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1、SpotDictationAI1vespentthepasttwentyyearsworkinginsomeofthepoorestplacesonearth,and,overthattime,11vewrittenalotabout1>Howhasthatconnectionaffectedmywork?Ithinkinaway2likeasquattersettlementincentralHaitihasbeenveryhelpfultoourworkbecause3hidthereintermsofthehealthstatusofpeo
2、pleandwhat'savailabletothemthatyoujusthavetoconfrontearlyon•Thereisn114•Therearen11peopletheretodeliverhealthservices,5•And,yet,that*spreciselywhere6are.Ithinklookingbackto7zitwasbecausewestartedinthatsettingthatwehadto8thatwouldworkinplaceswithveryscanthealthinfrastructure,k
3、nowingthatwewould9•Butthattherewasalotthatyoucoulddo—immediately.Trainlocalpeopletobe10•Erectmodestfacilitiesandtryto11•That!showitstartedforusinHaiti.Andreally,that1sthemodelwe1vetakento12inwhichwework・Actuallyweneededtodealwithissuesthatmanypeople13,likehousingandwaterandth
4、ingslikethat.Therearetwowaystolookatthis,1think,14oraproviderofservices.If11minaHarvardtraininghospitaland15zthennoone!sgoingtoexpectmetodiagnoseand16zbutalsobuildtheoperatingroomandfindelectricityandsupplies.Butthat1sverymuch17•So,thereisthatsideofthemodel•Andthatleadstolist
5、eninghardtowhatpatientssayabouttheirotherproblems.Ifyouhavesomeonewhohastyphoid,theygotthatbecausetheydon1118>So,youcouldkeepspendingyourwholelifetreatingtyphoid,which19#asyouprobablyknow・Oryoucantreattyphoidand20.Bareeitheroverweightorobesecomprise26oftheUSadultpopulation.26
6、isincreasingatanevenmorealarmingpace,having28between19802012.Thereportnotesthatobesitycanleadto29includingdiabetes,strokecancer.TheobesityepidemicinAmerica30•ThereportisbasedondataTheUSseemstobefightingalosingbattleagainstthebulge,withanewreportfromtheTrustforAmerica1sHealths
7、howingthat21haveincreasedin31states.AccordingtoareportpublishedrecentlybytheDepartmentofHealth,therearenow22wheremorethanaquarteroftheadultpopulationisobese•Nevadaistheonlystatethat23inthepercentageofobeseadultscomparedtolastyear1sreport.Obesityratesremainedthesame24•Overall,
8、adultobesityrosefrom15percentin1980to25•Takentogether,individualsand
