partner and 404 00:39:21.960 --> 00:39:28.400 maybe also a different way of financing that will help turning this financial resilience of 405 00:39:28.920 --> 00:39:32.599 health system into a better situation. It's really fascinating and I'm going to come 406 00:39:32.599 --> 00:39:37.199 to you because you can speak about this topic from the health system point of 407 00:39:37.239 --> 00:39:43.480 view. And of course India had the recent G twenty presidency, and I 408 00:39:43.480 --> 00:39:46.400 would love for you to tell us a little about how power healthcare systems are 409 00:39:46.440 --> 00:39:52.039 aligning their efforts with this international agenda that we've been talking about. Thank you, 410 00:39:52.159 --> 00:39:58.320 I think you know. The G twenty presidency was definitely something which made 411 00:39:58.360 --> 00:40:01.000 us very proud. But more than anything else, it said systems and there 412 00:40:01.039 --> 00:40:06.199 was a lot of work which has gone into it and commitments made that we 413 00:40:06.320 --> 00:40:10.280 have to handle health care for the future. One of the issues which came 414 00:40:10.360 --> 00:40:15.880 up was the rising burden of infectious diseases and how can we put good, 415 00:40:15.960 --> 00:40:22.599 strong vigilance systems into our healthcare, especially with the fact that you know, 416 00:40:22.639 --> 00:40:25.119 a lot of India is not really in the urban regions. There's a lot 417 00:40:25.159 --> 00:40:30.119 of rural and we have six hundred thousand villages and how do we use technology 418 00:40:30.159 --> 00:40:34.719 to reach out to it. It was a very strong focus during the G 419 00:40:34.880 --> 00:40:42.320 twenty and using technology, using telemedicine to reach out to the rural population was 420 00:40:42.360 --> 00:40:49.559 one major initiative. The other reason there's been so many conversations, especially at 421 00:40:49.599 --> 00:40:54.840 the forum, is about women's health and gender equity. So it was coined 422 00:40:54.840 --> 00:41:00.960 as tequity and women have to have equity in you know, they have to 423 00:41:00.039 --> 00:41:07.840 have a seat at the table at every instance. Also, the fact was 424 00:41:07.920 --> 00:41:13.599 that half the world's population forty nine point seven percent of the eight billion, 425 00:41:13.760 --> 00:41:19.199 is actually women. But research is not skewed completely towards a fifty to fifty 426 00:41:19.239 --> 00:41:25.519 partnership, and I think that we more focus on research which will treat not 427 00:41:25.760 --> 00:41:31.239 only the women relate to diseases, but all encompassing diseases, maybe cardiovascular or 428 00:41:31.559 --> 00:41:35.880 you know, the authopedic diseases. I think this came into a lot of 429 00:41:35.920 --> 00:41:40.559 focus at that time, and so tequity became very important for us. The 430 00:41:40.679 --> 00:41:45.840 lack of skill, manpower, and it's a global shortage. We just do 431 00:41:45.960 --> 00:41:50.320 not have enough doctors and nurses to heal the world. So using technology, 432 00:41:50.400 --> 00:41:54.119 you know, how could we help them access So I think digital learning tools, 433 00:41:54.159 --> 00:42:00.760 training tools had a great focus. Apollo did it during COVID that within 434 00:42:00.800 --> 00:42:06.639 a span of two weeks we were able to train about one hundred and fifty 435 00:42:06.760 --> 00:42:13.280 thousand workers workforce on ventilator management because you know, while there was a shortage 436 00:42:13.280 --> 00:42:16.480 of ventilators, even if there were ventilators, we didn't have enough people to 437 00:42:16.519 --> 00:42:21.599 be able to use it. And I think this kind of took the work 438 00:42:21.639 --> 00:42:25.239 global fancy, and there's been a lot of training small modules, but for 439 00:42:25.360 --> 00:42:30.599 healthcare workers, for aging, for the aging population, for bedside care, 440 00:42:30.880 --> 00:42:37.239 and for multiple other requirements. So I think that was again part of the 441 00:42:37.480 --> 00:42:45.199 G twenty presidency. A strong focus on AI and digital I think got discussed 442 00:42:45.199 --> 00:42:47.960 in every fora and we know that, you know, health is a very 443 00:42:47.960 --> 00:42:54.000 strong backbone, and so AI and health digital reach and health was a huge 444 00:42:54.000 --> 00:43:00.480 focus. We know that the NCD scilled forty one million people each year and 445 00:43:00.519 --> 00:43:05.599 it's seventy four percent of all the debts globally, and so the awareness on 446 00:43:05.800 --> 00:43:12.239 NCDs, dealing with NCDs and the anti microbial resistance. I think the AMR 447 00:43:12.360 --> 00:43:19.559 again was a huge focus and G twenty is looking for solutions for that. 448 00:43:20.679 --> 00:43:24.880 The one initiative which was very intrinsic to our part of the world was the 449 00:43:24.920 --> 00:43:30.840 focus on alternate medicine systems and a ur Veda and all the other healthcare systems 450 00:43:31.079 --> 00:43:36.440 and how could we come out with integrative healthcare. So maybe we could do 451 00:43:36.559 --> 00:43:42.360 the diagnosis using high tech, but can we use these ancient systems of medicine 452 00:43:42.400 --> 00:43:46.280 for areas where it's not really required to use very strong allopathic drugs, So 453 00:43:46.320 --> 00:43:51.840 I think that was one of our discussion points also, but more than anything 454 00:43:51.920 --> 00:43:57.880 else, it was about collaborating, collaborating to give access to the underserved, 455 00:43:58.360 --> 00:44:02.840 whether it was financial or geographic, collect access. How do we make health 456 00:44:02.880 --> 00:44:08.719 systems more accountable for the outcomes which are so important to us, and then 457 00:44:08.800 --> 00:44:14.719 how do we collaborate and to be able to quickly turn around the things which 458 00:44:14.800 --> 00:44:17.920 have been challenging us in the future. So I think all these discussions were 459 00:44:19.039 --> 00:44:24.239 useful during the G twenty and Apollo paid played a very intrinsic part of that 460 00:44:24.400 --> 00:44:28.320 as part of the leadership team. It's wonderful. Thank you so much. 461 00:44:28.360 --> 00:44:32.639 And you focused a little in your comments about the digitization of healthcare and worry. 462 00:44:32.679 --> 00:44:37.000 I'd love to come to you on that topic. Phillips certainly has been 463 00:44:37.000 --> 00:44:40.800 a leader across the world and very focused here at the World Economic Forum on 464 00:44:40.880 --> 00:44:45.280 these topics, including value in healthcare. I wonder if you could give us 465 00:44:45.320 --> 00:44:50.599 your perspectives on how these tools can help us be prepared for any future crisis 466 00:44:50.840 --> 00:44:53.440 our healthcare systems might face. Yeah. Sure, So I think we are 467 00:44:53.559 --> 00:44:58.079 very concerned about access to care in general. I think we saw that as 468 00:44:58.119 --> 00:45:01.920 a challenge when you have a cris is like COVID or any kind of infectious 469 00:45:01.920 --> 00:45:07.360 disease that could come after. But even today, actually we lose more patients 470 00:45:07.400 --> 00:45:10.039 to cardic disease in a year than we have lost to COVID, and that 471 00:45:10.199 --> 00:45:15.599 is also because we cannot operate at capacity anymore. And if I look at 472 00:45:15.639 --> 00:45:19.079 the productivity of the healthcare system, why are we not as productive as we 473 00:45:19.119 --> 00:45:23.480 can be, is because actually the learning agility and the adaptability to what is 474 00:45:23.519 --> 00:45:27.719 possible is not yet fully there. And we saw actually in COVID what is 475 00:45:27.719 --> 00:45:30.840 possible if you look at it systemically. And what I mean with systemically, 476 00:45:30.880 --> 00:45:34.119 if you look to what technology can do. We can scan three times as 477 00:45:34.159 --> 00:45:37.880 many patients. If you use AI now on an MRI, we can actually 478 00:45:37.920 --> 00:45:40.840 predict within twenty four hours, even within two weeks if a cardiac arrest will 479 00:45:40.840 --> 00:45:45.519 happen. But you need to have the clinical practice to adopt these technologies. 480 00:45:45.920 --> 00:45:50.960 You also need to have the financial system to support and reimburse some of these 481 00:45:51.000 --> 00:45:54.519 new practices, and then you need to have the regulatory system that actually allows 482 00:45:54.519 --> 00:45:59.079 this to be adopted. So if you have these four lining up, then 483 00:45:59.119 --> 00:46:01.760 actually you get massive change and adoption, and we sort of with COVID. 484 00:46:02.039 --> 00:46:06.719 Unfortunately, what we also have seen actually there's backtracking, so funding is going 485 00:46:06.719 --> 00:46:09.760 away from some of the digital technology or remote kind of services that we were 486 00:46:09.800 --> 00:46:15.920 providing. Some of the regulary frameworks are becoming more contingent in terms of how 487 00:46:15.920 --> 00:46:19.679 you deal with data and instead of what data can allow for So I think 488 00:46:19.679 --> 00:46:22.880 for us, as we keep pushing a technology boundary is a lot possible, 489 00:46:22.920 --> 00:46:25.280 and we talk a lot about that in AI and it's not truck it's what 490 00:46:25.320 --> 00:46:29.199 we can do day to day in the workflow of healthcare. But we need 491 00:46:29.199 --> 00:46:31.599 to work together to actually really get that massive change going and that's something we 492 00:46:31.639 --> 00:46:36.159 are very passionate about and these kind of forums help to actually mobilize the whole 493 00:46:36.199 --> 00:46:39.639 system integraally wonderful. Thank you and her excellency. I'd love to give you 494 00:46:39.679 --> 00:46:45.000 the last question in our time together today as Brazil takes on the presidency of 495 00:46:45.039 --> 00:46:50.320 the G twenty, tell us about some of the investments that you see that 496 00:46:50.519 --> 00:46:55.159 will be made in terms of helping us address these issues of health system preparedness. 497 00:46:57.880 --> 00:47:10.719 Well, so I had mentioned before regarding preparedness in light of possible emergencies. 498 00:47:13.360 --> 00:47:16.440 I think, first of all, we need to be able to strengthen 499 00:47:16.559 --> 00:47:23.519 our healthcare systems. That's the first point that investment should be for primary care. 500 00:47:24.519 --> 00:47:31.079 But I think more and more we understand the importance of coordinating the entire 501 00:47:31.800 --> 00:47:38.480 health system, so being able to strengthen that aspect. And second, we 502 00:47:38.519 --> 00:47:45.360 need to have better equity in terms of science, technology and innovation. I'm 503 00:47:45.440 --> 00:47:49.440 just going to give you a brief example. During the pandemic in Brazil, 504 00:47:50.559 --> 00:47:59.840 I participated in the specific initiative as president of THEO Cruz which was to high 505 00:48:00.800 --> 00:48:06.599 and develop well, which was to contract the vaccine with Oxford through in agreement 506 00:48:06.599 --> 00:48:10.280 that we had with Astrosenica, we had the opportunity to incorporate the technology that 507 00:48:10.400 --> 00:48:14.360 was being used there and develop it in our country. So this is very 508 00:48:14.360 --> 00:48:20.440 important and during the G twenty presidency, we want to strengthen such partnerships both 509 00:48:20.519 --> 00:48:27.679 locally, regionally, but also globally. A third aspect that has to do 510 00:48:27.800 --> 00:48:37.440 with preparedness is strengthening our surveillance systems, so better integrating data, integrating all 511 00:48:37.559 --> 00:48:43.280 the knowledge that the information that we have from from primary care. Preparedness has 512 00:48:43.320 --> 00:48:49.800 to do. In my opinion, with science, technology and innovation. We 513 00:48:49.840 --> 00:48:58.679 need to consider that ninety percent of patents are concentrated in ten percent of the 514 00:48:58.719 --> 00:49:01.599 countries, so this is something that maybe we need to consider and try and 515 00:49:01.719 --> 00:49:09.199 change. One other issue that has to deal with this aspect is being able 516 00:49:09.280 --> 00:49:21.440 to strengthen supply chain that are more local and also strengthen cooperation between G twenty 517 00:49:21.559 --> 00:49:30.480 countries and develop multilateralism with the strengthening of organizations such as the w HL. 518 00:49:35.000 --> 00:49:39.880 Also, in line with the concept of preparedness and preparation, we have included 519 00:49:43.119 --> 00:49:47.599 the idea of integrating data. In order to do that, we need to 520 00:49:47.679 --> 00:49:57.320 improve our digital systems. So during the G twenty presidency we propose the topic 521 00:49:57.400 --> 00:50:04.679 of equity and access to health, but also the use of digital health and 522 00:50:04.760 --> 00:50:12.239 the strengthening of these systems. And recently I mentioned this before. In Brazil 523 00:50:12.360 --> 00:50:19.880 we published a report by the Brazilian Academy of Medicine that assessed the role of 524 00:50:19.960 --> 00:50:25.960 international intelligence of artificial intelligence in the health system. So all the positive aspects, 525 00:50:25.960 --> 00:50:30.159 all the way from diagnosis that can come from applying this technology, but 526 00:50:30.280 --> 00:50:39.880 also all the way to integrating data. And we also have concerns about education 527 00:50:42.519 --> 00:50:46.679 and being able to develop these technologies in our own countries, in developing countries. 528 00:50:46.800 --> 00:50:51.480 So I think those are the main aspects that I want to emphasize. 529 00:50:51.599 --> 00:50:55.559 Wonderful, thank you and certainly a bold agenda. And I think I feel 530 00:50:55.679 --> 00:51:00.360 very comforted in knowing that all of these leaders and doctor Tadros who had to 531 00:51:00.440 --> 00:51:05.159 leave for another engagement, are all very focused on these issues. And the 532 00:51:05.199 --> 00:51:08.039 World Economic Forum, again, I would like to just say, is a 533 00:51:08.119 --> 00:51:13.199 hub for all of this global collaboration to happen together. So thank to thank 534 00:51:13.280 --> 00:51:16.280 doing to each of the panelists for your participation, and thank to you all 535 00:51:16.320 --> 00:51:25.679 for attending today. Final thoughts. We have all seen different sci fi things 536 00:51:25.719 --> 00:51:36.280 where they where they have doctors tapping into or should I say an artificial intelligence 537 00:51:37.440 --> 00:51:46.880 and doctor tapping into this huge database of information about the human anatomy and how 538 00:51:46.920 --> 00:52:00.840 to deal with symptoms enailment of the human anatomy. What if what was proposed 539 00:52:01.000 --> 00:52:09.119 at the World Economic Forum by this panel could be that? What if? 540 00:52:12.800 --> 00:52:19.920 What is what this panel is proposing in building builds a database that so many 541 00:52:20.000 --> 00:52:28.840 doctors can tap into and get information that it shared information, freely shared information. 542 00:52:29.519 --> 00:52:37.320 It doesn't have to be paid for, so that they could save millions, 543 00:52:37.360 --> 00:52:49.400 possibly more lives from a health crisis. Isn't it worth building? Isn't 544 00:52:49.719 --> 00:52:55.800 a database that doctors can just tap into and share minds about the symptoms of 545 00:52:55.880 --> 00:53:04.639 how to deal with a disease. Isn't it worth building it so that we 546 00:53:04.760 --> 00:53:12.079 can save in better lives? There are some things out there that some conditions 547 00:53:12.119 --> 00:53:29.480 out there that go completely unsolved that for an example, a baby was born 548 00:53:30.119 --> 00:53:37.239 and it had a condition that they actually named after that baby because nor the 549 00:53:37.320 --> 00:53:45.280 baby had it before that, and limited information about about the conditions that this 550 00:53:45.440 --> 00:54:00.480 baby has also limited that person's life. What if a database could be created 551 00:54:00.480 --> 00:54:07.760 or a network could be created where doctors chime in from around the world so 552 00:54:08.000 --> 00:54:19.559 that they can figure out what is ailing a person, a child, a 553 00:54:19.599 --> 00:54:29.840 baby. Isn't it worth building? And isn't it worth ensuring that the supplies, 554 00:54:30.480 --> 00:54:39.639 the medication, the treatments are available to anyone in the world, rather 555 00:54:39.760 --> 00:54:55.880 they are in a developed a underdeveloped country. Just something to think about before 556 00:54:55.880 --> 00:55:01.119 he say ya or a to what was proposed to buy this particular panel at 557 00:55:01.159 --> 00:55:09.119 the World Economic Forum, Thank you for listening to us today and please find 558 00:55:09.119 --> 00:55:15.159 that subscribe button wherever it may be, and if you're a podcaster, please 559 00:55:15.280 --> 00:55:22.760 do hey send us your particular podcaster that we can share it also with the 560 00:55:22.800 --> 00:56:05.920 rest of the world. The show has been produced by Depictions Media. Please 561 00:56:06.000 --> 00:56:09.440 contact us at depictions dot media for more information.