How Lies Launch Modern Medicine | Dr. Nathalia Holt | TEDxCapeMay

TEDx Talks
24 Nov 201515:31
EducationalLearning
32 Likes 10 Comments

TLDRThe video script discusses the impact of stigma and public perception on the progression of medical research and treatment for diseases like HIV, cancer, and tuberculosis. It highlights how fear and misconceptions have historically hindered progress, but also showcases how individuals outside of the medical field, like Mary Lasker for cancer and Emily Bissell for tuberculosis, have played pivotal roles in changing public opinion and driving research forward. The story of Timothy Ray Brown, cured of HIV through a bone-marrow transplant, illustrates the potential of gene therapy. The script emphasizes the importance of public engagement in disease campaigns, arguing that changing societal perceptions is as critical as scientific breakthroughs in the fight against these diseases.

Takeaways
  • 🏥 The stigma surrounding HIV is largely due to societal perceptions rather than medical facts, as effective therapies now allow those living with HIV to lead long, healthy lives.
  • 🐁 During the speaker's PhD, they accidentally infected themselves with HIV while working with mice, highlighting the risks involved in medical research.
  • 💊 Both diabetes and HIV are chronic diseases managed by medication, yet the societal stigma associated with HIV makes it a less desirable condition to have.
  • 📺 In the 1950s, Mary Woodward Lasker led a PR campaign to change public perception of cancer, which was then a taboo subject.
  • 💼 Mary Lasker's efforts included persuading media moguls to air cancer-related content and reorganizing the American Cancer Society with advertising professionals to boost awareness.
  • 🎓 The initial skepticism towards chemotherapy in the 1950s was overcome through advocacy, leading to a significant increase in funding and, eventually, a major breakthrough in cancer treatment.
  • 📉 Before Lasker's involvement, only 35% of cancer patients survived for five years or longer; today, that number is 68%.
  • ⚰️ Tuberculosis has had a long history of stigma, being once romanticized and later vilified, with a significant impact on public health approaches.
  • 💰 Emily Bissell's initiative to sell Christmas seals raised substantial funds for tuberculosis research and helped to destigmatize the disease.
  • 🧬 The discovery of streptomycin in 1944 marked a turning point in the treatment of tuberculosis, leading to combination therapies that can cure most TB cases within six months.
  • 🗣️ Activist groups in the 1980s staged protests and PR campaigns that accelerated the approval of AZT, the first drug for HIV, and changed the clinical trial system.
  • 🧬 The story of the 'Berlin Patient', Timothy Ray Brown, who was cured of HIV through a bone-marrow transplant from a naturally resistant donor, has inspired new gene therapy approaches to curing HIV.
Q & A
  • What is the significance of the lab mentioned at the beginning of the transcript?

    -The lab mentioned is significant because it is an animal research lab at Children's Hospital, Los Angeles, where the speaker conducted research during their PhD by infecting a special breed of mice with HIV. It is not widely known or advertised due to its controversial nature.

  • Why was the speaker terrified after accidentally infecting themselves with HIV?

    -The speaker was terrified due to the stigma and fear associated with HIV, despite the advancements in medical treatment that have transformed it from a death sentence to a manageable chronic condition.

  • What is the comparison between diabetes and HIV mentioned in the transcript?

    -The comparison is made to highlight that while both are chronic diseases managed by medication, societal perception and stigma make HIV a less desirable condition to have, even though from a purely medical standpoint, diabetes might be considered worse.

  • Who was Mary Woodward Lasker and what was her role in changing the perception of cancer?

    -Mary Woodward Lasker was a socialite married to an advertising executive. She played a pivotal role in changing the perception of cancer by leading a PR campaign that promoted awareness and acceptance of the disease, which was previously considered taboo and unspeakable.

  • What was the impact of Mary Lasker's efforts on cancer research?

    -Mary Lasker's efforts led to a significant increase in funding for cancer research, particularly for chemotherapy. Her work also helped to destigmatize cancer, making it more acceptable for researchers to work on and for the public to discuss.

  • What was the initial public perception of tuberculosis before the discovery of its bacterial cause?

    -Before the discovery that tuberculosis was caused by bacteria, it was romanticized and seen as a disease of the enlightened or beautiful. The pale, sickly appearance associated with the disease was even mimicked by young women at the time.

  • How did Emily Bissell contribute to the fight against tuberculosis?

    -Emily Bissell initiated a fundraising campaign by selling Christmas seals for a penny each to save a local sanitarium. Her efforts expanded nationally, raising substantial funds for research and helping to change public perception about TB.

  • What was the significance of the discovery of streptomycin in the treatment of tuberculosis?

    -The discovery of streptomycin marked the first effective antibiotic against tuberculosis, which revolutionized the treatment of the disease and led to the development of combination therapies that could cure most TB cases within six months.

  • Why was there a delay in the approval of AZT, the first drug for HIV?

    -The delay was due to the lack of initial belief in its effectiveness and the reluctance of the FDA to approve it quickly. Activist groups staged protests and launched PR campaigns accusing the FDA of murder, which eventually led to the expedited approval of AZT.

  • How did the story of Timothy Ray Brown contribute to the field of HIV research?

    -Timothy Ray Brown was cured of both his cancer and HIV after receiving a bone-marrow transplant from a person naturally resistant to HIV. This case, initially overlooked, gained significant attention after being publicized and led to increased interest and funding in gene therapy approaches for HIV.

  • What is the importance of public relations and public perception in the fight against diseases like cancer, TB, and HIV?

    -Public relations and perception are crucial as they influence societal attitudes, encourage research and funding, and reduce stigma associated with diseases. Changing public opinion is as critical as medical advancements in the fight against such diseases.

Outlines
00:00
🧪 Hidden Lab and HIV Stigma

This paragraph discusses the secrecy surrounding an animal research lab at Children's Hospital in Los Angeles, where the speaker conducted HIV research during their PhD. The speaker recounts an incident where they accidentally infected themselves with HIV, leading to a reflection on the fear and stigma associated with the disease. They compare HIV to diabetes in terms of being a chronic disease managed by medication, but note that the social stigma around HIV is much stronger. The paragraph also highlights the role of Mary Woodward Lasker in changing public perception and increasing funding for cancer research, which was once similarly stigmatized.

05:00
💊 Chemotherapy Controversy and TB Stigma

The second paragraph delves into the initial resistance to chemotherapy in the 1950s, despite its potential to treat cancer. It tells the story of Dr. Min Chue Li, who was fired despite successfully using chemotherapy to cure patients. The speaker then contrasts the progress made in cancer treatment with the ongoing battle against tuberculosis (TB), which has historically been highly stigmatized. The narrative includes the efforts of Emily Bissell, who helped popularize the sale of Christmas seals to raise funds for TB research and awareness, leading to significant advancements in TB treatment.

10:02
💉 HIV Treatment and the Power of Public Relations

This paragraph explores the public relations challenges HIV faced in the 1980s, including the reluctance of some medical professionals to treat patients with the virus. It details the activism that led to the accelerated approval of AZT, the first drug for HIV, and the subsequent changes in the clinical trial system. The speaker also discusses the search for an HIV cure and the impact of a journalist's article on the recognition of a potential gene therapy approach. The story of the 'Berlin Patient,' Timothy Ray Brown, who was cured of both HIV and cancer through a bone-marrow transplant, is highlighted as a significant breakthrough.

15:02
🌐 Changing Perceptions and the Legacy of Disease Campaigns

The final paragraph emphasizes the importance of changing public opinion about diseases as a critical component of medical progress. It discusses the role of disease campaigns and social media in altering perceptions and reducing stigma. The speaker encourages participation in these campaigns, arguing that even small actions like a 'like' or a 'tweet' contribute to the legacy of changing how diseases are perceived, which is as important as scientific and medical advancements.

Mindmap
Keywords
💡Graduate School
Graduate school refers to the academic level beyond a bachelor's degree, where individuals pursue further education in a specialized field through programs like a master's degree or a doctorate (PhD). In the context of the video, it is where the speaker spent time conducting research in an animal lab at Children's Hospital, which is related to the theme of the video as it sets the stage for the personal experience with HIV and the broader discussion on disease stigma.
💡HIV
HIV (Human Immunodeficiency Virus) is a virus that attacks the immune system and can lead to AIDS (Acquired Immunodeficiency Syndrome). It is a significant topic in the video as the speaker recounts a personal incident of accidentally infecting themselves with HIV. The discussion around HIV also ties into the broader narrative of how societal perceptions and stigmas can impact the treatment and understanding of diseases.
💡Stigma
Stigma refers to a mark of disgrace or dishonor associated with a particular circumstance, quality, or person. In the video, stigma is a central theme, as it is explored in relation to HIV, cancer, and tuberculosis. The speaker discusses how stigma can affect public perception, medical research, and the willingness of individuals and the medical community to address and treat certain diseases.
💡Cancer
Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. The video discusses the historical stigma associated with cancer, how it was once a taboo subject, and the efforts led by Mary Woodward Lasker to change public perception and increase funding for research. Cancer's portrayal in the video serves to illustrate the transformative power of shifting societal attitudes towards disease.
💡Chemotherapy
Chemotherapy is a type of cancer treatment that uses drugs to kill cancer cells. The video describes the initial controversy and skepticism around chemotherapy in the 1950s, the advocacy efforts by Mary Lasker that led to increased research funding, and the eventual success of chemotherapy as a cornerstone of cancer treatment. It exemplifies how changes in public and scientific perception can lead to medical breakthroughs.
💡Tuberculosis
Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis, which primarily affects the lungs. In the video, TB is highlighted as a disease that has been historically stigmatized and misunderstood. The speaker discusses the shift in perception from a romanticized view to a more realistic and scientific understanding, and the impact of public health campaigns on reducing stigma and advancing treatment.
💡Mary Woodward Lasker
Mary Woodward Lasker was an American advocate for medical research and public health. The video credits her with changing the public perception of cancer through a PR campaign, reorganizing the American Cancer Society, and advocating for increased funding for medical research, particularly for chemotherapy. Her efforts are presented as a pivotal moment in altering societal attitudes and advancing medical science.
💡Clinical Trials
Clinical trials are research studies that involve human volunteers to test new medical treatments or drugs. The video discusses the evolution of the clinical trial system due to activism surrounding HIV treatment, leading to faster drug approvals and greater access to experimental treatments. This change is highlighted as a direct result of public pressure and the importance of public involvement in medical progress.
💡Gene Therapy
Gene therapy is a medical field that modifies or manipulates genes to treat or prevent disease. The video mentions the use of gene therapy in the context of HIV, referencing a case where a patient was cured of both cancer and HIV following a bone-marrow transplant from a donor naturally resistant to HIV. This marks a significant development in the search for an HIV cure and underscores the potential of gene therapy.
💡Public Relations Campaigns
Public relations campaigns are strategic efforts to influence public opinion or behavior. The video discusses several PR campaigns, including those for cancer and tuberculosis, which were instrumental in reducing stigma, increasing awareness, and raising funds for research. These campaigns are portrayed as essential in changing societal perceptions and driving medical advancements.
💡Disease Perception
Disease perception refers to how individuals and society view and understand a particular disease. The video emphasizes the importance of changing disease perception as a critical step in advancing medical treatment and research. It argues that altering public opinion is as important as scientific discovery in overcoming the challenges posed by diseases like HIV, cancer, and tuberculosis.
Highlights

The speaker discusses their experience in an animal research lab at Children's Hospital, where they accidentally infected themselves with HIV, sparking a personal reflection on the disease's stigma.

HIV is no longer a death sentence thanks to effective therapies that allow people with the disease to live long, healthy lives.

The comparison between HIV and diabetes as chronic diseases, questioning societal perceptions and the impact of stigma on these conditions.

Mary Woodward Lasker's pivotal role in changing public perception and advancing research for cancer through PR campaigns and fundraising.

The initial resistance and later acceptance of chemotherapy as a cancer treatment, highlighting the power of public opinion and advocacy.

The historical stigma and romanticization of tuberculosis, and how it changed with the discovery of its bacterial cause.

Emily Bissell's innovative fundraising efforts through Christmas seals, which saved a sanitarium and catalyzed national campaigns against tuberculosis.

The discovery of streptomycin as the first antibiotic effective against TB, leading to combination therapies that significantly reduce treatment times.

The dark history of HIV, including the reluctance of physicians to treat patients and the impact of the 'gay cancer' label in the 1980s.

The activism and PR campaigns that accelerated the approval of AZT, the first drug for HIV, and changed the clinical trial system.

The search for an HIV cure and the story of Timothy Ray Brown, the first person cured of HIV through a bone-marrow transplant from a naturally resistant donor.

The importance of public relations and media coverage in advancing medical research and changing public perception of diseases like HIV.

The transformative impact of a Wall Street Journal article on Gero Hutter's research and the gene therapy field for HIV.

Promising early results from clinical trials using gene therapy approaches to cure HIV, demonstrating the potential of this treatment method.

The cycle of lies and stigma associated with diseases like cancer, TB, and HIV, often perpetuated by medical professionals, and the role of public figures in changing perceptions.

The critical role of public participation in disease campaigns, emphasizing that changing public opinion is as important as medical advancements.

The legacy and movement of individuals changing disease perception, highlighting the collective effort required to shift societal attitudes and improve medical outcomes.

Transcripts
Rate This

5.0 / 5 (0 votes)

Thanks for rating: