WEBVTT 00:00:00.408 --> 00:00:06.170 So imagine that a plane is about to crash 00:00:06.170 --> 00:00:08.971 with 250 children and babies, 00:00:08.971 --> 00:00:12.390 and if you knew how to stop that, would you? NOTE Paragraph 00:00:12.390 --> 00:00:14.361 Now imagine 00:00:14.361 --> 00:00:18.000 that 60 planes full of babies under five 00:00:18.000 --> 00:00:21.210 crash every single day. 00:00:21.210 --> 00:00:22.982 That's the number of kids 00:00:22.982 --> 00:00:25.307 that never make it to their fifth birthday. 00:00:25.307 --> 00:00:28.547 6.6 million children 00:00:28.547 --> 00:00:32.138 never make it to their fifth birthday. NOTE Paragraph 00:00:32.138 --> 00:00:34.594 Most of these deaths are preventable, 00:00:34.594 --> 00:00:36.562 and that doesn't just make me sad, 00:00:36.562 --> 00:00:38.258 it makes me angry, 00:00:38.258 --> 00:00:40.616 and it makes me determined. 00:00:40.616 --> 00:00:42.506 Diarrhea and pneumonia 00:00:42.506 --> 00:00:44.322 are among the top two killers 00:00:44.322 --> 00:00:46.640 of children under five, 00:00:46.640 --> 00:00:48.896 and what we can do to prevent these diseases 00:00:48.896 --> 00:00:51.076 isn't some smart, 00:00:51.076 --> 00:00:53.993 new technological innovations. 00:00:53.993 --> 00:00:58.872 It's one of the world's oldest inventions: 00:00:58.872 --> 00:01:02.397 a bar of soap. 00:01:02.397 --> 00:01:03.829 Washing hands with soap, 00:01:03.829 --> 00:01:06.200 a habit we all take for granted, 00:01:06.200 --> 00:01:08.484 can reduce diarrhea by half, 00:01:08.484 --> 00:01:12.140 can reduce respiratory infections by one third. 00:01:12.140 --> 00:01:13.911 Handwashing with soap 00:01:13.911 --> 00:01:15.560 can have an impact 00:01:15.560 --> 00:01:20.587 on reducing flu, trachoma, SARS, 00:01:20.587 --> 00:01:22.977 and most recently in the case of cholera 00:01:22.977 --> 00:01:25.667 and Ebola outbreak, 00:01:25.667 --> 00:01:27.358 one of the key interventions 00:01:27.358 --> 00:01:30.176 is handwashing with soap. 00:01:30.176 --> 00:01:33.431 Handwashing with soap keeps kids in school. 00:01:33.431 --> 00:01:36.254 It stops babies from dying. 00:01:36.254 --> 00:01:38.127 Handwashing with soap 00:01:38.127 --> 00:01:40.924 is one of the most cost-effective 00:01:40.924 --> 00:01:43.470 ways of saving children's lives. 00:01:43.470 --> 00:01:47.126 It can save over 600,000 children every year. 00:01:47.126 --> 00:01:50.090 That's the equivalent of stopping 00:01:50.090 --> 00:01:52.070 10 jumbo jets 00:01:52.070 --> 00:01:53.998 full of babies and children 00:01:53.998 --> 00:01:56.709 from crashing every single day. 00:01:56.709 --> 00:01:59.133 I think you'll agree with me that that's a pretty 00:01:59.133 --> 00:02:02.415 useful public health intervention. NOTE Paragraph 00:02:02.415 --> 00:02:05.365 So now just take a minute. 00:02:05.365 --> 00:02:07.301 I think you need to get to know the person next to you. 00:02:07.301 --> 00:02:09.249 Why don't you just shake their hands. 00:02:09.249 --> 00:02:11.493 Please shake their hands. 00:02:11.493 --> 00:02:12.793 All right, get to know each other. 00:02:12.793 --> 00:02:14.328 They look really pretty. 00:02:14.328 --> 00:02:16.101 All right. 00:02:16.101 --> 00:02:18.399 So what if I told you 00:02:18.399 --> 00:02:20.984 that the person whose hands you just shook 00:02:20.984 --> 00:02:22.692 actually didn't wash their hands 00:02:22.692 --> 00:02:25.350 when they were coming out of the toilet? (Laughter) 00:02:25.350 --> 00:02:28.680 They don't look so pretty anymore, right? 00:02:28.680 --> 00:02:31.836 Pretty yucky, you would agree with me. NOTE Paragraph 00:02:31.836 --> 00:02:33.501 Well, statistics are actually showing 00:02:33.501 --> 00:02:35.917 that four people out of five 00:02:35.917 --> 00:02:38.525 don't wash their hands when they come out of the toilet, 00:02:38.525 --> 00:02:40.213 globally. 00:02:40.213 --> 00:02:42.483 And the same way, 00:02:42.483 --> 00:02:45.227 we don't do it when we've got fancy toilets, 00:02:45.227 --> 00:02:47.677 running water, and soap available, 00:02:47.677 --> 00:02:49.611 it's the same thing in the countries 00:02:49.611 --> 00:02:52.985 where child mortality is really high. NOTE Paragraph 00:02:52.985 --> 00:02:55.299 What is it? Is there no soap? 00:02:55.299 --> 00:02:57.548 Actually, soap is available. 00:02:57.548 --> 00:03:01.203 In 90 percent of households in India, 00:03:01.203 --> 00:03:03.883 94 percent of households in Kenya, 00:03:03.883 --> 00:03:05.363 you will find soap. 00:03:05.363 --> 00:03:09.200 Even in countries where soap is the lowest, 00:03:09.200 --> 00:03:12.779 like Ethiopia, we are at 50 percent. NOTE Paragraph 00:03:12.779 --> 00:03:14.006 So why is it? 00:03:14.006 --> 00:03:16.939 Why aren't people washing their hands? 00:03:16.939 --> 00:03:19.323 Why is it that Mayank, 00:03:19.323 --> 00:03:21.590 this young boy that I met in India, 00:03:21.590 --> 00:03:23.335 isn't washing his hands? 00:03:23.335 --> 00:03:25.947 Well, in Mayank's family, 00:03:25.947 --> 00:03:28.379 soap is used for bathing, 00:03:28.379 --> 00:03:30.371 soap is used for laundry, 00:03:30.371 --> 00:03:33.240 soap is used for washing dishes. 00:03:33.240 --> 00:03:35.107 His parents think sometimes 00:03:35.107 --> 00:03:36.671 it's a precious commodity, 00:03:36.671 --> 00:03:38.938 so they'll keep it in a cupboard. 00:03:38.938 --> 00:03:41.692 They'll keep it away from him so he doesn't waste it. 00:03:41.692 --> 00:03:44.242 On average, in Mayank's family, 00:03:44.242 --> 00:03:46.314 they will use soap for washing hands 00:03:46.314 --> 00:03:47.765 once a day 00:03:47.765 --> 00:03:50.130 at the very best, and sometimes 00:03:50.130 --> 00:03:53.115 even once a week for washing hands with soap. 00:03:53.115 --> 00:03:55.330 What's the result of that? 00:03:55.330 --> 00:03:57.195 Children pick up disease 00:03:57.195 --> 00:03:58.870 in the place that's supposed to love them 00:03:58.870 --> 00:04:03.778 and protect them the most, in their homes. NOTE Paragraph 00:04:03.778 --> 00:04:06.326 Think about where you learned to wash your hands. 00:04:06.326 --> 00:04:09.130 Did you learn to wash your hands at home? 00:04:09.130 --> 00:04:11.906 Did you learn to wash your hands in school? 00:04:11.906 --> 00:04:14.386 I think behavioral scientists will tell you 00:04:14.386 --> 00:04:16.925 that it's very difficult to change the habits 00:04:16.925 --> 00:04:21.810 that you have had early in life. NOTE Paragraph 00:04:21.810 --> 00:04:24.607 However, we all copy what everyone else does, 00:04:24.607 --> 00:04:27.331 and local cultural norms are something 00:04:27.331 --> 00:04:30.642 that shape how we change our behavior, 00:04:30.642 --> 00:04:33.418 and this is where the private sector comes in. 00:04:33.418 --> 00:04:37.218 Every second in Asia and Africa, 00:04:37.218 --> 00:04:40.140 111 mothers 00:04:40.140 --> 00:04:43.858 will buy this bar to protect their family. 00:04:43.858 --> 00:04:45.898 Many women in India will tell you 00:04:45.898 --> 00:04:48.124 they learned all about hygiene, diseases, 00:04:48.124 --> 00:04:51.870 from this bar of soap from Lifebuoy brand. 00:04:51.870 --> 00:04:53.745 Iconic brands like this one 00:04:53.745 --> 00:04:55.633 have a responsibility to do good 00:04:55.633 --> 00:04:58.114 in the places where they sell their products. 00:04:58.114 --> 00:05:01.289 It's that belief, plus the scale of Unilever, 00:05:01.289 --> 00:05:03.729 that allows us to keep talking about 00:05:03.729 --> 00:05:07.545 handwashing with soap and hygiene to these mothers. NOTE Paragraph 00:05:07.545 --> 00:05:10.817 Big businesses and brands can change 00:05:10.817 --> 00:05:12.969 and shift those social norms 00:05:12.969 --> 00:05:14.881 and make a difference for those habits 00:05:14.881 --> 00:05:17.061 that are so stubborn. 00:05:17.061 --> 00:05:18.319 Think about it: 00:05:18.319 --> 00:05:21.824 Marketeers spend all their time 00:05:21.824 --> 00:05:26.180 making us switch from one brand to the other. 00:05:26.180 --> 00:05:29.170 And actually, they know how to transform 00:05:29.170 --> 00:05:32.203 science and facts into compelling messages. 00:05:32.203 --> 00:05:34.099 Just for a minute, imagine 00:05:34.099 --> 00:05:36.840 when they put all their forces behind 00:05:36.840 --> 00:05:39.790 a message as powerful as handwashing with soap. 00:05:39.790 --> 00:05:42.749 The profit motive is transforming health outcomes 00:05:42.749 --> 00:05:44.627 in this world. NOTE Paragraph 00:05:44.627 --> 00:05:46.446 But it's been happening for centuries: 00:05:46.446 --> 00:05:49.979 the Lifebuoy brand was launched in 1894 00:05:49.979 --> 00:05:51.715 in Victorian England 00:05:51.715 --> 00:05:53.987 to actually combat cholera. 00:05:53.987 --> 00:05:56.291 Last week, I was in Ghana 00:05:56.291 --> 00:05:57.830 with the minister of health, 00:05:57.830 --> 00:05:59.049 because if you don't know, 00:05:59.049 --> 00:06:01.706 there's a cholera outbreak in Ghana at the moment. 00:06:01.706 --> 00:06:03.842 A hundred and eighteen years later, 00:06:03.842 --> 00:06:05.762 the solution is exactly the same: 00:06:05.762 --> 00:06:08.258 It's about ensuring that they have access 00:06:08.258 --> 00:06:09.674 to this bar of soap, 00:06:09.674 --> 00:06:11.419 and that they're using it, 00:06:11.419 --> 00:06:13.379 because that's the number one way 00:06:13.379 --> 00:06:16.610 to actually stop cholera from spreading. 00:06:16.610 --> 00:06:19.010 I think this drive for profit 00:06:19.010 --> 00:06:20.881 is extremely powerful, 00:06:20.881 --> 00:06:22.341 sometimes more powerful than 00:06:22.341 --> 00:06:25.636 the most committed charity or government. NOTE Paragraph 00:06:25.636 --> 00:06:27.438 Government is doing what they can, 00:06:27.438 --> 00:06:30.813 especially in terms of the pandemics 00:06:30.813 --> 00:06:33.350 and epidemics such as cholera, 00:06:33.350 --> 00:06:34.805 or Ebola at the moment, 00:06:34.805 --> 00:06:37.345 but with competing priorities. 00:06:37.345 --> 00:06:39.850 The budget is not always there. 00:06:39.850 --> 00:06:41.713 And when you think about this, 00:06:41.713 --> 00:06:43.820 you think about what is required 00:06:43.820 --> 00:06:46.141 to make handwashing a daily habit, 00:06:46.141 --> 00:06:49.962 it requires sustained funding 00:06:49.962 --> 00:06:53.070 to refine this behavior. 00:06:53.070 --> 00:06:57.503 In short, those that fight for public health 00:06:57.503 --> 00:07:00.267 are actually dependent upon the soap companies 00:07:00.267 --> 00:07:03.263 to keep promoting handwashing with soap. 00:07:03.263 --> 00:07:06.505 We have friends like USAID, 00:07:06.505 --> 00:07:09.810 the Global Public-Private Partnership for Handwashing with Soap, 00:07:09.810 --> 00:07:11.970 London School of Hygiene and Tropical Medicine, 00:07:11.970 --> 00:07:13.539 Plan, WaterAid, 00:07:13.539 --> 00:07:15.046 that all believe 00:07:15.046 --> 00:07:18.761 for a win-win-win partnership. 00:07:18.761 --> 00:07:20.746 Win for the public sector, 00:07:20.746 --> 00:07:23.821 because we help them reach their targets. 00:07:23.821 --> 00:07:26.209 Win for the private sector, 00:07:26.209 --> 00:07:27.623 because we build new generations 00:07:27.623 --> 00:07:29.420 of future handwashers. 00:07:29.420 --> 00:07:31.633 And most importantly, 00:07:31.633 --> 00:07:34.240 win for the most vulnerable. 00:07:34.240 --> 00:07:36.296 On October 15, 00:07:36.296 --> 00:07:38.648 we will celebrate Global Handwashing Day. 00:07:38.648 --> 00:07:40.368 Schools, communities, 00:07:40.368 --> 00:07:42.248 our friends in the public sector 00:07:42.248 --> 00:07:44.864 and our friends in the private sector — 00:07:44.864 --> 00:07:47.144 yes, on that day even our competitors, 00:07:47.144 --> 00:07:49.130 we all join hands to celebrate 00:07:49.130 --> 00:07:51.112 the world's most important 00:07:51.112 --> 00:07:53.160 public health intervention. 00:07:53.160 --> 00:07:54.385 What's required, 00:07:54.385 --> 00:07:57.121 and again where the private sector can make a huge difference, 00:07:57.121 --> 00:08:00.887 is coming up with this big, creative thinking 00:08:00.887 --> 00:08:03.128 that drives advocacy. 00:08:03.128 --> 00:08:05.791 If you take our Help a Child Reach 5 campaign, 00:08:05.791 --> 00:08:08.770 we've created great films 00:08:08.770 --> 00:08:10.856 that bring the message of handwashing with soap 00:08:10.856 --> 00:08:12.551 to the everyday person 00:08:12.551 --> 00:08:15.127 in a way that can relate to them. 00:08:15.127 --> 00:08:16.887 We've had over 30 million views. 00:08:16.887 --> 00:08:19.414 Most of these discussions are still happening online. 00:08:19.414 --> 00:08:20.886 I urge you to take five minutes 00:08:20.886 --> 00:08:24.943 and look at those films. NOTE Paragraph 00:08:24.943 --> 00:08:26.472 I come from Mali, 00:08:26.472 --> 00:08:28.815 one of the world's poorest countries. 00:08:28.815 --> 00:08:31.551 I grew up in a family where every dinner conversation 00:08:31.551 --> 00:08:33.729 was around social justice. 00:08:33.729 --> 00:08:37.257 I trained in Europe's premier school of public health. 00:08:37.257 --> 00:08:38.985 I think I'm probably one of the only women 00:08:38.985 --> 00:08:42.426 in my country with this high degree in health, 00:08:42.426 --> 00:08:43.910 and the only one 00:08:43.910 --> 00:08:47.512 with a doctorate in handwashing with soap. 00:08:47.512 --> 00:08:49.248 (Laughter) 00:08:49.248 --> 00:08:53.460 (Applause) NOTE Paragraph 00:08:55.872 --> 00:08:58.223 Nine years ago, I decided, 00:08:58.223 --> 00:09:01.136 with a successful public health career in the making, 00:09:01.136 --> 00:09:04.664 that I could make the biggest impact coming, 00:09:04.664 --> 00:09:07.695 selling and promoting the world's best invention 00:09:07.695 --> 00:09:10.230 in public health: soap. 00:09:10.230 --> 00:09:12.359 We run today the world's largest 00:09:12.359 --> 00:09:13.730 handwashing program 00:09:13.730 --> 00:09:16.308 by any public health standards. 00:09:16.308 --> 00:09:19.780 We've reached over 183 million people 00:09:19.780 --> 00:09:22.970 in 16 countries. 00:09:22.970 --> 00:09:24.806 My team and I have the ambition 00:09:24.806 --> 00:09:28.564 to reach one billion by 2020. 00:09:28.564 --> 00:09:30.758 Over the last four years, 00:09:30.758 --> 00:09:33.486 business has grown double digits, 00:09:33.486 --> 00:09:35.423 whilst child mortality has reduced 00:09:35.423 --> 00:09:39.845 in all the places where soap use has increased. 00:09:39.845 --> 00:09:42.150 It may be uncomfortable for some to hear — 00:09:42.150 --> 00:09:44.405 business growth and lives saved 00:09:44.405 --> 00:09:47.918 somehow equated in the same sentence — 00:09:47.918 --> 00:09:49.837 but it is that business growth 00:09:49.837 --> 00:09:52.133 that allows us to keep doing more. 00:09:52.133 --> 00:09:54.877 Without it, and without talking about it, 00:09:54.877 --> 00:09:58.925 we cannot achieve the change that we need. NOTE Paragraph 00:09:58.925 --> 00:10:01.110 Last week, my team and I 00:10:01.110 --> 00:10:04.406 spent time visiting mothers 00:10:04.406 --> 00:10:06.917 that have all experienced the same thing: 00:10:06.917 --> 00:10:09.349 the death of a newborn. 00:10:09.349 --> 00:10:12.349 I'm a mom. I can't imagine anything more powerful 00:10:12.349 --> 00:10:15.262 and more painful. 00:10:15.262 --> 00:10:17.894 This one is from Myanmar. 00:10:17.894 --> 00:10:19.900 She had the most beautiful smile, 00:10:19.900 --> 00:10:22.110 the smile, I think, that life gives you 00:10:22.110 --> 00:10:24.497 when you've had a second chance. 00:10:24.497 --> 00:10:27.831 Her son, Myo, is her second one. 00:10:27.831 --> 00:10:29.735 She had a daughter 00:10:29.735 --> 00:10:32.127 who passed away at three weeks, 00:10:32.127 --> 00:10:34.480 and we know that the majority 00:10:34.480 --> 00:10:35.820 of children that actually die 00:10:35.820 --> 00:10:37.686 die in the first month of their life, 00:10:37.686 --> 00:10:40.554 and we know that if we give a bar of soap 00:10:40.554 --> 00:10:42.814 to every skilled birth attendant, 00:10:42.814 --> 00:10:45.364 and that if soap is used before touching the babies, 00:10:45.364 --> 00:10:46.606 we can reduce and make a change 00:10:46.606 --> 00:10:48.650 in terms of those numbers. 00:10:48.650 --> 00:10:50.518 And that's what inspires me, 00:10:50.518 --> 00:10:52.750 inspires me to continue in this mission, 00:10:52.750 --> 00:10:55.134 to know that I can equip her 00:10:55.134 --> 00:10:56.939 with what's needed 00:10:56.939 --> 00:10:58.790 so that she can do 00:10:58.790 --> 00:11:00.854 the most beautiful job in the world: 00:11:00.854 --> 00:11:02.980 nurturing her newborn. 00:11:02.980 --> 00:11:05.285 And next time you think of a gift 00:11:05.285 --> 00:11:07.375 for a new mom and her family, 00:11:07.375 --> 00:11:10.165 don't look far: buy her soap. 00:11:10.165 --> 00:11:13.373 It's the most beautiful invention in public health. NOTE Paragraph 00:11:13.373 --> 00:11:15.749 I hope you will join us 00:11:15.749 --> 00:11:18.701 and make handwashing part of your daily lives 00:11:18.701 --> 00:11:20.405 and our daily lives 00:11:20.405 --> 00:11:22.629 and help more children like Myo 00:11:22.629 --> 00:11:23.757 reach their fifth birthday. NOTE Paragraph 00:11:23.757 --> 00:11:26.164 Thank you. NOTE Paragraph 00:11:26.164 --> 00:11:28.378 (Applause)