1 00:00:00,360 --> 00:00:01,880 Speaker 1: I can't believe it's the last episode. 2 00:00:01,960 --> 00:00:02,719 Speaker 2: I can't either. 3 00:00:03,080 --> 00:00:06,520 Speaker 3: It feels like the start of this semester was like 4 00:00:06,880 --> 00:00:09,080 Speaker 3: twenty years ago, but then also yesterday. 5 00:00:09,440 --> 00:00:12,119 Speaker 1: No sense of time here. We've covered quite a few 6 00:00:12,119 --> 00:00:14,840 Speaker 1: things this semester, but the thread that has been just 7 00:00:15,000 --> 00:00:17,439 Speaker 1: tying it all together has been COVID nineteen. 8 00:00:17,840 --> 00:00:18,400 Speaker 2: Exactly. 9 00:00:18,680 --> 00:00:23,280 Speaker 3: Every single episode has been COVID adjacent because everything has 10 00:00:23,400 --> 00:00:25,119 Speaker 3: been touched by this pandemic. 11 00:00:25,280 --> 00:00:28,200 Speaker 1: Absolutely, back in February, we did not know it would 12 00:00:28,200 --> 00:00:28,600 Speaker 1: be like this. 13 00:00:28,880 --> 00:00:31,639 Speaker 2: No, you know, I wasn't ready. 14 00:00:32,000 --> 00:00:34,159 Speaker 1: It was maybe the first week of February when we 15 00:00:34,200 --> 00:00:37,600 Speaker 1: interviewed doctor Kismikia Corbett at the NIH and we saw 16 00:00:37,600 --> 00:00:40,879 Speaker 1: everybody ramping up their efforts, working late, and we felt confident. 17 00:00:40,960 --> 00:00:43,120 Speaker 1: We felt like the infrastructure was there. Based on what 18 00:00:43,159 --> 00:00:46,080 Speaker 1: we saw, we said, surely the CDC will screen people. 19 00:00:46,280 --> 00:00:48,280 Speaker 1: That's nothing new, That's what they're supposed to do, right, 20 00:00:48,520 --> 00:00:49,920 Speaker 1: And that's where we left season two. 21 00:00:50,120 --> 00:00:56,360 Speaker 3: Yeah, and imagine, to our souprise, everything went completely left 22 00:00:56,560 --> 00:00:57,160 Speaker 3: after that. 23 00:00:57,240 --> 00:01:00,000 Speaker 1: And some of you guys reached out. You said, hey, 24 00:01:00,240 --> 00:01:03,000 Speaker 1: have really changed since your last episode. When are you 25 00:01:03,080 --> 00:01:05,160 Speaker 1: gonna do something different? When are you gonna tell people 26 00:01:05,200 --> 00:01:07,600 Speaker 1: what's going on. So here we are. 27 00:01:08,480 --> 00:01:11,600 Speaker 3: I'm TT and I'm Zachiah and from Spotify. This is 28 00:01:11,640 --> 00:01:40,319 Speaker 3: Dope Labs. Coronavirus has been like a pressure cooker on 29 00:01:40,480 --> 00:01:44,160 Speaker 3: all things, all of the cracks in the foundation, all 30 00:01:44,200 --> 00:01:48,240 Speaker 3: of the deficiencies in our infrastructures. It was brought to 31 00:01:48,320 --> 00:01:51,440 Speaker 3: light because of the pandemic, things that we probably may 32 00:01:51,600 --> 00:01:55,080 Speaker 3: have never found out in our lifetime or in this generation. 33 00:01:55,440 --> 00:01:57,880 Speaker 3: Coronavirus said, here it is. I'm trying to light on 34 00:01:57,920 --> 00:01:58,680 Speaker 3: it right now. 35 00:01:58,800 --> 00:02:02,280 Speaker 1: Today's episode is a coronavirus update. Is about the advances 36 00:02:02,280 --> 00:02:05,440 Speaker 1: in science and the public health plans to help communicate 37 00:02:05,520 --> 00:02:06,360 Speaker 1: those advances. 38 00:02:06,440 --> 00:02:08,160 Speaker 3: And what we want to do in this episode is 39 00:02:08,200 --> 00:02:13,200 Speaker 3: better understand what has happened since COVID began, specifically from 40 00:02:13,280 --> 00:02:15,800 Speaker 3: a science communication perspective. 41 00:02:15,360 --> 00:02:19,040 Speaker 1: Everybody became an expert. There's information everywhere, people are making 42 00:02:19,080 --> 00:02:21,920 Speaker 1: their own graphics, all kinds of things. It's hard to 43 00:02:21,960 --> 00:02:23,639 Speaker 1: know what to believe. And so what we want to 44 00:02:23,680 --> 00:02:26,360 Speaker 1: do is do a hard reset to say here's where 45 00:02:26,360 --> 00:02:29,240 Speaker 1: we are and here's what's coming next. So let's jump 46 00:02:29,280 --> 00:02:30,960 Speaker 1: into the recitation. What do we know? 47 00:02:31,200 --> 00:02:32,919 Speaker 3: I think one thing that we do know is that 48 00:02:32,960 --> 00:02:37,640 Speaker 3: we are experiencing another spike in COVID cases, so people 49 00:02:37,639 --> 00:02:41,200 Speaker 3: being admitted into the hospital and deaths are all on 50 00:02:41,240 --> 00:02:42,160 Speaker 3: the rise right now. 51 00:02:42,400 --> 00:02:45,040 Speaker 1: Yeah, and it's really interesting. If you look at a map, 52 00:02:45,080 --> 00:02:48,239 Speaker 1: the Midwest is being hit particularly hard, Wisconsin, North and 53 00:02:48,280 --> 00:02:52,880 Speaker 1: South Dakota, Minnesota, Iowa, Nebraska, the whole area is dark red. 54 00:02:53,000 --> 00:02:56,280 Speaker 3: In the US, there have been over twelve million COVID 55 00:02:56,320 --> 00:03:00,720 Speaker 3: cases and two hundred and fifty seven thousand, sixteen deaths. 56 00:03:00,840 --> 00:03:05,440 Speaker 1: The vaccines are here and things are happening. On November thirtieth, 57 00:03:05,680 --> 00:03:09,760 Speaker 1: Moderna submitted an application to the FDA for authorization of 58 00:03:09,800 --> 00:03:14,480 Speaker 1: this COVID nineteen vaccine, and then another committee just decided 59 00:03:14,560 --> 00:03:17,480 Speaker 1: healthcare workers and nursing home residents will be the first 60 00:03:17,480 --> 00:03:20,800 Speaker 1: people to get the coronavirus vaccines. Yeah, that's very true. 61 00:03:20,840 --> 00:03:23,960 Speaker 3: And some folks are excited and some folks are not 62 00:03:24,000 --> 00:03:25,880 Speaker 3: so excited about the vaccine rollout. 63 00:03:25,960 --> 00:03:27,960 Speaker 1: So with that, what do we want to know? 64 00:03:28,280 --> 00:03:31,080 Speaker 3: What do we need to know about these new vaccines 65 00:03:31,120 --> 00:03:34,400 Speaker 3: that are going to be available what seems like very soon. 66 00:03:34,600 --> 00:03:37,040 Speaker 1: And you know, this is one of the first urgent 67 00:03:37,320 --> 00:03:40,600 Speaker 1: worldwide rollout of a vaccine, and I think people need 68 00:03:40,640 --> 00:03:41,960 Speaker 1: to understand this is not going to be like a 69 00:03:42,000 --> 00:03:44,360 Speaker 1: free for all, Right, how is this going to be distributed? 70 00:03:44,520 --> 00:03:47,560 Speaker 3: Back in twenty nineteen, we talked about vaccine hesitancy in 71 00:03:47,600 --> 00:03:50,200 Speaker 3: one of our episodes. So, when it comes to vaccines 72 00:03:50,240 --> 00:03:52,880 Speaker 3: and getting vaccinated, there's like three flavors. There are people 73 00:03:52,880 --> 00:03:55,440 Speaker 3: who are all the way on one end of the spectrum, 74 00:03:55,480 --> 00:03:58,680 Speaker 3: and they will not get a vaccination regardless of the circumstance. 75 00:03:58,760 --> 00:04:00,200 Speaker 2: There's no way you can convince them. 76 00:04:00,720 --> 00:04:03,680 Speaker 3: Then you have people who will get the vaccine as 77 00:04:03,720 --> 00:04:05,600 Speaker 3: soon as it's available. But then you have this huge 78 00:04:05,640 --> 00:04:08,680 Speaker 3: chunk in the middle of people who are vaccine hesitant. 79 00:04:09,080 --> 00:04:13,160 Speaker 3: I want to know how that has changed with the coronavirus. 80 00:04:13,200 --> 00:04:16,400 Speaker 3: I'd imagine that people are feeling a little bit different 81 00:04:16,520 --> 00:04:19,400 Speaker 3: about being vaccinated themselves for COVID. 82 00:04:19,560 --> 00:04:22,280 Speaker 1: Yeah. I think that's a really good point vaccine hesitancy 83 00:04:22,279 --> 00:04:27,279 Speaker 1: as it relates to coronavirus, vaccine hesitancy broadly, and has 84 00:04:27,320 --> 00:04:32,080 Speaker 1: the game plan changed since twenty nineteen for combating vaccine hesitancy? 85 00:04:32,279 --> 00:04:35,279 Speaker 3: And then I guess the question that I think everyone 86 00:04:35,800 --> 00:04:39,839 Speaker 3: has now that we've all experienced a pandemic, will there 87 00:04:39,960 --> 00:04:44,440 Speaker 3: be another pandemic like COVID? Nineteen and what have we 88 00:04:44,640 --> 00:04:48,560 Speaker 3: learned that can get us through a pandemic better the 89 00:04:48,600 --> 00:04:49,200 Speaker 3: next time? 90 00:04:52,120 --> 00:04:53,920 Speaker 1: All right, let's jump into the dissection. 91 00:04:54,279 --> 00:04:57,760 Speaker 3: Our guests today are doctor Rue, Polly Lamay, and Molly Sour. 92 00:04:58,000 --> 00:05:01,560 Speaker 4: I'm Rue Poly Lamay. I am a Associate scientist at 93 00:05:01,600 --> 00:05:04,000 Speaker 4: the Johns Hopkins Bloomberg School of Public Health, and I 94 00:05:04,040 --> 00:05:07,479 Speaker 4: am in three departments Department of International Health, Epidemiology, and 95 00:05:07,560 --> 00:05:09,000 Speaker 4: Health Behavior in Society. 96 00:05:09,120 --> 00:05:11,960 Speaker 5: I'm Mollie Sower and I'm a research associate at the 97 00:05:11,960 --> 00:05:15,000 Speaker 5: International Vaccine Access Center and the Department of International Health, 98 00:05:15,040 --> 00:05:17,480 Speaker 5: also at the Johns Hopkins Bloomberg School of Public Health. 99 00:05:17,600 --> 00:05:20,960 Speaker 1: Doctor LeMay is a repeat guest. We had her back 100 00:05:21,000 --> 00:05:24,960 Speaker 1: on Lab four, Protect Your Neck, which was all about vaccines. 101 00:05:25,200 --> 00:05:28,240 Speaker 3: Yes, and she told us all about how vaccines work 102 00:05:28,400 --> 00:05:32,680 Speaker 3: and what happens when you take a vaccine. The vaccine 103 00:05:32,720 --> 00:05:36,080 Speaker 3: is basically like a movie trailer. It's a preview of 104 00:05:36,120 --> 00:05:38,960 Speaker 3: the viruses to come so you can recognize it when 105 00:05:38,960 --> 00:05:43,080 Speaker 3: it actually comes. So it just prepped your body and says, hey, 106 00:05:43,360 --> 00:05:45,200 Speaker 3: be on a lookout for this dude that's going to 107 00:05:45,240 --> 00:05:46,720 Speaker 3: show up or who might show up. 108 00:05:46,800 --> 00:05:49,360 Speaker 1: So we had doctor LeMay in Lab four with Protect 109 00:05:49,360 --> 00:05:52,640 Speaker 1: your Neck. That was the introduction of vaccines. Then we 110 00:05:52,720 --> 00:05:55,360 Speaker 1: had a chance to talk to doctor Kismikia Corbett who 111 00:05:55,400 --> 00:05:57,359 Speaker 1: was working at the National Institute of Health, and she 112 00:05:57,560 --> 00:06:01,080 Speaker 1: was working on the coronavirus vaccine that's actually the Maderna 113 00:06:01,160 --> 00:06:03,240 Speaker 1: vaccine that's been getting a lot of press lately, and 114 00:06:03,279 --> 00:06:05,880 Speaker 1: so we wanted our guests to walk us through how 115 00:06:05,920 --> 00:06:09,200 Speaker 1: we got to a vaccine being ready for public distribution 116 00:06:10,000 --> 00:06:13,080 Speaker 1: so soon from February to December. 117 00:06:13,120 --> 00:06:15,680 Speaker 4: Here in the United States, what we can normally do 118 00:06:15,800 --> 00:06:19,200 Speaker 4: from an administration perspective is do something called an emergency 119 00:06:19,279 --> 00:06:22,559 Speaker 4: Use authorization through the FDA, and essentially what that does 120 00:06:22,720 --> 00:06:24,960 Speaker 4: is that speeds up the process to get some sort 121 00:06:24,960 --> 00:06:26,560 Speaker 4: of therapeutic to the market. 122 00:06:26,640 --> 00:06:30,280 Speaker 1: People are hearing emergency Use authorization, it's easy to think 123 00:06:30,320 --> 00:06:32,720 Speaker 1: this has been rushed through, and it doesn't help that 124 00:06:32,920 --> 00:06:36,360 Speaker 1: the administration called this committee Operation Warp Speed. 125 00:06:36,440 --> 00:06:39,160 Speaker 3: So what they're doing with the Emergency Use authorization is 126 00:06:39,160 --> 00:06:44,400 Speaker 3: that they are shortening the process to approve the vaccine 127 00:06:44,520 --> 00:06:47,560 Speaker 3: so that everybody can get it faster. This pandemic is 128 00:06:47,600 --> 00:06:49,440 Speaker 3: going on, lots of people are getting sick, lots of 129 00:06:49,440 --> 00:06:51,159 Speaker 3: people are dying, so there has to be a response 130 00:06:51,200 --> 00:06:53,800 Speaker 3: to that, like, we can't have the same process that 131 00:06:53,839 --> 00:06:56,360 Speaker 3: you would normally go through for a full FDA approval. 132 00:06:56,440 --> 00:07:00,240 Speaker 1: But in fact, the emergency use authorization allows the FDA 133 00:07:00,279 --> 00:07:03,919 Speaker 1: to focus more on shepherding this through, right, so devoting 134 00:07:03,960 --> 00:07:06,719 Speaker 1: more resources here to this process. Whereas normally you have 135 00:07:06,760 --> 00:07:08,520 Speaker 1: to wait they have a certain amount of time. They 136 00:07:08,520 --> 00:07:11,480 Speaker 1: can now put everybody on this project. So for some 137 00:07:11,560 --> 00:07:14,440 Speaker 1: of the rules that used to exist for these medical countermeasures, 138 00:07:14,560 --> 00:07:16,640 Speaker 1: they might not be so necessary, or there may be 139 00:07:16,760 --> 00:07:20,040 Speaker 1: some things that you don't actually need, or waiting periods 140 00:07:20,080 --> 00:07:23,400 Speaker 1: that you can reduce in a safe manner. It helps 141 00:07:23,440 --> 00:07:25,120 Speaker 1: you get to this place where you can have broad 142 00:07:25,160 --> 00:07:26,440 Speaker 1: distribution earlier. 143 00:07:26,560 --> 00:07:28,600 Speaker 4: So the reason that this is important for us when 144 00:07:28,600 --> 00:07:32,080 Speaker 4: we're talking about this is that we can essentially break 145 00:07:32,400 --> 00:07:35,640 Speaker 4: the cycle of the pandemic in two ways. Right, people 146 00:07:35,680 --> 00:07:38,280 Speaker 4: can be exposed to the virus or they get a vaccine. 147 00:07:38,360 --> 00:07:40,800 Speaker 4: Unfortunately a lot of people have already been exposed to 148 00:07:40,920 --> 00:07:44,840 Speaker 4: the virus. We can increase her immunity by getting people 149 00:07:44,840 --> 00:07:47,600 Speaker 4: the vaccine. And so with these two things together, we 150 00:07:47,720 --> 00:07:49,960 Speaker 4: will be able to fingerish crossed. We will be able 151 00:07:50,000 --> 00:07:51,600 Speaker 4: to break out of the pandemic. Because I think we 152 00:07:51,640 --> 00:07:54,000 Speaker 4: talked about last time, what does a virus want to do? 153 00:07:54,280 --> 00:07:56,480 Speaker 4: The literal reason that it's alive is because it wants 154 00:07:56,480 --> 00:07:58,600 Speaker 4: to replicate. If there is not a host for it 155 00:07:58,640 --> 00:08:01,440 Speaker 4: to replicate, it cannot continue to live and it dies out. 156 00:08:01,520 --> 00:08:03,440 Speaker 4: So that's how we control outbreaks. 157 00:08:03,600 --> 00:08:07,080 Speaker 1: So when we think about controlling the outbreak with the vaccines, 158 00:08:07,440 --> 00:08:11,000 Speaker 1: and you consider this emergency use authorization, there are a 159 00:08:11,040 --> 00:08:14,240 Speaker 1: couple of things you want to understand to measure how 160 00:08:14,280 --> 00:08:15,480 Speaker 1: well a vaccine works. 161 00:08:15,560 --> 00:08:18,640 Speaker 5: You've probably heard the term efficacy and heard the term effectiveness. 162 00:08:18,880 --> 00:08:21,880 Speaker 5: We're throwing around a couple of different terms sort of interchangeably, 163 00:08:21,920 --> 00:08:23,760 Speaker 5: but there is a bit of a difference that's important 164 00:08:23,760 --> 00:08:24,240 Speaker 5: to note. 165 00:08:24,400 --> 00:08:29,280 Speaker 3: Efficacy is basically how well the vaccine works in the last. 166 00:08:28,920 --> 00:08:31,520 Speaker 5: So when we're talking about the information coming out of 167 00:08:31,520 --> 00:08:34,640 Speaker 5: these clinical trials, these human trials that have been done 168 00:08:34,720 --> 00:08:37,600 Speaker 5: over the last several months, we're looking at efficacy, which 169 00:08:37,640 --> 00:08:38,240 Speaker 5: is in a. 170 00:08:38,200 --> 00:08:40,120 Speaker 4: Controlled setting where we're setting. 171 00:08:39,840 --> 00:08:43,439 Speaker 5: Up specific individuals who are receiving a placebo and the 172 00:08:43,559 --> 00:08:45,240 Speaker 5: receiving a vaccine. 173 00:08:45,280 --> 00:08:47,600 Speaker 4: We are getting a measure of how. 174 00:08:47,360 --> 00:08:51,120 Speaker 5: That vaccine is working to prevent infection or prevent disease 175 00:08:51,160 --> 00:08:52,439 Speaker 5: among those individuals. 176 00:08:52,520 --> 00:08:56,600 Speaker 3: The effectiveness of a vaccine is once a vaccine is 177 00:08:56,640 --> 00:09:00,440 Speaker 3: put out into the population, how well it works in 178 00:09:00,440 --> 00:09:01,160 Speaker 3: the real world. 179 00:09:01,360 --> 00:09:03,880 Speaker 5: When we go into a broader population, we can start 180 00:09:03,880 --> 00:09:06,319 Speaker 5: to measure effectiveness, which is sort of taking out that 181 00:09:06,440 --> 00:09:10,400 Speaker 5: controlled component of the environment that we're testing. 182 00:09:10,080 --> 00:09:13,400 Speaker 1: It in effectiveness. We can't know that until the vaccine 183 00:09:13,440 --> 00:09:16,000 Speaker 1: is distributed because there are a couple of other things 184 00:09:16,040 --> 00:09:19,240 Speaker 1: that we don't consider host factors. So we're the hosts, 185 00:09:19,280 --> 00:09:22,520 Speaker 1: humans are hosting this virus. When you get infected with coronavirus, 186 00:09:22,760 --> 00:09:26,400 Speaker 1: are you older, are you younger? Which underline medical conditions 187 00:09:26,520 --> 00:09:29,720 Speaker 1: have better outcomes after being vaccinated. Do you have a 188 00:09:29,800 --> 00:09:33,560 Speaker 1: history of other prior infections? What's your other vaccination record 189 00:09:33,559 --> 00:09:36,640 Speaker 1: that may give you some additional benefits, right, And so 190 00:09:36,960 --> 00:09:38,960 Speaker 1: we'll start to get more of this data when we 191 00:09:39,000 --> 00:09:40,679 Speaker 1: get a larger data set. We can only get a 192 00:09:40,760 --> 00:09:44,320 Speaker 1: larger data set when we distribute this broadly. Yeah, we 193 00:09:44,400 --> 00:09:46,760 Speaker 1: need more people to participate so we can kind of 194 00:09:46,880 --> 00:09:50,439 Speaker 1: understand some of these host factors and how they're involved. 195 00:09:50,440 --> 00:09:52,760 Speaker 1: The other thing is virus factors. It may depend on 196 00:09:52,800 --> 00:09:54,640 Speaker 1: your viral load, what you're exposed to. 197 00:09:55,240 --> 00:09:57,560 Speaker 3: If other people in your community are more likely to 198 00:09:57,600 --> 00:10:01,559 Speaker 3: get the vaccine. The effectiveness in your community may be higher, 199 00:10:01,600 --> 00:10:03,559 Speaker 3: but then in another community it might be lower. 200 00:10:03,960 --> 00:10:08,319 Speaker 1: Right, that's basically cocooning. If everybody around you is vaccinated, 201 00:10:08,400 --> 00:10:10,559 Speaker 1: the virus can't replicate in them and they can't give 202 00:10:10,600 --> 00:10:11,000 Speaker 1: it to you. 203 00:10:11,080 --> 00:10:11,920 Speaker 2: My cousin did this. 204 00:10:12,320 --> 00:10:15,040 Speaker 3: We had a Christmas party in Chicago and my cousin 205 00:10:15,080 --> 00:10:17,480 Speaker 3: had just had a baby. She told us, if you 206 00:10:17,679 --> 00:10:20,680 Speaker 3: plan on being around the baby, which we all did 207 00:10:20,720 --> 00:10:23,120 Speaker 3: we're very excited, you have to get a flu shot. 208 00:10:23,280 --> 00:10:25,319 Speaker 3: So we all got flu shots. 209 00:10:25,080 --> 00:10:28,560 Speaker 1: Right, And so what your cousin is doing, She's saying, Hey, 210 00:10:28,679 --> 00:10:30,640 Speaker 1: my baby can't get a flu shot because the flu 211 00:10:30,640 --> 00:10:33,440 Speaker 1: shot isn't recommended for anybody under six months, So you 212 00:10:33,480 --> 00:10:35,600 Speaker 1: guys have to get a flu shot so you won't 213 00:10:35,600 --> 00:10:38,640 Speaker 1: be a host that brings the flu virus to my child. 214 00:10:38,720 --> 00:10:40,800 Speaker 1: She was making sure that you guys were creating a cocoon. 215 00:10:41,080 --> 00:10:44,880 Speaker 3: So we asked doctor LeMay about the specific vaccines that 216 00:10:44,920 --> 00:10:48,480 Speaker 3: have been recently developed to combat the coronavirus, What are 217 00:10:48,480 --> 00:10:52,000 Speaker 3: their efficacy rates and what should we expect. 218 00:10:52,200 --> 00:10:55,440 Speaker 4: So in the case of vaccines, the good news is 219 00:10:55,440 --> 00:10:57,920 Speaker 4: is for both the Pfizer product as well as the 220 00:10:57,960 --> 00:11:01,360 Speaker 4: Maderna product. Is that when we are seeing these initial 221 00:11:01,400 --> 00:11:05,319 Speaker 4: numbers right of ninety percent effectiveness ninety five percent effectiveness. 222 00:11:05,440 --> 00:11:07,280 Speaker 4: To be honest, I think most of us that work 223 00:11:07,320 --> 00:11:10,080 Speaker 4: in vaccine science these numbers are astonishing. 224 00:11:10,520 --> 00:11:15,040 Speaker 3: So the Maderna vaccine has an efficacy rate of ninety 225 00:11:15,080 --> 00:11:18,400 Speaker 3: four point five percent. The Fiser vaccine has an efficsc 226 00:11:18,559 --> 00:11:22,080 Speaker 3: rate of ninety five percent. So on November twenty third, 227 00:11:22,160 --> 00:11:25,960 Speaker 3: Astrazenica announced their vaccine had an average efficacy rate of 228 00:11:25,960 --> 00:11:28,959 Speaker 3: seventy percent. Remember that's in the lab doing the tests. 229 00:11:29,080 --> 00:11:32,040 Speaker 3: Moderna came out and said they had a vaccine with 230 00:11:32,080 --> 00:11:35,120 Speaker 3: an efficacy rate of ninety four point five percent, and 231 00:11:35,160 --> 00:11:37,160 Speaker 3: then Piser came out and said that they had a 232 00:11:37,240 --> 00:11:40,960 Speaker 3: vaccine with an efficacy rate of ninety five percent. This 233 00:11:41,080 --> 00:11:43,720 Speaker 3: sounds very good ninety five cent a in my book, 234 00:11:43,760 --> 00:11:47,320 Speaker 3: but I don't know what that means in comparison to 235 00:11:47,920 --> 00:11:48,880 Speaker 3: other vaccines. 236 00:11:49,160 --> 00:11:52,920 Speaker 5: I believe the typical effectiveness for the flu vaccine is 237 00:11:52,960 --> 00:11:56,319 Speaker 5: somewhere around fifty to sixty percent. Measles is a vaccine 238 00:11:56,360 --> 00:11:59,960 Speaker 5: that is much higher in the levels of effectiveness and evaccine, 239 00:12:00,400 --> 00:12:02,560 Speaker 5: but it has to be because we have to have 240 00:12:02,679 --> 00:12:06,080 Speaker 5: such community conferred among these communities to actually protect people. 241 00:12:06,360 --> 00:12:09,880 Speaker 1: I think the flu vaccine is a perfect comparison to 242 00:12:09,920 --> 00:12:14,240 Speaker 1: what we know about the coronavirus vaccine. The effectiveness, remember 243 00:12:14,320 --> 00:12:16,720 Speaker 1: that's in the community. Out in the real world, the 244 00:12:16,760 --> 00:12:19,840 Speaker 1: effectiveness of the flu vaccine is lower, is fifty to 245 00:12:19,880 --> 00:12:22,880 Speaker 1: sixty percent. And the reason that kind of changes is 246 00:12:23,360 --> 00:12:26,199 Speaker 1: because of host factors. So did you get your flu 247 00:12:26,280 --> 00:12:28,880 Speaker 1: vaccine early? Did you go to Walgreens like they told 248 00:12:28,920 --> 00:12:31,560 Speaker 1: you to get that flu vaccine? Did you wait too late? 249 00:12:31,640 --> 00:12:33,199 Speaker 1: But a lot of people are waiting later for the 250 00:12:33,240 --> 00:12:36,760 Speaker 1: flu vaccine. That's more available host for that virus to 251 00:12:36,840 --> 00:12:40,200 Speaker 1: replicate in, and the effectiveness in the community would be 252 00:12:40,280 --> 00:12:43,480 Speaker 1: lower because the flu has already spread earlier in the season. 253 00:12:43,720 --> 00:12:46,400 Speaker 1: Another thing to consider is that vaccines have to be 254 00:12:46,400 --> 00:12:50,679 Speaker 1: produced ahead of time for distribution, So they're forecasting. They're saying, 255 00:12:50,880 --> 00:12:53,120 Speaker 1: based on what we see in the beginning of the year, 256 00:12:53,440 --> 00:12:55,839 Speaker 1: these are the flu strains that we think we need 257 00:12:55,880 --> 00:12:59,280 Speaker 1: to vaccinate against. Now things change and the flu strains 258 00:12:59,320 --> 00:13:02,480 Speaker 1: that become most rampant aren't in that vaccine, then the 259 00:13:02,520 --> 00:13:06,640 Speaker 1: effectiveness is lower. So by getting vaccinated earlier, you can 260 00:13:06,679 --> 00:13:10,640 Speaker 1: influence the overall effectiveness of the flu vaccine. You have power. 261 00:13:11,040 --> 00:13:14,280 Speaker 3: That is such a great comparison because it really puts 262 00:13:14,320 --> 00:13:18,360 Speaker 3: into perspective how well this vaccine can work if we 263 00:13:18,440 --> 00:13:20,480 Speaker 3: all kind of buy into it. But what we know 264 00:13:20,880 --> 00:13:24,160 Speaker 3: is that not everyone's gonna take the vaccine right. There 265 00:13:24,200 --> 00:13:26,280 Speaker 3: are a lot of people who are vaccine hesitant. We 266 00:13:26,400 --> 00:13:30,319 Speaker 3: talked about vaccine hesitancy in the Protect Your Neck episode 267 00:13:30,440 --> 00:13:33,640 Speaker 3: and the reasons why people are vaccine hesitant, but the 268 00:13:33,800 --> 00:13:36,320 Speaker 3: reasons for why people don't want to take the COVID 269 00:13:36,400 --> 00:13:38,760 Speaker 3: vaccine they're different pre COVID. 270 00:13:38,960 --> 00:13:41,960 Speaker 4: You know, generally people's concerns fell into four categories when 271 00:13:41,960 --> 00:13:45,440 Speaker 4: we're talking about hesitancy. So one would be ingredients. People 272 00:13:45,480 --> 00:13:48,280 Speaker 4: were really concerned about ingredients that are in vaccines. Two 273 00:13:48,360 --> 00:13:50,600 Speaker 4: would be things related to the schedule, and this is 274 00:13:50,640 --> 00:13:53,720 Speaker 4: related to children vaccines. People are just concerned about the 275 00:13:53,800 --> 00:13:57,000 Speaker 4: number of vaccines and doses that children were getting. The 276 00:13:57,080 --> 00:13:58,719 Speaker 4: third thing that we found is sort of I think 277 00:13:58,720 --> 00:14:03,520 Speaker 4: the elephant in the room misperception that vaccines can cause 278 00:14:03,760 --> 00:14:06,839 Speaker 4: serious adverse events such as autism, even though this has 279 00:14:06,880 --> 00:14:10,360 Speaker 4: been refuted soundly over and over and over again that 280 00:14:10,400 --> 00:14:13,960 Speaker 4: there is no causal link at all between exposure to 281 00:14:14,000 --> 00:14:17,920 Speaker 4: a vaccine and autism. And the fourth is really risk perception. Right, 282 00:14:18,040 --> 00:14:21,440 Speaker 4: so people are like, we've never seen polio before, why 283 00:14:21,440 --> 00:14:23,119 Speaker 4: do I need to get a polio vaccine? 284 00:14:23,200 --> 00:14:25,480 Speaker 1: That is a really good point. People are like, we've 285 00:14:25,520 --> 00:14:27,720 Speaker 1: never seen polio before, why do I need to get 286 00:14:27,760 --> 00:14:30,360 Speaker 1: a polio vaccine? And I think we saw this same 287 00:14:30,440 --> 00:14:33,880 Speaker 1: type of mentality with I don't know anybody who has coronavirus, 288 00:14:33,880 --> 00:14:36,200 Speaker 1: why do I need to wear a mask? Exactly now 289 00:14:36,240 --> 00:14:40,440 Speaker 1: in our post COVID world, we're seeing that same vaccine hesitancy, 290 00:14:40,840 --> 00:14:45,440 Speaker 1: but for different reasons. One of those is scientific mistrust. 291 00:14:45,720 --> 00:14:48,520 Speaker 3: That is such a good point, and Zakiah and I 292 00:14:48,560 --> 00:14:52,160 Speaker 3: wrote an article in Scientific American about this topic, about 293 00:14:52,280 --> 00:14:55,160 Speaker 3: why folks are vaccine hesitanting. We'll put a link in 294 00:14:55,200 --> 00:14:58,040 Speaker 3: the show description and in our show notes. Go check 295 00:14:58,040 --> 00:15:00,520 Speaker 3: out that article. It's called why so many ers are 296 00:15:00,520 --> 00:15:02,600 Speaker 3: skeptical of the coronavirus vaccine? 297 00:15:02,800 --> 00:15:04,720 Speaker 1: And some of the main points that we hit in 298 00:15:04,760 --> 00:15:09,360 Speaker 1: that editorial. Doctor LeMay also mentions that she and her 299 00:15:09,400 --> 00:15:13,040 Speaker 1: other public health communicators that they're considering those same things. 300 00:15:13,280 --> 00:15:16,840 Speaker 1: The first of these is distrust in information. 301 00:15:17,160 --> 00:15:19,520 Speaker 4: I don't know who came up with this name Operation 302 00:15:19,640 --> 00:15:23,560 Speaker 4: Warp Speed, but it does not convey a sense of 303 00:15:23,680 --> 00:15:28,280 Speaker 4: like systematic scientific thoroughness with regards to the process. That 304 00:15:28,440 --> 00:15:32,760 Speaker 4: science has taken a backseat. You could see when administration 305 00:15:33,080 --> 00:15:35,760 Speaker 4: officials would come up and say something, and then doctor 306 00:15:35,800 --> 00:15:38,600 Speaker 4: Fauci would come right after and say, well, actually that's 307 00:15:38,680 --> 00:15:41,440 Speaker 4: not exactly right. So I think it is sowed. I 308 00:15:41,440 --> 00:15:42,920 Speaker 4: would say this distrust. 309 00:15:43,200 --> 00:15:43,440 Speaker 1: Yeah. 310 00:15:43,480 --> 00:15:45,760 Speaker 3: I mean, for real, let's call a spade a spade. 311 00:15:46,120 --> 00:15:49,000 Speaker 3: The administration really fumbled the ball. 312 00:15:49,240 --> 00:15:52,360 Speaker 1: If I think about what we were expecting based on 313 00:15:52,400 --> 00:15:56,160 Speaker 1: our visit to NIH in February, and what we got 314 00:15:56,440 --> 00:15:58,360 Speaker 1: is like how it started and how it ended up. 315 00:15:59,520 --> 00:16:02,720 Speaker 1: That's not right, right, that's not right exactly. 316 00:16:02,760 --> 00:16:05,680 Speaker 3: Like if you go back and listen to that episode 317 00:16:05,760 --> 00:16:08,960 Speaker 3: Don't Pass the Corona, we sound very relaxed when we're 318 00:16:08,960 --> 00:16:10,080 Speaker 3: talking about coronavirus. 319 00:16:10,080 --> 00:16:12,400 Speaker 2: We're like, wash your hands, wash your hands, cover your 320 00:16:12,400 --> 00:16:14,000 Speaker 2: mouth when you cough with your elbow. 321 00:16:14,400 --> 00:16:17,600 Speaker 3: We sound very relaxed, like, oh, you know, it'll be fine, 322 00:16:17,680 --> 00:16:20,920 Speaker 3: everything will be fine. And if we had known what 323 00:16:21,000 --> 00:16:24,280 Speaker 3: was going on behind the scenes, I'm like, panic, panic, panic. 324 00:16:24,040 --> 00:16:26,280 Speaker 1: Well, I think that's the thing, right, and that's what 325 00:16:26,280 --> 00:16:28,400 Speaker 1: doctor Lamay is saying when she says the science took 326 00:16:28,440 --> 00:16:31,360 Speaker 1: a backseat because we were there with the scientists who 327 00:16:31,440 --> 00:16:34,440 Speaker 1: were working on that ninety four point five percent efficacy 328 00:16:34,720 --> 00:16:39,040 Speaker 1: vaccine in the same building, right, And when we saw that, 329 00:16:39,120 --> 00:16:43,120 Speaker 1: I said, oh, yes, I have full confidence. Right absolutely, 330 00:16:43,160 --> 00:16:45,480 Speaker 1: the lab coats on the ground knew what was going on. 331 00:16:45,720 --> 00:16:48,680 Speaker 1: They knew what needed to happen. They had the right information. 332 00:16:48,440 --> 00:16:51,000 Speaker 3: And they were were king honey. We were there late. 333 00:16:51,760 --> 00:16:53,960 Speaker 3: I was like, it is dinner time. These people are like, okay, 334 00:16:54,280 --> 00:16:56,840 Speaker 3: let's do one more. I'm like, well more what I'm hungry? 335 00:16:57,040 --> 00:16:59,600 Speaker 1: I said, If I see another mini prep, I don't know. 336 00:16:59,560 --> 00:17:01,560 Speaker 2: It's time for me to retire to the boudoir. 337 00:17:02,320 --> 00:17:04,560 Speaker 1: And so I think seeing that gave us this sense 338 00:17:04,560 --> 00:17:08,440 Speaker 1: of comfort, and because we knew that potential, it felt 339 00:17:08,520 --> 00:17:12,080 Speaker 1: even worse to see it all just crumble in execution. 340 00:17:12,960 --> 00:17:14,800 Speaker 1: And I think that's part of why people still have 341 00:17:14,880 --> 00:17:18,120 Speaker 1: some of this hesitancy, because even if they trust the science, 342 00:17:18,280 --> 00:17:20,240 Speaker 1: they don't trust it as administered in the right way 343 00:17:20,359 --> 00:17:23,000 Speaker 1: or that is not politicized or being held hostage for 344 00:17:23,080 --> 00:17:26,680 Speaker 1: political motivations, especially in an election year. 345 00:17:27,000 --> 00:17:29,560 Speaker 4: And we were looking at tracking of how hesitancy has 346 00:17:29,680 --> 00:17:32,720 Speaker 4: changed related to COVID from March until about now, and 347 00:17:32,760 --> 00:17:35,760 Speaker 4: what we have found is that confidence or trust in 348 00:17:35,800 --> 00:17:39,399 Speaker 4: the vaccine development process have dropped by an average of 349 00:17:39,400 --> 00:17:42,919 Speaker 4: about fifteen percent. There is this perceived political influence, this 350 00:17:43,080 --> 00:17:45,800 Speaker 4: fact that it's an expedited timeline, even though, as we 351 00:17:45,840 --> 00:17:48,400 Speaker 4: try to communicate as clearly as we can, even though 352 00:17:48,400 --> 00:17:51,920 Speaker 4: it's expedited, it's still the exact same steps that any 353 00:17:51,960 --> 00:17:55,320 Speaker 4: sort of product would go through with regards to vaccine development. 354 00:17:55,480 --> 00:17:58,160 Speaker 4: So I think all of these factors together have caused 355 00:17:58,440 --> 00:18:00,360 Speaker 4: this huge change and hasency. 356 00:18:01,040 --> 00:18:02,280 Speaker 2: That is such a good point. 357 00:18:02,320 --> 00:18:05,520 Speaker 3: And I think another reason why folks are feeling unsure 358 00:18:05,640 --> 00:18:09,800 Speaker 3: about the COVID vaccine is because it's a two dose vaccine, 359 00:18:09,800 --> 00:18:12,400 Speaker 3: so that means that you would be getting two different 360 00:18:12,520 --> 00:18:16,000 Speaker 3: injections and that's something that most people are. 361 00:18:15,840 --> 00:18:16,879 Speaker 2: Not used to. 362 00:18:17,440 --> 00:18:21,679 Speaker 1: And this is changing very quickly. When we wrote that article, 363 00:18:22,080 --> 00:18:25,000 Speaker 1: it was around fifty percent. Now we're talking two thirds 364 00:18:25,040 --> 00:18:28,520 Speaker 1: of people, so what sixty seven percent? We need a 365 00:18:28,520 --> 00:18:31,400 Speaker 1: harder reset. We got to turn some things around very quickly. 366 00:18:31,640 --> 00:18:37,280 Speaker 3: This widespread hesitancy around the COVID vaccine has really serious implications. 367 00:18:37,280 --> 00:18:41,520 Speaker 3: For trying to achieve community protection or herd immunity. 368 00:18:41,640 --> 00:18:43,720 Speaker 5: We know that as much as two thirds of the 369 00:18:43,760 --> 00:18:45,960 Speaker 5: population is already saying they're not going to get a 370 00:18:46,000 --> 00:18:49,679 Speaker 5: vaccine for the foreseeable future at least. What does that 371 00:18:49,760 --> 00:18:52,080 Speaker 5: mean for our ability to control the pandemic and to 372 00:18:52,160 --> 00:18:55,160 Speaker 5: control these things that people are also raising concerns about. 373 00:18:55,200 --> 00:18:57,120 Speaker 5: So the longer it takes us to get a vaccine 374 00:18:57,160 --> 00:18:59,159 Speaker 5: to enough people, the longer we're going to need to 375 00:18:59,200 --> 00:19:02,920 Speaker 5: keep these other restrict like masks, like controlling social gathering 376 00:19:03,000 --> 00:19:06,120 Speaker 5: things like that, which are similar interventions and areas where 377 00:19:06,119 --> 00:19:07,840 Speaker 5: people are raising concerns as well. 378 00:19:08,000 --> 00:19:09,880 Speaker 3: We're going to take a quick break and when we 379 00:19:09,960 --> 00:19:12,200 Speaker 3: get back, we're going to talk all about what we've 380 00:19:12,280 --> 00:19:15,119 Speaker 3: learned so far and what the new game plan should be. 381 00:19:32,480 --> 00:19:37,360 Speaker 1: So we're back and we're talking vaccine hesitancy and what 382 00:19:37,440 --> 00:19:40,760 Speaker 1: the new strategies should be. So right before the break, 383 00:19:40,800 --> 00:19:43,720 Speaker 1: we were talking about the increase or the rise in 384 00:19:43,840 --> 00:19:46,440 Speaker 1: vaccine hesitancy over the past couple of months. 385 00:19:46,680 --> 00:19:51,639 Speaker 3: According to doctor LeMay and Molly, effective communication is all 386 00:19:51,800 --> 00:19:53,960 Speaker 3: about transparency and empathy. 387 00:19:54,359 --> 00:19:58,160 Speaker 4: COVID is new. However, what's amazing and awesome about science 388 00:19:58,240 --> 00:20:00,560 Speaker 4: is that we're learning about it every day, which means 389 00:20:00,960 --> 00:20:05,000 Speaker 4: we should communicate recommendations as they change. Perfect example that 390 00:20:05,000 --> 00:20:07,840 Speaker 4: we had to deal with early on was that first 391 00:20:07,960 --> 00:20:10,640 Speaker 4: the CDC did not recommend the wearing of masks. Right 392 00:20:10,640 --> 00:20:13,000 Speaker 4: a few months later, the CDC was like, you know, 393 00:20:13,040 --> 00:20:15,240 Speaker 4: it's really important for us to wear masks. And one 394 00:20:15,240 --> 00:20:17,000 Speaker 4: thing that we tried to do very much with our 395 00:20:17,000 --> 00:20:20,520 Speaker 4: communication that we were advising the mayor's office was that 396 00:20:20,760 --> 00:20:23,800 Speaker 4: we need to talk about that if we have new recommendations. 397 00:20:23,880 --> 00:20:26,880 Speaker 4: That is how science should be working. So being very 398 00:20:26,960 --> 00:20:29,720 Speaker 4: upfront and saying this is what I know today, right, 399 00:20:30,040 --> 00:20:31,879 Speaker 4: this is what the science has told me today with 400 00:20:31,920 --> 00:20:35,520 Speaker 4: regards to protective measures, and really being transparent and saying 401 00:20:35,560 --> 00:20:39,000 Speaker 4: that we're learning something new every day based on the science. 402 00:20:39,560 --> 00:20:43,320 Speaker 4: And I think transparency is going to be such a huge, 403 00:20:43,440 --> 00:20:44,680 Speaker 4: huge issue here. 404 00:20:45,000 --> 00:20:48,639 Speaker 3: I think with transparency, it's important for folks to understand 405 00:20:48,680 --> 00:20:52,720 Speaker 3: that science is ever changing. Every day, the science is changing, 406 00:20:52,960 --> 00:20:55,800 Speaker 3: and I think part of the reason why folks were 407 00:20:56,080 --> 00:20:59,000 Speaker 3: kind of like confused, like huh, what is going on 408 00:20:59,240 --> 00:21:02,159 Speaker 3: is because there is no window into that world to 409 00:21:02,240 --> 00:21:04,359 Speaker 3: see like, Okay, we learned something new, so now we're 410 00:21:04,400 --> 00:21:06,640 Speaker 3: going to change the guidance. And I think that that's 411 00:21:06,680 --> 00:21:09,560 Speaker 3: something that as scientists in the lab, if we pull 412 00:21:09,640 --> 00:21:12,119 Speaker 3: back this curtain a little bit, there's not anything crazy 413 00:21:12,160 --> 00:21:15,280 Speaker 3: going on. It's just that as scientists learn new things, 414 00:21:15,520 --> 00:21:18,919 Speaker 3: they have to change what their communication to us is. 415 00:21:19,240 --> 00:21:22,640 Speaker 1: I feel like the documentary Totally under Control on Hulu 416 00:21:22,840 --> 00:21:25,359 Speaker 1: really captured this. I think what we saw was this 417 00:21:25,440 --> 00:21:28,399 Speaker 1: push and pull. We've talked about it TT on some 418 00:21:28,520 --> 00:21:32,639 Speaker 1: other people's podcasts about science communication and effective communication and 419 00:21:32,720 --> 00:21:37,000 Speaker 1: this need to understand this dynamic nature of things changing daily. 420 00:21:37,240 --> 00:21:40,800 Speaker 1: But that doesn't mesh well with how our leaders speak 421 00:21:41,119 --> 00:21:44,800 Speaker 1: to our nation, or in smaller buckets, how our governors 422 00:21:44,840 --> 00:21:48,600 Speaker 1: and mayors speak to the populations. Right, so they want 423 00:21:48,600 --> 00:21:50,960 Speaker 1: to say something definitive. You may feel like you're not 424 00:21:51,080 --> 00:21:55,000 Speaker 1: powerful or you're not doing what's right. If you say, hey, 425 00:21:55,119 --> 00:21:58,000 Speaker 1: actually we don't know what's going on right now, we'll 426 00:21:58,000 --> 00:21:59,639 Speaker 1: get back to you when we figure something out. That 427 00:21:59,680 --> 00:22:02,440 Speaker 1: doesn't and inspire confidence in the people listening. But that's 428 00:22:02,480 --> 00:22:06,320 Speaker 1: actually manipulative, right, because you're trying to control how people feel, 429 00:22:06,359 --> 00:22:09,200 Speaker 1: so you tell them something different. And I think that's 430 00:22:09,240 --> 00:22:12,760 Speaker 1: the transparency that was missing that Rupali and Molly were 431 00:22:12,800 --> 00:22:16,000 Speaker 1: talking about the other half of this is empathy. 432 00:22:16,400 --> 00:22:18,800 Speaker 5: People have been dealing with us for a really long time. 433 00:22:19,040 --> 00:22:22,200 Speaker 5: We're looking at communities that have been facing not only 434 00:22:22,240 --> 00:22:25,440 Speaker 5: the burden of disease, but the economic impacts dealing with 435 00:22:25,760 --> 00:22:27,360 Speaker 5: missed schooling as. 436 00:22:27,240 --> 00:22:29,840 Speaker 4: The education system has been affected. So there's a lot 437 00:22:29,880 --> 00:22:31,080 Speaker 4: of impacts. 438 00:22:30,560 --> 00:22:34,080 Speaker 5: On families and communities and individuals. But there's a light 439 00:22:34,119 --> 00:22:35,879 Speaker 5: at the end of the tunnel, and we're doing everything 440 00:22:35,920 --> 00:22:37,080 Speaker 5: we can to help address this. 441 00:22:37,280 --> 00:22:39,639 Speaker 1: When we consider empathy and we consider the people who 442 00:22:39,680 --> 00:22:42,320 Speaker 1: are doing this communication, we also need to hold some 443 00:22:42,320 --> 00:22:46,760 Speaker 1: folks accountable if we're going to be truly empathetic. Right, 444 00:22:47,240 --> 00:22:49,720 Speaker 1: there's empathy where you say, oh, I know your kids 445 00:22:49,760 --> 00:22:51,320 Speaker 1: are at home, but we still need you to work 446 00:22:51,320 --> 00:22:53,440 Speaker 1: and do all this stuff. But then there is also 447 00:22:53,880 --> 00:22:57,960 Speaker 1: empathy with action, and empathy with action says stay at 448 00:22:58,040 --> 00:23:01,440 Speaker 1: home and we will make sure that there's for all. Right, 449 00:23:01,880 --> 00:23:06,600 Speaker 1: it says, reduce your interactions with folks, don't go out, 450 00:23:07,080 --> 00:23:10,000 Speaker 1: don't get together with people, but make sure that people 451 00:23:10,080 --> 00:23:12,720 Speaker 1: who are staying alone have the supplies that they need. 452 00:23:13,040 --> 00:23:15,320 Speaker 1: Making sure that people who are at higher risk don't 453 00:23:15,320 --> 00:23:17,479 Speaker 1: have to go out to get what they need, but 454 00:23:17,520 --> 00:23:19,640 Speaker 1: that we have services that will support them. 455 00:23:19,680 --> 00:23:23,040 Speaker 3: So setting up an infrastructure that is beneficial to all people, 456 00:23:23,160 --> 00:23:24,280 Speaker 3: not just a few of us. 457 00:23:24,560 --> 00:23:28,720 Speaker 1: Right if you say, who has the least individual infrastructure 458 00:23:28,760 --> 00:23:31,920 Speaker 1: for support? Right, if we ensure that there is infrastructure 459 00:23:32,040 --> 00:23:35,480 Speaker 1: level support for them, we are building empathy into our 460 00:23:35,520 --> 00:23:38,760 Speaker 1: systems so you don't have to scramble in the case 461 00:23:38,760 --> 00:23:39,480 Speaker 1: of a disaster. 462 00:23:40,240 --> 00:23:42,280 Speaker 3: Right, I don't want your thoughts in prayers. I need 463 00:23:42,320 --> 00:23:44,800 Speaker 3: somewhere to live, I need food to eat. Like thoughts 464 00:23:44,800 --> 00:23:47,120 Speaker 3: and prayers don't really get those things to me. Right, 465 00:23:47,240 --> 00:23:50,479 Speaker 3: their infrastructure set up. When the power goes out, PEPCO 466 00:23:50,640 --> 00:23:53,159 Speaker 3: is on the move, honey, Like they know exactly what 467 00:23:53,160 --> 00:23:55,480 Speaker 3: they're supposed to do. They have protocols and procedures in 468 00:23:55,520 --> 00:23:57,920 Speaker 3: place to make sure that you will not be without power. 469 00:23:58,119 --> 00:24:00,240 Speaker 3: We need to keep that same energy when it comes 470 00:24:00,280 --> 00:24:05,520 Speaker 3: to the prosperity of all people in the world. Let's 471 00:24:05,520 --> 00:24:08,280 Speaker 3: have things in place to ensure that when things like 472 00:24:08,320 --> 00:24:11,800 Speaker 3: this happen. Because the thing about pandemics is that they 473 00:24:11,840 --> 00:24:14,800 Speaker 3: are going to happen. They will happen, they are guaranteed 474 00:24:14,800 --> 00:24:17,800 Speaker 3: to happen. And all of these officials know that there 475 00:24:17,840 --> 00:24:22,359 Speaker 3: should be policies and procedures in place to ensure that 476 00:24:22,640 --> 00:24:25,040 Speaker 3: all of us are able to make it through this 477 00:24:25,280 --> 00:24:29,639 Speaker 3: and that the rates of cases and deaths and hospitalizations 478 00:24:30,000 --> 00:24:31,560 Speaker 3: are as low as possible. 479 00:24:31,760 --> 00:24:33,479 Speaker 1: You've made a really good point. You said, we know 480 00:24:33,640 --> 00:24:36,679 Speaker 1: this is going to happen. It's happened before. It's happened 481 00:24:36,720 --> 00:24:39,679 Speaker 1: in smaller scenarios that maybe were just little blips on 482 00:24:39,680 --> 00:24:43,240 Speaker 1: our news radar because they were controlled really quickly. But 483 00:24:43,320 --> 00:24:46,199 Speaker 1: there are playbooks for this right And I think another 484 00:24:46,320 --> 00:24:50,879 Speaker 1: part beyond transparency and empathy is who's giving the message. 485 00:24:51,000 --> 00:24:54,240 Speaker 1: Because you're more likely to listen to some folks than others. 486 00:24:54,160 --> 00:24:57,320 Speaker 4: We're going to have to identify influencers that people trust. 487 00:24:57,480 --> 00:25:01,040 Speaker 3: When doctor LeMay says influencers, it's not what you think. 488 00:25:01,440 --> 00:25:05,879 Speaker 3: She's talking about people that you trust and would listen 489 00:25:05,920 --> 00:25:09,760 Speaker 3: to when we're talking about things like vaccines, so not 490 00:25:09,920 --> 00:25:10,520 Speaker 3: Kylie Jenner. 491 00:25:10,640 --> 00:25:12,639 Speaker 4: We were talking to someone from the CDC. I was 492 00:25:12,680 --> 00:25:15,280 Speaker 4: on a different panel, and this poor individual from the 493 00:25:15,359 --> 00:25:18,360 Speaker 4: CDC was like, why am I not a trusted voice? 494 00:25:18,520 --> 00:25:21,080 Speaker 4: And I said, the reason you're not a trusted voice 495 00:25:21,240 --> 00:25:23,280 Speaker 4: is not your fault. It has to do with the 496 00:25:23,359 --> 00:25:27,600 Speaker 4: fact as how the CDC has reversed guidelines. People think 497 00:25:27,640 --> 00:25:30,480 Speaker 4: the process has been tainted. So as a result, we 498 00:25:30,560 --> 00:25:33,679 Speaker 4: need to identify other voices that can come out and 499 00:25:33,720 --> 00:25:37,199 Speaker 4: can talk about this and that perhaps can start to 500 00:25:37,280 --> 00:25:41,240 Speaker 4: rebuild that trust between the public and public health institutions 501 00:25:41,320 --> 00:25:41,919 Speaker 4: at large. 502 00:25:42,040 --> 00:25:45,400 Speaker 3: Even though COVID is a global pandemic, there's been success 503 00:25:45,480 --> 00:25:49,720 Speaker 3: by approaching communication strategies through a more local lens, focusing 504 00:25:49,800 --> 00:25:53,240 Speaker 3: on the most effective ways to reach smaller at risk communities. 505 00:25:53,400 --> 00:25:56,440 Speaker 5: So we've in Baltimore and in some of the nearby communities, 506 00:25:56,480 --> 00:25:58,919 Speaker 5: we have looked at ways to leverage social media for 507 00:25:59,000 --> 00:26:02,919 Speaker 5: different settings. There was a need to engage people and 508 00:26:02,960 --> 00:26:07,880 Speaker 5: share information from long term care facilities, senior housing where. 509 00:26:07,800 --> 00:26:10,120 Speaker 4: Families outside were really concerned. 510 00:26:09,680 --> 00:26:12,240 Speaker 5: About what was happening to their family members inside, but 511 00:26:12,280 --> 00:26:15,520 Speaker 5: there was no way to really be directly engaged. And 512 00:26:15,560 --> 00:26:17,879 Speaker 5: we knew that Facebook was a tool that they were 513 00:26:18,000 --> 00:26:21,520 Speaker 5: using on both ends of that kind of telephone line, right, 514 00:26:21,600 --> 00:26:23,560 Speaker 5: So we were able to work with the city and 515 00:26:23,600 --> 00:26:27,560 Speaker 5: support them in doing some videos and some engagement using 516 00:26:27,880 --> 00:26:30,920 Speaker 5: that tool to reach the people who needed the information. 517 00:26:31,160 --> 00:26:34,920 Speaker 5: So it's really about targeting those strategies and then tailoring 518 00:26:34,920 --> 00:26:37,439 Speaker 5: the messages. We've also done a ton of work and 519 00:26:37,560 --> 00:26:40,639 Speaker 5: seen in a number of places, not just here in Baltimore, 520 00:26:40,800 --> 00:26:43,399 Speaker 5: looking at some of the other ways people get information. 521 00:26:43,600 --> 00:26:46,919 Speaker 5: The city's in particular because we're covering a huge population 522 00:26:47,400 --> 00:26:48,520 Speaker 5: as many ways as we can. 523 00:26:48,600 --> 00:26:49,280 Speaker 4: So there's been. 524 00:26:49,160 --> 00:26:53,479 Speaker 5: Everything from targeted radio work to share information, to setting 525 00:26:53,520 --> 00:26:58,240 Speaker 5: up press conferences, to talking to food delivery entities or 526 00:26:58,280 --> 00:27:00,720 Speaker 5: ways that people are getting some of their basic and 527 00:27:00,840 --> 00:27:03,800 Speaker 5: leveraging those people to share some of the important health information. 528 00:27:03,960 --> 00:27:05,960 Speaker 1: I think that's a really good strategy. At some point 529 00:27:06,040 --> 00:27:07,520 Speaker 1: I had to turn the news off. I was not 530 00:27:07,600 --> 00:27:10,800 Speaker 1: watching any more press conferences right but I was getting 531 00:27:10,880 --> 00:27:11,439 Speaker 1: Uber eats. 532 00:27:13,080 --> 00:27:15,240 Speaker 3: I've had a lot of Uber eats. I've eaten a 533 00:27:15,280 --> 00:27:17,439 Speaker 3: lot of bonshon in the quarantine. If you follow me 534 00:27:17,480 --> 00:27:20,480 Speaker 3: on Twitter, you know that I've had bon chon, probably. 535 00:27:20,119 --> 00:27:22,399 Speaker 2: More than I should have. What have you been getting 536 00:27:22,400 --> 00:27:23,040 Speaker 2: from overeats? 537 00:27:23,400 --> 00:27:26,760 Speaker 1: I'm getting ramen from uber eats, and my goodness, I 538 00:27:26,800 --> 00:27:28,800 Speaker 1: have been enjoying that. Now you've put a sticky note 539 00:27:28,840 --> 00:27:30,840 Speaker 1: on the top of that ramen or a flyer that 540 00:27:30,920 --> 00:27:33,919 Speaker 1: says here's what you should be doing right now, effective 541 00:27:34,000 --> 00:27:37,280 Speaker 1: I won't see it. I'm gonna see it. 542 00:27:37,440 --> 00:27:40,960 Speaker 3: Yes, have every door dash person be handing out a flyer. 543 00:27:40,800 --> 00:27:42,399 Speaker 1: And compensate them for doing it. 544 00:27:42,840 --> 00:27:44,400 Speaker 2: Exactly if we think. 545 00:27:44,240 --> 00:27:48,440 Speaker 1: About making these strides, whether it's general awareness of vaccines, 546 00:27:48,480 --> 00:27:53,199 Speaker 1: whether it's disputing misinformation and clarifying some missing points, the 547 00:27:53,240 --> 00:27:56,479 Speaker 1: next step after that information is the action. Yes, and 548 00:27:56,520 --> 00:27:59,960 Speaker 1: I think that is what feels the most unknown to me. 549 00:28:00,240 --> 00:28:03,720 Speaker 1: So we know about vaccine hesitancy. Considering what we know, 550 00:28:03,880 --> 00:28:06,280 Speaker 1: what does this mean for the rollout the delivery of 551 00:28:06,320 --> 00:28:07,160 Speaker 1: a vaccine? 552 00:28:07,280 --> 00:28:10,000 Speaker 5: I think moving forward this idea of how we distribute 553 00:28:10,000 --> 00:28:13,879 Speaker 5: the vaccine, and more importantly, how we talk about how 554 00:28:13,880 --> 00:28:15,800 Speaker 5: we're going to distribute it is going to be such 555 00:28:15,840 --> 00:28:20,040 Speaker 5: a challenge. We're starting with, ideally, those highest risk categories, 556 00:28:20,040 --> 00:28:22,800 Speaker 5: the people who are most likely to be exposed and 557 00:28:22,920 --> 00:28:27,720 Speaker 5: to be exposed frequently, and who are going to potentially 558 00:28:27,800 --> 00:28:30,560 Speaker 5: have the greatest risk of serious disease from that. So 559 00:28:30,680 --> 00:28:33,399 Speaker 5: right now, the first tier includes things like frontline healthcare 560 00:28:33,440 --> 00:28:36,600 Speaker 5: workers like EMTs and nurses, who are exposed to. 561 00:28:36,560 --> 00:28:39,840 Speaker 4: This all the time and who we really rely on. 562 00:28:40,080 --> 00:28:42,720 Speaker 5: To continue to help control the pandemic. But as we 563 00:28:42,800 --> 00:28:44,960 Speaker 5: move down those tiers, it does get a bit more 564 00:28:44,960 --> 00:28:47,360 Speaker 5: complicated and we start to raise a lot of ethical 565 00:28:47,440 --> 00:28:50,720 Speaker 5: questions and questions about how people are going to perceive this. 566 00:28:51,040 --> 00:28:54,960 Speaker 3: Okay, So Business Insider they put out a chart of 567 00:28:55,080 --> 00:28:59,280 Speaker 3: what we might be expecting for rollout of the coronavirus vaccine. 568 00:29:00,000 --> 00:29:03,280 Speaker 3: I'm saying in December of this year to January of 569 00:29:03,360 --> 00:29:06,680 Speaker 3: twenty twenty one, approved vaccines start to go out to 570 00:29:06,760 --> 00:29:10,280 Speaker 3: the four priority groups, which is healthcare workers, frontline workers, 571 00:29:10,320 --> 00:29:13,600 Speaker 3: people over sixty five, and people with pre existing conditions. 572 00:29:13,680 --> 00:29:17,680 Speaker 3: And that distribution continues through April of twenty twenty one, 573 00:29:17,800 --> 00:29:20,800 Speaker 3: and then from April to June of twenty twenty one, 574 00:29:20,840 --> 00:29:25,000 Speaker 3: the vaccines become more widely available to young, healthy members 575 00:29:25,000 --> 00:29:29,200 Speaker 3: of the general population, and then July to September of 576 00:29:29,240 --> 00:29:31,920 Speaker 3: twenty twenty one, most adults in the US who want 577 00:29:31,960 --> 00:29:34,280 Speaker 3: the vaccine will likely have access to it. 578 00:29:34,320 --> 00:29:35,000 Speaker 2: At that point. 579 00:29:35,160 --> 00:29:39,480 Speaker 3: By this time next year, herd immunity through vaccination could 580 00:29:39,560 --> 00:29:42,440 Speaker 3: be reached in the US if seventy five percent of 581 00:29:42,440 --> 00:29:44,920 Speaker 3: people or more get their shots. And we'll have more 582 00:29:45,000 --> 00:29:47,680 Speaker 3: information about all of these different tiers, who's going to 583 00:29:47,720 --> 00:29:50,320 Speaker 3: be first, last, and everything in between in our show notes, 584 00:29:50,360 --> 00:29:51,400 Speaker 3: So make sure you check that out. 585 00:29:51,480 --> 00:29:55,360 Speaker 1: We're just so deep in the pandemic and seeing all 586 00:29:55,400 --> 00:29:58,000 Speaker 1: these numbers rise as we move into the holiday season, 587 00:29:58,760 --> 00:30:01,160 Speaker 1: it's hard to think about what moving out of it 588 00:30:01,160 --> 00:30:02,960 Speaker 1: will be. Like I'm ready to move out of it, yes, 589 00:30:03,120 --> 00:30:05,480 Speaker 1: but it's hard for me to see the clear path 590 00:30:05,600 --> 00:30:06,400 Speaker 1: to that, right. 591 00:30:06,480 --> 00:30:07,120 Speaker 2: And then it. 592 00:30:07,040 --> 00:30:11,400 Speaker 3: Also makes me think, what will we do differently if 593 00:30:11,400 --> 00:30:12,200 Speaker 3: this happens again? 594 00:30:12,240 --> 00:30:13,360 Speaker 2: Because it will happen again. 595 00:30:13,480 --> 00:30:15,480 Speaker 1: Yeah, that's all we do. We're scientists. That's what you 596 00:30:15,520 --> 00:30:18,040 Speaker 1: do is how do I optimize this? How do I 597 00:30:18,080 --> 00:30:20,280 Speaker 1: make it better? What variables stay the same? What variables 598 00:30:20,280 --> 00:30:23,640 Speaker 1: will we change? I think this was really a wake 599 00:30:23,720 --> 00:30:27,160 Speaker 1: up call because seeing these multiple waves and spikes, I'm like, 600 00:30:27,280 --> 00:30:30,000 Speaker 1: behavior is not changing. The model tells us what's going 601 00:30:30,080 --> 00:30:31,880 Speaker 1: to happen if we don't change these things. 602 00:30:31,840 --> 00:30:33,760 Speaker 3: Right, Because I mean even when you think of like 603 00:30:33,840 --> 00:30:36,880 Speaker 3: pandemics from the past, over one hundred years ago, people 604 00:30:36,920 --> 00:30:40,120 Speaker 3: weren't traveling the same way, people weren't interacting, like we 605 00:30:40,160 --> 00:30:43,880 Speaker 3: didn't have this globalization that we do have now, right, 606 00:30:44,160 --> 00:30:48,960 Speaker 3: which is what facilitated the really rapid spread of the coronavirus. 607 00:30:49,000 --> 00:30:51,200 Speaker 3: So when I think what fifty years from now or 608 00:30:51,320 --> 00:30:53,200 Speaker 3: another one hundred years from now, which I do care 609 00:30:53,200 --> 00:30:55,200 Speaker 3: about those folks. I am one of those people who 610 00:30:55,240 --> 00:30:57,400 Speaker 3: care about even when I'm dead and gone. I want 611 00:30:57,440 --> 00:30:59,360 Speaker 3: to make sure that the things that we leave behind 612 00:30:59,400 --> 00:31:01,040 Speaker 3: will set people up for success. 613 00:31:01,400 --> 00:31:04,040 Speaker 2: Yes, what were there? How different will their lives be? 614 00:31:04,080 --> 00:31:06,880 Speaker 3: Can we project and be able to put policies in 615 00:31:06,960 --> 00:31:11,680 Speaker 3: place in order to facilitate them getting through a pandemic safely? 616 00:31:11,880 --> 00:31:14,400 Speaker 1: Or will we have short term memory? Because I see 617 00:31:14,440 --> 00:31:16,760 Speaker 1: people forgetting what we learned in March and here we 618 00:31:16,840 --> 00:31:19,000 Speaker 1: are just at the cusp of December. 619 00:31:19,120 --> 00:31:21,160 Speaker 4: The sad part is we know that this is not 620 00:31:21,240 --> 00:31:23,480 Speaker 4: the last in terms of a pandemic. At Hopkins, we 621 00:31:23,560 --> 00:31:26,760 Speaker 4: have been working on modeling and thinking about this pandemic. 622 00:31:26,800 --> 00:31:29,200 Speaker 4: We do this exercise every year that essentially do like 623 00:31:29,200 --> 00:31:32,080 Speaker 4: a simulation, but look at transmission, that look at you 624 00:31:32,280 --> 00:31:35,680 Speaker 4: different types of pathogens, that look at the reproductive rate, 625 00:31:35,800 --> 00:31:37,800 Speaker 4: all of these different things. So we have been kind 626 00:31:37,840 --> 00:31:40,000 Speaker 4: of practicing for this for a long time, and once 627 00:31:40,040 --> 00:31:43,080 Speaker 4: we get out of COVID, my biggest concern is, let's 628 00:31:43,160 --> 00:31:44,680 Speaker 4: not forget lessons learned here. 629 00:31:44,760 --> 00:31:46,040 Speaker 1: So what have we learned? 630 00:31:46,320 --> 00:31:49,040 Speaker 4: One thing that we have definitely one hundred percent learned 631 00:31:49,240 --> 00:31:53,400 Speaker 4: is how do we make sure that leaders are transparent 632 00:31:53,800 --> 00:31:56,520 Speaker 4: and accountable. But for this to work, we have to 633 00:31:56,560 --> 00:31:59,719 Speaker 4: be better as humans. We cannot go around and just 634 00:31:59,760 --> 00:32:03,240 Speaker 4: as essentially not say things that are incorrect, be inaccurate, 635 00:32:03,240 --> 00:32:05,320 Speaker 4: put people at risk because you're trying to put your 636 00:32:05,360 --> 00:32:08,840 Speaker 4: economic whatever sort of as the priority. And to me, 637 00:32:09,240 --> 00:32:10,960 Speaker 4: that is the one thing we have learned. This is 638 00:32:11,000 --> 00:32:14,280 Speaker 4: a great opportunity for us to rehaul the partnership between 639 00:32:14,360 --> 00:32:17,440 Speaker 4: public health and public officials. How do we redefine this 640 00:32:17,560 --> 00:32:19,920 Speaker 4: relationship and how do we make sure that people are 641 00:32:19,920 --> 00:32:20,720 Speaker 4: held accountable. 642 00:32:20,880 --> 00:32:23,920 Speaker 1: That is so beautifully sid right, because it really captures 643 00:32:23,920 --> 00:32:25,800 Speaker 1: a lot of the things we've been talking about this 644 00:32:26,040 --> 00:32:29,360 Speaker 1: entire season. It's not just are you sick, but do 645 00:32:29,400 --> 00:32:31,880 Speaker 1: you have the things you need to keep your risk 646 00:32:32,200 --> 00:32:36,040 Speaker 1: low to keep you away from possibility of future sickness. 647 00:32:35,720 --> 00:32:38,520 Speaker 3: Exactly because what we know is is that the effects 648 00:32:38,560 --> 00:32:40,960 Speaker 3: of coronavirus is not just oh do you have to 649 00:32:40,960 --> 00:32:42,920 Speaker 3: go to the hospital, do you stay home? Are you 650 00:32:43,280 --> 00:32:47,640 Speaker 3: contagious or not? It has trickled down effects on all 651 00:32:47,680 --> 00:32:50,680 Speaker 3: aspects of our life. We've talked about how it affects 652 00:32:50,720 --> 00:32:55,640 Speaker 3: us socially, how it affects housing, how it affects our food, infrastructure, 653 00:32:55,840 --> 00:32:59,040 Speaker 3: all these different things are affected by a virus. 654 00:32:59,360 --> 00:33:02,760 Speaker 1: Yeah, affected by this vaccine and our response to it. 655 00:33:02,920 --> 00:33:05,720 Speaker 1: We failed that test, right, Yes, we failed that test, 656 00:33:05,720 --> 00:33:08,120 Speaker 1: and we failed it really quickly. And so now we've 657 00:33:08,120 --> 00:33:10,280 Speaker 1: got to stand up and really say, how do we 658 00:33:10,320 --> 00:33:15,040 Speaker 1: rebuild without those same disparities, without those same inequities that 659 00:33:15,080 --> 00:33:18,400 Speaker 1: were in our system and that coronavirus so quickly exposed. 660 00:33:18,680 --> 00:33:21,880 Speaker 3: Right, we have to be realistic with ourselves and say, 661 00:33:21,880 --> 00:33:24,120 Speaker 3: these are the things that we did wrong. How can 662 00:33:24,160 --> 00:33:39,400 Speaker 3: we do the right thing moving forward? That's it for 663 00:33:39,680 --> 00:33:44,360 Speaker 3: semester three. I cannot believe we have already finished the 664 00:33:44,400 --> 00:33:45,120 Speaker 3: third semester. 665 00:33:46,040 --> 00:33:48,920 Speaker 1: It went by so fast, and I just have so 666 00:33:48,960 --> 00:33:50,920 Speaker 1: many more things I want to explore with you. Guys. 667 00:33:51,040 --> 00:33:53,440 Speaker 3: We're gonna miss you so much, but make sure that 668 00:33:53,520 --> 00:33:55,960 Speaker 3: you stay in touch and let us know what you 669 00:33:56,000 --> 00:33:58,520 Speaker 3: want to hear from us in semester four, and we'll 670 00:33:58,520 --> 00:34:01,479 Speaker 3: be back as soon as we can can. Stay safe, 671 00:34:01,680 --> 00:34:04,240 Speaker 3: be positive and stay COVID negative. 672 00:34:04,520 --> 00:34:07,760 Speaker 1: Yes, and keep your distance, wear your masks and wear 673 00:34:07,880 --> 00:34:08,520 Speaker 1: your mask. 674 00:34:10,000 --> 00:34:13,200 Speaker 3: That's it for Lab thirty six and semester three. But 675 00:34:13,239 --> 00:34:15,000 Speaker 3: we have so much more for you to dig into 676 00:34:15,080 --> 00:34:17,400 Speaker 3: on our website. So head on over to Dope Labs 677 00:34:17,440 --> 00:34:18,640 Speaker 3: podcast dot com. 678 00:34:18,719 --> 00:34:20,520 Speaker 1: On our website you can find a cheat sheet for 679 00:34:20,560 --> 00:34:22,719 Speaker 1: today's lab, along with a ton of other links and 680 00:34:22,800 --> 00:34:24,560 Speaker 1: resources in the show notes. 681 00:34:24,400 --> 00:34:25,719 Speaker 3: And if you want to stay in the no with 682 00:34:25,760 --> 00:34:28,360 Speaker 3: Dope Labs, don't forget to sign up for our newsletter 683 00:34:28,360 --> 00:34:29,080 Speaker 3: on our site. 684 00:34:28,920 --> 00:34:32,280 Speaker 1: Too special thanks to our guests experts today Doctor Rupali 685 00:34:32,360 --> 00:34:33,640 Speaker 1: Lamay and Molly Sour. 686 00:34:33,760 --> 00:34:35,439 Speaker 3: Make sure you check out our show notes on Dope 687 00:34:35,520 --> 00:34:38,479 Speaker 3: labspodcast dot com to find out more about their work 688 00:34:38,560 --> 00:34:39,759 Speaker 3: and how you can follow them. 689 00:34:39,880 --> 00:34:42,560 Speaker 1: Also, we love hearing from you. What did you think 690 00:34:42,600 --> 00:34:45,480 Speaker 1: about today's lab? Do you have ideas for future labs? 691 00:34:46,040 --> 00:34:49,120 Speaker 1: Call us at two zero two five six seven seven 692 00:34:49,239 --> 00:34:51,680 Speaker 1: zero two eight and let us know. You can find 693 00:34:51,760 --> 00:34:55,040 Speaker 1: us on Twitter and Instagram at Dope Labs podcast, tt 694 00:34:55,239 --> 00:34:59,440 Speaker 1: is on Twitter at dr Underscore Tsho. 695 00:34:58,640 --> 00:35:01,160 Speaker 2: And you can find Zakia at z said So. 696 00:35:01,440 --> 00:35:04,440 Speaker 3: Follow us on Spotify or wherever else you listen to podcasts. 697 00:35:04,480 --> 00:35:07,520 Speaker 3: Dope Labs is produced by Jenny rattlet Mast and Lydia 698 00:35:07,640 --> 00:35:09,320 Speaker 3: Smith of waver Runner Studios. 699 00:35:09,600 --> 00:35:11,760 Speaker 1: Mixing and sound design are by Hannes Brown. 700 00:35:11,880 --> 00:35:15,520 Speaker 3: Our theme music is by Taka Yasuzawa and Alex Sugiura, 701 00:35:15,600 --> 00:35:16,840 Speaker 3: with additional music. 702 00:35:16,640 --> 00:35:18,240 Speaker 2: By Elijah Lex Harvey. 703 00:35:18,520 --> 00:35:21,319 Speaker 3: Dope Labs is a production of Spotify and Mega Oh 704 00:35:21,400 --> 00:35:24,759 Speaker 3: Media Group, and it's executive produced by US T T 705 00:35:24,880 --> 00:35:25,600 Speaker 3: Show Dia. 706 00:35:25,480 --> 00:35:29,759 Speaker 1: And Zakiah Wattley. Do you think that works? I think 707 00:35:29,800 --> 00:35:32,040 Speaker 1: I might have been too flustered when I was saying it. 708 00:35:32,600 --> 00:35:33,720 Speaker 1: I might need to take it again. 709 00:35:33,880 --> 00:35:35,040 Speaker 2: Yeah, try one more time. 710 00:35:35,280 --> 00:35:36,160 Speaker 1: Thank you friend, Mam. 711 00:35:36,280 --> 00:35:36,840 Speaker 4: Do you hear that? 712 00:35:37,080 --> 00:35:37,839 Speaker 1: Do you hear it? 713 00:35:38,080 --> 00:35:38,160 Speaker 5: Just? 714 00:35:38,400 --> 00:35:42,640 Speaker 1: Oh, great support I have. My eyes are watering. It's 715 00:35:42,719 --> 00:35:43,520 Speaker 1: just so patient