WEBVTT 00:00.433 --> 00:01.500 align:left position:10% line:89% size:80% >> Sreenivasan: CAROLINE CHEN, 00:01.500 --> 00:02.533 align:left position:10% line:89% size:80% WHO COVERS PUBLIC HEALTH FOR 00:02.533 --> 00:03.633 align:left position:10% line:89% size:80% "PROPUBLICA," JOINED ME FOR 00:03.633 --> 00:04.800 align:left position:10% line:89% size:80% MORE ABOUT THE CONTINUING 00:04.800 --> 00:06.766 align:left position:10% line:89% size:80% COVID-19 RISK AND VACCINE RATES 00:06.766 --> 00:08.666 align:left position:10% line:89% size:80% AROUND THE WORLD. 00:08.666 --> 00:09.866 align:left position:10% line:89% size:80% CAROLINE, ONE OF THE REASONS WE 00:09.866 --> 00:11.666 align:left position:10% line:89% size:80% ARE HAVING THIS CONVERSATION IS 00:11.666 --> 00:13.333 align:left position:10% line:89% size:80% NEW DATA THAT'S COME OUT THAT 00:13.333 --> 00:15.966 align:left position:10% line:89% size:80% SHOWS HOW SIGNIFICANT COVID IS 00:15.966 --> 00:18.400 align:left position:10% line:89% size:80% AS A CAUSE OF DEATH, ESPECIALLY 00:18.400 --> 00:22.000 align:left position:10% line:89% size:80% IN PEOPLE THAT ARE 35-54. 00:22.000 --> 00:23.400 align:left position:10% line:89% size:80% >> NEW DATA THAT HAS COME OUT 00:23.400 --> 00:25.800 align:left position:10% line:89% size:80% ANALYZING THAT, SORT OF, BURDEN 00:25.800 --> 00:28.666 align:left position:10% line:89% size:80% OF MORTALITY HAS SHOWN THAT FOR 00:28.666 --> 00:32.500 align:left position:10% line:89% size:80% 35-54, AT SOME POINT, SOME 00:32.500 --> 00:34.533 align:left position:10% line:89% size:80% MONTHS IN THIS PAST PANDEMIC, 00:34.533 --> 00:35.800 align:left position:10% line:89% size:80% COVID HAS BEEN THE NUMBER ONE 00:35.800 --> 00:37.433 align:left position:10% line:89% size:80% CAUSE OF DEATH. 00:37.433 --> 00:38.666 align:left position:10% line:89% size:80% >> Sreenivasan: YOU KNOW, 00:38.666 --> 00:39.866 align:left position:10% line:89% size:80% BECAUSE MOST OF THE TIME, OR AT 00:39.866 --> 00:41.166 align:left position:10% line:89% size:80% LEAST EARLY ON, WE WERE WORRIED 00:41.166 --> 00:42.500 align:left position:10% line:89% size:80% ABOUT THE ELDERLY, WE WERE 00:42.500 --> 00:44.400 align:left position:10% line:89% size:80% WORRIED ABOUT THE AUTO IMMUNE 00:44.400 --> 00:45.900 align:left position:10% line:89% size:80% SUPPRESSED. 00:45.900 --> 00:47.866 align:left position:10% line:89% size:80% IS THIS POPULATION, SAY FOR 00:47.866 --> 00:50.600 align:left position:10% line:89% size:80% EXAMPLE, IN SEPTEMBER, THE 35-54 00:50.600 --> 00:52.133 align:left position:10% line:89% size:80% YEAR OLDS, ARE THE BULK OF THESE 00:52.133 --> 00:53.400 align:left position:10% line:89% size:80% PEOPLE DYING BECAUSE THEY ARE 00:53.400 --> 00:54.733 align:left position:10% line:89% size:80% UNVACCINATED? 00:54.733 --> 00:55.900 align:left position:10% line:89% size:80% >> I WOULD SAY THE BULK OF THESE 00:55.900 --> 00:57.733 align:left position:10% line:89% size:80% PEOPLE WHO ARE DYING ARE 00:57.733 --> 00:59.666 align:left position:10% line:89% size:80% DEFINITELY UNVACCINATED. 00:59.666 --> 01:01.400 align:left position:10% line:89% size:80% AND I THINK WE HAVE THIS ADDED 01:01.400 --> 01:03.666 align:left position:10% line:89% size:80% FACTOR OF THE DELTA VARIANT, AND 01:03.666 --> 01:05.066 align:left position:10% line:89% size:80% WE'RE, SORT OF, SEEING THE 01:05.066 --> 01:06.400 align:left position:10% line:89% size:80% IMPACT HERE BECAUSE IT IS SO 01:06.400 --> 01:08.300 align:left position:10% line:89% size:80% MUCH MORE INFECTIOUS. 01:08.300 --> 01:09.666 align:left position:10% line:89% size:80% >> Sreenivasan: THE POPULATION 01:09.666 --> 01:12.100 align:left position:10% line:89% size:80% OF CONCERN FOR MILLIONS OF 01:12.100 --> 01:13.366 align:left position:10% line:89% size:80% AMERICANS RIGHT NOW ARE THEIR 01:13.366 --> 01:15.066 align:left position:10% line:89% size:80% SCHOOLCHILDREN THAT ARE IN SOME 01:15.066 --> 01:16.666 align:left position:10% line:89% size:80% WAY SHAPE OR FORM BACK IN FULL 01:16.666 --> 01:18.400 align:left position:10% line:89% size:80% TIME SCHOOL, PART TIME SCHOOL, 01:18.400 --> 01:19.966 align:left position:10% line:89% size:80% MAYBE SOME ARE IN ZOOM SCHOOL 01:19.966 --> 01:23.400 align:left position:10% line:89% size:80% CLASSES WHEN THOSE RECOMMENDED 01:23.400 --> 01:25.433 align:left position:10% line:89% size:80% DOSES OF VACCINES WILL BE 01:25.433 --> 01:27.700 align:left position:10% line:89% size:80% AVAILABLE TO CHILDREN. 01:27.700 --> 01:28.966 align:left position:10% line:89% size:80% >> YEAH, AND HARI, AS WE'VE 01:28.966 --> 01:30.166 align:left position:10% line:89% size:80% TALKED ABOUT A COUPLE OF TIMES 01:30.166 --> 01:31.533 align:left position:10% line:89% size:80% NOW, THE REASON WHY IT'S TAKEN 01:31.533 --> 01:33.300 align:left position:10% line:89% size:80% SO LONG IS BECAUSE CHILDREN MAY 01:33.300 --> 01:35.233 align:left position:10% line:89% size:80% BE GETTING A DIFFERENT DOSE, 01:35.233 --> 01:36.766 align:left position:10% line:89% size:80% PARTICULARLY THE REALLY YOUNG 01:36.766 --> 01:38.133 align:left position:10% line:89% size:80% CHILDREN. 01:38.133 --> 01:39.833 align:left position:10% line:89% size:80% AND SO, YOU HAVE TO GO THROUGH A 01:39.833 --> 01:42.666 align:left position:10% line:89% size:80% RIGOROUS PROCESS TO ASSESS WHAT 01:42.666 --> 01:43.833 align:left position:10% line:89% size:80% IS, WHAT THEY CALL THE 01:43.833 --> 01:45.000 align:left position:10% line:89% size:80% "GOLDILOCKS DOSE." 01:45.000 --> 01:46.966 align:left position:10% line:89% size:80% YOU KNOW, SMALL, SMALLER, SO 01:46.966 --> 01:49.300 align:left position:10% line:89% size:80% IT'LL BE SAFER AND HAVE FEWER 01:49.300 --> 01:51.366 align:left position:10% line:89% size:80% REACTIONS, BUT A BIG ENOUGH DOSE 01:51.366 --> 01:52.800 align:left position:10% line:89% size:80% THAT IT WILL BE EFFECTIVE. 01:52.800 --> 01:54.233 align:left position:10% line:89% size:80% SO, WHERE WE ARE RIGHT NOW IS 01:54.233 --> 01:55.700 align:left position:10% line:89% size:80% THAT PFIZER HAS SUBMITTED DATA 01:55.700 --> 01:57.800 align:left position:10% line:89% size:80% TO THE F.D.A. FOR 5-11 YEAR 01:57.800 --> 02:00.933 align:left position:10% line:89% size:80% OLDS, AND I AM HOPEFUL TO SEE 02:00.933 --> 02:02.900 align:left position:10% line:89% size:80% THE 5-11s HAVE AN OPTION FOR 02:02.900 --> 02:04.900 align:left position:10% line:89% size:80% VACCINE BY THE END OF THIS YEAR. 02:04.900 --> 02:06.733 align:left position:10% line:89% size:80% >> Sreenivasan: WHILE AMERICANS, 02:06.733 --> 02:08.500 align:left position:10% line:89% size:80% SOME AMERICANS, STILL HESITATE 02:08.500 --> 02:10.533 align:left position:10% line:89% size:80% ON TAKING A VACCINE THAT HAS 02:10.533 --> 02:11.900 align:left position:10% line:89% size:80% BEEN AVAILABLE FOR MONTHS AND 02:11.900 --> 02:13.933 align:left position:10% line:89% size:80% MONTHS, WE STILL SEE A LARGE 02:13.933 --> 02:16.100 align:left position:10% line:89% size:80% SCALE DISPARITY ON OTHER PARTS 02:16.100 --> 02:17.466 align:left position:10% line:89% size:80% OF THE PLANET, OTHER COUNTRIES 02:17.466 --> 02:19.666 align:left position:10% line:89% size:80% THAT DON'T HAVE EITHER ACCESS OR 02:19.666 --> 02:21.033 align:left position:10% line:89% size:80% THE ABILITY TO DEPLOY THESE 02:21.033 --> 02:22.566 align:left position:10% line:89% size:80% VACCINES VERY QUICKLY. 02:22.566 --> 02:24.333 align:left position:10% line:89% size:80% AND SO, THERE'S THIS SORT OF 02:24.333 --> 02:25.866 align:left position:10% line:89% size:80% ETHICAL DILEMMA THAT'S ALSO 02:25.866 --> 02:27.566 align:left position:10% line:89% size:80% PRESENTING ITSELF TO AMERICANS. 02:27.566 --> 02:29.166 align:left position:10% line:89% size:80% SHOULD WE BE GETTING A THIRD 02:29.166 --> 02:31.466 align:left position:10% line:89% size:80% SHOT OR A BOOSTER SHOT BEFORE 02:31.466 --> 02:32.933 align:left position:10% line:89% size:80% MILLIONS OF PEOPLE EVEN GET 02:32.933 --> 02:34.100 align:left position:10% line:89% size:80% THEIR FIRST? 02:34.100 --> 02:35.666 align:left position:10% line:89% size:80% >> YEAH, I SO APPRECIATE YOU 02:35.666 --> 02:36.800 align:left position:10% line:89% size:80% BRINGING THIS UP, BECAUSE I 02:36.800 --> 02:38.166 align:left position:10% line:89% size:80% THINK SO MANY PEOPLE DON'T EVEN 02:38.166 --> 02:39.266 align:left position:10% line:89% size:80% REALIZE THAT THERE ARE COUNTRIES 02:39.266 --> 02:40.533 align:left position:10% line:89% size:80% THAT ARE WAITING FOR THEIR FIRST 02:40.533 --> 02:41.700 align:left position:10% line:89% size:80% SHOTS STILL. 02:41.700 --> 02:43.500 align:left position:10% line:89% size:80% AND I THINK IT'S REALLY 02:43.500 --> 02:44.966 align:left position:10% line:89% size:80% IMPORTANT FOR US TO BE THINKING 02:44.966 --> 02:46.733 align:left position:10% line:89% size:80% ABOUT THE IMPACT OF BOOSTERS, 02:46.733 --> 02:48.700 align:left position:10% line:89% size:80% ESPECIALLY OVER THE LONG TERM, 02:48.700 --> 02:50.833 align:left position:10% line:89% size:80% BUT THE PEOPLE WHO ARE IN THE 02:50.833 --> 02:52.666 align:left position:10% line:89% size:80% HOSPITAL TODAY, WHO ARE BEING 02:52.666 --> 02:53.700 align:left position:10% line:89% size:80% HOSPITALIZED, PEOPLE WHO ARE 02:53.700 --> 02:54.900 align:left position:10% line:89% size:80% DYING, ARE PEOPLE WHO HAVEN'T 02:54.900 --> 02:56.233 align:left position:10% line:89% size:80% EVEN GOTTEN THEIR FIRST SHOT, 02:56.233 --> 02:58.033 align:left position:10% line:89% size:80% WHETHER THIS IS IN THE U.S. OR 02:58.033 --> 02:59.366 align:left position:10% line:89% size:80% OUTSIDE OF THE U.S. 02:59.366 --> 03:00.700 align:left position:10% line:89% size:80% AND SO, I THINK THIS IS A REALLY 03:00.700 --> 03:03.366 align:left position:10% line:89% size:80% IMPORTANT QUESTION FOR EVERY 03:03.366 --> 03:05.566 align:left position:10% line:89% size:80% GOVERNMENT TO BE GRAPPLING WITH. 03:05.566 --> 03:08.666 align:left position:10% line:89% size:80% AND, YOU KNOW, THE CONSORTIUM 03:08.666 --> 03:10.566 align:left position:10% line:89% size:80% CALLED COVAX, WHICH IS THE 03:10.566 --> 03:13.200 align:left position:10% line:89% size:80% W.H.O., CEPI, GAVI, A NUMBER OF 03:13.200 --> 03:14.800 align:left position:10% line:89% size:80% DIFFERENT ALLIANCES TOGETHER, 03:14.800 --> 03:16.900 align:left position:10% line:89% size:80% ARE ASKING COUNTRIES TO 03:16.900 --> 03:18.666 align:left position:10% line:89% size:80% BASICALLY GIVE UP THEIR SPOT IN 03:18.666 --> 03:21.733 align:left position:10% line:89% size:80% THE MANUFACTURING PRODUCTION AND 03:21.733 --> 03:23.033 align:left position:10% line:89% size:80% SWAP. 03:23.033 --> 03:25.133 align:left position:10% line:89% size:80% SO, SAY YOU'RE A WEALTHY NATION, 03:25.133 --> 03:26.900 align:left position:10% line:89% size:80% YOU HAVE A SHIPMENT OF MODERNA 03:26.900 --> 03:28.666 align:left position:10% line:89% size:80% VACCINE COMING YOUR WAY, BUT YOU 03:28.666 --> 03:30.800 align:left position:10% line:89% size:80% HAVE ABUNDANCE ALREADY. 03:30.800 --> 03:32.933 align:left position:10% line:89% size:80% CAN YOU SWAP YOUR SCHEDULE SLOT 03:32.933 --> 03:34.466 align:left position:10% line:89% size:80% WITH A COUNTRY THAT'S BEEN 03:34.466 --> 03:35.800 align:left position:10% line:89% size:80% WAITING FOR THEIR FIRST DOSES? 03:35.800 --> 03:37.666 align:left position:10% line:89% size:80% SO, I DO THINK THIS IS A VERY 03:37.666 --> 03:41.433 align:left position:10% line:89% size:80% HIGH LEVEL DISCUSSION, AND I 03:41.433 --> 03:42.933 align:left position:10% line:89% size:80% DON'T KNOW AT THIS POINT THAT IF 03:42.933 --> 03:45.833 align:left position:10% line:89% size:80% YOU AS AN INDIVIDUAL CITIZEN, 03:45.833 --> 03:47.800 align:left position:10% line:89% size:80% SORT OF, REFUSE YOUR BOOSTER, AT 03:47.800 --> 03:49.666 align:left position:10% line:89% size:80% THAT POINT, THE SHIPMENT MIGHT 03:49.666 --> 03:51.000 align:left position:10% line:89% size:80% HAVE ALREADY BEEN MADE TO YOUR 03:51.000 --> 03:52.600 align:left position:10% line:89% size:80% LOCAL PHARMACY, RIGHT. 03:52.600 --> 03:54.400 align:left position:10% line:89% size:80% SO, THAT'S VERY HARD TO UNWIND. 03:54.400 --> 03:56.033 align:left position:10% line:89% size:80% BUT AT THIS MACRO LEVEL, I DO 03:56.033 --> 03:58.166 align:left position:10% line:89% size:80% THINK GLOBAL LEADERS NEED TO BE 03:58.166 --> 03:59.600 align:left position:10% line:89% size:80% REALLY THINKING SERIOUSLY ABOUT 03:59.600 --> 04:01.500 align:left position:10% line:89% size:80% THIS PICTURE AND THINKING ABOUT 04:01.500 --> 04:02.966 align:left position:10% line:89% size:80% OTHER COUNTRIES. 04:02.966 --> 04:04.133 align:left position:10% line:89% size:80% >> Sreenivasan: "PROPUBLICA'S" 04:04.133 --> 04:05.033 align:left position:10% line:89% size:80% CAROLINE CHEN, THANKS SO MUCH. 04:05.033 --> 04:05.433 align:left position:10% line:89% size:80% >> THANK YOU.