Each of these massive movements of the earth there are lessons. Earthquakes in haiti and chile of nearly the same magnitude have caused massive differences in deaths and damages. Much of the differences are the direct results of efforts to establish standards and mitigation of earthquake hazards. In japan the Early Warning system allowed the japanese Transit System to shut down every train so not a single derailment occurred as a hult of the han shu quake. Today were here to remember those that lost their lives in the great alaskan quake. We have to remind ourselves we capital be complacent protecting against hazards and remind ourselves the advancement of science depends on vigilence. I would like to thank our witnesses for being here today. I like to hear their thoughts and what we know about advances in earthquake science over the last 50 years. Over the last 50 years. I would now like to recognize the Ranking Member. Thank you, mr. Chairman. I would like to thank our distinguished
The importance of really targeting resources to where the virus is, to where people need treatment. Where transmission is ongoing. Given what the Global Funding climate looks like and given the fact that we are beginning to bear down on this. I have to thank you, because i was at many of the sessions and have read so much that has come out of the conference. That was the best summary of everything that happened. You got the best summary right here. Thanks jan, and Baxter Kaiser incurred for hosting us. And congratulations, chris. Youre a sent to being president for the next two years and and moving towards durban, which is very exciting. I was really struck by the emergence of opinion. Justin sitting and listening to , to Michelle Sidi bay. Degree to which is a very mature in advance consensus around what needs to happen is remarkable. This is not a community the set in deep controversy and division. I was at times a little irritated. This is really a sign of success. It, awas embedded
The media. Very inflammatory headlines. W. H. O. Says all gay men should be on prep. Nobody said that. Read the guidelines there. I think a real advance. In addition to the recommendation, theres an important recommendation for Community Distribution to reduce overdose deaths, which have actually in countries where theres good coverage of arbs, overdose death has been begun to replace hiv as the leading cause of death win people who inject opia opiates. There was good news on prep, which was the results released the Clinical Trial came out in 2011. Bob grant was the lead investigator. This is the open label extension. So this is really the question of the effectiveness of the prep when its not a placebo trial, when people know what they are taking. The good news is the effectiveness was higher than in the trial. About 50 overall. But looking at blood levels and at people who actually took the drug, it turns out, first of all, that the efficacy was 100 as measured in people who took it
We need to think about that. Im not sure theres any nearterm solutions to this, but it was another one of those dark, dark and somewhat implicit implications for this terrible tragedy. Thank you. Thanks. I actually want to pick up on one thing you said and then come to a couple of you as well around some of the turning points. I agree, that speech that president clinton made was quite extraordinary and im not sure everybody it got the attention it needed given how extraordinary it was. But the other thing i wanted to say is that the ias itself in the way the ias responded was also pretty phenomenal because there had been a few calls for should we go on with the conference and the ias came out immediately and said we are going on that, we have to go on. And that really i think just gave a lot of energy to people that people needed and the way you adjusted to the Opening Ceremony to address it was very admirable. So thank you for that. So theres a lot to pick up on, and im just going to
Government, as wellintentioned as they are, and i do believe that they are wellintentioned, i just simply do not think that they have the capacity. I think that there needs to be something to augment their capacity. I think that there needs to be some kind of coordination unit. Ive heard here today that the World Health Organization has the lead. Maybe, maybe not. I think something with a bit more of an operational edge to it is called for. That may be some kind of a i do not know what that could be, but more is needed. I think that if we leave the situation up to the ministries of health when you have a unique situation where you have three poor countries that have a communicable, infectious, and lethal disease, they clearly do not have the capacity to contain it. And is the world willing to allow the Public Health of the world to be in their hands while they try to contain the disease . That is the essential question. Finally, dr. Glover, you had worked on the outbreak of ebola, what