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tv   Daisy Hernandez The Kissing Bug  CSPAN  August 31, 2021 7:56pm-8:54pm EDT

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resources into communities, it's to invest in the form this later incarceration so what did you say that your was? 2014. , alive and well. that's been the dominant view ever since, respectful protests and other protests deemed as criminal ignoring the fact that this political violence is in response to police violence. >> you can watch the rest of this program on our website, booktv.org. search for elizabeth hinton or the title of her book, america on fire using the box at the top of the page. >> tonight we are thrilled to welcome daisy hernandez. a former reporter for the new york times has been writing
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about the intersections of race, immigration, class, sexuality for almost two decades. her most recent book which she joins us this evening is the kissing bug, a true story of family and insects, nation neglect of deadly disease. she's written for national geographic, npr's all things considered, cody switch, atlantic switch and she's the author of the award-winning memoir, a cup of water under my bed. growing up in new jersey, 1980s, hernandez believed her aunt had become deathly out from eating an apple. no one in her family spoke of infectious diseases and even into her 30s, she only knew her aunt died of a rare illness as hernandez dug deeper and deeper, she found the disease is more prevalent in the u.s. than the zeke of paris. today 300,000 americans have this disease.
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why do some make headlines and others fall by the wayside? after her aunt's death, hernandez began searching for answers about who our nation chooses to take care of and who we ignore. she interviews epidemiologists and even veterinarians at the department of defense. hernandez new book, the kissing bug tells the story of poverty, racism and public policies have conspired to keep this disease hidden and how intersects with her own identity as a niece, sister, daughter, a writer and researcher and citizen of a country only beginning to address harm caused by this disease and the dangers it poses. riveting nuanced investigation into racial politics and for-profit healthcare in the u.s., kissing bug reveals intimate history of marginalized disease and connects us to the center of it all.
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stuart is new york times best-selling author, one of america's first deputy sheriff and her two rambunctious sisters. her popular nonfiction title includes the drunken botanist, quick of plants and flower confidential. her books sold over 1 million copies worldwide and have been translated into 17 language. this evening's event will include an audience q&a so keep the q&a button at the bottom of your screen, use the button at the bottom of your screen if you'd like to ask a question as well as if somebody types of questions you'd like to know the answer to, a bit by clicking the thumbs up button. please consider supporting daisy and powell by purchasing a copy of her book for us.
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it's been shared a couple of times this evening so daisy and amy, what a joy to welcome you both and thank you for joining us tonight. >> thank you for having me. thank you, amy for joining me. >> thanks. i live in the name same neighbor hood as your publisher. the way i found out about your book, trying to remember, i drop something off and they handed me a copy of the galley and i immediately saw the cover and thought, i went on this rant about insect transmitted diseases. before you read in a few minutes, the first thing i want to say to you and the audience is i became interested in this when i was writing wicked bugs which looks like a goofy book but i did a lot of research and what really struck me about insect transmitted diseases, i
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would go around the country telling audiences that, i'm going to tell you all these stories about creepy bugs and diseases they transmit in places he is maybe but never been to you might be thinking the reason we don't have them here in the united states is that we just pick the right country to come to our ancestors but the practice in the united states we have good sanitation, we have medicine, pest control, we have a number of ways of helping people deal with the public health crisis and we choose not to share it with the rest of the world and that's why some of these things happen in other places but not here. even in the united states we are familiar with lyme's disease and other insect transmitted diseases but on a different scale. i was so excited about this
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book, it's a tough story to tell because i feel like we don't fully grasp these stories and you've made it real and human and it's a story we can all connect to so thank you for this book. >> thank you so much. i agree with everything you are saying. we've invested in a particular way in this country against infectious diseases and specific communities in this country as well so decisions have been made that protect us, absolutely. >> right. as are so many things i want to talk to you about the has to do with this but i'm also interested in the research, i know there's a bunch we can get into. do you want to read now and we governor into the conversation? >> i am happy to read.
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i was reminded you wrote about charles darwin, wicked bugs. i would thought i would read that. it's a bringing together of memoir and realism to write about the kissing bug disease which my auntie was diagnosed with and after many years, lost her life to this disease and it chronic form, it does not have a cure, is parasitic disease and the parasite usually goes after the heart. i didn't get all that information when i was growing up. the information i got was my auntie must have eaten some kind of fruit in her home country in the parasite was transmitted that way. part of the book is describing, making sense of this disease as a child and as a adult and a
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journalist being able to do research. right you read from chapter -- i think all you need to know is my auntie who was diagnosed with this disease and lost her life to it, it auntie bibi -- my auntie's nickname was like the bible auntie, she is very religious but she was nicknamed that because she has a very long memory seems to hold onto every family story on behalf of everyone in the story so that was her nickname and she's the one who began when i was a child to explain the disease to me. auntie's stories were akin to praying the rosary. they repeat it. she moved about our kitchen table with pomegranate lipstick and tall tales about columbia's beauty pageants and priests who wanted more. her story about how she almost
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died when she was young, that's how she was. i might have been almost 15 when the kitchen started to feel crowded for my arms and legs, my new height which i had 5 feet, 2 inches. thinking about this, i asked, how could eating a fruit almost killed her? it was an insect, the fruit was contaminated. bho is a spanish word for insect and can mean a man's and it could mean a little devil in some parts of latin america. years later when i started reading about kissing bugs, i did not know what i would find that i did not expect to come across charles darwin. 1835, darwin plus 26 and four
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years into his trip to south america, the one that gave him the basis for his book on the origin of species. much of that year, he and his guide rode through the plains of argentina. the land was flat at ehrhardt and for a full day, darwin found no one her and only a few houses. when they neared the village, he noticed a field the color of blood, a locust invasion. people raced from their cottages and set branches on fire and waved torches at the locus and shouted, hoping the noise and smoke would turn away the tiny beasts but nothing worked. darwin wrote on. the men had ten meals with them and when they finally escaped the locusts and reached them, carmen expected to sleep well. the village was nestled among guardians, they had poplars and willows, who does not sleep like a king under a willow tree? when darwin closed his eyes that
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night in argentina, the kissing bugs crept out from their hiding places and the insects did not care if it was charles darwin or not. the sun vanished, ravenous, they set off for the evening leaping onto his body. they expected him to be asleep, they expected to feed on him but darwin was awake and horrified and later, despite being a man of science, he wrote how disgusting it was to feel these insects, nearly an inch long and black and soft crawling and all parts of your person, gorged with your blood. the kissing bug came to known as an insect classified in a family of assassin bugs whether vampire -like tendencies. all over the american people adopted other names. here in texas and southwest, people called the kissing bug a bloodsucker and argentina and bolivia, a work that probably
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comes from a language millions of people speak today in south america dates back to the ancient empire. it means a bug that lets itself fall and is probably a reference to how the insects slip out from the crevices in the houses made from mud and sticks falling to the bodies of their sleeping victims. and central america and mexico, people say the kissing bug is a name that's also used for bedbugs. years after i had grown up and left home, a man from mexico tried to explain it to me this way -- their little ones and big ones. the kissing bug is a big one. i'll stop there, thank you for listening. >> i have a special surprise guest today for our event. >> oh my goodness. [laughter] >> right here, that's your little friend. probably people are like fleeing
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right now. entomologists made this for me and i travel with that but that's what it looked like, you can see this medium-sized one, you can see about how big they are. >> the audience know this but when i began this project, i was terrified of insects. i would have gone like this immediately. [laughter] that is a strange part of this journey, battling that fear i had, things that crept and crawled through the world. [laughter] >> we all have these kind of stories in our families we grow up with, a certain mythology about what's happened and we don't question it and then there
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comes a time when we do question it i wonder if you can talk about that, what was it like for you and at what moment did you start to realize i think there is more to this maybe this is something i want to get to more? >> that's something i tried to document in writing this book because it's a little bit through breadcrumbs through my growing up, i was translating for my auntie when i was six years old, she understood english but she was not english dominant so i was in first grade and i was her voice and the nurse was sent to the house which was in between surgeries. she was lucky to be diagnosed in the united states in new york city by a doctor there. i knew at an early age there was something happening with her but i didn't know what it was when i was 13 another family member told me it's because it will contaminated fruit she ate. then i read weights, the fruit
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has something to do with an insect, there is never anything was around insect transmitted disease or a zoonotic disease, not about language. when i was a little older when i first heard it was not just a random name for a disease but the disease was named after doctor carlos strongest from brazil who discovered the disease in 1909 and that was a shock. i was realizing this whole time i thought it was a fancy latin medical term but it was a person, there's a person who discovered this edits connected with this. when i was older, i learned a little more as my auntie, over decades going in-and-out of hospitals being affected, for her it was her gastrointestinal system so i knew from the medical caretaking side the impact the parasite could have
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but it wasn't really until she died which was a shock for me at the time because i think it's hard for people who don't have a family member to understand, the magical thinking you get into over the years because you're constantly in hospitals, you just think they are just sick again, it one of those times again so the end of her life was quite a shock and when i started researching is when i found out this isn't rare at all, there's 300,000 people in the united states have this disease and they are all like my auntie, they are immigrants from south or central america or mexico very few of them know they are infected because the parasites can be dormant and your body your whole life, only one in
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three people infected who go on to develop usually cardiac complications so it was in the wake of her death that i started to put more pieces together including my family was not totally lying to me about the fruit, you can have fruit infected with these insects but usually it leads to outbreaks in groups of people because it's been transmitted or in some kind of food which was not the case for my auntie, she probably had exposure to the insects at some. it was a long journey so it sounds so coherent when i tell you about. trying to do 10000 couple puzzle pieces, it felt like a law of information. >> in some ways, that's true, when you look at the finished book, it seems obvious and so
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clear but when we are writing grappling with the story, is this a book or isn't this a book? none of that is there. one of the things about this book is it feels to me like it is very much part of a particular kind of science writing that lends beautifully, a first-person story investigative journalist research perspective and also, you were talking about being a real person. what's interesting is that this is all real people. science is a story we tell ourselves about the world we live in no matter what it is. scientists are the storytellers, the ones figuring that out and putting it together so the rest
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of us can understand. when i think about a story she became personally involved with and a story about people in some ways mary roach, generally not a family connection but she was putting herself in the story you get to read about how scientists actually do their work so i wonder when you are thinking about writing this, now it just looks like a beautifully done thing but what was there a time when you thought what is is going to be? >> it's interesting you mention those two in particular because i studied those books carefully because initially i was not planning to include any memoir. about what may be be on the rebecca cider where i would write more intimately about
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patients i met so i give full credit to macy who was like what about memoir, the story with your auntie? she was the one who got out and in that process, i realized that intimate voice is what needs to be the backbone here whether i'm talking about my complicated mother daughter relationship with her or talking to a biologist in south america because that's what i was seeing, i studied mary's book, so fantastic. what i saw was no matter where she went, it was her voice, that intimate quality voice not only introducing me to people and places but the same place explaining the signs and making it a text i wanted to read as opposed to a text i wanted to avoid so i did think about that
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a lot and it was a conscious decision to have that voice be the anchor through the book because i knew there would be readers -- i hoped there would be readers who would maybe shy away from a book about science who would maybe pick up this one. i want them invested in this but it a juggling act. i came to appreciate more deeply what science journals have been doing for a long time and it's an interesting immersive because for example, we had insects in the united states usually in the southern part of the country, all over california and the southwest texas has a number of species so having started being out terrified in of insects from
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i went to texas and wanted to see what the researchers were doing. so i went out looking for kissing bugs in the middle of the night and found out what they look like. it was shocking that it was so easy to track from a that was surprising for me but also amazing because these are real people they load up trucks with their equipment and spend hours out there looking at bugs, hoping to catch what they came to catch and it is fascinating. >> i was wondering if the scientists you connected with more to talk to you because of connection, i know you are coming, i thought family story here you feel like that made them more open and welcoming? >> the scientists and doctors initially i was not disclosing a
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personal connection so i had interesting interviews with them. toward the end, it would say why are you interested in this he have not been interested in this neglected, is on that world health organization must so they were kind of think of it as an afterthought, why do you care? and sometimes they would ask because they hurt my last name during a phone interview, they would say is there any chance you have a connection with this disease with your family background? the reason i didn't mention it, i was not planning to do a memoir at the beginning so i was like why would i disclose this practice as it went on, i have that classic journalism training so you never reveal anything
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personal. however when i approach families, i always share that because i grew up in a working class family, i completely understand dynamics at play there when a stranger shows up at your door asking about your medical history and experience us and usually i had a connection either through another patient or a doctor i still felt like i know it's going to create a sense of ease if i disclose that i have this disease. it was tricky because so many times patients wanted to know what happened for her and he couldn't say she is managing her symptoms, i couldn't say any of that, it was always painful to have to tell them she ultimately died from the disease so i think it put them at as report me -- i
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wasn't a traditional journalists and that sense when i was interviewing patients, i was inhabiting multiple positions at the same time by some patients i at the interviewing over several years and spending time with them in the hospital so the relationship changed over time, to. >> maybe you could talk about what it's like bringing this information back to your family from the piece you read, people will understand there were stories in the family so here you go finding out what really went on and then place it in a global context even with other transmitted diseases and then you bring this back to people for another story.
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>> they were always really surprised how much i was learning. i don't think they saw it in contradiction to the stories we had in our home, we think they thought it was an addition to their story basically, they are still going to hold onto she was contaminated by eating fruit but it was additional information and i think he appreciated, i think they were also moved to hear about the stories of other families because we were isolated with our experience, we never met another family impacted by the disease so i think there was an emotional journey sometimes especially for my mother and her other sisters to hear someone was having a heart attack issues and they were in-and-out of hospitals, it is that strange experience people have in any kind of patient support group where were
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grateful to not be alone but at the same time you don't want anyone else suffering from this either. probably the most surprising story i brought back home was the fact that the parasite could be transmitted from mother to child during pregnancy so in general was not something we knew about at all. my auntie had not been able to have children herself but we had no idea that this existed and that was a shock because public health campaigns are underway in different parts of latin america in different capacities. historically people have thought about this as an old person's disease because that's when you see symptoms. he could be infected as a teenager, even as a child but it's 30 years later in your in your 40s matthew exhibit shortness of breath and meet up
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pacemaker or defibrillator. that's what one patient vasectomy, her father and sister as well was in need of a pacemaker but she thought it doesn't happen to children so there is limited public health information other so that's probably the most surprising news i brought back disturbing because i learned that around the same time, it was in the headlines so everyone was talking about that so it felt terrifying to know the disease could be transmitted away and that was part shocking, about 8000 babies born every year with this disease. the u.s., that number is smaller, 60 -- 300 but we don't do prenatal screening in this
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country. just something i'm hopeful will change in the coming years. when i dug into the numbers, being on the journalists half i was like how many babies are being born to women from these regions born in the u.s., 700,000 babies every year so it is quite a number of children we continue to miss. >> that's another piece and something i've heard a lot of stories about, someone coming from latin america to the united states were similar journeys elsewhere in the world where you come from one place to another place there's no expertise. this new city or new country about health issues so there is no things to remember not everybody has the same
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trajectory around the world. >> absolutely. in the u.s. because of the way medical schools are set up, there's not a lot of teaching on parasitic diseases, the idea is you graduate from medical and go into a specialty and it's not going to be parasitic diseases because there isn't money and i was able to talk to a professor who does teach about parasitic diseases and was able to be honest with me, my students are graduating with enormous amount of debt and they are not choosing neglected diseases so it's miraculous he gets to teach one course on this and cover it but i think the push has to come from public health advocates public health side of it to change things. >> for those of you who don't know, jimmy carter's foundation, it focuses on transmitted diseases and i had to go first
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because i couldn't remember if this was one of them or not and it isn't. they have about others they work on but they are committed to eliminating some and it takes that focus, a big foundation to say we're going to go in and it's going to be village by village and one bill or vaccine at a time until there are zero people left with this particular disease. where are we? >> that was a big moment for me while working on this book, exactly that, realizing so many times we've contained diseases rather than eradicate them. even though eradication can be possible. with this, it disproportionally affects immigrants who are in low-wage jobs and don't have access to healthcare others have and more akin to lyme's disease, he won't catch it being in the room with someone who has it so
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it is incredibly easy for this to be neglected but the same is true when i looked up the history of tuberculosis and i was like we don't worry about tv in the u.s. anymore but we did not eradicate it globally so when you look at the u.s. who has tuberculosis it tends to be immigrant communities or those in prison or homeless shelters, congregant living spaces, same thing with hiv. look at hiv in the u.s. and think it's not an issue anymore and it's completely an epidemic in the black community so we've made strategic decisions and i'm a little nervous what that means in terms of covid. i feel like i really appreciate biden pushing for vaccines to get to other countries because we can't have just a containment policy, it needs to be eradication. >> i was going to ask you, i'm
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assuming the book was completely done and turned in before covid started, or right as it was starting? >> it was. >> so now in hindsight, has anything changed in terms of your perspective or thinking about another disease? is there any new take that's come to you? >> we've altered the process. [laughter] was in the beginning of production so when the pandemic hit, we paused and said okay, how do we address this in the book? what was surprising was how easy it was in the book to transition so amy, you probably saw a copy earlier in this, there are some missed pages uncovered because it was disturbing how easy it
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was, all the racial disparities in healthcare talking about with these diseases, it completely came to the forefront and still are at the forefront with covid so even vaccination rates just today i was hearing a news report about vaccination rates in california overall doing really good but disproportionally much higher for wealthy communities and white communities than they are for communities of color so those disparities, they are in our face and covid is in our face but i also think it's easy to forget about them once the crisis is over so i feel like my shift in perspective is that i'm hopeful that may be because of the scale of this pandemic that we are not going to want to put it away so quickly but it's still yet to be determined.
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if this pandemic has changed how we think about public policy in healthcare and healthcare access and racial disparities, it still remains to be seen. >> i thought about that, too, it's been a year for anyone can see what's happening in india affects us and so on so maybe the lessons will stick with us. we are going to start taking questions pretty quick so everybody, think of some questions and put them in the queue and they. before we do, i was interested in a little bit about the writing process, did you write pieces of the book as they felt complete to you and later worked at the time i'm? what is the process of writing this? you got family story that goes back and then you've got what
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the recess research process is like, you do one bit early even though it's at the end of the book and rearrange rearrange your mind and put into a narrative, what was that like? >> it's fun to talk with you because you really know it and describes it perfectly. i would say that's probably -- even though i was not what you write is a memoir, i was not planning to write much about my auntie because as i was learning new information, i was gaining insight into my childhood expenses, i would say i was writing fragments and thinking this is for me to get more clarity about what happens in our family. i kind of put away and when i was focused on, probably patient stories which makes up the third part of the book, probably it was written first because initially i thought i would do a
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deeper dive into the story and make them the backbone of the book so it's part three that happens first and research, i was riding as i went along. i did have the big okay, i've got six months, i need to sit down and start writing further but i would say a chunk of the research i did as i went along. what was really challenging and set up being the memoir where i gave my editor, i don't even know how many pages, i should go back and look. she is amazing and she returned it to me with here are chapters in this long text which is amazing but it was almost the last moment possible to structure for the book came to me. the original title is in search of a kissing bug so that was
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shortened but i realized i'm searching, i've been searching for so much. it sounds really obvious as you are saying, it sounds obvious now but it was quite a moment of lights going off in my head like oh my gosh, i am searching and that's when i realized, that searching for the family story and part one and more for the medicine and science in part two because i felt like i wanted leaders to have that not necessarily super technical information the medicine and the understanding before they went into reading about families my family is not the only one that has mythology around her, the patient was at this is only affecting old people, i was having that material in the chapters about the patient so i was realizing i need the readers
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to have technical information so they could appreciate how it looks on the ground in someone's day to day life i think i took a picture at one time, 1 million post-it notes on the wall, if i move this about doctor to the middle, will it make sense? there's craziness around the post-it notes were attached together my words of wisdom are like you will find structure and happen when it is least expected you the other way? i know some writers need that structure at the beginning for the outline and.
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>> i got good insight early on, the author is the narrator, you are a stand-in for the reader so the story needs to be experienced in a way a reader coming in fresh makes these discoveries with you so you can't know too much in the beginning sorts a job of shuffling around making sure you are not terribly informed in the beginning and you come out the other end transformed by what you learn because that's what the reader does with you and i think that makes one of these books in the way you are looking, it's a book that will be read by people thinking about
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journalism and science writing in this approachable engrossing way where you go on a journey, it's my favorite kind of writing. >> thank you so much, that means a lot to me. >> you want to jump into questions? >> let's do it. >> let me get into this this is a great question to start off with. the cdc says if you get from contact with bugs, it's been documented in this country and it's an important thing to people know many people been, are they unaware that? >> this is a great question. yes, most people, when they are bitten, it is very easy to miss it. i'll show from the perspective about america and then here, you
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will get bug bites, allergic reaction to where there was a bite but back in be easy to miss especially if you don't know -- if you're living in an area with a lot of kissing bugs, rural areas in south america or central america, you don't know they are super dangerous or sometimes in the community they know they are dangerous, they stay away from them but they are part of your day-to-day life. the symptoms are not dramatic so to state will be the first two months and you might have a fever, he might have aches. at most, you might have a swollen eyelid where the material the parasite entered your body but the symptoms tend to resolve in most cases pretty quickly which is what so challenging, there aren't huge red flag alerts that would make someone seek medical attention. the reality in rural areas in
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south and central america and mexico is that even if you did want medical access, he oftentimes can't, people live far from doctors and hospitals. in the u.s., is similar, insects here you don't tend to get the swollen eyelid but you will have allergic skin reactions so usually were either camping or you live on a ranch or have that kind of exposure and you don't think of it as being anything different than any other bug bite you happened to be getting at the moment and it's not like lyme disease where you will looking for a distinctive rash or anything like that so it is really easy to miss it which were adults, it's really difficult because in the acute stage, there are two medications i can oftentimes successful and
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eradicate the parasite but once you're out backstage, medications don't work in the same way and you go into chronic phase. the cdc has documented fewer than 100 people and stringent rules for how we decide someone is infected, you have to test positive on two out of three tests and it's a very -- there is a scientist who hates it but the parasite is coming. the parasite can be elusive at times and it possible to get false negatives and false positive so the cdc has rules in place for that. a lot of the people who have tested positive in the u.s., people i interview, it was mixed i interviewed a woman in california who clearly had a bug bite but it was also so arbitrary in the sense that she was on a piece of property in
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california with her spouse and their children and no one except her got a bite and got infected, everybody was tested ultimately. another woman who i write about in the book, most likely was infected at her mother's house where she would visit sometimes in texas but her mother was not infected herself, it's a little bit we can't say because you have exposure you are definitely going to get bit and infected, it is quite complicated if that makes sense. >> parasitic diseases are like that, not a guarantee you are automatically going to get them. most of us do tend not to think about bug bites and we don't think about when we travel either. when i was traveling, people said tell me where you are going on vacation and i will ruin your trip, i will tell you what will
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kill you. i travel with a lot of bugs control products everybody would make fun of me but i've gone to the cdc website ahead of time and got my vaccine and travel vaccine and i'm loaded up with protective stuff because i think here, nature is powerful and we understand that when it comes to something like here on the pacific coast, understanding when it comes to the ocean, don't turn your back on the ocean. when we think about fire when it comes to a little tiny sect insects. a few more questions, can you talk about other insect diseases, why is malaria so better-known plaques. >> well, malaria is incredibly prevalent, it affects millions more people, it affects people in many regions of the world so
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i would say that's part of the reason it get more attention although i found this surprising myself, malaria is actually considered a neglected disease. there's no reason we should not have eradication of malaria but it's disproportionally affecting poor people around the world. in fact, during this pandemic, one of the medical op-ed i read stayed with me from a researcher in south africa, i think it was, she was thinking about -- she works on malaria and she was thinking, what would it be like if the resources we are throwing at covid, if we through this at malaria? her lap was having to put on hold everything they were doing for malaria and the patient's,
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to focus on covid. for her it was a painful reminder of the inequities, we don't put more money toward malaria because it's not coming around the world, into wealthy countries in the same way it goes to poor countries so i feel like we all know malaria but it's actually neglected in terms of funding, not as the same way these other diseases are but it is still considered a neglected disease. >> this might answer another question, marine is saying if the disease is caused by parasites, is it possible they are not infected and therefore would not get this disease? the answer is yes, that's true with mosquitoes as well. for instance, a mosquito here in portland, malaria is parasitic disease, they pick it up from one place and sort of deliver it to another so it has to do with
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community spread and in a community suddenly there's a bunch of bugs coming around with this disease. >> that something that has changed this past year, we've all become so nuanced in the language of medicine and science in ways we were not before. >> there are two questions from two nancy's, where are the bugs found in what is the treatment? >> kissing bugs largely found in south america and central america and mexico, rural areas, they are picky about their temperature, they don't like it too hot, too cold, it has to be just right, 60s temperate climate but they are here in the u.s. as well, the south and southwest all over california. texas has a number of insects
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that stand out for that reason and there are two medications. one has been approved by the fda for use in the united states and the world health organization considers it to be an essential medicine because researchers don't understand why buffer children, even past the acute stages of the disease, treatment can be really effective and can be effective with newborns born with the disease. for adult, it lowering the parasite in your body, it is essential for women inking about having children because studies have shown he can perhaps lower chances of passing the parasite along to your child during pregnancy. that drug is now fda approved which is a good thing and a struggle.
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>> one more thing that might be helpful for people to remember, to his sometimes these are more prevalent in the human population because of the changes in human behavior. people living closer and closer to wilderness areas so if there was a time when by and large they would go hang out by themselves and people were somewhere else, we are seeing changes in the ecosystem bringing us into closer contact and more opportunities. >> absolutely and here in the u.s. the same thing is happening and that's what surprising about texas, i was so fascinated, what's going on in texas?
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texas does not have the highest number of people with this disease, it's actually california far and away has the most people in the country with this disease because of its immigrant population but people in texas are seeing more and more of the insect, they are seeing their dogs contracted, their canine and it's what you're describing, more and more of texas is being developed so i don't know but that's the cause but that was a feature of what's happening in texas and someone i interviewed said my wife opened her purse and found one in her bag and her iphone of all places. from his perspective, this is a veterinarian. from his perspective, it's like this is kissing bug country and we are showing up and turning ranchers into corporate headquarters and housing for people coming to these companies so we are entering from the inter- and perspective, we are entering their territory and destabilizing them so it's an interesting process to think about it from the and
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perspective. >> right. this is an incredible book and could not be more timely so i hope you guys will check out the book and i want to say we have a couple of minutes, feel free to put another person or two and but whenever i see an independent bookstore, i always urge people to buy a book, i used to own a bookstore, firsthand i can tell you the only way they stay open is if people show up and buy books. the building would be full and tons of people there, i know it's impossible to imagine in a moment when this doesn't exist but literally human a bookstore like this keeps its doors open because people buy books everyday and that's the only way that works. now more than ever, get something at powers and support your independent bookstores.
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>> absolutely. they have signed book cases as well. many reasons to shop there, i agree. >> absolutely. any other questions or comments before we wrap up? >> thank you for coming, i really hope you pick up a copy from powell's and thank you for being here, thank you, i am a big fan of your work. >> this is great. >> thank you so much, it was wonderful to host you both this evening and thank you for tuning in tonight, please consider purchasing a copy. you can get it on power.com and be sure to check out the event and we look forward to seeing you at another one soon. thank you for joining us and for
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the great talk. have a good night. ♪♪ >> weekends on c-span2, and intellectual peace every saturday, american history tv documents american stories. some banks, book tv brings the latest in nonfiction books and authors. funding for c-span2 comes from these television companies and more including charter communications. ♪♪ >> broadband is a force for empowerment. trotter invested billions. building infrastructure, operating technology, empowering opportunity in communities big and small. charter is connecting us. >> charter communications along with these television companies support c-span2 as a public service. >> during a recent virtual program hosted by the harvard
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bookstore atlantic staff writer clint smith looks at the legacy of slavery in america and how it's affected history. >> i was watching the statues come down in my hometown of new orleans, are just thinking what does that mean that i grew up in a majority black city and they were enslaving people? starting to think about how the city was built to reckon with his own relationship in the history of slavery, history that is ingrained and embedded in the physical infrastructure of that city in a profound way and opened it up and started thinking about other places across the country in the ocean and how they were telling that story so i have been writing for years but so much is animated by trying to write into the gaps and fill the gaps that i felt
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like i had experienced and was carrying from a young age trying to answer a lot of questions and fill the void in my own education i hadn't had the answers to end the book was a process of attempting to fill those gaps. >> to watch the rest of the program, visit booktv.org. search for clint smith using the search box at the top of the page. >> jeremy is an anthropologist and : editor, the most interestg problem, what garments descent of man, right and wrong about human evolution. he's part of the research team that discovered two ancient members of the human family tree. he studied wild chimpanzees an early human fossils and museums throughout eastern and south africa from 1998 to 2003,

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