WEBVTT - The Common Cold: A Viral Mystery

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<v Speaker 1>It starts with a little bit of a sore throat,

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<v Speaker 1>then a runny nose, headache, you feel tired all day,

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<v Speaker 1>You got a cold. Cold viruses infect most of us

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<v Speaker 1>on average two or three times a year, and we

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<v Speaker 1>just accept colds as a fact of life. But what

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<v Speaker 1>if we didn't have to.

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<v Speaker 2>A Ministry of Health research unit at Harvard Hospital Salisbury

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<v Speaker 2>has been investigating the common code and volunteers human guinea

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<v Speaker 2>pigs have been living there in pairs for ten days

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<v Speaker 2>at the time.

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<v Speaker 1>That's an old movie tone newsreel, and it's about the

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<v Speaker 1>Common Cold Unit. The Common Cold Unit or CCU was

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<v Speaker 1>a scientific institution that opened in the UK in nineteen

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<v Speaker 1>forty six, and for decades, volunteers went there in order

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<v Speaker 1>to be infected with the common cold. Then researchers would

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<v Speaker 1>study what happened next. Their ultimate goal was to figure

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<v Speaker 1>out which virus or viruses caused colds and whether science

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<v Speaker 1>could finally make the common cold disappear for good. The

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<v Speaker 1>Common Cold Unit became pretty famous in its day. Volunteers

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<v Speaker 1>went back a year after year. Some of them even

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<v Speaker 1>fell in love there, got married, and more than a

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<v Speaker 1>few famous scientists started their careers spraying cold viruses up

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<v Speaker 1>people's noses. In the end, the CCU failed to achieve

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<v Speaker 1>its main goal. It did not produce a cure for

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<v Speaker 1>or a vaccine to prevent the common cold, but it

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<v Speaker 1>did lay the groundwork for a lot of what we

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<v Speaker 1>know today about viruses, and the stories of what scientists

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<v Speaker 1>learned at the Common Cold Unit and how they learned

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<v Speaker 1>it are amazing and delightful. Snotty tissues may never again

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<v Speaker 1>play such a pivotal role in scientific research. I'm Jacob Goldstein,

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<v Speaker 1>and you're listening to Incubation, a show about all the

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<v Speaker 1>other viruses. In previous episodes, we found out how science

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<v Speaker 1>progressed from Edward Jenner's early work on smallpox to the

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<v Speaker 1>development of the polio vaccine to the twenty first century

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<v Speaker 1>design of a vaccine for RSV. But even after all

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<v Speaker 1>this progress, we're still missing some simple answers. Today we're

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<v Speaker 1>going deep on the common cold. We're going to talk

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<v Speaker 1>about what we know and what we don't know about

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<v Speaker 1>the many viruses that cause it. A lot of what

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<v Speaker 1>we do know comes from research on human volunteers in

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<v Speaker 1>the UK who went to the Common Cold Unit and

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<v Speaker 1>signed up to get sick. Our first guest today is

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<v Speaker 1>Katie David. She's a curator at the Science Museum in

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<v Speaker 1>London and she oversees a collection that includes vintage snotty

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<v Speaker 1>tissues and other artifacts from the CCU.

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<v Speaker 3>I've worked at the Science Museum for quite a few

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<v Speaker 3>years and the first time I encountered the Common Cold

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<v Speaker 3>Unit was about ten years ago. And we've got this

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<v Speaker 3>amazingly large object store in West London, and you see

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<v Speaker 3>all sorts of weird and wonderful things. But I was

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<v Speaker 3>in one room and I could see this like really

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<v Speaker 3>flowery armchair and it just sort of struck me as

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<v Speaker 3>so strange. You know, it's not an X ray machine,

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<v Speaker 3>it's not a stethoscope. I sort of did a bit

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<v Speaker 3>of digging and basically it was an armchair from the

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<v Speaker 3>Common Cold Unit. It was part of the volunteers, the

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<v Speaker 3>kind of furniture they would have sat on and there

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<v Speaker 3>that's how I first discovered this weird and wonderful place

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<v Speaker 3>called the Common Cold You know.

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<v Speaker 1>It plays so amazing then even just a cheer from

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<v Speaker 1>there belongs in a museum. Absolutely, it's okay. The Common

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<v Speaker 1>Cold Unit was set up in this basically this abandoned

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<v Speaker 1>hospital in the British countryside right after World War Two?

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<v Speaker 1>How does this happen? Like, what's the story there.

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<v Speaker 3>There's a British virologist called Christopher Andrews, and he has

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<v Speaker 3>been over to the States and seen this amazing research

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<v Speaker 3>with American scientists who are using chimpanzee models, which appear

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<v Speaker 3>to be the only animal model at that point where

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<v Speaker 3>you could transmit the common cold and start investigating it.

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<v Speaker 3>But you know, Britain, post war, chimpanzees are not easy

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<v Speaker 3>to come by to do this type of research. So

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<v Speaker 3>what's definitely the next best thing are human volunteers, So

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<v Speaker 3>human guinea peas.

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<v Speaker 1>I thinks we're basically not we don't have enough of

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<v Speaker 1>a research culture to do chimpanzees, but we.

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<v Speaker 3>Don't have people, well we have people, we have medical students,

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<v Speaker 3>which are definitely know one of the next best things.

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<v Speaker 3>And so he sort of is aware of this, you know,

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<v Speaker 3>infectious disease hospital, and it's so isolated that he sees

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<v Speaker 3>it as an opportunity that actually you can start carrying

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<v Speaker 3>out these volunteer medical studies into the common cold. So

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<v Speaker 3>in July nineteen forty six, so just a few months

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<v Speaker 3>after this site gets set up, they're welcoming their first

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<v Speaker 3>volunteers to be infected with the common cold and to

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<v Speaker 3>see if they could transmit it.

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<v Speaker 1>Why set up a whole unit just to study the

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<v Speaker 1>common cold?

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<v Speaker 3>I mean, the common cold just seems I mean, it

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<v Speaker 3>almost seems relatively trivial to us today. But it's not

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<v Speaker 3>that long after the Spanish influenza epidemic, so there's a

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<v Speaker 3>lot of research into influenza and the cold and viruses

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<v Speaker 3>and bacteria in general. In the nineteen thirties, you know,

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<v Speaker 3>coming out of the war, there's a real need to

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<v Speaker 3>rebuild Britain and Europe, and there's real worries about productivity

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<v Speaker 3>in Britain, like so many people are taking sick days,

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<v Speaker 3>they're going absent from work, and actually, is there a

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<v Speaker 3>really easy way we could solve what was causing the

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<v Speaker 3>common cold, find a cure and encourage more people to

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<v Speaker 3>stay healthy and not seek how expensive medical visits to

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<v Speaker 3>doctors at the time.

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<v Speaker 1>And there is this real problem every year everybody is,

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<v Speaker 1>you know, missing a week of work because they're sick

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<v Speaker 1>with the cold. If we could fix that, is this

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<v Speaker 1>moment of faith in science and progress, right, If we

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<v Speaker 1>could find a cure for the common cold. That would

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<v Speaker 1>be a huge boon to productivity.

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<v Speaker 3>Absolutely. I mean there's this real spirit of trying to

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<v Speaker 3>solve these issues. You know that they're identifying influenza, that

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<v Speaker 3>were coming up with new vaccines for lots of conditions.

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<v Speaker 1>Right, maybe we could find a vaccine so everybody, every

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<v Speaker 1>when your baby you get a shot, you never have

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<v Speaker 1>to get a called.

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<v Speaker 3>Amazing, absolutely and who wouldn't take that option if you could?

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<v Speaker 1>I would take it now in a heartbeat. So what

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<v Speaker 1>did scientists know? How did you know humanity know about

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<v Speaker 1>the common cold at this time in nineteen forty six?

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<v Speaker 1>Do we know it was virus? Do we know which virus?

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<v Speaker 3>So really little. There was definitely inklings that it was

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<v Speaker 3>some form of virus, but very little known about it

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<v Speaker 3>at all. It was very much this open question to

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<v Speaker 3>understand what was causing the common cold? Was the one cause, worsler,

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<v Speaker 3>multiple causes? How is it being transmitted? They were also

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<v Speaker 3>interested in like in terms of causes, like common myths

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<v Speaker 3>and things. If you stand out in the rain and

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<v Speaker 3>the cold, does getting a chill cause the cold? You know,

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<v Speaker 3>there were lots of really important questions to explore.

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<v Speaker 1>So we got the questions we got the place. The

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<v Speaker 1>Common Cold unit is open. How does it work?

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<v Speaker 3>So the research team advertised for volunteers. They send out

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<v Speaker 3>adverts into local newspapers to say things like ten day

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<v Speaker 3>free break in the autumn and winter. You might not

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<v Speaker 3>win a Nobel prize, but you will help find a

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<v Speaker 3>cure for the common cold.

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<v Speaker 1>Okay.

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<v Speaker 3>The trials sort of lasted for around by two weeks,

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<v Speaker 3>and they take thirty volunteers would be split into two

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<v Speaker 3>groups and they would live in these little huts on site.

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<v Speaker 3>So married couples could stay in the same little volunteer flat,

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<v Speaker 3>but unmarried couples absolutely, you know, prohibited. And really as

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<v Speaker 3>a volunteer, this was like an amazing opportunity to almost

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<v Speaker 3>have a lovely holiday stay, a relaxing stay. You would

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<v Speaker 3>be paid a very small amount of money about one

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<v Speaker 3>pounds seventy five a week or something like that. You'd

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<v Speaker 3>have your travel expenses paid, but then you'd get three

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<v Speaker 3>meals a day. It was very relaxing. You know, you

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<v Speaker 3>could read, you could study, you could go for walks

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<v Speaker 3>on the countryside.

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<v Speaker 1>And let's be clear, you know, post war Britain is

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<v Speaker 1>a tough place economically. I mean Britain won the war,

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<v Speaker 1>but it got destroyed absolutely.

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<v Speaker 3>I mean, rationing doesn't end. So like the mid nineteen fifties,

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<v Speaker 3>people really want to volunteer and help Britain and you know,

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<v Speaker 3>it really feels like they're doing something something good.

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<v Speaker 1>Let me ask you this, Okay, So that's the fun side.

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<v Speaker 1>You get three meals in your tocula country. What do

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<v Speaker 1>you got to do? What do you got to do?

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<v Speaker 1>If you're a volunteer there.

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<v Speaker 3>You turn up, Say, if you turn up on a Wednesday,

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<v Speaker 3>you'd first have to quarantine for three days to make

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<v Speaker 3>sure that you weren't infectious with you know, a cold already.

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<v Speaker 3>So assuming after those three days you were fine and well,

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<v Speaker 3>you would then be infected with somebody else's nasal washings.

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<v Speaker 1>How are you infected with someone else's nasal washings? What

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<v Speaker 1>does that actually mean?

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<v Speaker 3>So often it would be like just through nose swabs,

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<v Speaker 3>but sometimes it was sprayed. They'd be inventing all sorts

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<v Speaker 3>of crazy apparatus to replicate a sneez droplets and things

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<v Speaker 3>like that.

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<v Speaker 1>Basically for a lot of people that the scientists.

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<v Speaker 3>Give you a cold, yeah, absolutely, and then for the

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<v Speaker 3>next week you're just observed. And so some people after

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<v Speaker 3>a couple of days would develop a cold, and the

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<v Speaker 3>researchers would collect all their snotty tissues and try and

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<v Speaker 3>incubate and analyze what the material in those snotty tissues,

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<v Speaker 3>and then other people never developed anything and had a

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<v Speaker 3>very thoroughly pleasant stay. I mean really only about a

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<v Speaker 3>third of the volunteers would ever get a cold, so

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<v Speaker 3>actually you had a pretty good chance not getting one

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<v Speaker 3>at all during the process, and after about ten days

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<v Speaker 3>you were released back to your regular life.

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<v Speaker 1>Let's talk about they had this goal of minding a

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<v Speaker 1>cure or a vaccine. They thought they might do it

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<v Speaker 1>in a few years. Spoiler alert they didn't. But let's

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<v Speaker 1>talk about some of the work that they did there.

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<v Speaker 1>Let's talk about this not experiment.

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<v Speaker 3>Well, one of the amazing things is like actually quite

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<v Speaker 3>a few famous or sort of really important people worked

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<v Speaker 3>at the Common Cold Unit, and one of them was

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<v Speaker 3>James Lovelock, British scientist, and in his early research he

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<v Speaker 3>was an incredible engineer. He could come up with amazing

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<v Speaker 3>solutions to shricky experimental problems, and he invented this nasal

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<v Speaker 3>dropper system. So if you imagine like a thin tube

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<v Speaker 3>strapped your nose that would drop a solution that contained

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<v Speaker 3>a fluorescent dye within it. It was sort of they're

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<v Speaker 3>simulating a drippy nose essentially. And then the experiment was

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<v Speaker 3>to simulate, you know, just like a normal everyday activity.

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<v Speaker 3>The participants were playing cards, we're making cups of tea,

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<v Speaker 3>just hanging out for the evening. And at the end

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<v Speaker 3>of you know, a few hours of just normal at

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<v Speaker 3>day to day interaction, they turn off the lights and

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<v Speaker 3>put the fluorescent lamp on and they could see the

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<v Speaker 3>traces of how this sort of fluorescent die had been

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<v Speaker 3>transmitted all across different surfaces, across the playing cars, cups, cups, kitchen.

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<v Speaker 3>It really revealed that act of transmission, that transmission. It

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<v Speaker 3>wasn't just sort of through inhalation alone.

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<v Speaker 1>It's through we're all disgusting and we all get our

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<v Speaker 1>snot over each other all the time. Basically, you mentioned

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<v Speaker 1>that at the Common Cold Unity they studied whether being

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<v Speaker 1>cold makes you catch cold. Was there a particular study

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<v Speaker 1>you were referring to.

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<v Speaker 3>They had participants who stood outside in the cold and

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<v Speaker 3>the wet yet to test this theory about whether that

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<v Speaker 3>made them more predisposed to developing The Common Colder and

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<v Speaker 3>apparently they disprove that.

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<v Speaker 1>So, just to be clear, standing out in the cold

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<v Speaker 1>does not make you more like to get a cald.

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<v Speaker 1>Just for my mother and for everybody's mother, being cold

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<v Speaker 1>does not make you catch.

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<v Speaker 3>A cold, according to the Common Cold Unit studies at

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<v Speaker 3>that point in time.

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<v Speaker 1>Yes, my mother is a physician, by the way, I

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<v Speaker 1>feel guilty saying that because she knows, but she still

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<v Speaker 1>always wanted me to bring a cod So we know

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<v Speaker 1>they didn't find a cure or a vaccine for the cold,

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<v Speaker 1>or if they did, they didn't tell anybody because we

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<v Speaker 1>don't have one. But what did they figure out?

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<v Speaker 3>So people have construed the Common Cold Unit as a failure,

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<v Speaker 3>like a research failure, but over its sort of forty

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<v Speaker 3>odd years, the unit produced over one thousand research papers.

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<v Speaker 3>And they started off in these early days trying to

0:11:39.960 --> 0:11:45.040
<v Speaker 3>find ways to grow the common cold viruses in laboratory cultures.

0:11:45.080 --> 0:11:47.920
<v Speaker 3>So they worked that out. They revealed lots of insights

0:11:47.920 --> 0:11:51.600
<v Speaker 3>around transmission. But really what they did that was exciting

0:11:51.640 --> 0:11:56.080
<v Speaker 3>is that they discovered rhina viruses and coronaviruses through all

0:11:56.120 --> 0:11:59.400
<v Speaker 3>the sort of volunteer nasal snots collecting they were doing

0:11:59.440 --> 0:12:01.480
<v Speaker 3>in analysis so this is a.

0:12:01.400 --> 0:12:04.160
<v Speaker 1>Big deal, right, And I understand that the discovery of

0:12:04.160 --> 0:12:07.320
<v Speaker 1>coronavirus in particular is actually it's actually kind of an

0:12:07.320 --> 0:12:08.199
<v Speaker 1>interesting story, right.

0:12:08.440 --> 0:12:12.320
<v Speaker 3>So there was an amazing researcher virologist called David Tyrrell

0:12:12.520 --> 0:12:15.480
<v Speaker 3>who started off in nineteen fifty seven as a researcher

0:12:15.679 --> 0:12:19.319
<v Speaker 3>at the Common Cold Unit, and he's doing really interesting experiments.

0:12:19.440 --> 0:12:23.120
<v Speaker 3>We all know school kids are such a reservoir of colds.

0:12:22.679 --> 0:12:25.840
<v Speaker 1>And essentially every parent knows that.

0:12:26.000 --> 0:12:29.240
<v Speaker 3>Yes, every parent knows that. So they invited school groups

0:12:29.320 --> 0:12:32.400
<v Speaker 3>to have parties at the Comic Cold Center and again

0:12:32.440 --> 0:12:37.160
<v Speaker 3>would collect nasal specimens from particularly snutting school kids. And

0:12:37.440 --> 0:12:40.280
<v Speaker 3>after one of the samples from I think about a

0:12:40.280 --> 0:12:44.560
<v Speaker 3>twelve year old schoolboy in nineteen sixty, David Terrell was

0:12:44.679 --> 0:12:48.400
<v Speaker 3>researching this specimen and after sort of conducting lots of

0:12:48.400 --> 0:12:51.640
<v Speaker 3>different experiments trying to identify what type of virus it was,

0:12:51.880 --> 0:12:55.199
<v Speaker 3>it just didn't match to anything he already knew that existed.

0:12:55.880 --> 0:12:58.120
<v Speaker 3>And so by about nineteen sixty five he publishes his

0:12:58.160 --> 0:13:01.280
<v Speaker 3>first paper saying, oh, I've identified this unknown virus.

0:13:01.520 --> 0:13:03.880
<v Speaker 1>To be clear, he knows that it's causing the cold,

0:13:03.920 --> 0:13:05.960
<v Speaker 1>but he can't throw it. He can't see it.

0:13:06.080 --> 0:13:08.040
<v Speaker 3>Yeah, absolutely, so he can't see it's but then he's

0:13:08.080 --> 0:13:12.760
<v Speaker 3>put in contact with this amazing virologist called June Al Misa.

0:13:13.640 --> 0:13:16.560
<v Speaker 3>She was born in Glasgow, lived in Glasgow tenements. Her

0:13:16.640 --> 0:13:19.520
<v Speaker 3>dad was a bus driver. As a young girl, her

0:13:19.520 --> 0:13:21.920
<v Speaker 3>six year old brother died of dip theory, so you know,

0:13:22.000 --> 0:13:25.120
<v Speaker 3>she's got really close contact with infectious disease and that

0:13:25.240 --> 0:13:27.360
<v Speaker 3>sort of inspired her to want to get involved in

0:13:27.400 --> 0:13:28.240
<v Speaker 3>a medical career.

0:13:29.160 --> 0:13:31.360
<v Speaker 1>So I was reading about her when I was getting

0:13:31.360 --> 0:13:33.400
<v Speaker 1>ready for this interview, and I understand that what she

0:13:33.559 --> 0:13:37.160
<v Speaker 1>ends up doing is electron microscopy, which at the time

0:13:37.280 --> 0:13:40.880
<v Speaker 1>it's this relatively new technology. Right, tell me more about that.

0:13:42.200 --> 0:13:44.600
<v Speaker 3>She just develops this amazing ability to be able to

0:13:44.640 --> 0:13:47.520
<v Speaker 3>take virus images. A lot of people describe it like

0:13:47.559 --> 0:13:49.400
<v Speaker 3>gardening it. You know, there's still an art and a

0:13:49.520 --> 0:13:52.320
<v Speaker 3>kind of being. It's like being green fingered. To get

0:13:52.360 --> 0:13:55.600
<v Speaker 3>those images took a lot of preparation and she just

0:13:55.720 --> 0:13:58.360
<v Speaker 3>was able to do it. She's taking ones of rubellah

0:13:58.360 --> 0:14:01.199
<v Speaker 3>for the first time. That causes German Me and David

0:14:01.240 --> 0:14:04.000
<v Speaker 3>Terrell from the Common Cold Unit becomes aware of these

0:14:04.040 --> 0:14:07.520
<v Speaker 3>amazing images and her work using an electron microscope, and

0:14:07.559 --> 0:14:10.319
<v Speaker 3>so he sends her a this sample of this schoolboy

0:14:10.440 --> 0:14:13.800
<v Speaker 3>snotty tissue and this virus sample, and she's able to

0:14:13.840 --> 0:14:16.960
<v Speaker 3>prepare it and start taking images, and so for the

0:14:17.000 --> 0:14:19.880
<v Speaker 3>first time, she images the first ever coronavirus.

0:14:20.160 --> 0:14:24.400
<v Speaker 1>So he sends her whatever snotty tissues, the samples from

0:14:24.440 --> 0:14:27.640
<v Speaker 1>the schoolboy with the mystery virus. And what does she

0:14:27.800 --> 0:14:29.160
<v Speaker 1>see when she looks at it.

0:14:29.800 --> 0:14:34.000
<v Speaker 3>So nobody's visualized a coronavirus before, so she's looking at

0:14:34.000 --> 0:14:36.160
<v Speaker 3>it for the first time using an electron microscope, and

0:14:36.200 --> 0:14:39.600
<v Speaker 3>so she sees the slightly round virus particle. But what

0:14:39.680 --> 0:14:42.840
<v Speaker 3>makes it really different looking is these little projections that

0:14:42.920 --> 0:14:45.960
<v Speaker 3>come out of it, these little spiky projections. She described

0:14:46.000 --> 0:14:49.000
<v Speaker 3>it as like a solar corona, so like the corona

0:14:49.040 --> 0:14:51.600
<v Speaker 3>you get around the Sun. And it was through these

0:14:51.680 --> 0:14:54.840
<v Speaker 3>images that she and David and a couple of other

0:14:54.920 --> 0:14:58.160
<v Speaker 3>virologists agreed on calling this new type of virus they

0:14:58.160 --> 0:14:59.560
<v Speaker 3>identified coronavirus.

0:15:00.120 --> 0:15:02.720
<v Speaker 1>So that sort of stylized image that we all saw

0:15:02.800 --> 0:15:04.760
<v Speaker 1>a million times over the past three years, of the

0:15:04.800 --> 0:15:07.240
<v Speaker 1>little circle with the little lines the spikes coming out

0:15:07.240 --> 0:15:10.760
<v Speaker 1>of it. She was the first one ever to see.

0:15:10.480 --> 0:15:13.240
<v Speaker 3>That, yes, she was absolutely the first person to see that.

0:15:14.040 --> 0:15:15.880
<v Speaker 1>Why does it end up being a big deal that

0:15:15.920 --> 0:15:17.600
<v Speaker 1>they discovered the coronavirus?

0:15:19.320 --> 0:15:22.480
<v Speaker 3>Obviously, imaging the coronavirus has become a much bigger deal

0:15:22.840 --> 0:15:27.000
<v Speaker 3>since the pandemic is much more important to us now,

0:15:27.280 --> 0:15:29.400
<v Speaker 3>But I think it's also important in terms of understanding

0:15:29.440 --> 0:15:31.680
<v Speaker 3>the history of the common cold and the research and

0:15:31.720 --> 0:15:35.160
<v Speaker 3>the unit as well. So many different viruses cause the

0:15:35.200 --> 0:15:38.360
<v Speaker 3>common cold. There isn't one single cause, and so by

0:15:38.440 --> 0:15:42.160
<v Speaker 3>understanding that there were rhina viruses and coronaviruses and all

0:15:42.200 --> 0:15:45.920
<v Speaker 3>sorts of different viruses causing the cold, it just complicates

0:15:45.920 --> 0:15:48.640
<v Speaker 3>the picture. It just sort of shows that it's really

0:15:48.680 --> 0:15:50.360
<v Speaker 3>hard to cure the common cold.

0:15:50.480 --> 0:15:53.360
<v Speaker 1>So what is the end of the story of the

0:15:53.360 --> 0:15:54.280
<v Speaker 1>Common Cold Unit.

0:15:54.480 --> 0:15:57.040
<v Speaker 3>It's incredible that the Common Cold Unit ran for over

0:15:57.080 --> 0:16:01.520
<v Speaker 3>forty years, so eventually by nineteen eighty nine they welcome

0:16:01.560 --> 0:16:05.880
<v Speaker 3>their last volunteers and essentially the Medical Research Council decide

0:16:05.880 --> 0:16:08.640
<v Speaker 3>to stop funding the site of the Common Cold Unit.

0:16:08.760 --> 0:16:11.120
<v Speaker 1>So it's amazing in a way that it's still going

0:16:11.160 --> 0:16:13.240
<v Speaker 1>on in the eighties, maybe because I'm old enough to

0:16:13.240 --> 0:16:15.760
<v Speaker 1>remember the eighties and it's like, sure, oh, the forties.

0:16:15.800 --> 0:16:17.880
<v Speaker 1>This is some weird old timey thing from a long

0:16:17.920 --> 0:16:20.280
<v Speaker 1>time before I was born, but that it was going

0:16:20.320 --> 0:16:23.880
<v Speaker 1>on in the eighties when like you know whatever, there were.

0:16:24.320 --> 0:16:26.200
<v Speaker 3>Yeah, hugely like genomics and like it.

0:16:26.480 --> 0:16:29.800
<v Speaker 1>It seems kind of anachronistic by that point, right.

0:16:30.040 --> 0:16:32.560
<v Speaker 3>I mean, the problem of the common cold unit, particularly

0:16:32.600 --> 0:16:35.640
<v Speaker 3>it starts off being in such an isolated environment, which

0:16:35.680 --> 0:16:38.280
<v Speaker 3>was such a great thing for this kind of isolating

0:16:38.320 --> 0:16:41.720
<v Speaker 3>and quarantine study, but actually it was very isolated from

0:16:41.880 --> 0:16:45.200
<v Speaker 3>the kind of developments within medical research at that time.

0:16:45.240 --> 0:16:48.440
<v Speaker 3>I know, these amazing other research facilities being built, and

0:16:48.520 --> 0:16:51.120
<v Speaker 3>so it did begin to be seen as this sort

0:16:51.120 --> 0:16:57.840
<v Speaker 3>of slightly anachronistic research model in that way.

0:16:57.560 --> 0:17:02.880
<v Speaker 1>So when we zoom out and think about this interesting place,

0:17:03.360 --> 0:17:04.239
<v Speaker 1>what should we make of it?

0:17:05.680 --> 0:17:08.040
<v Speaker 3>I mean, for me, I think it's a brilliant story

0:17:08.240 --> 0:17:12.280
<v Speaker 3>of the willingness of people to volunteer and give their

0:17:12.400 --> 0:17:17.200
<v Speaker 3>bodies and time to try and solve some medical challenge.

0:17:17.680 --> 0:17:20.040
<v Speaker 3>And I think it just demonstrates that, you know, often

0:17:20.720 --> 0:17:23.280
<v Speaker 3>we're after a quick fix, you know, we want things

0:17:23.320 --> 0:17:26.040
<v Speaker 3>to be easily solved by a vaccine or a simple drug.

0:17:26.440 --> 0:17:28.880
<v Speaker 1>Yeah, and I mean, just how complex the common cold

0:17:28.960 --> 0:17:31.560
<v Speaker 1>is seems like one of the one of the real

0:17:31.600 --> 0:17:35.520
<v Speaker 1>discoveries of the Common Cold Unit. Anyway, it was great

0:17:35.520 --> 0:17:37.600
<v Speaker 1>to talk with you. Thank you so much for your time.

0:17:38.160 --> 0:17:38.520
<v Speaker 3>Thank you.

0:17:41.880 --> 0:17:45.000
<v Speaker 1>Alas, the Common Cold Unit did not in fact get

0:17:45.080 --> 0:17:48.399
<v Speaker 1>rid of colds forever, but scientists still draw on that

0:17:48.480 --> 0:17:51.520
<v Speaker 1>research to understand how virus is spread and how they

0:17:51.560 --> 0:17:55.320
<v Speaker 1>work inside our bodies, how cold viruses make us feel sick,

0:17:55.680 --> 0:17:58.200
<v Speaker 1>and what we can do to make ourselves feel better.

0:17:58.560 --> 0:18:09.440
<v Speaker 1>That's when incubation returns. One of the things that those

0:18:09.520 --> 0:18:12.399
<v Speaker 1>researchers in the UK discovered as they studied the common

0:18:12.440 --> 0:18:16.560
<v Speaker 1>cold for decades, there is no single culprit. In fact,

0:18:16.760 --> 0:18:19.840
<v Speaker 1>we now know that more than two hundred different viruses

0:18:20.160 --> 0:18:22.639
<v Speaker 1>cause this group of symptoms that we lump under the

0:18:22.720 --> 0:18:26.680
<v Speaker 1>term common cold. The biggest group of viruses is called

0:18:26.880 --> 0:18:31.160
<v Speaker 1>rhinoviruses rhino from the Greek for nos like in rhinoceros.

0:18:31.680 --> 0:18:35.320
<v Speaker 1>Scientists now believe that rhinoviruses cause somewhere around half of

0:18:35.359 --> 0:18:38.199
<v Speaker 1>all colds. There is in fact a good chance that

0:18:38.280 --> 0:18:41.359
<v Speaker 1>at this very minute I am fighting off a rhinovirus.

0:18:42.720 --> 0:18:45.200
<v Speaker 1>So lucky me as host of this show, I get

0:18:45.240 --> 0:18:48.720
<v Speaker 1>to call up a leading expert on rhinoviruses and ask

0:18:48.800 --> 0:18:52.159
<v Speaker 1>him for some explanations, some advice. The expert's name is

0:18:52.160 --> 0:18:57.840
<v Speaker 1>Gary MacLean and he's an emeritus professor at London Metropolitan University.

0:18:57.920 --> 0:18:59.440
<v Speaker 1>What should I do if I don't want to get

0:18:59.440 --> 0:19:00.639
<v Speaker 1>a cold?

0:19:01.280 --> 0:19:03.399
<v Speaker 4>Stay away from people all the time.

0:19:05.800 --> 0:19:08.800
<v Speaker 1>Okay, not going to work for me. So let's just

0:19:08.840 --> 0:19:11.600
<v Speaker 1>talk about the viruses that cause the common call. Just

0:19:11.640 --> 0:19:13.960
<v Speaker 1>give me the basics. What do we know about these viruses.

0:19:14.480 --> 0:19:19.240
<v Speaker 4>They're parasites and they're not cells. They're neither dead nor alive.

0:19:20.240 --> 0:19:25.200
<v Speaker 4>They're really really small, So even for a virus, that's right,

0:19:25.320 --> 0:19:28.600
<v Speaker 4>Even for a virus, if we stick to rhinovirus here,

0:19:29.080 --> 0:19:32.560
<v Speaker 4>those are about thirty nanometers in diameter. If you look

0:19:32.560 --> 0:19:36.680
<v Speaker 4>at a clenched fist, a normal sized clenched fist, the

0:19:36.760 --> 0:19:40.000
<v Speaker 4>virus about a million times smaller than that. There's lots

0:19:40.080 --> 0:19:43.679
<v Speaker 4>of those viral particles that are then delivered to the

0:19:43.760 --> 0:19:48.440
<v Speaker 4>correct area, which is your nose. Those viral particles will

0:19:48.440 --> 0:19:51.119
<v Speaker 4>then attach to the surface of the cells. Now, the

0:19:51.200 --> 0:19:55.840
<v Speaker 4>surface of cells is quite a sugary, sticky, gluggy mess,

0:19:56.600 --> 0:20:01.960
<v Speaker 4>and those viral particles will latch on to really specific

0:20:02.400 --> 0:20:06.240
<v Speaker 4>parts that project from those cells. It'll kind of be

0:20:06.680 --> 0:20:09.280
<v Speaker 4>swallowed into the cell and that's what the virus.

0:20:09.000 --> 0:20:15.359
<v Speaker 1>Wants to happen. Okay, so called virus, a rhinovirus. It

0:20:15.440 --> 0:20:19.719
<v Speaker 1>comes into my nose, It latches onto some cells up

0:20:19.760 --> 0:20:21.080
<v Speaker 1>in my nose, perfect fit.

0:20:22.720 --> 0:20:26.240
<v Speaker 4>What happens next, It's basically the membrane of the cell

0:20:26.320 --> 0:20:28.679
<v Speaker 4>kind of folds in on itself and it drags the

0:20:28.760 --> 0:20:32.080
<v Speaker 4>virus in with it, and then the genome can then

0:20:32.200 --> 0:20:35.480
<v Speaker 4>start doing what it does, and that's basically making copies

0:20:35.480 --> 0:20:39.600
<v Speaker 4>of itself and copies of new virus particles.

0:20:39.400 --> 0:20:43.400
<v Speaker 1>And specifically, it's hijacking my nose cells to make copies

0:20:43.480 --> 0:20:44.080
<v Speaker 1>of the virus.

0:20:44.280 --> 0:20:48.680
<v Speaker 4>Absolutely right, that's what it does. Yes, So why do.

0:20:48.760 --> 0:20:53.280
<v Speaker 1>I feel like ass when that happens to me?

0:20:53.880 --> 0:20:56.920
<v Speaker 4>Well, it takes a few days. This period it'd often

0:20:56.960 --> 0:21:00.840
<v Speaker 4>referred to as an incubation period, where there's a little

0:21:00.840 --> 0:21:04.439
<v Speaker 4>bit of time in between the infection first taking place

0:21:04.720 --> 0:21:10.000
<v Speaker 4>and noticing actual symptoms. That's because the cell is taken

0:21:10.040 --> 0:21:14.000
<v Speaker 4>over or hijacked by the virus. That's a trigger to

0:21:14.080 --> 0:21:17.200
<v Speaker 4>the cell that there's something wrong, and when that cell

0:21:17.320 --> 0:21:22.879
<v Speaker 4>then starts releasing molecule saying oh, look, something's gone wrong

0:21:22.920 --> 0:21:27.880
<v Speaker 4>with me, I'll produce this molecule that will tell other

0:21:28.000 --> 0:21:32.800
<v Speaker 4>components of the body, including the immune system, that there's

0:21:32.840 --> 0:21:36.239
<v Speaker 4>something seriously wrong with this cell. Those are then the

0:21:36.280 --> 0:21:40.640
<v Speaker 4>symptoms that you start to feel. So the symptoms are

0:21:41.480 --> 0:21:44.280
<v Speaker 4>our immune system trying to fix what's happened in that

0:21:45.160 --> 0:21:45.960
<v Speaker 4>cell is infected.

0:21:47.200 --> 0:21:49.560
<v Speaker 1>So in a sense, it's not the virus making me

0:21:49.680 --> 0:21:53.720
<v Speaker 1>feel sick. It's my body fighting the virus that's making.

0:21:53.560 --> 0:21:57.040
<v Speaker 4>This absolutely correct, And if you think about it from

0:21:57.040 --> 0:21:59.560
<v Speaker 4>the point of view of the virus, it doesn't want

0:21:59.560 --> 0:22:03.200
<v Speaker 4>to make you sick. You are the host, and the

0:22:03.320 --> 0:22:07.679
<v Speaker 4>virus is a parasite and without a host it can't reproduce,

0:22:08.400 --> 0:22:12.520
<v Speaker 4>so the virus doesn't want to cause damage to the host.

0:22:13.280 --> 0:22:17.080
<v Speaker 4>But there is some collateral damage, if you like. And

0:22:17.400 --> 0:22:21.119
<v Speaker 4>the best viruses have evolved over a long period of

0:22:21.160 --> 0:22:25.720
<v Speaker 4>time to make those symptoms appear almost like nothing, so

0:22:25.760 --> 0:22:28.879
<v Speaker 4>that the host isn't really aware of it, and the

0:22:28.960 --> 0:22:31.720
<v Speaker 4>virus is quite happily reproducing, and the host is quite

0:22:31.760 --> 0:22:37.080
<v Speaker 4>happily a host for the viral particles. Everybody wins. Everybody wins.

0:22:37.320 --> 0:22:42.520
<v Speaker 1>Yeah, what's the end of the story. So the body

0:22:42.600 --> 0:22:45.080
<v Speaker 1>is attacking the virus, and it makes me have a

0:22:45.119 --> 0:22:47.520
<v Speaker 1>running nose and a headache, and it makes me feel tired,

0:22:48.119 --> 0:22:49.800
<v Speaker 1>And then after a week I feel fine.

0:22:50.200 --> 0:22:54.800
<v Speaker 4>Why the virus by then has made enough copies of itself.

0:22:55.560 --> 0:22:58.399
<v Speaker 4>It's done what it had to do in that particular host.

0:22:59.000 --> 0:23:02.840
<v Speaker 4>The job now is to find the next nose. It

0:23:02.880 --> 0:23:06.439
<v Speaker 4>needs to get out of there and find another nose

0:23:06.640 --> 0:23:11.359
<v Speaker 4>to make more copies. Whenever you sneeze or cough, when

0:23:11.400 --> 0:23:13.679
<v Speaker 4>you're feeling ill and you've got a cold, that's a

0:23:13.880 --> 0:23:18.640
<v Speaker 4>beautiful way of releasing those viral particles out into the atmosphere,

0:23:19.240 --> 0:23:23.800
<v Speaker 4>out onto surfaces that then another host can then pick up.

0:23:25.080 --> 0:23:29.439
<v Speaker 1>So I want to do a sort of lightening round

0:23:29.640 --> 0:23:34.000
<v Speaker 1>to ask you, is there good evidence that any of

0:23:34.040 --> 0:23:37.280
<v Speaker 1>the following things will help me recover from a cold

0:23:37.400 --> 0:23:38.679
<v Speaker 1>more quickly? Sure?

0:23:39.280 --> 0:23:49.560
<v Speaker 4>Zinc some evidence, vitamin C some evidence, rest good evidence,

0:23:50.800 --> 0:23:55.200
<v Speaker 4>drink lots of fluids good evidence, really good.

0:23:55.000 --> 0:23:57.600
<v Speaker 1>Evidence that those things will make me get better faster.

0:23:58.160 --> 0:23:59.720
<v Speaker 4>It'll make your body feel better.

0:24:00.080 --> 0:24:03.400
<v Speaker 1>Interesting. I'm surprised that there is some evidence for zinc

0:24:03.440 --> 0:24:06.160
<v Speaker 1>and vitamin C, to tell you the truth, my understanding

0:24:06.840 --> 0:24:08.600
<v Speaker 1>was that there was not. So tell me why I'm wrong.

0:24:08.640 --> 0:24:09.200
<v Speaker 1>That's interesting.

0:24:09.240 --> 0:24:14.200
<v Speaker 4>Well, the common cold unit did produce some zinc particles

0:24:14.240 --> 0:24:19.119
<v Speaker 4>which did show some effect in laboratory style tests that

0:24:19.280 --> 0:24:24.040
<v Speaker 4>it was efficient at reducing some of the symptoms of

0:24:24.080 --> 0:24:24.680
<v Speaker 4>common cold.

0:24:25.560 --> 0:24:26.840
<v Speaker 1>You take zinc when you get a cold?

0:24:26.960 --> 0:24:27.560
<v Speaker 4>No, I don't.

0:24:28.920 --> 0:24:29.639
<v Speaker 1>What do you do?

0:24:29.760 --> 0:24:36.440
<v Speaker 4>I rest, I drink lots of water, but I don't

0:24:36.480 --> 0:24:42.399
<v Speaker 4>take any over the counter medications. Vitamin C, I would recommend.

0:24:42.880 --> 0:24:45.760
<v Speaker 4>Vitamin C is an antioxidant, so it is a lot

0:24:45.800 --> 0:24:49.359
<v Speaker 4>of good properties that can help your immune system and

0:24:49.440 --> 0:24:53.280
<v Speaker 4>help deal with the toxins. And it's not targeting the virus.

0:24:53.640 --> 0:24:58.320
<v Speaker 4>It's just targeting the symptoms that appear and anything that

0:24:58.440 --> 0:25:02.680
<v Speaker 4>can kind of reduce though those symptoms somewhat, I would

0:25:02.760 --> 0:25:06.119
<v Speaker 4>argue is a good thing, but it's not really a cure.

0:25:06.600 --> 0:25:10.080
<v Speaker 4>It's just palliative treating what you see in front of you.

0:25:10.359 --> 0:25:14.880
<v Speaker 1>Okay, So we know that there is this incredible diversity

0:25:14.880 --> 0:25:18.480
<v Speaker 1>of viruses that cause colds. Is that basically why I

0:25:18.560 --> 0:25:21.560
<v Speaker 1>keep getting callds? Because every time I get sick, my

0:25:21.560 --> 0:25:24.159
<v Speaker 1>body fights off some cold virus, then I get infected

0:25:24.240 --> 0:25:25.520
<v Speaker 1>with some other cold virus.

0:25:25.560 --> 0:25:28.280
<v Speaker 4>Exactly right. If you think about it as an adult,

0:25:29.160 --> 0:25:32.160
<v Speaker 4>we get on average two to three colds a year.

0:25:33.080 --> 0:25:38.920
<v Speaker 4>We know there's approximating two hundred and fifty to three

0:25:39.000 --> 0:25:42.800
<v Speaker 4>hundred different types of virus that can cause common colds,

0:25:43.240 --> 0:25:46.480
<v Speaker 4>and so what that basically means is that immunity to

0:25:46.720 --> 0:25:49.679
<v Speaker 4>the first virus you get doesn't protect you against the

0:25:49.760 --> 0:25:54.359
<v Speaker 4>other two hundred and eighty different versions of those viruses.

0:25:54.920 --> 0:25:57.920
<v Speaker 4>So yes, you may accumulate some immunity along the way,

0:25:58.400 --> 0:26:01.040
<v Speaker 4>but it's not helping you again any of the others,

0:26:01.080 --> 0:26:05.120
<v Speaker 4>only against that one version of the virus. So unfortunately

0:26:05.240 --> 0:26:07.440
<v Speaker 4>they're too fast and too clever for us.

0:26:08.840 --> 0:26:14.159
<v Speaker 1>You mentioned among the kinds of viruses that cause CALLDS coronaviruses,

0:26:14.960 --> 0:26:19.479
<v Speaker 1>and I had read that one of the coronaviruses that

0:26:19.560 --> 0:26:22.679
<v Speaker 1>causes you know, a mild called now is thought to

0:26:22.720 --> 0:26:27.080
<v Speaker 1>have caused a horrible global pandemic long ago, hundreds of

0:26:27.160 --> 0:26:29.200
<v Speaker 1>years ago or a thousand years ago. Is that right?

0:26:29.400 --> 0:26:32.399
<v Speaker 4>Well, we know with the coronaviruses that because it's an

0:26:32.520 --> 0:26:37.160
<v Speaker 4>RNA genome and it's mutating and changing every time it reproduces,

0:26:37.720 --> 0:26:42.439
<v Speaker 4>it drifts that it slowly accumulates mutations that change it.

0:26:42.840 --> 0:26:46.480
<v Speaker 4>So I think it's a combination of things. The virus

0:26:46.560 --> 0:26:49.360
<v Speaker 4>is changing with each step that it makes with each

0:26:49.480 --> 0:26:54.800
<v Speaker 4>new hosts that it infects, and eventually those changes will

0:26:55.080 --> 0:26:58.560
<v Speaker 4>give the virus an opportunity. It gives it an advantage

0:26:58.720 --> 0:27:04.240
<v Speaker 4>over a previous version, and that advantage often is to

0:27:04.280 --> 0:27:08.560
<v Speaker 4>cause less damaging symptoms to the host.

0:27:09.000 --> 0:27:12.879
<v Speaker 1>So can we hope that, I mean, is it the

0:27:12.920 --> 0:27:14.919
<v Speaker 1>case that, in I don't know what one hundred years,

0:27:15.240 --> 0:27:17.440
<v Speaker 1>COVID will be a culled I.

0:27:17.400 --> 0:27:22.359
<v Speaker 4>Would fully expect COVID to become less dangerous in terms

0:27:22.400 --> 0:27:25.200
<v Speaker 4>of symptoms and causing death.

0:27:26.400 --> 0:27:30.520
<v Speaker 1>You've been studying viruses for a long time, and I'm

0:27:30.520 --> 0:27:32.679
<v Speaker 1>curious what have you learned about viruses.

0:27:34.080 --> 0:27:39.760
<v Speaker 4>I've learned they're very, very clever. They're very simple, but

0:27:40.280 --> 0:27:46.000
<v Speaker 4>they are just so exquisites in what they do and

0:27:46.080 --> 0:27:52.480
<v Speaker 4>their ability to change, adapt, move on to new hosts,

0:27:52.880 --> 0:27:57.960
<v Speaker 4>move on to new species. It's phenomenal. And our immune system,

0:27:59.400 --> 0:28:02.639
<v Speaker 4>by the way, is pretty clever as well. It's amazing,

0:28:03.280 --> 0:28:07.840
<v Speaker 4>but it's always a step behind. We're always playing a

0:28:07.840 --> 0:28:10.439
<v Speaker 4>little bit of catch up when it comes to viruses.

0:28:11.040 --> 0:28:15.119
<v Speaker 4>They appear we've got no immunity, and then slowly we

0:28:15.200 --> 0:28:18.600
<v Speaker 4>get used to the virus and then we can happily

0:28:18.920 --> 0:28:23.000
<v Speaker 4>coexist with those viruses, so we're stuck with viruses forever,

0:28:23.080 --> 0:28:25.160
<v Speaker 4>I'm afraid.

0:28:29.560 --> 0:28:32.800
<v Speaker 1>Thanks to my guest today, Gary MacLean and Katie David.

0:28:33.400 --> 0:28:37.520
<v Speaker 1>Next week we'll be talking about influenza. The flu seals

0:28:37.520 --> 0:28:39.800
<v Speaker 1>off the coast of Maine are getting a nasty strain

0:28:39.840 --> 0:28:43.200
<v Speaker 1>of flu, which is a big warning sign for humans everywhere.

0:28:43.800 --> 0:28:48.560
<v Speaker 5>Well, with any sort of viral threat that's getting into

0:28:48.640 --> 0:28:54.920
<v Speaker 5>humans periodically, dramatically, murderously, it's important to know how how

0:28:55.000 --> 0:28:58.960
<v Speaker 5>is that getting into humans so we can prevent them

0:28:59.120 --> 0:29:00.000
<v Speaker 5>from getting into us.

0:29:02.840 --> 0:29:05.920
<v Speaker 1>Incubation is a co production of Pushkin Industries and Ruby

0:29:06.000 --> 0:29:10.960
<v Speaker 1>Studio at iHeartMedia. It's produced by Gabriel Hunter Chang, Ariela Markowitz,

0:29:11.000 --> 0:29:14.480
<v Speaker 1>and Amy Gaines McQuaid. Our editors are Julia Barton and

0:29:14.600 --> 0:29:19.360
<v Speaker 1>Karen Schakerjee mastering by Anne Pope, fact checking by Joseph Friedman.

0:29:20.080 --> 0:29:24.200
<v Speaker 1>Our executive producers are Katherine Girardeau and Matt Romano. I'm

0:29:24.240 --> 0:29:26.040
<v Speaker 1>Jacob Goldstein. Thanks for listening.