1 00:00:00,408 --> 00:00:06,170 So imagine that a plane is about to crash 2 00:00:06,170 --> 00:00:08,971 with 250 children and babies, 3 00:00:08,971 --> 00:00:12,390 and if you knew how to stop that, would you? 4 00:00:12,390 --> 00:00:14,361 Now imagine 5 00:00:14,361 --> 00:00:18,000 that 60 planes full of babies under five 6 00:00:18,000 --> 00:00:21,210 crash every single day. 7 00:00:21,210 --> 00:00:22,982 That's the number of kids 8 00:00:22,982 --> 00:00:25,307 that never make it to their fifth birthday. 9 00:00:25,307 --> 00:00:28,547 6.6 million children 10 00:00:28,547 --> 00:00:32,138 never make it to their fifth birthday. 11 00:00:32,138 --> 00:00:34,594 Most of these deaths are preventable, 12 00:00:34,594 --> 00:00:36,562 and that doesn't just make me sad, 13 00:00:36,562 --> 00:00:38,258 it makes me angry, 14 00:00:38,258 --> 00:00:40,616 and it makes me determined. 15 00:00:40,616 --> 00:00:42,506 Diarrhea and pneumonia 16 00:00:42,506 --> 00:00:44,322 are among the top two killers 17 00:00:44,322 --> 00:00:46,640 of children under five, 18 00:00:46,640 --> 00:00:48,896 and what we can do to prevent these diseases 19 00:00:48,896 --> 00:00:51,076 isn't some smart, 20 00:00:51,076 --> 00:00:53,993 new technological innovations. 21 00:00:53,993 --> 00:00:58,872 It's one of the world's oldest inventions: 22 00:00:58,872 --> 00:01:02,397 a bar of soap. 23 00:01:02,397 --> 00:01:03,829 Washing hands with soap, 24 00:01:03,829 --> 00:01:06,200 a habit we all take for granted, 25 00:01:06,200 --> 00:01:08,484 can reduce diarrhea by half, 26 00:01:08,484 --> 00:01:12,140 can reduce respiratory infections by one third. 27 00:01:12,140 --> 00:01:13,911 Handwashing with soap 28 00:01:13,911 --> 00:01:15,560 can have an impact 29 00:01:15,560 --> 00:01:20,587 on reducing flu, trachoma, SARS, 30 00:01:20,587 --> 00:01:22,977 and most recently in the case of cholera 31 00:01:22,977 --> 00:01:25,667 and Ebola outbreak, 32 00:01:25,667 --> 00:01:27,358 one of the key interventions 33 00:01:27,358 --> 00:01:30,176 is handwashing with soap. 34 00:01:30,176 --> 00:01:33,431 Handwashing with soap keeps kids in school. 35 00:01:33,431 --> 00:01:36,254 It stops babies from dying. 36 00:01:36,254 --> 00:01:38,127 Handwashing with soap 37 00:01:38,127 --> 00:01:40,924 is one of the most cost-effective 38 00:01:40,924 --> 00:01:43,470 ways of saving children's lives. 39 00:01:43,470 --> 00:01:47,126 It can save over 600,000 children every year. 40 00:01:47,126 --> 00:01:50,090 That's the equivalent of stopping 41 00:01:50,090 --> 00:01:52,070 10 jumbo jets 42 00:01:52,070 --> 00:01:53,998 full of babies and children 43 00:01:53,998 --> 00:01:56,709 from crashing every single day. 44 00:01:56,709 --> 00:01:59,133 I think you'll agree with me that that's a pretty 45 00:01:59,133 --> 00:02:02,415 useful public health intervention. 46 00:02:02,415 --> 00:02:05,365 So now just take a minute. 47 00:02:05,365 --> 00:02:07,301 I think you need to get to know the person next to you. 48 00:02:07,301 --> 00:02:09,249 Why don't you just shake their hands. 49 00:02:09,249 --> 00:02:11,493 Please shake their hands. 50 00:02:11,493 --> 00:02:12,793 All right, get to know each other. 51 00:02:12,793 --> 00:02:14,328 They look really pretty. 52 00:02:14,328 --> 00:02:16,101 All right. 53 00:02:16,101 --> 00:02:18,399 So what if I told you 54 00:02:18,399 --> 00:02:20,984 that the person whose hands you just shook 55 00:02:20,984 --> 00:02:22,692 actually didn't wash their hands 56 00:02:22,692 --> 00:02:25,350 when they were coming out of the toilet? (Laughter) 57 00:02:25,350 --> 00:02:28,680 They don't look so pretty anymore, right? 58 00:02:28,680 --> 00:02:31,836 Pretty yucky, you would agree with me. 59 00:02:31,836 --> 00:02:33,501 Well, statistics are actually showing 60 00:02:33,501 --> 00:02:35,917 that four people out of five 61 00:02:35,917 --> 00:02:38,525 don't wash their hands when they come out of the toilet, 62 00:02:38,525 --> 00:02:40,213 globally. 63 00:02:40,213 --> 00:02:42,483 And the same way, 64 00:02:42,483 --> 00:02:45,227 we don't do it when we've got fancy toilets, 65 00:02:45,227 --> 00:02:47,677 running water, and soap available, 66 00:02:47,677 --> 00:02:49,611 it's the same thing in the countries 67 00:02:49,611 --> 00:02:52,985 where child mortality is really high. 68 00:02:52,985 --> 00:02:55,299 What is it? Is there no soap? 69 00:02:55,299 --> 00:02:57,548 Actually, soap is available. 70 00:02:57,548 --> 00:03:01,203 In 90 percent of households in India, 71 00:03:01,203 --> 00:03:03,883 94 percent of households in Kenya, 72 00:03:03,883 --> 00:03:05,363 you will find soap. 73 00:03:05,363 --> 00:03:09,200 Even in countries where soap is the lowest, 74 00:03:09,200 --> 00:03:12,779 like Ethiopia, we are at 50 percent. 75 00:03:12,779 --> 00:03:14,006 So why is it? 76 00:03:14,006 --> 00:03:16,939 Why aren't people washing their hands? 77 00:03:16,939 --> 00:03:19,323 Why is it that Mayank, 78 00:03:19,323 --> 00:03:21,590 this young boy that I met in India, 79 00:03:21,590 --> 00:03:23,335 isn't washing his hands? 80 00:03:23,335 --> 00:03:25,947 Well, in Mayank's family, 81 00:03:25,947 --> 00:03:28,379 soap is used for bathing, 82 00:03:28,379 --> 00:03:30,371 soap is used for laundry, 83 00:03:30,371 --> 00:03:33,240 soap is used for washing dishes. 84 00:03:33,240 --> 00:03:35,107 His parents think sometimes 85 00:03:35,107 --> 00:03:36,671 it's a precious commodity, 86 00:03:36,671 --> 00:03:38,938 so they'll keep it in a cupboard. 87 00:03:38,938 --> 00:03:41,692 They'll keep it away from him so he doesn't waste it. 88 00:03:41,692 --> 00:03:44,242 On average, in Mayank's family, 89 00:03:44,242 --> 00:03:46,314 they will use soap for washing hands 90 00:03:46,314 --> 00:03:47,765 once a day 91 00:03:47,765 --> 00:03:50,130 at the very best, and sometimes 92 00:03:50,130 --> 00:03:53,115 even once a week for washing hands with soap. 93 00:03:53,115 --> 00:03:55,330 What's the result of that? 94 00:03:55,330 --> 00:03:57,195 Children pick up disease 95 00:03:57,195 --> 00:03:58,870 in the place that's supposed to love them 96 00:03:58,870 --> 00:04:03,778 and protect them the most, in their homes. 97 00:04:03,778 --> 00:04:06,326 Think about where you learned to wash your hands. 98 00:04:06,326 --> 00:04:09,130 Did you learn to wash your hands at home? 99 00:04:09,130 --> 00:04:11,906 Did you learn to wash your hands in school? 100 00:04:11,906 --> 00:04:14,386 I think behavioral scientists will tell you 101 00:04:14,386 --> 00:04:16,925 that it's very difficult to change the habits 102 00:04:16,925 --> 00:04:21,810 that you have had early in life. 103 00:04:21,810 --> 00:04:24,607 However, we all copy what everyone else does, 104 00:04:24,607 --> 00:04:27,331 and local cultural norms are something 105 00:04:27,331 --> 00:04:30,642 that shape how we change our behavior, 106 00:04:30,642 --> 00:04:33,418 and this is where the private sector comes in. 107 00:04:33,418 --> 00:04:37,218 Every second in Asia and Africa, 108 00:04:37,218 --> 00:04:40,140 111 mothers 109 00:04:40,140 --> 00:04:43,858 will buy this bar to protect their family. 110 00:04:43,858 --> 00:04:45,898 Many women in India will tell you 111 00:04:45,898 --> 00:04:48,124 they learned all about hygiene, diseases, 112 00:04:48,124 --> 00:04:51,870 from this bar of soap from Lifebuoy brand. 113 00:04:51,870 --> 00:04:53,745 Iconic brands like this one 114 00:04:53,745 --> 00:04:55,633 have a responsibility to do good 115 00:04:55,633 --> 00:04:58,114 in the places where they sell their products. 116 00:04:58,114 --> 00:05:01,289 It's that belief, plus the scale of Unilever, 117 00:05:01,289 --> 00:05:03,729 that allows us to keep talking about 118 00:05:03,729 --> 00:05:07,545 handwashing with soap and hygiene to these mothers. 119 00:05:07,545 --> 00:05:10,817 Big businesses and brands can change 120 00:05:10,817 --> 00:05:12,969 and shift those social norms 121 00:05:12,969 --> 00:05:14,881 and make a difference for those habits 122 00:05:14,881 --> 00:05:17,061 that are so stubborn. 123 00:05:17,061 --> 00:05:18,319 Think about it: 124 00:05:18,319 --> 00:05:21,824 Marketeers spend all their time 125 00:05:21,824 --> 00:05:26,180 making us switch from one brand to the other. 126 00:05:26,180 --> 00:05:29,170 And actually, they know how to transform 127 00:05:29,170 --> 00:05:32,203 science and facts into compelling messages. 128 00:05:32,203 --> 00:05:34,099 Just for a minute, imagine 129 00:05:34,099 --> 00:05:36,840 when they put all their forces behind 130 00:05:36,840 --> 00:05:39,790 a message as powerful as handwashing with soap. 131 00:05:39,790 --> 00:05:42,749 The profit motive is transforming health outcomes 132 00:05:42,749 --> 00:05:44,627 in this world. 133 00:05:44,627 --> 00:05:46,446 But it's been happening for centuries: 134 00:05:46,446 --> 00:05:49,979 the Lifebuoy brand was launched in 1894 135 00:05:49,979 --> 00:05:51,715 in Victorian England 136 00:05:51,715 --> 00:05:53,987 to actually combat cholera. 137 00:05:53,987 --> 00:05:56,291 Last week, I was in Ghana 138 00:05:56,291 --> 00:05:57,830 with the minister of health, 139 00:05:57,830 --> 00:05:59,049 because if you don't know, 140 00:05:59,049 --> 00:06:01,706 there's a cholera outbreak in Ghana at the moment. 141 00:06:01,706 --> 00:06:03,842 A hundred and eighteen years later, 142 00:06:03,842 --> 00:06:05,762 the solution is exactly the same: 143 00:06:05,762 --> 00:06:08,258 It's about ensuring that they have access 144 00:06:08,258 --> 00:06:09,674 to this bar of soap, 145 00:06:09,674 --> 00:06:11,419 and that they're using it, 146 00:06:11,419 --> 00:06:13,379 because that's the number one way 147 00:06:13,379 --> 00:06:16,610 to actually stop cholera from spreading. 148 00:06:16,610 --> 00:06:19,010 I think this drive for profit 149 00:06:19,010 --> 00:06:20,881 is extremely powerful, 150 00:06:20,881 --> 00:06:22,341 sometimes more powerful than 151 00:06:22,341 --> 00:06:25,636 the most committed charity or government. 152 00:06:25,636 --> 00:06:27,438 Government is doing what they can, 153 00:06:27,438 --> 00:06:30,813 especially in terms of the pandemics 154 00:06:30,813 --> 00:06:33,350 and epidemics such as cholera, 155 00:06:33,350 --> 00:06:34,805 or Ebola at the moment, 156 00:06:34,805 --> 00:06:37,345 but with competing priorities. 157 00:06:37,345 --> 00:06:39,850 The budget is not always there. 158 00:06:39,850 --> 00:06:41,713 And when you think about this, 159 00:06:41,713 --> 00:06:43,820 you think about what is required 160 00:06:43,820 --> 00:06:46,141 to make handwashing a daily habit, 161 00:06:46,141 --> 00:06:49,962 it requires sustained funding 162 00:06:49,962 --> 00:06:53,070 to refine this behavior. 163 00:06:53,070 --> 00:06:57,503 In short, those that fight for public health 164 00:06:57,503 --> 00:07:00,267 are actually dependent upon the soap companies 165 00:07:00,267 --> 00:07:03,263 to keep promoting handwashing with soap. 166 00:07:03,263 --> 00:07:06,505 We have friends like USAID, 167 00:07:06,505 --> 00:07:09,810 the Global Public-Private Partnership for Handwashing with Soap, 168 00:07:09,810 --> 00:07:11,970 London School of Hygiene and Tropical Medicine, 169 00:07:11,970 --> 00:07:13,539 Plan, WaterAid, 170 00:07:13,539 --> 00:07:15,046 that all believe 171 00:07:15,046 --> 00:07:18,761 for a win-win-win partnership. 172 00:07:18,761 --> 00:07:20,746 Win for the public sector, 173 00:07:20,746 --> 00:07:23,821 because we help them reach their targets. 174 00:07:23,821 --> 00:07:26,209 Win for the private sector, 175 00:07:26,209 --> 00:07:27,623 because we build new generations 176 00:07:27,623 --> 00:07:29,420 of future handwashers. 177 00:07:29,420 --> 00:07:31,633 And most importantly, 178 00:07:31,633 --> 00:07:34,240 win for the most vulnerable. 179 00:07:34,240 --> 00:07:36,296 On October 15, 180 00:07:36,296 --> 00:07:38,648 we will celebrate Global Handwashing Day. 181 00:07:38,648 --> 00:07:40,368 Schools, communities, 182 00:07:40,368 --> 00:07:42,248 our friends in the public sector 183 00:07:42,248 --> 00:07:44,864 and our friends in the private sector — 184 00:07:44,864 --> 00:07:47,144 yes, on that day even our competitors, 185 00:07:47,144 --> 00:07:49,130 we all join hands to celebrate 186 00:07:49,130 --> 00:07:51,112 the world's most important 187 00:07:51,112 --> 00:07:53,160 public health intervention. 188 00:07:53,160 --> 00:07:54,385 What's required, 189 00:07:54,385 --> 00:07:57,121 and again where the private sector can make a huge difference, 190 00:07:57,121 --> 00:08:00,887 is coming up with this big, creative thinking 191 00:08:00,887 --> 00:08:03,128 that drives advocacy. 192 00:08:03,128 --> 00:08:05,791 If you take our Help a Child Reach 5 campaign, 193 00:08:05,791 --> 00:08:08,770 we've created great films 194 00:08:08,770 --> 00:08:10,856 that bring the message of handwashing with soap 195 00:08:10,856 --> 00:08:12,551 to the everyday person 196 00:08:12,551 --> 00:08:15,127 in a way that can relate to them. 197 00:08:15,127 --> 00:08:16,887 We've had over 30 million views. 198 00:08:16,887 --> 00:08:19,414 Most of these discussions are still happening online. 199 00:08:19,414 --> 00:08:20,886 I urge you to take five minutes 200 00:08:20,886 --> 00:08:24,943 and look at those films. 201 00:08:24,943 --> 00:08:26,472 I come from Mali, 202 00:08:26,472 --> 00:08:28,815 one of the world's poorest countries. 203 00:08:28,815 --> 00:08:31,551 I grew up in a family where every dinner conversation 204 00:08:31,551 --> 00:08:33,729 was around social justice. 205 00:08:33,729 --> 00:08:37,257 I trained in Europe's premier school of public health. 206 00:08:37,257 --> 00:08:38,985 I think I'm probably one of the only women 207 00:08:38,985 --> 00:08:42,426 in my country with this high degree in health, 208 00:08:42,426 --> 00:08:43,910 and the only one 209 00:08:43,910 --> 00:08:47,512 with a doctorate in handwashing with soap. 210 00:08:47,512 --> 00:08:49,248 (Laughter) 211 00:08:49,248 --> 00:08:53,460 (Applause) 212 00:08:55,872 --> 00:08:58,223 Nine years ago, I decided, 213 00:08:58,223 --> 00:09:01,136 with a successful public health career in the making, 214 00:09:01,136 --> 00:09:04,664 that I could make the biggest impact coming, 215 00:09:04,664 --> 00:09:07,695 selling and promoting the world's best invention 216 00:09:07,695 --> 00:09:10,230 in public health: soap. 217 00:09:10,230 --> 00:09:12,359 We run today the world's largest 218 00:09:12,359 --> 00:09:13,730 handwashing program 219 00:09:13,730 --> 00:09:16,308 by any public health standards. 220 00:09:16,308 --> 00:09:19,780 We've reached over 183 million people 221 00:09:19,780 --> 00:09:22,970 in 16 countries. 222 00:09:22,970 --> 00:09:24,806 My team and I have the ambition 223 00:09:24,806 --> 00:09:28,564 to reach one billion by 2020. 224 00:09:28,564 --> 00:09:30,758 Over the last four years, 225 00:09:30,758 --> 00:09:33,486 business has grown double digits, 226 00:09:33,486 --> 00:09:35,423 whilst child mortality has reduced 227 00:09:35,423 --> 00:09:39,845 in all the places where soap use has increased. 228 00:09:39,845 --> 00:09:42,150 It may be uncomfortable for some to hear — 229 00:09:42,150 --> 00:09:44,405 business growth and lives saved 230 00:09:44,405 --> 00:09:47,918 somehow equated in the same sentence — 231 00:09:47,918 --> 00:09:49,837 but it is that business growth 232 00:09:49,837 --> 00:09:52,133 that allows us to keep doing more. 233 00:09:52,133 --> 00:09:54,877 Without it, and without talking about it, 234 00:09:54,877 --> 00:09:58,925 we cannot achieve the change that we need. 235 00:09:58,925 --> 00:10:01,110 Last week, my team and I 236 00:10:01,110 --> 00:10:04,406 spent time visiting mothers 237 00:10:04,406 --> 00:10:06,917 that have all experienced the same thing: 238 00:10:06,917 --> 00:10:09,349 the death of a newborn. 239 00:10:09,349 --> 00:10:12,349 I'm a mom. I can't imagine anything more powerful 240 00:10:12,349 --> 00:10:15,262 and more painful. 241 00:10:15,262 --> 00:10:17,894 This one is from Myanmar. 242 00:10:17,894 --> 00:10:19,900 She had the most beautiful smile, 243 00:10:19,900 --> 00:10:22,110 the smile, I think, that life gives you 244 00:10:22,110 --> 00:10:24,497 when you've had a second chance. 245 00:10:24,497 --> 00:10:27,831 Her son, Myo, is her second one. 246 00:10:27,831 --> 00:10:29,735 She had a daughter 247 00:10:29,735 --> 00:10:32,127 who passed away at three weeks, 248 00:10:32,127 --> 00:10:34,480 and we know that the majority 249 00:10:34,480 --> 00:10:35,820 of children that actually die 250 00:10:35,820 --> 00:10:37,686 die in the first month of their life, 251 00:10:37,686 --> 00:10:40,554 and we know that if we give a bar of soap 252 00:10:40,554 --> 00:10:42,814 to every skilled birth attendant, 253 00:10:42,814 --> 00:10:45,364 and that if soap is used before touching the babies, 254 00:10:45,364 --> 00:10:46,606 we can reduce and make a change 255 00:10:46,606 --> 00:10:48,650 in terms of those numbers. 256 00:10:48,650 --> 00:10:50,518 And that's what inspires me, 257 00:10:50,518 --> 00:10:52,750 inspires me to continue in this mission, 258 00:10:52,750 --> 00:10:55,134 to know that I can equip her 259 00:10:55,134 --> 00:10:56,939 with what's needed 260 00:10:56,939 --> 00:10:58,790 so that she can do 261 00:10:58,790 --> 00:11:00,854 the most beautiful job in the world: 262 00:11:00,854 --> 00:11:02,980 nurturing her newborn. 263 00:11:02,980 --> 00:11:05,285 And next time you think of a gift 264 00:11:05,285 --> 00:11:07,375 for a new mom and her family, 265 00:11:07,375 --> 00:11:10,165 don't look far: buy her soap. 266 00:11:10,165 --> 00:11:13,373 It's the most beautiful invention in public health. 267 00:11:13,373 --> 00:11:15,749 I hope you will join us 268 00:11:15,749 --> 00:11:18,701 and make handwashing part of your daily lives 269 00:11:18,701 --> 00:11:20,405 and our daily lives 270 00:11:20,405 --> 00:11:22,629 and help more children like Myo 271 00:11:22,629 --> 00:11:23,757 reach their fifth birthday. 272 00:11:23,757 --> 00:11:26,164 Thank you. 273 00:11:26,164 --> 00:11:28,378 (Applause)