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<v Speaker 1>Welcome. This is Marsha for Radio I and today I

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<v Speaker 1>will be reading National Geographic magazine dated May twenty twenty five,

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<v Speaker 1>which is donated by the publisher as a reminder. Radio

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<v Speaker 1>Eye is a reading service intended for people who are

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<v Speaker 1>blind or have other disabilities that make it difficult to

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<v Speaker 1>read printed material. Please join me now for the first

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<v Speaker 1>article entitled How Penguins Learned to Live on the Edge

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<v Speaker 1>by Renee Ebersol. Roughly six hundred miles off the coast

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<v Speaker 1>of mainland Ecuador, conservation biologist d Bourzma cruised in an

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<v Speaker 1>inflatable zodiac through the blue waters surrounding Bartolomy Island, a

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<v Speaker 1>small part of the Pacific Ocean archipelago known as the

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<v Speaker 1>Galopicus Islands. She was joined by several other scientists, all

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<v Speaker 1>of whom scanned the shoreline for an elusive black and

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<v Speaker 1>white seabird standing about a foot and half tall. Galopicus

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<v Speaker 1>penguins are the rarest and among the smallest penguins in

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<v Speaker 1>the world, but most notably, they are the only ones

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<v Speaker 1>living at the equator, existing on these volcanic islands in

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<v Speaker 1>the blazing hot sun. How could you not fall in

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<v Speaker 1>love with these birds? Asked the seventy eight year old

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<v Speaker 1>director of the University of Washington's Center for ecosystem Sentinels

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<v Speaker 1>and a national geographic explorer. They're comical, they're curious, their enduring, endearing.

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<v Speaker 1>Borizma suddenly pointed to five penguins near a cave, then another,

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<v Speaker 1>and another seven in total once the goat got close

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<v Speaker 1>enough to shore. Once the boat got close enough to shore,

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<v Speaker 1>two Ecuadorians veterinarian m Gavidens Escobar and park guard Marlon Ramone,

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<v Speaker 1>leaped out, easily scaling the sharp and slippery rocks. In

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<v Speaker 1>less than five minutes, Escobar was back lightly gripping a

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<v Speaker 1>penguin under its chin with one hand and propping its

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<v Speaker 1>feet in his other. He passed it to Boorzma, who

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<v Speaker 1>was ready with her calipers to ascertain the size of

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<v Speaker 1>the bird's bill and feet. Then she pulled out her

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<v Speaker 1>yellow tape measure to discern the length of the bird's wingspan.

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<v Speaker 1>We're measuring him for a suit, she joked. These were

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<v Speaker 1>the first steps in the process of recording information that

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<v Speaker 1>allows researchers to monitor the health of the colony in

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<v Speaker 1>the area. Next, Boorzma cinched a red cord around the

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<v Speaker 1>penguin's chest and attached it to a scale. Now the

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<v Speaker 1>flightless bird was dangling in mid air, flippers whirling. That's

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<v Speaker 1>a big one, she told her colleague Caroline Capello, a

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<v Speaker 1>wildlife ecologist who has studied penguins in the galopagus alongside

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<v Speaker 1>Borizma for more than a decade. Capello recorded the data.

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<v Speaker 1>A little more than five pounds and likely a male.

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<v Speaker 1>Freeing the feisty bird from the cord, Boorizma then secured

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<v Speaker 1>its head between her left fore arm and knee in

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<v Speaker 1>a well practiced maneuver to protect her legs from painful bites.

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<v Speaker 1>You're all right, You're all right, she told the squirming penguin.

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<v Speaker 1>You're so soft, Yes, you are. Calm down. We're going

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<v Speaker 1>to let you go in just a minute. The penguin's

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<v Speaker 1>flippers thick at the top and tapered to a thin

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<v Speaker 1>trailing edge, ideally shaped for soaring through water or in

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<v Speaker 1>great condition, she noted, smoothing them with her hands protected

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<v Speaker 1>by beige wool fingerless gloves, she affixed a tiny metal

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<v Speaker 1>tag into the webbing of its left foot and gently

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<v Speaker 1>set it down on the edge of the zodiac, seemingly

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<v Speaker 1>unfazed by the ordeal, the penguin surveyed the water, then

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<v Speaker 1>leaned forward and quietly plopped into the Pacific to again

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<v Speaker 1>swim among green sea turtles and marine iguanas. Touching a

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<v Speaker 1>bird like that is electric brsmas sad as she watched

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<v Speaker 1>it vanish beneath the surface. It is also an increasingly

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<v Speaker 1>rare opportunity for researchers. Today, Galopicus penguins join the more

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<v Speaker 1>than half of all penguin species that are classified as

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<v Speaker 1>endangered or vulnerable, imperiled by such threats as warming temperatures, overfishing,

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<v Speaker 1>habitat destruction, and pollution. Gurzma, who has been called the

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<v Speaker 1>Jane Goodall of penguins, consider these birds to be marine

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<v Speaker 1>sentinels or canaries in a coal mine, describing how one

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<v Speaker 1>species rapid decline signals a significant natural or human made

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<v Speaker 1>change happening within its environment. Still, she believes that the

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<v Speaker 1>species has the capacitated to hang on, in part because

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<v Speaker 1>researchers continue to gain a better understanding of how these

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<v Speaker 1>creatures leverage centuries of adaptations to be resilient in the

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<v Speaker 1>increasingly unpredicable world around them. Fifty four years ago, when

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<v Speaker 1>I started this. I thought Galopicus penguins would be gone

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<v Speaker 1>by now, she said, But they're still here. The Galopicus

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<v Speaker 1>penguins evolutionary journey illustrates how environmental pressures shape species over

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<v Speaker 1>millions of years. Genetic studies suggest they descended from Humboldt

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<v Speaker 1>penguins roughly two million years ago the Pleistocene epoch, a

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<v Speaker 1>period marked by well wide ranging climatic changes. The earliest

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<v Speaker 1>Galopitus penguin ancestors probably came to the islands by surfing

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<v Speaker 1>the northbound Humboldt Current that brings cold, nutrient rich water

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<v Speaker 1>along the coast of South America, likely settling on the

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<v Speaker 1>western part of the archipelago on Isabella and Ferdnana Islands,

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<v Speaker 1>the penguins found plentiful food and shelter. While the Humboldt

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<v Speaker 1>and another current, the Cromwells, still flow here, they now

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<v Speaker 1>bring nutrients and food intermittently in duration and intensity. One

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<v Speaker 1>of the significant factors to how Galopicus penguins adapted to

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<v Speaker 1>living in this warm climate is that they nest in cool,

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<v Speaker 1>shady crevices on the islands. The coastlines are sculpted by

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<v Speaker 1>explosive volcanic eruptions, and erosion, providing cracks and lava tunnels

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<v Speaker 1>where punguins can avoid overheating. Their small dature allows them

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<v Speaker 1>to squeeze into these dark spaces where they and their

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<v Speaker 1>chicks hide from predators such as Galopicus snakes and sally

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<v Speaker 1>light foot crabs. With a thinner layer of fat and

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<v Speaker 1>fewer feathers than most other penguins, these birds evolved for

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<v Speaker 1>life in the subtropics. Galopicus penguins, along with the Humboldt,

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<v Speaker 1>Megellanic and African species, belong to a group known as

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<v Speaker 1>banded penguins for the distinctive black and white patterning around

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<v Speaker 1>their chests and heads. They all live in warmer climates

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<v Speaker 1>and regulate their body temperature by panting similar to a

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<v Speaker 1>dog on a hot day, and they stand with their

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<v Speaker 1>flippers outstretched to release heat. White feathers on Galopicus penguins

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<v Speaker 1>faces and their featherless ankles and feet further help shunt

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<v Speaker 1>warmth from their stout little bodies. The birds can also

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<v Speaker 1>shed feathers around their faces during hot periods. But the

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<v Speaker 1>adaptation that sets Galopicus penguins apart is their flexibility as

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<v Speaker 1>to when they mold replace feathers and breed, rather than

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<v Speaker 1>having one fixed molting and mating season as other penguin

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<v Speaker 1>species do. The timing is based on whether enough nutrients

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<v Speaker 1>are being delivered from cold ocean currents and upwellings to

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<v Speaker 1>give them energy to replace their feathers, which, unlike other

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<v Speaker 1>penguin cycles, occurs before breeding and up to twice a year.

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<v Speaker 1>They can delay molting and mating until food is available

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<v Speaker 1>and there's a better chance of successfully starting a family.

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<v Speaker 1>All this adds up to a boom or bust way

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<v Speaker 1>of life. By tracking and measuring Galopicus penguins weight and

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<v Speaker 1>population numbers over decades, Burizma made the incredible discovery that

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<v Speaker 1>their breeding is tightly in sync with the rhythms of

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<v Speaker 1>al Ninos and La Ninas. The birds thrive during La

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<v Speaker 1>Nina conditions when there are strong currents of cold, nutrient

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<v Speaker 1>rich water flowing north, providing plentiful fish, squid, and crustaceans

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<v Speaker 1>for the penguins. When Al Nino's warm weather in the

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<v Speaker 1>sunde Central and Eastern Pacific displaces the cool currents, it

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<v Speaker 1>drastically reduces upwelling and their food supply. In years when

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<v Speaker 1>provisions are scarce, some penguins starve and breeding comes to

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<v Speaker 1>a standstill, it could take decades for the population to recover.

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<v Speaker 1>During a severe El Nino in the early nineteen eighties,

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<v Speaker 1>the population fell by more than half. Now, as global

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<v Speaker 1>temperatures heat up, el Ninos are becoming more frequent and extreme,

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<v Speaker 1>threatening to further reduce the availability of nutrients, while rising

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<v Speaker 1>sea levels are inundating nesting sites. Still, Borisma has come

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<v Speaker 1>to believe that even with the increasing frequency of El

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<v Speaker 1>nino's and extreme weather events, some Galopogus penguins will persist

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<v Speaker 1>because their ecosystem is also supported by periodic deep water

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<v Speaker 1>upwellings bringing pulses of nutrients to sustain the food chain.

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<v Speaker 1>But if for some reason the currents change and productivity

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<v Speaker 1>goes down, she said, they'll have trouble because there will

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<v Speaker 1>be nowhere left for them to go but Peru or

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<v Speaker 1>Chile and NAT's a long swim. Wursma estimates there are

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<v Speaker 1>maybe two thousand Galopicus penguins left, less than half as

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<v Speaker 1>many as there were fifty years ago when she started

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<v Speaker 1>her trailblazing research. But she believes that a couple of

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<v Speaker 1>crucial actions can protect their future. In order to survive

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<v Speaker 1>and thrive. Gallipicus penguins need humans to help them overcome

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<v Speaker 1>two major threats introduced predators mainly rats and cats, and

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<v Speaker 1>natural nesting areas becoming increasingly inhospitable. Solving the first issue

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<v Speaker 1>is fairly straightforward. Cats and rats arrived in the Galopicus

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<v Speaker 1>nearly two hundred years ago. With sailors and whalers. They

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<v Speaker 1>can easily scale difficult terrain and squeeze into nests of

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<v Speaker 1>penguins and other sea birds, devouring eggs and chicks. Recently,

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<v Speaker 1>the Galopicus National Park Partners partnered with environmental organization Jokotoko

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<v Speaker 1>to undertake an invasive species eradication program on f Floriana

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<v Speaker 1>Island in the southern part of the archipelago. In October

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<v Speaker 1>twenty twenty three, park managers began exterminating the rats and

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<v Speaker 1>cats on Floriana, using traps and unmanned ultra light helicopters

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<v Speaker 1>to disperse pellets of rudenticide and tocsin laced sausages across

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<v Speaker 1>the entire island. The program appears to be working. Previously,

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<v Speaker 1>a small number of penguins remained in the area, Borizma said,

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<v Speaker 1>but not easily removing the predators and continuing to monitor

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<v Speaker 1>for their presence will give penguins a fair shot at

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<v Speaker 1>long term survival. To mitigate the second threat, Borisma and

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<v Speaker 1>our colleagues are hoping to obtain funding to build artificial

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<v Speaker 1>nests and help the birds recolonize Floriana. Borizma first began

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<v Speaker 1>thinking about constructing nests some years ago when she was

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<v Speaker 1>puzzled by a penguin pair nesting on top of lava

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<v Speaker 1>along the western edge of the archipelago on Ferdinand Ferdanina

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<v Speaker 1>Island without any shade. The birds took turns sitting on

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<v Speaker 1>the eggs from early evening until morning, but then retreated

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<v Speaker 1>during the heat of the day, leaving the eggs unprotected. Eventually,

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<v Speaker 1>the eggs died. Gorzma realized that there weren't enough shaded

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<v Speaker 1>nest sites to go around, and that might be limiting

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<v Speaker 1>how many baby penguins could join the population each year.

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<v Speaker 1>Fifteen years ago, she began experimenting with artificial nest designs

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<v Speaker 1>that would blend into the environment so they wouldn't mar

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<v Speaker 1>the island's natural beauty. The park didn't want doggy igloos

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<v Speaker 1>or something like that. They like what they use at

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<v Speaker 1>zoos she said when option was an inconspicuous little penguin

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<v Speaker 1>carport made from stacked lava rocks. The other, the one

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<v Speaker 1>the penguins wound up preferring, was created by digging cavernous

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<v Speaker 1>holes directly into the hard lava substrate. As in all

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<v Speaker 1>real estate, location was key. The nests needed to be

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<v Speaker 1>close to the water, but not so close that they'd

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<v Speaker 1>fled within the penguins three months period. The idea of

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<v Speaker 1>building nests, Borzma said, is that if conditions are good,

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<v Speaker 1>you want everybody that wants to breed to be able

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<v Speaker 1>to breed. On the third day of the expedition, Burizma

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<v Speaker 1>and her team arrived at Punta Espinoza on Ferdini Ferdinina Island,

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<v Speaker 1>the first place Burzma had ever tried to build the

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<v Speaker 1>artificial nests. They disembarked from the zodiac and walked carefully

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<v Speaker 1>across the sharp lava slathered with iguana poop. Two members

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<v Speaker 1>located and checked the nest sites. Capello thirty five, who

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<v Speaker 1>is currently doing postdoctoral research at Cornell University, and Aura

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<v Speaker 1>Banda Cruz forty two, a third generation resident of the

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<v Speaker 1>Galopicus and a naturalist working aboard the Silver Sea cruise

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<v Speaker 1>ship that hosted Gourzma's survey. While ferrying tourists around the glopitus,

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<v Speaker 1>peering into a small space between a pile of rocks,

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<v Speaker 1>Capello shouted that she found an artificial nest that appeared

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<v Speaker 1>to have been used recently. There were shards of broken

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<v Speaker 1>eggshells and downy feathers scattered around the area. Maybe it hatched,

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<v Speaker 1>or maybe it was predated, Capello said, as she slipped

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<v Speaker 1>the eggshells into a coin envelope for closer inspection later. Regardless,

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<v Speaker 1>any sign of nessing activity was good news. In her

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<v Speaker 1>work as a cruise ship naturalist, Bonda Cruz has spent

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<v Speaker 1>nearly a decade photographing Galobicus penguins. This has led her

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<v Speaker 1>to develop a non invasive method to identify individuals using

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<v Speaker 1>the distinctive patterns of spots on their chests. I realized

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<v Speaker 1>that the spots were different on each one of them,

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<v Speaker 1>she said, Each one is unique like a fingerprint. Similarly,

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<v Speaker 1>researchers have learned to identify jaguars, zebras, dolphins, and even

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<v Speaker 1>koalas by their distinguishing patterns. Bonda Cruz is hopeful that

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<v Speaker 1>going forward in the periods between annual surveys like this one,

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<v Speaker 1>she could partner with other expedition naturalists who will send

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<v Speaker 1>more photographs, helping create a visual archive that can be

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<v Speaker 1>used to discern penguins when they're sighted. The images can

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<v Speaker 1>also provide records of the birds overall health and the

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<v Speaker 1>ratio of adults to juveniles. You can tell the adults

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<v Speaker 1>because they have a white line around their cheek and

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<v Speaker 1>their feet are black, bond Acruz said. Juveniles have paler

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<v Speaker 1>feet and white cheeks. What's more, the photos help document

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<v Speaker 1>periods in which the penguins are working harder for their food,

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<v Speaker 1>often correlating with an El Nino. They start spending more

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<v Speaker 1>time in the water, bond Acruz said, they don't have

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<v Speaker 1>time to dry completely and they start growing algae. So

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<v Speaker 1>when you see a green penguin, it's a symbol that

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<v Speaker 1>things are not going well for them. For her part,

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<v Speaker 1>Gorzma is thrilled to still be learning new things about

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<v Speaker 1>the lives of Galopicus penguins, especially from this next generation

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<v Speaker 1>of scientists. For a long time, she worried that she

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<v Speaker 1>wouldn't have anyone to take over her Galopicus research when

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<v Speaker 1>she retired. You realize when you're jumping and crawling around

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<v Speaker 1>on the lava that your days are numbered. You can't

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<v Speaker 1>do this forever, she said, sitting on the edge of

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<v Speaker 1>the zodiac while her colleagues check another area for penguins

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<v Speaker 1>and signs of nesting. That's why I was so happy

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<v Speaker 1>to find first Caroline and now Aura. I think they

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<v Speaker 1>can make a dynamic pear and carry it on for

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<v Speaker 1>another ten twenty thirty years if they want. She went quiet,

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<v Speaker 1>watching a male penguin standing alone along the shore, basking

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<v Speaker 1>in the late afternoon's golden light. Ah. The penguin braid,

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<v Speaker 1>trying to attract a male a mate. Ah Ah, Boorsmois

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<v Speaker 1>called back. He's saying, come see my etchings. I've got

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<v Speaker 1>a good nest. Come take a look, she said, grinning.

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<v Speaker 1>If the conditions stayed as favorable as they've been in

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<v Speaker 1>recent weeks, cold water and lots of fish, she felt

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<v Speaker 1>confident he'll be breeding soon. The next article is from

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<v Speaker 1>the June twenty twenty five National Geographic. This pig could

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<v Speaker 1>Save Your life by Matthew Cher. For decades, scientists and

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<v Speaker 1>surgeons around the world have been trying to solve the

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<v Speaker 1>organ donor crisis. Could the answer be rolling in the mud.

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<v Speaker 1>The entry require fires should have come with an instruction booklet,

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<v Speaker 1>sign in at the security hut, choose off at the door,

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<v Speaker 1>over to the locker room for a hot shower, into

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<v Speaker 1>a long protective surgical smock and knee high rubber waiters,

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<v Speaker 1>and finally a pair of safety goggles, which, in the

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<v Speaker 1>clammy heat of the laboratory complex, quickly began to fog.

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<v Speaker 1>Sorry for the trouble, smiled my tour guide, Bjorn Petersen,

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<v Speaker 1>waving me forward. We just have to be exceptionally careful

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<v Speaker 1>about pathogen's You'll get used to it, I promise. A

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<v Speaker 1>couple of hours earlier, i'd woken in a hotel in

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<v Speaker 1>a Midwestern city I've been asked not to name. Now,

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<v Speaker 1>with the sun curdling above the surrounding pasture and a

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<v Speaker 1>gauze of mist in the air, I found myself following Peterson,

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<v Speaker 1>a German born scientist, through the corridors of a highly

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<v Speaker 1>secret research facility and across a muddy courtyard cross hatched

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<v Speaker 1>with boot prints. When we bought the place, he said

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<v Speaker 1>the owners were using it as a livestock research facility.

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<v Speaker 1>Indicated an adjacent barn. The cattle were here and the

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<v Speaker 1>horses in the field up there. We've kept the same

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<v Speaker 1>basic layout, though obviously our purpose is very different. He

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<v Speaker 1>said something else as we entered the barn, but I

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<v Speaker 1>didn't catch it. His voice had been drowned out by

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<v Speaker 1>racus chorus of expectant grunts and the clatter of trotter's

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<v Speaker 1>on cement. A dozen odd pigs surged forward to the

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<v Speaker 1>edges of the individual enclosures, clanging their snouts against the

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<v Speaker 1>metal gates. I want you to meet someone, Peterson said,

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<v Speaker 1>blinking into the harsh overhead light. He stopped near the

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<v Speaker 1>pen of an animal whose name card identified her as Margherita.

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<v Speaker 1>She curled her body against Peterson's hand in the manner

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<v Speaker 1>of an oversize housecat. Margherita was one of our first,

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<v Speaker 1>Peterson said, proudly, leaning down to stroke the protuberant black

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<v Speaker 1>hairs between the pig's ears. Most of these animals you're

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<v Speaker 1>looking at were created from the same cells, but there's

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<v Speaker 1>something special about the first, don't you think. Peterson, who

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<v Speaker 1>serves as the Sight, had at the farm as a

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<v Speaker 1>specialist in livestock cloning and zeno transplantation, and exceedingly advanced

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<v Speaker 1>to scientific technique in which animal matter is transferred into

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<v Speaker 1>human patients. The name derives from a Greek for strange

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<v Speaker 1>or foreign. In twenty twenty three, after nearly a quarter

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<v Speaker 1>century working at government research institutions in Europe, Peterson uprooted

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<v Speaker 1>his family and moved to the Midwest to take a

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<v Speaker 1>job with e Genesis, a biotech firm backed by a

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<v Speaker 1>group of venture capital firm investors. Then in the early

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<v Speaker 1>phases of a remarkable plan to develop genetically modified pig

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<v Speaker 1>kidneys for transplantation into humans. Powered by advances in gene

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<v Speaker 1>editing and immunosuppressive medicine, e Genesis had quickly demonstrated that

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<v Speaker 1>its organs could survive for long periods in the bodies

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<v Speaker 1>of primate test subjects, filtering blood and producing urine as

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<v Speaker 1>ably as an alo transplanted or same species kidney. Now

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<v Speaker 1>two years later, Peterson and e Genesis stand at the

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<v Speaker 1>four front of a major revolution in the science of

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<v Speaker 1>organ transplantation, a revolution that will have implications for the

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<v Speaker 1>global human donors shortage and the thousands of sick patients

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<v Speaker 1>who wait every year for a new kidney. Already, the

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<v Speaker 1>results have been astonishing. A progression from trial transplants on

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<v Speaker 1>primates to transplant surgery on brain dead human recipients, and, finally,

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<v Speaker 1>last March, in a development that made global headlines, to

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<v Speaker 1>transplant into a living human recipient. Food and Drug Administration

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<v Speaker 1>officials have since given e Genesis the green light to

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<v Speaker 1>conduct a three patient clinical trial, a move that added

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<v Speaker 1>to the surging interest the company had generated since last

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<v Speaker 1>year's historic xeno transplant. Provided it stays on track and

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<v Speaker 1>its trials proved successful, egenesis is CEO Mike Curtis says

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<v Speaker 1>the company is making plans to grow its production capacity

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<v Speaker 1>and he thinks the science could become widely available to

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<v Speaker 1>the public before where the decade is out. In the

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<v Speaker 1>long term, he added, I'd argue we are looking at

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<v Speaker 1>a scenario where cross species transplants fully supplant yellow transplants,

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<v Speaker 1>where we don't need human donors anymore. Researching that point

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<v Speaker 1>will require further refinement of the technology and will demand

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<v Speaker 1>more pigs like Margarita and scientists like Petersen. But more

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<v Speaker 1>than anything, it will require trust on the part of

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<v Speaker 1>those who go under the knife, who put their lives

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<v Speaker 1>in the hands of this cutting edge science, and the

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<v Speaker 1>doctors and hospitals championing it, and last year's successful Zeno transplant,

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<v Speaker 1>a four hour procedure completed at Boston's Massachusetts General Hospital

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<v Speaker 1>that demanded untested faith, a heavy dose of desperation, and

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<v Speaker 1>an immeasurable amount of luck, was perhaps the most scientific

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<v Speaker 1>step forward into this new future. And it all started

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<v Speaker 1>on a farm in the Midwest, where, on a cold

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<v Speaker 1>March morning, a van idled in the dawn air, Its

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<v Speaker 1>door slid open, a one year old pig was trundled inside,

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<v Speaker 1>and the vehicle rolled down the drive, carrying what amounted

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<v Speaker 1>to years of medical research, hope, and investment. Snorting in

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<v Speaker 1>the back. For the next eighteen hours, as the van

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<v Speaker 1>traveled eastward along I ninety, a million scenarios raced through

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<v Speaker 1>Curtis's mind. You're sitting there thinking what if the van

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<v Speaker 1>gets hit by a car, or what if Rick Slayman

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<v Speaker 1>changes his mind. The room was silent, all other options

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<v Speaker 1>had been depleted, and time was slipping away. Sitting at

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<v Speaker 1>his desk in his office at Massachusetts General Hospital, looking

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<v Speaker 1>across the room at a man who had become his

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<v Speaker 1>friend as much as his patient. Nephrologist Winfried Williams asked

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<v Speaker 1>his long shot question and waited for the response, are

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<v Speaker 1>you familiar with the term zeno transplantation? Rick Slayman, who

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<v Speaker 1>was running out of vasque culture vascular vasculature access for dialysis,

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<v Speaker 1>shook his head. Williams wasn't. At this point. In twenty

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<v Speaker 1>twenty three, zeno transplantation was still a subject relegated to

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<v Speaker 1>scientific journals and the occasional short news item on skin

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<v Speaker 1>grafts or corneal transplants, So he did his best to

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<v Speaker 1>explain that rapid advances in gene editing were offering hope

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<v Speaker 1>that doctors might soon be able to place a pig

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<v Speaker 1>kidney inside a human without the risk of acute and

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<v Speaker 1>immediate rejection. Williams had been taking a lot, talking a

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<v Speaker 1>lot with the folks at a biotech company across the

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<v Speaker 1>Charles River called e Genesis. He'd learned that it had

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<v Speaker 1>recently been granted approval from the FDA for an expanded

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<v Speaker 1>access trial, a special allowance to treat patients who have

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<v Speaker 1>no alternative treatments available to them. Williams did not need

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<v Speaker 1>to tell Slayman that he qualified a supervisor with the

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<v Speaker 1>Massachusetts Department of Transportation and a cheery man with the

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<v Speaker 1>habit of charming nearly everyone he met. Slayman had struggled

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<v Speaker 1>all his life with hypertension and dibert, frequently twinned conditions

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<v Speaker 1>that had given way to end stage renal failure, significant

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<v Speaker 1>destruction to his kidneys, and declining function in both. Slayman

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<v Speaker 1>had been prescribed a course of dialysis, but as Williams

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<v Speaker 1>later recalled, the treatment had quickly become intensely time consuming

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<v Speaker 1>for his medical team and excruciatingly painful for Slayman. For

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<v Speaker 1>dialysis to work properly, Williams told me, you need to

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<v Speaker 1>have reliable vascular access. Traditionally, that axis is secured via

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<v Speaker 1>an arterio venous fistula, a surgical connection between an artery

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<v Speaker 1>and a vein and perforated by a pair of needles.

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<v Speaker 1>One needle removes the patient's blood, the other channels back

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<v Speaker 1>a cleaned version. The problem in mister Slaban's case, Williams said,

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<v Speaker 1>is that he was experiencing significant blood clotting and it

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<v Speaker 1>made it difficult to get a continuous flow during going

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<v Speaker 1>during dialysis. In a given year, he was undergoing multiple

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<v Speaker 1>declotting sessions at a hospital, back and forth, back and forth.

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<v Speaker 1>It was a hard way for anyone to live, let

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<v Speaker 1>alone someone as naturally energetic as Slayman, and the long

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<v Speaker 1>term prognosis was grim. Williams knew effective dialysis does not

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<v Speaker 1>reverse damage to the kidneys. It simply makes it possible

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<v Speaker 1>for a patient to continue living. In the end, a

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<v Speaker 1>transplant is required, provided an organ can be located. In

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<v Speaker 1>twenty eighteen, of the roughly ninety five thousand Americans waiting

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<v Speaker 1>for a new kidney, only twenty five percent managed to

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<v Speaker 1>obtain one. That December, Slaimant had become one of the

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<v Speaker 1>lucky twenty five percent. His surgery, performed by a veteran

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<v Speaker 1>Massachusetts general surgeon, Tatsuo Kawaii, was frictionless. The post surgery

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<v Speaker 1>complications apparently minimal. Slaiman was able to go back to

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<v Speaker 1>work full time, but within three years, familiar symptoms started

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<v Speaker 1>to reappear. The swelling, the fatigue, tests revealed scarring on

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<v Speaker 1>the donor kidney, and early evidence of recurrent diabetes. It

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<v Speaker 1>was there to me, Williams told me that the organ

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<v Speaker 1>wasn't going to survive for many more years. Once again,

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<v Speaker 1>Slayman found himself thrust into a punishing cycle of dialysis

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<v Speaker 1>and declouding. Later, doctors started him on a course of

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<v Speaker 1>anti coagulants and installed a new fistula on his upper thigh.

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<v Speaker 1>Nothing seemed to help. Instead, more worrying signs emerged, like

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<v Speaker 1>hypercalemia or abnormally high potassium levels, which left slam Un

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<v Speaker 1>breathless and sent him racing to the local emergency room

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<v Speaker 1>for treatment. He had to undergo a lot of interventions

400
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<v Speaker 1>that required anesthesia and long hospital stays, and I remember

401
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<v Speaker 1>him saying, doctor, I'm not sure I can go on

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<v Speaker 1>like this. Williams told me he was considering withdrawing completely

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<v Speaker 1>from dialysis, and we knew that would have been a

404
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<v Speaker 1>death sentence, which brought Williams to the idea of Zeno

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<v Speaker 1>transplantation and his conversations with the Genesis. Williams trusted the

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<v Speaker 1>scientists at the company. He visited their labs himself and

407
00:25:59.240 --> 00:26:01.799
<v Speaker 1>marveled at what he saw there. Still, he knew his

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<v Speaker 1>patient would likely have reservations like Slayman Williams as black,

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<v Speaker 1>and his mind went instantly to the infamous Tuskegee experiments,

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<v Speaker 1>in which the U. S Government conducted a forty year

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<v Speaker 1>study of hundreds of black men with syphilis. But intentionally

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<v Speaker 1>hid their diagnoses and withheld treatment be a penicillin when

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<v Speaker 1>it became available. You have to understand that what happened

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<v Speaker 1>at Tuskegee is hard wired in African Americans in the US.

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<v Speaker 1>Williams said it has created deep fear about being used

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<v Speaker 1>as a guinea pig. Over the course of several informed

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<v Speaker 1>consent meetings, Williams was as clear with Slayman about the

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<v Speaker 1>hazards of undergoing a cutting edge procedure as he had

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<v Speaker 1>been about the hazards of doing nothing at all. It

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<v Speaker 1>would not be easy. He would have to be brave,

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<v Speaker 1>but Slayman said he understood in conversations with his family.

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<v Speaker 1>His daughter p S. Slayman later recalled her father was

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<v Speaker 1>confident of how much of a success the surgery would be,

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<v Speaker 1>so I couldn't do anything but support him. The last

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<v Speaker 1>informed consent session occurred in ear late twenty twenty four,

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<v Speaker 1>shortly before the transplant surgery was scheduled to take place.

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<v Speaker 1>Williams told me that halfway through, Slamon burst into tears.

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<v Speaker 1>He said, I want to do this, but I want

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<v Speaker 1>you to be there for me, to take care of me,

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<v Speaker 1>and I promised I would. It was such a poignant

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<v Speaker 1>moment because mister Slaman was about to embark on a

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<v Speaker 1>trip through truly uncharted waters. I could navigate, but he

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<v Speaker 1>was going to have to be the pioneer. Although it

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<v Speaker 1>feels cutting edge to day, the science of kidney zeno

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<v Speaker 1>transplantation stretches back decades and originated in part with the

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<v Speaker 1>work of a gifted Tulane University doctor and professor named

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<v Speaker 1>Keith reamed as Sama. In the early nineteen sixties, Remit Sama,

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<v Speaker 1>a cardio thoracic surgeon by training, began planning a series

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<v Speaker 1>of animal to human surgeries involving kidneys taken from laboratory chimpanzees.

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<v Speaker 1>This concludes readings from National Geographic Magazine for today. Your

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<v Speaker 1>reader has been RuSHA thank you for listening, Keep on listening,

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<v Speaker 1>and have a great day.
