Pandemic: How to Prevent an Outbreak (2020–…): Season 1, Episode 4 - Hold On to Your Roots - full transcript

[reporter 1]
The World Health Organization

has finally declared

the Ebola outbreak
in the Democratic Republic of Congo

as an international health emergency.

[reporter 2] A top United Nations
official says there is a very high risk

that Africa's latest Ebola outbreak
will spread.

[in French]
The situation remains critical,

with a special emphasis on Butembo.

We have around five cases there.

So we need to intervene there.

But there were incidents.



Violent attacks
against the vaccination team.

[reporter 3 in English] This is all that's
left of a health clinic in North Kivu.

A local militia burned it down
and threatened the doctors.

[reporter 4] Now, not only do they
face exposure to this deadly virus,

but often times health workers
are suspected

as the people who are introducing
the virus into this country,

so there is a lot of distrust.

That is what is making things
so very difficult.

[man in French]
The community's reluctance,

in addition to the influence
of certain armed groups,

continues to affect
the humanitarian response in a big way.

The Organization for the
African Revolution.

For the second time,
they have issued direct threats.

Yesterday, we recorded five incidents.



If we don't explain
and associate with them,

they will raise the population
in revolt against the operation.

Not being able to vaccinate is a worry.

We must find a way.
It's a crisis, we need to reflect on it.

The status quo isn't good enough
in our efforts to contain the outbreak.

[car horn honks]

[in English] Sometimes,
I can feel a bit in danger.

Mainly in the rural areas
where you can have some armed group,

we have to use security protective
equipment or use the armored car.

It's really scary.

But we don't have the option of leaving.

[child crying]

[car horn honks]

[car horn honking]

[Syra Madad]
Let's go ahead and get started.

Uh, first, good morning
and thank you everyone

for joining today's flu update call.

I want to make sure folks know
flu season is still going strong.

Uh, we are still at elevated
and widespread levels.

Um, so we'll give you
that update momentarily,

but I wanted to shift gears, um,
and talk a little bit about

the public health emergency
that was declared for measles.

[news anchor 1]
The United States is battling

one of its largest
measles outbreaks in decades.

78 new cases in the last week alone.

[news anchor 2] Health officials
scramble to contain a disease

eliminated in the US
nearly two decades ago.

[Madad] We have vaccines
that have eradicated measles,

but now you see a huge anti-vaxx movement

that's promoting this misinformation
and people are believing it.

[protester] We know more

about the vaccines
than the doctors who inject them.

[protesters cheering]

Right now, we are
in one of the largest outbreaks

that we've seen in a number of years.

[news anchor] The threat's so severe,

some hospitals are arming each entrance
with security guards

to screen visitors
for symptoms of the virus.

[Madad] People are refusing
these vaccines that work,

'cause people forget all the morbidity

and mortality that we saw decades ago.

We need funding to train
our health care workers

to identify and isolate
cases of measles as they come up...

but the proposed budget

that the Trump administration
came out with this past March

does show a cut in funding
to Health and Human Services,

which includes the CDC.

[Tom Frieden] The administration
proposed a 20% cut

in the CDC's budget
just earlier this week.

That would bring CDC's budget
back to nearly 15, 20 years ago.

This is not the way to protect Americans.

It risks more cancer, more outbreaks,
less safe Americans.

[Madad] Finding the funds to do this work
is a constant part of my job.

[buzzer sounding]

[Gustavo Rivera] Doctor.

[Madad] Senator Rivera, how are you?

- Pleasure meeting you.
- Doing way frigging too much.

- How you doing, doctor?
- I'm doing great. Thank you so much.

Thank you for sitting down.

Ah... How can I help you
this fine day, madam?

All right, well,
I wanted to talk to you a bit about

the city's outbreaks that we're seeing,
notably current, the measles outbreak,

and then talk a bit
about the funding we have, um,

and the gap in terms of
the current administration

and the proposal that came out
from President Trump's budget.

- Can I ask a question about this?
- Absolutely. Please.

How does, since you are a professional,

and not one of these folks
that has been in here

arguing that we have
no such thing as an outbreak...

How would you define an outbreak,
and would you, in the current...

I figure it's a rate of infection
that goes above what's normal, I guess?

Yep.

And how far above normal is the one
that we're currently going through?

So, I think, just to put that in context,

this is one of the worst outbreaks
we've seen in decades.

Largely, I think, really,

we underestimated the movement
of anti-vaxxers

and just how influential they are.

I think public health
is doing a phenomenal job

trying to vaccinate,
get the public message out there,

but you still have a lot of anti-vaxxers
giving misinformation...

I had one of them sitting right there...

- Really?
- A couple weeks ago. Yeah.

They're... 'Cause they're pushing hard.

And it just seems silly that we're
even having a conversation right now.

It's like... Certainly, it is your kid

and it is your choice
to have your kid un-vaccinated,

but then you just can't have
him or her around other kids.

Yeah, I mean, the problem is
getting out of the mentality,

it's not just about you,
it's about others,

it's about your family,
your friends, your neighbors,

those who are immunocompromised.

I think it's just a lot of unfortunate
selfish mentality.

[Rivera] Mmm-hmm.

Um, we just need
to maintain our readiness,

but, unfortunately,
with the federal funding coming to an end,

um, and really no champion, if you will,

that is at the federal level talking about
these fundings that need to continue,

we wanted to see
what your feedback would be, um...

- You want to ask for state money.
- Yeah.

Okay, so, 3.29 over five years.

For five years.

And that's 650K a year?

- That's right...
- Okay.

- It's not a substantial number.
- No.

It's something I would consider seriously

that we would actually
take a very strong stand on,

but we're talking about next year.

You probably should touch base
with me on this,

by the end of the summer again.

That's great to hear.

You can certainly count on me
as a supporter.

Thank you.

- I really appreciate it.
- Absolutely.

- Thank you.
- Great to meet you, Dr. Madad.

Thank you, Senator.

- Hi, for Syra?
- Yes.

[Madad] Thanks.

I'm constantly pursuing funding.

This is not a...
"I do it once and then I'm done."

This is something that I know
that we need to constantly work at.

People forget this is something
they need to pay attention to,

and they need to be reminded.

[Pete Ferryman] In the midst
of the measles outbreak in the Northwest,

Oregon lawmakers are considering
a strict vaccine bill

that would require more parents
to immunize their kids.

[Dinh] Without the required vaccines,

students would actually
not be allowed in schools.

The Senate will hold its first hearing
on House Bill 3063 tomorrow.

We will, of course,
continue to follow the bill.

...jelly.

[children chuckle]

[children giggling]

[Caylan Wagar] It makes me sad
that we live in a society

where we cannot have
difference of opinions.

The kids can't even play with kids
of their choice all because of a vaccine.

Can you put... Can you mix that for me?

- [child babbling]
- Yes.

[Wagar] You want to sprinkle
my placenta capsules on that?

- Give some good vitamin back in your body?
- [child 1] Say what?

[child 2] Got it!

Tonight, I'm going to have a group of
peaceful warriors and advocates come over

and just talk about how this bill
could potentially affect their life.

[woman] I'm drawing energy down.

Grounding down into the earth.

Speak with empathy, with our open hearts
and as the highest place in the circle.

I had no idea that our representatives
were pro-vaccine.

If the bill passed, we would definitely
consider moving out of state.

So, it would be
a really sad decision for us.

The teachers at my school have been
with my children for a total of ten years.

That's a huge amount of time
that we've committed

to the education, to the community,

and I really don't know what we will do,
as far as education,

if we don't have the opportunity
to go back to the school

that we've chosen for our children.

[man] It can be very frustrating
to hear that side where it's like,

"I trust my doctor."
Yeah, I trust my doctor.

That doesn't mean
I still don't ask my doctor questions,

and my doctor is sometimes wrong.

Thank you, everybody, for coming
and just showing up and being real

- 'cause it feeds my soul very well. Yeah.
- [woman] Feels good.

[Wagar] Things are progressing
with this bill,

but ultimately,
I believe miracles can happen, so...

[Susan Fils] Oh...
It's going to be another long day.

[sniffles] I kept thinking
of that little one

last night when I went to sleep,

the one that said thank you
with the tears.

That bothered me so much. [chuckling]

He tried so hard to be a big boy.

[Fils] My mother, she was one of the very
first people who helped with the AIDS.

AIDS came out in New York

and everybody was terrified
of working with AIDS patients.

They didn't want to touch them.

My mom went in there and she was
right there helping out, doing everything.

And I think that's where I get it from.

My husband gets mad about
my doing all this volunteering

because I did say I was only going to do
two weekdays a week,

but what else am I gonna do?

Be sitting, you know, staring at the TV?

[man in Spanish] How are you?

[in high-pitched voice] Hi, sweetheart!
How are you?

Give me a hug.

You did your part.
We'll take care of you now. Come with me.

Who is ready to eat?

[all laugh]

Everyone! You all want to eat?

I want to eat, too!

How's the food?

Good, right?

It's made with love.

Everything is for you.

Okay?

[man continues indistinctly]

[Fils in English] For about two weeks,
we haven't had any vaccines at all.

So that means there was
hundreds and hundreds of people

that we couldn't offer the vaccine to.

They're just letting
these children and families suffer

because of our politics.

There's no reason for it.

It's being made.

We just heard that the county
approved a thousand more doses,

not only for our use at the monastery,
but also on the border.

We get these
from the health department.

[Fils] Thank God.

And this is really the end
of vaccine season.

So it's enough for this time of year.

Are you sure? All done.

- [man 1 in Spanish] Can you sit here?
- There is plenty of space for shots here.

[both laugh]

[man 2 in English] I'm ready.

[man 1] Uno, dos, tres.

[Fils] I'm so happy to be able
to give the flu shots again.

No big deal.

[babbles]

Okay?

[Ives] It's been a while
since we've been down here,

so we do have to rebuild some of the lab.

About halfway into the first study,

I realized that there's basically
a million reasons

that would have led to us seeing
that the vaccine didn't work.

We had lots of people
working in a pig facility.

[counting]

When it's 85 degrees, and it's humid,
and there's flies biting you,

and there's pigs squealing,
and you're getting peed on,

and you're stepping in poop,
and you have to wear earplugs,

it's just a lot to handle.

I was like, "Shit, there is
a tremendous room for error here."

Oone day, I talked to Jake,
and said, "Look...

the only way I could ensure the success
of this project is if I took it over."

Sarah has ruthless precision.

Right away, I realized
that she was gonna be the one

who was just gonna charge
this thing forward.

[Ives] When I first came down
to Guatemala, we only had an idea...

[object rustling]

but after this trip, we will be ready
to publish our vaccine paper.

[Glanville] For her, having a high-impact
paper is going to be critical.

Science is all about credibility.
That's why we publish.

And that's transformative.

That changes you from being
a spectator in science, in our generation,

to being one of the people on the field
that's playing the game.

[pig squealing]

[pig oinking]

[indistinct conversation]

[Ives] This would be my first...
First authored paper.

Because it's one thing
to just talk about the vaccine,

but once this paper comes out,

we could actually move the needle
on vaccine science.

If this vaccine works in humans
the way that we think it might,

it could disrupt the zoonotic network

between flus jumping
from animals to humans,

which we know is how
the next pandemic is going to arise.

[vehicle horns honking]

[Aggarwal] We have
a major proportion of the country

who don't access health services properly.

Other than proper doctors in our country,

people have a lot of trust in quacks

or people who are not very
well-qualified to give medicine.

[coughs]

[indistinct chatter]

[Vijay in Hindi]
This camp happens every month.

We will see at least
four to five hundred patients.

I go to a slum clinic on my weekends,

because we find the most serious
manifestations of swine flu

in the most socio-economically poor areas.

It's not that the flu
attacks only the poor.

It attacks the rich in the same way.

The poor are not able to fight against it.

[in English] Because of overcrowding,

poor hygiene, lack of resources,
and malnutrition.

[in Hindi] There's no one to explain
to them the severity of their disease.

- [Aggarwal] You have a slight fever?
- Yes.

- Have you used a thermometer?
- No.

[Aggarwal in English] Somehow,

even if people develop symptoms
of swine flu,

they tend to ignore it.

Some of them are daily wagers.

So, if they stop going for work,
how will they support their family?

So, they go out and they end up
spreading the disease even more.

Of the higher-risk patients,

a very special group, yet neglected,
is the group of pregnant females.

[Vijay in Hindi] You've had nausea
for the last three, four days, correct?

You might have heard about swine flu
in Jaipur. There's an outbreak

A pregnant woman
is highly prone to this disease.

I will prescribe a medicine for you,

but make sure to get the test
done in a day or two.

[Soni] I have a bad cough.

- [Vijay] Anyone else coughing at home?
- No.

- No one at home has it?
- No, and my cough is not going away.

- The cough is not going away?
- No, it is getting worse.

[coughing]

[Vijay] I am thinking that, Soni,

since you are not getting any relief,
I think you should go to SMS Hospital.

- Which hospital?
- SMS Hospital.

The thing is you are pregnant,
so we do not want to take any risks.

We want to rule out swine flu
as a possibility.

- Should we go tomorrow?
- [Vijay] If you go today, it is best.

Okay, then.

[woman] Is there reason to worry?

[Vijay] We just need to be sure.

I will arrange for the ambulance.

Go and show yourself there.

They will run tests for all your issues.
And they can prescribe treatment as well.

[Aggarwal in English] In the past,
I came across a pregnant lady

and she got infected with swine flu.

Initially, they ignored.

By the time she came to us,
she was very, very ill.

And despite trying everything,
we lost the patient.

So, it was very sad that,

had they been a little more aware,
two lives could have been saved.

[ambulance siren wailing]

[wailing continues]

[Lee Beyer] Welcome everybody to the Ways
and Means Subcommittee on Human Services.

We're going to do a public hearing
this morning on House Bill 3063.

Senator Steiner Hayward is going
to make a presentation on the bill.

Senator Steiner Hayward.

In essence, House Bill 3603 will require

that children attending any school
or licensed childcare facility

receive a course of immunizations
that are listed in 3603A.

It will remove non-medical exemptions

as a reason for not obtaining
these immunizations.

The intention is to protect children
in licensed school settings

and licensed state care settings.

Thank you, doctor.

[Steiner Hayward] I'm a board-certified
family physician.

I firmly believe that
I have a responsibility as a legislator

to promote good science,

to promote what's in the best interest
of the vast majority of Oregonians.

I mean, this is a public health emergency.
It truly is.

[Beyer] We're gonna go to public hearing,

and we're gonna give everybody two minutes
to state your position on the bill

and what you want us to know,
people who have signed up for and against.

[woman 1]
I'm here to oppose House Bill 3063.

I believe religious and philosophical
exemptions to vaccination are imperative

since a medical exemption
is nearly impossible to obtain.

[Steiner Hayward] Oregon has large groups
of people inclined to vaccine hesitancy.

[woman 2] The idea
that the government thinks

that they have any place
to mandate toxic injections

into our children's bodies is scary.

The first is that dichotomy
between purity and impurity

and they see vaccines
as this impure substance

that we're putting into our bodies.

[woman 3] HB 3063 lays
the groundwork for government overreach,

and the cost of that is our freedom.

[Steiner Hayward] Oregonians tend to be

pretty minimalist
when it comes to the government.

So, vaccine hesitancy
found fertile ground here in Oregon,

and for years, we've been seeing
declining immunization rates.

When I was a teenager, I received
the exciting, new HPV vaccine Gardasil,

and I had facial paralysis
for three months as a 17-year-old girl.

I have a family history
of vaccine reactions to the MMR.

I lost the ability to walk and talk

and it took me four months
to regain those skills.

My son has microscopic colitis.

He's had an endoscopy and colonoscopy
at seven years old.

He did not have a solid stool
till he was eight.

[Steiner Hayward]
Correlation doesn't prove causation.

It's absolutely true that people can have
adverse reactions after vaccines.

Some of them can be serious.

Relatively few of the very serious ones
are actually associated with the vaccines.

Sixty years ago, autism was unknown,
about one in 10,000.

Today, African-American males
are diagnosed one in 48.

Nobody becomes autistic.

They're autistic from birth,

but the symptoms of autism
start to become clear

somewhere between 12 and 24 months,

and children get their first MMR vaccine
at 12 months.

My doctor told me
that getting the Tdap vaccine

was the only way I could protect
my unborn baby from pertussis.

I had a hot, red, swollen arm
for five or more weeks to show for it.

These were the lasting effects

that the adjuvant aluminum
was having on my immune system.

The amount of aluminum you get
from a whole series of immunizations

is less than if you cook an acidic thing
like tomato sauce in an aluminum pan.

My mom and dad deserve the respect

to make choices that are best for my life.

[Steiner Hayward]
Measles cases are skyrocketing.

And that's incredibly concerning.

The disease itself is dangerous,

but it turns out that it also induces
what's called immune amnesia,

which basically means your immune system
forgets how to fight off anything else.

Kids, in particular, who get measles

are at much higher risk of dying
of all sorts of other things.

The idea that we're putting kids
at risk this way

for something that's
completely preventable...

We should have had measles eradicated
from the world by now.

[girl] After my round of chemotherapy
for a year, I was scared to go to school.

[woman 1] And as a mother with a child

who is immunocompromised
and fighting for her life,

it frankly appalls me
that anyone would risk her life further.

I'm sure you've heard a lot of people here

saying that their education
is being held hostage.

You know that's not true.

They're still going to have educational
opportunities available to them

that are equitable to the ones
that they are losing

due to the choice that they are making.

My daughter did not have a choice
when she got cancer.

The Children's Hospital
is full of families like us

who are terrified, who are fighting,

and who are hearing their community say

that their choices are more valuable
than their lives,

and I'm sorry, I just do not believe that.

I do not believe that is democratic.

[woman 2] Kai is nearing the end

of his three-plus years of treatment
for leukemia.

When the recent measles outbreak
started in Clark County, it created

a new level of fear
for our safety of our son

and we went on lockdown.

Kai stayed home from school and public
places for fear that he would be exposed.

And I just want to say this,
every day, my husband and I wake up

and face the fear
that he may die from his cancer,

and we have no choice
in the gap of Kai's vaccinations

and every day poses a new risk.

The last time we spoke
to the Senate committees,

I was booed when I walked out

because I asked to stop the
philosophical and religious exemptions,

and many of those who were angry with me
had their children with them,

like they are here today,
and I don't have that luxury,

and so the facts are,
there's a 20-70% chance

that immunocompromised kids
will die from the measles,

and that's just not a risk
I'm willing to take.

- [alarm beeping]
- So, thank you for your time.

[Beyer] We are out of time.

I am going to close the public hearing.

[gavel bangs]

[Steiner Hayward] I don't count
on bills passing

until they're on the governor's desk,

but the governor has assured me
she'll sign this one.

So, if it gets to the governor's desk,
I'm pretty confident.

I'm certainly much more confident than I
was a few weeks ago that it will pass,

and that we'll be able
to protect Oregonians

from preventable serious diseases.

[Yao in French]
Put on the gowns, please.

[Yao in English] Ebola is a scary disease.

My job is, uh, to ensure
that if we have a case in a hospital,

it will not spread,
it will not affect the health workers.

The body fluids are highly contagious.

That includes blood, urine, feces,

breast milk, even sweating.

[man in French]
You always have to go from top to bottom.

Wash your hands between every movement.

In the undressing room,
there is also a mirror over there.

So that you can see yourself and
avoid touching yourself.

When you touch this,
you have to touch the side that

didn't come into contact with the patient.

Even though he disinfected it.

You were in contact with him.

[rain pattering]

[speaking French]

[Yao in French] Channels show

a contamination
across different health zones.

So, we could have a positive case in Goma.

So, are we in a position

to effectively handle a positive case
if it were to arise?

Now, the biggest challenge is logistics.

You know, just like me,
that after Kinshasa,

Goma is a city with
a big population density.

At this time, we only have one ambulance!
Only one!

Personnel training.

That's very, very crucial.

We often notice a lot
of professional mistakes.

If a case where the mistake was made

was to be positive,
it would be a catastrophe.

So, to the question asking whether we have
a positive case, and can you manage?

I can honestly say, "No."

It would be unmanageable.
It would be a disaster.

[Ives] I began working at Distributed Bio
about three years ago,

and my very first day,
I flew to Guatemala.

It was really exciting.

I had never been outside
of the country before.

It's just... It's so different from where
I grew up in, like, suburbia Midwest.

I didn't really know
I wanted to be a scientist.

When I was starting college,

I was debating between majoring
in biology or music.

I've always loved being on stage.

I'm not the greatest singer,
the greatest actor or musician.

I'm not the greatest gymnast,
I'm not the greatest performer,

but I love being on stage,

and I think that's kind of propelled me

to try to be really good
at something that I like,

and in this case, it's science.

I really fell in love with research.

I studied genetics
at University of Wisconsin.

I got my masters in biotechnology
from the University of San Francisco.

I thought that going into scientific
research, it would be relatively mundane,

but what I found is that,
it's quite the opposite of that.

I have this crazy job where I'm being paid
to travel to Guatemala

and make real advancements
towards human health and medicine.

Now, every time I come back,
it's like a homecoming.

[lighter clicks]

Do you, like, ever smoke a cigar
if you're not with me?

- Mmm.
- Ah. Once a year or something, or...

Kind of ritually when something good
happens, or I don't like writing grants.

If I need to kind of let go,
walk and think for a little bit.

[indistinct chatter]

[Glanville] My parents
are American hippie ex-pats.

They were building a hotel in the '70s,

and they finished building it
right before I was born.

My mother was always
cracking the whip to be like,

"No, no, you go to college,"
because she never got to.

My dad, he was always like, "Do whatever
you want, just have good opportunities."

My mother was like, "Get your PhD."

Because of the tireless support
of my parents,

I had opportunities to grow.

[indistinct chatter]

- Salud. Mmm.
- Speaking of which, cheers.

[Glanville's dad smacks lips] Hm, Martell.

Back to just that...

There were no embarrassing stories
about you when you were little.

They were very flattering.

I thought all fathers probably think their
firstborn is just brilliant and smart,

and I've seen people brag about kids

- that weren't that smart.
- [chuckles]

Jake was really smart.

I didn't talk baby talk to him
since he was about two.

And in... When you went
to the first grade,

your teacher had a meeting with me.

She said, "I've been teaching for 30 years
and he's the smartest kid I've ever had.

He's a genius. Do you know that?"

And I said, "I thought he was smart,
but I didn't know about 'genius.'"

When you were four, you asked me
where babies came from and I said,

"Well, the stork brings them."

And you said,
"What kind of a pervert fucks a bird?"

- What?
- [both laugh]

No, that's a joke.

You didn't really say that.

What?

[both laughing]

But, uh, anyway, I thought
it was kind of interesting

that we came down here
when you were, well...

- You would have been...
- Seven or eight.

[Glanville's dad] Nine.

Well, it was 1990, so, yeah...

[Glanville] I don't think I realized
what it was like to grow up here

until I got back to the States
when I was 16.

So, I had an experience that is
not the same as many first-worlders,

in that I grew up in a community
where people were sick all the time

with a bunch of things
that they shouldn't be sick with anymore.

And some of them died.

None of these kids
had to get sick in the first place,

but many of them did not have access
to medicines or vaccines

that could have saved them.

That has really affected me in our mission

to not only create
a broad-spectrum vaccine,

but to make sure
that it's available to everyone,

including the people
in the developing world.

That's actually written
in our founding documents of Centivax

that we will always give this away at cost
in the developing world,

ensuring that as many people
as possible have access to it.

Tomorrow, we are going to start
one of the most important steps yet

in making that a reality.

[ambulance siren wailing]

[car horns honking]

[Vijay in Hindi] In India,
health services are provided by

both the government and private sources.

SMS is the largest
government hospital in Rajasthan.

Whether it's flu or any illness,

the only savior for the poor is
SMS Hospital.

- [doctor] What's your name?
- [hoarsely] Soni.

[doctor] So, you're Soni.
How long has your voice been lost?

[Soni] For five to seven days.

How many months pregnant are you?

I will start the seventh month
on the 20th.

[doctor] Your condition
is a bit serious, okay?

We will admit you here
to keep you under observation.

[Soni] But they said
they will only check me.

[doctor] They will check
and keep you for a few days.

Don't be nervous.

[Soni] What is wrong with me?

You have breathing problems,
and we think the pneumonia

in your lungs could be due to swine flu.

We will check for that, okay?

There's no need to be scared.

[Soni coughs]

[Raman Sharma] At SMS Hospital,

we are dealing with lots of cases.

We usually on an average see
about 1,000 patients per day.

[Vijay in Hindi]
The workload in SMS is too much.

The doctors in SMS Hospital
are very capable,

but resources are limited.

[woman] This is the bed.

[Vijay] Those people
have no choice but SMS.

[Sharma in English]
We do get patients from other districts,

and usually these hospitalized patients

are in a critical state
as far as swine flu is concerned.

Because of the long distances, sometimes,

there is a time lag between the onset
of symptoms and hospitalization.

Our aim is to treat the patient
as early as possible.

[doctor in Hindi]
Stick your tongue out.

[Sharma in English]
That's why the government is doing efforts

to make this swine flu test free of cost.

[boys chattering]

[Fils] Buh-bye.

Let me try to get some helpers.

Can you help me?

Today is my last day
at the monastery.

Baseball caps...

My husband,
he wants to see his grandchildren,

and I want to see mine in North Carolina.

So, it's time... Time to go home.

[woman speaking Spanish]

[Fils] I got for everybody.

I hit yard sales like
you wouldn't believe this weekend.

Gracias.

Thank you so much for all the help.

I've met some of
the sweetest, nicest people.

Even though the asylum seekers
were only there for a couple of days,

I got really attached to many of them.

[laughing]

[news anchor 1] The border patrol's
largest migrant processing center

is closed for now

over fears of a potentially deadly
flu outbreak.

[news anchor 2] Late last night,
the border patrol

stopped taking in new migrants

at their McAllen, Texas processing center,

after 32 migrants already in custody
were diagnosed with the flu.

[news anchor 3]
A 16-year-old from Guatemala,

Carlos Gregorio Hernandez Vasquez,
died on Monday

after coming down with the flu.

He had recently been processed
at that facility in McAllen, Texas.

[news anchor 4]
He is the fifth underage migrant

taken into custody to die since December.

Some members of Congress want answers
about the growing number of deaths

among the 16,000 people
in Border Patrol custody.

[news anchor 5]
Prior to the Trump administration,

CBP had not had a child die on their watch
for over a decade.

[news anchor 6] As far as what's being
done in the future, we have no idea.

So, I guess I have to give the baby back?
I can't come up with any other...

Okay.

[laughs]

Oh...

Here, Mama.

These people are desperate.

No matter what happens,
they're going to try coming here.

They are scared.

They're scared their children
are going to be taken into gangs

and used for prostitution
or used in whatever.

They can't make a living.

They have to come here.

I'm afraid with the way
the current policies are set up,

we're going to have even more tragedies,

even more deaths at the border,
because these people are desperate.

Give them, everybody.

- [woman] Everybody?
- Yeah, everybody, okay?

Okay.

I'm going to miss this so much.

It's the greatest experience
I've had in years.

I'm the lucky one.

I'm lucky I get to do this
with these kids.

I'm coming, dear.

[sniffles] Ah...

Maybe next winter, I hope not,

but maybe next winter,
this will all still be going on

and we can come back and help some more,
you know, help again.

And this time, hit the ground running

and not have to have the learning curve
of how to give shots again.

But it's hard to leave
when there's people that need stuff.

[child] Oh...

[Yao]
This is my second outbreak back-to-back.

And this kind of outbreak lasts longer.

Uh-oh.

[switches click]

I have no lights.

I have a very bright flashlight,
if you want?

[both chuckle]

[Sam Boland] There are a huge number
of personal sacrifices that people make.

We both came prepared. [laughs]

Michel has not seen
his wife or his children in months.

And that is an exceptional sacrifice.

It's something we try
not to talk about too much,

because it really weighs heavily on him.

- [in French] Hi, Dad!
- Yes. How are you?

- Good, and you?
- Yes, I'm okay.

What are you doing?

I'm eating.

What are you eating today?

Michelle cooked beef ribs.

Yes. You're missing out, Dad.
We ate really well.

[in English] So, you can't send some
through the telephone? [laughs]

You miss them,
and you are missing a part of their life.

[in French] How's Ebola?

[Yao] It's still difficult,
but we're working hard against it.

[Yao's wife] You look tired.

Yes, I'm a little tired.
It's been a long day.

[in English] Sometimes,
you're tired, so you say,

"Okay, maybe somebody else
can come and help."

[in French]
Graduation is on May 16.

So parents are expected on May 16?

Yes, that's right.

Mmm-hmm.

Okay.

But I don't know if I'll have enough time.

Okay.

[in English]
I was proposing actually to quit.

But I witnessed a lady that survived,
and it was a really amazing thing.

A kind of joy and happiness to be alive.

These kind of small successes
give you more strength to continue.

[doctor in Hindi] Yesterday, we ran
some tests. A sample from your throat.

There is the disease swine flu

that could pose a threat
to mother and child.

There is nothing to worry about.

You tested negative for swine flu.

You have a regular cough and cold
and a minor case of pneumonia,

which we will treat with
regular medication.

So she is out of danger?

[doctor] Yes, she is absolutely fine.

Everything is under control.

[imperceptible conversation]

[Vijay in Hindi]
The swine flu patients are still coming.

There are too many patients
and too few doctors.

If there is an epidemic,
then India's health system is ready,

if all the private and government
hospitals come together.

And we should treat it as
a global emergency.

- Hi. How are you?
- Hi.

- Hi, dear boy.
- You smell good.

Hi, sweetheart.

[Wagar] So, I'm really excited
that Uriah just got back from camp.

Said it was the best trip ever
and now that this bill didn't pass,

you know that your other kids look
like they'll be able to do this as well.

[woman] Yeah,
I'm really excited about that.

The holdout by Republicans
in the Oregon legislature

has resulted in the shelving
of a mandate requiring vaccines.

[reporter 1] The Senate Republicans
left the Capitol,

stalling the business of the Senate.

To get them back, Democrats agreed
to kill the vaccine exemptions bill.

That bill died, but we are
not done with the fight.

[woman] Its going
to come back around again

because it's a sleeping bill
and it's gonna be brought back

in a big, big way on a federal level.

I'm putting on spiritual armor again.

Here we go again, we're going
into the next round of battle

to make a big difference.

Yep, our voice, once again, comes back
down to, if you have it, use it.

[woman] Yep.

I'm darned upset
and disappointed and surprised...

Um...

and pretty ticked off.

Crackpot theories are presented as if
they have equal validity to good science

and they can overwhelm
the available good science information

if you've got enough people
who are willing to propagate them.

The World Health Organization says that

vaccine hesitancy is one of the top ten
health threats in the entire world.

In 2000, we declared measles eradicated
in the United States,

and we are well on track to have

over 2,000 cases in the United States
this year.

That's just horrifying.

[imperceptible]

Most of the people in the state believe
this is the right thing to do.

One of the things you learn
in this business is,

"Live to fight another day."

And we just have to figure out
the right way to do it.

It's kind of that simple.