Daily Tech News Show is made possible by its listeners, thanks to all of you, including Tony Glass, Philip Less, and Daniel Dorado. Coming up on DTNS is the chip shortage done? Yeah, maybe for some, but not for everybody. Plus, the NFL launches its own mobile streaming service, and Terence Gaines helps us understand the mysterious world of third-party iPhone repair. This is the Daily Tech News for Monday, July 25th, 2022 in Los Angeles. I'm Tom Merritt. And from Studio Redwood, I'm Sarah Lane. And in the suburbs of Atlanta, this is Terence Gaines. And on the show's producer, Roger Chen. Ah, it's going to be a lovely day. Shall we start with some tech things you should know? Bloomberg sources say that the British satellite internet company OneWeb is close to a merger deal with France's UtilSat to create a pan-European operator. This could mark further consolidation in the private satellite industry. Last year, ViaSat acquired InMarsat for $4 billion, rather, to create the biggest geostationary satellite company. Ah, competition heating up. That's always a good sign for us. Meta launched a music revenue sharing program in the United States, letting creators include licensed music in videos on Facebook and earn 20% of in-stream ad revenue, because there will also be ads when you welcome that in. This applies to videos posted to Facebook that are longer than 60 seconds. Reels are not eligible. Remember, Reels get cross-posted from Instagram to Facebook. Creators can view expected earnings in their Creator Studio, and Meta will expand the program to other markets outside the US in the coming months. Google fired Blake Lemoine. You might remember him as the engineer who claimed the company's Lambda language model was sentient. Lemoine had been placed on paid administrative leave after making statements about Lambda to the press. Google said he, quote, chose to persistently violate clear employment and data security policies that include the need to safeguard product information and, quote, it maintains his claims are wholly unfounded. Douglas Hofstadter had a really good article about how you might be able to tell if an AI is sentient or not worth checking down. Netflix's iOS app now includes a sign up button that will take you to their website to sign up. So they're circumventing the Apple payment system, and this is okay. You may recall that up until 2018, Netflix let you sign up within the iOS app using the Apple payment system, but it switched to only allowing existing customers to log in to avoid sharing its percentage of the sign up with Apple. Apple updates its policies for so-called reader apps like Netflix in March, and now Netflix is allowed to offer external links for account creation. Intel announced a new strategic partnership with MediaTek to build chips for smart edge devices using Intel Foundry Services, hoping to provide more balanced, resilient supply chain as well as capacity in the US and Europe. TSMC currently produces most of MediaTek's chips used in consumer devices. Speaking of chips, is there good news? We're starting to see signs that demand for chips might be slowing down at least in some sectors. TSMC, the aforementioned TSMC, had an earnings call and CEO CeCe Wei warned, quote, Our expectation is for excessive inventory in the semiconductor supply chain to take a few quarters to rebalance to a healthier level. Note that he's not saying, I expect excessive inventory, he's saying it's already here, and it may take a while to reach equilibrium. After literally years of covering an ongoing semiconductor shortage, excessive inventory isn't something we've really heard a lot about from any particular chip maker. So something has changed, not just in CPUs either. DRAM prices have fallen 10.6% in Q2, GPU prices fell 17% last month. So Sarah, I mean, it's tempting to want to say the chip shortage is over, right? It is tempting, but not quite the reality. Wired's Will Knight spoke with supply chain analysts and it seems like the whole topic is about to get a little bit more complicated. So in the past, it was easy to say chip shortage because the shortage affected pretty much all chips. Different types of chips, though, need vastly different components. So yes, some chips are seen excessive inventory, but not all chips. And it's worth talking about the different kind of chips that we consider separate at this point. Yeah, so yes, Intel is freezing hiring. Yes, SK Hynex is considering cutting capital expenditures by as much as a third. But Wired's Knight notes that lead times on chips for more business and enterprise focused electronics, things like medical devices, telecommunications equipment, cybersecurity systems are still roughly double what they were pre supply chain crisis. You're talking 52 weeks to get a delivery. And the supply of chips for cars has not improved either. And in fact, supplies of raw materials like resin and steel are now starting to run short for automakers. And the COVID-19 unpredictability obviously plays a part here. The impact on the supply chain remains an issue. Strict lockdowns in China affected companies like Tesla and Apple big companies making lots of stuff for consumers. Those lockdowns, they come and go. But according to a Shenzhen government notice, the city once again this week has asked its 100 biggest companies like the automaker, BYD, Huawei, ZTE, DJI, Foxconn all to operate in a closed loop with living employees and even minimal contact between plants and offices. Most companies aren't saying how this will impact output, but obviously there's a lot of speculation there. Foxconn says operations remained normal, at least for now. And if that sounds like deja vu, that's because a similar situation occurred in Shanghai a few months ago. So you might say, okay, well, what's going on with the lockdown? Shenzhen reported 21 cases for Saturday up from 19 a day ago. I'm obviously talking about COVID. Yeah, right. China considers 21 cases to be lock it down, shut it down. We're zero COVID. Where the rest of the world, and you could argue that it's too much the other way, the rest of the world isn't operating like that for the most part right now. I don't know. I look at this and I think maybe it was even a better idea to have Roby on Friday talking about building a PC because it sounds like the parts, GPU, CPU, RAM, are the things that are coming down in price and becoming more available. Whereas the specialty things you need to make electronics that you buy off the shelf, you know, at a best buy out of target are the things that we are not going to see as much of because they use older equipment. And so you can't increase the capacity of making them as fast. Terrence, what's your take on all this? It just sounds like things we want them to go back to normal. So any little slice of hope that things are getting back to normal. We are quick to report on it. But just like you mentioned, China, even though that 21 cases seems like low dust to them, that's important. Monkey pox coming back. Well, not coming back. You're starting to get coming on the scene. Yeah.  They're starting to re, re invoke mask mandates. So we want to turn this corner so bad. So any little news that things may be changing for the better, I think we're quick to report on. But I don't see this being over anytime soon. Yeah, I look at this. And I think it's not that the chip shortage is over. It's that the supply chain hasn't has new problems, right? It's not a static situation where it got bad and it's just going to get better. It's a complicated situation. And it goes back to what you're saying, Terrence, which is COVID didn't get bad and then get over COVID is more complicated. It's transmitting in a different way. It may not be as lethal, but it's more transmissible. That causes more uncertainty. You've got inflation. You've got a war in Ukraine. There are all kinds of factors that are changing things up to the point where we may have great news for chips in certain sectors that could lead to a glut, which is what TSMC was warning about. And it may be that in a year or so, we have a problem where there are too many of some chips and too few of others and suppliers of either or both risk going bankrupt. Because they can't access the capital they need in a worsening economy to deal with either prices that are too low or shortages that don't allow them to make things. Well, you all might be familiar with the song. Are you ready for some football? If you live in the U.S. anyway, but there's a variation on the song called, are you ready to pay for some streaming football? There is. Yeah, the National Football League hopes so NFL just launched its first in house streaming service. So here's how it used to be. If anyone's not familiar in the past, Yahoo Sports offered free live local and prime time games on mobile devices and also laptops game pass for $100 a year offered access to replays of full games game pass will still be available outside the U.S. These are both being replaced though. So Tom, tell us what are the new services? Yeah, NFL plus because everything is a plus is 499 a month. It lets you watch on a mobile device all the live out of market preseason games. So preseason, you can watch everything that's not in your home market and live local and prime time regular and postseason games on your mobile device. Seems a little topsy-turvy, but it gives you more in the preseason than it does in the regular season. You also get NFL Network shows some live audio of all the games either in your browser or the app. NFL plus premium is the next tier up. So 499 a month gets you the live games. 999 a month adds ad free game replays, condensed games, coaches, films, all 22, which let you see every player on the field. A few more bells and whistles all available in the NFL app. Now you might say, well, is this just NFL Sunday ticket? It isn't. This is different than NFL Sunday ticket. That lets you watch live out of market games on your TV as well as mobile. Direct TVs deal on Sunday ticket ends after this season. Multiple outlets report that Apple and Google, among others, are involved in talks to get those rights. Yeah, and they're not projecting any subscriber numbers yet for this service, especially because it's combining two other services, one that was priced well above this one, one that was free. So it's kind of all bets are off. But this is significant, not so much in the service itself, but that the NFL is taking control of some of its content that the NFL is saying, we're going to do this in house. We're going to provide it through the NFL app. And they are not going to do that with Sunday ticket. They say they're going to contract that out to a streamer still. But Terrence, I know you're not as big of an NFL fan as you used to be, but you still follow this stuff, right? Yeah, no, absolutely. I was going to say when you mentioned NFL plus and it's like, aren't we tired of the pluses in the streaming services? But I mean, just pick any other word. Any, right? Any other word? But that was I was going to lead into it to also say, I think as a whole, I think we're starting to get tired of streaming services in general. But if the one entity could kind of change our minds about streaming, it would be the NFL sports in general, but particularly in the United States, it would be the NFL. So while I think NFL plus and all pluses and while streaming services in general, starting to get long in the tooth and we're starting to get tired of them. I think the NFL, while they should have done it maybe a year or two ago, especially with COVID. I think NFL may be one of the one entities to where people say, now hold on now. And they and people do the streaming service juggle. It's like, all right, well, how do I get NFL? And if I get NFL, then what do I have to get rid of is am I getting tired of Netflix? Does, you know, peacock serve me? You know, how much am I really watching on Apple TV plus? I think consumers will really start to not necessarily entertain the idea of just jumping all in. But at the same time, I think the NFL going streaming and offering the versatility being able to watch it on mobile or on your TV, whatever the case may be. I think people will actually start to take more interest into streaming when originally we was kind of and we're over it now. Yeah, I think that's 100% true. And we'll get more true if they announce Apple or Google or Amazon as the Sunday ticket performer like these two combined are going to be the big story. Right now, it's a situation where for the coming season, it'll be, oh, I need to get a satellite dish. If I want to get something to say, right, it's more accessible with mobile or it's more successful be Apple and Google versus, like you said, trying to figure out how I'm going to get a satellite dish. Yeah.  Exactly.  Exactly. I think it goes. So I look at this and I think it's going to get that person who's out and about, doesn't want to get direct TV, wants to watch the game and realizes, oh, crap, I could pay $5 right now and watch the game. I will. And then they're signed up as a monthly. Which is, I mean, that's, that's a good point, Tom, that, you know, if you really want to watch a game, you pay $5 to watch the game. Yeah. But if you get a bunch of other games as a result, then it starts to seem pretty attractive.  Then that drops off. And so it's a little bit of a, you know, a domino effect. Yeah. GPAC 84 asks a good question in our chat room. Direct TV does do an internet TV service called Direct TV Now Sunday ticket is not part of that. And that's partly because the rights were for Verizon's Yahoo back when Verizon owned Yahoo and Direct TV didn't get that. So remember that. Those were the days. Well, folks, if you have a thought about this, if you're like, wait a minute. I live in an area that's in 17 NFL local markets somehow. What games will I be able to watch? Email us feedback at dailytechnewshow.com.  So what do you do? Well, you might go to one of those mall kiosks. You might go to that little store in the strip mall down the corner. Terrence used to repair iPhones as a side hustle and we're going to ask him to help us from the other side of the counter figure out if this is a good idea or not. Terrence, if somebody breaks their iPhone, what do you think their first step should be? I know people don't want to hear this and I know it sounds boring and I know it sounds lame. But the first thing you should do is check and make sure your backups are on, whether it be iCloud, if you have an iPhone, if Google photos or Google sync or Google Drive, if you have an Android, or just good old fashioned plug it up to your computer and let the backup do its work manually. That would be the first thing because even though you think, oh, it just the screen just cracked. You never know what other things are connected because these phones are so tight and so intricate that the screen may be sitting on top of the cellular radio or the modem or the wireless connection that kind of throws everything off. So while you think it's just cracked slowly but surely you're losing connection and then now you can't get to anything. So I think the first thing to do is make sure your data is safe and secure someplace else. And even a cracked screen, which I am a non iPhone case user. I don't know. I just can't learn from my own mistakes. But thank you, Terrence. But I also have had many cracked screens over time, you know, putting your, well, in my case iPhone down and like, I don't know, there's a little bit of water on the counter, not the biggest deal. Once it's cracked though, kind of a big deal. Yeah. Absolutely. Absolutely. So when do you think it's appropriate to go to a third party like like a kiosk or a local store versus if you have an Apple store as a choice, go into the genius bar. In my opinion, it depends on your phone. And what I mean by that is back when I was repairing phones, the iPhone 8, 9, 10 were out. Those in my opinion were relatively simple to repair back then. There wasn't, you know, Apple wasn't certifying them as being waterproof or water resistant or dust resistant or any of these things in those older phones. So if you have an older phone, like for instance, in my case, I've got kids. They, I don't give them the new phones. They get the older versions, right? So if one of my kids cracked their phone, I wouldn't be so concerned about, okay, I need to make sure it's certified and I get the extra special Apple certified license. This and I make sure I got to go to a retail authorized repair center. I would typically say, okay, well, if I'm not going to fix myself because I don't feel like it, then I may take those type of phones earlier iPhones or just Android, Samsung in general. The older versions that used to be a little bit easier. That wasn't so technical. Those would be the ones that I would consider. Okay. I would take those to the strip mall or I would take those to the mall kiosk because I'm not as invested in those. Now the newer phones, like I said, they're now waterproof. They're dust proof. They've got all these extra restrictions on them, which makes them even more restricted as far as how they're put together, which makes them much more harder to take apart, put that back together. Those devices I may consider going to authorized Apple authorized or OEM manufacturers certified repair shop or go straight to your corner Apple store if there's one in the area. Yeah. Well, and the certification part of this does make it a little easier to figure out who's been vetted. A, do you think that certification is a good guide and trustworthy? And B, how do you tell if a kiosk that isn't Apple certified is okay to trust? Well, I can guarantee you with almost certainty that the kiosk first folks are not certified. Yeah. So you are throwing caution to the wind or, you know, playing the luck game when you are taking. There's not a trick where you could like look them in the eye and tell, huh? You just got to try them out. No, you just got to trust them. It depends on the person there fixing the phone that day. They may treat your phone like their own and take the extra special care. In most cases, those places are simply there to turn a profit. So they're not going to get, I'm pretty sure. Let me see. I'm not going to, I don't want to throw shade on anybody, but I'm pretty sure they're not getting the most best, you know, screen parts. So, you know, they're getting all the high end supplies. They are just there to fix your phone while you eats in a bun, right? Exactly. You know, they're not going to treat your phone in many cases like a Apple store, which they have a little bit more reputation. If you take your phone to Apple store, you know, and you don't have the same experience that carries a little bit more weight than some dude in the middle of the mall. And last, last question. What about Apple self repair? So, if you are a person that really is interested in seeing the inner workings of your phone and you have the small enough fingers to deal with all the different parts involved into taking a phone apart and you have the patience and you have the diligence and the resilience, because those parts are very, very small because you think all of the components that go into a phone is not just the screen, it's the batteries, the cameras, it's the vibrators, it's all these other, the battery, all these other parts. That stuff is very compacted in there and it takes a while to be able to get through that process. So the self repair kit will give you some, I guess for lack of a better term, a ease that Apple has is at the very least on your shoulder and saying, look, this is how we suggest you do it. And these are the tools we think you should use. And this is the process that you need to go through. There's that sense of ease that Apple has already done this and they're giving you the blueprint versus you going to another website or going online and just downloading something from the internet or going to YouTube, which is most people will probably do. You know, it's based on their experience versus the people who made it. This is the blueprint that you suggest. So while it may be intimidating to do it at the very least is coming from Apple. So you kind of feel better that they've kind of laid everything out to ensure you have the best process. Well, moving on to AI, we talk about AI and it's it's it's pluses and minuses on the show all the time. But in many cases, AI can be kind of fun, especially if you're a creative person. Example of that the next web highlighted a project back in March of 2021. So over a year ago now where a group developed a short film script. They called date night after experimenting with an AI called clever bot the group switch to another bot called shortly AI that's marketed towards people suffering from writer's block encouraging writers to overcome the frustration of writer's block by using AI. The researchers of this particular project say as long as they input the beginnings of a script shortly AI is pretty able to follow the screenplay format that they originally, you know, set into place including scene headings dialogue action lines. So they generated a few inputs for the project called date night. I will include a few now. Intro, Benny's house nighttime, Benny and Julia, both in their 20s said it to ends of a long table drinking wine.  It's a little crazy.  And that's how it starts the group tried out a few options how the conversation was going to go. It's going to happen and says at this point they did struggle to stay on track with the characters reorienting themselves to swinging emotions. They're living in a kind of heightened melodramatic reality. We will have a link by the way in our show notes to the YouTube video of this. It's worth watching because it's very strange toward the film's end. The characters even start talking about the movie itself referring to prior fictional events. And the craziest part is at one point in the action lines, the AI said with a looming pause, Julia, I think we're in a movie self awareness. I mean, if it's sentient, I think this is the best example of that.  That's kind of cool. And it sort of turns out to be pretty cool, but it's strange. It's like, why are they saying these things? The AI is like, I don't know. I'm doing my best guys. You wanted to screenplay. And we know we know this has been kicking around for a while, folks, but it's still fun to look at, especially in light of all the news coming out around GPT three and the boy and getting fired and at all that stuff. Go check it out. You know, it'll help you feel better about AI. My question is, you know, have some fun. That's my question. I think it's just a fun Friday night. That's what I think. All right, let's check out the mailbag. Let's do it. Mike in steamy Dubai loved our special guest week last week. Mike says huge shout out to Roger for quantity and quality. Mike also said, I wanted to ask your indulgence with a little e-waste ramp. I've seen an increase in manufacturers, including very short cables that don't give users enough distance to actually plug in their device and put it on a table for charging. The most recent example are a new pair of Sony headphones that I purchased. Mike says they're great headphones, nice case, headphone cable, two prong, airplane adapter, and the most useless charging cable I've ever seen. This cable offends me for a number of reasons. First of which is that I bought the headphones with a USB C port to have the option of using USB C cables as a headphone cable, given the lack of headphone jack on my Android devices. I thought I could save battery and get better sound, but no, Sony included a three inch to four inch nubbin that would not reach from a power outlet to the floor, let alone my head to my pocket. Additionally, it's a USB A to USB C cable. As we make the transition to USB C futures, why even bother to give me a cable that will be useless in just a few years, if not sooner. This is the third or fourth cable like this. I had package, I found package with a device and would rather have none at all than a useless e-waste cable. Yeah, man, I've been there. My ring doorbell battery charger is a little short orange cord and it's just enough to sit next to the outlet, but if your outlet's up above, it's a problem. So, you know, I think they do these for cost savings so they can say they gave you a cable without having to spend a lot of money. I can't even be saving them that much. Right. You know, to have another few inches on a cable, I mean, I can't imagine that that is where the price really gets into play. Yeah. I don't know, Terrence, what are your thoughts? No, this is clearly just a check a box and say, look, we gave you all you needed. You didn't have to buy anything else technically.   Right. Technically, it works. Yeah. We also sell very small tables that you can set next to your outlet to set your device on. Right. Right.  You're fine. They gave them to give the little mice, the little tacos and a little food. Now they have a cable. Yeah. Yeah. Exactly.  Well, because then you get the one you want. Thank you, Mike. And thanks to everybody who writes us in. Please do keep those emails coming. It helps us make a better show feedback at daily tech new show.com. Also thanks to Terrence Gaines for being with us today. Terrence, where can people keep up with all that you do? Well, you can find me on the internet via social media at brother tech. That's B R O T H A T E C H Instagram, Twitter and Facebook a little bit. I am also a podcast host. My Apple centric post podcast with my co host, Nika Monfort. It is the Snobo S cast and my folks Rob Dunwood and Stephanie Humphries. We have a tech podcast from a different perspective called the tech John. You can find us on the internet at the tech John.com. Good stuff. Definitely follow what Terrence is doing. He's making good work. Also it's Monday and we have brand new bosses that came to us over the weekend. David, Joshua, Christoph and Kenneth are all now backing us on Patreon. Thank you, David. Thank you, Joshua. Thank you, Christoph and thank you, Kenneth. The fantastic for Patreon backers. Yeah, you all got to get together and figure out what your superpowers are. And we look forward to your AI movie script soon. Yeah. And seriously, thank you. After not having somebody Friday, we thought, ah, the streak is over, but you've restored our faith. Really appreciate it. Indeed. A reminder, there's a longer version of the show called good day internet. We call it GDI for short available at patreon.com slash D T N S reminder that we are alive here on this show Monday through Friday, 4 p.m. Eastern 20 hundred UTC is where it all goes down. Find out more at daily tech news show.com slash live and we are back doing it all again tomorrow with IS actor joining us. Talk to you then. This show is part of the frog pants network. Get more at frogpants.com. Diamond Club hopes you have enjoyed this program.


Monday last night was such a good Sunday evening. It rained but not my pool is the best So I was cleaning out this morning. I smell like chlorine. We're going to go work out The next couple of days are really good having a little wellness morning routine I just have been feeling so inflamed like I don't really know what I mean Honestly, I'm not like eating cleaness, but still like I just feel so inflamed So we're going to an infrared sauna and a cold plunge. I actually have it cold plunge I know I'm gonna absolutely hate it. I like cryo therapy like there's cold therapy that I can do But something about being immersed in cold water terrifying.  So anyways, hi if you're new here subscribe We're just gonna hang it up the next two days. Hope you guys enjoy.  I'm so scared, but I'm just gonna block out. I'm doing it I'm starting to love it. I guess I didn't even look at the clock correctly It is cold It's actually not the worst thing ever, but that's because I'm also not like putting my shoulders down But I'm just not ready for that. Okay. I'm doing this and it's good enough I'm gonna do like another 60 seconds and I'm gonna actually submerge more I'm back from the cool punch and the sauna it was really nice So after I filmed I actually went all the way under for like a minute and a half I think like a minute and then I did a minute and a half and took a 30 second break and I definitely feel More like on it today and what like I feel like so weight, which is good I have a long list of to-do stuff. There's just like boring work stuff But tomorrow will be a better day to vlog because we're gonna go to the mall or something um, but I'm just getting all this down. I'm about to order some lunch and Um, I do my nails at some point and into my bra's done. I'm putting that off for so long Um, but yeah, I love the office. I have some home updates that I'll show you guys later, too But I'm just I'm excited. I'm trying to you know, really get things going. I'm also going to the pbr Very soon with first class Cowboys. Okay, Davis and like that's like quite the honor So I really need to get a good outfit because this is like stressing me out more than it should Just because it's like I'm obviously going with the pbr queen. So like I've really gotta Gotta think this one through Okay, it's 3 30 I'm gonna take a little break because I need to get my nails done And I need to get fourth place closes and I do the FedEx and run some errands And get some stuff printed.  I'm just a visual learner and a visual thinker But for a friend of mine, which I've been working on another product drop Then I'm not gonna share just yet because we have one thing coming out that I'm the most excited for In november and it's just like another version of that. So once that's out, then we'll be sharing I want you guys to guess it's the most on-brand thing that I could possibly do In like every area of my life Anyways, um, I've been working on the next version of that And I pretty much have it done to at least send over to my designer Um, but I just need like products things and like the vibe of things that I want like on This board as well as just like a little life one. So we're going to go get some stuff printed out and continue on with that tonight Or fits this weekend by the way. So thursday morning, I woke up and he had one hot spot. My dog's like, what's going on with them, you know um, he had one hot spot And a lot of time I've sprayed for them and they just go away with him But then it didn't and then I left for the day friday and he had his dog sitter here And then I came back and it was like this size. It was massive. It was like so disgusting So I got home late so then I booked an appointment through modern animal Which is like the vets that we're going to now. They just opened the liquid. They're amazing I cannot recommend them enough seriously Like I've had every one of my personal life switch over to them and you can use I think it's code kensy You get either the first year membership for your like something crazy at least a good discount It is amazing because you can do everything from the app like even like refill prescriptions You can have all of your files on the app. You can book them. You can talk to them 24 seven Like there's so many things just awesome. So anyway, it's got him in there that being said I'll show you guys him the poor guy had to get shaved and not just like how hot spots are They develop very quickly, but because he's had them before I just thought he'd be okay You can't even see he's on the other side His back is just shaved. I won't show you guys because it's kind of gross. Oh hi, bud bedhead Um, yeah, I just poor guy, you know It's on the other side of him and honestly it's for the best because it's kind of gross looking But he was supposed to get a bath today too and he can't do that now Oh, this is what I was gonna show you my new light. I don't know if I've already shown you guys this So this is the new light. It makes the room look so much cozier and I also put one in my closet room And it is so much better walking in to My closet room. It's so much better. It looks so much nicer.  Um, also The view my mom's by the way, they're finally they were holding on for a little bit and now they're like done done It's been pouring. So there's not like so much I can do.  Like I love this house best thing I ever did Okay, my nails look so much better. I love brown nails. I know they're kind of uh controversial, but Looks so much better back home and my ollie pop subscription has arrived. I get the repair ones I've just been taking little videos in my house because it's so clean right now Also my body wash. I haven't tried the bergamot. I've only had the eucalyptus I love this body wash. It's necessary. So good. I don't even have room in my fridge like I'm only like single person who just somehow has a full fridge Like I don't know half of it is like I get sent PR like drinks And I really need to start saying no to all of them because I just don't have the room Um, anyways, we're just getting some things situated like stop and then we're gonna Kind of vision board so it's not really vision board. You see the like cut it all out We'll do it So the thing about vision boarding is like so personal like since it's going up in my office and people can see it I didn't put like super personal things on the one for myself I just put like what out my life to feel like but I don't know like I was thinking about it I was like, I can't have people see I don't know what it is like just because that's like my guest room I don't know who's gonna be staying there. I don't know something about it. It's very vulnerable. Okay. It is It just is Okay, here we go and it looks really good So this is more of my life which it's a lot of Like you guys get the vibe living on land horses That's like Martha Stewart's collection dinner parties like music and country concerts All of the things just very calm It's a garden flowers. You guys get the vibe and then this is more of like friend of mine stuff So just kind of like general like products stuff. I want to do overall vibes There's like obviously a different reason that I've penned every single one of them, but Yeah, I think it looks really good Happy Wednesday I cannot believe I forgot Coffee so I need a little water grab some of the way home Um, but today's gonna be a really good day I'm gonna go to Pilates come home get some work done And then it just kind of you're gonna have a fall all afternoon that blow out tonight I just like really like I said, I've been wanting it to feel like fall Um, so that's what we're gonna be doing update on yesterday in the club lunch I will say like I was the most clear And focused I wouldn't say I was like crazy crazy motivated like I have been previously with that stuff, but like I just feel like I Got more done than normal and I was more productive and I was just like my mind was like clear, you know So anyways, um, I really want a cold lunch and sauna for my house, but uh, that's not happening anytime soon, so Um, or maybe it is and I just don't know it. Maybe maybe it is Oh my god, I can't believe our coffee and it's good to a heated hot pilates class of course By the way, my top is that active and these shorts are I think amazon actually they're linked on my storefront. They came on a seven. I don't know where the top is My way to get Botox. I haven't gotten Botox in So long. Um, I'm getting on my forehead. I think I'd normally get it like I guess maybe I get it once a year I always thought I got it every six months and now that I'm thinking about it. I really think I get it once a year I don't know. We're gonna figure it out.  They have everything my dad opened it last year Um and thank you to everyone There's so many of y'all who have gone but I love it because One they have like a membership thing so you can get like better deals But they also only hire like nurse practitioners a lot of meds bars Especially in Dallas will hire people who are not actually like in peace Which is like whatever but like I would prefer that Because it's like literally needles in your face and then also it's where I get like my hydrophacial um Laser hair removal. I mean like you literally anything that a menstrual has and you can get It discounted with my name. So anyways, I'm also going to get Botox on my neck I've never gotten it there, but like I have like tech neck. I've noticed it in the past like Recently it's really bothering me. So I'm hoping that this does something for me. I'll keep you guys posted I'm going to show you a little before Just give me a quick second Okay well there but like I don't feel like this is the lighting that's showing you really what it is Anyways, whatever teach throughout I share this stuff because I think it's important to be transparent um Not because I feel like everyone needs this stuff. I have a lot to say actually I know I didn't get Botox on my neck because we're going to hold off on that for now, but Also, if you guys said tech neck, what do you do? Second thing I actually do think I got Botox this year. I just have no Like recollection. I know that I got it here And I would have had to have been probably in the spring because we only opened last year I don't know. So anyways, I was saying all that And I think that I was wrong But anyways heading home to get some work done so I can go to the mall today y'all I got another pair of Everday pajamas Because I love them. I live in them And they have chocolate brown. I have the same style In three different colors, but the first color Covered shoot for one of the few things that she's chewed through That was not very nice of her. So then I got two other colors and then these have like action my hair color Chocolate brown. Oh my gosh Wow I just can't even describe to you like I will link them below if you guys Like ever don't know what to ask for for a gift or like don't know what to get someone Everday pajamas.  Those are pajamas. They don't really look like it. They could be lounge. So anyways Love those I'm gonna get some work done. By the way y'all that reminds me Look my friend of mine order. I have our cocktail napkins. So these cocktail napkins they come with four I'll show y'all um, I use them as coasters just because I'm not drinking a cocktail from home every single day, but They're really cute. You have four. I'm not even gonna I have to film a tech talk So I don't want to like take them out fully Actually, I have some right here You get four of these they're essentially coasters like fabric coasters They feel like that but they're cocktail napkins So great for just every day to make things a little bit cuter Awesome for dinner parties awesome for like pre games when you're making drinks to your friends and they come over Have a little cocktail hour happy hour at the house Whatever it is. These are so cute. So they are linked below and as always The recipe journal. This is your time to order one if you haven't already I am obsessed. I actually caught one on fire last week, but that was just a sample I needed to move them anyways because this one has like the actual one is a different color And I'm just like in love. I love it so much. I've been so happy seeing y'all tag me using it I just think it's so cute. So anyways friendly reminder that these are available have to be available very soon I'll show you all one of them from here showing five of them This cute little corduroy hat with our brand on them. I think this hat is perfect for fall It's cute with like even what I'm wearing now or dressing it up and like wearing it with like a sweater and boots I just think it's the best. So I love this. So anyways, um, I will talk to you guys later Okay, bye I don't think I don't think that's crazy at all. Thank you so much. Jessica and I are having a mall afternoon and I just ordered an after all spritz One of the reasons I love living in Texas is that we have plastic straws And you know what? I'm so grateful for that in Florida. They don't have them.  I'm gonna get the water But that is shocking.  You're eating it. It's shocking to me Sorry guys, really sorry, but I think we can all rage here remember on the internet. Well, I don't know your friends at this point like The thing that you would all get attacked for the most. What was the plastic straws? The plastic straws and now it's like Other things Things that mean a lot more to the world than us. But like you're not even saying that you're not even involved It's like adjacent. It's like your second cousin's exploit for the scene. Yeah cousin Yes, literally Thank you. I'm having the weirdest lunch combination. I can't talk about it We are shopping. We are probably stopping in Williamson over next. It's our next stop. Oh my god. It's just getting fall out of where I go I've tricked myself into thinking it's fall. I am wearing A full sweat set Oh, yeah And she bullied me out of that. I said fine. All we're sneakers. That's it But I really would have my favorite store. This is making me so excited for Thanksgiving I wish that I could host Thanksgiving. My parents would never let me but This like really does something for me. These are so cute This was not the most successful mall day of my life. I feel like there's nothing here right now We're doing a very quick haul from the mall um Honestly, I feel like September is such a weird month because it's like a transition phase and the mall Was just not really giving today, but I did pick up a couple things From Sephora. I wanted um more like browny Mavi Lip liners. So I got the makeup forever aqua lip liner and then the makeup forever just artist color pencil Um, Jessica has these or the lip liner and she said she really likes them Then I also got this jolly blush make it forever just lip color I don't know. I'm always talking that and then I got the house love foundation in a darker shade. Hopefully this works um from ari Okay, so like ari sweats are the most comfortable thing I've ever put on my body And they have the ones that I love so much but just in like wide legs So in these brown and they also have them in this forest green And I will be literally living in these like I will probably be buying every single color they have and then bathroom body works I got Quite a few. I got four candles. We got I hate when they have these but which one is this Pumped in pecan pecan waffles. I also got marshmallow fireside. This is my all-time favorite candle um Leaves obviously and then I think the last one's probably sweater weather. Yeah, sweater weather Um, what an exciting happy happy time truly Just feel like that was a good day and I'm gonna go to spray tan My stomach hurts out of nowhere so bad. Like I don't know what I did So um that is that and then I'm excited to get home. I've been gone for my house for a lot longer than normal I just in such a home body like I leave and I immediately want to be home Wait, did you ever like honk at someone or like do something to someone in another car when your mom was driving when you were younger And your mom would be like stop that like you never know who could have a gun No, that ever happened.  Yeah, no, I think a lot of people probably do say that But maybe it was just to scare me, but they're scared of men like that to get out of their car with the gun Yes, but one thing about me is that I will never honk at anyone


It's now my great pleasure to welcome you to the afternoon session and we have the honor of being joined by Jeremy Farah who is the director of the welcome trust. He has a long bio listing many accomplishments with nearly 500 contributions to research papers amongst many others and so with his involvement from the welcome trust and his past history in Involvement in research. He's very qualified to be tackling the difficult question around Ebola and research and humanitarian Organizations and I'd really like to welcome Jeremy to take the stage so thanks very much for the introduction and and I know everyone says this when they start to talk, but it is a real privilege to come and speak at this event and I'm only really going to say one thing today and so after I've said this you can Leave or go to sleep. I think there is a Unique is a big word, but I think there is a unique opportunity between what has been relatively siloed communities But who share a great deal of common Ethos and philosophy to come closer together and and if that's the single thing I say today we can stop now and go away what I want to extend is is how Coming over the coming days weeks and months and years the MSF Family if that's the right word for it with all its challenges within a family and the welcome trust Which has its own challenges within a family may seek to work more closely together So thanks very much so this was me Sorry, I think it is important. I think history is very important Sorry, I don't know if this is works or how I work at technical challenges. There we go. That's that's me some years ago 1960 X Giving any more details. I actually discovered the Acropolis, but but that's a different I was born in Asia and then it was dragged around as the youngest of six children with an English teaching father And an artist as a mother through through many countries which Have been through their own challenges and and the reason why I think that is important and important to the current discussion and important in the way I see I hope the way the welcome trust itself is going to go is That that that experience as a child I think leaves very very deep memories to you and and and growing up in places Like the Yemen and and in Libya and in other places about the world really leaves a very Profound influence on you and it's something that I certainly wish to bring to the welcome trust to see the welcome trust as an outward-looking global organization wanting to contribute to global health and not as just a UK based institution looking inward To a single country. I came to the UK when I was a teenager studied medicine at University College, London Then worked at most of my postgraduate training in Edinburgh and in Melbourne had a year in San Francisco As part of a PhD at Oxford and was destined to become a neurologist in the UK That's what I trained in Before in an audience very similar to this and I hope it hasn't the same effect on me In Norwich at the Association of British Neurology and about this stage in the talk looked up at the audience and thought I Don't want to work with you lot for the rest of my life Apologies to neurologists in the audience So I left neurology and in those days one could do this one could go between specialties sadly lost in global medical another training and Going back to actually talks for the next day and the fact that the lab I was working in was next door to the malaria lab and happened to have a coffee with somebody who said There's an opportunity coming up in Vietnam And they might be looking for somebody with some of some of your your skills and would you be interested in from that moment? Onwards moved to Vietnam with a thought that I would be there for about one or two years and come back to a migraine clinic in Edinburgh stayed for 18 years and came back for some reason about a year ago 18 months ago Everything I'm gonna say is therefore very influenced and colored by the experiences in Vietnam I was then became the head of clinical research unit based in what I think is the largest infectious disease hospital in the world the hospital Chop disease is Ho Chi Minh City somewhere between 600 and a thousand beds dedicated to infectious diseases government public hospital in the center of Saigon Ho Chi Minh City I Won't go through all the individuals But but just to pick out one a very young-looking professor here and here who is soon to retire actually But probably has been the most important mentor in in my life. I Swap that in October 2013 From the beauty of Hue in central Vietnam and the the beauty of a big Asian city Ho Chi Minh City For a wonderful commute On a daily basis from Oxford into Paddington station a pleasure a pleasure And I haven't stopped thinking what a pleasure that's been ever since So I came back to Britain after having been out of the UK for 18 years and actually having only spent Less certainly less than half my life here. So it's been a major cultural professional and personal Challenge moving back But the reason I did so And this is not meant to sound too hebristic But I think the Wellcome Trust actually is a very very important organization And I think if it can work with partners in collaboration and takes this global perspective I think we can contribute in a way that goes beyond what we've achieved today and that is my aim I'm a clinician. I trained as a neurologist said but but and never trained formally in infectious diseases And I'm sure many in the audience will notice that with some of my advice over the last year or so But but I did do and I did until September 2013 a ward round every day essentially around the more sort of intensive care of Severe of infectious diseases and this was the spectrum of diseases that was on the ward in the last few weeks that I left with patients with with these diseases And what perhaps one of the highlights of this for me is not necessarily the individual diseases But it's actually that the top one and it's something I'll come back to talk about in the moment And the truth is even in an extremely good hospital in a in a well-supported public hospital in Ho Chi Minh City The truth of the matter is that most things we haven't got a clue what's going on and and that I think is a huge huge problem Globally global health is changing hugely David used to look like this and David increasingly looks like that and that has implications for all of us the world is changing It's changing in all sorts of ways And infectious diseases and non-communicable diseases are starting to have an an overlap and an impact on each other Which we we have not really witnessed through the history of medicine So take dengue for example a disease I know a lot about dengue in somebody looking like that is Actually a very different disease to dengue in a disease looking like that the pharmacology of the anti-malarial drugs that we give the Pharmacology of the antifungal drugs we give to individual patients or at a population level looks looks very very different And one of the great challenges for health systems around the world which is a crucial area The challenge of health systems around the world is many low and middle-income countries are quite well set up Huge variability, but some of them quite well set up to deal with some of the challenges And I'll come back to West African a minute that some of the challenges of acute infections in relatively young individuals Where you come in very sick and in all honesty you go out with a treatment and you survive or you die And you die very quickly The world is changing such that those infections are going to be hugely influenced by the rest of the environment and the societies They're in and by the rise of the non-communicable diseases and the health systems that one needs to cope with the rise of the non-communical Diseases is actually quite a different system than one might need for dealing with the acute infectious diseases that many Low middle-income countries are challenged by and actually the so-called developed world that the relatively rich world or the rich world Has in the main not had to deal with that coming together So although it's not quite true, but the world did UK United States Western Europe's Exeter did manage to reduce their burdens of infectious diseases as the non-communicable diseases rights One of the huge challenges for low and middle-income countries is how you deal with those two challenges together Both at an individual patient level and also as a health systems Level and talk a little bit about emerging infections and it actually underpins The health systems comment I made earlier. The world is not equal in terms of where potential emerging infections may arise There are undoubtedly hot spots and you can map these as an old paper now But you can map these around the world where you may think that the emergence of major new issues Which will challenge the whole of society are more likely to emerge and this was actually a very very nice Paper from a few years ago now But it divided up the emergence of issues and trying to map them and give some idea of where the the complexities may arise Into zoonotic pathogens from wildlife From primates for instance zoonotic pathogens from non-wildlife poultry chickens, etc the vector-borne diseases Mosquito or tick etc and and then for me the most important emerging infectious disease of our time the arise and spread Of drug resistance, which which is going to have in my view the most profound impact on on global emerging infections What needs to happen to this sort of work is that one needs to overlay on top of this not just This descriptive and the nice maps that this demonstrates But also the environment in which it's happening and how that's changing the way societies are changing Societies in West Africa are not the same as societies in the the Democratic Republic of Congo in 1976 And therefore our response to events has got to change And overlaying the way that these These communities are into the interlinked with the rest of the world So the drivers of these emerging infections and again I put drug resistance as the most important emerging infectious issue of our time are multifaceted recent Terrible events in Kathmandu the recent events in in West Africa just demonstrate That these issues arise in on they do not arise in the absence of understanding the culture and the environment in which they're Rising so whether it be earthquakes or whether it be war or civil war or Or disconnects between the governed and the governing Put enormous challenges on the emergence of infections and the ability of the health systems to cope with it so on top of the Hot spots around the world of where environmental factors may lead to the emergence of new emerging infections or drug resistance, etc we have to overlay on top of that the ability and the Resilience of the systems that can cope with it if we don't put those together We won't understand where the risks and threats lie and we won't be able to address the underlying issues You cannot in my view separate these two Environmental and climate change will lead to many many changes some of them unpredictable But they will certainly have an impact for instance on on on mosquito population stick born Etc. Will change in the demo in the way they are spread around the world and society itself is changing We're going from rural to an increasingly urban society and the urban societies do act Anthropologically and interconnected where in ways that that is that is different In the ways that the rural communities act and and the drivers of this I think underpins many of the emergence and challenges We face with with with infections counterfeit drugs crucial crucial issue I think both in terms of individual patients and populations not getting the drugs they need but also in the emergence of drug resistance If you have a tablet an injection etc with no drug in it That's one thing the individual will suffer dreadfully if you have a Counterfeit drug with 20% of the ingredients of the antibiotic anti-malarial anti TB drug anti HIV drug That's a second issue if it's 50% if it's 70% if it's 90% then you will have profound implications For both treating individual patients the population in which they live and the emergence of drug resistance So we know to no sees obviously I won't go into any more details and lastly of course the interconnectivity The ability I first came to the UK. I got on a boat In Asia and I arrived in Southampton docks and I've supported Southampton ever since then actually Arrived at Southampton docks six and a half seven weeks later if I'd got on with a dreaded lurky in 1960 Whatever 1970 whatever it was. I would have either have got over it by the time I arrived now Of course you can be there in 12 hours and I would imagine those people in this room who yesterday were in some more distant distant place that is a Potential capacity for us to spread things around the world much more quickly than in previous eras The other thing is these emerging issues happen very very quickly 1918 was the thing we all are terrified by the pandemic of 1918 with 2040 50 million people killed in a world with about two billion people at that stage This is a very beautiful graph. This is Months of the year. This is October 1918 these are four cities New York London Paris and Berlin and the important thing here is this is Mortality and this is excess mortality and you can see that in individual cities the upswing of that epidemic and the Downswing there were further waves across here in individual places that that Peak of that epidemic went up and came down very very quickly The take-home message for me in that is if we're going to act we have to act in a speed which is heather to been unthought of We are now 15 16 17 months into the Ebola epidemic and our capacity to respond to it as MSF has led has just not in the time frame that's consistent with where we have to be if we're going to act More quickly and and again whilst I believe that surveillance is Absolutely critical and sharing of information and knowledge of what is and what is not happening is absolutely critical The truth is surveillance picked up Ebola in January or February at 2014 and apart from MSF The world did not act until August September October. So surveillance was in itself not the problem It was our ability to act if we don't add a response mode to our ability to gather the information Then we will continue to be there. I said stamp collecting around the data We have to add a component to it This is Mexico and the only reason for showing this of the pandemic is because it follows a very very similar pattern This is the center of Mexico in 19 in 2009 So when I look back and I deliberately have not chosen Ebola to frame this talk on and I've chosen something very different But which I think has the same implications and that's the pandemic of 2009 but actually and and and not deliberately but I have actually For reasons that escape me a little bit been very directly involved in in SARS Carlo Ibane who first raised the issue of SARS in 2004 and closed the hospital in Vietnam, which essentially saved the country from Desperately suffering from the SARS epidemic and lost his life in doing so Very involved through SARS actually started with NIPA 1998 H5M1 Entravirus 71 in Southeast Asia at the moment viral hemorrhagic fevers hemolytic uremic syndrome H7N9 in China at the moment cholera MERS CoV drug resistance in Ebola and I have in one way or another been involved in all of these I think in parts of the community We people have improved dramatically There is much better surveillance now than there was in the old days We would never have known H7N9 was appearing in China now We know of it and in fact in some ways we have too much information now You will know in 2015 if there is an HXNY influenza avian influenza in out of Mongolia You will you will know that will be picked up. I would imagine So I think the surveillance and actually the sharing of data can certainly be improved But compared to where it was a decade ago. We are in a much better position I actually think that international cooperation, but we can come back to that has been has been reasonably good And overall it looks easy to criticize I actually think the media have been involved in many of these in a in a in actually mostly a positive positive way I think the community which has failed to step up to the mark is my community And that is the patient-orientated research community And I think because of fragmented services and I believe a major component of stifling regulation and conservatism We have not Combined with collaborated with the individuals working in other sectors such that we can start to do the essential work in that very short Window one has to learn what one can do to make a difference. There are enormous practical There's huge ethical There's huge questions about subsequent access to information data and samples and huge access access to further treatment But the window of opportunity to change epidemics is early in their natural history And if we don't Learn have gained the ability to act at that time. I fear we keep will keep going through the mistakes of all of these Merz covee is a very good example The first case of Merz covee off top my head was was diagnosed actually in this city in September 2013 we are now in May 2015 we don't understand the epidemiology we don't understand the annual reservoir We don't understand the transmission dynamics We have not worked out how to treat individual patients or prevent secondary transmission and we do not have a vaccine That's true of every one of these So if you ask a very simple question, I just remind everyone I'm a clinician not an epidemiologist I'm a clinician, but if you ask for influenza arguably One of the infectious diseases which could cause global catastrophe if you ask the question for influenza How do you who do you treat with which drug or not? At what dose and for how long do we understand which drugs to use understanding the pharmacology the PKP day relationship the interventions that may work beyond Therapeutics to prevent secondary transmission. How does resistance to the drugs that we do have developed? Do we have vaccines which cross more than the than a few strains and whether and what works in the setting of a clinical setting? This is a disease which 16 to 20 percent of the world's population were infected by in 2009 And yet out of that period four years later. I don't believe we can answer With general agreement and consensus the answer to any of these questions and again I think that has been true of every single Epidemic and pandemic that that I refer to it to above such that in the end of 2013 The World Health Organization in their great wisdom were able to say overall the quality of the body of evidence was very low to low Leading to WHO global recommendations for the treatment of a hugely important infection a strong recommendation very low quality evidence. I Am a native English speaker And I could not tell you what that would mean As a clinician with a patient in front of me with flu and that's not WHO's fault in my view That's the my community's fault for not addressing that issue leading to guidelines leading sorry to headlines From from a very esteemed in some quarters journal British Medical Journal Stating very boldly the Osilt Hammer beer does not work I'll go on and Part of the reason is I believe that stifling Regulation and complexity and conservators and we bought to human what I call human subject research This is a patient with something quite badly wrong with them. This is a youngish clinician who's got a bright idea The pathway that that young clinician takes probably earlier in mid in their career when they're terrified of where their next job is Is to go and write a protocol? This is the previous drafts of the protocol. They're now on protocol version 563 They then and if any of you have not watched the YouTube video on teleconferences, please email me And I'll send it to you is one of the funniest YouTube videos ever They often then go to a teleconference when we were living in Asia that always included people in Europe and in North America And for some reason North Americans could never be out of bed in the middle of the night So this was always at 2 a.m. Asia time You never really understood what anyone was saying you couldn't hear what anyway They seem to be very very important in this whole process which led to version 896 and this young doctor clinician nurse whatever they are then goes back anyway by 6 day 611 it's improved a little bit since then It's now 609, but but this is the average time in 2011 that it took from bright idea to enrollment for first patient in a clinical study Trying to find out what was wrong with them or how best to treat them and their families or their communities We don't have 611 days in the in the emerging infectious disease world Bear in mind that 42 days six-week window when the epidemic curve often goes up and down and your greatest capacity to intervene is Is early on and then finally that's only to recruitment and of course To completion of the study writing it up getting all the kudos presenting at a meeting Polishing the paper moving on to your next job takes you into a doubt about day thousand Which no young clinician would dream of going into if they had any sense And that is one of the reasons why I think we're moving away from clinical research Which I think is so critical to the future. So I believe health research and in particularly my area Human subject research needs a new paradigm. Yes, we do have better surveillance now We will identify things in fact as I say we will identify potentially too many And we won't understand the biology to know whether hxny and out of Mongolia is going to cause a global pandemic or not We have to get smarter in our surveillance But we cannot think that surveillance on its own without the ability to act is going to sort out the problem I think we mean much more innovation in the design of research We haven't moved human subject clinical study design on in fact in the last 20 to 30 years And I think we even now even now in the events in West Africa We are still having in my view sterile arguments about designs of studies and how one might do things We can't do that in the context of an epidemic We have to have much much better Appreciation of the of the views and perspectives of the community that we're working with and that means very culturally sensitive times I'm going to move on very quickly because I don't want to talk about Ebola because I know you dealt with that very quickly 1947 was the setting up of the major global agencies whether they be the United Nations World Health Organization International Monetary Fund and others And I think there is a major question of what the role of all of these agencies in and their governance structure in a world That looks very different to when we had Yugoslavia As a member of that committee the world has moved on and we need to move on the governance structures of that We've tended to make things overly complicated This is the view from Geneva and yet on top of that over layering and partially because of our all of our concerns about the global governance of health We've invented new schemes and new systems and new infrastructures and new governance bodies Which looks to maybe supplant or take over from the World Health Organization But which in my view don't have the legitimacy of representing national governments with all of the issues that that comes from I think we could much much simplify This so yes We need better surveillance and we need to learn how to share that data in more real time and Critically and this is not often talked about we need to learn how to share the benefits of that research So that access to the to the benefits that accrue from this research becomes critically important We become much better at picking up things, but we must now learn how to act much more coherently and much more quickly and my last slide goes back to my first point and that is I think there is a unique opportunity and I appreciate the challenges of Bringing together your community who sees the world differently to others and and and the community I am in and I'm now in and looking at ways about how we can bring those together Because ultimately actually our underpinning philosophies and thinking are actually incredibly similar and this huge overlap I don't know how to do that. It won't happen today But that is my dream for the the coming months and years How can we work these two communities more closely together because we're actually both after the same things and I'll finish that Thank You Jeremy We're gonna have time for three questions if you can't say your question in one sentence Don't put your hand up for the microphone Please we're gonna go to the online audience first if you can put your hands up and I'll pick out the other two now a microphone here Please and anyone else? Thank you very much. I share your concern for bringing together communities that need to work together and have shared interests I wonder if you might have a comment about the Complexity of that process and the balance between critical and friend in that cliche I'm thinking I think your organization is under a little bit of pressure on fossil fuels right now for instance Which one do you want me to ask fossil fuels or collaborative ventures? Comments on how to collaborate constructively across silos Getting the right balance between Criticism and pushing people more and being supportive and friendly so firstly I think all organizations MSF welcome trust whoever you are has to be thick-skinned enough to take criticism and And appreciate and listen to it and whether you change or not is is for you to determine as you're listening But I think you have to be thick-skinned enough to take criticism Secondly, I think you will not build collaborations and and harmony if that's the right word By a top-down approach. I think the way to do it is to get a greater understanding At a depth within organizations such that actually this is driven by Individuals and actually to a different extent both these also of the organization and the and the individual chemistry between Players across the organization I think that is the best way of building Collaborations because at the moment the language of both not not saying our organizations But many organizations not used to working together the language is so different It's actually quite difficult sometimes for those communities to come together So I would not suggest a massive top-down approach that says A and B must work together in some ways I would suggest we build this Organically by by increasing the number of interactions between our organizations such that that embeds it much bigger better in both Vicky thank you very much. Jeremy. I'm Vicky from MSF UK in terms of calling outbreaks earlier and Therefore galvanizing a faster response. I think MSF's experience is that it's actually Governments who are the impediment to that so they are the ones who are reluctant to recognize this nature and scale Of an outbreak for whatever reason but at the same time they are the members if you like of the Global health architecture WHO etc. You as you refer to how do we unpick that? How do we? How do we yeah? How do we prevent governments or or avoid them actually being the ones that are the obstacle? Yeah to recognizing the outbreak in the first place obviously a huge issue And I don't want to give it sort of glib very short answer because I don't want to underestimate the complexity of it But I think the bottom line comes to the word incentive. I think at the moment there are massive massive disincentives for countries to do what you've described even to the point that Spanish flu is how it was called Spain was almost for a hundred years has now been blamed with that Epidemic the only reason was of course because the press in Spain were free They were able to report it German British American press was censored Spain has forever left with that sense that this was all Spain's fault Talk to anybody in Indonesia and they will tell you they have the same with bird flu I personally would like to get away from naming new viruses under the river or the country from which they come We've got to change the discourse from one of disincentive Your economy is gonna collapse You're gonna have airplanes that are gonna stop flying to you your tourist industry has gone to one where there's some incentives Built into the system such that transparency and honesty is rewarded rather than rather than trashed Right up the back Jeremy. Hi, Mary and Turner from nature You said right at the end that sharing the results of research is really important How do you see that that's best done? Do you see that through peer-reviewed publication? Do you see that through? online reports It's a huge world out there. Yeah And obviously open access which I'm sure nature is very committed to Um You should hear what I say if you weren't here Please say it. Say it. Say it. I'll pass it back. Trust me. I'm reporting back to Phil after this meeting What I meant actually was not about research sharing although that is a critical component It's actually beyond the research It's sharing in the benefits of contributing to that research the Indonesia Minister of Health who I would not Condone in terms of she was arguing ten years ago Why should we share each 5m1 viruses with you when all you'll do is sell us back the vaccine? Probably quite expensive No, but we have still not even through IHR and everything else We have not addressed that fundamental issue at the heart of her argument And I think we have to people need to appreciate comes back to the incentive point that if one is willing to contribute share Etc. There has to be Subsequent sharing of the benefits of contributing to that work including yes research, but more fundamentally Sharing the benefits of access to the bent to the research and where that leads whether that be to better access to the diagnostics The drugs the vaccines the community Interventions that are going to make a difference So I don't think you if we just leave the conversation at sharing data We will miss the bigger issue which is sharing the benefits of the data I'd like to ask you to join with me in thanking Jeremy for a challenging talk