{"version":"1.0.0","segments":[{"startTime":0.3,"endTime":2.34,"body":"- I'm going to be"},{"startTime":0.3,"endTime":2.34,"body":"talking about long COVID."},{"startTime":2.34,"endTime":4.65,"body":"And the reason that I want"},{"startTime":2.34,"endTime":4.65,"body":"to talk about long COVID"},{"startTime":4.65,"endTime":8.28,"body":"is because we have all"},{"startTime":4.65,"endTime":8.28,"body":"spent a number of years,"},{"startTime":8.28,"endTime":9.6,"body":"well, two, three years,"},{"startTime":9.6,"endTime":12.96,"body":"and now I'm thinking about"},{"startTime":9.6,"endTime":12.96,"body":"COVID, but life's moving on."},{"startTime":12.96,"endTime":14.19,"body":"And when life's moving on,"},{"startTime":14.19,"endTime":16.56,"body":"we sometimes forget what"},{"startTime":14.19,"endTime":16.56,"body":"has actually happened."},{"startTime":16.56,"endTime":18.3,"body":"And we forget the ongoing suffering,"},{"startTime":18.3,"endTime":19.95,"body":"we forget the ongoing inequalities,"},{"startTime":19.95,"endTime":24.03,"body":"we forget the ongoing impact"},{"startTime":19.95,"endTime":24.03,"body":"that it has on people."},{"startTime":24.03,"endTime":26.52,"body":"So I just wanted to start"},{"startTime":24.03,"endTime":26.52,"body":"by asking a question first,"},{"startTime":26.52,"endTime":29.73,"body":"which is, how many people"},{"startTime":26.52,"endTime":29.73,"body":"have had long COVID"},{"startTime":29.73,"endTime":31.23,"body":"or think they have long COVID?"},{"startTime":32.1,"endTime":35.28,"body":"Okay, so I would actually argue"},{"startTime":35.28,"endTime":38.133,"body":"that each one of us is"},{"startTime":35.28,"endTime":38.133,"body":"suffering from long COVID."},{"startTime":39.33,"endTime":41.967,"body":"There is a medical"},{"startTime":39.33,"endTime":41.967,"body":"terminology of long COVID,"},{"startTime":41.967,"endTime":44.58,"body":"but actually long COVID in itself means"},{"startTime":44.58,"endTime":46.29,"body":"that we are living through COVID."},{"startTime":46.29,"endTime":49.35,"body":"And I don't think any of"},{"startTime":46.29,"endTime":49.35,"body":"us have ever been untouched"},{"startTime":49.35,"endTime":51.96,"body":"by COVID in some dimension or the other."},{"startTime":51.96,"endTime":54.48,"body":"So somebody said to me,"},{"startTime":51.96,"endTime":54.48,"body":"you can call it long COVID"},{"startTime":54.48,"endTime":56.34,"body":"or you can call it the long pandemic,"},{"startTime":56.34,"endTime":59.37,"body":"but literally everyone has"},{"startTime":56.34,"endTime":59.37,"body":"been touched in one way."},{"startTime":59.37,"endTime":61.2,"body":"And that's why I chose the title,"},{"startTime":61.2,"endTime":63.985,"body":"the short title's long"},{"startTime":61.2,"endTime":63.985,"body":"COVID, and I was like,"},{"startTime":63.985,"endTime":65.528,"body":"I think I know what people are going"},{"startTime":65.528,"endTime":66.607,"body":"to think I'm going to talk about,"},{"startTime":66.607,"endTime":68.1,"body":"but actually it's Opening Pandora's Box"},{"startTime":68.1,"endTime":70.41,"body":"the hidden legacy of COVID-19,"},{"startTime":70.41,"endTime":72.03,"body":"because that's what we've got ahead of us,"},{"startTime":72.03,"endTime":74.04,"body":"and that's the war really and the battle"},{"startTime":74.04,"endTime":75.69,"body":"that we're going to have to face."},{"startTime":76.59,"endTime":78.36,"body":"To get us into thinking about this,"},{"startTime":78.36,"endTime":79.71,"body":"because again, like I said,"},{"startTime":79.71,"endTime":81.202,"body":"you know, people have started thinking,"},{"startTime":81.202,"endTime":83.25,"body":"okay, COVID's over, is it over?"},{"startTime":83.25,"endTime":85.08,"body":"Yes, we're going to have"},{"startTime":83.25,"endTime":85.08,"body":"the next set of vaccines,"},{"startTime":85.08,"endTime":86.19,"body":"do we have them, don't we have them?"},{"startTime":86.19,"endTime":88.29,"body":"We could debate that all evening."},{"startTime":88.29,"endTime":89.34,"body":"We don't have the answers"},{"startTime":89.34,"endTime":91.32,"body":"and I'm not going to"},{"startTime":89.34,"endTime":91.32,"body":"stand up here and say,"},{"startTime":91.32,"endTime":93.39,"body":"I know what the answer is for you,"},{"startTime":93.39,"endTime":95.13,"body":"I can give you a direct answer."},{"startTime":95.13,"endTime":96.66,"body":"And I don't think anybody can actually,"},{"startTime":96.66,"endTime":99.66,"body":"because all the information"},{"startTime":96.66,"endTime":99.66,"body":"is still coming out,"},{"startTime":99.66,"endTime":100.53,"body":"we are still learning,"},{"startTime":100.53,"endTime":103.653,"body":"and we learn every day something"},{"startTime":100.53,"endTime":103.653,"body":"new about this illness."},{"startTime":105.06,"endTime":107.19,"body":"And I wanted to start with thinking,"},{"startTime":107.19,"endTime":108.57,"body":"just taking us back a little bit,"},{"startTime":108.57,"endTime":110.19,"body":"just so that we could ground ourselves"},{"startTime":110.19,"endTime":112.14,"body":"in what I'm going to talk about"},{"startTime":112.14,"endTime":114.96,"body":"and get into the sort of"},{"startTime":112.14,"endTime":114.96,"body":"mood, maybe somber mood,"},{"startTime":114.96,"endTime":116.613,"body":"but what was it like living"},{"startTime":116.613,"endTime":120.12,"body":"through the devastation"},{"startTime":116.613,"endTime":120.12,"body":"that was happening?"},{"startTime":120.12,"endTime":124.32,"body":"And I remember I was myself"},{"startTime":120.12,"endTime":124.32,"body":"in India at the time,"},{"startTime":124.32,"endTime":125.88,"body":"COVID hit, had to get on a plane,"},{"startTime":125.88,"endTime":129.96,"body":"had to come over here and get"},{"startTime":125.88,"endTime":129.96,"body":"out of India very quickly."},{"startTime":129.96,"endTime":132.93,"body":"But then you heard about all"},{"startTime":129.96,"endTime":132.93,"body":"the people dying in England"},{"startTime":132.93,"endTime":135.57,"body":"and all the people dying overseas as well."},{"startTime":135.57,"endTime":137.25,"body":"And sitting at home, you sometimes think,"},{"startTime":137.25,"endTime":139.53,"body":"well, what's going on in my brain,"},{"startTime":139.53,"endTime":140.49,"body":"what is actually happening?"},{"startTime":140.49,"endTime":143.1,"body":"So I wrote a poem, and I'm not a poet,"},{"startTime":143.1,"endTime":144.48,"body":"so if there's any poets in the audience,"},{"startTime":144.48,"endTime":147.54,"body":"please do not criticize me,"},{"startTime":144.48,"endTime":147.54,"body":"because I am not a poet at all."},{"startTime":147.54,"endTime":150.24,"body":"But it was something that"},{"startTime":147.54,"endTime":150.24,"body":"just moved me at the time"},{"startTime":150.24,"endTime":152.97,"body":"and I wanted to really talk about it."},{"startTime":152.97,"endTime":153.933,"body":"So here it is."},{"startTime":155.077,"endTime":158.1,"body":"\"I hear the voices of those that die,"},{"startTime":158.1,"endTime":159.843,"body":"the souls trapped deep inside."},{"startTime":160.83,"endTime":164.763,"body":"They live to be released to"},{"startTime":160.83,"endTime":164.763,"body":"God, not thrown and left aside."},{"startTime":165.96,"endTime":169.17,"body":"They believed and prayed"},{"startTime":165.96,"endTime":169.17,"body":"all through their lives,"},{"startTime":169.17,"endTime":170.733,"body":"so what did they do wrong?"},{"startTime":171.75,"endTime":175.743,"body":"They went to pray once more for"},{"startTime":171.75,"endTime":175.743,"body":"life and left us all to cry."},{"startTime":177.0,"endTime":179.19,"body":"Oh God, did they deserve this?"},{"startTime":179.19,"endTime":181.38,"body":"What did they do so wrong,"},{"startTime":181.38,"endTime":183.84,"body":"but to be poor or through their lives,"},{"startTime":183.84,"endTime":185.283,"body":"then left alone to die."},{"startTime":186.24,"endTime":190.86,"body":"Let's pray for all who left us"},{"startTime":186.24,"endTime":190.86,"body":"during this distressing time."},{"startTime":190.86,"endTime":193.56,"body":"Please give their souls"},{"startTime":190.86,"endTime":193.56,"body":"some peace tonight,"},{"startTime":193.56,"endTime":196.47,"body":"whilst we say our goodbyes.\""},{"startTime":196.47,"endTime":198.6,"body":"And I think that was"},{"startTime":196.47,"endTime":198.6,"body":"something that I could see"},{"startTime":198.6,"endTime":201.776,"body":"all around me of what"},{"startTime":198.6,"endTime":201.776,"body":"was going on with people"},{"startTime":201.776,"endTime":203.153,"body":"and what they were feeling at the time."},{"startTime":206.1,"endTime":208.75,"body":"You can just take a moment"},{"startTime":206.1,"endTime":208.75,"body":"to read it for yourselves."},{"startTime":212.49,"endTime":214.59,"body":"So what was happening with COVID?"},{"startTime":214.59,"endTime":216.72,"body":"Well, like I said,"},{"startTime":216.72,"endTime":219.441,"body":"you've come to talk here about long COVID,"},{"startTime":219.441,"endTime":221.19,"body":"but you can't really talk about long COVID"},{"startTime":221.19,"endTime":223.467,"body":"without spending some"},{"startTime":221.19,"endTime":223.467,"body":"time talking about COVID"},{"startTime":223.467,"endTime":226.5,"body":"and what happened and where we are today."},{"startTime":226.5,"endTime":228.42,"body":"So if we just look at this at the moment,"},{"startTime":228.42,"endTime":230.04,"body":"how did COVID spread?"},{"startTime":230.04,"endTime":231.413,"body":"Well, we know that COVID,"},{"startTime":232.463,"endTime":235.08,"body":"it was a global phenomenal,"},{"startTime":232.463,"endTime":235.08,"body":"it was a regional phenomenal,"},{"startTime":235.08,"endTime":236.55,"body":"but it was also something"},{"startTime":235.08,"endTime":236.55,"body":"that was happening"},{"startTime":236.55,"endTime":238.92,"body":"within our families and"},{"startTime":236.55,"endTime":238.92,"body":"within our communities,"},{"startTime":238.92,"endTime":241.953,"body":"and it was hitting all of"},{"startTime":238.92,"endTime":241.953,"body":"us at very different levels."},{"startTime":243.66,"endTime":246.777,"body":"And we know that as of"},{"startTime":243.66,"endTime":246.777,"body":"September 7th, 2002,"},{"startTime":248.74,"endTime":251.31,"body":"there've been a huge number,"},{"startTime":248.74,"endTime":251.31,"body":"as you can see there,"},{"startTime":251.31,"endTime":254.01,"body":"of individuals and"},{"startTime":251.31,"endTime":254.01,"body":"confirmed cases of COVID-19."},{"startTime":254.01,"endTime":255.24,"body":"And they may not be all the numbers,"},{"startTime":255.24,"endTime":258.202,"body":"because not everybody is"},{"startTime":255.24,"endTime":258.202,"body":"tested and not all the numbers"},{"startTime":258.202,"endTime":261.6,"body":"are available to us."},{"startTime":261.6,"endTime":263.61,"body":"But that's a huge number of people"},{"startTime":263.61,"endTime":265.92,"body":"who have been affected worldwide"},{"startTime":265.92,"endTime":268.11,"body":"with this devastating illness."},{"startTime":268.11,"endTime":271.98,"body":"And that's why we are going"},{"startTime":268.11,"endTime":271.98,"body":"to have an aftermath of this"},{"startTime":271.98,"endTime":273.48,"body":"and we are not known going to know"},{"startTime":273.48,"endTime":274.95,"body":"how we're going to deal with it,"},{"startTime":274.95,"endTime":279.213,"body":"and we can't hide our heads really away."},{"startTime":281.04,"endTime":283.14,"body":"So if you just look at this diagram here,"},{"startTime":283.14,"endTime":285.9,"body":"it sort of gives you a"},{"startTime":283.14,"endTime":285.9,"body":"visual picture of where"},{"startTime":285.9,"endTime":287.64,"body":"the different deaths were."},{"startTime":287.64,"endTime":289.56,"body":"And again, the challenge with this is"},{"startTime":289.56,"endTime":292.02,"body":"some countries were"},{"startTime":289.56,"endTime":292.02,"body":"able to test for COVID,"},{"startTime":292.02,"endTime":294.78,"body":"some places were not"},{"startTime":292.02,"endTime":294.78,"body":"able to test for COVID."},{"startTime":294.78,"endTime":296.73,"body":"So there's a difference in the numbers,"},{"startTime":296.73,"endTime":298.894,"body":"and we don't know the exact numbers,"},{"startTime":298.894,"endTime":300.15,"body":"and I don't think we'll"},{"startTime":298.894,"endTime":300.15,"body":"ever know the exact numbers,"},{"startTime":300.15,"endTime":303.18,"body":"but it was a very, very"},{"startTime":300.15,"endTime":303.18,"body":"large number of individuals"},{"startTime":303.18,"endTime":304.44,"body":"throughout Europe, Americas,"},{"startTime":304.44,"endTime":308.97,"body":"Western Africa, and even"},{"startTime":304.44,"endTime":308.97,"body":"Eastern Mediterranean Africa."},{"startTime":308.97,"endTime":311.28,"body":"We talk about it having"},{"startTime":308.97,"endTime":311.28,"body":"less numbers of COVID,"},{"startTime":311.28,"endTime":312.87,"body":"but did it, did it not,"},{"startTime":312.87,"endTime":315.323,"body":"you know, there's a debate"},{"startTime":312.87,"endTime":315.323,"body":"that goes on about that."},{"startTime":318.3,"endTime":321.6,"body":"But it really hit communities"},{"startTime":318.3,"endTime":321.6,"body":"in many, many different ways,"},{"startTime":321.6,"endTime":323.55,"body":"and that's what really my passion is,"},{"startTime":323.55,"endTime":326.43,"body":"is how did COVID hit communities"},{"startTime":326.43,"endTime":329.13,"body":"and what actually happened"},{"startTime":326.43,"endTime":329.13,"body":"to individual people"},{"startTime":329.13,"endTime":331.29,"body":"living within those communities?"},{"startTime":331.29,"endTime":333.3,"body":"So you will all live within a community,"},{"startTime":333.3,"endTime":335.07,"body":"some of you will have"},{"startTime":333.3,"endTime":335.07,"body":"lived with your families,"},{"startTime":335.07,"endTime":338.34,"body":"some of you will have actually moved away"},{"startTime":338.34,"endTime":341.76,"body":"and had to live alone and had"},{"startTime":338.34,"endTime":341.76,"body":"to segregate yourselves off"},{"startTime":341.76,"endTime":345.48,"body":"from loved ones to really"},{"startTime":341.76,"endTime":345.48,"body":"protect yourselves."},{"startTime":345.48,"endTime":347.82,"body":"But take yourself back,"},{"startTime":345.48,"endTime":347.82,"body":"how did that make you feel"},{"startTime":347.82,"endTime":349.83,"body":"and how does it make you feel today?"},{"startTime":349.83,"endTime":350.85,"body":"What did you lose?"},{"startTime":350.85,"endTime":353.16,"body":"We talk a lot about loss."},{"startTime":353.16,"endTime":355.08,"body":"What happened with you for loss?"},{"startTime":355.08,"endTime":357.0,"body":"Did anybody feel they lost anything?"},{"startTime":357.0,"endTime":359.28,"body":"Did anybody feel that"},{"startTime":357.0,"endTime":359.28,"body":"they gained anything?"},{"startTime":359.28,"endTime":360.69,"body":"But loss was a huge thing,"},{"startTime":360.69,"endTime":363.18,"body":"was it bereavement of losing individuals?"},{"startTime":363.18,"endTime":365.55,"body":"Was it lost through losing,"},{"startTime":365.55,"endTime":366.81,"body":"you know, your job?"},{"startTime":366.81,"endTime":368.55,"body":"We don't really talk about loss very much"},{"startTime":368.55,"endTime":370.59,"body":"and we don't really talk"},{"startTime":368.55,"endTime":370.59,"body":"about bereavement very much,"},{"startTime":370.59,"endTime":374.43,"body":"it's something that we're"},{"startTime":370.59,"endTime":374.43,"body":"strong about and we move on."},{"startTime":374.43,"endTime":377.64,"body":"So 90% of countries"},{"startTime":374.43,"endTime":377.64,"body":"are still reporting one"},{"startTime":377.64,"endTime":380.61,"body":"or more disruptions to health services."},{"startTime":380.61,"endTime":383.007,"body":"And this means that individuals"},{"startTime":383.007,"endTime":383.84,"body":"are not getting the services we need."},{"startTime":383.84,"endTime":384.993,"body":"I'm a pediatrician,"},{"startTime":385.997,"endTime":389.01,"body":"and I know that children"},{"startTime":385.997,"endTime":389.01,"body":"today can still not get"},{"startTime":389.01,"endTime":390.24,"body":"the services they need."},{"startTime":390.24,"endTime":393.18,"body":"There's still a backlog"},{"startTime":390.24,"endTime":393.18,"body":"of services for children"},{"startTime":393.18,"endTime":394.17,"body":"with down syndrome,"},{"startTime":394.17,"endTime":395.94,"body":"services for speech and language therapy,"},{"startTime":395.94,"endTime":397.92,"body":"services for physiotherapy."},{"startTime":397.92,"endTime":401.22,"body":"So most of the world cannot"},{"startTime":397.92,"endTime":401.22,"body":"be seen by the people"},{"startTime":401.22,"endTime":402.45,"body":"they should be seen by,"},{"startTime":402.45,"endTime":404.22,"body":"which means that you're going to have"},{"startTime":404.22,"endTime":406.2,"body":"a knock on effect on all our health."},{"startTime":406.2,"endTime":407.58,"body":"So you have the COVID,"},{"startTime":407.58,"endTime":409.8,"body":"and then the double whammy of COVID,"},{"startTime":409.8,"endTime":411.12,"body":"plus the other illnesses,"},{"startTime":411.12,"endTime":414.39,"body":"which is going to affect"},{"startTime":411.12,"endTime":414.39,"body":"all our lives going forward."},{"startTime":414.39,"endTime":415.38,"body":"And in the Philippines,"},{"startTime":415.38,"endTime":418.17,"body":"we know that about 76% of all small"},{"startTime":418.17,"endTime":421.32,"body":"and medium sized businesses"},{"startTime":418.17,"endTime":421.32,"body":"were forced to close."},{"startTime":421.32,"endTime":425.43,"body":"And we now have the second"},{"startTime":421.32,"endTime":425.43,"body":"problem of the crisis"},{"startTime":425.43,"endTime":426.87,"body":"that we're in at the moment."},{"startTime":426.87,"endTime":428.673,"body":"And if we're in a crisis of illness,"},{"startTime":430.357,"endTime":432.24,"body":"and an economic crisis,"},{"startTime":430.357,"endTime":432.24,"body":"and poverty crisis,"},{"startTime":432.24,"endTime":435.453,"body":"we have all of that to"},{"startTime":432.24,"endTime":435.453,"body":"contend with at the same time."},{"startTime":436.68,"endTime":439.89,"body":"The UK did try and have a"},{"startTime":436.68,"endTime":439.89,"body":"retention screen, as we know,"},{"startTime":439.89,"endTime":442.02,"body":"and employers were paid"},{"startTime":442.02,"endTime":443.58,"body":"and there was some money going into that."},{"startTime":443.58,"endTime":446.04,"body":"But how long can that pot of money retain"},{"startTime":446.04,"endTime":448.53,"body":"and how long will people"},{"startTime":446.04,"endTime":448.53,"body":"be remaining in their jobs"},{"startTime":448.53,"endTime":449.79,"body":"before they lose them?"},{"startTime":449.79,"endTime":451.44,"body":"So things were put in place,"},{"startTime":451.44,"endTime":453.39,"body":"but things are now being taken away,"},{"startTime":453.39,"endTime":455.34,"body":"and that has an impact"},{"startTime":453.39,"endTime":455.34,"body":"on our mental health"},{"startTime":455.34,"endTime":457.023,"body":"and our physical health as well."},{"startTime":458.31,"endTime":460.92,"body":"And I'll come to talk a little"},{"startTime":458.31,"endTime":460.92,"body":"bit about mental health,"},{"startTime":460.92,"endTime":463.32,"body":"because mental health is a"},{"startTime":460.92,"endTime":463.32,"body":"big, big factor for us all,"},{"startTime":463.32,"endTime":465.84,"body":"which again, we are not"},{"startTime":463.32,"endTime":465.84,"body":"really talking a lot about."},{"startTime":465.84,"endTime":468.63,"body":"But just some studies in"},{"startTime":465.84,"endTime":468.63,"body":"Africa actually showed us"},{"startTime":468.63,"endTime":471.33,"body":"that girls particularly found it very,"},{"startTime":471.33,"endTime":473.16,"body":"very hard during COVID,"},{"startTime":473.16,"endTime":475.23,"body":"and subsequently to get"},{"startTime":473.16,"endTime":475.23,"body":"the emotional support"},{"startTime":475.23,"endTime":476.13,"body":"that they needed."},{"startTime":476.13,"endTime":477.69,"body":"They felt very left alone,"},{"startTime":477.69,"endTime":481.38,"body":"very just set aside, were becoming carers,"},{"startTime":481.38,"endTime":482.88,"body":"taking over caring roles more than,"},{"startTime":482.88,"endTime":485.25,"body":"probably the males in their families,"},{"startTime":485.25,"endTime":488.46,"body":"and really felt they weren't"},{"startTime":485.25,"endTime":488.46,"body":"able to be educated either."},{"startTime":488.46,"endTime":490.53,"body":"And this is not just in Africa or Asia,"},{"startTime":490.53,"endTime":492.572,"body":"but actually here in the UK,"},{"startTime":492.572,"endTime":494.61,"body":"we've got some data on that as well."},{"startTime":494.61,"endTime":497.55,"body":"So we are trying to do something about it."},{"startTime":497.55,"endTime":499.71,"body":"We have set up long COVID clinic,"},{"startTime":499.71,"endTime":502.44,"body":"there are long COVID clinics in the UK,"},{"startTime":502.44,"endTime":504.21,"body":"but this isn't reaching everybody."},{"startTime":504.21,"endTime":505.86,"body":"And of course the long COVID clinics,"},{"startTime":505.86,"endTime":508.56,"body":"our challenge will be for"},{"startTime":505.86,"endTime":508.56,"body":"people who've been diagnosed"},{"startTime":508.56,"endTime":510.81,"body":"with long COVID and who"},{"startTime":508.56,"endTime":510.81,"body":"have medical reasons."},{"startTime":512.171,"endTime":513.06,"body":"But what about all of you out here"},{"startTime":513.06,"endTime":515.01,"body":"who didn't put your hand on up"},{"startTime":515.01,"endTime":517.411,"body":"and who didn't think you had long COVID,"},{"startTime":517.411,"endTime":520.411,"body":"but actually you probably have"},{"startTime":517.411,"endTime":520.411,"body":"suffered in some sort of way?"},{"startTime":525.33,"endTime":527.097,"body":"So this is where we talk about long COVID"},{"startTime":527.097,"endTime":528.6,"body":"and the inequalities."},{"startTime":528.6,"endTime":531.09,"body":"And as I say, inequalities are something"},{"startTime":531.09,"endTime":533.37,"body":"that I've been looking"},{"startTime":531.09,"endTime":533.37,"body":"at for a very long time,"},{"startTime":533.37,"endTime":535.26,"body":"different lenses, different places,"},{"startTime":535.26,"endTime":536.85,"body":"different parts of the world."},{"startTime":536.85,"endTime":538.83,"body":"What do we mean by inequalities?"},{"startTime":538.83,"endTime":540.81,"body":"We can't all be equal"},{"startTime":538.83,"endTime":540.81,"body":"in the world, we can't,"},{"startTime":540.81,"endTime":542.85,"body":"we never will ever be equal, you know,"},{"startTime":542.85,"endTime":543.81,"body":"we'll be always challenged on that,"},{"startTime":543.81,"endTime":546.66,"body":"there will always be"},{"startTime":543.81,"endTime":546.66,"body":"inequalities in this world."},{"startTime":546.66,"endTime":548.82,"body":"But COVID really did split us apart."},{"startTime":548.82,"endTime":550.92,"body":"It really did mean that"},{"startTime":548.82,"endTime":550.92,"body":"there were some people"},{"startTime":550.92,"endTime":553.38,"body":"who were suffering much"},{"startTime":550.92,"endTime":553.38,"body":"more than other people."},{"startTime":553.38,"endTime":555.03,"body":"For some of us, we had a nice garden,"},{"startTime":555.03,"endTime":555.87,"body":"we were able to go out,"},{"startTime":555.87,"endTime":557.7,"body":"we were able to keep physically healthy."},{"startTime":557.7,"endTime":560.31,"body":"For other people, you"},{"startTime":557.7,"endTime":560.31,"body":"were in tiny little homes,"},{"startTime":560.31,"endTime":561.75,"body":"you were not able to move around."},{"startTime":561.75,"endTime":563.85,"body":"And that physical impact on you,"},{"startTime":563.85,"endTime":565.83,"body":"that health impact on you, again,"},{"startTime":565.83,"endTime":567.36,"body":"will not be undone because we have"},{"startTime":567.36,"endTime":570.003,"body":"the cost of living crisis as we know."},{"startTime":570.997,"endTime":572.79,"body":"But there's certain groups"},{"startTime":570.997,"endTime":572.79,"body":"that we can consider,"},{"startTime":572.79,"endTime":574.74,"body":"and when we're talking about inequalities,"},{"startTime":574.74,"endTime":576.36,"body":"we need to think about"},{"startTime":574.74,"endTime":576.36,"body":"which different groups"},{"startTime":576.36,"endTime":577.71,"body":"are we talking about."},{"startTime":577.71,"endTime":579.78,"body":"But there's a lot, I mean,"},{"startTime":579.78,"endTime":580.8,"body":"it's not just one group,"},{"startTime":580.8,"endTime":582.39,"body":"there's a lot of groups here"},{"startTime":582.39,"endTime":584.58,"body":"who are in this inequalities discussion."},{"startTime":584.58,"endTime":586.02,"body":"We have the elderly."},{"startTime":586.02,"endTime":588.33,"body":"The elderly who really were isolated"},{"startTime":588.33,"endTime":589.92,"body":"very much from their families"},{"startTime":589.92,"endTime":593.22,"body":"and very much not engaging in activities,"},{"startTime":593.22,"endTime":596.16,"body":"and the fear of, what's"},{"startTime":593.22,"endTime":596.16,"body":"going to happen to me?"},{"startTime":596.16,"endTime":597.57,"body":"We have frontline health workers,"},{"startTime":597.57,"endTime":599.94,"body":"we have frontline workers generally,"},{"startTime":599.94,"endTime":602.72,"body":"many of you may work in"},{"startTime":599.94,"endTime":602.72,"body":"areas where you were actually"},{"startTime":602.72,"endTime":605.19,"body":"at the frontline having to face the public"},{"startTime":605.19,"endTime":606.507,"body":"and risking your lives."},{"startTime":606.507,"endTime":611.19,"body":"And many people still continue"},{"startTime":606.507,"endTime":611.19,"body":"to get ill, be off work,"},{"startTime":611.19,"endTime":613.08,"body":"continue to risk themselves,"},{"startTime":613.08,"endTime":615.15,"body":"and that's having knock on"},{"startTime":613.08,"endTime":615.15,"body":"effect on their families"},{"startTime":615.15,"endTime":617.07,"body":"and their income as well."},{"startTime":617.07,"endTime":619.533,"body":"And we'll come to the"},{"startTime":617.07,"endTime":619.533,"body":"ethnic differences as well,"},{"startTime":619.533,"endTime":621.39,"body":"there's a lot of data about"},{"startTime":619.533,"endTime":621.39,"body":"the ethnic differences"},{"startTime":621.39,"endTime":623.37,"body":"that long COVID has had an impact on,"},{"startTime":623.37,"endTime":625.74,"body":"and we'll discuss that in a little bit."},{"startTime":625.74,"endTime":628.56,"body":"But also poor housing and hygiene."},{"startTime":628.56,"endTime":633.03,"body":"If you can't wash your hands,"},{"startTime":628.56,"endTime":633.03,"body":"if you can't go to the toilet,"},{"startTime":633.03,"endTime":635.64,"body":"if you can't actually keep"},{"startTime":633.03,"endTime":635.64,"body":"your environment clean"},{"startTime":635.64,"endTime":637.59,"body":"and suitable for you,"},{"startTime":637.59,"endTime":639.84,"body":"you can't actually"},{"startTime":637.59,"endTime":639.84,"body":"tackle the virus itself."},{"startTime":639.84,"endTime":641.61,"body":"And we think that's only abroad,"},{"startTime":641.61,"endTime":643.077,"body":"we think it's only in other countries,"},{"startTime":643.077,"endTime":646.59,"body":"but actually here in the UK,"},{"startTime":643.077,"endTime":646.59,"body":"we know there's numerous,"},{"startTime":646.59,"endTime":648.57,"body":"numerous families living in poverty"},{"startTime":648.57,"endTime":650.37,"body":"who are sharing bathrooms,"},{"startTime":650.37,"endTime":652.2,"body":"who were locked down during COVID,"},{"startTime":652.2,"endTime":656.01,"body":"who were waiting in queues to use toilets,"},{"startTime":656.01,"endTime":659.523,"body":"and we're not able to actually"},{"startTime":656.01,"endTime":659.523,"body":"access different services."},{"startTime":662.76,"endTime":665.25,"body":"So what's our data telling us?"},{"startTime":665.25,"endTime":667.95,"body":"Well, this is just some"},{"startTime":665.25,"endTime":667.95,"body":"data that we collected"},{"startTime":667.95,"endTime":669.54,"body":"and well, colleagues collected,"},{"startTime":669.54,"endTime":672.78,"body":"not myself, and we've been"},{"startTime":669.54,"endTime":672.78,"body":"utilizing in a project"},{"startTime":672.78,"endTime":674.28,"body":"called Co-POWeR."},{"startTime":674.28,"endTime":676.817,"body":"And you can look at just"},{"startTime":674.28,"endTime":676.817,"body":"the differences there"},{"startTime":676.817,"endTime":677.97,"body":"of the different ethnic groups"},{"startTime":677.97,"endTime":681.75,"body":"and who was really"},{"startTime":677.97,"endTime":681.75,"body":"affected by COVID the most."},{"startTime":681.75,"endTime":685.53,"body":"And within that, you'll see"},{"startTime":681.75,"endTime":685.53,"body":"that there are stark differences"},{"startTime":685.53,"endTime":687.09,"body":"in the fact that the Black African"},{"startTime":687.09,"endTime":688.41,"body":"and the Bangladeshi communities,"},{"startTime":688.41,"endTime":689.97,"body":"much more than anybody else,"},{"startTime":689.97,"endTime":693.3,"body":"were really affected by COVID at the time."},{"startTime":693.3,"endTime":696.66,"body":"And this ethnic disparity continues today."},{"startTime":696.66,"endTime":700.05,"body":"And it continues because of all the other,"},{"startTime":700.05,"endTime":700.883,"body":"we talk about overcrowding,"},{"startTime":700.883,"endTime":702.45,"body":"we talk about the jobs"},{"startTime":700.883,"endTime":702.45,"body":"people we're having,"},{"startTime":702.45,"endTime":704.85,"body":"we talk about how they"},{"startTime":702.45,"endTime":704.85,"body":"were accessing healthcare,"},{"startTime":704.85,"endTime":709.38,"body":"and so people actually A,"},{"startTime":704.85,"endTime":709.38,"body":"were getting the virus,"},{"startTime":709.38,"endTime":711.72,"body":"B, ethnically were at"},{"startTime":709.38,"endTime":711.72,"body":"more risk of the virus,"},{"startTime":711.72,"endTime":714.6,"body":"and C, were actually had the"},{"startTime":711.72,"endTime":714.6,"body":"knock on effects of the virus,"},{"startTime":714.6,"endTime":718.98,"body":"and many were losing different"},{"startTime":714.6,"endTime":718.98,"body":"ages of family members,"},{"startTime":718.98,"endTime":721.71,"body":"from young children to"},{"startTime":718.98,"endTime":721.71,"body":"really the elderly as well,"},{"startTime":721.71,"endTime":723.84,"body":"and generations were being lost."},{"startTime":723.84,"endTime":725.88,"body":"But again, it's something that"},{"startTime":723.84,"endTime":725.88,"body":"we sort of don't talk about,"},{"startTime":725.88,"endTime":728.31,"body":"something we don't discuss,"},{"startTime":728.31,"endTime":729.93,"body":"how are people coping with the loss"},{"startTime":729.93,"endTime":732.33,"body":"and the death of different"},{"startTime":729.93,"endTime":732.33,"body":"people in the family?"},{"startTime":734.55,"endTime":736.65,"body":"So this was a study which"},{"startTime":734.55,"endTime":736.65,"body":"was actually talking"},{"startTime":736.65,"endTime":739.059,"body":"about vaccine uptake, and"},{"startTime":736.65,"endTime":739.059,"body":"I'm sure a lot of the people"},{"startTime":739.059,"endTime":740.7,"body":"will be interested in vaccines,"},{"startTime":740.7,"endTime":742.29,"body":"because that's always a hot topic,"},{"startTime":742.29,"endTime":744.75,"body":"should we have vaccines,"},{"startTime":742.29,"endTime":744.75,"body":"shouldn't we have vaccines?"},{"startTime":744.75,"endTime":747.69,"body":"Who should have vaccines,"},{"startTime":744.75,"endTime":747.69,"body":"who shouldn't have vaccines?"},{"startTime":747.69,"endTime":749.31,"body":"And when we talk about inequalities,"},{"startTime":749.31,"endTime":750.88,"body":"there is quite a big inequality"},{"startTime":751.725,"endTime":753.57,"body":"in the fact that people"},{"startTime":751.725,"endTime":753.57,"body":"who are most at risk"},{"startTime":753.57,"endTime":757.205,"body":"were there people who were"},{"startTime":753.57,"endTime":757.205,"body":"not getting vaccines the most."},{"startTime":757.205,"endTime":758.97,"body":"And there's a whole debate"},{"startTime":757.205,"endTime":758.97,"body":"about the reason for that,"},{"startTime":758.97,"endTime":762.39,"body":"was it because people"},{"startTime":758.97,"endTime":762.39,"body":"couldn't access the vaccines?"},{"startTime":762.39,"endTime":765.93,"body":"Was it because there was a"},{"startTime":762.39,"endTime":765.93,"body":"mistrust of the vaccines?"},{"startTime":765.93,"endTime":769.86,"body":"And was it because they just, you know,"},{"startTime":769.86,"endTime":771.75,"body":"the way the families were set up"},{"startTime":771.75,"endTime":774.15,"body":"didn't allow you to access the vaccines."},{"startTime":774.15,"endTime":775.17,"body":"So if you think of it,"},{"startTime":775.17,"endTime":776.85,"body":"if you are in an extended family"},{"startTime":776.85,"endTime":778.41,"body":"and they're multiple people,"},{"startTime":778.41,"endTime":781.14,"body":"and you've been told only one"},{"startTime":778.41,"endTime":781.14,"body":"person can go for that vaccine"},{"startTime":781.14,"endTime":784.56,"body":"at a time, how do you"},{"startTime":781.14,"endTime":784.56,"body":"actually leave your family"},{"startTime":784.56,"endTime":786.69,"body":"to go and get that vaccine"},{"startTime":784.56,"endTime":786.69,"body":"when everybody else is at home?"},{"startTime":786.69,"endTime":788.61,"body":"So the vaccines were not done as families,"},{"startTime":788.61,"endTime":790.5,"body":"they were done as individual people,"},{"startTime":790.5,"endTime":792.51,"body":"and that restricted people."},{"startTime":792.51,"endTime":795.63,"body":"Also you'll see from the"},{"startTime":792.51,"endTime":795.63,"body":"different ethnic diversities,"},{"startTime":795.63,"endTime":797.49,"body":"many of those people"},{"startTime":795.63,"endTime":797.49,"body":"were people who may be"},{"startTime":797.49,"endTime":801.3,"body":"in frontline jobs where they're"},{"startTime":797.49,"endTime":801.3,"body":"either in the hospitals,"},{"startTime":801.3,"endTime":802.89,"body":"or porters, or taxi drivers,"},{"startTime":802.89,"endTime":805.62,"body":"or whatever it is, and they"},{"startTime":802.89,"endTime":805.62,"body":"were not able to give up"},{"startTime":805.62,"endTime":808.05,"body":"their jobs and the time to go"},{"startTime":805.62,"endTime":808.05,"body":"and get their vaccines at all."},{"startTime":808.05,"endTime":810.15,"body":"So again, there's a disparity."},{"startTime":810.15,"endTime":811.35,"body":"But the message that was given out"},{"startTime":811.35,"endTime":814.293,"body":"was people didn't want them,"},{"startTime":811.35,"endTime":814.293,"body":"which was not quite true."},{"startTime":815.82,"endTime":818.596,"body":"Also, there were more hospital deaths"},{"startTime":818.596,"endTime":821.76,"body":"for Black and Caribbean families."},{"startTime":821.76,"endTime":824.16,"body":"And what people are now"},{"startTime":821.76,"endTime":824.16,"body":"understanding is that there"},{"startTime":824.16,"endTime":827.61,"body":"is a definite difference in"},{"startTime":824.16,"endTime":827.61,"body":"the way the virus would attack"},{"startTime":827.61,"endTime":831.3,"body":"different ethnic backgrounds"},{"startTime":827.61,"endTime":831.3,"body":"and how that would affect them,"},{"startTime":831.3,"endTime":833.403,"body":"and even today with long COVID."},{"startTime":835.543,"endTime":836.7,"body":"And we talk about housing."},{"startTime":836.7,"endTime":839.13,"body":"So I dunno, many of us would,"},{"startTime":839.13,"endTime":842.22,"body":"like I said, we have the luxury"},{"startTime":839.13,"endTime":842.22,"body":"of being in very nice homes,"},{"startTime":842.22,"endTime":846.09,"body":"but most people in the world"},{"startTime":842.22,"endTime":846.09,"body":"actually lack basic sanitation."},{"startTime":846.09,"endTime":848.58,"body":"They don't have water, they"},{"startTime":846.09,"endTime":848.58,"body":"were not able to clean,"},{"startTime":848.58,"endTime":850.35,"body":"they were not able to isolate."},{"startTime":850.35,"endTime":854.16,"body":"So you can see in 60 countries"},{"startTime":850.35,"endTime":854.16,"body":"identified by UNICEF,"},{"startTime":854.16,"endTime":856.71,"body":"they had the highest risk of"},{"startTime":854.16,"endTime":856.71,"body":"health and nutrition crisis"},{"startTime":856.71,"endTime":859.26,"body":"due to COVID-19,"},{"startTime":859.26,"endTime":863.07,"body":"and two out of three people,"},{"startTime":859.26,"endTime":863.07,"body":"that's one billion in total,"},{"startTime":863.07,"endTime":865.41,"body":"still lack basic hand"},{"startTime":863.07,"endTime":865.41,"body":"washing facilities with soap"},{"startTime":865.41,"endTime":866.52,"body":"and water at home."},{"startTime":866.52,"endTime":870.54,"body":"So all of these recommendations"},{"startTime":866.52,"endTime":870.54,"body":"that we've given out,"},{"startTime":870.54,"endTime":871.62,"body":"you should do X, Y, Z,"},{"startTime":871.62,"endTime":874.44,"body":"even in this country,"},{"startTime":871.62,"endTime":874.44,"body":"actually nearly impossible"},{"startTime":874.44,"endTime":875.883,"body":"for many of these families."},{"startTime":877.44,"endTime":879.84,"body":"People living in poor housing conditions"},{"startTime":879.84,"endTime":884.01,"body":"and people who are in poor"},{"startTime":879.84,"endTime":884.01,"body":"housing conditions, about 50%,"},{"startTime":884.01,"endTime":886.26,"body":"they have a high risk of COVID incidents,"},{"startTime":886.26,"endTime":888.6,"body":"and 42% high risk of COVID death."},{"startTime":888.6,"endTime":892.92,"body":"So we've got huge numbers"},{"startTime":888.6,"endTime":892.92,"body":"of people who actually died,"},{"startTime":892.92,"endTime":894.54,"body":"were ill, were in hospital,"},{"startTime":894.54,"endTime":895.83,"body":"or lost their jobs,"},{"startTime":895.83,"endTime":898.32,"body":"or actually were left"},{"startTime":895.83,"endTime":898.32,"body":"behind with their education,"},{"startTime":898.32,"endTime":900.78,"body":"who we don't know how"},{"startTime":898.32,"endTime":900.78,"body":"people will now catch up"},{"startTime":900.78,"endTime":902.78,"body":"and how we're going to deal with it all."},{"startTime":904.02,"endTime":907.11,"body":"The frontline workers, even today we know"},{"startTime":907.11,"endTime":908.58,"body":"that some of the nurses and the doctors"},{"startTime":908.58,"endTime":910.77,"body":"and the hospitals are still off sick."},{"startTime":910.77,"endTime":913.95,"body":"We have turnover over"},{"startTime":910.77,"endTime":913.95,"body":"turnover of frontline staff"},{"startTime":913.95,"endTime":917.16,"body":"who actually are getting"},{"startTime":913.95,"endTime":917.16,"body":"sick with COVID today,"},{"startTime":917.16,"endTime":920.46,"body":"still picking up COVID,"},{"startTime":917.16,"endTime":920.46,"body":"despite vaccination,"},{"startTime":920.46,"endTime":922.32,"body":"but also then they have to stay off work"},{"startTime":922.32,"endTime":924.21,"body":"and getting long COVID as well."},{"startTime":924.21,"endTime":925.14,"body":"And with the long COVID,"},{"startTime":925.14,"endTime":927.66,"body":"you get all the symptoms"},{"startTime":925.14,"endTime":927.66,"body":"we'll talk about in a minute."},{"startTime":927.66,"endTime":930.48,"body":"But they were not just"},{"startTime":927.66,"endTime":930.48,"body":"frontline health workers,"},{"startTime":930.48,"endTime":931.41,"body":"as I've mentioned, there were many,"},{"startTime":931.41,"endTime":933.18,"body":"many other people."},{"startTime":933.18,"endTime":935.37,"body":"And there was a study"},{"startTime":933.18,"endTime":935.37,"body":"in the Pacific region,"},{"startTime":935.37,"endTime":938.52,"body":"which showed that people were"},{"startTime":935.37,"endTime":938.52,"body":"getting physical exhaustion"},{"startTime":938.52,"endTime":940.35,"body":"as well as mental health challenges."},{"startTime":940.35,"endTime":942.42,"body":"So we have a huge workforce"},{"startTime":942.42,"endTime":944.22,"body":"who are actually out"},{"startTime":942.42,"endTime":944.22,"body":"there on the frontline"},{"startTime":944.22,"endTime":945.96,"body":"who are absolutely shattered from the work"},{"startTime":945.96,"endTime":946.83,"body":"that they were doing,"},{"startTime":946.83,"endTime":949.89,"body":"and have never been given that"},{"startTime":946.83,"endTime":949.89,"body":"time to really just regroup,"},{"startTime":949.89,"endTime":950.88,"body":"get healthy again,"},{"startTime":950.88,"endTime":952.83,"body":"before they're back in"},{"startTime":950.88,"endTime":952.83,"body":"the workforce again."},{"startTime":952.83,"endTime":956.67,"body":"And this constant feeling of"},{"startTime":952.83,"endTime":956.67,"body":"exhaustion and being like,"},{"startTime":956.67,"endTime":960.7,"body":"just trying to get out"},{"startTime":956.67,"endTime":960.7,"body":"of being buried under"},{"startTime":961.957,"endTime":964.886,"body":"all of this feeling of lack"},{"startTime":961.957,"endTime":964.886,"body":"of hope of what's going"},{"startTime":964.886,"endTime":966.648,"body":"to happen, means we're losing staff,"},{"startTime":966.648,"endTime":967.481,"body":"we're losing doctors, we're losing nurses,"},{"startTime":967.481,"endTime":968.973,"body":"we're losing frontline people."},{"startTime":972.6,"endTime":973.92,"body":"So what are the health risks?"},{"startTime":973.92,"endTime":975.93,"body":"What are some of the health risks?"},{"startTime":975.93,"endTime":979.48,"body":"Well, we know that COVID"},{"startTime":975.93,"endTime":979.48,"body":"hits certain people"},{"startTime":980.353,"endTime":981.57,"body":"more than it hit other people."},{"startTime":981.57,"endTime":984.63,"body":"So it was seen that"},{"startTime":981.57,"endTime":984.63,"body":"the older that you are,"},{"startTime":984.63,"endTime":986.907,"body":"the higher risk you were of getting COVID,"},{"startTime":986.907,"endTime":989.13,"body":"and that has continued since."},{"startTime":989.13,"endTime":992.789,"body":"The more deprived you are,"},{"startTime":989.13,"endTime":992.789,"body":"the more you had risks,"},{"startTime":992.789,"endTime":994.74,"body":"such as the comorbidities,"},{"startTime":992.789,"endTime":994.74,"body":"such as diabetes,"},{"startTime":994.74,"endTime":997.41,"body":"asthma, other medical conditions as well,"},{"startTime":997.41,"endTime":999.42,"body":"you are more likely to A, get COVID,"},{"startTime":999.42,"endTime":1001.913,"body":"but also more likely"},{"startTime":999.42,"endTime":1001.913,"body":"to die from it as well."},{"startTime":1002.96,"endTime":1004.07,"body":"It's not surprising, is it,"},{"startTime":1004.07,"endTime":1005.72,"body":"that if you were a smokers,"},{"startTime":1005.72,"endTime":1007.13,"body":"it's something that affected your lungs,"},{"startTime":1007.13,"endTime":1008.45,"body":"it's something affected your breathing,"},{"startTime":1008.45,"endTime":1010.19,"body":"so if you were a smoker, again,"},{"startTime":1010.19,"endTime":1014.57,"body":"you were more likely"},{"startTime":1010.19,"endTime":1014.57,"body":"to have worse outcomes"},{"startTime":1014.57,"endTime":1016.82,"body":"if you were going to get COVID"},{"startTime":1016.82,"endTime":1019.16,"body":"and if you're obese as well, overweight."},{"startTime":1019.16,"endTime":1021.02,"body":"So all of these things stack up."},{"startTime":1021.02,"endTime":1024.71,"body":"And if you had any other"},{"startTime":1021.02,"endTime":1024.71,"body":"health conditions as well,"},{"startTime":1024.71,"endTime":1026.84,"body":"such as heart disease, diabetes,"},{"startTime":1026.84,"endTime":1028.13,"body":"many other things at the bottom,"},{"startTime":1028.13,"endTime":1030.92,"body":"you can see, you are also"},{"startTime":1028.13,"endTime":1030.92,"body":"more likely to suffer"},{"startTime":1030.92,"endTime":1032.06,"body":"if you have it."},{"startTime":1032.06,"endTime":1034.553,"body":"And that goes on with"},{"startTime":1032.06,"endTime":1034.553,"body":"the long COVID as well."},{"startTime":1035.9,"endTime":1038.9,"body":"So I just wanted to set the"},{"startTime":1035.9,"endTime":1038.9,"body":"scene there a little bit"},{"startTime":1038.9,"endTime":1042.32,"body":"just to remind us, like"},{"startTime":1038.9,"endTime":1042.32,"body":"where have we come from,"},{"startTime":1042.32,"endTime":1044.66,"body":"what has been happening?"},{"startTime":1044.66,"endTime":1046.55,"body":"So that really we can think about,"},{"startTime":1046.55,"endTime":1048.2,"body":"if you've had the illness already,"},{"startTime":1048.2,"endTime":1050.06,"body":"if you've been acutely in hospital,"},{"startTime":1050.06,"endTime":1052.4,"body":"if you've had treatment,"},{"startTime":1050.06,"endTime":1052.4,"body":"what does that mean,"},{"startTime":1052.4,"endTime":1053.84,"body":"depending on what your age is"},{"startTime":1053.84,"endTime":1056.06,"body":"and where you are going from here?"},{"startTime":1056.06,"endTime":1058.43,"body":"So we'll talk a little"},{"startTime":1056.06,"endTime":1058.43,"body":"bit about pregnant women,"},{"startTime":1058.43,"endTime":1061.16,"body":"children under five, children"},{"startTime":1058.43,"endTime":1061.16,"body":"who are now the adolescents"},{"startTime":1061.16,"endTime":1063.32,"body":"and really the future adults of tomorrow,"},{"startTime":1063.32,"endTime":1064.97,"body":"the adults, and then the elderly."},{"startTime":1067.01,"endTime":1068.09,"body":"So pregnant women,"},{"startTime":1068.09,"endTime":1072.05,"body":"a terrifying time during"},{"startTime":1068.09,"endTime":1072.05,"body":"COVID when you were pregnant."},{"startTime":1072.05,"endTime":1073.82,"body":"And why is this relevant to long COVID?"},{"startTime":1073.82,"endTime":1075.3,"body":"You're thinking, well,"},{"startTime":1075.3,"endTime":1076.49,"body":"she keeps talking about"},{"startTime":1075.3,"endTime":1076.49,"body":"COVID and the acute COVID,"},{"startTime":1076.49,"endTime":1077.783,"body":"but why is that relevant?"},{"startTime":1078.62,"endTime":1082.67,"body":"Well, if you were having your"},{"startTime":1078.62,"endTime":1082.67,"body":"baby during the time of COVID"},{"startTime":1082.67,"endTime":1085.82,"body":"and you were in hospital where"},{"startTime":1082.67,"endTime":1085.82,"body":"you could not see anybody,"},{"startTime":1085.82,"endTime":1087.56,"body":"you could not have your family around,"},{"startTime":1087.56,"endTime":1089.12,"body":"you could not have anybody there,"},{"startTime":1089.12,"endTime":1092.33,"body":"it really traumatized very many women."},{"startTime":1092.33,"endTime":1095.15,"body":"And we haven't really"},{"startTime":1092.33,"endTime":1095.15,"body":"interviewed the women very much,"},{"startTime":1095.15,"endTime":1096.2,"body":"there are some studies,"},{"startTime":1096.2,"endTime":1097.49,"body":"but we haven't really talked to women,"},{"startTime":1097.49,"endTime":1100.202,"body":"how does this actually impact on how you"},{"startTime":1100.202,"endTime":1101.84,"body":"are going to have your next baby?"},{"startTime":1101.84,"endTime":1105.47,"body":"Will it impact on the women's fear"},{"startTime":1105.47,"endTime":1106.43,"body":"next time they have a baby?"},{"startTime":1106.43,"endTime":1108.05,"body":"Will they want to have another baby?"},{"startTime":1108.05,"endTime":1110.12,"body":"Or will it be a very positive"},{"startTime":1108.05,"endTime":1110.12,"body":"thing that they're thinking,"},{"startTime":1110.12,"endTime":1111.92,"body":"actually that happened during COVID,"},{"startTime":1111.92,"endTime":1115.07,"body":"actually next time it will be"},{"startTime":1111.92,"endTime":1115.07,"body":"a very different experience?"},{"startTime":1115.07,"endTime":1118.095,"body":"We know that many women"},{"startTime":1115.07,"endTime":1118.095,"body":"did feel traumatized"},{"startTime":1118.095,"endTime":1121.072,"body":"during this experience and actually very,"},{"startTime":1121.072,"endTime":1125.72,"body":"very frightened, and"},{"startTime":1121.072,"endTime":1125.72,"body":"everything they had hoped for"},{"startTime":1125.72,"endTime":1127.64,"body":"through giving birth, pregnancy,"},{"startTime":1127.64,"endTime":1129.113,"body":"was really removed from them."},{"startTime":1130.723,"endTime":1134.36,"body":"I mean, I think the restrictions"},{"startTime":1130.723,"endTime":1134.36,"body":"were quite severe actually."},{"startTime":1134.36,"endTime":1136.64,"body":"But the other issue"},{"startTime":1134.36,"endTime":1136.64,"body":"that comes is the baby,"},{"startTime":1136.64,"endTime":1139.97,"body":"is within a mother, it's"},{"startTime":1136.64,"endTime":1139.97,"body":"within a mother's womb,"},{"startTime":1139.97,"endTime":1141.86,"body":"and that baby has to be born,"},{"startTime":1141.86,"endTime":1143.6,"body":"and probably obvious, I suppose,"},{"startTime":1143.6,"endTime":1146.96,"body":"but when that baby's born,"},{"startTime":1143.6,"endTime":1146.96,"body":"that emotional attachment"},{"startTime":1146.96,"endTime":1149.663,"body":"has to occur very early"},{"startTime":1146.96,"endTime":1149.663,"body":"after the baby's born."},{"startTime":1150.56,"endTime":1153.623,"body":"Some of the mothers have"},{"startTime":1150.56,"endTime":1153.623,"body":"said that they feel very,"},{"startTime":1155.18,"endTime":1158.78,"body":"as though did COVID affect the"},{"startTime":1155.18,"endTime":1158.78,"body":"attachment with their baby?"},{"startTime":1158.78,"endTime":1160.67,"body":"Did they feel they could be a good mother?"},{"startTime":1160.67,"endTime":1163.73,"body":"And some of them, as you can"},{"startTime":1160.67,"endTime":1163.73,"body":"see from the statistics there,"},{"startTime":1163.73,"endTime":1165.89,"body":"you'll see, and the transcripts as well,"},{"startTime":1165.89,"endTime":1168.59,"body":"is that there were earlier delivery,"},{"startTime":1168.59,"endTime":1171.05,"body":"baby was born earlier than"},{"startTime":1168.59,"endTime":1171.05,"body":"they should have been born,"},{"startTime":1171.05,"endTime":1173.33,"body":"higher risk of Cesarean sections,"},{"startTime":1173.33,"endTime":1176.693,"body":"higher risk of pre-labor problems,"},{"startTime":1178.19,"endTime":1180.2,"body":"still born babies increased,"},{"startTime":1180.2,"endTime":1182.0,"body":"and increased risk of"},{"startTime":1180.2,"endTime":1182.0,"body":"babies being admitted"},{"startTime":1182.0,"endTime":1183.74,"body":"to the neonatal intensive unit."},{"startTime":1183.74,"endTime":1185.69,"body":"So it wasn't just the pregnancy issues,"},{"startTime":1185.69,"endTime":1188.81,"body":"we have quite a large number"},{"startTime":1185.69,"endTime":1188.81,"body":"of babies who've been born,"},{"startTime":1188.81,"endTime":1190.01,"body":"who now are going to be at risk"},{"startTime":1190.01,"endTime":1192.503,"body":"for their own health"},{"startTime":1190.01,"endTime":1192.503,"body":"problems as they go forward."},{"startTime":1193.392,"endTime":1194.24,"body":"And again, nobody's really talking"},{"startTime":1194.24,"endTime":1197.392,"body":"about the legacy of COVID"},{"startTime":1194.24,"endTime":1197.392,"body":"for these young little babies"},{"startTime":1197.392,"endTime":1198.373,"body":"that have been born."},{"startTime":1199.52,"endTime":1200.84,"body":"There was another, as you can see,"},{"startTime":1200.84,"endTime":1202.43,"body":"a review that was done where they did look"},{"startTime":1202.43,"endTime":1205.37,"body":"at 95 studies of pregnant"},{"startTime":1202.43,"endTime":1205.37,"body":"women and mothers"},{"startTime":1205.37,"endTime":1209.267,"body":"who were not found to be at"},{"startTime":1205.37,"endTime":1209.267,"body":"high risk of COVID infection,"},{"startTime":1209.267,"endTime":1211.55,"body":"and that means they"},{"startTime":1209.267,"endTime":1211.55,"body":"weren't at higher risk,"},{"startTime":1211.55,"endTime":1213.41,"body":"but if they got COVID infection,"},{"startTime":1213.41,"endTime":1215.06,"body":"then the problems that really ensued,"},{"startTime":1215.06,"endTime":1217.31,"body":"and they had the adverse"},{"startTime":1215.06,"endTime":1217.31,"body":"outcomes at the end."},{"startTime":1218.33,"endTime":1219.77,"body":"So we've talked about trauma"},{"startTime":1219.77,"endTime":1223.76,"body":"and now more and more"},{"startTime":1219.77,"endTime":1223.76,"body":"people are being trained"},{"startTime":1223.76,"endTime":1225.35,"body":"in trauma informed care."},{"startTime":1225.35,"endTime":1229.07,"body":"But I think we're going to"},{"startTime":1225.35,"endTime":1229.07,"body":"have quite a number of women"},{"startTime":1229.07,"endTime":1231.44,"body":"who actually have mental health problems,"},{"startTime":1231.44,"endTime":1233.48,"body":"emotional problems, anxiety,"},{"startTime":1233.48,"endTime":1236.03,"body":"and depression due to their experiences"},{"startTime":1236.03,"endTime":1238.58,"body":"of going through COVID"},{"startTime":1236.03,"endTime":1238.58,"body":"when they were pregnant,"},{"startTime":1238.58,"endTime":1239.96,"body":"losing that lack of support,"},{"startTime":1239.96,"endTime":1242.18,"body":"losing that lack of community support"},{"startTime":1242.18,"endTime":1244.23,"body":"that they thought they were going to get."},{"startTime":1246.35,"endTime":1248.3,"body":"So what about children?"},{"startTime":1248.3,"endTime":1251.27,"body":"Well, COVID has hit our children globally."},{"startTime":1251.27,"endTime":1253.01,"body":"It's hit children in the UK, and again,"},{"startTime":1253.01,"endTime":1254.39,"body":"not high on the agenda at all."},{"startTime":1254.39,"endTime":1256.1,"body":"And it's not surprising"},{"startTime":1254.39,"endTime":1256.1,"body":"that I'm advocating"},{"startTime":1256.1,"endTime":1258.53,"body":"here a lot for children and young people,"},{"startTime":1258.53,"endTime":1260.63,"body":"because I think that's my job to do that."},{"startTime":1260.63,"endTime":1263.0,"body":"But we had a huge problem with COVID,"},{"startTime":1263.0,"endTime":1265.82,"body":"the problem was numbers overall"},{"startTime":1265.82,"endTime":1268.07,"body":"were very small from"},{"startTime":1265.82,"endTime":1268.07,"body":"actually children dying."},{"startTime":1268.07,"endTime":1270.17,"body":"Not many children died of COVID,"},{"startTime":1270.17,"endTime":1271.58,"body":"and people were very focused"},{"startTime":1271.58,"endTime":1272.72,"body":"on the number of children were dying."},{"startTime":1272.72,"endTime":1275.06,"body":"So understandably, you're"},{"startTime":1272.72,"endTime":1275.06,"body":"going to think about,"},{"startTime":1275.06,"endTime":1276.5,"body":"how many people actually died?"},{"startTime":1276.5,"endTime":1278.96,"body":"But when you think about"},{"startTime":1276.5,"endTime":1278.96,"body":"how many children suffered"},{"startTime":1278.96,"endTime":1280.07,"body":"during COVID,"},{"startTime":1280.07,"endTime":1282.02,"body":"well then it is a very,"},{"startTime":1280.07,"endTime":1282.02,"body":"very different story."},{"startTime":1282.02,"endTime":1286.28,"body":"And that's why the repeated"},{"startTime":1282.02,"endTime":1286.28,"body":"thing about long COVID comes in."},{"startTime":1286.28,"endTime":1288.41,"body":"So we have about six to"},{"startTime":1286.28,"endTime":1288.41,"body":"seven million children"},{"startTime":1288.41,"endTime":1290.63,"body":"under five were wasted, malnourished,"},{"startTime":1290.63,"endTime":1293.87,"body":"couldn't get good food, were"},{"startTime":1290.63,"endTime":1293.87,"body":"not cared for in the same way"},{"startTime":1293.87,"endTime":1296.78,"body":"they would normally, they were"},{"startTime":1293.87,"endTime":1296.78,"body":"really hidden from society,"},{"startTime":1296.78,"endTime":1298.22,"body":"and they're still hidden from society,"},{"startTime":1298.22,"endTime":1299.573,"body":"even here in the UK."},{"startTime":1300.44,"endTime":1301.85,"body":"Due to COVID-19 measures,"},{"startTime":1301.85,"endTime":1304.1,"body":"18 million children under the age of 1"},{"startTime":1304.1,"endTime":1307.85,"body":"in at least 68 countries"},{"startTime":1304.1,"endTime":1307.85,"body":"actually didn't have vaccines"},{"startTime":1307.85,"endTime":1310.19,"body":"that they should have had,"},{"startTime":1307.85,"endTime":1310.19,"body":"these are their normal vaccines."},{"startTime":1310.19,"endTime":1312.2,"body":"And we know currently in the UK as well,"},{"startTime":1312.2,"endTime":1314.3,"body":"we have this continuing problem"},{"startTime":1314.3,"endTime":1316.31,"body":"where we have not picked"},{"startTime":1314.3,"endTime":1316.31,"body":"up all the children"},{"startTime":1316.31,"endTime":1318.14,"body":"who should have had their vaccines."},{"startTime":1318.14,"endTime":1320.51,"body":"So many missed opportunities."},{"startTime":1320.51,"endTime":1322.88,"body":"People are focusing on the COVID vaccines"},{"startTime":1322.88,"endTime":1324.5,"body":"and yet the normal routine vaccines"},{"startTime":1324.5,"endTime":1325.8,"body":"have actually been missed."},{"startTime":1326.693,"endTime":1329.72,"body":"Now what that means, some of you may have"},{"startTime":1329.72,"endTime":1332.81,"body":"heard polio is sort of"},{"startTime":1329.72,"endTime":1332.81,"body":"coming back again in the UK."},{"startTime":1332.81,"endTime":1334.73,"body":"Nobody would've ever thought of that."},{"startTime":1334.73,"endTime":1337.16,"body":"And if we can't get"},{"startTime":1334.73,"endTime":1337.16,"body":"those children immunized,"},{"startTime":1337.16,"endTime":1338.15,"body":"we are going to have a problem"},{"startTime":1338.15,"endTime":1340.37,"body":"with polio in this country again."},{"startTime":1340.37,"endTime":1341.54,"body":"So, you know,"},{"startTime":1341.54,"endTime":1343.4,"body":"COVID isn't as simple as we think,"},{"startTime":1343.4,"endTime":1344.87,"body":"because if you drew a map,"},{"startTime":1344.87,"endTime":1346.91,"body":"you could really just say it affects"},{"startTime":1346.91,"endTime":1349.34,"body":"every moment of our life"},{"startTime":1346.91,"endTime":1349.34,"body":"in every different way"},{"startTime":1349.34,"endTime":1353.483,"body":"for everybody, from"},{"startTime":1349.34,"endTime":1353.483,"body":"pre-birth to the elderly."},{"startTime":1357.56,"endTime":1359.27,"body":"So what about in the UK?"},{"startTime":1359.27,"endTime":1360.65,"body":"Well, in the UK for children,"},{"startTime":1360.65,"endTime":1362.78,"body":"we've seen that children"},{"startTime":1360.65,"endTime":1362.78,"body":"and more and more people"},{"startTime":1362.78,"endTime":1364.4,"body":"are going into poverty."},{"startTime":1364.4,"endTime":1366.14,"body":"And we know that this"},{"startTime":1364.4,"endTime":1366.14,"body":"affects children a lot."},{"startTime":1366.14,"endTime":1368.93,"body":"Once you go into poverty, I'll"},{"startTime":1366.14,"endTime":1368.93,"body":"show your slide in a minute,"},{"startTime":1368.93,"endTime":1370.79,"body":"but once you move into poverty,"},{"startTime":1370.79,"endTime":1374.39,"body":"you cannot have access"},{"startTime":1370.79,"endTime":1374.39,"body":"to the same healthy food,"},{"startTime":1374.39,"endTime":1376.22,"body":"you're not going to be able to run around,"},{"startTime":1376.22,"endTime":1378.98,"body":"you cannot have access to open spaces,"},{"startTime":1378.98,"endTime":1382.07,"body":"and really your health"},{"startTime":1378.98,"endTime":1382.07,"body":"and wellbeing is damaged."},{"startTime":1382.07,"endTime":1384.59,"body":"There was a rising risk"},{"startTime":1382.07,"endTime":1384.59,"body":"of domestic abuse cases"},{"startTime":1384.59,"endTime":1387.08,"body":"during COVID, and we are still seeing"},{"startTime":1387.08,"endTime":1388.61,"body":"the aftermath of that today."},{"startTime":1388.61,"endTime":1392.03,"body":"Because once you have an"},{"startTime":1388.61,"endTime":1392.03,"body":"increase in domestic abuse,"},{"startTime":1392.03,"endTime":1394.19,"body":"that is again, I'll keep"},{"startTime":1392.03,"endTime":1394.19,"body":"talking about trauma,"},{"startTime":1394.19,"endTime":1397.7,"body":"and we could do another"},{"startTime":1394.19,"endTime":1397.7,"body":"lecture on trauma itself,"},{"startTime":1397.7,"endTime":1399.86,"body":"but children have been traumatized"},{"startTime":1399.86,"endTime":1401.09,"body":"by the environment they were in"},{"startTime":1401.09,"endTime":1404.6,"body":"if they were in a household"},{"startTime":1401.09,"endTime":1404.6,"body":"where there was domestic abuse."},{"startTime":1404.6,"endTime":1407.0,"body":"That will stay with them,"},{"startTime":1404.6,"endTime":1407.0,"body":"that will not be removed,"},{"startTime":1407.0,"endTime":1408.56,"body":"and there's no undoing of that,"},{"startTime":1408.56,"endTime":1411.47,"body":"and we don't have the support"},{"startTime":1408.56,"endTime":1411.47,"body":"services to actually counsel"},{"startTime":1411.47,"endTime":1412.82,"body":"the children who went through that,"},{"startTime":1412.82,"endTime":1415.37,"body":"and they can't speak for themselves."},{"startTime":1415.37,"endTime":1419.21,"body":"Children didn't play, they were isolated,"},{"startTime":1419.21,"endTime":1421.61,"body":"they were not meeting friends,"},{"startTime":1421.61,"endTime":1423.707,"body":"they didn't learn how to"},{"startTime":1421.61,"endTime":1423.707,"body":"play with other children."},{"startTime":1423.707,"endTime":1427.04,"body":"And so again, we've got children"},{"startTime":1423.707,"endTime":1427.04,"body":"who can't even take risks."},{"startTime":1427.04,"endTime":1429.8,"body":"They were so scared during COVID"},{"startTime":1429.8,"endTime":1432.35,"body":"that they actually don't know"},{"startTime":1429.8,"endTime":1432.35,"body":"how to take risks anymore,"},{"startTime":1432.35,"endTime":1433.935,"body":"they don't know how to play,"},{"startTime":1433.935,"endTime":1436.04,"body":"and they don't know how to"},{"startTime":1433.935,"endTime":1436.04,"body":"interact with other children."},{"startTime":1436.04,"endTime":1438.47,"body":"Schools were closed, so many"},{"startTime":1436.04,"endTime":1438.47,"body":"children who would normally"},{"startTime":1438.47,"endTime":1441.41,"body":"get food in schools were not getting food."},{"startTime":1441.41,"endTime":1443.84,"body":"And that we know will"},{"startTime":1441.41,"endTime":1443.84,"body":"affect them with vitamin D,"},{"startTime":1443.84,"endTime":1445.37,"body":"they'll get rickets,"},{"startTime":1445.37,"endTime":1449.45,"body":"they'll get other physical"},{"startTime":1445.37,"endTime":1449.45,"body":"problems going forwards."},{"startTime":1449.45,"endTime":1450.62,"body":"They weren't playing, as I said,"},{"startTime":1450.62,"endTime":1454.28,"body":"no peer support, and lack of education."},{"startTime":1454.28,"endTime":1458.01,"body":"Education, I always talk"},{"startTime":1454.28,"endTime":1458.01,"body":"to people and I always say,"},{"startTime":1458.01,"endTime":1459.83,"body":"I have this acronym, HEE,"},{"startTime":1459.83,"endTime":1461.6,"body":"Health, Education, Environment."},{"startTime":1461.6,"endTime":1464.36,"body":"You can't detach any of those things,"},{"startTime":1464.36,"endTime":1466.91,"body":"because particularly for"},{"startTime":1464.36,"endTime":1466.91,"body":"children, if you're unhealthy,"},{"startTime":1466.91,"endTime":1468.2,"body":"it affects your education."},{"startTime":1468.2,"endTime":1470.33,"body":"If your environment's poor,"},{"startTime":1468.2,"endTime":1470.33,"body":"it affects your health."},{"startTime":1470.33,"endTime":1471.83,"body":"They're all interrelated."},{"startTime":1471.83,"endTime":1475.13,"body":"And many children, many"},{"startTime":1471.83,"endTime":1475.13,"body":"children fell far behind"},{"startTime":1475.13,"endTime":1479.63,"body":"during COVID and still cannot"},{"startTime":1475.13,"endTime":1479.63,"body":"catch up with their education."},{"startTime":1479.63,"endTime":1480.98,"body":"So we talk about life chances,"},{"startTime":1480.98,"endTime":1483.83,"body":"we talk about the future"},{"startTime":1480.98,"endTime":1483.83,"body":"of our population,"},{"startTime":1483.83,"endTime":1486.35,"body":"who is going to look"},{"startTime":1483.83,"endTime":1486.35,"body":"after us when we're older?"},{"startTime":1486.35,"endTime":1489.147,"body":"Who is going to be actually the people"},{"startTime":1489.147,"endTime":1491.202,"body":"who are going to be"},{"startTime":1489.147,"endTime":1491.202,"body":"able to take care of us"},{"startTime":1491.202,"endTime":1493.31,"body":"if people aren't physically"},{"startTime":1491.202,"endTime":1493.31,"body":"well, mentally well,"},{"startTime":1493.31,"endTime":1494.66,"body":"and haven't got the life chances"},{"startTime":1494.66,"endTime":1497.663,"body":"to be in jobs that they can"},{"startTime":1494.66,"endTime":1497.663,"body":"fulfill their lives with?"},{"startTime":1501.23,"endTime":1502.52,"body":"So that's where I come to this,"},{"startTime":1502.52,"endTime":1504.74,"body":"this is a slide I put"},{"startTime":1502.52,"endTime":1504.74,"body":"together from a project"},{"startTime":1504.74,"endTime":1507.02,"body":"that I was doing called"},{"startTime":1504.74,"endTime":1507.02,"body":"the CHAMPIONS project."},{"startTime":1507.02,"endTime":1509.12,"body":"And the CHAMPIONS project"},{"startTime":1507.02,"endTime":1509.12,"body":"is all about homelessness."},{"startTime":1509.12,"endTime":1511.198,"body":"So we've talked about poverty,"},{"startTime":1511.198,"endTime":1512.72,"body":"but if you go a little bit further,"},{"startTime":1512.72,"endTime":1514.13,"body":"people who in temporary accommodation"},{"startTime":1514.13,"endTime":1516.02,"body":"and people are homeless."},{"startTime":1516.02,"endTime":1518.369,"body":"You don't think to yourself,"},{"startTime":1516.02,"endTime":1518.369,"body":"children are homeless."},{"startTime":1518.369,"endTime":1519.202,"body":"I mean, most people will go,"},{"startTime":1519.202,"endTime":1521.66,"body":"okay. I understand people"},{"startTime":1519.202,"endTime":1521.66,"body":"are rough sleeping,"},{"startTime":1521.66,"endTime":1522.56,"body":"people are out there,"},{"startTime":1522.56,"endTime":1527.331,"body":"and there's a lot of talk about"},{"startTime":1522.56,"endTime":1527.331,"body":"rough sleepers during COVID,"},{"startTime":1527.331,"endTime":1528.164,"body":"but nobody really talked"},{"startTime":1528.164,"endTime":1529.94,"body":"about children in temporary accommodation."},{"startTime":1529.94,"endTime":1531.44,"body":"These young little children"},{"startTime":1531.44,"endTime":1534.59,"body":"who really locked up in these"},{"startTime":1531.44,"endTime":1534.59,"body":"rooms, 13 meter squared,"},{"startTime":1534.59,"endTime":1536.99,"body":"or in bed and breakfast, or hotels,"},{"startTime":1536.99,"endTime":1539.12,"body":"or sofa surfing at the time,"},{"startTime":1539.12,"endTime":1541.55,"body":"and they were not able to"},{"startTime":1539.12,"endTime":1541.55,"body":"see the outside worlds."},{"startTime":1541.55,"endTime":1544.22,"body":"People have forgotten about"},{"startTime":1541.55,"endTime":1544.22,"body":"that and what the impact is."},{"startTime":1544.22,"endTime":1545.99,"body":"They're the ones who are going"},{"startTime":1544.22,"endTime":1545.99,"body":"to live through this legacy"},{"startTime":1545.99,"endTime":1547.82,"body":"of COVID as we go forward."},{"startTime":1547.82,"endTime":1549.32,"body":"And that's why I talk about this,"},{"startTime":1549.32,"endTime":1551.24,"body":"I always like to talk"},{"startTime":1549.32,"endTime":1551.24,"body":"about things in threes,"},{"startTime":1551.24,"endTime":1553.22,"body":"as you've sort of gathered, I think,"},{"startTime":1553.22,"endTime":1554.66,"body":"but see, smell, hear."},{"startTime":1554.66,"endTime":1556.613,"body":"That's who we are, all of us,"},{"startTime":1557.467,"endTime":1559.327,"body":"all of you, you're seeing me,"},{"startTime":1559.327,"endTime":1560.536,"body":"you're seeing your environment,"},{"startTime":1560.536,"endTime":1562.4,"body":"you're hearing the noises,"},{"startTime":1560.536,"endTime":1562.4,"body":"you're hearing the voices,"},{"startTime":1562.4,"endTime":1564.08,"body":"and hopefully the smell's"},{"startTime":1562.4,"endTime":1564.08,"body":"not too bad in here"},{"startTime":1564.08,"endTime":1565.73,"body":"and you can cope with the smell."},{"startTime":1565.73,"endTime":1568.64,"body":"But three things impact on our brains,"},{"startTime":1568.64,"endTime":1570.68,"body":"and any of those are disruptive,"},{"startTime":1570.68,"endTime":1573.2,"body":"it affects the way your brain development"},{"startTime":1573.2,"endTime":1575.63,"body":"and your brain actually"},{"startTime":1573.2,"endTime":1575.63,"body":"reacts to everything"},{"startTime":1575.63,"endTime":1576.83,"body":"that you are doing."},{"startTime":1576.83,"endTime":1579.56,"body":"So if you've had a stressful"},{"startTime":1576.83,"endTime":1579.56,"body":"experience during COVID,"},{"startTime":1579.56,"endTime":1581.0,"body":"everybody's hyper alert,"},{"startTime":1581.0,"endTime":1583.55,"body":"everybody's frightened,"},{"startTime":1581.0,"endTime":1583.55,"body":"lots of negative messages,"},{"startTime":1583.55,"endTime":1587.03,"body":"parents haven't got jobs,"},{"startTime":1583.55,"endTime":1587.03,"body":"people are shouting around you,"},{"startTime":1587.03,"endTime":1588.89,"body":"you don't know what's going on around you."},{"startTime":1588.89,"endTime":1592.16,"body":"It's creating a brain that"},{"startTime":1588.89,"endTime":1592.16,"body":"is actually hyper alert"},{"startTime":1592.16,"endTime":1595.58,"body":"for your future, and that means"},{"startTime":1592.16,"endTime":1595.58,"body":"that when you go to school,"},{"startTime":1595.58,"endTime":1597.38,"body":"you are going to react"},{"startTime":1595.58,"endTime":1597.38,"body":"in a very different way"},{"startTime":1597.38,"endTime":1599.48,"body":"when you encounter other people"},{"startTime":1599.48,"endTime":1601.01,"body":"or whether you encounter fear."},{"startTime":1601.01,"endTime":1603.47,"body":"So we've got this whole set of little kids"},{"startTime":1603.47,"endTime":1606.11,"body":"who we don't know how"},{"startTime":1603.47,"endTime":1606.11,"body":"their brains have reacted,"},{"startTime":1606.11,"endTime":1610.52,"body":"and how they will respond when"},{"startTime":1606.11,"endTime":1610.52,"body":"they actually go into school"},{"startTime":1610.52,"endTime":1612.89,"body":"or when they interact with us."},{"startTime":1612.89,"endTime":1614.48,"body":"Nobody's doing any studies,"},{"startTime":1614.48,"endTime":1616.67,"body":"so people are not funding this research,"},{"startTime":1616.67,"endTime":1618.83,"body":"people are not taking it seriously."},{"startTime":1618.83,"endTime":1621.41,"body":"Lots and lots of money"},{"startTime":1618.83,"endTime":1621.41,"body":"going into other areas,"},{"startTime":1621.41,"endTime":1623.06,"body":"nobody seems to want to do any work"},{"startTime":1623.06,"endTime":1624.56,"body":"on the children of the future."},{"startTime":1627.83,"endTime":1628.97,"body":"There's some quotes from this."},{"startTime":1628.97,"endTime":1631.49,"body":"So if you look at the side of the slide,"},{"startTime":1631.49,"endTime":1633.5,"body":"you'll see the cycle, and"},{"startTime":1631.49,"endTime":1633.5,"body":"that's what I was talking about,"},{"startTime":1633.5,"endTime":1635.06,"body":"the cycle of trauma."},{"startTime":1635.06,"endTime":1639.83,"body":"And I really do think that"},{"startTime":1635.06,"endTime":1639.83,"body":"COVID and long COVID is trauma."},{"startTime":1639.83,"endTime":1641.09,"body":"If you're living through long COVID,"},{"startTime":1641.09,"endTime":1643.234,"body":"whether it's through the economic crisis,"},{"startTime":1643.234,"endTime":1645.17,"body":"whether it's through the health crisis,"},{"startTime":1645.17,"endTime":1648.2,"body":"or your own emotional"},{"startTime":1645.17,"endTime":1648.2,"body":"crisis, it is trauma."},{"startTime":1648.2,"endTime":1652.97,"body":"And that produces the cycle of"},{"startTime":1648.2,"endTime":1652.97,"body":"lack of security and routine."},{"startTime":1652.97,"endTime":1655.13,"body":"You then have broken friendships,"},{"startTime":1655.13,"endTime":1657.41,"body":"your broken links with your wider family,"},{"startTime":1657.41,"endTime":1659.39,"body":"feeling and being unsafe, we feel unsafe,"},{"startTime":1659.39,"endTime":1661.88,"body":"we felt unsafe in COVID,"},{"startTime":1659.39,"endTime":1661.88,"body":"people still feel very unsafe."},{"startTime":1661.88,"endTime":1662.99,"body":"There's a bit like, hmm,"},{"startTime":1662.99,"endTime":1664.88,"body":"can I go and talk to them,"},{"startTime":1662.99,"endTime":1664.88,"body":"can't I go and talk to them?"},{"startTime":1664.88,"endTime":1666.38,"body":"How they're going to react to me?"},{"startTime":1666.38,"endTime":1669.8,"body":"Constant need to catch up,"},{"startTime":1666.38,"endTime":1669.8,"body":"you're behind in your education,"},{"startTime":1669.8,"endTime":1673.1,"body":"you're behind in your job,"},{"startTime":1669.8,"endTime":1673.1,"body":"you're behind in everything else."},{"startTime":1673.1,"endTime":1675.62,"body":"Parents are stressed or"},{"startTime":1673.1,"endTime":1675.62,"body":"they're not even there."},{"startTime":1675.62,"endTime":1678.74,"body":"And then people turn"},{"startTime":1675.62,"endTime":1678.74,"body":"to other ways of trying"},{"startTime":1678.74,"endTime":1680.93,"body":"to just stay stable, really,"},{"startTime":1680.93,"endTime":1683.3,"body":"and then you go through"},{"startTime":1680.93,"endTime":1683.3,"body":"that cycle all over again."},{"startTime":1683.3,"endTime":1686.69,"body":"So you'll see these quotes"},{"startTime":1683.3,"endTime":1686.69,"body":"really from one of our workshops,"},{"startTime":1686.69,"endTime":1690.14,"body":"which was, \"My child is"},{"startTime":1686.69,"endTime":1690.14,"body":"actually quite naughty now."},{"startTime":1690.14,"endTime":1690.98,"body":"I don't know why,"},{"startTime":1690.98,"endTime":1693.92,"body":"I think it's because of the"},{"startTime":1690.98,"endTime":1693.92,"body":"other kids in here as well,"},{"startTime":1693.92,"endTime":1695.78,"body":"like they're all on top of each other.\""},{"startTime":1695.78,"endTime":1697.37,"body":"Because the rooms were closed,"},{"startTime":1697.37,"endTime":1699.32,"body":"people were living in one tiny space."},{"startTime":1699.32,"endTime":1701.87,"body":"I have a children and I can"},{"startTime":1699.32,"endTime":1701.87,"body":"tell you, I have a big house,"},{"startTime":1701.87,"endTime":1704.427,"body":"and it was really hard"},{"startTime":1701.87,"endTime":1704.427,"body":"with us all together."},{"startTime":1704.427,"endTime":1707.03,"body":"\"He's not bonding with other"},{"startTime":1704.427,"endTime":1707.03,"body":"children\", how do you bond?"},{"startTime":1707.03,"endTime":1707.99,"body":"How do you learn to bond"},{"startTime":1707.99,"endTime":1709.827,"body":"if you've never been"},{"startTime":1707.99,"endTime":1709.827,"body":"around other children?"},{"startTime":1709.827,"endTime":1711.59,"body":"\"He's not learning from other children,"},{"startTime":1711.59,"endTime":1713.54,"body":"he's just playing by himself all day.\""},{"startTime":1713.54,"endTime":1715.61,"body":"That's one parent, and we're seeing lots,"},{"startTime":1715.61,"endTime":1717.77,"body":"and lots, and lots of stories of children"},{"startTime":1717.77,"endTime":1721.04,"body":"who feel detached, isolated."},{"startTime":1721.04,"endTime":1723.14,"body":"The next one, \"My child"},{"startTime":1721.04,"endTime":1723.14,"body":"wouldn't touch any food,"},{"startTime":1723.14,"endTime":1726.29,"body":"even after washing, first to"},{"startTime":1723.14,"endTime":1726.29,"body":"wash and then give to the kids."},{"startTime":1726.29,"endTime":1727.58,"body":"They're really scared at that time,"},{"startTime":1727.58,"endTime":1730.52,"body":"five families and we're"},{"startTime":1727.58,"endTime":1730.52,"body":"using one bathroom.\""},{"startTime":1730.52,"endTime":1732.92,"body":"And that's what they were doing."},{"startTime":1732.92,"endTime":1735.02,"body":"This is continuing, this isn't going away."},{"startTime":1737.3,"endTime":1739.76,"body":"So here we are, just to take"},{"startTime":1737.3,"endTime":1739.76,"body":"you through some of this,"},{"startTime":1739.76,"endTime":1741.56,"body":"this is what I was"},{"startTime":1739.76,"endTime":1741.56,"body":"talking about the diagram."},{"startTime":1741.56,"endTime":1742.7,"body":"And I think this is for all of us,"},{"startTime":1742.7,"endTime":1745.19,"body":"so how has the pandemic"},{"startTime":1742.7,"endTime":1745.19,"body":"really affected us?"},{"startTime":1745.19,"endTime":1746.42,"body":"It's affected children in this way,"},{"startTime":1746.42,"endTime":1748.55,"body":"but it's affected all of us"},{"startTime":1746.42,"endTime":1748.55,"body":"in this room in this way,"},{"startTime":1748.55,"endTime":1749.95,"body":"to some extent or the other."},{"startTime":1750.8,"endTime":1752.93,"body":"Our lifestyle, some of"},{"startTime":1750.8,"endTime":1752.93,"body":"us became more active"},{"startTime":1752.93,"endTime":1754.888,"body":"because we were able to go out,"},{"startTime":1754.888,"endTime":1755.96,"body":"some of us became less active,"},{"startTime":1755.96,"endTime":1757.67,"body":"and some of us have gained weight."},{"startTime":1757.67,"endTime":1760.4,"body":"And now that weight gain"},{"startTime":1757.67,"endTime":1760.4,"body":"will have a knock on effect"},{"startTime":1760.4,"endTime":1762.287,"body":"with diabetes and heart"},{"startTime":1760.4,"endTime":1762.287,"body":"disease for us later on."},{"startTime":1762.287,"endTime":1765.44,"body":"But it affected the children,"},{"startTime":1762.287,"endTime":1765.44,"body":"who many of them became obese,"},{"startTime":1765.44,"endTime":1768.5,"body":"many of them either lost,"},{"startTime":1765.44,"endTime":1768.5,"body":"became malnourished,"},{"startTime":1768.5,"endTime":1770.78,"body":"or obese, it went both ways."},{"startTime":1770.78,"endTime":1772.04,"body":"Vitamin deficiency."},{"startTime":1772.04,"endTime":1773.93,"body":"We don't really talk"},{"startTime":1772.04,"endTime":1773.93,"body":"about vitamin deficiency,"},{"startTime":1773.93,"endTime":1774.95,"body":"but actually vitamin D,"},{"startTime":1774.95,"endTime":1777.68,"body":"lack of sunlight is a real"},{"startTime":1774.95,"endTime":1777.68,"body":"problem for all of us."},{"startTime":1777.68,"endTime":1780.56,"body":"And many of you, I don't how"},{"startTime":1777.68,"endTime":1780.56,"body":"many of you have been tested,"},{"startTime":1780.56,"endTime":1782.45,"body":"are vitamin D deficient, aren't you?"},{"startTime":1782.45,"endTime":1784.91,"body":"How brittle will our"},{"startTime":1782.45,"endTime":1784.91,"body":"bones be in the future?"},{"startTime":1784.91,"endTime":1787.22,"body":"Poor mental health, we'll come to that."},{"startTime":1787.22,"endTime":1789.11,"body":"Children and adults were in environments"},{"startTime":1789.11,"endTime":1790.28,"body":"where you are closed down,"},{"startTime":1790.28,"endTime":1793.25,"body":"where you might have been amongst vermin,"},{"startTime":1793.25,"endTime":1794.75,"body":"you might have been around mold,"},{"startTime":1794.75,"endTime":1796.07,"body":"which will have respiratory problems,"},{"startTime":1796.07,"endTime":1798.59,"body":"asthma, problems with animals"},{"startTime":1798.59,"endTime":1801.23,"body":"and vermin carrying infections around you."},{"startTime":1801.23,"endTime":1803.09,"body":"And then we know that if you were ill"},{"startTime":1803.09,"endTime":1805.49,"body":"and if you still are ill,"},{"startTime":1803.09,"endTime":1805.49,"body":"you can't really catch up"},{"startTime":1805.49,"endTime":1808.14,"body":"because you can't get health"},{"startTime":1805.49,"endTime":1808.14,"body":"services as you need to."},{"startTime":1810.17,"endTime":1813.38,"body":"So let's move on just to"},{"startTime":1810.17,"endTime":1813.38,"body":"children who are 16 to 18,"},{"startTime":1813.38,"endTime":1814.43,"body":"and you can see here"},{"startTime":1814.43,"endTime":1816.26,"body":"just some of the facts"},{"startTime":1814.43,"endTime":1816.26,"body":"of what's happening."},{"startTime":1816.26,"endTime":1818.48,"body":"This is really the next age group."},{"startTime":1818.48,"endTime":1821.57,"body":"So think of yourself"},{"startTime":1818.48,"endTime":1821.57,"body":"as, what were you doing?"},{"startTime":1821.57,"endTime":1823.7,"body":"I don't know what we were all"},{"startTime":1821.57,"endTime":1823.7,"body":"doing when we were 16 to 18,"},{"startTime":1823.7,"endTime":1825.86,"body":"most of us would've been thinking about"},{"startTime":1825.86,"endTime":1828.86,"body":"what's happening in my"},{"startTime":1825.86,"endTime":1828.86,"body":"education, am I getting my exams?"},{"startTime":1828.86,"endTime":1830.48,"body":"Am I going to go the next party?"},{"startTime":1830.48,"endTime":1832.85,"body":"Can I go meet my friends?"},{"startTime":1832.85,"endTime":1834.731,"body":"Can I stay out at night?"},{"startTime":1834.731,"endTime":1837.02,"body":"And some may have been thinking,"},{"startTime":1837.02,"endTime":1838.67,"body":"I'm going to really risk"},{"startTime":1837.02,"endTime":1838.67,"body":"my life a little bit"},{"startTime":1838.67,"endTime":1839.813,"body":"and see what happens."},{"startTime":1840.71,"endTime":1843.74,"body":"That age group is so"},{"startTime":1840.71,"endTime":1843.74,"body":"important for providing"},{"startTime":1843.74,"endTime":1846.65,"body":"the foundations of who"},{"startTime":1843.74,"endTime":1846.65,"body":"you are when you're older."},{"startTime":1846.65,"endTime":1850.875,"body":"And if you don't have your"},{"startTime":1846.65,"endTime":1850.875,"body":"brain's not developing,"},{"startTime":1850.875,"endTime":1853.07,"body":"learning to be an adolescent,"},{"startTime":1850.875,"endTime":1853.07,"body":"actually we don't know"},{"startTime":1853.07,"endTime":1854.54,"body":"now what that's going to, again,"},{"startTime":1854.54,"endTime":1855.95,"body":"do to this group of children."},{"startTime":1855.95,"endTime":1858.11,"body":"They're the ones who feel let down,"},{"startTime":1858.11,"endTime":1860.33,"body":"they feel no hope, will they have a job,"},{"startTime":1860.33,"endTime":1861.44,"body":"won't they have a job?"},{"startTime":1861.44,"endTime":1864.5,"body":"Many of them are getting health"},{"startTime":1861.44,"endTime":1864.5,"body":"problems from long COVID."},{"startTime":1864.5,"endTime":1867.41,"body":"I know a number of young"},{"startTime":1864.5,"endTime":1867.41,"body":"children who have heart problems,"},{"startTime":1867.41,"endTime":1869.15,"body":"breathing problems,"},{"startTime":1869.15,"endTime":1872.093,"body":"who are really suffering from"},{"startTime":1869.15,"endTime":1872.093,"body":"chronic fatigue syndrome."},{"startTime":1872.96,"endTime":1875.36,"body":"And they're like, I have"},{"startTime":1872.96,"endTime":1875.36,"body":"that on top of trying"},{"startTime":1875.36,"endTime":1877.34,"body":"to get a life for myself,"},{"startTime":1877.34,"endTime":1879.29,"body":"on top of everything"},{"startTime":1877.34,"endTime":1879.29,"body":"that else is going on,"},{"startTime":1879.29,"endTime":1880.85,"body":"and some of them are just losing hope."},{"startTime":1880.85,"endTime":1882.77,"body":"How do we give them hope?"},{"startTime":1882.77,"endTime":1885.65,"body":"So we know from the data"},{"startTime":1882.77,"endTime":1885.65,"body":"that increased hot lines,"},{"startTime":1885.65,"endTime":1886.85,"body":"I mean, this is not just in India,"},{"startTime":1886.85,"endTime":1889.07,"body":"but we had an increased use of hot lines"},{"startTime":1889.07,"endTime":1890.36,"body":"here in the UK as well."},{"startTime":1890.36,"endTime":1892.85,"body":"Children feeling depressed, anxious,"},{"startTime":1892.85,"endTime":1896.21,"body":"and many of them still continue"},{"startTime":1892.85,"endTime":1896.21,"body":"to have social anxiety."},{"startTime":1896.21,"endTime":1898.64,"body":"Not really feeling comfortable to go out,"},{"startTime":1898.64,"endTime":1900.233,"body":"not really feeling comfortable,"},{"startTime":1901.233,"endTime":1902.66,"body":"and we have a very hyperactive state"},{"startTime":1902.66,"endTime":1903.86,"body":"around us at the moment,"},{"startTime":1904.7,"endTime":1906.827,"body":"which we are not providing the"},{"startTime":1904.7,"endTime":1906.827,"body":"mental health services for."},{"startTime":1906.827,"endTime":1909.83,"body":"And I think this is something"},{"startTime":1906.827,"endTime":1909.83,"body":"we can debate, how do we,"},{"startTime":1909.83,"endTime":1911.27,"body":"with the economy we're in,"},{"startTime":1911.27,"endTime":1913.88,"body":"provide the services that all of you need"},{"startTime":1913.88,"endTime":1916.283,"body":"and all of our younger"},{"startTime":1913.88,"endTime":1916.283,"body":"generation needs as well?"},{"startTime":1917.75,"endTime":1920.48,"body":"We know that wearing face"},{"startTime":1917.75,"endTime":1920.48,"body":"masks really caused a problem."},{"startTime":1920.48,"endTime":1921.83,"body":"We needed to wear face masks,"},{"startTime":1921.83,"endTime":1922.97,"body":"and I'm not saying we didn't need,"},{"startTime":1922.97,"endTime":1924.65,"body":"and we can debate that as well,"},{"startTime":1924.65,"endTime":1927.08,"body":"but the young people"},{"startTime":1924.65,"endTime":1927.08,"body":"found that very difficult,"},{"startTime":1927.08,"endTime":1928.43,"body":"because if you are wearing face masks,"},{"startTime":1928.43,"endTime":1929.48,"body":"you can't see anybody"},{"startTime":1930.711,"endTime":1933.917,"body":"and you become quite"},{"startTime":1930.711,"endTime":1933.917,"body":"distrusting of people."},{"startTime":1933.917,"endTime":1935.27,"body":"And we don't understand,"},{"startTime":1935.27,"endTime":1938.09,"body":"we don't know why that"},{"startTime":1935.27,"endTime":1938.09,"body":"indirect distrust of people"},{"startTime":1938.09,"endTime":1939.29,"body":"has happened."},{"startTime":1939.29,"endTime":1942.017,"body":"So yes, they're fearful"},{"startTime":1939.29,"endTime":1942.017,"body":"of getting an infection,"},{"startTime":1942.017,"endTime":1943.91,"body":"but on top of that,"},{"startTime":1942.017,"endTime":1943.91,"body":"they didn't really know"},{"startTime":1943.91,"endTime":1945.41,"body":"all the time who they were talking to"},{"startTime":1945.41,"endTime":1947.03,"body":"or what was happening behind that mask,"},{"startTime":1947.03,"endTime":1948.89,"body":"and how do you read people's faces,"},{"startTime":1948.89,"endTime":1951.11,"body":"and that's caused some problems as well."},{"startTime":1951.11,"endTime":1953.06,"body":"And we also have number of studies,"},{"startTime":1953.06,"endTime":1954.14,"body":"so Terence Stephenson,"},{"startTime":1954.14,"endTime":1956.93,"body":"we mentioned who was"},{"startTime":1954.14,"endTime":1956.93,"body":"my mentor and taught me"},{"startTime":1956.93,"endTime":1959.9,"body":"a lot of what I know has"},{"startTime":1956.93,"endTime":1959.9,"body":"done a very big study,"},{"startTime":1959.9,"endTime":1961.73,"body":"called the CLoCk study, and it's ongoing,"},{"startTime":1961.73,"endTime":1966.08,"body":"following up young people"},{"startTime":1961.73,"endTime":1966.08,"body":"through the long COVID period."},{"startTime":1966.08,"endTime":1968.39,"body":"And we know that children"},{"startTime":1966.08,"endTime":1968.39,"body":"are worried, sad,"},{"startTime":1968.39,"endTime":1970.82,"body":"and happy, and that's"},{"startTime":1968.39,"endTime":1970.82,"body":"irrespective of whether"},{"startTime":1970.82,"endTime":1973.46,"body":"they had a diagnosis of COVID"},{"startTime":1973.46,"endTime":1975.49,"body":"or whether they didn't"},{"startTime":1973.46,"endTime":1975.49,"body":"have a diagnosis of COVID."},{"startTime":1975.49,"endTime":1977.54,"body":"So you had COVID, you didn't have COVID,"},{"startTime":1977.54,"endTime":1980.78,"body":"still an increase in"},{"startTime":1977.54,"endTime":1980.78,"body":"feeling unhappy and sad,"},{"startTime":1980.78,"endTime":1983.38,"body":"and these children are"},{"startTime":1980.78,"endTime":1983.38,"body":"living with that as we go on."},{"startTime":1986.3,"endTime":1989.06,"body":"So this is some more data"},{"startTime":1986.3,"endTime":1989.06,"body":"that's being collected,"},{"startTime":1989.06,"endTime":1991.85,"body":"and as I said, these are small studies,"},{"startTime":1991.85,"endTime":1993.259,"body":"well, I mean,"},{"startTime":1993.259,"endTime":1994.412,"body":"not small studies in that way,"},{"startTime":1994.412,"endTime":1996.02,"body":"I mean a few studies, we"},{"startTime":1994.412,"endTime":1996.02,"body":"don't have enough studies,"},{"startTime":1996.02,"endTime":1998.348,"body":"the funding isn't going into young people."},{"startTime":1998.348,"endTime":2000.07,"body":"These are just a few"},{"startTime":1998.348,"endTime":2000.07,"body":"studies that are going on."},{"startTime":2000.07,"endTime":2001.881,"body":"The CLoCk study is probably"},{"startTime":2001.881,"endTime":2003.19,"body":"one of the biggest longitudinal studies,"},{"startTime":2003.19,"endTime":2004.36,"body":"and when I mean longitudinal,"},{"startTime":2004.36,"endTime":2006.07,"body":"this means the children are followed up."},{"startTime":2006.07,"endTime":2008.11,"body":"There's lots and lots of studies,"},{"startTime":2008.11,"endTime":2011.41,"body":"as I've been told, that are"},{"startTime":2008.11,"endTime":2011.41,"body":"just looking at one point,"},{"startTime":2011.41,"endTime":2012.937,"body":"a survey today, or a survey tomorrow,"},{"startTime":2012.937,"endTime":2014.59,"body":"and actually we need to"},{"startTime":2012.937,"endTime":2014.59,"body":"be following children"},{"startTime":2014.59,"endTime":2016.63,"body":"up into the future, what happens tomorrow,"},{"startTime":2016.63,"endTime":2019.21,"body":"what happens in six months,"},{"startTime":2016.63,"endTime":2019.21,"body":"what's happens in a year?"},{"startTime":2019.21,"endTime":2020.59,"body":"And we don't have those studies,"},{"startTime":2020.59,"endTime":2023.47,"body":"enough funding for those"},{"startTime":2020.59,"endTime":2023.47,"body":"studies that are going on."},{"startTime":2023.47,"endTime":2025.75,"body":"So what we did find from this study,"},{"startTime":2025.75,"endTime":2028.667,"body":"the CLoCk study by Stephenson"},{"startTime":2025.75,"endTime":2028.667,"body":"at al was that children"},{"startTime":2028.667,"endTime":2031.99,"body":"was having these sort of"},{"startTime":2028.667,"endTime":2031.99,"body":"symptoms in long COVID."},{"startTime":2031.99,"endTime":2034.9,"body":"So they have headache, they"},{"startTime":2031.99,"endTime":2034.9,"body":"have lost smell and taste,"},{"startTime":2034.9,"endTime":2037.18,"body":"they have dizziness, shortness of breath,"},{"startTime":2037.18,"endTime":2039.25,"body":"unusual tiredness."},{"startTime":2039.25,"endTime":2043.09,"body":"So they're having to catch"},{"startTime":2039.25,"endTime":2043.09,"body":"up with their work at school,"},{"startTime":2043.09,"endTime":2045.25,"body":"they're having to try and"},{"startTime":2043.09,"endTime":2045.25,"body":"be with their friends,"},{"startTime":2045.25,"endTime":2048.7,"body":"and yet they're having these"},{"startTime":2045.25,"endTime":2048.7,"body":"health problems as well."},{"startTime":2048.7,"endTime":2050.8,"body":"So physical and mental health problems,"},{"startTime":2050.8,"endTime":2052.18,"body":"but the mental health"},{"startTime":2050.8,"endTime":2052.18,"body":"problems, like I said,"},{"startTime":2052.18,"endTime":2054.13,"body":"are both whether you had"},{"startTime":2052.18,"endTime":2054.13,"body":"the illness or you didn't,"},{"startTime":2054.13,"endTime":2056.74,"body":"you seem to be getting this"},{"startTime":2054.13,"endTime":2056.74,"body":"mental health problems."},{"startTime":2056.74,"endTime":2060.94,"body":"Other symptoms from other"},{"startTime":2056.74,"endTime":2060.94,"body":"studies, learning difficulties,"},{"startTime":2060.94,"endTime":2062.83,"body":"sore throats, sore eyes."},{"startTime":2062.83,"endTime":2064.15,"body":"These studies that are on children"},{"startTime":2064.15,"endTime":2067.33,"body":"who do not have a disability"},{"startTime":2064.15,"endTime":2067.33,"body":"in any sort of way."},{"startTime":2067.33,"endTime":2070.0,"body":"Very, very few studies"},{"startTime":2067.33,"endTime":2070.0,"body":"being done on children"},{"startTime":2070.0,"endTime":2071.56,"body":"who have any disability,"},{"startTime":2070.0,"endTime":2071.56,"body":"and if you've noticed"},{"startTime":2071.56,"endTime":2072.7,"body":"that I haven't talked about that yet,"},{"startTime":2072.7,"endTime":2074.32,"body":"that could be another whole lecture."},{"startTime":2074.32,"endTime":2076.48,"body":"Children with down syndrome,"},{"startTime":2074.32,"endTime":2076.48,"body":"who I particularly work with,"},{"startTime":2076.48,"endTime":2078.85,"body":"children with autism, children with ADHD,"},{"startTime":2078.85,"endTime":2081.19,"body":"all of these children"},{"startTime":2078.85,"endTime":2081.19,"body":"were also in the lockdown,"},{"startTime":2081.19,"endTime":2082.72,"body":"they were also living"},{"startTime":2081.19,"endTime":2082.72,"body":"through the pandemic,"},{"startTime":2082.72,"endTime":2085.03,"body":"and they are now having the"},{"startTime":2082.72,"endTime":2085.03,"body":"aftermath of that as well."},{"startTime":2085.03,"endTime":2087.19,"body":"But we're not really talking"},{"startTime":2085.03,"endTime":2087.19,"body":"about how that impacted"},{"startTime":2087.19,"endTime":2088.75,"body":"on their lives or will continue"},{"startTime":2088.75,"endTime":2090.34,"body":"and what health problems they had."},{"startTime":2090.34,"endTime":2094.0,"body":"Mainly because children didn't get as ill."},{"startTime":2094.0,"endTime":2095.05,"body":"We know from the data,"},{"startTime":2095.05,"endTime":2097.42,"body":"'cause I led one of the"},{"startTime":2095.05,"endTime":2097.42,"body":"studies on the impact"},{"startTime":2097.42,"endTime":2099.7,"body":"on children with down syndrome in COVID,"},{"startTime":2099.7,"endTime":2103.48,"body":"of course not many children"},{"startTime":2099.7,"endTime":2103.48,"body":"got sick with COVID,"},{"startTime":2103.48,"endTime":2106.09,"body":"not many children were in"},{"startTime":2103.48,"endTime":2106.09,"body":"hospital and died with COVID,"},{"startTime":2106.09,"endTime":2107.56,"body":"but they were still living through it,"},{"startTime":2107.56,"endTime":2109.96,"body":"and they were still locked"},{"startTime":2107.56,"endTime":2109.96,"body":"down at home from it."},{"startTime":2109.96,"endTime":2113.05,"body":"But there's still some"},{"startTime":2109.96,"endTime":2113.05,"body":"predictors of long COVID"},{"startTime":2113.05,"endTime":2114.686,"body":"for children."},{"startTime":2114.686,"endTime":2116.38,"body":"So as you can see their"},{"startTime":2114.686,"endTime":2116.38,"body":"age, the old you are,"},{"startTime":2116.38,"endTime":2117.82,"body":"well, you're going to be more risk."},{"startTime":2117.82,"endTime":2119.11,"body":"Your sex, if you're female,"},{"startTime":2119.11,"endTime":2122.92,"body":"actually in children, you are"},{"startTime":2119.11,"endTime":2122.92,"body":"at more risk of long COVID."},{"startTime":2122.92,"endTime":2123.82,"body":"Ethnicity, again,"},{"startTime":2123.82,"endTime":2127.9,"body":"south Asians, and what you were"},{"startTime":2123.82,"endTime":2127.9,"body":"like before COVID was there,"},{"startTime":2127.9,"endTime":2129.49,"body":"your health before COVID."},{"startTime":2129.49,"endTime":2131.77,"body":"So we have a big pub public health message"},{"startTime":2131.77,"endTime":2134.05,"body":"to keep yourself healthy if"},{"startTime":2131.77,"endTime":2134.05,"body":"you want to not be healthy"},{"startTime":2134.05,"endTime":2135.94,"body":"in the future, we've always known that,"},{"startTime":2135.94,"endTime":2137.53,"body":"but you can see from all of this data,"},{"startTime":2137.53,"endTime":2140.56,"body":"it's very clear that you"},{"startTime":2137.53,"endTime":2140.56,"body":"are going to be sicker"},{"startTime":2140.56,"endTime":2142.72,"body":"if you are not well to begin with."},{"startTime":2142.72,"endTime":2144.22,"body":"Not rocket science, I suppose."},{"startTime":2145.12,"endTime":2148.51,"body":"So this is again from"},{"startTime":2145.12,"endTime":2148.51,"body":"Stephenson at al's slide"},{"startTime":2148.51,"endTime":2150.28,"body":"that my colleagues have kindly shared me."},{"startTime":2150.28,"endTime":2151.63,"body":"So have to say, you know,"},{"startTime":2151.63,"endTime":2156.316,"body":"I have utilized the slides"},{"startTime":2151.63,"endTime":2156.316,"body":"of my colleagues and friends,"},{"startTime":2156.316,"endTime":2157.149,"body":"and they have given me"},{"startTime":2156.316,"endTime":2157.149,"body":"permission to do that."},{"startTime":2157.149,"endTime":2159.37,"body":"But so this is one about, well,"},{"startTime":2159.37,"endTime":2162.16,"body":"how is it that children"},{"startTime":2159.37,"endTime":2162.16,"body":"are getting long COVID?"},{"startTime":2162.16,"endTime":2163.45,"body":"how is it affecting them?"},{"startTime":2163.45,"endTime":2164.41,"body":"What's the hypothesis?"},{"startTime":2164.41,"endTime":2166.62,"body":"We don't know, we actually dunno,"},{"startTime":2166.62,"endTime":2167.83,"body":"so I cannot give you the answer."},{"startTime":2167.83,"endTime":2169.18,"body":"So if you ask me a question later on go,"},{"startTime":2169.18,"endTime":2170.013,"body":"is it X, Y, Z?"},{"startTime":2170.013,"endTime":2171.88,"body":"I can tell you now, I don't know."},{"startTime":2171.88,"endTime":2173.89,"body":"People are still theorizing a it."},{"startTime":2173.89,"endTime":2177.01,"body":"So some people feel it's a"},{"startTime":2173.89,"endTime":2177.01,"body":"persistent viral infection."},{"startTime":2177.01,"endTime":2180.64,"body":"So the infection sits within"},{"startTime":2177.01,"endTime":2180.64,"body":"you and then it erupts,"},{"startTime":2180.64,"endTime":2182.41,"body":"the infection sits there"},{"startTime":2180.64,"endTime":2182.41,"body":"and it keeps erupting,"},{"startTime":2182.41,"endTime":2183.85,"body":"and that's why you have it."},{"startTime":2183.85,"endTime":2186.58,"body":"Some people say it's like"},{"startTime":2183.85,"endTime":2186.58,"body":"an autoimmune disease,"},{"startTime":2186.58,"endTime":2187.99,"body":"you know, you're fighting your own body,"},{"startTime":2187.99,"endTime":2189.7,"body":"it's hitting your own body."},{"startTime":2189.7,"endTime":2190.72,"body":"Some think, well,"},{"startTime":2190.72,"endTime":2192.76,"body":"because of the inflammation"},{"startTime":2190.72,"endTime":2192.76,"body":"that you had from COVID,"},{"startTime":2192.76,"endTime":2195.13,"body":"there's a long term effect."},{"startTime":2195.13,"endTime":2196.57,"body":"And then some people will say, well,"},{"startTime":2196.57,"endTime":2197.92,"body":"you have these symptoms,"},{"startTime":2197.92,"endTime":2199.66,"body":"because it's like"},{"startTime":2197.92,"endTime":2199.66,"body":"chronic fatigue syndrome,"},{"startTime":2199.66,"endTime":2201.34,"body":"we don't really know what's happening,"},{"startTime":2201.34,"endTime":2203.62,"body":"but you have this long term effect."},{"startTime":2203.62,"endTime":2205.66,"body":"And this is really hard for all of you"},{"startTime":2205.66,"endTime":2208.21,"body":"who've got long COVID,"},{"startTime":2205.66,"endTime":2208.21,"body":"the medical long COVID,"},{"startTime":2208.21,"endTime":2209.26,"body":"because some people are feeling"},{"startTime":2209.26,"endTime":2211.21,"body":"like people don't believe them,"},{"startTime":2211.21,"endTime":2213.46,"body":"and you've gone through COVID,"},{"startTime":2213.46,"endTime":2215.32,"body":"you've had the illness, and"},{"startTime":2213.46,"endTime":2215.32,"body":"then you go and you say,"},{"startTime":2215.32,"endTime":2216.37,"body":"I'm tired, I'm exhausted,"},{"startTime":2216.37,"endTime":2217.39,"body":"I can't do X, Y, Z,"},{"startTime":2217.39,"endTime":2219.74,"body":"I've got brain fog and people are, yeah,"},{"startTime":2219.74,"endTime":2221.29,"body":"you're just making it up."},{"startTime":2221.29,"endTime":2222.7,"body":"And people aren't making it up,"},{"startTime":2222.7,"endTime":2225.55,"body":"there's good data that"},{"startTime":2222.7,"endTime":2225.55,"body":"you're not making it up."},{"startTime":2225.55,"endTime":2228.253,"body":"But people are feeling left alone."},{"startTime":2229.48,"endTime":2232.24,"body":"So this is another study"},{"startTime":2229.48,"endTime":2232.24,"body":"that we've been doing,"},{"startTime":2232.24,"endTime":2234.52,"body":"which has been looking"},{"startTime":2232.24,"endTime":2234.52,"body":"at particularly Black"},{"startTime":2234.52,"endTime":2237.16,"body":"and minority ethnic communities."},{"startTime":2237.16,"endTime":2239.077,"body":"And I've been leading the"},{"startTime":2237.16,"endTime":2239.077,"body":"work package on young people,"},{"startTime":2239.077,"endTime":2240.7,"body":"and that's because we've been talking"},{"startTime":2240.7,"endTime":2242.3,"body":"about the double whammy, really,"},{"startTime":2243.18,"endTime":2247.69,"body":"the emotional and"},{"startTime":2243.18,"endTime":2247.69,"body":"physical impact of COVID,"},{"startTime":2247.69,"endTime":2249.31,"body":"which we've already talked about,"},{"startTime":2249.31,"endTime":2252.67,"body":"and also there was a quite"},{"startTime":2249.31,"endTime":2252.67,"body":"big racial inequality"},{"startTime":2252.67,"endTime":2254.68,"body":"that went on during COVID as well."},{"startTime":2254.68,"endTime":2258.541,"body":"We talked some of it about"},{"startTime":2254.68,"endTime":2258.541,"body":"housing, overcrowding,"},{"startTime":2258.541,"endTime":2260.11,"body":"there were some positive things,"},{"startTime":2260.11,"endTime":2261.55,"body":"people looked after each other,"},{"startTime":2261.55,"endTime":2263.74,"body":"people looked after their elderly,"},{"startTime":2263.74,"endTime":2266.05,"body":"but there was also some"},{"startTime":2263.74,"endTime":2266.05,"body":"issues around policing,"},{"startTime":2266.05,"endTime":2267.61,"body":"people being over policed"},{"startTime":2267.61,"endTime":2270.7,"body":"if you were from a Black"},{"startTime":2267.61,"endTime":2270.7,"body":"or Asian community."},{"startTime":2270.7,"endTime":2271.93,"body":"And that's a whole big study,"},{"startTime":2271.93,"endTime":2273.7,"body":"which I'm only touching on here,"},{"startTime":2273.7,"endTime":2275.45,"body":"but it's actually a study in itself"},{"startTime":2276.573,"endTime":2277.6,"body":"on what happened during COVID"},{"startTime":2277.6,"endTime":2280.39,"body":"and how it affected people's lives."},{"startTime":2280.39,"endTime":2282.4,"body":"So this is just one of the areas, I mean,"},{"startTime":2282.4,"endTime":2284.5,"body":"I'm just touching on the"},{"startTime":2282.4,"endTime":2284.5,"body":"family relationships,"},{"startTime":2284.5,"endTime":2286.9,"body":"but people lost their income."},{"startTime":2286.9,"endTime":2291.52,"body":"There were workplace issues,"},{"startTime":2286.9,"endTime":2291.52,"body":"people felt left behind really."},{"startTime":2291.52,"endTime":2293.65,"body":"They felt that they didn't"},{"startTime":2291.52,"endTime":2293.65,"body":"know if their parents"},{"startTime":2293.65,"endTime":2296.02,"body":"were going to come back home"},{"startTime":2293.65,"endTime":2296.02,"body":"if their parents went out,"},{"startTime":2296.02,"endTime":2297.73,"body":"went to work, they didn't"},{"startTime":2296.02,"endTime":2297.73,"body":"know if they were going"},{"startTime":2297.73,"endTime":2300.01,"body":"to end up in hospital and"},{"startTime":2297.73,"endTime":2300.01,"body":"they were going to be dead"},{"startTime":2300.01,"endTime":2301.03,"body":"at the end of the day."},{"startTime":2301.03,"endTime":2302.2,"body":"And I'm not exaggerating,"},{"startTime":2302.2,"endTime":2304.39,"body":"in my own area where I live in Leicester,"},{"startTime":2304.39,"endTime":2306.13,"body":"there were intergenerational families"},{"startTime":2306.13,"endTime":2308.47,"body":"who were losing people one by one."},{"startTime":2308.47,"endTime":2309.73,"body":"We've never really addressed it,"},{"startTime":2309.73,"endTime":2312.31,"body":"we've never really talked about it."},{"startTime":2312.31,"endTime":2314.23,"body":"People felt that they had their savings,"},{"startTime":2314.23,"endTime":2316.33,"body":"their money depleted,"},{"startTime":2314.23,"endTime":2316.33,"body":"whatever money they had."},{"startTime":2316.33,"endTime":2317.92,"body":"And I'm sure we've all saved money,"},{"startTime":2317.92,"endTime":2319.36,"body":"and bit by bit it was depleted"},{"startTime":2319.36,"endTime":2321.13,"body":"because you had to try"},{"startTime":2319.36,"endTime":2321.13,"body":"or you didn't have a job,"},{"startTime":2321.13,"endTime":2322.9,"body":"you had to care for people."},{"startTime":2322.9,"endTime":2325.99,"body":"And some of it they had kept"},{"startTime":2322.9,"endTime":2325.99,"body":"for their families overseas"},{"startTime":2325.99,"endTime":2328.03,"body":"and were not able to send it"},{"startTime":2325.99,"endTime":2328.03,"body":"back to families overseas."},{"startTime":2328.03,"endTime":2330.25,"body":"So it wasn't just people"},{"startTime":2328.03,"endTime":2330.25,"body":"here that were suffering,"},{"startTime":2330.25,"endTime":2332.89,"body":"but people had families back"},{"startTime":2330.25,"endTime":2332.89,"body":"in their country of origin"},{"startTime":2332.89,"endTime":2335.56,"body":"as well that they were"},{"startTime":2332.89,"endTime":2335.56,"body":"having to connect with"},{"startTime":2335.56,"endTime":2337.54,"body":"or lose connection with."},{"startTime":2337.54,"endTime":2339.76,"body":"And sharing devices,"},{"startTime":2337.54,"endTime":2339.76,"body":"this has come up a lot,"},{"startTime":2339.76,"endTime":2341.5,"body":"and I haven't really"},{"startTime":2339.76,"endTime":2341.5,"body":"touched on this, and again,"},{"startTime":2341.5,"endTime":2343.15,"body":"we could talk about the technology"},{"startTime":2343.15,"endTime":2344.65,"body":"and was it helpful or not helpful,"},{"startTime":2344.65,"endTime":2346.96,"body":"but we live in a world of technology,"},{"startTime":2346.96,"endTime":2349.09,"body":"we have lived in a world of technology,"},{"startTime":2349.09,"endTime":2350.89,"body":"and we are so dependent on it."},{"startTime":2350.89,"endTime":2355.54,"body":"So children we're not"},{"startTime":2350.89,"endTime":2355.54,"body":"able to often have access"},{"startTime":2355.54,"endTime":2357.31,"body":"to computers, iPads,"},{"startTime":2357.31,"endTime":2360.01,"body":"phones to do their work, to"},{"startTime":2357.31,"endTime":2360.01,"body":"connect socially with people,"},{"startTime":2360.01,"endTime":2362.8,"body":"people sharing one phone between people."},{"startTime":2362.8,"endTime":2363.82,"body":"I mean, I think that was the case"},{"startTime":2363.82,"endTime":2365.05,"body":"for many of the elderly as well,"},{"startTime":2365.05,"endTime":2366.94,"body":"and I'm sure many of us"},{"startTime":2365.05,"endTime":2366.94,"body":"could talk about that,"},{"startTime":2366.94,"endTime":2369.94,"body":"is that, how did you"},{"startTime":2366.94,"endTime":2369.94,"body":"connect socially with people"},{"startTime":2369.94,"endTime":2372.82,"body":"if suddenly you had nobody to"},{"startTime":2369.94,"endTime":2372.82,"body":"help you with your Zoom calls"},{"startTime":2372.82,"endTime":2375.02,"body":"or internet, and how"},{"startTime":2372.82,"endTime":2375.02,"body":"did that make you feel?"},{"startTime":2378.97,"endTime":2381.19,"body":"So here just as well, the"},{"startTime":2378.97,"endTime":2381.19,"body":"impact on relationships,"},{"startTime":2381.19,"endTime":2382.367,"body":"there's just some quotes."},{"startTime":2382.367,"endTime":2384.4,"body":"\"As time's gone on, I've"},{"startTime":2382.367,"endTime":2384.4,"body":"been feeling a bit anxious"},{"startTime":2384.4,"endTime":2386.26,"body":"about my dad going to work.\""},{"startTime":2386.26,"endTime":2388.24,"body":"This is the legacy of the long COVID,"},{"startTime":2388.24,"endTime":2392.47,"body":"people are still scared, you"},{"startTime":2388.24,"endTime":2392.47,"body":"don't believe that it's safe,"},{"startTime":2392.47,"endTime":2395.267,"body":"you don't believe your"},{"startTime":2392.47,"endTime":2395.267,"body":"family will be okay."},{"startTime":2395.267,"endTime":2397.09,"body":"\"So I think it has"},{"startTime":2395.267,"endTime":2397.09,"body":"brought some positives.\""},{"startTime":2397.09,"endTime":2398.327,"body":"So there's positives."},{"startTime":2398.327,"endTime":2400.42,"body":"\"Like, because now I have"},{"startTime":2398.327,"endTime":2400.42,"body":"more close relationships"},{"startTime":2400.42,"endTime":2401.806,"body":"with my siblings.\""},{"startTime":2401.806,"endTime":2403.419,"body":"So I don't want everybody"},{"startTime":2401.806,"endTime":2403.419,"body":"to think there's negatives,"},{"startTime":2403.419,"endTime":2404.96,"body":"there's positives as well when people"},{"startTime":2404.96,"endTime":2406.637,"body":"have lived through COVID"},{"startTime":2404.96,"endTime":2406.637,"body":"and continue to do so."},{"startTime":2406.637,"endTime":2408.76,"body":"\"I think that was the most worried thing."},{"startTime":2408.76,"endTime":2409.593,"body":"I was, like,"},{"startTime":2409.593,"endTime":2411.25,"body":"obviously for like my grandparents,"},{"startTime":2411.25,"endTime":2413.11,"body":"because they're vulnerable people.\""},{"startTime":2413.11,"endTime":2415.3,"body":"People didn't see their"},{"startTime":2413.11,"endTime":2415.3,"body":"grandparents for ages,"},{"startTime":2415.3,"endTime":2416.86,"body":"and these were the people"},{"startTime":2415.3,"endTime":2416.86,"body":"that they felt very,"},{"startTime":2416.86,"endTime":2417.793,"body":"very close to."},{"startTime":2418.84,"endTime":2420.73,"body":"So there's feelings of disappointment,"},{"startTime":2420.73,"endTime":2422.71,"body":"there's feelings of being left behind,"},{"startTime":2422.71,"endTime":2424.03,"body":"there's feelings of not being able"},{"startTime":2424.03,"endTime":2427.39,"body":"to actually catch up"},{"startTime":2424.03,"endTime":2427.39,"body":"with school work as well."},{"startTime":2427.39,"endTime":2429.79,"body":"So education was a big issue we looked at."},{"startTime":2429.79,"endTime":2434.79,"body":"And it was interesting how"},{"startTime":2429.79,"endTime":2434.79,"body":"the combination of COVID,"},{"startTime":2436.15,"endTime":2439.99,"body":"plus feeling that you were"},{"startTime":2436.15,"endTime":2439.99,"body":"in some ways not integrating"},{"startTime":2439.99,"endTime":2441.82,"body":"into your school very well,"},{"startTime":2441.82,"endTime":2444.01,"body":"and because you didn't"},{"startTime":2441.82,"endTime":2444.01,"body":"have access to resources,"},{"startTime":2444.01,"endTime":2447.94,"body":"felt you were being"},{"startTime":2444.01,"endTime":2447.94,"body":"attacked from all sides."},{"startTime":2447.94,"endTime":2450.25,"body":"And we haven't really"},{"startTime":2447.94,"endTime":2450.25,"body":"addressed this at the moment."},{"startTime":2450.25,"endTime":2453.28,"body":"People felt quite isolated,"},{"startTime":2450.25,"endTime":2453.28,"body":"they felt quite stressed,"},{"startTime":2453.28,"endTime":2455.02,"body":"and they didn't feel that"},{"startTime":2453.28,"endTime":2455.02,"body":"other people understood"},{"startTime":2455.02,"endTime":2455.86,"body":"what they were going through."},{"startTime":2455.86,"endTime":2457.12,"body":"So if you were from a community"},{"startTime":2457.12,"endTime":2458.68,"body":"where you were losing people more,"},{"startTime":2458.68,"endTime":2461.08,"body":"or the press was talking"},{"startTime":2458.68,"endTime":2461.08,"body":"more negatively about you,"},{"startTime":2461.08,"endTime":2463.03,"body":"or that you weren't having vaccines,"},{"startTime":2463.03,"endTime":2464.8,"body":"people didn't feel like other"},{"startTime":2463.03,"endTime":2464.8,"body":"people would understand them."},{"startTime":2464.8,"endTime":2466.06,"body":"So this sort of divide"},{"startTime":2466.06,"endTime":2468.31,"body":"has actually increased between people,"},{"startTime":2468.31,"endTime":2469.99,"body":"and that's actually very, very sad,"},{"startTime":2469.99,"endTime":2471.913,"body":"and we haven't addressed that at all."},{"startTime":2474.58,"endTime":2476.98,"body":"So coming to adults, well,"},{"startTime":2476.98,"endTime":2479.98,"body":"we know that COVID is like"},{"startTime":2476.98,"endTime":2479.98,"body":"a multisystem disorder."},{"startTime":2479.98,"endTime":2482.41,"body":"We know that it affects"},{"startTime":2479.98,"endTime":2482.41,"body":"sort of every part of you,"},{"startTime":2482.41,"endTime":2485.128,"body":"whether it's your brain,"},{"startTime":2482.41,"endTime":2485.128,"body":"whether it's your lungs,"},{"startTime":2485.128,"endTime":2485.961,"body":"whether it's your heart,"},{"startTime":2485.961,"endTime":2489.49,"body":"and that actually puts us"},{"startTime":2485.961,"endTime":2489.49,"body":"all at risk of strokes,"},{"startTime":2489.49,"endTime":2492.01,"body":"myocardial infarction,"},{"startTime":2489.49,"endTime":2492.01,"body":"which is heart attacks,"},{"startTime":2492.01,"endTime":2495.37,"body":"arrhythmia, when your heart"},{"startTime":2492.01,"endTime":2495.37,"body":"really just changes a rhythm,"},{"startTime":2495.37,"endTime":2499.96,"body":"clots in your body, and it's"},{"startTime":2495.37,"endTime":2499.96,"body":"due to the inflammation,"},{"startTime":2499.96,"endTime":2502.27,"body":"really, not to scare any of you out here,"},{"startTime":2502.27,"endTime":2504.26,"body":"but you know, it is an infection"},{"startTime":2505.454,"endTime":2506.287,"body":"that really hits every bit of you."},{"startTime":2506.287,"endTime":2507.821,"body":"And that's why we were all so surprised,"},{"startTime":2507.821,"endTime":2512.05,"body":"we were like trying to"},{"startTime":2507.821,"endTime":2512.05,"body":"catch a train constantly,"},{"startTime":2512.05,"endTime":2513.79,"body":"and this train keeps"},{"startTime":2512.05,"endTime":2513.79,"body":"running away from you,"},{"startTime":2513.79,"endTime":2515.89,"body":"because every time you"},{"startTime":2513.79,"endTime":2515.89,"body":"think you solve the problem,"},{"startTime":2515.89,"endTime":2516.85,"body":"you find another problem,"},{"startTime":2516.85,"endTime":2518.77,"body":"and another problem, and another problem."},{"startTime":2518.77,"endTime":2520.51,"body":"And that's the same with long COVID now,"},{"startTime":2520.51,"endTime":2523.45,"body":"every time we think we've"},{"startTime":2520.51,"endTime":2523.45,"body":"done a little bit of research"},{"startTime":2523.45,"endTime":2525.94,"body":"that may give us an answer,"},{"startTime":2523.45,"endTime":2525.94,"body":"there's another problem,"},{"startTime":2525.94,"endTime":2526.87,"body":"and another problem,"},{"startTime":2526.87,"endTime":2528.73,"body":"and we don't think we're"},{"startTime":2526.87,"endTime":2528.73,"body":"going to find the answer"},{"startTime":2528.73,"endTime":2531.58,"body":"to treating long COVID"},{"startTime":2528.73,"endTime":2531.58,"body":"for quite some time."},{"startTime":2531.58,"endTime":2534.79,"body":"Because if you think of it, any research,"},{"startTime":2534.79,"endTime":2536.68,"body":"you have to follow people"},{"startTime":2534.79,"endTime":2536.68,"body":"up for a few years."},{"startTime":2536.68,"endTime":2539.11,"body":"So if you feel that you"},{"startTime":2536.68,"endTime":2539.11,"body":"are feeling tired today,"},{"startTime":2539.11,"endTime":2541.27,"body":"you've got a breathing problem today,"},{"startTime":2541.27,"endTime":2544.03,"body":"actually, for us to do the"},{"startTime":2541.27,"endTime":2544.03,"body":"studies to give you the answers"},{"startTime":2544.03,"endTime":2545.56,"body":"could take two, three years."},{"startTime":2545.56,"endTime":2548.29,"body":"So how long are you going to wait"},{"startTime":2545.56,"endTime":2548.29,"body":"to actually have the answers?"},{"startTime":2548.29,"endTime":2550.99,"body":"So the question is not what"},{"startTime":2548.29,"endTime":2550.99,"body":"the treatments are today,"},{"startTime":2550.99,"endTime":2552.76,"body":"but what can we do for ourselves today?"},{"startTime":2552.76,"endTime":2553.66,"body":"I think that's the thing,"},{"startTime":2553.66,"endTime":2556.36,"body":"how can we keep ourselves"},{"startTime":2553.66,"endTime":2556.36,"body":"as well as we can"},{"startTime":2556.36,"endTime":2558.31,"body":"when the treatments are coming through?"},{"startTime":2558.31,"endTime":2560.2,"body":"I mean, not saying that we,"},{"startTime":2560.2,"endTime":2563.29,"body":"you know, there has been a lot"},{"startTime":2560.2,"endTime":2563.29,"body":"of fast tracking of science"},{"startTime":2563.29,"endTime":2566.8,"body":"and you'll know that results"},{"startTime":2563.29,"endTime":2566.8,"body":"have been shared very,"},{"startTime":2566.8,"endTime":2568.99,"body":"very fast compared to"},{"startTime":2566.8,"endTime":2568.99,"body":"what they would normally,"},{"startTime":2568.99,"endTime":2571.423,"body":"so that we could actually"},{"startTime":2568.99,"endTime":2571.423,"body":"keep on top of things."},{"startTime":2573.97,"endTime":2576.7,"body":"So coming to the adults then,"},{"startTime":2576.7,"endTime":2578.35,"body":"well, some people would say"},{"startTime":2578.35,"endTime":2579.82,"body":"it's going to take them three years"},{"startTime":2579.82,"endTime":2582.22,"body":"to get back to where they"},{"startTime":2579.82,"endTime":2582.22,"body":"were before the pandemic,"},{"startTime":2582.22,"endTime":2584.47,"body":"because of the economic impact."},{"startTime":2584.47,"endTime":2586.18,"body":"Because not just of the healthy impact,"},{"startTime":2586.18,"endTime":2589.39,"body":"if you're unhealthy, then"},{"startTime":2586.18,"endTime":2589.39,"body":"you haven't got a job,"},{"startTime":2589.39,"endTime":2591.43,"body":"you can't get in your job,"},{"startTime":2589.39,"endTime":2591.43,"body":"you keep taking time off,"},{"startTime":2591.43,"endTime":2593.86,"body":"how do you actually break that cycle?"},{"startTime":2593.86,"endTime":2595.655,"body":"And that's how we're going to have"},{"startTime":2595.655,"endTime":2596.488,"body":"an increased number of short people,"},{"startTime":2596.488,"endTime":2598.003,"body":"adults in poverty as well."},{"startTime":2599.44,"endTime":2600.7,"body":"Just as with the children,"},{"startTime":2600.7,"endTime":2602.71,"body":"family relationships were broken"},{"startTime":2602.71,"endTime":2606.1,"body":"and family members sometimes"},{"startTime":2602.71,"endTime":2606.1,"body":"got on better with each other,"},{"startTime":2606.1,"endTime":2608.53,"body":"sometimes didn't get on"},{"startTime":2606.1,"endTime":2608.53,"body":"better with each other,"},{"startTime":2608.53,"endTime":2610.78,"body":"and this has strained"},{"startTime":2608.53,"endTime":2610.78,"body":"a lot of relationships."},{"startTime":2612.1,"endTime":2612.933,"body":"We think that, you know,"},{"startTime":2612.933,"endTime":2615.097,"body":"we have a definition"},{"startTime":2612.933,"endTime":2615.097,"body":"of what long COVID is,"},{"startTime":2615.097,"endTime":2617.5,"body":"and you have the symptoms"},{"startTime":2615.097,"endTime":2617.5,"body":"after four weeks,"},{"startTime":2617.5,"endTime":2619.84,"body":"basically continuing symptoms."},{"startTime":2619.84,"endTime":2621.43,"body":"And NICE did bring out a definition"},{"startTime":2621.43,"endTime":2624.97,"body":"so that we could start"},{"startTime":2621.43,"endTime":2624.97,"body":"labeling what is long COVID."},{"startTime":2624.97,"endTime":2627.67,"body":"But again, we don't really"},{"startTime":2624.97,"endTime":2627.67,"body":"know how long this goes on for,"},{"startTime":2627.67,"endTime":2630.22,"body":"will this go on for three"},{"startTime":2627.67,"endTime":2630.22,"body":"months, will it go on for longer,"},{"startTime":2630.22,"endTime":2631.84,"body":"will it going for even longer than that?"},{"startTime":2631.84,"endTime":2635.851,"body":"We don't know because we're"},{"startTime":2631.84,"endTime":2635.851,"body":"still watching what goes on."},{"startTime":2635.851,"endTime":2637.06,"body":"And as I said, you know,"},{"startTime":2637.06,"endTime":2641.65,"body":"the people who actually have"},{"startTime":2637.06,"endTime":2641.65,"body":"had more challenges with COVID"},{"startTime":2641.65,"endTime":2643.51,"body":"and will continue to have more challenges"},{"startTime":2643.51,"endTime":2645.97,"body":"are going to be individuals"},{"startTime":2643.51,"endTime":2645.97,"body":"who have comorbidities,"},{"startTime":2645.97,"endTime":2648.52,"body":"who have health problems,"},{"startTime":2645.97,"endTime":2648.52,"body":"who are on chemotherapy,"},{"startTime":2648.52,"endTime":2652.24,"body":"who have heart problems, lung problems,"},{"startTime":2652.24,"endTime":2653.953,"body":"who have disabilities as well."},{"startTime":2657.981,"endTime":2660.98,"body":"So this diagram here is again"},{"startTime":2657.981,"endTime":2660.98,"body":"from one of my colleagues,"},{"startTime":2660.98,"endTime":2663.28,"body":"Kamlesh Khunti kindly sent it,"},{"startTime":2663.28,"endTime":2667.66,"body":"just so that you can see how"},{"startTime":2663.28,"endTime":2667.66,"body":"interrelated long COVID is."},{"startTime":2667.66,"endTime":2671.35,"body":"So you have the anxiety and depression,"},{"startTime":2671.35,"endTime":2673.57,"body":"and then you've got the cardiac disease."},{"startTime":2673.57,"endTime":2676.18,"body":"You have the abnormal exercise physiology,"},{"startTime":2676.18,"endTime":2677.47,"body":"you have disordered breathing, meaning,"},{"startTime":2677.47,"endTime":2679.0,"body":"when I say disorder breathing,"},{"startTime":2679.0,"endTime":2681.97,"body":"your breathing pattern isn't quite right,"},{"startTime":2681.97,"endTime":2683.679,"body":"it just doesn't feel right,"},{"startTime":2683.679,"endTime":2684.512,"body":"but you can't explain it to somebody,"},{"startTime":2684.512,"endTime":2685.99,"body":"but you actually don't know what is right."},{"startTime":2685.99,"endTime":2688.72,"body":"People are getting chest pain, tiredness,"},{"startTime":2688.72,"endTime":2691.09,"body":"and as I say, brain fog is one"},{"startTime":2688.72,"endTime":2691.09,"body":"thing that keeps coming up."},{"startTime":2691.09,"endTime":2692.213,"body":"I've just got this brain fog,"},{"startTime":2692.213,"endTime":2694.18,"body":"I just can't quite concentrate properly."},{"startTime":2694.18,"endTime":2696.49,"body":"So it's a very complicated picture"},{"startTime":2696.49,"endTime":2699.61,"body":"when we start thinking about"},{"startTime":2696.49,"endTime":2699.61,"body":"how it's affecting each of us."},{"startTime":2699.61,"endTime":2701.08,"body":"And each one of you won't be the same,"},{"startTime":2701.08,"endTime":2702.97,"body":"so I can say, these are my symptoms,"},{"startTime":2702.97,"endTime":2704.38,"body":"and you can say, those are your symptoms,"},{"startTime":2704.38,"endTime":2706.09,"body":"and you can say, those are your symptoms,"},{"startTime":2706.09,"endTime":2707.08,"body":"but we're not going to be the same."},{"startTime":2707.08,"endTime":2709.0,"body":"And that makes it really hard to treat."},{"startTime":2709.0,"endTime":2711.61,"body":"So if you have a disease"},{"startTime":2709.0,"endTime":2711.61,"body":"where you have a heart attack,"},{"startTime":2711.61,"endTime":2713.2,"body":"that's a heart attack, you know,"},{"startTime":2713.2,"endTime":2715.09,"body":"specialists come in and"},{"startTime":2713.2,"endTime":2715.09,"body":"they treat your heart."},{"startTime":2715.09,"endTime":2716.11,"body":"Yeah, we can do the science,"},{"startTime":2716.11,"endTime":2717.82,"body":"we can do the research, we can say,"},{"startTime":2717.82,"endTime":2719.2,"body":"that's what we're going to do."},{"startTime":2719.2,"endTime":2721.09,"body":"When you have something"},{"startTime":2719.2,"endTime":2721.09,"body":"that's all over the place,"},{"startTime":2721.09,"endTime":2723.937,"body":"all over your body,"},{"startTime":2721.09,"endTime":2723.937,"body":"who's going to treat you?"},{"startTime":2723.937,"endTime":2725.83,"body":"Are you going to go to me, or not me,"},{"startTime":2725.83,"endTime":2727.24,"body":"'cause I'm a pediatrician,"},{"startTime":2727.24,"endTime":2729.19,"body":"are you going to go to a cardiologist?"},{"startTime":2729.19,"endTime":2731.11,"body":"Are you going to go to a"},{"startTime":2729.19,"endTime":2731.11,"body":"respiratory pediatrician?"},{"startTime":2731.11,"endTime":2732.86,"body":"Who are you going to seek for help?"},{"startTime":2733.72,"endTime":2734.92,"body":"We're not used to working in that way,"},{"startTime":2734.92,"endTime":2736.6,"body":"that's not the norm of how we always work,"},{"startTime":2736.6,"endTime":2738.94,"body":"we become ologists in this country."},{"startTime":2738.94,"endTime":2741.91,"body":"We're going to have to"},{"startTime":2738.94,"endTime":2741.91,"body":"change the way we do things."},{"startTime":2741.91,"endTime":2745.633,"body":"So it has a multi-system impact on people."},{"startTime":2746.68,"endTime":2748.87,"body":"So a quarter of people"},{"startTime":2746.68,"endTime":2748.87,"body":"who have had the virus"},{"startTime":2748.87,"endTime":2751.57,"body":"experience symptoms that"},{"startTime":2748.87,"endTime":2751.57,"body":"continue for at least a month,"},{"startTime":2751.57,"endTime":2753.85,"body":"but 1/10 are still unwell after 12 weeks,"},{"startTime":2753.85,"endTime":2755.354,"body":"that's what I was saying about"},{"startTime":2755.354,"endTime":2757.87,"body":"the long term effects of the COVID."},{"startTime":2757.87,"endTime":2759.88,"body":"Overlapping symptoms, as I showed you,"},{"startTime":2759.88,"endTime":2762.04,"body":"they all overlap, there's"},{"startTime":2759.88,"endTime":2762.04,"body":"not just one symptoms,"},{"startTime":2762.04,"endTime":2764.38,"body":"there's not another, they get"},{"startTime":2762.04,"endTime":2764.38,"body":"this combination of everything"},{"startTime":2764.38,"endTime":2765.97,"body":"that's going on."},{"startTime":2765.97,"endTime":2769.15,"body":"Women and healthcare workers"},{"startTime":2765.97,"endTime":2769.15,"body":"seem to be at greater risk,"},{"startTime":2769.15,"endTime":2772.09,"body":"and that's probably why"},{"startTime":2769.15,"endTime":2772.09,"body":"with the next vaccine,"},{"startTime":2772.09,"endTime":2774.52,"body":"the next booster, health"},{"startTime":2772.09,"endTime":2774.52,"body":"workers are still being asked"},{"startTime":2774.52,"endTime":2776.65,"body":"to have the booster because your risk"},{"startTime":2776.65,"endTime":2778.211,"body":"because of where you are"},{"startTime":2778.211,"endTime":2781.9,"body":"and you are amongst people where"},{"startTime":2778.211,"endTime":2781.9,"body":"you're going to pick it up,"},{"startTime":2781.9,"endTime":2785.53,"body":"and they don't want us"},{"startTime":2781.9,"endTime":2785.53,"body":"to be off work either."},{"startTime":2785.53,"endTime":2787.36,"body":"Long COVID has a serious"},{"startTime":2785.53,"endTime":2787.36,"body":"impact on people's"},{"startTime":2787.36,"endTime":2791.59,"body":"ability to go back to"},{"startTime":2787.36,"endTime":2791.59,"body":"work, but also social life."},{"startTime":2791.59,"endTime":2793.673,"body":"So I mean, you know,"},{"startTime":2793.673,"endTime":2795.61,"body":"people are still not getting back"},{"startTime":2795.61,"endTime":2797.29,"body":"to really going out with each other,"},{"startTime":2797.29,"endTime":2798.76,"body":"socializing with each other,"},{"startTime":2798.76,"endTime":2800.8,"body":"things that really are"},{"startTime":2798.76,"endTime":2800.8,"body":"important for our mental health"},{"startTime":2800.8,"endTime":2802.6,"body":"and our wellbeing."},{"startTime":2802.6,"endTime":2804.76,"body":"So risk predictors of long"},{"startTime":2802.6,"endTime":2804.76,"body":"COVID, if you're over 40,"},{"startTime":2804.76,"endTime":2806.44,"body":"I'm afraid you're at high risk."},{"startTime":2806.44,"endTime":2808.99,"body":"If you're frail, you're high risk."},{"startTime":2808.99,"endTime":2812.05,"body":"If you've had admissions to"},{"startTime":2808.99,"endTime":2812.05,"body":"A\u0026E and hospital admissions,"},{"startTime":2812.05,"endTime":2813.88,"body":"and you've had COVID-19 symptoms,"},{"startTime":2813.88,"endTime":2815.08,"body":"you're going to be at high risk."},{"startTime":2815.08,"endTime":2818.08,"body":"So a number of things that we"},{"startTime":2815.08,"endTime":2818.08,"body":"know are high risk categories,"},{"startTime":2818.08,"endTime":2820.66,"body":"so we have to think of individuals"},{"startTime":2820.66,"endTime":2822.463,"body":"who are quite vulnerable as well."},{"startTime":2825.1,"endTime":2827.71,"body":"Diabetes, so there is research going on"},{"startTime":2827.71,"endTime":2830.89,"body":"in trying to work out whether"},{"startTime":2827.71,"endTime":2830.89,"body":"because of long COVID,"},{"startTime":2830.89,"endTime":2832.51,"body":"we are going to have an"},{"startTime":2830.89,"endTime":2832.51,"body":"increased number of people"},{"startTime":2832.51,"endTime":2835.75,"body":"who are diabetic after long COVID."},{"startTime":2835.75,"endTime":2837.79,"body":"And we know that with diabetes itself,"},{"startTime":2837.79,"endTime":2839.923,"body":"it comes with a whole range of problems."},{"startTime":2840.76,"endTime":2843.25,"body":"Again, it comes with different"},{"startTime":2840.76,"endTime":2843.25,"body":"problems with the eyes,"},{"startTime":2843.25,"endTime":2845.38,"body":"your lungs, well, your heart,"},{"startTime":2845.38,"endTime":2848.05,"body":"there are multiple problems"},{"startTime":2845.38,"endTime":2848.05,"body":"diabetes comes with."},{"startTime":2848.05,"endTime":2849.67,"body":"So if we're going to have long COVID"},{"startTime":2849.67,"endTime":2851.935,"body":"and then we're going to get"},{"startTime":2849.67,"endTime":2851.935,"body":"more people with diabetes,"},{"startTime":2851.935,"endTime":2853.12,"body":"then we're going to get a"},{"startTime":2851.935,"endTime":2853.12,"body":"knock on effect of that."},{"startTime":2853.12,"endTime":2854.891,"body":"We're going to, again,"},{"startTime":2854.891,"endTime":2856.097,"body":"have another problem with who's going"},{"startTime":2856.097,"endTime":2858.73,"body":"to have these long term"},{"startTime":2856.097,"endTime":2858.73,"body":"morbidity problems later on?"},{"startTime":2858.73,"endTime":2861.58,"body":"So there is this register and"},{"startTime":2858.73,"endTime":2861.58,"body":"we are trying to look at that"},{"startTime":2861.58,"endTime":2862.413,"body":"and see what's going on,"},{"startTime":2862.413,"endTime":2864.163,"body":"not me, but my colleagues."},{"startTime":2866.98,"endTime":2869.38,"body":"So as I've said, some of the"},{"startTime":2866.98,"endTime":2869.38,"body":"things we've talked about,"},{"startTime":2869.38,"endTime":2870.43,"body":"some of the big things, you know,"},{"startTime":2870.43,"endTime":2873.04,"body":"strokes, and other inflammatory disorders,"},{"startTime":2873.04,"endTime":2875.62,"body":"and fatigue, but also,"},{"startTime":2875.62,"endTime":2877.93,"body":"we know that there's other symptoms"},{"startTime":2877.93,"endTime":2879.37,"body":"that people are getting as well."},{"startTime":2879.37,"endTime":2881.17,"body":"Hair loss, it's funny,"},{"startTime":2881.17,"endTime":2883.32,"body":"it's hair loss is"},{"startTime":2881.17,"endTime":2883.32,"body":"something that, you know,"},{"startTime":2884.191,"endTime":2886.9,"body":"of course it's not on the"},{"startTime":2884.191,"endTime":2886.9,"body":"not high risk of diseases,"},{"startTime":2886.9,"endTime":2888.25,"body":"but actually it's something that really"},{"startTime":2888.25,"endTime":2891.49,"body":"has an impact on you emotionally."},{"startTime":2891.49,"endTime":2893.71,"body":"So I'm sitting talking anecdotally"},{"startTime":2893.71,"endTime":2896.617,"body":"to lots of friends who go,"},{"startTime":2893.71,"endTime":2896.617,"body":"I've lost my hair after COVID,"},{"startTime":2896.617,"endTime":2899.32,"body":"and actually emotionally it"},{"startTime":2896.617,"endTime":2899.32,"body":"does affect them quite a bit,"},{"startTime":2899.32,"endTime":2901.3,"body":"and we don't realize how much it does."},{"startTime":2901.3,"endTime":2904.33,"body":"But you can see a number of"},{"startTime":2901.3,"endTime":2904.33,"body":"other factors there as well"},{"startTime":2904.33,"endTime":2906.253,"body":"of how it's affected people's lives."},{"startTime":2909.16,"endTime":2910.783,"body":"So coming just to the elderly."},{"startTime":2912.91,"endTime":2916.09,"body":"We tried very hard during"},{"startTime":2912.91,"endTime":2916.09,"body":"COVID to protect our elder,"},{"startTime":2916.09,"endTime":2917.14,"body":"really, really hard,"},{"startTime":2917.14,"endTime":2919.09,"body":"but obviously we don't know what emotional"},{"startTime":2919.09,"endTime":2922.54,"body":"and psychological impact"},{"startTime":2919.09,"endTime":2922.54,"body":"that had on people."},{"startTime":2922.54,"endTime":2924.22,"body":"We know people felt very isolated,"},{"startTime":2924.22,"endTime":2926.32,"body":"we know they had reduced activities"},{"startTime":2926.32,"endTime":2929.98,"body":"and some relationships broke down as well,"},{"startTime":2929.98,"endTime":2932.56,"body":"but there is a high risk and"},{"startTime":2929.98,"endTime":2932.56,"body":"we can't get away from that."},{"startTime":2932.56,"endTime":2934.09,"body":"If you are over 80,"},{"startTime":2934.09,"endTime":2936.91,"body":"you have 20 times the increased"},{"startTime":2934.09,"endTime":2936.91,"body":"risk compared to somebody"},{"startTime":2936.91,"endTime":2938.56,"body":"who's 50 or 59."},{"startTime":2938.56,"endTime":2940.96,"body":"So it's there, it's a fact,"},{"startTime":2940.96,"endTime":2942.7,"body":"older people are at high risk,"},{"startTime":2942.7,"endTime":2945.88,"body":"but older people were also very"},{"startTime":2942.7,"endTime":2945.88,"body":"lonely during COVID as well."},{"startTime":2945.88,"endTime":2946.96,"body":"And it's balancing that,"},{"startTime":2946.96,"endTime":2949.84,"body":"and it's always a balance"},{"startTime":2946.96,"endTime":2949.84,"body":"that we don't know"},{"startTime":2949.84,"endTime":2952.04,"body":"if we'll get it right"},{"startTime":2949.84,"endTime":2952.04,"body":"or if we got it right."},{"startTime":2953.38,"endTime":2955.51,"body":"Families, the elderly also,"},{"startTime":2955.51,"endTime":2958.18,"body":"you know, eHealthcare came in huge amount,"},{"startTime":2958.18,"endTime":2961.3,"body":"everything's not face to"},{"startTime":2958.18,"endTime":2961.3,"body":"face, everything was online."},{"startTime":2961.3,"endTime":2962.56,"body":"A, you know,"},{"startTime":2962.56,"endTime":2965.2,"body":"I'm useless at using my technology,"},{"startTime":2965.2,"endTime":2967.48,"body":"absolutely useless at using technology."},{"startTime":2967.48,"endTime":2970.09,"body":"But if you don't really"},{"startTime":2967.48,"endTime":2970.09,"body":"use technology much before,"},{"startTime":2970.09,"endTime":2972.1,"body":"how did you access the"},{"startTime":2970.09,"endTime":2972.1,"body":"health care services,"},{"startTime":2972.1,"endTime":2973.48,"body":"did you miss out on that?"},{"startTime":2973.48,"endTime":2975.37,"body":"And what are we now doing to address that?"},{"startTime":2975.37,"endTime":2976.99,"body":"I still think we haven't quite caught up,"},{"startTime":2976.99,"endTime":2979.953,"body":"there are still many online"},{"startTime":2976.99,"endTime":2979.953,"body":"appointments that are happening."},{"startTime":2981.01,"endTime":2982.45,"body":"But I don't want to be totally,"},{"startTime":2982.45,"endTime":2984.372,"body":"totally negative about things."},{"startTime":2984.372,"endTime":2987.46,"body":"There were positives and there"},{"startTime":2984.372,"endTime":2987.46,"body":"were positive relationships"},{"startTime":2987.46,"endTime":2989.05,"body":"where people felt they were at home,"},{"startTime":2989.05,"endTime":2992.14,"body":"and people now are feeling"},{"startTime":2989.05,"endTime":2992.14,"body":"that they've had more time"},{"startTime":2992.14,"endTime":2993.14,"body":"with their children,"},{"startTime":2994.107,"endTime":2994.94,"body":"or more time with their"},{"startTime":2994.107,"endTime":2994.94,"body":"husbands, or wives,"},{"startTime":2994.94,"endTime":2995.86,"body":"or partners."},{"startTime":2995.86,"endTime":2996.97,"body":"Mental health problems."},{"startTime":2996.97,"endTime":2998.92,"body":"Some positive mental"},{"startTime":2996.97,"endTime":2998.92,"body":"health problems as well,"},{"startTime":2998.92,"endTime":3001.71,"body":"some people felt they had time"},{"startTime":2998.92,"endTime":3001.71,"body":"out to rethink their lives,"},{"startTime":3001.71,"endTime":3002.79,"body":"they changed their jobs,"},{"startTime":3002.79,"endTime":3004.62,"body":"they stopped the things"},{"startTime":3002.79,"endTime":3004.62,"body":"they didn't want to do,"},{"startTime":3004.62,"endTime":3005.87,"body":"they reframed their lives"},{"startTime":3006.723,"endTime":3007.556,"body":"and they came back in a positive way."},{"startTime":3007.556,"endTime":3009.12,"body":"So some very positive things."},{"startTime":3009.12,"endTime":3011.07,"body":"And for some children actually,"},{"startTime":3011.07,"endTime":3012.96,"body":"homeschooling was a great thing for them."},{"startTime":3012.96,"endTime":3015.36,"body":"Some children felt they were"},{"startTime":3012.96,"endTime":3015.36,"body":"being bullied at school,"},{"startTime":3015.36,"endTime":3016.71,"body":"they couldn't get on school,"},{"startTime":3016.71,"endTime":3018.57,"body":"they didn't like the"},{"startTime":3016.71,"endTime":3018.57,"body":"environments at school,"},{"startTime":3018.57,"endTime":3020.43,"body":"and actually being at home with school,"},{"startTime":3020.43,"endTime":3022.68,"body":"where they could take themselves away,"},{"startTime":3022.68,"endTime":3024.15,"body":"was actually a very positive thing."},{"startTime":3024.15,"endTime":3025.77,"body":"And that was seen"},{"startTime":3024.15,"endTime":3025.77,"body":"particularly for children"},{"startTime":3025.77,"endTime":3027.78,"body":"with conditions such as autism,"},{"startTime":3027.78,"endTime":3031.02,"body":"where sometimes being at school"},{"startTime":3027.78,"endTime":3031.02,"body":"can be quite challenging."},{"startTime":3031.02,"endTime":3033.92,"body":"But they're also obviously"},{"startTime":3031.02,"endTime":3033.92,"body":"lost out in other ways as well."},{"startTime":3036.69,"endTime":3038.69,"body":"So more quality time with their partner."},{"startTime":3039.63,"endTime":3042.18,"body":"Spend more time doing enjoyable things,"},{"startTime":3042.18,"endTime":3043.92,"body":"more time in nature and outdoors,"},{"startTime":3043.92,"endTime":3047.01,"body":"high levels of positive things going on."},{"startTime":3047.01,"endTime":3049.26,"body":"And some children slept more,"},{"startTime":3049.26,"endTime":3051.48,"body":"I don't think all children"},{"startTime":3049.26,"endTime":3051.48,"body":"actually slept more,"},{"startTime":3051.48,"endTime":3053.72,"body":"and were healthier than they were before."},{"startTime":3053.72,"endTime":3056.723,"body":"So just to throw it in"},{"startTime":3053.72,"endTime":3056.723,"body":"there before we go back"},{"startTime":3056.723,"endTime":3057.963,"body":"to the negatives."},{"startTime":3058.95,"endTime":3061.2,"body":"Okay, so vaccinations,"},{"startTime":3061.2,"endTime":3063.03,"body":"I'm sure this is something"},{"startTime":3061.2,"endTime":3063.03,"body":"that many of people"},{"startTime":3063.03,"endTime":3063.98,"body":"want to talk about."},{"startTime":3066.51,"endTime":3067.35,"body":"Do you have a vaccine"},{"startTime":3067.35,"endTime":3069.12,"body":"or don't you have a"},{"startTime":3067.35,"endTime":3069.12,"body":"vaccine for long COVID?"},{"startTime":3069.12,"endTime":3070.62,"body":"Does it affect you or"},{"startTime":3069.12,"endTime":3070.62,"body":"doesn't it affect you?"},{"startTime":3070.62,"endTime":3073.96,"body":"Well, we could debate that more and more,"},{"startTime":3073.96,"endTime":3075.382,"body":"couldn't we?"},{"startTime":3075.382,"endTime":3076.863,"body":"Vaccinations are what saved us,"},{"startTime":3076.863,"endTime":3078.138,"body":"and I'm somebody who feels that,"},{"startTime":3078.138,"endTime":3080.61,"body":"I know some of you may"},{"startTime":3078.138,"endTime":3080.61,"body":"not agree with me on that,"},{"startTime":3080.61,"endTime":3082.59,"body":"but vaccinations had a big,"},{"startTime":3082.59,"endTime":3085.83,"body":"big role in actually protecting"},{"startTime":3082.59,"endTime":3085.83,"body":"us and enabling us all"},{"startTime":3085.83,"endTime":3089.28,"body":"to sit here today in one room,"},{"startTime":3085.83,"endTime":3089.28,"body":"I really strongly feel that."},{"startTime":3089.28,"endTime":3092.1,"body":"The question was is that"},{"startTime":3089.28,"endTime":3092.1,"body":"we had more vaccines"},{"startTime":3092.1,"endTime":3093.99,"body":"than people in the rest of the world did,"},{"startTime":3093.99,"endTime":3095.67,"body":"and we have had more boosters than people"},{"startTime":3095.67,"endTime":3098.25,"body":"in the rest of the world,"},{"startTime":3095.67,"endTime":3098.25,"body":"another debate we could have,"},{"startTime":3098.25,"endTime":3099.66,"body":"how many do we keep having"},{"startTime":3099.66,"endTime":3101.73,"body":"and how much do we share"},{"startTime":3099.66,"endTime":3101.73,"body":"that around the world?"},{"startTime":3101.73,"endTime":3103.02,"body":"I'm not going to give an answer to that,"},{"startTime":3103.02,"endTime":3105.93,"body":"that's for something for us to discuss."},{"startTime":3105.93,"endTime":3107.19,"body":"And then there's the boosters."},{"startTime":3107.19,"endTime":3110.52,"body":"So we know that when you"},{"startTime":3107.19,"endTime":3110.52,"body":"have a vaccine, it wanes."},{"startTime":3110.52,"endTime":3111.78,"body":"You have a vaccine"},{"startTime":3111.78,"endTime":3114.15,"body":"and then the sort of it wears off a bit,"},{"startTime":3114.15,"endTime":3115.77,"body":"and that's why we had"},{"startTime":3114.15,"endTime":3115.77,"body":"to have the boosters,"},{"startTime":3115.77,"endTime":3117.972,"body":"to just keep on top of it."},{"startTime":3117.972,"endTime":3120.03,"body":"And at the same time, the"},{"startTime":3117.972,"endTime":3120.03,"body":"variants were coming as well."},{"startTime":3120.03,"endTime":3122.61,"body":"But we do know, and I"},{"startTime":3120.03,"endTime":3122.61,"body":"think there is good data"},{"startTime":3122.61,"endTime":3125.64,"body":"on the fact that if you had the vaccine,"},{"startTime":3125.64,"endTime":3128.61,"body":"your symptoms were not"},{"startTime":3125.64,"endTime":3128.61,"body":"as bad if you got COVID."},{"startTime":3128.61,"endTime":3132.03,"body":"So then your symptoms of"},{"startTime":3128.61,"endTime":3132.03,"body":"long COVID would be less."},{"startTime":3132.03,"endTime":3136.29,"body":"So there is this positive protective"},{"startTime":3136.29,"endTime":3137.46,"body":"sort of way of thinking,"},{"startTime":3137.46,"endTime":3138.6,"body":"well, if you've had the vaccine,"},{"startTime":3138.6,"endTime":3139.92,"body":"then actually you're"},{"startTime":3138.6,"endTime":3139.92,"body":"not going to be as sick,"},{"startTime":3139.92,"endTime":3142.95,"body":"and I'm not saying that"},{"startTime":3139.92,"endTime":3142.95,"body":"if you've had the vaccine,"},{"startTime":3142.95,"endTime":3145.11,"body":"you'll never get long COVID,"},{"startTime":3142.95,"endTime":3145.11,"body":"I'm not saying that at all,"},{"startTime":3145.11,"endTime":3146.91,"body":"like, I can't say that."},{"startTime":3146.91,"endTime":3151.05,"body":"But there was a feeling that"},{"startTime":3146.91,"endTime":3151.05,"body":"if were going to get COVID,"},{"startTime":3151.05,"endTime":3152.19,"body":"it was not going to be as bad"},{"startTime":3152.19,"endTime":3154.17,"body":"or isn't as bad as if you"},{"startTime":3152.19,"endTime":3154.17,"body":"didn't have the vaccine,"},{"startTime":3154.17,"endTime":3155.7,"body":"and that's quite important, I think."},{"startTime":3155.7,"endTime":3158.07,"body":"And so it is protective"},{"startTime":3155.7,"endTime":3158.07,"body":"in that sort of way."},{"startTime":3158.07,"endTime":3160.44,"body":"And so you know, I did have my vaccines"},{"startTime":3160.44,"endTime":3165.33,"body":"and I did feel that I"},{"startTime":3160.44,"endTime":3165.33,"body":"needed to to protect myself."},{"startTime":3165.33,"endTime":3167.49,"body":"The question is, how many do we have?"},{"startTime":3167.49,"endTime":3170.55,"body":"And do we do, I'm not on"},{"startTime":3167.49,"endTime":3170.55,"body":"the vaccination committee,"},{"startTime":3170.55,"endTime":3173.16,"body":"so this will be a debate"},{"startTime":3170.55,"endTime":3173.16,"body":"that people will have,"},{"startTime":3173.16,"endTime":3175.26,"body":"is do we give the vaccines to people"},{"startTime":3175.26,"endTime":3176.67,"body":"who are more vulnerable in the future"},{"startTime":3176.67,"endTime":3181.2,"body":"or high risk in individuals"},{"startTime":3176.67,"endTime":3181.2,"body":"as we go forward,"},{"startTime":3181.2,"endTime":3182.16,"body":"or what's going to happen?"},{"startTime":3182.16,"endTime":3184.961,"body":"And we don't know, we're"},{"startTime":3182.16,"endTime":3184.961,"body":"still looking at the science"},{"startTime":3184.961,"endTime":3187.383,"body":"of what's helpful and what's not helpful."},{"startTime":3189.12,"endTime":3192.18,"body":"So you can see here for"},{"startTime":3189.12,"endTime":3192.18,"body":"yourselves and you can read later,"},{"startTime":3192.18,"endTime":3193.92,"body":"there's been lots and"},{"startTime":3192.18,"endTime":3193.92,"body":"lots of different studies"},{"startTime":3193.92,"endTime":3195.63,"body":"on vaccination."},{"startTime":3195.63,"endTime":3197.58,"body":"They will continue,"},{"startTime":3195.63,"endTime":3197.58,"body":"and they will continue,"},{"startTime":3197.58,"endTime":3198.42,"body":"and they will continue,"},{"startTime":3198.42,"endTime":3199.71,"body":"and you'll read one that says one thing,"},{"startTime":3199.71,"endTime":3202.44,"body":"and you'll read one that"},{"startTime":3199.71,"endTime":3202.44,"body":"said says another thing."},{"startTime":3202.44,"endTime":3203.91,"body":"But if you combine the studies,"},{"startTime":3203.91,"endTime":3207.39,"body":"the bottom line is the"},{"startTime":3203.91,"endTime":3207.39,"body":"vaccinations did help us."},{"startTime":3207.39,"endTime":3209.37,"body":"And bottom line is we are here today"},{"startTime":3209.37,"endTime":3212.67,"body":"because as a population we were protected."},{"startTime":3212.67,"endTime":3214.35,"body":"And like I said, it has been shown"},{"startTime":3214.35,"endTime":3217.23,"body":"that it is somewhat"},{"startTime":3214.35,"endTime":3217.23,"body":"protective against long COVID"},{"startTime":3217.23,"endTime":3219.723,"body":"as well from some of the"},{"startTime":3217.23,"endTime":3219.723,"body":"studies that we've seen."},{"startTime":3222.349,"endTime":3225.09,"body":"I don't want to go into"},{"startTime":3222.349,"endTime":3225.09,"body":"the detail of vaccines"},{"startTime":3225.09,"endTime":3226.23,"body":"and what type of vaccine is what,"},{"startTime":3226.23,"endTime":3227.43,"body":"that's not my specialty area,"},{"startTime":3227.43,"endTime":3229.82,"body":"and you probably need somebody"},{"startTime":3227.43,"endTime":3229.82,"body":"else to talk about that."},{"startTime":3229.82,"endTime":3231.27,"body":"So I'm, as you can see,"},{"startTime":3231.27,"endTime":3234.24,"body":"I'm more about long COVID,"},{"startTime":3231.27,"endTime":3234.24,"body":"and physical symptoms,"},{"startTime":3234.24,"endTime":3237.33,"body":"and emotional symptoms,"},{"startTime":3234.24,"endTime":3237.33,"body":"and you and our lives,"},{"startTime":3237.33,"endTime":3238.71,"body":"and how we live our lives going forward,"},{"startTime":3238.71,"endTime":3240.75,"body":"and I'd love to discuss that more."},{"startTime":3240.75,"endTime":3243.84,"body":"But we do have vaccines,"},{"startTime":3243.84,"endTime":3245.43,"body":"and there are different types of vaccines,"},{"startTime":3245.43,"endTime":3247.47,"body":"and there are many, many"},{"startTime":3245.43,"endTime":3247.47,"body":"studies that you can read about"},{"startTime":3247.47,"endTime":3249.96,"body":"if you're interested in the"},{"startTime":3247.47,"endTime":3249.96,"body":"different types of vaccines"},{"startTime":3249.96,"endTime":3252.723,"body":"that are coming out, what"},{"startTime":3249.96,"endTime":3252.723,"body":"will happen in the future."},{"startTime":3255.27,"endTime":3257.85,"body":"Manufacturers are always"},{"startTime":3255.27,"endTime":3257.85,"body":"going to be trying"},{"startTime":3257.85,"endTime":3261.84,"body":"to battle the next version of the virus"},{"startTime":3261.84,"endTime":3265.65,"body":"and trying to think which"},{"startTime":3261.84,"endTime":3265.65,"body":"ones should be used for what."},{"startTime":3265.65,"endTime":3266.49,"body":"But it's interesting,"},{"startTime":3266.49,"endTime":3268.473,"body":"the new data that's coming out,"},{"startTime":3268.473,"endTime":3272.37,"body":"they are exploring oral"},{"startTime":3268.473,"endTime":3272.37,"body":"vaccines, skin patches,"},{"startTime":3272.37,"endTime":3274.56,"body":"intranasal, because"},{"startTime":3272.37,"endTime":3274.56,"body":"what's been thought about"},{"startTime":3274.56,"endTime":3278.07,"body":"is if the viruses gets into your lungs"},{"startTime":3278.07,"endTime":3279.78,"body":"and that's where it's affects you most,"},{"startTime":3279.78,"endTime":3281.31,"body":"would it be better to have a vaccine"},{"startTime":3281.31,"endTime":3282.66,"body":"that actually hit your lungs more?"},{"startTime":3282.66,"endTime":3285.37,"body":"So people looking at"},{"startTime":3282.66,"endTime":3285.37,"body":"different research projects"},{"startTime":3286.47,"endTime":3288.573,"body":"to find out the answers to a lot of this."},{"startTime":3291.444,"endTime":3294.3,"body":"So emergent treatments."},{"startTime":3294.3,"endTime":3295.741,"body":"Well, again,"},{"startTime":3295.741,"endTime":3297.6,"body":"I can't give you an answer"},{"startTime":3295.741,"endTime":3297.6,"body":"to this, I'm afraid."},{"startTime":3297.6,"endTime":3300.69,"body":"We haven't got a definite"},{"startTime":3297.6,"endTime":3300.69,"body":"treatment that I could say,"},{"startTime":3300.69,"endTime":3302.43,"body":"well, if you've got long COVID,"},{"startTime":3302.43,"endTime":3303.75,"body":"you can have this treatment,"},{"startTime":3303.75,"endTime":3306.0,"body":"we don't have those answers yet,"},{"startTime":3306.0,"endTime":3308.1,"body":"basically because of the"},{"startTime":3306.0,"endTime":3308.1,"body":"story I've just given you,"},{"startTime":3308.1,"endTime":3310.5,"body":"you know, how does it affect your body?"},{"startTime":3310.5,"endTime":3312.0,"body":"How do you have so many problems"},{"startTime":3312.0,"endTime":3313.65,"body":"in different ways for different people?"},{"startTime":3313.65,"endTime":3316.71,"body":"So really what is the"},{"startTime":3313.65,"endTime":3316.71,"body":"treatment going to be?"},{"startTime":3316.71,"endTime":3318.51,"body":"And that's why we're all battling with it."},{"startTime":3318.51,"endTime":3320.28,"body":"Do you have an antiviral?"},{"startTime":3320.28,"endTime":3321.3,"body":"Is it a virus?"},{"startTime":3321.3,"endTime":3322.59,"body":"Are you going to give yourself a viral?"},{"startTime":3322.59,"endTime":3324.03,"body":"And there are some studies that are shown"},{"startTime":3324.03,"endTime":3326.49,"body":"that antivirals are working"},{"startTime":3326.49,"endTime":3328.68,"body":"and it stops the virus"},{"startTime":3326.49,"endTime":3328.68,"body":"from growing and spreading,"},{"startTime":3328.68,"endTime":3330.87,"body":"and especially the virus"},{"startTime":3328.68,"endTime":3330.87,"body":"that sat within you,"},{"startTime":3330.87,"endTime":3333.483,"body":"if it is sitting within"},{"startTime":3330.87,"endTime":3333.483,"body":"you, keeps erupting,"},{"startTime":3334.44,"endTime":3336.6,"body":"the antivirals may help that."},{"startTime":3336.6,"endTime":3339.267,"body":"So there's quite a lot of"},{"startTime":3336.6,"endTime":3339.267,"body":"studies looking at that,"},{"startTime":3339.267,"endTime":3340.743,"body":"and they will continue."},{"startTime":3341.647,"endTime":3343.98,"body":"Different ways of supporting"},{"startTime":3341.647,"endTime":3343.98,"body":"you when you are ill."},{"startTime":3343.98,"endTime":3346.83,"body":"So instead of having to go on ventilator,"},{"startTime":3346.83,"endTime":3349.35,"body":"if you're very sick, are there"},{"startTime":3346.83,"endTime":3349.35,"body":"other respiratory supports"},{"startTime":3349.35,"endTime":3350.88,"body":"that will actually be"},{"startTime":3349.35,"endTime":3350.88,"body":"more effective for you?"},{"startTime":3350.88,"endTime":3352.74,"body":"So there's the support for you"},{"startTime":3352.74,"endTime":3355.41,"body":"and then there's the"},{"startTime":3352.74,"endTime":3355.41,"body":"treatments for you as well."},{"startTime":3355.41,"endTime":3357.443,"body":"But we don't have a clear answer."},{"startTime":3358.287,"endTime":3360.3,"body":"And I know some of you"},{"startTime":3358.287,"endTime":3360.3,"body":"will be disappointed"},{"startTime":3360.3,"endTime":3362.28,"body":"that you came today and that's"},{"startTime":3360.3,"endTime":3362.28,"body":"what you wanted to hear,"},{"startTime":3362.28,"endTime":3363.897,"body":"and I don't have the answer."},{"startTime":3363.897,"endTime":3365.28,"body":"And we've talked about,"},{"startTime":3365.28,"endTime":3368.31,"body":"there's other treatments"},{"startTime":3365.28,"endTime":3368.31,"body":"about using antibodies"},{"startTime":3368.31,"endTime":3369.93,"body":"and they can manage symptoms"},{"startTime":3369.93,"endTime":3372.483,"body":"and also prevent you from"},{"startTime":3369.93,"endTime":3372.483,"body":"becoming very, very sick."},{"startTime":3373.35,"endTime":3375.54,"body":"And so when you're early in the disease,"},{"startTime":3375.54,"endTime":3377.07,"body":"should you have monoclonal antibodies,"},{"startTime":3377.07,"endTime":3379.44,"body":"should you have antibody"},{"startTime":3377.07,"endTime":3379.44,"body":"therapy so that you don't get"},{"startTime":3379.44,"endTime":3381.334,"body":"all of these after effects?"},{"startTime":3381.334,"endTime":3383.01,"body":"And again, some studies"},{"startTime":3381.334,"endTime":3383.01,"body":"looking at who should get that?"},{"startTime":3383.01,"endTime":3384.36,"body":"But it's again, weighing up who"},{"startTime":3384.36,"endTime":3386.52,"body":"the high risk individuals are,"},{"startTime":3386.52,"endTime":3388.823,"body":"and who should get it"},{"startTime":3386.52,"endTime":3388.823,"body":"and who shouldn't get it?"},{"startTime":3394.345,"endTime":3396.66,"body":"So we talked about antivirals,"},{"startTime":3396.66,"endTime":3399.39,"body":"we talked about antibodies,"},{"startTime":3396.66,"endTime":3399.39,"body":"and then it's steroids,"},{"startTime":3399.39,"endTime":3401.79,"body":"those sort of three things"},{"startTime":3399.39,"endTime":3401.79,"body":"that people are really looking"},{"startTime":3401.79,"endTime":3403.44,"body":"about at, antibodies,"},{"startTime":3403.44,"endTime":3404.76,"body":"steroids, and antivirals."},{"startTime":3404.76,"endTime":3406.38,"body":"If you've just sort of"},{"startTime":3404.76,"endTime":3406.38,"body":"remember those in your head"},{"startTime":3406.38,"endTime":3408.06,"body":"when you're reading your"},{"startTime":3406.38,"endTime":3408.06,"body":"papers in the future,"},{"startTime":3408.06,"endTime":3410.37,"body":"those are the sort of three simple groups"},{"startTime":3410.37,"endTime":3412.92,"body":"of treatments that people"},{"startTime":3410.37,"endTime":3412.92,"body":"are thinking about."},{"startTime":3412.92,"endTime":3414.84,"body":"Steroids we know have been treating people"},{"startTime":3414.84,"endTime":3416.49,"body":"for a long time for asthma"},{"startTime":3416.49,"endTime":3419.76,"body":"and other inflammatory disorders as well."},{"startTime":3419.76,"endTime":3422.28,"body":"So if you have a problem with your lung,"},{"startTime":3422.28,"endTime":3426.03,"body":"often you'll be given a"},{"startTime":3422.28,"endTime":3426.03,"body":"steroid by your doctors."},{"startTime":3426.03,"endTime":3428.91,"body":"So it's like, could that be"},{"startTime":3426.03,"endTime":3428.91,"body":"used for treating individuals"},{"startTime":3428.91,"endTime":3430.233,"body":"with long COVID as well?"},{"startTime":3431.443,"endTime":3433.17,"body":"And there's been some discussion"},{"startTime":3433.17,"endTime":3436.843,"body":"about plasma antibodies, and you can see,"},{"startTime":3440.76,"endTime":3442.56,"body":"there are some studies"},{"startTime":3440.76,"endTime":3442.56,"body":"that people keep trying"},{"startTime":3442.56,"endTime":3443.393,"body":"and everything, but I don't think"},{"startTime":3443.393,"endTime":3445.89,"body":"this has really taken on so much,"},{"startTime":3445.89,"endTime":3447.09,"body":"and there's always"},{"startTime":3445.89,"endTime":3447.09,"body":"going to be side effects"},{"startTime":3447.09,"endTime":3447.99,"body":"with every treatment."},{"startTime":3447.99,"endTime":3449.37,"body":"So again, weighing the risks"},{"startTime":3449.37,"endTime":3451.62,"body":"and we have to follow people up to know"},{"startTime":3451.62,"endTime":3454.02,"body":"what the risks are when"},{"startTime":3451.62,"endTime":3454.02,"body":"we start new treatments."},{"startTime":3458.4,"endTime":3459.24,"body":"Just to throw in there,"},{"startTime":3459.24,"endTime":3461.83,"body":"some other things which are people"},{"startTime":3462.762,"endTime":3463.89,"body":"have done some work on treating infections"},{"startTime":3463.89,"endTime":3466.44,"body":"from parasitic worms, head lice,"},{"startTime":3466.44,"endTime":3470.46,"body":"and skin conditions, as well"},{"startTime":3466.44,"endTime":3470.46,"body":"as in some different treatments"},{"startTime":3470.46,"endTime":3473.01,"body":"that have been used for"},{"startTime":3470.46,"endTime":3473.01,"body":"those parasitic worms"},{"startTime":3473.01,"endTime":3474.09,"body":"that they've been trying."},{"startTime":3474.09,"endTime":3476.16,"body":"These are just a few"},{"startTime":3474.09,"endTime":3476.16,"body":"others to throw in there"},{"startTime":3476.16,"endTime":3478.32,"body":"that people are trying to talk about."},{"startTime":3478.32,"endTime":3480.54,"body":"But they haven't taken off so much,"},{"startTime":3480.54,"endTime":3482.105,"body":"but the trials will be there."},{"startTime":3482.105,"endTime":3482.938,"body":"So there's lots and lots of little trials"},{"startTime":3482.938,"endTime":3484.29,"body":"going on at the moment,"},{"startTime":3484.29,"endTime":3486.393,"body":"but we don't have the answer, as I say."},{"startTime":3487.89,"endTime":3489.81,"body":"And this is all in your transcript,"},{"startTime":3489.81,"endTime":3491.43,"body":"so if you want to know all the references"},{"startTime":3491.43,"endTime":3493.05,"body":"and read the detail of"},{"startTime":3491.43,"endTime":3493.05,"body":"the different papers,"},{"startTime":3493.05,"endTime":3494.22,"body":"you'll be able to go into the detail"},{"startTime":3494.22,"endTime":3496.983,"body":"of the different publications"},{"startTime":3494.22,"endTime":3496.983,"body":"that are out there."},{"startTime":3500.76,"endTime":3501.78,"body":"Now, home remedies."},{"startTime":3501.78,"endTime":3504.48,"body":"Well, this is something"},{"startTime":3501.78,"endTime":3504.48,"body":"I wanted to bring in here"},{"startTime":3504.48,"endTime":3506.921,"body":"because we always talk"},{"startTime":3504.48,"endTime":3506.921,"body":"about medical remedies,"},{"startTime":3506.921,"endTime":3509.61,"body":"but we all do use home remedies."},{"startTime":3509.61,"endTime":3512.01,"body":"We use yoga, we use meditation,"},{"startTime":3512.01,"endTime":3514.41,"body":"we use mindfulness when"},{"startTime":3512.01,"endTime":3514.41,"body":"we feeling stressed,"},{"startTime":3514.41,"endTime":3516.45,"body":"and we also use acupuncture,"},{"startTime":3516.45,"endTime":3518.25,"body":"and I don't think we"},{"startTime":3516.45,"endTime":3518.25,"body":"should forget all of that."},{"startTime":3518.25,"endTime":3520.95,"body":"So I'm a person who thinks"},{"startTime":3518.25,"endTime":3520.95,"body":"science is important"},{"startTime":3520.95,"endTime":3523.02,"body":"and it's really important"},{"startTime":3520.95,"endTime":3523.02,"body":"we think of science,"},{"startTime":3523.02,"endTime":3527.25,"body":"but we also have to consider"},{"startTime":3523.02,"endTime":3527.25,"body":"the other therapies as well."},{"startTime":3527.25,"endTime":3530.1,"body":"Saying that though, I just"},{"startTime":3527.25,"endTime":3530.1,"body":"wanted to throw this in,"},{"startTime":3530.1,"endTime":3532.68,"body":"these are not trials, this is not anything"},{"startTime":3532.68,"endTime":3535.44,"body":"that was trialed out with treatment,"},{"startTime":3535.44,"endTime":3537.45,"body":"but people are trying"},{"startTime":3535.44,"endTime":3537.45,"body":"all sorts during COVID,"},{"startTime":3537.45,"endTime":3538.68,"body":"and we know they were trying all sorts."},{"startTime":3538.68,"endTime":3542.04,"body":"Some maybe felt that they were working"},{"startTime":3542.04,"endTime":3544.23,"body":"because they make you feel"},{"startTime":3542.04,"endTime":3544.23,"body":"like something's working,"},{"startTime":3544.23,"endTime":3546.33,"body":"some may have worked,"},{"startTime":3544.23,"endTime":3546.33,"body":"but we have no trials,"},{"startTime":3546.33,"endTime":3547.86,"body":"and some may have been dangerous."},{"startTime":3547.86,"endTime":3550.44,"body":"So we have those three buckets"},{"startTime":3547.86,"endTime":3550.44,"body":"to throw everything into."},{"startTime":3550.44,"endTime":3552.93,"body":"And this was really just to A,"},{"startTime":3552.93,"endTime":3556.11,"body":"make us not forget that there are"},{"startTime":3556.11,"endTime":3559.68,"body":"other supportive alternative"},{"startTime":3556.11,"endTime":3559.68,"body":"treatments out there,"},{"startTime":3559.68,"endTime":3562.438,"body":"that again, we could"},{"startTime":3559.68,"endTime":3562.438,"body":"have another lecture on,"},{"startTime":3562.438,"endTime":3564.66,"body":"and people were trying desperately lots"},{"startTime":3564.66,"endTime":3566.4,"body":"and lots of different things as well."},{"startTime":3566.4,"endTime":3568.92,"body":"But could any of these things"},{"startTime":3566.4,"endTime":3568.92,"body":"be useful in the future?"},{"startTime":3568.92,"endTime":3570.87,"body":"We need some studies"},{"startTime":3568.92,"endTime":3570.87,"body":"maybe to look at that."},{"startTime":3570.87,"endTime":3573.66,"body":"We know that turmeric,"},{"startTime":3570.87,"endTime":3573.66,"body":"interestingly enough,"},{"startTime":3573.66,"endTime":3575.58,"body":"you know, is something"},{"startTime":3573.66,"endTime":3575.58,"body":"that's being promoted,"},{"startTime":3575.58,"endTime":3577.3,"body":"and yet before it was just sort"},{"startTime":3578.143,"endTime":3579.27,"body":"to be something you put in new food."},{"startTime":3579.27,"endTime":3581.4,"body":"Yoga, something that was thought"},{"startTime":3581.4,"endTime":3582.63,"body":"was just a nice thing to do."},{"startTime":3582.63,"endTime":3584.61,"body":"But now is in the NICE guidelines as well."},{"startTime":3584.61,"endTime":3588.15,"body":"So some of these things may have a place,"},{"startTime":3588.15,"endTime":3590.05,"body":"not all of them, but some of them may."},{"startTime":3595.71,"endTime":3600.33,"body":"So we've been going out"},{"startTime":3595.71,"endTime":3600.33,"body":"into different places"},{"startTime":3600.33,"endTime":3601.163,"body":"around the world,"},{"startTime":3601.163,"endTime":3604.56,"body":"and this was a really a"},{"startTime":3601.163,"endTime":3604.56,"body":"story from Rajasthan as well"},{"startTime":3604.56,"endTime":3607.6,"body":"where people were looking at miracle water"},{"startTime":3607.6,"endTime":3609.9,"body":"and people were thinking, well,"},{"startTime":3609.9,"endTime":3612.09,"body":"if they had this miracle water"},{"startTime":3609.9,"endTime":3612.09,"body":"that that might be treated."},{"startTime":3612.09,"endTime":3613.08,"body":"That may not be the case,"},{"startTime":3613.08,"endTime":3614.94,"body":"and probably the water didn't do anything,"},{"startTime":3614.94,"endTime":3616.71,"body":"but maybe it helped them psychologically,"},{"startTime":3616.71,"endTime":3618.69,"body":"maybe it helped give them hope,"},{"startTime":3618.69,"endTime":3620.13,"body":"and sometimes you have"},{"startTime":3618.69,"endTime":3620.13,"body":"to give people hope,"},{"startTime":3620.13,"endTime":3621.81,"body":"even if you can't give them a treatment."},{"startTime":3621.81,"endTime":3623.7,"body":"So people, all of us,"},{"startTime":3623.7,"endTime":3626.43,"body":"have a place somehow or"},{"startTime":3623.7,"endTime":3626.43,"body":"other supporting each other"},{"startTime":3626.43,"endTime":3628.08,"body":"through this journey ahead of us."},{"startTime":3630.72,"endTime":3635.28,"body":"Just to come and round up with"},{"startTime":3630.72,"endTime":3635.28,"body":"policy and recommendations,"},{"startTime":3635.28,"endTime":3638.01,"body":"because I can talk to"},{"startTime":3635.28,"endTime":3638.01,"body":"you for ages and ages,"},{"startTime":3638.01,"endTime":3640.56,"body":"but actually if nothing's going"},{"startTime":3638.01,"endTime":3640.56,"body":"to change out there in policy"},{"startTime":3640.56,"endTime":3644.16,"body":"and in the government, we"},{"startTime":3640.56,"endTime":3644.16,"body":"really can't do much can we,"},{"startTime":3644.16,"endTime":3646.11,"body":"apart from us helping each other,"},{"startTime":3646.11,"endTime":3648.21,"body":"which actually I think is"},{"startTime":3646.11,"endTime":3648.21,"body":"the most important thing."},{"startTime":3648.21,"endTime":3651.18,"body":"We have to come together"},{"startTime":3648.21,"endTime":3651.18,"body":"with our specialists,"},{"startTime":3651.18,"endTime":3653.07,"body":"with multidisciplinary specialists,"},{"startTime":3653.07,"endTime":3654.96,"body":"supporting our healthcare."},{"startTime":3654.96,"endTime":3657.15,"body":"We have to do what's"},{"startTime":3654.96,"endTime":3657.15,"body":"in front of us to make"},{"startTime":3657.15,"endTime":3660.54,"body":"our local areas healthier and"},{"startTime":3657.15,"endTime":3660.54,"body":"our communities healthier."},{"startTime":3660.54,"endTime":3663.567,"body":"But we do also have to"},{"startTime":3660.54,"endTime":3663.567,"body":"go to policy as well."},{"startTime":3663.567,"endTime":3666.81,"body":"And that's what we do a lot"},{"startTime":3663.567,"endTime":3666.81,"body":"of is campaigning with policy."},{"startTime":3666.81,"endTime":3668.43,"body":"We have a lot of policy recommendations"},{"startTime":3668.43,"endTime":3670.05,"body":"from all of this work, a lot,"},{"startTime":3670.05,"endTime":3673.74,"body":"and I've just stripped them"},{"startTime":3670.05,"endTime":3673.74,"body":"away from some of these slides,"},{"startTime":3673.74,"endTime":3676.77,"body":"but again, you'll have"},{"startTime":3673.74,"endTime":3676.77,"body":"them in the transcripts."},{"startTime":3676.77,"endTime":3679.83,"body":"We know that we need to"},{"startTime":3676.77,"endTime":3679.83,"body":"leverage healthcare systems."},{"startTime":3679.83,"endTime":3683.44,"body":"How do we continue to get"},{"startTime":3679.83,"endTime":3683.44,"body":"multidisciplinary care"},{"startTime":3684.429,"endTime":3686.52,"body":"to support people?"},{"startTime":3686.52,"endTime":3689.17,"body":"How do we make sure"},{"startTime":3686.52,"endTime":3689.17,"body":"there's investment in that"},{"startTime":3690.06,"endTime":3692.1,"body":"when we still have a backlog of everything"},{"startTime":3692.1,"endTime":3693.15,"body":"that we have to do?"},{"startTime":3693.15,"endTime":3696.259,"body":"So we need multidisciplinary approaches,"},{"startTime":3696.259,"endTime":3698.61,"body":"multispecialty teams, but we can't forget"},{"startTime":3698.61,"endTime":3701.85,"body":"all the other illnesses that"},{"startTime":3698.61,"endTime":3701.85,"body":"we all need to take care of."},{"startTime":3701.85,"endTime":3704.25,"body":"We need to think about sick"},{"startTime":3701.85,"endTime":3704.25,"body":"pay, people being off sick,"},{"startTime":3704.25,"endTime":3706.86,"body":"that's really affecting"},{"startTime":3704.25,"endTime":3706.86,"body":"people, people's financial,"},{"startTime":3706.86,"endTime":3708.72,"body":"the economic crisis, how"},{"startTime":3706.86,"endTime":3708.72,"body":"we're going to get through"},{"startTime":3708.72,"endTime":3711.0,"body":"that with everything that I've said."},{"startTime":3711.0,"endTime":3712.05,"body":"And we need more studies,"},{"startTime":3712.05,"endTime":3713.58,"body":"we need more funding for more studies."},{"startTime":3713.58,"endTime":3717.99,"body":"We have to follow people"},{"startTime":3713.58,"endTime":3717.99,"body":"up, we can't forget that"},{"startTime":3717.99,"endTime":3719.58,"body":"we need to keep following people up"},{"startTime":3719.58,"endTime":3721.48,"body":"if we're ever going to get treatments."},{"startTime":3723.84,"endTime":3725.87,"body":"Health inequalities, I've"},{"startTime":3723.84,"endTime":3725.87,"body":"talked a lot about this,"},{"startTime":3725.87,"endTime":3728.1,"body":"so I won't chirp about this anymore,"},{"startTime":3728.1,"endTime":3730.56,"body":"but I do feel that for young people,"},{"startTime":3730.56,"endTime":3731.55,"body":"doesn't matter where you're from,"},{"startTime":3731.55,"endTime":3733.95,"body":"doesn't matter your"},{"startTime":3731.55,"endTime":3733.95,"body":"background you're from,"},{"startTime":3733.95,"endTime":3736.0,"body":"young people have really, really suffered"},{"startTime":3736.938,"endTime":3737.94,"body":"and youth services have"},{"startTime":3736.938,"endTime":3737.94,"body":"been stripped away."},{"startTime":3737.94,"endTime":3742.29,"body":"So we really need many more"},{"startTime":3737.94,"endTime":3742.29,"body":"investment for youth services"},{"startTime":3742.29,"endTime":3743.7,"body":"if we're going to have young people"},{"startTime":3743.7,"endTime":3746.522,"body":"who are not going to be"},{"startTime":3743.7,"endTime":3746.522,"body":"marginalized, disenfranchised,"},{"startTime":3746.522,"endTime":3748.91,"body":"feeling that they don't have a place"},{"startTime":3748.91,"endTime":3750.42,"body":"in society going forward."},{"startTime":3750.42,"endTime":3751.62,"body":"And that's just a nice drawing."},{"startTime":3751.62,"endTime":3753.24,"body":"We did a policy workshop"},{"startTime":3753.24,"endTime":3755.04,"body":"where we actually had somebody who drew"},{"startTime":3755.04,"endTime":3756.09,"body":"while we were doing the workshop,"},{"startTime":3756.09,"endTime":3758.01,"body":"because we decided that"},{"startTime":3756.09,"endTime":3758.01,"body":"how many people actually"},{"startTime":3758.01,"endTime":3760.65,"body":"read a whole document"},{"startTime":3758.01,"endTime":3760.65,"body":"of policy recognitions?"},{"startTime":3760.65,"endTime":3764.1,"body":"Not very many, but you"},{"startTime":3760.65,"endTime":3764.1,"body":"have this diagram as well."},{"startTime":3764.1,"endTime":3766.41,"body":"And this was a policy"},{"startTime":3764.1,"endTime":3766.41,"body":"workshop around homelessness"},{"startTime":3766.41,"endTime":3768.12,"body":"and people in temporary accommodation,"},{"startTime":3768.12,"endTime":3770.16,"body":"and what we could do and how we could work"},{"startTime":3770.16,"endTime":3773.49,"body":"with legislation to make a"},{"startTime":3770.16,"endTime":3773.49,"body":"difference for individuals."},{"startTime":3773.49,"endTime":3774.93,"body":"But I thought this was quite effective way"},{"startTime":3774.93,"endTime":3779.93,"body":"to actually communicate the"},{"startTime":3774.93,"endTime":3779.93,"body":"information to yourselves."},{"startTime":3779.94,"endTime":3782.94,"body":"So just to finish with"},{"startTime":3779.94,"endTime":3782.94,"body":"another poem, as you can tell,"},{"startTime":3782.94,"endTime":3786.9,"body":"I spent a lot of time writing"},{"startTime":3782.94,"endTime":3786.9,"body":"poetry during that period."},{"startTime":3786.9,"endTime":3788.7,"body":"It's a bit of a sad poem again, but again,"},{"startTime":3788.7,"endTime":3791.1,"body":"it's just to ground us as we end to say,"},{"startTime":3791.1,"endTime":3792.66,"body":"thank you for all coming here,"},{"startTime":3792.66,"endTime":3794.07,"body":"thank you for listening to me."},{"startTime":3794.07,"endTime":3796.83,"body":"We have a tough, tough ride ahead of us."},{"startTime":3796.83,"endTime":3799.593,"body":"I think if we don't have"},{"startTime":3796.83,"endTime":3799.593,"body":"a dialogue, a debate,"},{"startTime":3799.593,"endTime":3801.48,"body":"we don't remember that"},{"startTime":3799.593,"endTime":3801.48,"body":"this is not something"},{"startTime":3801.48,"endTime":3803.46,"body":"that's going to go away,"},{"startTime":3801.48,"endTime":3803.46,"body":"this is long COVID,"},{"startTime":3803.46,"endTime":3804.633,"body":"it's long pandemic,"},{"startTime":3805.59,"endTime":3807.51,"body":"we will be doing ourselves a disservice"},{"startTime":3807.51,"endTime":3809.34,"body":"and the disservice to"},{"startTime":3807.51,"endTime":3809.34,"body":"our children as well."},{"startTime":3809.34,"endTime":3810.84,"body":"So I'll just finish with this."},{"startTime":3811.717,"endTime":3813.78,"body":"\"I cry and cry all through the night"},{"startTime":3813.78,"endTime":3816.09,"body":"for those who've gone away"},{"startTime":3816.09,"endTime":3818.34,"body":"to meet the rest of those that died,"},{"startTime":3818.34,"endTime":3820.35,"body":"and then were washed away."},{"startTime":3820.35,"endTime":3822.3,"body":"The tears just keep falling."},{"startTime":3822.3,"endTime":3824.52,"body":"My heart it breaks apart."},{"startTime":3824.52,"endTime":3826.377,"body":"To think of those whose lives were lost"},{"startTime":3826.377,"endTime":3828.84,"body":"and families torn apart."},{"startTime":3828.84,"endTime":3832.65,"body":"They tried to feed their"},{"startTime":3828.84,"endTime":3832.65,"body":"children and had to go to work."},{"startTime":3832.65,"endTime":3834.6,"body":"Why could they not protect themselves"},{"startTime":3834.6,"endTime":3836.67,"body":"from the terrors of this world?"},{"startTime":3836.67,"endTime":3838.44,"body":"I pray for you, my darlings."},{"startTime":3838.44,"endTime":3840.57,"body":"It's dark and I'm alone."},{"startTime":3840.57,"endTime":3842.55,"body":"There's silence all around me."},{"startTime":3842.55,"endTime":3845.79,"body":"But your stories must still be told.\""},{"startTime":3845.79,"endTime":3846.903,"body":"Thank you very much."},{"startTime":3847.87,"endTime":3851.037,"body":"(audience applauding)"},{"startTime":3855.491,"endTime":3856.86,"body":"- Thank you very much, Monica."},{"startTime":3856.86,"endTime":3858.9,"body":"I mean, I had lots of interesting"},{"startTime":3858.9,"endTime":3862.23,"body":"and very challenging questions online,"},{"startTime":3862.23,"endTime":3865.83,"body":"which I'll start with before"},{"startTime":3862.23,"endTime":3865.83,"body":"opening it up to the floor."},{"startTime":3865.83,"endTime":3868.59,"body":"And they form a kind of pattern,"},{"startTime":3868.59,"endTime":3871.89,"body":"'cause what you've"},{"startTime":3868.59,"endTime":3871.89,"body":"described is a big overlap"},{"startTime":3871.89,"endTime":3875.7,"body":"between politics, economics,"},{"startTime":3875.7,"endTime":3879.27,"body":"social system, and the abstract word,"},{"startTime":3879.27,"endTime":3882.15,"body":"policy, which derives from those."},{"startTime":3882.15,"endTime":3887.15,"body":"And as medics, how can we"},{"startTime":3882.15,"endTime":3887.15,"body":"get into that to do anything?"},{"startTime":3889.32,"endTime":3892.5,"body":"And especially, I think"},{"startTime":3889.32,"endTime":3892.5,"body":"very searching question is,"},{"startTime":3892.5,"endTime":3895.636,"body":"what is the medical"},{"startTime":3892.5,"endTime":3895.636,"body":"definition of long COVID"},{"startTime":3895.636,"endTime":3898.62,"body":"that would allow us to"},{"startTime":3895.636,"endTime":3898.62,"body":"lead into that debate?"},{"startTime":3898.62,"endTime":3900.48,"body":"So let's start with a definition"},{"startTime":3900.48,"endTime":3902.52,"body":"and then consider"},{"startTime":3900.48,"endTime":3902.52,"body":"- Yeah."},{"startTime":3902.52,"endTime":3904.98,"body":"- those relationships"},{"startTime":3902.52,"endTime":3904.98,"body":"between policy and strategy."},{"startTime":3904.98,"endTime":3906.538,"body":"- Well I think the definition"},{"startTime":3906.538,"endTime":3907.68,"body":"is something that's already been set."},{"startTime":3907.68,"endTime":3910.32,"body":"I mean, there has been a"},{"startTime":3907.68,"endTime":3910.32,"body":"definition that's been set by NICE,"},{"startTime":3910.32,"endTime":3911.61,"body":"which is the definition of,"},{"startTime":3911.61,"endTime":3914.37,"body":"if you have symptoms after"},{"startTime":3911.61,"endTime":3914.37,"body":"four weeks and they continue,"},{"startTime":3914.37,"endTime":3915.81,"body":"that's the definition of long COVID."},{"startTime":3915.81,"endTime":3917.73,"body":"The difficulty is, what's the symptoms?"},{"startTime":3917.73,"endTime":3920.16,"body":"So the problem is that you have symptoms"},{"startTime":3920.16,"endTime":3922.98,"body":"that keep emerging and the studies"},{"startTime":3922.98,"endTime":3925.86,"body":"that we do keep finding"},{"startTime":3922.98,"endTime":3925.86,"body":"more and more symptoms."},{"startTime":3925.86,"endTime":3929.61,"body":"So will we have a checklist"},{"startTime":3925.86,"endTime":3929.61,"body":"of all the different symptoms"},{"startTime":3929.61,"endTime":3931.65,"body":"that if you say you have"},{"startTime":3929.61,"endTime":3931.65,"body":"these different symptoms,"},{"startTime":3931.65,"endTime":3933.57,"body":"then you have long COVID?"},{"startTime":3933.57,"endTime":3935.34,"body":"I know that from the CLoCk study,"},{"startTime":3935.34,"endTime":3936.78,"body":"what Terence Stephenson has done"},{"startTime":3936.78,"endTime":3938.55,"body":"and his team have done is they actually"},{"startTime":3938.55,"endTime":3940.83,"body":"had a Delphi consensus process."},{"startTime":3940.83,"endTime":3943.59,"body":"And what Delphi consensus is when you all"},{"startTime":3943.59,"endTime":3947.52,"body":"as experts really think"},{"startTime":3943.59,"endTime":3947.52,"body":"about this together"},{"startTime":3947.52,"endTime":3949.02,"body":"and start thinking about,"},{"startTime":3949.02,"endTime":3950.28,"body":"well, what should those symptoms be?"},{"startTime":3950.28,"endTime":3951.113,"body":"What shouldn't they be?"},{"startTime":3951.113,"endTime":3952.68,"body":"You send the questions around"},{"startTime":3952.68,"endTime":3955.02,"body":"and then you slowly"},{"startTime":3952.68,"endTime":3955.02,"body":"come up with a consensus"},{"startTime":3955.02,"endTime":3956.91,"body":"of what the definition is."},{"startTime":3956.91,"endTime":3960.18,"body":"That's what they're doing"},{"startTime":3956.91,"endTime":3960.18,"body":"for research definition,"},{"startTime":3960.18,"endTime":3961.83,"body":"but maybe we have to also do that"},{"startTime":3961.83,"endTime":3964.11,"body":"for a clinical definition as well."},{"startTime":3964.11,"endTime":3965.76,"body":"But I have to be very honest,"},{"startTime":3965.76,"endTime":3968.16,"body":"I think it's a really hard"},{"startTime":3965.76,"endTime":3968.16,"body":"thing to say what is long COVID,"},{"startTime":3968.16,"endTime":3969.24,"body":"because of all the reasons I've said."},{"startTime":3969.24,"endTime":3971.52,"body":"So I'm sort of somebody"},{"startTime":3969.24,"endTime":3971.52,"body":"who's sort of challenging"},{"startTime":3971.52,"endTime":3976.35,"body":"that in a way is to me, is"},{"startTime":3971.52,"endTime":3976.35,"body":"can we say what long COVID is?"},{"startTime":3976.35,"endTime":3977.7,"body":"And how are you going to say to somebody"},{"startTime":3977.7,"endTime":3979.44,"body":"who has a different symptom,"},{"startTime":3979.44,"endTime":3980.94,"body":"well, that's not long COVID then?"},{"startTime":3980.94,"endTime":3983.313,"body":"It's so difficult to tease this out."},{"startTime":3984.75,"endTime":3986.64,"body":"- I mean, you've described very well"},{"startTime":3986.64,"endTime":3988.83,"body":"that things are different"},{"startTime":3986.64,"endTime":3988.83,"body":"in different communities,"},{"startTime":3988.83,"endTime":3990.4,"body":"with different economic backgrounds."},{"startTime":3990.4,"endTime":3991.8,"body":"- Yeah."},{"startTime":3990.4,"endTime":3991.8,"body":"- And different social,"},{"startTime":3991.8,"endTime":3994.71,"body":"different racial, all"},{"startTime":3991.8,"endTime":3994.71,"body":"sorts of differences."},{"startTime":3994.71,"endTime":3998.19,"body":"And yet we've now entering a"},{"startTime":3994.71,"endTime":3998.19,"body":"situation where the politics"},{"startTime":3998.19,"endTime":4001.31,"body":"are dictating maybe an"},{"startTime":3998.19,"endTime":4001.31,"body":"even worse distribution"},{"startTime":4001.31,"endTime":4004.28,"body":"of income simply than we had when"},{"startTime":4004.28,"endTime":4006.233,"body":"this broke out few years ago."},{"startTime":4007.523,"endTime":4011.0,"body":"Are we going to enter a phase where health"},{"startTime":4011.0,"endTime":4013.666,"body":"is going to deteriorate"},{"startTime":4011.0,"endTime":4013.666,"body":"because the politics"},{"startTime":4013.666,"endTime":4017.96,"body":"are leading to adverse"},{"startTime":4013.666,"endTime":4017.96,"body":"indicators of the way"},{"startTime":4017.96,"endTime":4018.8,"body":"that health works?"},{"startTime":4018.8,"endTime":4023.18,"body":"- So I think we have a very"},{"startTime":4018.8,"endTime":4023.18,"body":"big challenge ahead of us."},{"startTime":4023.18,"endTime":4026.69,"body":"I am really, really"},{"startTime":4023.18,"endTime":4026.69,"body":"worried that the politics"},{"startTime":4026.69,"endTime":4028.04,"body":"is not helping the situation,"},{"startTime":4028.04,"endTime":4029.57,"body":"and I suppose that's why I'm here today."},{"startTime":4029.57,"endTime":4032.42,"body":"So what I try and do is as a medic,"},{"startTime":4032.42,"endTime":4037.043,"body":"I try and advocate for"},{"startTime":4032.42,"endTime":4037.043,"body":"individuals by meeting colleagues,"},{"startTime":4039.274,"endTime":4040.107,"body":"not just in health,"},{"startTime":4040.107,"endTime":4041.81,"body":"but sitting with colleagues"},{"startTime":4040.107,"endTime":4041.81,"body":"in housing, environment,"},{"startTime":4041.81,"endTime":4044.09,"body":"trying to work together"},{"startTime":4041.81,"endTime":4044.09,"body":"in education and say,"},{"startTime":4044.09,"endTime":4046.94,"body":"we have a problem here, how"},{"startTime":4044.09,"endTime":4046.94,"body":"we're going to tackle it?"},{"startTime":4046.94,"endTime":4048.17,"body":"We have to advocate, I think,"},{"startTime":4048.17,"endTime":4050.12,"body":"as medics, we know the science,"},{"startTime":4050.12,"endTime":4051.08,"body":"we know the problems."},{"startTime":4051.08,"endTime":4053.06,"body":"We have to work together with"},{"startTime":4051.08,"endTime":4053.06,"body":"public health specialists."},{"startTime":4053.06,"endTime":4055.33,"body":"I think that's the other thing"},{"startTime":4055.33,"endTime":4057.23,"body":"is not just the medical"},{"startTime":4055.33,"endTime":4057.23,"body":"specialists who know the disease"},{"startTime":4057.23,"endTime":4058.64,"body":"and what's happening in front of them,"},{"startTime":4058.64,"endTime":4060.98,"body":"but I think the people"},{"startTime":4058.64,"endTime":4060.98,"body":"who understand the disease"},{"startTime":4060.98,"endTime":4062.72,"body":"need to work with public health as well,"},{"startTime":4062.72,"endTime":4065.57,"body":"because of all the different"},{"startTime":4062.72,"endTime":4065.57,"body":"factors I've talked about."},{"startTime":4065.57,"endTime":4066.403,"body":"And then we have"},{"startTime":4066.403,"endTime":4068.57,"body":"to start thinking of"},{"startTime":4066.403,"endTime":4068.57,"body":"legislation and policy."},{"startTime":4068.57,"endTime":4070.52,"body":"And I think our role is, partly,"},{"startTime":4070.52,"endTime":4073.82,"body":"which is what I try and"},{"startTime":4070.52,"endTime":4073.82,"body":"do is do the science,"},{"startTime":4073.82,"endTime":4076.7,"body":"do the research, be the clinician,"},{"startTime":4076.7,"endTime":4078.68,"body":"be a one man band in a way,"},{"startTime":4078.68,"endTime":4082.126,"body":"but all come together and"},{"startTime":4078.68,"endTime":4082.126,"body":"start lobbying and saying,"},{"startTime":4082.126,"endTime":4083.498,"body":"this is the problem, and go,"},{"startTime":4083.498,"endTime":4084.927,"body":"we're going to face a big problem."},{"startTime":4084.927,"endTime":4086.205,"body":"Those inequalities are going to make"},{"startTime":4086.205,"endTime":4087.2,"body":"the health problems worse"},{"startTime":4087.2,"endTime":4090.77,"body":"with this background of COVID ahead of us."},{"startTime":4090.77,"endTime":4094.4,"body":"But I don't feel that it's in"},{"startTime":4090.77,"endTime":4094.4,"body":"dialogue much at the moment."},{"startTime":4094.4,"endTime":4096.35,"body":"- Even as medics, we have a bad reputation"},{"startTime":4096.35,"endTime":4098.54,"body":"for not believing that, for example,"},{"startTime":4098.54,"endTime":4100.93,"body":"ME existed or many groups,"},{"startTime":4098.54,"endTime":4100.93,"body":"- Yeah."},{"startTime":4100.93,"endTime":4102.77,"body":"- or chronic fatigue syndrome."},{"startTime":4102.77,"endTime":4107.77,"body":"How do you think that we"},{"startTime":4102.77,"endTime":4107.77,"body":"are going to get both medics"},{"startTime":4107.96,"endTime":4110.36,"body":"and employers, for example,"},{"startTime":4110.36,"endTime":4115.36,"body":"to believe that this phrase of long COVID,"},{"startTime":4115.43,"endTime":4119.933,"body":"whatever it comprises, exists"},{"startTime":4115.43,"endTime":4119.933,"body":"and is potentially solvable?"},{"startTime":4120.86,"endTime":4121.88,"body":"- I always think sometimes in life,"},{"startTime":4121.88,"endTime":4123.74,"body":"some people will never believe things,"},{"startTime":4123.74,"endTime":4127.07,"body":"and you'll always have people"},{"startTime":4123.74,"endTime":4127.07,"body":"that you can never get past."},{"startTime":4127.07,"endTime":4128.213,"body":"But then I think it's important to work"},{"startTime":4128.213,"endTime":4130.22,"body":"with people who do believe it,"},{"startTime":4130.22,"endTime":4132.92,"body":"and I think when you then"},{"startTime":4130.22,"endTime":4132.92,"body":"try and get a momentum,"},{"startTime":4132.92,"endTime":4134.6,"body":"you try and make it visible."},{"startTime":4134.6,"endTime":4135.92,"body":"I always talk about, you know,"},{"startTime":4135.92,"endTime":4138.98,"body":"giving the unheard a voice,"},{"startTime":4135.92,"endTime":4138.98,"body":"and that's always been"},{"startTime":4138.98,"endTime":4141.77,"body":"what I try and do is, how do"},{"startTime":4138.98,"endTime":4141.77,"body":"we get the lived experiences"},{"startTime":4141.77,"endTime":4144.11,"body":"of individuals who are living with COVID"},{"startTime":4144.11,"endTime":4145.67,"body":"and the challenges they have,"},{"startTime":4145.67,"endTime":4148.19,"body":"to have that voice along with the science?"},{"startTime":4148.19,"endTime":4150.62,"body":"So you need science, the data,"},{"startTime":4150.62,"endTime":4151.91,"body":"the actual academic data,"},{"startTime":4151.91,"endTime":4154.19,"body":"the quantitative data,"},{"startTime":4154.19,"endTime":4156.98,"body":"but you also need the lived"},{"startTime":4154.19,"endTime":4156.98,"body":"experiences of people."},{"startTime":4156.98,"endTime":4158.93,"body":"And then you do need"},{"startTime":4156.98,"endTime":4158.93,"body":"advocates and champions,"},{"startTime":4158.93,"endTime":4160.76,"body":"nothing happens without champions."},{"startTime":4160.76,"endTime":4162.95,"body":"So you need the data and"},{"startTime":4160.76,"endTime":4162.95,"body":"then you need the people"},{"startTime":4162.95,"endTime":4165.62,"body":"to be able to narrate"},{"startTime":4162.95,"endTime":4165.62,"body":"that in front of others."},{"startTime":4165.62,"endTime":4168.11,"body":"But there will always be some"},{"startTime":4165.62,"endTime":4168.11,"body":"people who won't believe it,"},{"startTime":4168.11,"endTime":4169.763,"body":"it's just the way of the world."},{"startTime":4170.802,"endTime":4171.635,"body":"- Ladies and gentlemen, I'm sorry,"},{"startTime":4171.635,"endTime":4173.48,"body":"we've run well over our time."},{"startTime":4173.48,"endTime":4176.21,"body":"So I'm afraid I going to"},{"startTime":4173.48,"endTime":4176.21,"body":"have to call it a day."},{"startTime":4176.21,"endTime":4178.19,"body":"But I'd like you all again to thank Monica"},{"startTime":4178.19,"endTime":4180.608,"body":"very much for her lecture this evening."},{"startTime":4180.608,"endTime":4183.775,"body":"(audience applauding)"}]}