Hope Is A Verb - Can We Stop the Next Pandemic Before It Starts?

Episode Date: September 15, 2026

What if we could catch the next pandemic before it starts?For most of human history, we’ve discovered outbreaks after people start getting sick. But what if we could spot a dangerous virus ...as it emerges, track it as it spreads and give health workers the information they need to stop it - in real time?Meet Dr Pardis Sabeti, geneticist, disease hunter and professor at Harvard University. Pardis has spent more than two decades on the frontlines of some of the world’s deadliest outbreaks, from Lassa fever and Ebola in West Africa to COVID-19. Now, through Sentinel, she and her team are trying to build something even more ambitious: an early-warning system for infectious disease that can work anywhere - including communities across Africa where laboratory resources are limited and outbreaks can easily go undetected.From why many “emerging” diseases may actually be diseases we simply haven’t detected to the devastating consequences of global health funding cuts - this is a conversation about how close we are to changing our relationship with infectious disease, and what it will take to stop the next outbreak before it becomes a pandemic.In this episode:How Pardis and her team tracked Ebola as it spread through West AfricaWhy many “emerging” diseases may already be circulatingHow Sentinel is building an early-warning system for outbreaksWhat Rwanda got right with MarburgWhat global health funding cuts look like on the ground and in the labWhy stopping the next pandemic will take more than technologyWhy Pardis still believes we can build a world where outbreaks are stopped before they become pandemicsTimestamps:00:00 The Disease Hunter00:42 If Pandemics Keep You Up at Night02:51 Inside the 2014 Ebola Outbreak03:38 The More You Test, the More You Find04:39 Building an Early-Warning System for Disease07:05 Are Diseases Emerging - or Are We Finally Detecting Them?08:48 How Did Pardis Know COVID Was Coming?10:36 Is Another Pandemic Inevitable?11:43 What Well-Timed Funding Makes Possible13:52 Why Every Person Matters in a Pandemic15:26 How Rwanda Stopped Marburg16:35 Why Ebola Is So Hard to Stop in the DRC18:26 Midpoint Reflections19:29 What Global Health Funding Cuts Look Like on the Ground21:39 Laying Off a Third of Her Team23:52 “Philanthropic Survivor’s Guilt”26:59 How Do You Take On a Trillion-Dollar Problem?29:08 Why Technology Alone Won’t Stop the Next Pandemic31:57 “I’m a Student of Humanity”34:03 The Work You Don’t Get to FinishFind Out More:👉 Explore Sentinel👉 Learn more about Pardis Sabeti and the Sabeti Lab👉 Discover The Audacious Project at TED👉 Read about Sentinel’s $100 million MacArthur 100&Change awardAbout Fix The News:Fix The News is a solutions-focused media platform sharing stories from the frontlines of progress - exploring what’s working in the world and the people making it happen.Subscribe & follow:If you enjoyed this episode, follow the podcast and leave a review - it helps more people find these stories.Production credits:Hosted by Angus Hervey and Amy Davoren-RoseProduced by Fix The NewsAudio production: Anthony Badolato, Hear That! This episode was produced in Australia on the lands of the Gadigal, Wurundjeri and Woi Wurrung peoples.

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Starting point is 00:00:05 Pathogens have what we call exponential spread. So one case can lead to two to four to eight. And so because of that idea of exponential spread, a single person can launch a pandemic. And that means every person can stop it. Every person truly matters. There's no way around it. One person missed, we're in a world of danger. Welcome to Fix the News.
Starting point is 00:00:35 I'm Amy. I'm Gus. And these are stories from the front lines of progress. Hi, it's Gus. And I'm flying soon. solo on the podcast this week, because we're going to do something a little bit unusually topical for us. Often on this podcast, we try to take a step back from the news, but today we're going to be talking about something that has been making headlines in the past few months, Ebola,
Starting point is 00:01:08 and the people whose job it is to spot outbreaks before they become something much bigger. Now, I don't like spending a lot of time thinking about global pandemics. I was in Melbourne during the COVID lockdowns in 2020 and 2021. We were the lockdown capital of the world. We spent longer in lockdown than almost any other city, I think, except for Buenos Aires. So I've done enough of that for one lifetime. But my guest today, Pardis Sabetti, thinks about this stuff, thinks about pandemics and outbreaks all of the time. She is a geneticist, a comprehensive, a comprehensive, computational biologist, and she's one of the people behind Sentinel, which is a disease surveillance system designed to give communities the tools to detect outbreaks early before they
Starting point is 00:02:01 get out of control, right where they begin. But it doesn't quite happen in the way that you might think. This conversation isn't a sort of feel-good one. We're going to talk about Ebola, about what happens when surveillance systems fail, and we're going to talk about the collapse and global health funding and what it means for people trying to prevent the next outbreak. But before you kind of just switch off, I want to also tell you that I found this conversation strangely reassuring. If there are things in the world like pandemics or anything else, really, that keeps you up at night, it's important to know that there are people like Pardis who are already awake, who are thinking about how to stop those things from happening.
Starting point is 00:02:45 And I'd encourage you to dive into this with us. It's a fantastic conversation. So let me set the stage for your audience, that 2014 was in the heat of the Ebola outbreak in West Africa. So basically in March of 2014, an outbreak was declared in Guinea of Ebola, hadn't really been seen in West Africa before. And it was quite terrifying for a lot of people because by the time they picked up that this was Ebola that was circulating this mystery disease, it had already reached a large part of the country. We were working in Sierra Leone at the time. My team at Harvard University and our colleagues at Tulane and partners in Nigeria and Sierra Leone were all working together on another virus called Lasovirus. That's another hemorrhagic fever virus that circulates in that part of the world.
Starting point is 00:03:35 So we recognize in both of those countries that there is now a risk of Ebola circulating in the region. And if it was to come to those countries, our hospitals would see cases. So we quickly set up diagnostic testing there and the teams that we work with there on the ground were the first to detect it in Sierra Leone. and in Nigeria. And in that process, we recognize that the more we set up testing, the more we identified cases. And we started to realize that this idea of an emerging disease, it's not exactly the right idea, that this isn't emerging diseases. These are just emergent detection of diseases that are circulating, right? I think Donald Trump once said, if you don't test for COVID, you don't have it. And I think that's actually quite poignant. That's a true fact. If you don't
Starting point is 00:04:15 test for something, you never see it. And as soon as you set up testing, you start seeing it. And that's basically what we were doing with these hospitals, and we started picking up more and more cases. And to us, it became pretty evident that we're not testing for a lot of things, so we shouldn't be seeing them. And we don't usually find out that they're even there until the signal gets so dramatic that even somebody succumbing in a terrible way to a disease might not be enough. It has to be many people succumbing over many months over large regions until it catches attention, maybe gets analyzed in the right way, and you find out what's going on. Okay. So you decide that this is a problem worth solving. I mean, where do you even start with something like that? Do you have to build something new?
Starting point is 00:04:52 Do you plug into existing systems? What is the balance between those two things? Well, I'll tell you how we started. I started small. We started with my Harvard startup funds and a call to Christian Happy, my colleague in Nigeria. I actually was a human geneticist mainly, although I always worked in infectious disease. And I developed an algorithm that could mine the human genome and identify signals of human adaptation.
Starting point is 00:05:15 You may have heard a story about sickle cell anemia and how it became common. because having one copy of that trait protects you from malaria. So it's a classic signal of like adaptation that we adapted to malaria by having the sickle cell traits start to emerge. And there's other ways where we changed in our environments. We went to places with less sun and we got lighter skin. And there's all sorts of forms of human adaptation. So I was studying that process of like traits that help humans survive.
Starting point is 00:05:42 And when I was studying the human genome, the signal I found that was the strongest was a gene called Large that was critical for entry of Lassa virus and it was under evolution in Nigeria where Lassa is found. And so that made me be like, wait, what? What is this disease? Why have I never heard of it, even having gone to medical school? And why is it one of the major drivers of our evolution? So I set out to just ask a question, does having this trait protect you from Lhasa, not really knowing that much about the disease, but then when we set out and started working in Arrua, Nigeria, we realized, oh, This disease is everywhere. There's a ton of cases, and it's not being detected because there's no diagnostics in
Starting point is 00:06:23 country. It wasn't like there was an alert that Lhasa was a problem. It was a weird signal I found in the human genome that made me be like, huh, could this disease be more important than I know anything about at least? And so over time, we started to study it more and more. And we went to this rural hospital in Rurua, Nigeria, and then also later, partnering with other colleagues at the Kedama Government Hospital in Sierra Leone, rural hospitals that were dealing with Lhasa fever,
Starting point is 00:06:49 and we came to them and we started to help them set up capacity to test more cases and identify what could be going on. And so that just really involved meeting the communities where they were at. I spent seven years helping the community just start developing infrastructure to test for Lhasa before I ever started any research questions because we just had to get the foundations and the fundamentals there. But what we found was that the more we set up capabilities, the more cases we found.
Starting point is 00:07:15 and the more the communities got activated, the hospital used to be described as the cemetery because you would go there and they didn't have diagnosis and they didn't have good treatment, so they were there to witness the ravage that the disease did to you without any solutions. But once you started set up diagnostic testing and got in early treatments, things transformed. And so we saw a transformation of the hospitals. So we ended up writing a paper called Emerging Disease or Diagnosis question mark, like asking the question, is this emerging disease or emergent detection of disease? are circulating. And in that, we basically said, hey, if we actually helped local hospitals
Starting point is 00:07:50 set up the capabilities to test for the things that are circulating in their regions, we would not only help those communities and those doctors on the front lines, we would create sentinel sites for the whole world. And that was the premise. And so it is small. It's a small effort. It starts really with local communities empowering them with just the tools and technologies that are available to us, and then increasing them because there aren't diagnostics for most viruses that are circulating. So we kept adding more and more diagnostics for more diseases that were impacting them and then using something called metagenomic sequencing to see if we could discover more viruses that are circulating in those regions and develop diagnostics for those.
Starting point is 00:08:28 And then, as you said, it builds out from there and you start working with the local communities, the local public health, all the way to the Nigeria, CDC and the Africa to CDC and the WHO. You start working with the partners at every level. But that was a slower process. It was really start with the local communities, start with the clinicians on the front line, meet them where they're at with the needs they had, and then from it grew a much bigger understanding of a problem. This kind of different view, I suppose, of disease response. You know, one is responding to the disease. One is setting up a surveillance network. So trying to get the signal before it happened.
Starting point is 00:09:04 How much of your hunch was correct and how much were you wrong about? You know, what ended up surprising you in that? Honestly, nothing. I'm trying to think, actually. I'm trying to think. It was like, what did we not know? We actually knew everything. And that's the part where it's hard to explain because people are like, oh, how did you know COVID was coming?
Starting point is 00:09:20 I'm like, because you're just in the field and it's obvious. When you start looking, you're like, Lassa fever is everywhere. It's a matter of time. This virus can be lethal, can be fatal. It's changing all the time. It's mutating. It's a matter of time before one strain gets away and kind of goes out of control. We wrote a paper in 2012 where we said Ebola circulating.
Starting point is 00:09:41 It's circulating all over that region of Africa, West and Central Africa. There's obvious evidence for it. You just have to look. Also, when you're looking, you just see that, I mean, we predicted that COVID, we predicted viruses are spreading asymptomatically, like long before, because they just do. You just see it. That was one of the premises of this paper that we wrote the emerging disease or diagnosis paper was that you assume that every patient with Ebola is bleeding out of every orifice
Starting point is 00:10:06 in this dramatic way that you see in Hollywood, right? because the only time anybody bothers to run an Ebola test is when that's happening. So you get what you look for. If you only look for Ebola and patients that look like that, you will only see Ebola and patients that look like that. And so we said if you looked at more people, you would see that actually a lot of other people are walking around with Ebola and you wouldn't know it. And that's basically what the paper said.
Starting point is 00:10:27 We said, take Ebola. And at that point, we were like studying one, but also like more and more studying the other. If you look at it, there are lots of cases that are not being diagnosed and they are circulating. I said it's been circulating for millennia, and it's probably circulating pretty widely. So none of it was actually a surprise, and that's the frustrating part because we see all of that and we know exactly what needs to be done. And we see that another outbreak is coming. A major pandemic is coming because it's obvious because we're in an environment in which these viruses
Starting point is 00:10:57 are having more and more opportunities to transmit from human to human than ever in history. We are reducing our surveillance and our countermeasure capacity. And we're increasing. seeing in a world where so much of this is about how we work. I just connected with somebody named Josser Ackerman at University of Michigan that's telling me fascinating things about how humans engage when they're sick and they're not telling each other when they're sick. We have less trust in each other. So we're also going to be walking around, hiding our infections from each other.
Starting point is 00:11:24 And so it's just a matter of time. Nothing is really truly a surprise. And we really need to start working now to deal with that better because otherwise we're only going to decide that we need to work on it again when we're in the middle of another pandemic. And this time, it won't be one that half the population can write off, right? It will be one that we will all have to contend with because it could be fatal to major swaths of the population. All right. So you're like, right, we have this problem. We can see it. We're going to try to do something about it. So in 2020, you launched Sentinel through the audacious project. The timing of
Starting point is 00:11:58 this was amazing. The fact that you launched it in February before anyone had heard of COVID. Take us up from that moment, 2020, up to the current day. What does Sentinel look like? in 2026. Yeah. So what's interesting about it is that Christian and I did a lot of this work early on with our own kind of startup from Harvard, just little grants that I got, investigator grants, like wonderful ones, but smaller ones. And then the first time we got like significant funding to, on this premise of an early warning system for pandemics, was actually launched in March of 2014. We had the thing in early March. In late March, we were like setting up the Diagnostic Free Bowl and we were in it. And then we got up the Audacious Prize. We submitted
Starting point is 00:12:37 the application December 2019, got it in February 2020, and then March, we were in the pandemic. And so I was pretty, I was like, I was like, boy. None must have been in grants. Yeah, yeah, yeah. Well, yeah, now we got this MacArthur Prize. And I'm glad to say that like, you know, although I do feel like I'm in a pandemic, I feel like there is something brewing. And we don't know yet, but it's going to sideline us.
Starting point is 00:12:58 So, yeah, so it is a little bit of like, watch out if we ever get a grant. We might be in trouble. The other way I describe it is you can't always get what you want, but sometimes you get what you need. We wanted that grant well before our. outbreaks happen. We needed it then, so we're grateful that we had it. But essentially, Sentinel is forged through about two decades of work together with Christian Happy and I, partnering on Lassa Fever and malaria before that. The simple premise is detect connect and power. You need to detect
Starting point is 00:13:26 pathogens wherever they occur, either characterizing them in genome centers or testing a broad set of potential pathogens, bugs in hospitals or at-home testing for things that are circulating threats. And also getting just everybody on their phone saying, I see a cluster of symptoms, or I have these symptoms and using that information to get them what they need. Then you need to connect all that because of the communicable nature of infectious diseases. That is, it spreads between person and person. It spreads from village to village. You have to connect that data for it to be meaningful, right, finding out that three people that went to this party each goes somewhere and find out they have a disease or one of them does and the other ones don't. It doesn't get you anywhere, but once you see, oh, there's a cluster happening here, that's where you start to really understand how you get that intelligence that's going to help you respond quickly and then find more cases before things escalate.
Starting point is 00:14:19 So you need to detect, you need to connect that information in real time and get people to be able to analyze that data, share it with the world, get things out there. And then finally, you need to empower a reactor in the system, like the idea that there's something I often say, which is that unlike other existential threats to humanity, where you can tell people like you should vote in America, but unless you live in a swing state, you can't really convince them it matters. But pathogens have what we call exponential spread, right? So one case can lead to two to four to eight. And so because of that idea of existential spread, a single person can launch a pandemic. And that means every person can stop it. every person truly matters. There's no way around it. One person missed, we're in a world of danger. And so within that context, we really think we have to empower every actor in the system to get
Starting point is 00:15:05 the information that they need and to do the work that they need to stop the pandemic. Because so much of what we do is build around education. So basically, forward to these two decades of working and these grants that have helped us move along. We're really grateful to the NIH and to the World Bank for starting us on this path with big major investments. And then the audacious project for pushing the Sentinel program and a number of other amazing funders who are making this possible, we're able to keep on that path. All right. This has worked, right?
Starting point is 00:15:35 I mean, I think Sentinel played a fairly large role in reducing the impact of the Marburg outbreak in Rwanda. Tell us a little bit about that. Why did it work? What went right? Well, I mean, I think the biggest thing that went right is that we were there at the service of Rwanda. That's the thing that we always do. people sort of ask, how do you work well in countries? I'm like, we just ask them what do you need from us?
Starting point is 00:15:57 That's how we work. We never try to come in and say, we've got this, but that's not what we do. We identify and find the terrific people in country who are leading the charge. And we just provide them with resources to do what they're doing as best as they can. So Christian's team in Nigeria are the ones that roll out to the different sites and work with them. We also go there, but their team is the real leader in that. They went on ground. They supported the sequencing efforts of the country.
Starting point is 00:16:22 helped them establish reporting and identify what was going on and just work closely with them to help them think about how to stop the outbreak, how to identify cases, to how to understand transmission. And what was really great about that is that they stopped transmission quickly and they got a very low fatality rate because they were able to identify cases quickly and stop them from spreading to other people. The current outbreak in the DRC is now the fastest growing outbreak ever for Ebola and was very close to becoming the second largest outbreak. And I think the UN and the U.N. and the the WHO is warning that if it continues at this pace, it's going to become the largest.
Starting point is 00:16:56 So what went wrong? How does it go right in somewhere like Rwanda? But here, we look like we've got a real problem on our hands. It's honestly a perfect storm. In regions where there's conflict, there's a dual problem, which is that conflict creates all of the circumstances that will lead an outbreak to escalate. Displace populations, poor sanitation, lots of chaos, the decay and health care systems, all of that is what's going to be more likely to cause an outbreak to happen, but then also
Starting point is 00:17:28 more likely to cause an outbreak to go undetected. And so as the world seems to be increasingly moving to the constant drum of conflicts, we're really going to have to come to terms with that of how to build systems to weather those conflicts and not allow outbreaks to escalate. So probably the biggest reason why we're in the circumstance we aren't is the conflicts in the DRC and the lack of health infrastructure around that and the lack of safety of health workers to operate that have given us such poor visibility that it took a long time for the outbreak to even be detected, and it's very, very hard for the outbreak to be responded to and for health workers to perform the duties they need to perform. But in addition to that, there was the loss of a lot of global health funding,
Starting point is 00:18:15 the removal of a lot of peacekeepers on the ground, the continual difficulties in funding science and the funding, vaccine work. So it is a real perfect storm and it's hard to see the way out without real international cooperation, which is not great right now. Okay. At this point, I think it's worth explaining what Sentinel actually is. The basic idea is pretty simple. Instead of waiting for samples to travel hundreds or thousands of kilometers to a central laboratory and then waiting days or weeks for an answer, Sentinel is trying to put the tools to detect disease much closer to the people who actually need them. In other words, you find the outbreak where it starts when there's still time to do
Starting point is 00:19:05 something about it. And underneath that story is another one that I don't think I was expecting, because you can build the technology and you can train the people and you can create these amazing systems for finding dangerous diseases before they spread. But then you have to keep the whole thing running. And as Pardis explains, sometimes the thing that threatens, to undo all of that work isn't the virus. It's the money. Intuitively, I think people understand, you know, it's very, very difficult to provide health services
Starting point is 00:19:40 or provide any kind of service in a zone of conflict. That makes sense. I think what maybe is less obvious is this slashing of foreign aid and global health cuts that started about 18 months ago. And, you know, we're really now starting to see that come through. What does that actually look like on the ground? Who suddenly disappeared from your network?
Starting point is 00:19:58 So much disappeared from the network. lot of frontline testing, health workers, peacekeepers, like all of those things. I had colleagues on the ground who basically worked in DRC very successfully for many, many years, who now there were kidnappings, there were greater risks. Essentially, there was a sense that there's now no international force to protect the region. And so you had a lot more gangs and warfare and terrorist acts that were happening all around. And so a lot of people lost the funding to work. And then a lot of people who had funding to work could just no longer viably work there. So it was literally no surprise that this happened because of the number of people that I knew that either were withdrawn or had to withdraw based on what was going on.
Starting point is 00:20:45 All right. When you strip this funding away, what is there in DRC right now? What does the response actually look like on the ground? I mean, I like to be honest with what I know and what I don't know. I don't have the best sense of it. I'm not in the WHO, so I don't have visibility to anything outside of our own group. And I get the information that you all get for the most part. So I can tell you what our own team has.
Starting point is 00:21:06 Like our own team has been sending people to the front lines kind of in a rotation, supporting the teams on the ground. But there's a lot of challenges and restrictions that are more difficult than before. And usually, like, our teams in Nigeria wouldn't think twice from going on the ground and our teams from the U.S. would be able to join. There's a lot more friction to every part of that. So we are there. We're on the ground.
Starting point is 00:21:27 but there's a lot more components to make that difficult. You had said actually, oh, it's something that's in the news and everyone knows it's in the news. I'm like, is it really? The last time Ebola was on the front page, there's so much other news. It's not really being followed that closely, and there's a lot we don't know about how the outbreak is going.
Starting point is 00:21:45 Obviously, this Ebola outbreak is really serious, but I guess the thing that keeps you up at night is a serious global pandemic or another one, on the scale of COVID, but one, as you say, that may have a very different kind of profile. I'm curious about what the slashing of global health funding has meant for you more broadly for the Sentinel Network. When they happened, we had gotten this big prize from Audacious and it was a five-year project. Ted works for this really closely and carefully and really helps us support sustainable funding for the longer term, right, so that it doesn't kind of all go out.
Starting point is 00:22:22 At that point, we had secured a lot of broad, diverse portfolio of funding. that would allow us to continue once Audacious completed. But then when the funding cuts came, and not only were there a lot of cuts to current funding, but there was like a lot of things that were on the horizon that got withdrawn, so there's no more funding. We suddenly found ourselves in this really difficult predicament where we were on the side of a cliff,
Starting point is 00:22:48 and there was kind of no way out. And everybody was paralyzed and trying to figure out what was going on, so there wasn't a lot of movement. And in the midst of that, I had probably one of the hardest, kind of personal things in the lab where we had a point where there was no funding and there's no cuts I could make or things I could do to get there. So I had to lay off a third of my own team. And it was really hard because I was going to all these other agencies and being like,
Starting point is 00:23:11 please help us. And they're like, no, no, we just laid off 80% of our team. When everyone you go to ask for help is already cut most of their team, there's nothing to ask. And so we had this really difficult place. And I had to let go a lot of beloved colleagues. And what I told each of them, was I don't want you to think that the training and the background you got is not a value. It is of great value, even though right now we don't have the funding for it. And then sadly, you're in a growth industry that right now we're breeding pandemics all around. At some point, it'll all come to roost and you'll have to go back in action. So maybe you can take a break right now and refresh yourself because you will have a job
Starting point is 00:23:47 before you know it. And then I came back to the rest of the team. And I said, let's get all of our papers out. Let's get all of our works accomplished because we don't know what tomorrow is going to bring. So let's live every day like it's our last professionally. We wrapped up a lot of work and we got it out. And I wasn't sure we were finalists for this MacArthur 100 and Change Prize where there was over 860 applications for this thing. There's one winner.
Starting point is 00:24:08 We were one of five finalists, but we were up against unbelievable talented organizations and really didn't think we were going to get it. So it was like a shot in the dark, but they gave us some hope, but it was really a 20% chance and we felt less. And then suddenly several months later, we get the process. and our fortunes completely change. And so we're back in it and we are able to do things. I definitely, when I went into the meeting, it was called a status update on our application. I went into that status update,
Starting point is 00:24:38 assuming that that was the reason it had that kind of a name and all of that was that they were going to say thank you, but no thank you. So I had prepared a concession speech, which funny enough, like Christian Happy, my colleague was much more optimistic and he was like, I'll do the acceptance speech. And then the funny story there was that he got so of a clumped
Starting point is 00:24:55 that he froze and then I ended up going into my concession speech. And so I, but it was, it was, it was apt because it basically was like, I know what it's like to have uncertainty and to be a finalist and not get it. Because I've, I'm living like that. I was giving an unbelievable carmic gift and I have a carmic debt to pay off because we recognize there there, there'll be like, why you? You know what I'm like, I don't know why me. And so we got to make sure that we make it clear that it's good for everybody if we get
Starting point is 00:25:24 this and how do we do that? Just like a weird version of like sort of philanthropic survivors guilt. I've never really heard this before. Yeah. It's really interesting. All right, very quickly, just for our audience, what was the size of that grant? Why has that changed your fortune so dramatically? Well, it was 100 and changed. It's $100 million to change something meaningful in the world. Obviously, the largest grant will get in my lifetime. And to come then when I was seeing the whole thing crumbling was just that was more than my brain could handle. I was depressed for a while after that. You know, so that's the weird thing, which is like, they're like, how'd you celebrate?
Starting point is 00:26:00 I'm like, this no celebration. I was like, some people talk about having FOMO, I have FOMO, like fear of others missing out, right? Like, I definitely, if I didn't, yeah, I'm okay, but like, that's the thing is I don't want others missing out. And I also know that $100 million is a lot, but it's more working in five countries. It's not enough to, you know, when you actually look at what you're trying to do, it's not going to replace all of the public health system, right? So you have to think about how do you make things better? So all is that to say, things are changing. I do think that the administration has, to its credit, recognize that we've got a problem. There's a lot of intelligence that tells us that bio-weapons are a risk, that biosecurity is a
Starting point is 00:26:40 risk. And it's not clear yet what will happen, but we're seeing a lot of things moving that suggests that grants will start coming. I'm hoping that that's the case, and I'm grateful, and I've been having really good conversations with a lot of different departments in the United States around on biosecurity and there's a lot of movement there. So I do think that growth industry may, God willing, may actually recognize the problem before it's out of control. Can you explain to us what is now possible, what does Sentinel look like now that you've got enough to tide you over until things potentially change and there's a shift in actually
Starting point is 00:27:15 in money getting out the door from the administration or whoever the next administration is? For us, the question we of course always got asked by the committees, very astute committees, that are reviewing us is what is the point of this money if it never will solve the problem. You know, this is a multi-billion-dollar trillion-dollar problem. How could this make a difference? And that's the big thing we work on. Everything we do is around reducing the cost because we recognize that while we believe that government should put billions of dollars towards biosecurity and infectious disease,
Starting point is 00:27:42 they may never do that. And so the way that you can make the costs manageable is by reducing the cost of everything in the system, by using information intelligently, so you test the right people for the right things instead of hundreds of millions of tests of healthy people, right? You get cheaper with your testing, you get smarter about who you test, so you do it better. You reduce costs, but then you also reduce time.
Starting point is 00:28:05 And how do you reduce time? You make it so that the data systems work faster, the intelligence gets out there quicker, outbreaks get stopped before they exponentially escalate out of control, and everything we're doing right now is around reducing cost and time for outbreak response. And we think that will make it manageable and able to be ingested in federal government funding across the world so that they can do that. One of the things really is important to us is we are truly wanting to be collaborative.
Starting point is 00:28:31 We don't want to turn anybody down as a partner. We want to find ways of helping them however we can with the bandwidth we have. But we really do want to support broad good work in this space. At the same time, we've got this biosecurity risk that's kind of escalating out of control where I think bioweapons are going to be a thing. And I think that we are going to see agricultural attacks. We're going to see human attacks. We have definitely moved to a new form of warfare where it's no-hold bar. And anything goes.
Starting point is 00:28:59 We have to be ready for that. So, yeah, I think we're at a good steady clip, but we're fighting a rising tide. And so we have to just be more deliberate, more careful at every aspect of this. All right. what needs to be true by 2030 for Sentinel to still be the answer to this problem that you're trying to solve? Well, I think we have to build tools that meaningfully change the response time and transfer that technology into the hands of more people. So that's really what we're working at. It's really building high-quality tech principles that supports the frontline worker and responder,
Starting point is 00:29:37 get it in their hands, understand where they're coming from, make sure it works. The big thing we also need to do is just change the culture of our employees. response. It doesn't matter what kinds of technologies we create if we don't create a community working together, stopping outbreaks. I think one of the great tragedies of the lab leak theory and all of that is that like I'm not going to weigh in on whether or not I have my opinions, but I think publicly it's just not worth it at this point to weigh in on do I think it was natural or leaks or anything like that. What I can tell you is pretty obvious. Nobody wanted it to be leaked if it was. In the worst case scenario, it was a mistake that got out of control.
Starting point is 00:30:14 But the way we treated it as if we were going to interrogate everybody to the ground and destroy everyone and call everyone from China awful is that we are in a scenario now where whether we believe it's created or not. We have moved from a place where a bioweapon was impossible to possible to plausible to possible to plausible, right? We're now in a world where that's actually can be done. Whether they did it or not is a big question. But could they have done it for sure. Any of us could. Even the high school student in a random village could do it. That's the thing.
Starting point is 00:30:48 So why are we vilifying each other and fighting with each other when we know that we all have those capabilities? Isn't that a point where diplomacy becomes the number one thing we have to do? And shouldn't we have immediately been like, hey, let's do truth and reconciliation. It doesn't matter. Who cares? You know what I mean? Let's come back to a place where we all work. Because I think that at the end of the day, we're all humans on a planet and there's nothing short of an alien invasion that would bring humans together than a deadly virus that can kill us.
Starting point is 00:31:13 all of us. So if we care about the human race and the future of it, then we should stop the nonsense and stop the kind of escalation of tensions and just figure out how to work together. Look, my personal hope is that it doesn't require a global pandemic for human beings to start cooperating with each other again. But I also understand that you're talking about it here is a very real possibility and that you and many, many other people are trying to work on a response that heads this off at the past or at least gets it early enough that we can do something about it. That gives me some kind of assurance, but obviously there are so many question marks around this. I mean, you've been doing this now for your whole career essentially, but certainly
Starting point is 00:31:53 Sentinel, you know, Sentinel in its current form sounds like it's existed for 10, 15 years. Do you still want to be doing this in 10 or 15 years? Like, is this a problem that will ever be solved? Yeah. So, I mean, I actually during COVID almost stepped out because I'm actually by nature curious and I have three other research projects that are not anything like this that I'm interested in. So I started in human genetics. I did a lot of other anthropology. I went to medical school. I have a whole cognitive science arm of my lab. I'm not an infectious disease researcher. I think I'm a student of humanity and I just like using science and technology to better humanity. And during COVID, I was like, oh, okay, like everybody else has come in. The field has got it.
Starting point is 00:32:36 everyone recognizes the problem, I can step out. My entire early career is in human genetics. But once, like, the human genome project got finished and the hapsylid type map, and a lot of it turned into more just like, we're course, you know, just the spigot had been turned on. There's a lot of, like, gold to be mine, but I was like, you know what? Somebody else can mine that gold. Let me go find a new patch.
Starting point is 00:32:56 And that's kind of how I live and I exist. It's like, gold is being mined. I'll go find a new patch. And so I thought that, like, that had happened. But then I saw the dysfunction of how we were living. to each other and responding. And so I decided, no, I probably need to spend some more time here and figure out this piece. But no, I'm always thinking about succession planning in my mind, because I'm always looking for my next big thing. We have an incredible team. That's why actually
Starting point is 00:33:19 part of why empowerment is so important to me is that I want to build the next generation of leaders that do this and I don't need to do it. But I will stay in it until as long as the problem needs something I can give. And then I have these other side requests that are coming. But most of them all, like using science to better humanity by thinking about why are we doing what we're doing. I love that answer. That is a pretty good place to end it, I think. Is there a question that you wish I'd asked that I didn't ask? I mean, we could go on, but I think I'll give your viewers a break and no one of my contribution has come too close. This is a good enough time for that.
Starting point is 00:33:57 Oh, that's great. Pardis, thank you so much. We really appreciate everything that you're doing. We'll be keeping tabs. hopefully we will not see you in the news for all of the wrong reasons. Yeah, that's right. My greatest success is if you never happen to hear from me. Okay, so there's something that Puddy said towards the end of this conversation that has kind of just stuck with me. Her instinct as a scientist is to move on once the gold has been mined from a problem.
Starting point is 00:34:26 You find the thing, you learn what you can, and then you go looking for whatever's on the next frontier. But I think what's so interesting in her case was the nature of this particular a problem. There are things that we have to keep on working on, even when that problem isn't entirely solvable. And disease surveillance is one of them. You can't just build the system and then declare victory and go home. You have to keep watching. You have to keep adapting. You have to keep on passing on the work. And there are so many other problems like that. It reminds me of something the conservationist Chris Tompkins once told us.
Starting point is 00:35:02 If you're only thinking about what you can accomplish within your own lifetime, you're probably not thinking big enough. So maybe there's a version of that here too. Some of the most important work in the world isn't work you get to finish. It's work that makes you and us stronger for whatever comes next and whoever comes next. We know there are a lot of podcasts out there. It means a lot to us that you chose this one. It's made possible by our paying subscribers.
Starting point is 00:35:45 So if you're one of them, a big thank you. And if you want to support what we do, you can find us at fixthenews.com. This show was produced by Amy Rose with audio by Anthony Badalato from Here That. It was made in Australia on the lands of the Guttagal, Marundry and Woiwurong peoples. If you liked it, hit subscribe,
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