00:00:18.630 --> 00:00:20.051
- This is a story about rising up.

00:00:20.051 --> 00:00:22.259
About how human ambition

00:00:22.259 --> 00:00:25.217
can overcome the seemingly impossible.

00:00:30.780 --> 00:00:33.573
Reminding us that anything is possible.

00:00:38.850 --> 00:00:41.760
For over a decade I've
traveled the world making films

00:00:41.760 --> 00:00:43.383
with a global health focus.

00:00:45.450 --> 00:00:46.800
That's great, looking good.

00:00:49.050 --> 00:00:52.980
Imagine the most important
woman in your life,

00:00:52.980 --> 00:00:54.843
how much she means to you.

00:00:56.520 --> 00:00:59.250
Now imagine her dying from a cancer

00:00:59.250 --> 00:01:01.143
that is totally preventable.

00:01:05.910 --> 00:01:09.510
There's a global movement
underway to end cervical cancer,

00:01:09.510 --> 00:01:12.270
a disease that in the
United States of America,

00:01:12.270 --> 00:01:16.590
takes the lives of approximately
4,000 women each year.

00:01:16.590 --> 00:01:19.980
Together we are going to
discover some of the incredible

00:01:19.980 --> 00:01:23.730
work taking place in the USA
today and what can be learned

00:01:23.730 --> 00:01:25.680
from the rest of the world.

00:01:25.680 --> 00:01:28.080
This matters to me because
when we lose a woman

00:01:28.080 --> 00:01:32.288
to a preventable cancer,
that loss impacts all of us.

00:01:37.710 --> 00:01:41.013
I was filming at an enormous
cancer hospital in Sri Lanka.

00:01:42.810 --> 00:01:45.690
I will never forget the day
that changed my perspective

00:01:45.690 --> 00:01:46.593
on women's health.

00:01:49.110 --> 00:01:52.680
I remember being in a very
crowded hospital ward,

00:01:52.680 --> 00:01:54.930
which was like nothing
I'd ever seen before,

00:01:54.930 --> 00:01:58.893
there was rows and rows
and rows of cot beds.

00:02:00.000 --> 00:02:03.503
There was fans to move the
air around, but the humidity

00:02:03.503 --> 00:02:06.660
and the heat was quite intense.

00:02:06.660 --> 00:02:09.570
- We can see that she's really upset

00:02:09.570 --> 00:02:11.430
and she wants information.

00:02:11.430 --> 00:02:14.460
- So I remember filming with a woman,

00:02:14.460 --> 00:02:17.580
she couldn't have been much
more than 30 years old.

00:02:17.580 --> 00:02:19.503
Clearly very, very unwell.

00:02:20.400 --> 00:02:22.770
And I just remember her
looking up at the doctors

00:02:22.770 --> 00:02:25.650
so desperately hoping for information

00:02:25.650 --> 00:02:27.875
and the reality of her situation

00:02:27.875 --> 00:02:32.875
was that she was probably
gonna die very soon.

00:02:32.970 --> 00:02:36.120
- The first thing we need
to do is get her infection

00:02:36.120 --> 00:02:37.830
under better control.

00:02:37.830 --> 00:02:41.760
- [Narrator] Like most women,
she's integral to her family.

00:02:41.760 --> 00:02:45.153
She's a wife and a mother, a breadwinner.

00:02:46.410 --> 00:02:49.350
It dawned on me that when a
woman's life is cut short like

00:02:49.350 --> 00:02:53.133
this, the knock-on
effects are catastrophic.

00:02:56.220 --> 00:02:58.203
This is not that story.

00:03:00.060 --> 00:03:03.063
Believe it or not, this is
a positive cancer story.

00:03:04.620 --> 00:03:05.610
In fact,

00:03:05.610 --> 00:03:09.243
it's the most extraordinary
health story of our time.

00:03:10.410 --> 00:03:14.073
It's the story of
conquering cervical cancer.

00:03:25.920 --> 00:03:28.710
- We choose to go to
the moon in this decade

00:03:28.710 --> 00:03:32.220
and do the other things,
not because they are easy,

00:03:32.220 --> 00:03:33.963
but because they are hard.

00:03:35.470 --> 00:03:37.729
Liftoff. We have a liftoff.

00:03:37.729 --> 00:03:39.373
Liftoff on Apollo Eleven.

00:03:39.373 --> 00:03:41.370
- [Narrator] A moonshot is an ambitious,

00:03:41.370 --> 00:03:44.951
groundbreaking effort with
unforeseeable outcomes.

00:03:44.951 --> 00:03:47.460
- [Pilot] Houston, the Eagle has landed.

00:03:47.460 --> 00:03:48.986
- [Narrator] It sets
out to achieve something

00:03:48.986 --> 00:03:51.795
that is generally
believed to be impossible.

00:03:51.795 --> 00:03:54.665
- [Announcer] One small step for man...

00:03:54.665 --> 00:03:57.182
One giant leap for mankind.

00:04:01.957 --> 00:04:04.530
- [Narrator] Geneva
Switzerland is the headquarters

00:04:04.530 --> 00:04:06.490
of the World Health Organization

00:04:07.860 --> 00:04:09.060
- With support from WHO.

00:04:09.060 --> 00:04:10.380
- A resolution has been made

00:04:10.380 --> 00:04:12.600
by all countries in the United Nations

00:04:12.600 --> 00:04:14.493
to eliminate cervical cancer.

00:04:16.650 --> 00:04:19.950
There are three pillars to
the elimination strategy.

00:04:19.950 --> 00:04:24.950
Vaccination of girls, cervical
screening or testing of women

00:04:25.590 --> 00:04:27.390
and treatment for those who need it.

00:04:29.220 --> 00:04:31.593
And this too is a moonshot.

00:04:34.170 --> 00:04:37.440
I'm here to talk with Dr.
Tedros Adhanom Ghebreyesus

00:04:37.440 --> 00:04:39.040
the Director General of the WHO.

00:04:40.140 --> 00:04:42.990
Alright, so I'll get straight
into it if that's okay.

00:04:42.990 --> 00:04:43.823
- Yeah.

00:04:43.823 --> 00:04:47.910
- So the WHO's prioritized
cervical cancer elimination.

00:04:47.910 --> 00:04:49.887
What was the tipping
point for that decision

00:04:49.887 --> 00:04:51.450
that call to action.

00:04:51.450 --> 00:04:54.473
- The number of cases
globally, new cases globally

00:04:54.473 --> 00:04:59.473
of cervical cancer is more than 570,000,

00:05:00.720 --> 00:05:03.723
out of this, more than 300,000 die.

00:05:06.600 --> 00:05:09.540
And at the same time, we have the weapon

00:05:09.540 --> 00:05:11.760
to prevent this from happening.

00:05:11.760 --> 00:05:15.270
We have the vaccine, we
have the diagnostics,

00:05:15.270 --> 00:05:17.043
and we have also treatment.

00:05:18.450 --> 00:05:20.910
And when you have all this

00:05:20.910 --> 00:05:23.880
and a woman is dying, every
two minutes is not acceptable.

00:05:23.880 --> 00:05:25.110
So that's the tipping point.

00:05:25.110 --> 00:05:27.180
So people say, "No,
this is not acceptable.

00:05:27.180 --> 00:05:29.100
And we have to do something."

00:05:29.963 --> 00:05:32.640
- Even in the United
States, too many people die

00:05:32.640 --> 00:05:34.230
of cervical cancer.

00:05:34.230 --> 00:05:37.410
- The mortality today in the US

00:05:37.410 --> 00:05:40.470
and Alabama is now no different than 1999.

00:05:40.470 --> 00:05:42.810
We haven't made a dent.

00:05:42.810 --> 00:05:44.790
- I can't tell you the number
of times that I've cared

00:05:44.790 --> 00:05:47.760
for women who have been
screened, they've been religious

00:05:47.760 --> 00:05:50.490
with their screening, but
because of financial barriers,

00:05:50.490 --> 00:05:53.520
they can't get evaluated
and they can't be treated .

00:05:53.520 --> 00:05:54.540
Well, I think that's a shame.

00:05:54.540 --> 00:05:56.370
I mean, I think that's a travesty.

00:05:56.370 --> 00:05:59.790
- Just having the solutions
in place isn't enough.

00:05:59.790 --> 00:06:02.790
Those solutions need to be modernized.

00:06:02.790 --> 00:06:04.590
It is totally unacceptable

00:06:04.590 --> 00:06:07.201
that in 2023 doctors are using tools

00:06:07.201 --> 00:06:10.173
from the early 1970s to treat cancer.

00:06:11.340 --> 00:06:16.340
- I think people just it's
kind of just out of the back

00:06:17.730 --> 00:06:18.630
of their mind.

00:06:18.630 --> 00:06:22.020
They don't understand
it until it's too late.

00:06:22.020 --> 00:06:25.860
- To lose anybody to
cervical cancer is terrible

00:06:25.860 --> 00:06:28.563
because it is so preventable
and so treatable.

00:06:35.700 --> 00:06:37.830
- [Narrator] We are gonna
travel to four states in America

00:06:37.830 --> 00:06:39.960
and discover how they're
taking on the challenge

00:06:39.960 --> 00:06:42.240
of cervical cancer elimination.

00:06:42.240 --> 00:06:45.000
We'll also learn about
the work underway abroad

00:06:45.000 --> 00:06:48.120
as this disease is not only found here.

00:06:48.120 --> 00:06:50.370
Why does elimination matter?

00:06:50.370 --> 00:06:51.750
Because global elimination

00:06:51.750 --> 00:06:53.820
of cervical cancer could save the lives

00:06:53.820 --> 00:06:58.260
of an estimated 62
million women worldwide.

00:06:58.260 --> 00:07:01.260
And conquering cervical
cancer invites us to dare

00:07:01.260 --> 00:07:04.110
to imagine a world without cancer.

00:07:04.110 --> 00:07:07.680
- Cervical cancer is
one of the only cancers

00:07:07.680 --> 00:07:08.820
that we've totally figured out.

00:07:08.820 --> 00:07:11.490
We know what causes it, we
know how to screen for it.

00:07:11.490 --> 00:07:14.130
We know how to treat preinvasive disease.

00:07:14.130 --> 00:07:17.493
So really no woman should
be dying of cervical cancer.

00:07:18.330 --> 00:07:21.060
- Everyone calls it a big C for a reason.

00:07:21.060 --> 00:07:22.473
It's scary, isn't it?

00:07:23.310 --> 00:07:24.331
You understand the impact

00:07:24.331 --> 00:07:27.120
it has on not just the patient

00:07:27.120 --> 00:07:29.670
but the family, the loved
ones that you leave behind.

00:07:29.670 --> 00:07:30.753
The pain.

00:07:32.400 --> 00:07:34.110
- Cancer can be conquered.

00:07:34.110 --> 00:07:38.070
Cervical cancer particularly
can be conquered.

00:07:38.070 --> 00:07:42.390
- There is a concerted
international effort from everyone,

00:07:42.390 --> 00:07:45.960
whether it is a developed
country, developing country,

00:07:45.960 --> 00:07:49.113
we are all moving towards this goal.

00:07:50.580 --> 00:07:53.130
- When we have all the weapons at hand,

00:07:53.130 --> 00:07:55.413
failure should not be an option.

00:07:58.080 --> 00:08:01.800
- There's a lot of ambitious
goals to go for in this life.

00:08:01.800 --> 00:08:04.530
But to say goodbye to a cancer,

00:08:04.530 --> 00:08:06.633
who wouldn't get excited for that.

00:08:09.060 --> 00:08:10.680
- A good thing about cervical cancer

00:08:10.680 --> 00:08:12.300
is we can prevent it.

00:08:12.300 --> 00:08:14.400
So it's very exciting
time for us as advocates

00:08:14.400 --> 00:08:16.290
to really get this news out there

00:08:16.290 --> 00:08:18.330
and really encourage every country

00:08:18.330 --> 00:08:20.730
to adopt elimination targets.

00:08:20.730 --> 00:08:24.840
- It is amazing to think
of a cancer elimination

00:08:24.840 --> 00:08:27.750
and particularly in
countries like Malaysia,

00:08:27.750 --> 00:08:31.290
where it's the second and
third most common cancer.

00:08:31.290 --> 00:08:34.560
- Conquering cancer
means a world with women

00:08:34.560 --> 00:08:37.710
who are empowered to do other things

00:08:37.710 --> 00:08:40.530
and they're not succumbing to a disease

00:08:40.530 --> 00:08:43.320
and unable to give their full potential

00:08:43.320 --> 00:08:45.827
to their families, to this nation.

00:08:51.857 --> 00:08:55.140
- 2004, my life changed.

00:08:55.140 --> 00:08:58.560
I got a call at work stating
that my biopsy had came back

00:08:58.560 --> 00:09:00.483
and they saw something cancerous.

00:09:03.866 --> 00:09:06.330
For the last couple of
years I was having to go

00:09:06.330 --> 00:09:09.180
and do a Pap test twice a year.

00:09:09.180 --> 00:09:10.860
My doctor, he was just telling

00:09:10.860 --> 00:09:12.933
me that they were coming back abnormal.

00:09:14.190 --> 00:09:16.800
I was experiencing bad pelvic pains.

00:09:16.800 --> 00:09:21.000
Other times I have had embarrassing
moments of going to work

00:09:21.000 --> 00:09:23.880
and walking and I was
discharging blood clots.

00:09:23.880 --> 00:09:25.230
So it got to the point

00:09:25.230 --> 00:09:27.720
that I was wearing protection every day

00:09:27.720 --> 00:09:29.760
to keep from the embarrassment.

00:09:29.760 --> 00:09:33.303
'Cause I never knew when
something would appear.

00:09:34.320 --> 00:09:35.880
I went, met with my doctor

00:09:35.880 --> 00:09:38.630
and he told me he had to
immediately do a hysterectomy.

00:09:39.690 --> 00:09:42.120
And at that time I was 30 years old

00:09:42.120 --> 00:09:45.780
and I was in the process
of trying to get pregnant.

00:09:45.780 --> 00:09:49.140
At that time I didn't
know the questions to ask.

00:09:49.140 --> 00:09:51.600
I wasn't educated on cervical cancer.

00:09:51.600 --> 00:09:53.190
They said no to child bearing.

00:09:53.190 --> 00:09:55.053
And that's something that I wanted.

00:10:10.830 --> 00:10:14.040
- I am visiting Professor
Ian Frazer, who led the team

00:10:14.040 --> 00:10:16.470
that developed the vaccine
to prevent the virus

00:10:16.470 --> 00:10:18.600
that causes cervical cancer,

00:10:18.600 --> 00:10:22.290
which kills 300,000 women annually.

00:10:22.290 --> 00:10:25.593
Let's go back to the
beginning. What is cancer?

00:10:27.060 --> 00:10:30.510
- Cancer is the abnormal
growth of cells in your body.

00:10:30.510 --> 00:10:34.140
Basically cells that should
stay quiet, grow and divide

00:10:34.140 --> 00:10:36.724
and spread through your
body and cause problems.

00:10:36.724 --> 00:10:38.880
- And how did the name cancer come about?

00:10:38.880 --> 00:10:42.030
- In ancient Greece 2000 years ago,

00:10:42.030 --> 00:10:44.250
Hippocrates was the
father of modern medicine

00:10:44.250 --> 00:10:46.980
and he observed all sorts of illnesses.

00:10:46.980 --> 00:10:49.680
One of the illness he observed was cancer.

00:10:49.680 --> 00:10:53.580
To him skin cancer looked
like a crab on the skin.

00:10:53.580 --> 00:10:58.020
So he gave it the name Carcino,
which is crab in Greek.

00:10:58.020 --> 00:11:00.780
And that name has stuck ever since.

00:11:00.780 --> 00:11:03.660
Do you know what the major
predator of crabs are?

00:11:03.660 --> 00:11:04.890
- No.

00:11:04.890 --> 00:11:07.293
- Their major predators are octopuses.

00:11:08.790 --> 00:11:10.290
That's probably a good idea

00:11:10.290 --> 00:11:12.510
from the octopus' point of
view, if you've got eight legs,

00:11:12.510 --> 00:11:14.400
you've got a much better
chance of getting control

00:11:14.400 --> 00:11:16.560
of a crab than if you just have two arms.

00:11:16.560 --> 00:11:18.150
- [Narrator] Which is
an interesting analogy

00:11:18.150 --> 00:11:21.600
with the way we're actually
tackling cervical cancer.

00:11:21.600 --> 00:11:23.520
- Yeah, we really need all the tentacles

00:11:23.520 --> 00:11:24.720
we can get if you like,

00:11:24.720 --> 00:11:26.853
to get cervical cancer under control.

00:11:28.860 --> 00:11:30.720
- [Narrator] So I understand the WHO

00:11:30.720 --> 00:11:35.520
is recommending three essential
activities. What are they?

00:11:35.520 --> 00:11:37.500
- Well, one is vaccination obviously,

00:11:37.500 --> 00:11:40.170
because now we have a vaccine
that can prevent the infection

00:11:40.170 --> 00:11:41.763
that triggers cervical cancer.

00:11:43.020 --> 00:11:46.650
A second one is screening
for cervical pre-cancer

00:11:46.650 --> 00:11:48.750
so we can catch the
cancer before it's there.

00:11:48.750 --> 00:11:49.860
We know that the virus

00:11:49.860 --> 00:11:52.950
that causes cancer makes
abnormal cells in the cervix many

00:11:52.950 --> 00:11:56.100
years before those abnormal
cells turn into cancer.

00:11:56.100 --> 00:11:58.140
So screening is a very effective means

00:11:58.140 --> 00:11:59.610
of preventing cervical cancer.

00:11:59.610 --> 00:12:00.960
And then the third arm

00:12:00.960 --> 00:12:04.293
of cervical cancer
control is good treatment.

00:12:07.200 --> 00:12:08.880
- [Narrator] Your work's
been quite instrumental

00:12:08.880 --> 00:12:11.820
in the potential elimination
of cervical cancer.

00:12:11.820 --> 00:12:13.833
What does that mean to you personally?

00:12:15.060 --> 00:12:18.450
- Look, I always, as a
doctor, wanted to be able

00:12:18.450 --> 00:12:21.780
to help people and learned very quickly

00:12:21.780 --> 00:12:23.700
that there are a lot of
very good doctors out there,

00:12:23.700 --> 00:12:25.170
but there are a lot of problems that need

00:12:25.170 --> 00:12:28.050
to be solved in order to
make healthcare better.

00:12:28.050 --> 00:12:30.360
So I decided I would
focus on medical research

00:12:30.360 --> 00:12:32.580
and I'm lucky enough to pick an area

00:12:32.580 --> 00:12:34.590
where something could be done.

00:12:34.590 --> 00:12:37.800
I mean, you don't want to see
anybody dying unnecessarily,

00:12:37.800 --> 00:12:40.620
but seeing young women dying
when they've got young kids,

00:12:40.620 --> 00:12:43.370
that's something you really
have to do something about.

00:12:45.000 --> 00:12:47.250
Papillomavirus is an annoying virus

00:12:47.250 --> 00:12:49.440
because we can't grow as in the lab.

00:12:49.440 --> 00:12:51.210
We had to wait until the techniques

00:12:51.210 --> 00:12:53.100
of genetic engineering came along.

00:12:53.100 --> 00:12:55.470
And then my colleague Jan Zu and I,

00:12:55.470 --> 00:12:58.230
we found a way of building
the shell of the virus

00:12:58.230 --> 00:12:59.640
and it was the shell of the virus

00:12:59.640 --> 00:13:01.040
that has become the vaccine.

00:13:02.400 --> 00:13:05.550
Vaccines are the single most
effective public health measure

00:13:05.550 --> 00:13:09.270
that we've had after
clean water and good food.

00:13:09.270 --> 00:13:13.800
This vaccine rates with the
poliovirus vaccine in terms

00:13:13.800 --> 00:13:15.330
of its ability to prevent disease.

00:13:15.330 --> 00:13:17.640
If we look back at the
history of Poliovirus,

00:13:17.640 --> 00:13:19.620
roughly the same number
of people used to die

00:13:19.620 --> 00:13:21.780
of polio every year as currently are dying

00:13:21.780 --> 00:13:23.043
of cervical cancer.

00:13:30.810 --> 00:13:33.360
- I am here at the University
of Alabama at Birmingham

00:13:33.360 --> 00:13:35.610
where I have heard about
a remarkable doctor

00:13:35.610 --> 00:13:38.912
who spent her childhood
educating people about polio

00:13:38.912 --> 00:13:42.300
and now as an adult is
dedicating her career

00:13:42.300 --> 00:13:43.683
to cervical cancer.

00:13:44.910 --> 00:13:48.450
I had polio when I was
eight months old in Brazil.

00:13:48.450 --> 00:13:51.675
And my mom would spend her life,

00:13:51.675 --> 00:13:56.010
she would take me door to
door, literally with the shorts

00:13:56.010 --> 00:13:58.950
to show, to really show the disability

00:13:58.950 --> 00:14:02.970
and say, you don't want this
to happen to your child.

00:14:02.970 --> 00:14:06.960
But she did in a way
that was very proud of it

00:14:06.960 --> 00:14:09.630
and made me feel important.

00:14:09.630 --> 00:14:12.840
Who would not vaccinate their child

00:14:12.840 --> 00:14:16.650
when they saw a mother
with a disabled child,

00:14:16.650 --> 00:14:18.213
with her with a disease?

00:14:19.350 --> 00:14:21.573
I mean, how wouldn't you?

00:14:22.860 --> 00:14:25.830
I think polio was people like my mother

00:14:25.830 --> 00:14:28.710
and was when Rotary Club jumped in

00:14:28.710 --> 00:14:31.830
and mobilized the Rotary
clubs in the world,

00:14:31.830 --> 00:14:33.900
cervical cancer is exactly the same thing.

00:14:33.900 --> 00:14:35.580
We have the vaccine

00:14:35.580 --> 00:14:39.810
and we have the screening it's
in the hands of civil society

00:14:39.810 --> 00:14:44.703
to really mobilize to get these tools out.

00:14:46.230 --> 00:14:49.200
- We have seen a steady
increase in the number

00:14:49.200 --> 00:14:54.200
of kids getting HPV vaccine since 2006

00:14:54.450 --> 00:14:56.790
and it was rising at about 5% a year.

00:14:56.790 --> 00:14:59.160
So not bad. And then COVID hit

00:14:59.160 --> 00:15:01.680
and all healthcare, you know, suffered.

00:15:01.680 --> 00:15:05.340
So we've seen some
really concerning numbers

00:15:05.340 --> 00:15:09.780
about just how far that drop
has been for HPV vaccine,

00:15:09.780 --> 00:15:12.750
pretty much any child through the age

00:15:12.750 --> 00:15:16.770
of 19 in the United States
can get the HPV vaccine

00:15:16.770 --> 00:15:17.603
for free.

00:15:18.720 --> 00:15:23.430
- In Alabama really the only
ways to get the HPV vaccination

00:15:23.430 --> 00:15:27.007
are to go to your pediatrician
or your primary care provider

00:15:27.007 --> 00:15:29.580
or a local county health department.

00:15:29.580 --> 00:15:32.280
There's a lot of barriers.
Alabama's very rural.

00:15:32.280 --> 00:15:34.950
It's difficult because of
the distance to the clinics.

00:15:34.950 --> 00:15:36.240
It's difficult

00:15:36.240 --> 00:15:39.420
because we don't have that many physicians

00:15:39.420 --> 00:15:40.590
in the rural areas.

00:15:40.590 --> 00:15:42.750
- Cervical cancer is a disease of poverty.

00:15:42.750 --> 00:15:44.880
So if you look at the distribution

00:15:44.880 --> 00:15:47.130
of cervical cancer in Alabama,

00:15:47.130 --> 00:15:51.003
some counties experience
higher burden of disease.

00:15:54.210 --> 00:15:58.218
- After COVID-19, after the coronavirus...

00:15:58.218 --> 00:16:00.368
Vaccines and the word vaccine has really

00:16:00.368 --> 00:16:01.877
kind of become taboo

00:16:01.877 --> 00:16:06.877
with certain groups there's
a mistrust with vaccines.

00:16:07.620 --> 00:16:10.440
I've heard people talk about
not wanting to go to the doctor

00:16:10.440 --> 00:16:11.777
because they're scared.

00:16:11.777 --> 00:16:13.650
They don't want to know,

00:16:13.650 --> 00:16:16.290
they don't wanna go get screened
in case something is wrong.

00:16:16.290 --> 00:16:17.940
They don't have high speed internet.

00:16:17.940 --> 00:16:20.580
And so if they don't have
that high speed internet,

00:16:20.580 --> 00:16:24.360
they may not be receiving
a lot of the media forums

00:16:24.360 --> 00:16:25.680
and a lot of the information

00:16:25.680 --> 00:16:28.200
that may be being pushed
out in other places.

00:16:28.200 --> 00:16:29.880
Transportation is an issue.

00:16:29.880 --> 00:16:32.820
It's a multifaceted problem that needs

00:16:32.820 --> 00:16:35.580
to be attacked from a
lot of different angles.

00:16:35.580 --> 00:16:38.160
- One of these angles is screening women.

00:16:38.160 --> 00:16:40.500
If an abnormality is
detected through a Pap

00:16:40.500 --> 00:16:44.160
or HPV test, a colposcopy can be performed

00:16:44.160 --> 00:16:46.860
to closely examine the
cervix for precancers

00:16:46.860 --> 00:16:49.830
and early signs of cervical cancer.

00:16:49.830 --> 00:16:51.510
It can then be treated and cured

00:16:51.510 --> 00:16:54.480
before it leads to invasive disease.

00:16:54.480 --> 00:16:56.793
This procedure is not painful.

00:16:59.280 --> 00:17:02.910
- We are the sixth
poorest state in the US.

00:17:02.910 --> 00:17:05.400
So with that being said,
when you tell a woman

00:17:05.400 --> 00:17:10.400
that she needs to go two hours
up the road for treatment

00:17:11.010 --> 00:17:13.020
and she's thinking, well,

00:17:13.020 --> 00:17:16.140
I barely have enough money,
you know, for my children

00:17:16.140 --> 00:17:20.340
or my household expenses, how
am I supposed to juggle this?

00:17:20.340 --> 00:17:22.590
And it's really hard for women

00:17:22.590 --> 00:17:24.840
because we know we're gonna
take care of our family

00:17:24.840 --> 00:17:26.490
before we take care of ourself.

00:17:26.490 --> 00:17:30.033
So women were just not
getting their procedures done.

00:17:31.830 --> 00:17:34.140
So we partnered with Alabama breast

00:17:34.140 --> 00:17:37.080
and cervical cancer detection program.

00:17:37.080 --> 00:17:40.020
We had six nurse practitioners
to get credentialed

00:17:40.020 --> 00:17:41.100
as colposcopists.

00:17:41.100 --> 00:17:44.070
So you know, we had
like a little small army

00:17:44.070 --> 00:17:47.190
and we started going,
we took our equipment

00:17:47.190 --> 00:17:51.066
and we went from, you know,
and south and east and west

00:17:51.066 --> 00:17:54.660
and we started doing colposcopies.

00:17:54.660 --> 00:17:59.010
I think since 2019 we've done
like, 1,100 colposcopies.

00:17:59.010 --> 00:18:01.110
Now if there is a diagnosis

00:18:01.110 --> 00:18:04.197
or they need further diagnostic care,

00:18:04.197 --> 00:18:07.050
we also have a program to pay for that.

00:18:07.050 --> 00:18:09.480
I have a colleague that
she and I work together.

00:18:09.480 --> 00:18:13.230
We tend to, what we call
TAG team wherever we go.

00:18:13.230 --> 00:18:15.003
We typically go together.

00:18:16.740 --> 00:18:18.960
- It's really beneficial for my patients,

00:18:18.960 --> 00:18:22.050
especially I identify with
them being Hispanic myself,

00:18:22.050 --> 00:18:23.760
I used to be in their shoes when I came

00:18:23.760 --> 00:18:28.760
to the state 33 years ago,
I knew very little English.

00:18:28.770 --> 00:18:31.290
So I know how it feels to go in a place

00:18:31.290 --> 00:18:34.380
where you are not able
to understand each other.

00:18:34.380 --> 00:18:37.347
It's a wall in between
because you try to communicate

00:18:37.347 --> 00:18:38.190
with them.

00:18:38.190 --> 00:18:39.960
They're not giving you the information

00:18:39.960 --> 00:18:42.420
that you want in a way
that you understand,

00:18:42.420 --> 00:18:44.815
especially talking about cervical cancer.

00:18:44.815 --> 00:18:47.220
You have a diagnosis,

00:18:47.220 --> 00:18:51.900
you don't understand
exactly how serious it is.

00:18:51.900 --> 00:18:55.920
You can have severe
consequences when you explain

00:18:55.920 --> 00:18:58.290
to them in the same language in a way

00:18:58.290 --> 00:19:01.650
that they understand they will
be more willing to come back

00:19:01.650 --> 00:19:03.150
and do the next step of care.

00:19:03.150 --> 00:19:07.410
So I think it's very
beneficial for me to be present

00:19:07.410 --> 00:19:10.140
and of course it's very rewarding

00:19:10.140 --> 00:19:13.170
for me to be able to help them.

00:19:13.170 --> 00:19:16.350
- Since we've started taking
the the procedures to them.

00:19:16.350 --> 00:19:20.190
We are seeing women that has
been needing a colposcopy

00:19:20.190 --> 00:19:22.650
for years, but they just never did it.

00:19:22.650 --> 00:19:26.010
So I think it's just been a great program

00:19:26.010 --> 00:19:28.323
for the women in the State of Alabama.

00:19:39.240 --> 00:19:42.930
- We are in southern-most part
of Texas, right where Texas,

00:19:42.930 --> 00:19:45.843
the Gulf of Mexico and Mexico meet.

00:19:46.860 --> 00:19:50.460
We are in some of the poorest
counties in the United States.

00:19:50.460 --> 00:19:54.390
And so obviously our population
is overwhelmingly low income

00:19:54.390 --> 00:19:56.970
and has a low health literacy rate.

00:19:56.970 --> 00:20:01.380
Additionally, more than 90%
of our population is Hispanic.

00:20:01.380 --> 00:20:03.510
We have folks who have
not been able to get seen

00:20:03.510 --> 00:20:05.373
by a doctor in many, many years.

00:20:06.900 --> 00:20:08.910
And that's why we have a
population that has one

00:20:08.910 --> 00:20:11.510
of the highest cervical
cancer rates in the country.

00:20:15.090 --> 00:20:17.820
- In the US whenever I see a patient

00:20:17.820 --> 00:20:19.560
who has advanced cervix cancer,

00:20:19.560 --> 00:20:22.410
most of the time they've
had screening at some point,

00:20:22.410 --> 00:20:26.370
usually a Pap test or HPV
test that was abnormal,

00:20:26.370 --> 00:20:29.501
but then they didn't have
access or have the resources

00:20:29.501 --> 00:20:32.790
or the knowledge to come back in

00:20:32.790 --> 00:20:35.700
and to be navigated to an
appointment to get treatment

00:20:35.700 --> 00:20:37.623
for preinvasive disease.

00:20:39.210 --> 00:20:42.689
- The main barriers here
in the valley are several.

00:20:42.689 --> 00:20:45.570
One of the things that is
obvious here is that a lot

00:20:45.570 --> 00:20:47.270
of people live in the shadows.

00:20:48.150 --> 00:20:50.520
There are people here who are undocumented

00:20:50.520 --> 00:20:52.893
and are afraid to access healthcare.

00:20:54.360 --> 00:20:56.430
A transportation is another one.

00:20:56.430 --> 00:20:58.740
A lot of the times the
healthcare they need

00:20:58.740 --> 00:21:01.170
to access maybe 30 miles away.

00:21:01.170 --> 00:21:03.750
If they are a family with one car

00:21:03.750 --> 00:21:07.860
and the person that works at
home needs to use that car,

00:21:07.860 --> 00:21:09.633
then the lady is stuck at home.

00:21:11.910 --> 00:21:13.470
- [Narrator] To help solve this problem,

00:21:13.470 --> 00:21:16.473
a fully equipped mobile
clinic was established.

00:21:18.450 --> 00:21:20.730
If the women can't get to the clinic,

00:21:20.730 --> 00:21:22.230
then bring the clinic to them.

00:21:25.320 --> 00:21:27.930
- We have a portable ultrasound
machine that we can use.

00:21:27.930 --> 00:21:30.954
We're about to incorporate a
portable colposcopy machine,

00:21:30.954 --> 00:21:34.560
so really pretty much able,
we can do pregnancy testing

00:21:34.560 --> 00:21:36.240
and just a variety of things.

00:21:36.240 --> 00:21:39.300
So we can do most basic
women's healthcare.

00:21:39.300 --> 00:21:42.050
And really we're focused on
cervical cancer prevention.

00:21:43.380 --> 00:21:44.913
A lot of our work has to do

00:21:44.913 --> 00:21:47.070
with having community health workers

00:21:47.070 --> 00:21:50.340
or Promotoras that actually
are part of the community

00:21:50.340 --> 00:21:52.587
and using their connections and,

00:21:52.587 --> 00:21:54.600
and the trust that they can build up

00:21:54.600 --> 00:21:56.643
or that they have built
up with the patients.

00:21:58.950 --> 00:22:00.240
- We want women to screen

00:22:00.240 --> 00:22:02.640
because this is the only way
we're gonna find precancerous

00:22:02.640 --> 00:22:05.580
lesions, which is where
you can eliminate the cells

00:22:05.580 --> 00:22:07.353
that can turn into cancer.

00:22:08.464 --> 00:22:10.260
And we particularly looked at women

00:22:10.260 --> 00:22:13.230
that had not had a Pap smear
in greater than three years.

00:22:13.230 --> 00:22:14.910
And then we reached out to them via phone

00:22:14.910 --> 00:22:17.700
and encouraged them and
educated them on the importance

00:22:17.700 --> 00:22:18.533
of screening.

00:22:20.340 --> 00:22:24.060
We went to health care events,
we went to supermarkets

00:22:24.060 --> 00:22:27.816
and we reach women doing
their day-to-day activities.

00:22:27.816 --> 00:22:30.810
And then if we find
women that are in need,

00:22:30.810 --> 00:22:33.013
we help navigate them to services.

00:23:45.140 --> 00:23:48.000
- MD Anderson has several collaborations

00:23:48.000 --> 00:23:50.850
around the world working
on the elimination

00:23:50.850 --> 00:23:52.530
of cervical cancer.

00:23:52.530 --> 00:23:56.730
We do a lot of this
collaboration using Project Echo,

00:23:56.730 --> 00:23:58.710
which is a telementoring program

00:23:58.710 --> 00:24:01.020
where we use video conferencing

00:24:01.020 --> 00:24:04.950
and case-based learning to
work with different groups.

00:24:04.950 --> 00:24:07.080
- Yeah, so it's a 48-year-old
patient who have ASCUS

00:24:08.850 --> 00:24:10.530
with HPV negative.

00:24:10.530 --> 00:24:13.557
So the question is how we
should proceed cytology in 12

00:24:13.557 --> 00:24:15.900
and 24 months.

00:24:15.900 --> 00:24:17.000
What do you all think?

00:24:17.880 --> 00:24:21.120
- One of the best project
Echos we have is actually

00:24:21.120 --> 00:24:22.680
with Latin America.

00:24:22.680 --> 00:24:24.000
It's held once a month

00:24:24.000 --> 00:24:25.560
and we usually have participants

00:24:25.560 --> 00:24:28.470
from about 14 countries that join us.

00:24:28.470 --> 00:24:31.177
And they've been a really
great collaboration

00:24:31.177 --> 00:24:33.480
and we work especially closely

00:24:33.480 --> 00:24:35.493
with our colleagues in Colombia.

00:24:45.720 --> 00:24:48.390
- Colombia sits at the
northwest of South America

00:24:48.390 --> 00:24:50.763
and is home to over 50 million people.

00:24:51.962 --> 00:24:55.710
In recent years, it has made
significant gains in the battle

00:24:55.710 --> 00:24:58.141
to eliminate cervical cancer.

00:24:58.141 --> 00:25:01.358
However, there is still a long way to go.

00:26:21.360 --> 00:26:23.640
- [Narrator] Natalia began
intensive intervention

00:26:23.640 --> 00:26:26.073
at the Colombian Cancer Center in Bogota.

00:26:27.900 --> 00:26:31.293
After 10 months of treatment,
she was declared cancer free.

00:27:29.610 --> 00:27:32.820
- Historically TogetHER for
Health was really created

00:27:32.820 --> 00:27:36.540
to build consensus around HPV

00:27:36.540 --> 00:27:40.350
and cervical cancer
prevention outside of the US.

00:27:40.350 --> 00:27:43.620
But because I live and work in Alabama

00:27:43.620 --> 00:27:47.733
and Alabama has among the
highest rates in the country,

00:27:48.840 --> 00:27:51.330
I say to people, I sometimes
felt like an imposter going

00:27:51.330 --> 00:27:54.540
to bed at night, knowing
that I was working so much

00:27:54.540 --> 00:27:57.390
and so hard for women
all around the world.

00:27:57.390 --> 00:28:00.483
But ignoring sort of what was
happening in my own backyard.

00:28:01.380 --> 00:28:04.830
I decided to reach out to
colleagues at the University

00:28:04.830 --> 00:28:06.363
of Alabama at Birmingham.

00:28:07.530 --> 00:28:09.540
- [Narrator] Within a few
weeks, Heather, Isabel

00:28:09.540 --> 00:28:11.880
and Nancy had put together an action plan

00:28:11.880 --> 00:28:15.360
to eliminate cervical cancer
in the State of Alabama.

00:28:15.360 --> 00:28:18.270
They called it Operation Wipe Out.

00:28:18.270 --> 00:28:19.680
- Where do we start?

00:28:19.680 --> 00:28:22.890
You start small, you
know, it's like a recipe.

00:28:22.890 --> 00:28:26.550
Let's see if it works
first and then we expand.

00:28:26.550 --> 00:28:31.080
And so Chambers County has the highest

00:28:31.080 --> 00:28:33.690
incidences of cervical cancer.

00:28:33.690 --> 00:28:37.620
Isabel herself worked through
Birmingham's Rotary Club

00:28:37.620 --> 00:28:41.103
to connect with Rotary
down in Chambers County.

00:28:44.880 --> 00:28:48.780
- When we first started,
met Heather and Isabel

00:28:48.780 --> 00:28:51.660
and the folks from the
Birmingham Rotary Club.

00:28:51.660 --> 00:28:54.150
We start putting together plans.

00:28:54.150 --> 00:28:56.160
Well next thing you
know we've got involved

00:28:56.160 --> 00:28:58.410
with Auburn University School of Nursing,

00:28:58.410 --> 00:29:01.020
then we y'all start talking
to the Alabama Department

00:29:01.020 --> 00:29:01.853
of Public Health,

00:29:01.853 --> 00:29:04.020
the Chambers County
Department of Public Health.

00:29:04.020 --> 00:29:07.950
We're gonna do a vaccination component.

00:29:07.950 --> 00:29:10.620
How are we gonna do that?
Well, we've got kids.

00:29:10.620 --> 00:29:12.150
Wait a minute, where are the kids at?

00:29:12.150 --> 00:29:15.210
Oh, they're in the school. So let's go.

00:29:15.210 --> 00:29:16.740
Let's go talk to the school system.

00:29:16.740 --> 00:29:19.440
So we talked to our superintendent.

00:29:19.440 --> 00:29:21.644
- And it was alarming for us to know

00:29:21.644 --> 00:29:25.650
that the Chambers County numbers
were as high as they were.

00:29:25.650 --> 00:29:26.730
How could we partner?

00:29:26.730 --> 00:29:30.180
And what could the school
system do to help educate

00:29:30.180 --> 00:29:33.030
and to help start to get information

00:29:33.030 --> 00:29:34.410
out about the vaccine?

00:29:34.410 --> 00:29:36.150
- All right, say it with me.

00:29:36.150 --> 00:29:40.860
Preventive medicine is better
than reactive medicine.

00:29:40.860 --> 00:29:42.270
Do y'all know what that means?

00:29:42.270 --> 00:29:43.103
- No.

00:29:43.103 --> 00:29:43.936
- Okay.

00:29:43.936 --> 00:29:46.390
So we're gonna start
with preventive medicine

00:29:47.250 --> 00:29:49.650
and y'all can start making great decisions

00:29:49.650 --> 00:29:51.120
about your health.

00:29:51.120 --> 00:29:54.270
Right now. Chambers County
has the highest rate

00:29:54.270 --> 00:29:57.060
of cervical cancer in Alabama.

00:29:57.060 --> 00:29:59.970
- And when educating the parents,
we need to send things out

00:29:59.970 --> 00:30:02.130
to them in flyer form.

00:30:02.130 --> 00:30:04.470
We need to send things out
to them on our social media

00:30:04.470 --> 00:30:06.750
platform, provide them
with the information

00:30:06.750 --> 00:30:09.870
and allow them to make the
best decision that they think

00:30:09.870 --> 00:30:12.520
that they need to make for
themselves and their kids.

00:30:15.390 --> 00:30:17.460
So right now we have
five different schools

00:30:17.460 --> 00:30:20.250
that have participated
in the program this year.

00:30:20.250 --> 00:30:24.390
And what we find is that
over time, as parents start

00:30:24.390 --> 00:30:26.430
to understand the information,

00:30:26.430 --> 00:30:28.500
they see their friends and they talk.

00:30:28.500 --> 00:30:30.240
And then I think that those numbers

00:30:30.240 --> 00:30:32.073
will increase as we move forward.

00:30:35.280 --> 00:30:39.000
- There's been lots of folks
that have tossed in their hat

00:30:39.000 --> 00:30:42.690
that have come to the aid
of the Operation Wipe Out.

00:30:42.690 --> 00:30:44.550
And so it just builds upon itself.

00:30:44.550 --> 00:30:46.920
And so our partnership
here in Chambers County

00:30:46.920 --> 00:30:48.170
has just been phenomenal.

00:30:53.370 --> 00:30:55.614
- Good morning. I'm excited

00:30:55.614 --> 00:30:59.190
to introduce a statewide effort

00:30:59.190 --> 00:31:02.880
to eliminate cervical cancer in Alabama.

00:31:02.880 --> 00:31:04.950
Yes, eliminate it.

00:31:04.950 --> 00:31:08.880
Operation Wipe Out
cervical cancer in Alabama

00:31:08.880 --> 00:31:10.800
is the name of our effort.

00:31:10.800 --> 00:31:14.733
And today we launch an
action plan to do just that.

00:31:15.630 --> 00:31:18.690
- Having successfully made
an impact in Chambers County

00:31:18.690 --> 00:31:21.900
Operation Wipe Out could
now expand statewide

00:31:21.900 --> 00:31:25.650
by bringing together a number
of organizations united

00:31:25.650 --> 00:31:28.770
under the banner of Operation
Wipe Out their sights

00:31:28.770 --> 00:31:30.840
have turned towards the elimination

00:31:30.840 --> 00:31:34.533
of cervical cancer across
the entire State of Alabama.

00:31:36.120 --> 00:31:37.380
- There's three steps to this.

00:31:37.380 --> 00:31:39.750
There's prevention and
then there's the screening,

00:31:39.750 --> 00:31:40.920
and then there's follow up,

00:31:40.920 --> 00:31:44.970
making sure the appropriate
testing or treatment happens.

00:31:44.970 --> 00:31:49.500
And in each of those areas
we are striving to work

00:31:49.500 --> 00:31:50.430
through those barriers

00:31:50.430 --> 00:31:53.760
and see if we can't make a difference.

00:31:53.760 --> 00:31:56.130
- And much to our surprise,

00:31:56.130 --> 00:31:58.020
everybody that we've reached out to,

00:31:58.020 --> 00:32:00.810
we've engaged, we've told
them about this issue,

00:32:00.810 --> 00:32:01.860
and really the magnitude

00:32:01.860 --> 00:32:05.070
of the issue in their area have stepped up

00:32:05.070 --> 00:32:06.990
and said, "What can we do?

00:32:06.990 --> 00:32:08.370
How do we get the word out?

00:32:08.370 --> 00:32:12.717
How can we continue to
build this movement?"

00:32:13.680 --> 00:32:15.100
- If I can see

00:32:18.907 --> 00:32:22.103
the end of two diseases in my lifetime,

00:32:23.415 --> 00:32:26.700
I mean my mom would be so happy.

00:32:26.700 --> 00:32:31.173
I don't see why not. Not only
other states, other countries.

00:32:35.610 --> 00:32:37.500
- I still have some unanswered questions

00:32:37.500 --> 00:32:40.443
about the virus that
leads to cervical cancer.

00:32:41.550 --> 00:32:44.040
So I'm calling on one of
the world's leading experts

00:32:44.040 --> 00:32:45.303
to get some clarity.

00:32:47.070 --> 00:32:48.870
Thanks for having a chat with me today.

00:32:48.870 --> 00:32:49.950
- Oh, you're welcome.

00:32:49.950 --> 00:32:51.030
- I'm really interested to know

00:32:51.030 --> 00:32:52.980
what is HPV?

00:32:52.980 --> 00:32:55.680
- So HPV is the human Papilloma virus

00:32:55.680 --> 00:32:59.100
and it causes almost all
of cervix cancer worldwide.

00:32:59.100 --> 00:33:00.810
- And how do you get it?

00:33:00.810 --> 00:33:03.630
- HPV is spread through sexual activity.

00:33:03.630 --> 00:33:05.220
It's a very common infection.

00:33:05.220 --> 00:33:06.540
In fact, 80%

00:33:06.540 --> 00:33:08.940
of us at least will have an HPV infection

00:33:08.940 --> 00:33:10.530
sometime in our life.

00:33:10.530 --> 00:33:12.300
But typically we won't know about that.

00:33:12.300 --> 00:33:15.510
'Cause in most cases, the body
clears the virus naturally

00:33:15.510 --> 00:33:18.120
and medical intervention isn't needed.

00:33:18.120 --> 00:33:21.330
It's when a persistent infection
is established with one

00:33:21.330 --> 00:33:23.550
of the types that is
capable of causing cancer

00:33:23.550 --> 00:33:24.930
that we've got a concern.

00:33:24.930 --> 00:33:26.989
- And so how would you detect that.

00:33:26.989 --> 00:33:28.770
- The collection of the sample

00:33:28.770 --> 00:33:30.990
is the same as in the old Pap program.

00:33:30.990 --> 00:33:34.290
So that involves pelvic
exam with a speculum

00:33:34.290 --> 00:33:37.233
and a doctor or nurse taking
a sample from the cervix.

00:33:39.030 --> 00:33:41.640
Well, one of the great
benefits of the HPV test

00:33:41.640 --> 00:33:43.618
and one of the really
exciting opportunities

00:33:43.618 --> 00:33:46.200
is that we know now that a sample

00:33:46.200 --> 00:33:49.293
a woman takes using this small swab

00:33:49.293 --> 00:33:51.960
from the vagina is as accurate

00:33:51.960 --> 00:33:53.580
as a sample taken from the cervix

00:33:53.580 --> 00:33:58.170
and a pelvic exam. That opens
up so many opportunities

00:33:58.170 --> 00:34:01.713
to reach women for whom that
exam is a really big barrier.

00:34:02.820 --> 00:34:05.250
We've used this opportunity
not only in Australia,

00:34:05.250 --> 00:34:08.793
but in a partnership in Malaysia,
my colleague Yin Ling Woo.

00:34:09.780 --> 00:34:14.430
- So a Pap smear -
conventional Pap smear requires

00:34:14.430 --> 00:34:17.910
quite an uncomfortable pelvic examination.

00:34:17.910 --> 00:34:21.090
The healthcare professional
needs to use a speculum

00:34:21.090 --> 00:34:24.120
to access the cervix in a female.

00:34:24.120 --> 00:34:28.440
So to remove that aspect
of the discomfort,

00:34:28.440 --> 00:34:31.890
what we've done is we've
now used self sampling.

00:34:31.890 --> 00:34:35.160
And this is really through
the knowledge sharing

00:34:35.160 --> 00:34:37.590
by our friends in Australia

00:34:37.590 --> 00:34:39.150
- To open up this tube.

00:34:39.150 --> 00:34:41.580
You hold it at this red cap here.

00:34:41.580 --> 00:34:43.680
Okay, you twist and you pull.

00:34:43.680 --> 00:34:46.470
- [Narrator] self sampling
also called self collection

00:34:46.470 --> 00:34:48.840
is performed using an HPV test-

00:34:48.840 --> 00:34:49.980
- The red line.

00:34:49.980 --> 00:34:53.190
Okay. And you insert it
until you feel your fingers.

00:34:53.190 --> 00:34:54.570
Okay, once inserted,

00:34:54.570 --> 00:34:57.420
you have to twist it five times like this.

00:34:57.420 --> 00:35:00.570
So imagine you've transformed
something that's so invasive

00:35:00.570 --> 00:35:01.680
to a simple test

00:35:01.680 --> 00:35:04.890
where women can do this
test in their own privacy,

00:35:04.890 --> 00:35:06.850
taking their own time.

00:35:06.850 --> 00:35:10.560
And if we ask women,
how do they find this?

00:35:10.560 --> 00:35:14.970
More than 95% of the women
have said that they'll do this.

00:35:14.970 --> 00:35:17.340
And they would recommend this to a friend.

00:35:17.340 --> 00:35:19.020
And 35%

00:35:19.020 --> 00:35:20.880
of these wouldn't have had a Pap smear

00:35:20.880 --> 00:35:22.623
ever in their lives before.

00:35:24.360 --> 00:35:25.710
- [Narrator] Having seen the success

00:35:25.710 --> 00:35:28.985
of the self sampling model
in Malaysia, I wanted to know

00:35:28.985 --> 00:35:32.613
how this may work in the
rural setting of Alabama.

00:35:37.950 --> 00:35:39.510
- In remote areas, you'll find

00:35:39.510 --> 00:35:43.010
that women may not have a gynecologist

00:35:43.010 --> 00:35:44.940
in their community.

00:35:44.940 --> 00:35:48.330
The healthcare provider may be a nurse,

00:35:48.330 --> 00:35:51.540
may be a primary care physician,

00:35:51.540 --> 00:35:55.590
they may only be servicing
clinics in those communities

00:35:55.590 --> 00:35:57.090
once or twice a month.

00:35:57.090 --> 00:36:01.020
If you don't get the timing
right, if you don't really work

00:36:01.020 --> 00:36:03.990
to make it a priority in
your own sort of, in your,

00:36:03.990 --> 00:36:05.850
you know, personal priority for yourself,

00:36:05.850 --> 00:36:09.960
you can easily miss out
on healthcare access

00:36:09.960 --> 00:36:11.610
in rural communities.

00:36:11.610 --> 00:36:14.376
- The gaps are one, the
patient doesn't come

00:36:14.376 --> 00:36:18.060
in for screening or can't get
access to screening, right?

00:36:18.060 --> 00:36:19.350
And they don't come in for screening

00:36:19.350 --> 00:36:20.680
because there may be cultural barriers,

00:36:20.680 --> 00:36:22.890
there are transportation barriers.

00:36:22.890 --> 00:36:25.080
This is why self sampling
is really important.

00:36:25.080 --> 00:36:26.580
So to be clear, you know,

00:36:26.580 --> 00:36:29.460
self collection in this
country is not FDA approved.

00:36:29.460 --> 00:36:31.980
And I'm really very much
convinced that by the time

00:36:31.980 --> 00:36:33.690
that I retire,

00:36:33.690 --> 00:36:36.990
that how we screen women
against HPV will look

00:36:36.990 --> 00:36:38.970
radically different.

00:36:38.970 --> 00:36:43.290
- A cervical screening is not, is not bad.

00:36:43.290 --> 00:36:46.950
But for something you
could do in your house

00:36:46.950 --> 00:36:48.690
that you wouldn't even
have to drive anywhere,

00:36:48.690 --> 00:36:50.763
that would be amazing.

00:36:56.250 --> 00:36:57.990
- It's becoming increasingly evident

00:36:57.990 --> 00:36:59.430
how important innovation

00:36:59.430 --> 00:37:02.163
and partnerships are to
achieving this moonshot.

00:37:03.870 --> 00:37:06.420
So I've come here to New York to discover

00:37:06.420 --> 00:37:08.853
how new approaches are changing the game.

00:37:09.870 --> 00:37:13.020
- When I was 33 years old,
I was working at Google.

00:37:13.020 --> 00:37:15.690
I was at Google for almost 11 years.

00:37:15.690 --> 00:37:19.770
I was 35 weeks pregnant
with our son Arthur.

00:37:19.770 --> 00:37:22.980
And I got into this care window
at the end of my pregnancy

00:37:22.980 --> 00:37:26.010
where, you know, then they
start to check your cervix.

00:37:26.010 --> 00:37:28.170
And it was in that
first weekly appointment

00:37:28.170 --> 00:37:29.880
in the last month of the pregnancy

00:37:29.880 --> 00:37:33.183
where during this exam my
doctor discovered a tumor.

00:37:36.720 --> 00:37:38.820
Everything happened very quickly.

00:37:38.820 --> 00:37:42.450
It was four days between
the discovery of the tumor

00:37:42.450 --> 00:37:46.323
to having a stage two B
cervical cancer diagnosis.

00:37:47.490 --> 00:37:51.150
Because I was so far along and

00:37:51.150 --> 00:37:54.030
because there was high confidence

00:37:54.030 --> 00:37:57.600
that delivering the baby
would give the best chances

00:37:57.600 --> 00:37:59.100
of both the baby surviving

00:37:59.100 --> 00:38:00.990
and me surviving,

00:38:00.990 --> 00:38:04.470
we started talking about
having an emergency c-section.

00:38:04.470 --> 00:38:05.490
So the next day

00:38:05.490 --> 00:38:08.643
after I met with the
oncologist, I delivered my son.

00:38:09.960 --> 00:38:13.251
There was very little time

00:38:13.251 --> 00:38:15.420
for me to feel like a new mom.

00:38:15.420 --> 00:38:18.840
I had about two weeks from
the time of his delivery

00:38:18.840 --> 00:38:20.737
to when my treatment first started.

00:38:20.737 --> 00:38:24.690
You know, the message to
me was focus on yourself

00:38:24.690 --> 00:38:26.970
and focus on getting through treatment

00:38:26.970 --> 00:38:31.091
and take one step at a time
and you will get there.

00:38:31.091 --> 00:38:35.520
And so I did, I had six rounds of chemo

00:38:35.520 --> 00:38:37.110
and then the last three weeks

00:38:37.110 --> 00:38:40.680
of treatment are internal
radiation procedures known

00:38:40.680 --> 00:38:42.150
as brachytherapy.

00:38:42.150 --> 00:38:44.730
So I'd have a treatment
on a Friday, recover

00:38:44.730 --> 00:38:47.370
for the weekend, have
another treatment on Monday,

00:38:47.370 --> 00:38:48.510
then recover through the week,

00:38:48.510 --> 00:38:51.750
and then have another treatment
on a Friday and end to end

00:38:51.750 --> 00:38:54.033
it was 56 days.

00:38:55.050 --> 00:38:56.610
- As a gynecologic oncologist,

00:38:56.610 --> 00:38:59.723
I see a fair number of
women who are young,

00:38:59.723 --> 00:39:00.900
they're in the prime of their life.

00:39:00.900 --> 00:39:03.300
They're often, you know, young mothers.

00:39:03.300 --> 00:39:04.950
Radiation for cervical cancer is,

00:39:04.950 --> 00:39:07.110
is typically fairly intensive.

00:39:07.110 --> 00:39:09.240
So women will typically receive

00:39:09.240 --> 00:39:11.730
what's called external beam radiation

00:39:11.730 --> 00:39:14.152
where they receive
radiation treatment daily

00:39:14.152 --> 00:39:16.050
for five to six weeks.

00:39:16.050 --> 00:39:18.810
And then they also receive
what's called brachytherapy.

00:39:18.810 --> 00:39:21.330
Where a device is placed inside the vagina

00:39:21.330 --> 00:39:24.240
and the cervix to deliver
a high dose of radiation

00:39:24.240 --> 00:39:26.253
to where the cervical cancer is.

00:39:27.090 --> 00:39:29.460
- Brachytherapy is incredibly powerful

00:39:29.460 --> 00:39:30.810
and it's incredibly important.

00:39:30.810 --> 00:39:33.510
The tools themselves
though they're horrifying.

00:39:33.510 --> 00:39:35.940
They look like medieval torture devices.

00:39:35.940 --> 00:39:38.910
You wouldn't use these
devices on livestock.

00:39:38.910 --> 00:39:41.610
I mean they're just, they're just awful.

00:39:41.610 --> 00:39:44.220
But they're the tools that are in place

00:39:44.220 --> 00:39:46.470
and that the doctors have to use.

00:39:46.470 --> 00:39:49.830
Women weren't included in
clinical trials until 1993.

00:39:49.830 --> 00:39:52.830
And so to have devices that were designed

00:39:52.830 --> 00:39:56.610
before women's participation means

00:39:56.610 --> 00:39:58.620
that these were never properly designed

00:39:58.620 --> 00:40:00.480
for a woman's anatomy.

00:40:00.480 --> 00:40:04.800
It is incredibly painful.
It is incredibly traumatic.

00:40:04.800 --> 00:40:07.110
You're in treatment for cancer,

00:40:07.110 --> 00:40:10.470
everything in that moment is do or die.

00:40:10.470 --> 00:40:13.290
And so we accept the medicine

00:40:13.290 --> 00:40:15.090
and the treatment that we're offered

00:40:15.090 --> 00:40:17.250
because what's the alternative?

00:40:17.250 --> 00:40:20.940
Death? Why is a doctor
using a tool from the 1970s

00:40:20.940 --> 00:40:22.140
in women's health?

00:40:22.140 --> 00:40:23.460
When you go down the hall

00:40:23.460 --> 00:40:25.230
and you look at how men are being treated

00:40:25.230 --> 00:40:26.700
for prostate health

00:40:26.700 --> 00:40:30.210
and that equipment looks like
the best of modern technology,

00:40:30.210 --> 00:40:32.220
you can't justify that. The need

00:40:32.220 --> 00:40:35.490
for innovation must happen
within cervical health

00:40:35.490 --> 00:40:38.553
because it is killing women today.

00:40:40.680 --> 00:40:42.270
- We've seen studies over

00:40:42.270 --> 00:40:45.900
and over again that you
cannot cure cervical cancer

00:40:45.900 --> 00:40:48.390
reliably without brachytherapy.

00:40:48.390 --> 00:40:51.930
So the part that is the sticking point

00:40:51.930 --> 00:40:54.630
is that it's a pretty painful procedure

00:40:54.630 --> 00:40:59.010
and the tools that we use,
cause a lot of discomfort.

00:40:59.010 --> 00:41:03.090
People should not be absconding
because it's so intolerable.

00:41:03.090 --> 00:41:05.365
It shouldn't be a
survival of the strongest

00:41:05.365 --> 00:41:08.790
or the person who can take the most pain.

00:41:08.790 --> 00:41:12.510
- I had become incredibly
close to my care team

00:41:12.510 --> 00:41:15.570
and this partnership that
I had with Dr. Balogun,

00:41:15.570 --> 00:41:17.670
particularly through radiation

00:41:17.670 --> 00:41:21.150
and brachytherapy, we had
ideas of a different way

00:41:21.150 --> 00:41:22.890
to design this device together.

00:41:22.890 --> 00:41:24.482
While I was still in treatment.

00:41:24.482 --> 00:41:26.580
Working at Google,

00:41:26.580 --> 00:41:29.790
what I saw was the most
futuristic technology

00:41:29.790 --> 00:41:33.690
and its application to
advance an entire industry.

00:41:33.690 --> 00:41:35.490
And it became very clear to me

00:41:35.490 --> 00:41:39.900
that there were really
obvious simple applications

00:41:39.900 --> 00:41:43.440
for new technology to start
to address some of these gaps

00:41:43.440 --> 00:41:45.720
that I was seeing in the care system.

00:41:45.720 --> 00:41:46.830
It's New York City,

00:41:46.830 --> 00:41:48.960
these are some of the
top research institutions

00:41:48.960 --> 00:41:49.793
in the world.

00:41:49.793 --> 00:41:52.890
And so if the gaps in care exist

00:41:52.890 --> 00:41:55.980
for women in these health
systems, then the quality

00:41:55.980 --> 00:41:58.080
of care only degrades from there.

00:41:58.080 --> 00:42:01.950
And to me that felt like
a really grave injustice.

00:42:01.950 --> 00:42:05.880
And so I promised myself
that if I got better

00:42:05.880 --> 00:42:07.410
and if I got through this,

00:42:07.410 --> 00:42:09.573
then that would be what this was for.

00:42:11.190 --> 00:42:14.760
- Eve spoke up and said,
"Can we do this better?"

00:42:14.760 --> 00:42:17.670
And I told her, I
absolutely know that we can,

00:42:17.670 --> 00:42:19.890
but first let's get you to remission.

00:42:19.890 --> 00:42:22.410
Because I think even
during the procedures,

00:42:22.410 --> 00:42:24.127
her own procedures, she would say,

00:42:24.127 --> 00:42:25.680
"Oh, what do you think about this?"

00:42:25.680 --> 00:42:28.440
And I'd say, "Let's
focus on your treatment."

00:42:28.440 --> 00:42:32.010
My job was to get her back
home to her two children

00:42:32.010 --> 00:42:34.710
and her husband, you
know, who's wonderful.

00:42:34.710 --> 00:42:35.700
- And a perfect pour.

00:42:35.700 --> 00:42:37.312
Two excellent pours,

00:42:37.312 --> 00:42:40.203
- Great teamwork.
- Great teamwork.

00:42:40.203 --> 00:42:41.547
- [Baby] Not the Marshmallow.

00:42:41.547 --> 00:42:45.430
- For me this cancer could not win

00:42:46.560 --> 00:42:48.180
when we finished, you know,

00:42:48.180 --> 00:42:50.280
we all breathed a deep sigh of relief

00:42:50.280 --> 00:42:53.580
with the scan showing
no evidence of disease.

00:42:53.580 --> 00:42:56.610
And I just felt like in your face cancer,

00:42:56.610 --> 00:42:58.170
this mom gets to go home.

00:42:58.170 --> 00:43:02.246
You know, this mom gets to
see all her kids' milestones.

00:43:02.246 --> 00:43:04.727
- All right.

00:43:04.727 --> 00:43:08.370
- And so once I reached
remission, once I got healthy,

00:43:08.370 --> 00:43:10.830
that's when we began to start exploring

00:43:10.830 --> 00:43:12.090
what does it look like

00:43:12.090 --> 00:43:15.720
to bring a new medical device to market?

00:43:15.720 --> 00:43:17.340
And all that work and research

00:43:17.340 --> 00:43:20.730
and development together became
the foundation of the launch

00:43:20.730 --> 00:43:23.700
of our company, which is
called Mission Driven Tech.

00:43:23.700 --> 00:43:25.680
And our goal at Mission Driven Tech

00:43:25.680 --> 00:43:29.100
is to have cervical health reflect

00:43:29.100 --> 00:43:32.880
the best of modern medicine
and modern technology.

00:43:32.880 --> 00:43:35.580
I came from this incredible
environment at Google

00:43:35.580 --> 00:43:37.470
where nothing was impossible.

00:43:37.470 --> 00:43:40.620
It didn't feel that risky,
it felt really obvious.

00:43:40.620 --> 00:43:42.840
How do we borrow from
other fields of medicine

00:43:42.840 --> 00:43:45.060
that have already advanced into this way

00:43:45.060 --> 00:43:47.640
and bring that into
cervical cancer treatment

00:43:47.640 --> 00:43:49.680
so that we can advance this entire field

00:43:49.680 --> 00:43:51.210
and move it forward.

00:43:51.210 --> 00:43:56.010
So our design of our device
is a combination of features

00:43:56.010 --> 00:43:58.650
that are better tailored
to fit the female anatomy.

00:43:58.650 --> 00:44:02.310
We have filed IP, we've
raised some funding

00:44:02.310 --> 00:44:04.440
and we're about to start
our development work

00:44:04.440 --> 00:44:05.730
on the prototype.

00:44:05.730 --> 00:44:07.383
We're very excited about it.

00:44:08.640 --> 00:44:13.560
- Using technology to improve processes,

00:44:13.560 --> 00:44:15.660
that's her expertise that she's bringing.

00:44:15.660 --> 00:44:18.030
And I have the women's health expertise

00:44:18.030 --> 00:44:19.983
and we're gonna get it done.

00:44:21.540 --> 00:44:26.540
- I never thought in
those moments in treatment

00:44:26.700 --> 00:44:30.420
that it would eventually
become an opportunity

00:44:30.420 --> 00:44:33.870
and it would bring such
fulfillment and purpose

00:44:33.870 --> 00:44:38.670
and to see my professional self operating

00:44:38.670 --> 00:44:40.744
in this way, working in this field,

00:44:40.744 --> 00:44:43.653
that's like the coolest thing.

00:44:48.420 --> 00:44:53.010
- Successful research
collaboration can occur when people

00:44:53.010 --> 00:44:57.090
get on together and
they have similar goals.

00:44:57.090 --> 00:45:00.720
And in terms of the HPV technology, lots

00:45:00.720 --> 00:45:02.940
of new methods are coming up

00:45:02.940 --> 00:45:05.250
and that's where the
collaboration comes in.

00:45:05.250 --> 00:45:08.100
Knowledge sharing,
they're just a call away

00:45:08.100 --> 00:45:12.723
and we can discuss problems,
ideas, and it gets sorted out.

00:45:14.040 --> 00:45:17.040
- We absolutely need to prioritize women

00:45:17.040 --> 00:45:19.530
who might be suffering now
that we can intervene on.

00:45:19.530 --> 00:45:22.854
We can help them, you
know, stay or get healthy.

00:45:22.854 --> 00:45:24.840
But also we have to think bigger.

00:45:24.840 --> 00:45:26.670
We have to think multi-generational.

00:45:26.670 --> 00:45:31.560
And we shouldn't think only
about putting a bandaid on

00:45:31.560 --> 00:45:33.630
or dabbling in making things better.

00:45:33.630 --> 00:45:36.570
And that's why I love the
concept of elimination.

00:45:36.570 --> 00:45:39.930
The fact that we have an HPV vaccine,

00:45:39.930 --> 00:45:44.340
an anti-cancer vaccine, essentially means

00:45:44.340 --> 00:45:47.100
that in a generation we
could be in a fundamentally

00:45:47.100 --> 00:45:49.000
different place than we are right now.

00:45:51.150 --> 00:45:53.880
Do I think we should
be talking elimination

00:45:53.880 --> 00:45:55.650
every place in the world?

00:45:55.650 --> 00:45:57.000
Yeah, I do.

00:45:57.000 --> 00:45:58.749
And the question is,

00:45:58.749 --> 00:46:02.133
how's the world gonna
step up to meet that need?

00:46:06.120 --> 00:46:08.250
- Partnerships appear to be pivotal

00:46:08.250 --> 00:46:10.413
to achieving the elimination moonshot.

00:46:12.000 --> 00:46:14.310
A coordinated approach between government,

00:46:14.310 --> 00:46:16.020
non-government organizations

00:46:16.020 --> 00:46:18.060
and industry may be the key

00:46:18.060 --> 00:46:20.103
to achieving this ambitious goal.

00:46:21.780 --> 00:46:24.150
- I think what we've
learned is that no one

00:46:24.150 --> 00:46:25.380
can do it by themselves.

00:46:25.380 --> 00:46:27.930
No one single entity will
get us to where we need

00:46:27.930 --> 00:46:30.510
to be with the elimination
of cervical cancer.

00:46:30.510 --> 00:46:33.120
And so Roche has been actively partnering

00:46:33.120 --> 00:46:35.730
with many different stakeholders
in this field, whether

00:46:35.730 --> 00:46:38.460
that's through researchers
who have expert knowledge

00:46:38.460 --> 00:46:41.100
and are doing cutting
edge research on HPV,

00:46:41.100 --> 00:46:42.870
whether that's through labs,

00:46:42.870 --> 00:46:44.160
whether that's through clinicians

00:46:44.160 --> 00:46:45.240
who want better tests

00:46:45.240 --> 00:46:47.430
and better information to
provide their customers.

00:46:47.430 --> 00:46:49.830
Whether that's with patients
who are telling their story

00:46:49.830 --> 00:46:51.933
and informing us on what they need.

00:46:53.130 --> 00:46:56.761
As a clinician, I felt like
we weren't moving fast enough

00:46:56.761 --> 00:46:59.964
in technology and we were
just accepting the status quo.

00:46:59.964 --> 00:47:02.730
I think clinicians are fairly conservative

00:47:02.730 --> 00:47:06.180
for very good reasons and
very wary of technology.

00:47:06.180 --> 00:47:08.670
But I wanted to see if we could
push the envelope a little

00:47:08.670 --> 00:47:11.070
bit to explore more what was out there.

00:47:11.070 --> 00:47:14.520
- I look at really simple
information solutions,

00:47:14.520 --> 00:47:17.790
digital tools as effective strategies

00:47:17.790 --> 00:47:21.750
to get authoritative evidence-based

00:47:21.750 --> 00:47:23.910
and medically accurate information out.

00:47:23.910 --> 00:47:27.123
I believed that my story could activate

00:47:27.123 --> 00:47:32.123
and be one voice in a larger
collective groundswell

00:47:33.090 --> 00:47:35.310
of voices that are really required

00:47:35.310 --> 00:47:38.183
to get the type of visibility and focus

00:47:38.183 --> 00:47:43.170
and then use that to turn it
into awareness and investment

00:47:43.170 --> 00:47:46.380
and research and
innovation that's required

00:47:46.380 --> 00:47:48.300
to drive this field forward.

00:47:48.300 --> 00:47:53.280
I grew up with an understanding
that there was a Pap test,

00:47:53.280 --> 00:47:54.510
I didn't know what it meant,

00:47:54.510 --> 00:47:56.580
but I knew that when I
went to the gynecologist,

00:47:56.580 --> 00:47:58.290
I would have a Pap test.

00:47:58.290 --> 00:48:02.040
What does the lay person need
to understand about screening?

00:48:02.040 --> 00:48:04.410
- The purpose of screening
is to detect disease

00:48:04.410 --> 00:48:06.451
when there may not be symptoms.

00:48:06.451 --> 00:48:08.730
Before disease actually develops.

00:48:08.730 --> 00:48:11.100
Yeah, understanding the connection of HPV

00:48:11.100 --> 00:48:13.436
to cervical cancer has
been a big breakthrough.

00:48:13.436 --> 00:48:16.590
And so as a result, we have HPV tests

00:48:16.590 --> 00:48:21.510
that now look at whether
someone has HPV in their system.

00:48:21.510 --> 00:48:24.180
And so we are very much
focused on diagnostics,

00:48:24.180 --> 00:48:27.698
but we understand that we're
gonna need vaccination,

00:48:27.698 --> 00:48:31.350
we're gonna need folks helping
out in the treatment arm,

00:48:31.350 --> 00:48:34.020
and from all angles. It's that partnership

00:48:34.020 --> 00:48:35.730
and all working together

00:48:35.730 --> 00:48:38.610
with shared objectives in our communities,

00:48:38.610 --> 00:48:42.240
in those exam rooms for
every single person who needs

00:48:42.240 --> 00:48:44.790
to access care and get quality care

00:48:44.790 --> 00:48:47.073
so that we can prevent these diagnoses.

00:48:54.381 --> 00:48:56.130
- For us to talk about elimination,

00:48:56.130 --> 00:48:58.530
we're talking about
women getting screened,

00:48:58.530 --> 00:49:00.753
we're talking about HPV vaccination.

00:49:01.923 --> 00:49:06.903
Zambia started the HPV
vaccination in 2013.

00:49:08.070 --> 00:49:12.210
Over 50,000 girls got vaccinated from 2013

00:49:12.210 --> 00:49:16.443
to about 2016, which was a
great milestone for the nation.

00:49:18.390 --> 00:49:23.220
Over the next five years, we
must ensure we are having 90%

00:49:23.220 --> 00:49:26.402
of these girls getting
vaccinated, that we ensure

00:49:26.402 --> 00:49:30.420
that over 70% of these women
are getting screened, ensure

00:49:30.420 --> 00:49:32.763
that women are getting treated.

00:49:34.110 --> 00:49:37.273
What Zambia has done basically
shows that it can be done

00:49:37.273 --> 00:49:39.723
by any of the low income countries.

00:49:44.430 --> 00:49:48.180
- In my experience, the
problem is the same everywhere.

00:49:48.180 --> 00:49:52.620
Whether it is being an
uninsured woman in Houston

00:49:52.620 --> 00:49:55.230
or in the Rio Grande Valley

00:49:55.230 --> 00:49:57.840
or being in El Salvador, or Africa.

00:49:57.840 --> 00:49:59.250
It's just really getting access

00:49:59.250 --> 00:50:01.770
to all the preventive measures

00:50:01.770 --> 00:50:05.163
that we know work really
well for cervical cancer.

00:50:15.126 --> 00:50:17.490
- I'm in Washington DC to meet with Tamika

00:50:17.490 --> 00:50:20.520
and discover how her
cervical cancer journey

00:50:20.520 --> 00:50:24.390
has become a catalyst for
change, not only in her own life

00:50:24.390 --> 00:50:27.330
but in the lives of many other women.

00:50:27.330 --> 00:50:30.360
- I had a boil under my arm
and it was very painful.

00:50:30.360 --> 00:50:32.430
So I went in and doctor
asked me a simple question.

00:50:32.430 --> 00:50:34.860
He was like, when was your last Pap test?

00:50:34.860 --> 00:50:36.990
And I was like, "Ooh.

00:50:36.990 --> 00:50:40.200
I think like three, maybe four years ago."

00:50:40.200 --> 00:50:41.490
He gave me a referral.

00:50:41.490 --> 00:50:44.070
And at this point in my
career I was working on

00:50:44.070 --> 00:50:45.120
a live news show.

00:50:45.120 --> 00:50:48.420
And I remember I had
fought like I don't know

00:50:48.420 --> 00:50:49.800
what to get on the show.

00:50:49.800 --> 00:50:52.500
And I remember thinking, I
don't have time for this.

00:50:52.500 --> 00:50:54.690
Like I don't have time
to make this appointment,

00:50:54.690 --> 00:50:56.580
but for whatever reason I did.

00:50:56.580 --> 00:50:59.100
And she touches me by the knee

00:50:59.100 --> 00:51:01.020
and she says, "Let's talk about your Pap."

00:51:01.020 --> 00:51:03.270
It looks like I have early
stage cervical cancer,

00:51:03.270 --> 00:51:04.680
but in order to save my life

00:51:04.680 --> 00:51:06.870
I would need a radical hysterectomy.

00:51:06.870 --> 00:51:10.484
And that means I'm never gonna be a mom.

00:51:10.484 --> 00:51:14.370
It was just the most gorgeous spring day.

00:51:14.370 --> 00:51:16.907
And here I was at 25

00:51:16.907 --> 00:51:20.610
with 'you have cervical cancer.'

00:51:20.610 --> 00:51:25.530
And it literally was like
the bottom just fell out.

00:51:25.530 --> 00:51:28.255
The cancer head just basically taken

00:51:28.255 --> 00:51:30.780
over my entire cervix.

00:51:30.780 --> 00:51:32.977
And I remember my mom said to me,

00:51:32.977 --> 00:51:34.650
"I'm sorry this is happening,

00:51:34.650 --> 00:51:37.320
but you just have to save your life."

00:51:37.320 --> 00:51:39.660
And that's what I did.

00:51:39.660 --> 00:51:43.230
And in order to save my life,
I had to lose my fertility.

00:51:43.230 --> 00:51:45.360
You're diagnosed, you've gotta hurry up

00:51:45.360 --> 00:51:47.700
and make decisions how
you're gonna be treated.

00:51:47.700 --> 00:51:51.270
Chemo and radiation, even
healing from the surgery.

00:51:51.270 --> 00:51:52.680
It all takes time.

00:51:52.680 --> 00:51:56.340
And then one day, if you're
lucky, you know you're NED,

00:51:56.340 --> 00:51:59.520
no evidence of disease and you
get to go on with your life.

00:51:59.520 --> 00:52:01.050
And it was hard. I'm not gonna say

00:52:01.050 --> 00:52:04.832
that it was overnight
you're clawing to get back

00:52:04.832 --> 00:52:06.783
to the old you.

00:52:06.783 --> 00:52:10.710
You know, I'm very social, I
like to throw dinner parties,

00:52:10.710 --> 00:52:13.047
have cocktails and conversations

00:52:13.047 --> 00:52:14.820
and my friends would come
over, they were like,

00:52:14.820 --> 00:52:16.170
we're not gonna talk about cancer.

00:52:16.170 --> 00:52:18.690
We're gonna bring over food.
We're gonna play games.

00:52:18.690 --> 00:52:20.340
'Cause I love to play games.

00:52:20.340 --> 00:52:22.710
And so what would happen
is we would have fun

00:52:22.710 --> 00:52:25.320
and we would be doing all these things

00:52:25.320 --> 00:52:27.660
and then all of a sudden
the conversation would turn

00:52:27.660 --> 00:52:31.020
to my cancer even though they
promised that it wouldn't.

00:52:31.020 --> 00:52:33.510
They're like, what
happened? And how, you know?

00:52:33.510 --> 00:52:37.257
And so I'm becoming this
expert about cervical cancer

00:52:37.257 --> 00:52:40.290
and HPV because I'm learning
and I want to tell them.

00:52:40.290 --> 00:52:42.570
And then this domino effect is happening.

00:52:42.570 --> 00:52:43.620
They're telling other people

00:52:43.620 --> 00:52:45.300
and they're like, "Well my friend,

00:52:45.300 --> 00:52:47.760
she got these abnormal cells

00:52:47.760 --> 00:52:49.830
and I think it's like pre-cancer

00:52:49.830 --> 00:52:51.270
and she wants to talk to you."

00:52:51.270 --> 00:52:53.850
So now I'm, I didn't know it at the time,

00:52:53.850 --> 00:52:55.710
but I'm doing peer-to-peer counseling

00:52:55.710 --> 00:52:58.140
and I'm supporting these people
who are friends of friends

00:52:58.140 --> 00:52:59.340
of friends of friends.

00:52:59.340 --> 00:53:03.750
And the next thing I know
we're having support groups.

00:53:03.750 --> 00:53:05.130
- Sometimes you look at somebody

00:53:05.130 --> 00:53:08.730
and oh well they've had kids,
so yep, they'll be fine.

00:53:08.730 --> 00:53:11.520
But it's the fact that
that was taken from me.

00:53:11.520 --> 00:53:14.910
I didn't make the choice.
Cancer made the choice for me.

00:53:14.910 --> 00:53:17.610
- You're creating hope

00:53:17.610 --> 00:53:20.757
for those of us who may still
be on the fence, you know?

00:53:20.757 --> 00:53:23.070
- But I didn't wanna have just
any type of support group.

00:53:23.070 --> 00:53:25.710
It's like, let's talk
about, you know, the parts

00:53:25.710 --> 00:53:28.740
of the female anatomy
and what we need to know.

00:53:28.740 --> 00:53:32.403
What would you call your
below the belt region?

00:53:33.690 --> 00:53:38.250
Bonus points if it's in
another language or characters

00:53:38.250 --> 00:53:40.350
and let's play Pictionary.

00:53:40.350 --> 00:53:43.290
But I changed it and called it Sexionary.

00:53:43.290 --> 00:53:47.190
I want you to draw the
reproductive system.

00:53:47.190 --> 00:53:48.813
- Now you're asking too much.

00:53:52.440 --> 00:53:53.550
- Morgan, I get where you're going,

00:53:53.550 --> 00:53:55.350
but that looks like a genie's bag.

00:53:55.350 --> 00:53:59.130
Like the genie. She just
came out of the bottle,

00:53:59.130 --> 00:54:00.090
for me, it was fun.

00:54:00.090 --> 00:54:02.430
Every time we'll invite a few people over

00:54:02.430 --> 00:54:03.780
and we'll play these party games.

00:54:03.780 --> 00:54:05.640
And while we're playing these party games,

00:54:05.640 --> 00:54:07.980
we'll educate about cervical cancer.

00:54:07.980 --> 00:54:10.650
We need to learn not
only about our bodies,

00:54:10.650 --> 00:54:14.400
but be empowered about doing
the best for our bodies

00:54:14.400 --> 00:54:17.610
to understand what
screenings are available.

00:54:17.610 --> 00:54:19.800
So my cancer was initially found

00:54:19.800 --> 00:54:21.690
by my primary care physician

00:54:21.690 --> 00:54:24.270
and she said, "We see this all the time."

00:54:24.270 --> 00:54:26.430
And it was, we see this all the time.

00:54:26.430 --> 00:54:29.130
That would become the
catalyst for me wanting

00:54:29.130 --> 00:54:31.290
to do something about this.

00:54:31.290 --> 00:54:33.630
But when I created my organization,

00:54:33.630 --> 00:54:35.940
I did it for a very selfish reason

00:54:35.940 --> 00:54:40.320
because I didn't want to be,
I couldn't be the only one.

00:54:40.320 --> 00:54:43.530
I became a survivor the
day that I was diagnosed

00:54:43.530 --> 00:54:46.710
and survivor, spelled C-E-R-V-I-V-O-R.

00:54:46.710 --> 00:54:50.250
I want people to know
that you are a cervivor.

00:54:50.250 --> 00:54:54.150
That you are informed, you are empowered

00:54:54.150 --> 00:54:56.670
and most of all you are alive.

00:54:56.670 --> 00:54:59.430
And if it comes to it,

00:54:59.430 --> 00:55:01.920
we'll hold your hand even on the last day.

00:55:01.920 --> 00:55:05.850
And I think about Holly,
I think about Jillian,

00:55:05.850 --> 00:55:10.080
I think about Teolita,
I think about Becky.

00:55:10.080 --> 00:55:13.260
I think about every single one of them.

00:55:13.260 --> 00:55:15.600
And I made a promise.

00:55:15.600 --> 00:55:16.590
And my promise

00:55:16.590 --> 00:55:20.643
is that I'm gonna make
cancer pay every single day.

00:55:21.540 --> 00:55:24.270
It gave me something to
do when I felt hopeless.

00:55:24.270 --> 00:55:26.700
One part of Cervivor is about the support.

00:55:26.700 --> 00:55:29.400
We never want anyone to
feel like they're alone.

00:55:29.400 --> 00:55:32.220
But the other part of
Cervivor is about making

00:55:32.220 --> 00:55:34.290
your survivorship count.

00:55:34.290 --> 00:55:35.460
You've had this happen to you,

00:55:35.460 --> 00:55:36.660
what do you want to do with it?

00:55:36.660 --> 00:55:38.550
So becoming a patient advocate

00:55:38.550 --> 00:55:40.170
and not everyone will want to do that.

00:55:40.170 --> 00:55:43.920
We have cervical cancer
summits, we have groups

00:55:43.920 --> 00:55:45.900
for different ethnicities.

00:55:45.900 --> 00:55:50.520
It really has taken off
Cervivor truly is a little piece

00:55:50.520 --> 00:55:52.500
of me that I wanna leave behind

00:55:52.500 --> 00:55:54.810
and I hope one day that we don't need it

00:55:54.810 --> 00:55:56.943
because we can end cervical cancer.

00:55:58.110 --> 00:56:00.540
- It's really impressive
what you've achieved.

00:56:00.540 --> 00:56:04.260
I mean creating an organization's
not a simple thing.

00:56:04.260 --> 00:56:07.503
- Cervivor is my baby and
it'll always be my first baby.

00:56:08.940 --> 00:56:11.130
- [Narrator] Unexpectedly Tamika received

00:56:11.130 --> 00:56:12.630
a life changing phone call

00:56:12.630 --> 00:56:15.540
from a member of her organization.

00:56:15.540 --> 00:56:18.333
- You could just hear the
excitement in her voice.

00:56:19.410 --> 00:56:22.530
She said, "We have remaining
embryos and my husband

00:56:22.530 --> 00:56:25.800
and I, we wanna donate the
remaining embryos to you

00:56:25.800 --> 00:56:27.120
and your husband."

00:56:27.120 --> 00:56:30.060
And I was like, "What?
Like, say that again."

00:56:30.060 --> 00:56:35.060
You know, and I always
have something to say

00:56:35.190 --> 00:56:36.240
and I couldn't speak.

00:56:36.240 --> 00:56:38.520
And she was like, "I just
realized it's April Fool's Day.

00:56:38.520 --> 00:56:40.920
I want you to know like this
is not a April Fool's joke."

00:56:40.920 --> 00:56:42.720
I was like, "I didn't think it was."

00:56:43.762 --> 00:56:46.710
And now I have this
amazing baby boy Chayton

00:56:46.710 --> 00:56:48.600
and he is our Cervivor baby.

00:56:48.600 --> 00:56:50.490
I share him with the entire community.

00:56:50.490 --> 00:56:53.133
He literally has aunties around the world.

00:56:54.600 --> 00:56:55.890
Without cervical cancer

00:56:55.890 --> 00:56:58.640
and without this organization
I wouldn't have Chayton.

00:56:59.776 --> 00:57:02.400
And so I'm not thankful
to cancer for that,

00:57:02.400 --> 00:57:07.020
but it's a full circle
moment of my journey

00:57:07.020 --> 00:57:08.880
with cervical cancer.

00:57:08.880 --> 00:57:11.280
And now I'm a survivor

00:57:11.280 --> 00:57:14.010
and I want people to survive it.

00:57:14.010 --> 00:57:16.110
I want them to thrive beyond it.

00:57:16.110 --> 00:57:18.723
But I also want no one to
ever be diagnosed with it.

00:57:25.650 --> 00:57:26.940
- [Narrator] Like so many other women.

00:57:26.940 --> 00:57:29.310
Jennifer was busy taking
care of her family

00:57:29.310 --> 00:57:32.820
and had neglected her cervical
screening for many years.

00:57:32.820 --> 00:57:34.350
- So you know, when you
come into the doctor,

00:57:34.350 --> 00:57:37.620
of course they ask you, "When
was your last Pap smear?"

00:57:37.620 --> 00:57:40.980
I said about 1992.

00:57:40.980 --> 00:57:42.850
And the look on the doctor's face

00:57:43.770 --> 00:57:46.380
and of course the Pap
smear came back abnormal.

00:57:46.380 --> 00:57:49.320
So I came in and had a biopsy

00:57:49.320 --> 00:57:52.113
and then it was, it was cancerous.

00:57:54.570 --> 00:57:56.910
And I was just like, "Okay."

00:57:56.910 --> 00:57:59.850
And he said, "My office
will call you to schedule."

00:57:59.850 --> 00:58:04.470
"Okay." Well you know that
next month it was my birthday

00:58:04.470 --> 00:58:07.830
and then the next month it
was my wedding anniversary

00:58:07.830 --> 00:58:09.300
and my mother's birthday.

00:58:09.300 --> 00:58:11.160
And then we went on vacation.

00:58:11.160 --> 00:58:13.410
I was diagnosed in July and then

00:58:13.410 --> 00:58:16.440
before I knew it, it was November.

00:58:16.440 --> 00:58:17.790
By that time it had spread.

00:58:17.790 --> 00:58:20.850
So we went to the next
step, which was surgery.

00:58:20.850 --> 00:58:24.300
I was really lucky and
it went really well.

00:58:24.300 --> 00:58:27.030
They got everything. Now I'm
still under surveillance.

00:58:27.030 --> 00:58:29.640
I still go see the doctor
right over there in the Women's

00:58:29.640 --> 00:58:31.380
and Infants, you know, once a year

00:58:31.380 --> 00:58:33.983
and let them check, make
sure everything's still good.

00:58:36.960 --> 00:58:38.400
- I hope any female

00:58:38.400 --> 00:58:41.010
before they have a hysterectomy -

00:58:41.010 --> 00:58:44.040
if you have any questions
- ask. No question is

00:58:44.040 --> 00:58:45.360
a stupid question when it comes

00:58:45.360 --> 00:58:46.810
to your body and your health.

00:58:50.910 --> 00:58:54.090
- Black women and Hispanic women

00:58:54.090 --> 00:58:57.900
and people from minoritized
backgrounds do not be afraid

00:58:57.900 --> 00:58:59.640
to get a second opinion.

00:58:59.640 --> 00:59:02.760
It's your body. Especially
when it comes to cancer.

00:59:02.760 --> 00:59:05.070
The first time we take care

00:59:05.070 --> 00:59:07.590
of it is the best opportunity we have.

00:59:07.590 --> 00:59:11.547
So as the young people say,
"If the vibes are off - leave."

00:59:12.810 --> 00:59:17.430
There are things that are part
of the medical infrastructure

00:59:17.430 --> 00:59:21.960
that make it more difficult
for Black, Hispanic,

00:59:21.960 --> 00:59:25.680
Native American individuals to
access care on the same level

00:59:25.680 --> 00:59:27.660
as their white counterparts would.

00:59:27.660 --> 00:59:30.660
Women in Brooklyn do not survive as well

00:59:30.660 --> 00:59:32.400
as women in Manhattan.

00:59:32.400 --> 00:59:35.460
We also know that Hispanic
women are much more likely

00:59:35.460 --> 00:59:38.220
to develop cervical cancer.

00:59:38.220 --> 00:59:39.840
And Black women and Hispanic women

00:59:39.840 --> 00:59:41.640
are much more likely to die from it.

00:59:44.160 --> 00:59:47.970
- We have wrongs that need to
be righted in this country.

00:59:47.970 --> 00:59:52.319
When I look at some women who are Black

00:59:52.319 --> 00:59:55.680
and diagnosed with cervical
cancer, similar stage,

00:59:55.680 --> 00:59:59.850
much healthier than I am,
the reason why I'm still here

00:59:59.850 --> 01:00:04.020
and they're not is because I
had access to excellent care.

01:00:04.020 --> 01:00:08.400
But we have the unique
ability here to change that,

01:00:08.400 --> 01:00:11.250
to make sure that no
one falls in the cracks,

01:00:11.250 --> 01:00:13.050
that everyone has access

01:00:13.050 --> 01:00:17.254
and we won't have these
gaping disparities.

01:00:22.260 --> 01:00:25.050
- So now as a patient service coordinator,

01:00:25.050 --> 01:00:28.290
what I do is I fast
track people with cancer.

01:00:28.290 --> 01:00:31.710
I get you in as fast as I can
and get all your tests done

01:00:31.710 --> 01:00:33.870
and put all the information
in front of the doctor

01:00:33.870 --> 01:00:36.810
so they can determine what kind
of treatment that you need.

01:00:36.810 --> 01:00:40.140
It is a hard job, it's an emotional job,

01:00:40.140 --> 01:00:43.800
but it's the, it's the
most rewarding work.

01:00:43.800 --> 01:00:46.980
We have counselors,
transportation, if you're from out

01:00:46.980 --> 01:00:49.800
of town, there's lodging, there's grants,

01:00:49.800 --> 01:00:52.350
there's support groups,
there's even a service

01:00:52.350 --> 01:00:53.280
where if you're in chemo,

01:00:53.280 --> 01:00:55.290
they will come out and clean your house.

01:00:55.290 --> 01:00:58.470
To be able to help people
with that is just amazing.

01:00:58.470 --> 01:01:00.370
I really think it's made a difference.

01:01:02.160 --> 01:01:06.000
- We were looking to hire
someone to really dig in there

01:01:06.000 --> 01:01:07.650
and become part of the community

01:01:07.650 --> 01:01:10.140
and figure out how to get our word out.

01:01:10.140 --> 01:01:11.460
Linda was our first interview

01:01:11.460 --> 01:01:13.080
and we knew immediately

01:01:13.080 --> 01:01:17.235
that she had a service oriented heart

01:01:17.235 --> 01:01:21.750
and that she was committed
to reaching women.

01:01:21.750 --> 01:01:23.040
So we hired her.

01:01:23.040 --> 01:01:24.540
She's been here not very long,

01:01:24.540 --> 01:01:27.060
but she's already made a huge impact.

01:01:27.060 --> 01:01:29.310
- My name is Ms. Hayes,
I work for the Department

01:01:29.310 --> 01:01:30.870
of Public Health with the Breast

01:01:30.870 --> 01:01:33.030
and Cervical Cancer
Early Detection Program.

01:01:33.030 --> 01:01:36.030
And I just want to stop by
the, to give you some flyers,

01:01:36.030 --> 01:01:38.250
tell y'all information
that we provide free.

01:01:38.250 --> 01:01:41.430
- I'm excited. I love what I'm doing.

01:01:41.430 --> 01:01:45.180
I know it's a purpose for
everything that I went through,

01:01:45.180 --> 01:01:48.600
but right now I'm more
focusing on the ladies

01:01:48.600 --> 01:01:50.730
that can get screened

01:01:50.730 --> 01:01:53.040
and not have to go through
what I went through.

01:01:53.040 --> 01:01:55.200
- Thank you so much. Thank you.

01:01:55.200 --> 01:01:57.090
- Yes ma'am, thank you.

01:01:57.090 --> 01:01:59.610
And I just thank God for this position.

01:01:59.610 --> 01:02:02.760
I know this is the right
time and the right place

01:02:02.760 --> 01:02:05.430
and I know I'm going to make a difference.

01:02:05.430 --> 01:02:08.493
Whatever I can do, I'm willing to help.

01:02:09.870 --> 01:02:12.930
- It's clear that along with
important medical research,

01:02:12.930 --> 01:02:15.930
cervical cancer survivors
play a vital role

01:02:15.930 --> 01:02:17.703
in this elimination journey.

01:02:29.790 --> 01:02:32.640
I am here in Washington
DC - the nation's capital,

01:02:32.640 --> 01:02:34.830
where advocates are
coming together this week

01:02:34.830 --> 01:02:37.080
to shape policy that
could change the lives

01:02:37.080 --> 01:02:38.823
of all American women.

01:02:42.930 --> 01:02:47.340
- This week is the International
Papilloma Virus Conference,

01:02:47.340 --> 01:02:51.630
which is really the largest
global scientific conference

01:02:51.630 --> 01:02:56.340
about the latest developments
and research in HPV

01:02:56.340 --> 01:02:59.640
and HPV related cancers
representing TogetHER.

01:02:59.640 --> 01:03:02.700
We wanted to be here to
take advantage this week

01:03:02.700 --> 01:03:06.450
of all of the brilliant minds and stories

01:03:06.450 --> 01:03:10.170
and collective experience
around HPV related programming

01:03:10.170 --> 01:03:13.980
and cervical cancer programming to educate

01:03:13.980 --> 01:03:17.370
our legislative offices on Capitol Hill

01:03:17.370 --> 01:03:20.370
about why this issue is important.

01:03:20.370 --> 01:03:23.790
So we have a series of meetings
lined up over the course

01:03:23.790 --> 01:03:28.230
of the week where we will
invite experts, individuals

01:03:28.230 --> 01:03:31.170
with lived experience around
cervical cancer to come

01:03:31.170 --> 01:03:34.410
to Capitol Hill and share their stories.

01:03:34.410 --> 01:03:37.830
- Cervivor is proud to
be one of the partners

01:03:37.830 --> 01:03:41.100
that are working to help
eliminate cervical cancer

01:03:41.100 --> 01:03:42.510
through the round tables.

01:03:42.510 --> 01:03:46.440
And we share our expertise

01:03:46.440 --> 01:03:47.730
as patients.

01:03:47.730 --> 01:03:48.870
And so for me

01:03:48.870 --> 01:03:53.280
and my leadership team to
be able to work not only

01:03:53.280 --> 01:03:56.670
with the White House, but
all the amazing organizations

01:03:56.670 --> 01:03:58.980
that have come together to catalyze

01:03:58.980 --> 01:04:03.180
and put our thoughts together
on how to work together

01:04:03.180 --> 01:04:05.490
to really make the goal

01:04:05.490 --> 01:04:08.340
of eliminating cervical cancer a reality.

01:04:08.340 --> 01:04:12.990
Because why wouldn't we? We
have a cancer we can eliminate.

01:04:12.990 --> 01:04:15.720
- Having the ability to
come together in person

01:04:15.720 --> 01:04:18.180
as colleagues, as scientists,

01:04:18.180 --> 01:04:21.589
as public health professionals,
just lets us work.

01:04:21.589 --> 01:04:25.500
I think that much more
efficiently towards a shared goal.

01:04:25.500 --> 01:04:29.580
What's happening in Africa, for
example, is very much echoed

01:04:29.580 --> 01:04:31.830
by what happens in the most remote

01:04:31.830 --> 01:04:33.750
and rural communities in the US.

01:04:33.750 --> 01:04:35.250
We owe it to one another

01:04:35.250 --> 01:04:38.820
to share across lessons, opportunities

01:04:38.820 --> 01:04:40.950
and just keep fighting together.

01:04:40.950 --> 01:04:42.963
You know, community by community.

01:04:44.670 --> 01:04:46.848
- I don't want people to
think of cervical cancer

01:04:46.848 --> 01:04:51.420
and just think of my story or
think of Eve McDavid's story.

01:04:51.420 --> 01:04:54.780
I want them to think that this happens

01:04:54.780 --> 01:04:57.960
to this woman in rural America,

01:04:57.960 --> 01:05:00.030
this woman in East Africa,

01:05:00.030 --> 01:05:03.330
this woman who is very wealthy in Texas.

01:05:03.330 --> 01:05:07.020
It can happen to anyone. We
can eliminate cervical cancer

01:05:07.020 --> 01:05:09.660
if everyone is all in, we can do it.

01:05:09.660 --> 01:05:11.310
- It's just a matter of time

01:05:11.310 --> 01:05:13.350
and it's a matter of political will.

01:05:13.350 --> 01:05:14.430
- I think it's very possible,

01:05:14.430 --> 01:05:17.280
especially if we work
together, if we continue

01:05:17.280 --> 01:05:19.230
to build our partnerships

01:05:19.230 --> 01:05:20.580
and pool those resources,

01:05:20.580 --> 01:05:22.380
I have no doubt we can eliminate it.

01:05:23.250 --> 01:05:24.870
- I don't think there is another cancer

01:05:24.870 --> 01:05:27.480
that we can say you can
prevent it, you can treat it

01:05:27.480 --> 01:05:28.497
and you can cure it.

01:05:28.497 --> 01:05:30.420
And so to have so many solutions

01:05:30.420 --> 01:05:33.300
that already exist in place,
that gives me so much hope

01:05:33.300 --> 01:05:34.770
and now it's okay,

01:05:34.770 --> 01:05:37.983
what are those solutions
and can they be better?

01:05:39.450 --> 01:05:41.250
- There's a long way to go of course.

01:05:41.250 --> 01:05:44.340
But to be able to have
a roadmap in front of us

01:05:44.340 --> 01:05:48.300
and to look to colleagues around the world

01:05:48.300 --> 01:05:51.510
who are making bold, ambitious
steps every day towards

01:05:51.510 --> 01:05:53.707
that future is really

01:05:53.707 --> 01:05:57.153
what I get very excited about.

01:05:59.040 --> 01:06:01.620
- I mean, I think that there'll
be a generation of women,

01:06:01.620 --> 01:06:03.150
it'll be unfathomable

01:06:03.150 --> 01:06:06.180
to them that there was a
previous generation of women

01:06:06.180 --> 01:06:08.673
that got a Pap every single year.

01:06:10.620 --> 01:06:13.230
- And I think now toward
the end of my career,

01:06:13.230 --> 01:06:16.590
what I see is really
people coming together.

01:06:16.590 --> 01:06:20.250
But we are not there yet.

01:06:20.250 --> 01:06:22.173
We are starting this journey.

01:06:29.070 --> 01:06:32.190
In the time that you'd been
watching this film over 30 women

01:06:32.190 --> 01:06:34.640
will have lost their battle
with cervical cancer.

01:06:36.270 --> 01:06:37.920
But we can prevent the lives

01:06:37.920 --> 01:06:40.293
of women being cut short unnecessarily.

01:06:41.790 --> 01:06:45.033
This is the most extraordinary
health story of our time.

01:06:46.920 --> 01:06:50.013
The world is rising up
and the tide is turning.

01:06:54.090 --> 01:06:56.460
- It's faces that come to you.

01:06:56.460 --> 01:07:01.203
Faces of women who came late
who are no longer there,

01:07:02.400 --> 01:07:05.220
faces of women who came early

01:07:05.220 --> 01:07:08.043
and I meet them on the street
and they're still alive.

01:07:09.840 --> 01:07:12.333
That means that something can be done.

01:07:14.280 --> 01:07:17.940
- Together we can save the
lives of millions of women.

01:07:17.940 --> 01:07:20.700
So let's dare to dream
of a world without cancer

01:07:20.700 --> 01:07:23.643
because this moonshot is within reach.

01:07:26.460 --> 01:07:27.930
So you might be wondering,

01:07:27.930 --> 01:07:30.843
what can I do to help
eliminate cervical cancer?

01:07:31.890 --> 01:07:34.260
Well, there's a lot you can do.

01:07:34.260 --> 01:07:36.660
All of us can support
getting children vaccinated

01:07:36.660 --> 01:07:38.133
against HPV.

01:07:39.780 --> 01:07:42.870
Children with an HPV
vaccination will be protected

01:07:42.870 --> 01:07:46.743
against cervical cancer and
other HPV related cancers.

01:07:47.970 --> 01:07:51.300
We can also support all
women to get screened for HPV

01:07:51.300 --> 01:07:52.540
and cervical cancer

01:07:54.420 --> 01:07:56.550
and then support them
in getting treatment if

01:07:56.550 --> 01:07:58.083
and when it's needed.

01:08:00.120 --> 01:08:02.640
Please help us spread this message.

01:08:02.640 --> 01:08:04.773
Share this film by hosting an event.

01:08:05.820 --> 01:08:09.153
Find out more at
conqueringcancercampaign.com.

01:08:27.574 --> 01:08:31.246
♪ And so with time ♪

01:08:31.246 --> 01:08:35.002
♪ We find our place ♪

01:08:35.002 --> 01:08:40.002
♪ Or at least a moment ♪

01:08:42.364 --> 01:08:47.364
♪ To look fearlessly at the sky ♪

01:08:49.457 --> 01:08:54.457
♪ And know that we're
here that we are fine ♪

01:08:56.252 --> 01:09:01.252
♪ And pure of heart ♪

01:09:01.522 --> 01:09:06.521
♪ Oh gentle mind ♪

01:09:27.004 --> 01:09:30.713
♪ And bridges crossed ♪

01:09:30.713 --> 01:09:34.440
♪ Like waters flow ♪

01:09:34.440 --> 01:09:39.440
♪ And changes from day to day ♪

01:09:40.892 --> 01:09:44.583
♪ All things remain ♪

01:09:44.583 --> 01:09:48.708
♪ We stay in time ♪

01:09:48.708 --> 01:09:53.708
♪ With forces we cannot know ♪

01:09:55.757 --> 01:09:59.940
♪ And so with time ♪

01:09:59.940 --> 01:10:02.523
♪ Oh gentle mind ♪

01:10:10.712 --> 01:10:13.295
♪ Oh gentle mind ♪

01:10:32.103 --> 01:10:36.436
♪ Oh gentle mind ♪

01:10:46.757 --> 01:10:51.757
♪ Oh gentle mind ♪