Stuff You Should Know - All we know about Zika so far...
Episode Date: September 22, 2016Zika is all over the news these days, yet in America, people don't seem to be too concerned just yet. Some say it's a case of the media crying wolf. Others say it's because the risk factors for zika a...re limited. Learn all about the latest virus to take center stage in today's episode. Learn more about your ad-choices at https://www.iheartpodcastnetwork.comSee omnystudio.com/listener for privacy information.
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On the podcast, Hey Dude, the 90s called,
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Welcome to Stuff You Should Know
from houseforks.com.
["Frosted Tips with Lance Bass"]
Hey, and welcome to the podcast.
I'm Josh Clark, and there's Charles W. Chuck Bryant,
and there's Jerry over there.
This is Stuff You Should Know,
about breaking news, Colin Zika.
Yes, we've had a bunch of people ask us to do this
over the summer, basically, and I finally gave in.
Is it all right?
Now that that epidemic is starting to wane,
we'll step in and start talking about it.
Well, one of the reasons I'm always reticent
to do something so on the forefront is like,
this will be outdated by the time it's released
in a couple of weeks.
Yeah, I was looking at some of the dates
on the material we used, and August 24th
was the most recent data I could get on some stuff.
I'm like, surely things have changed enough since then.
I want the newest numbers.
Give them to me who, and they're like, let us go.
And Roger Daltry said, no.
That was a bad joke.
Yeah, all over.
So anyway, I mean, we're gonna give you the overview
of what we know, but Zika is a,
or at least the current outbreak is a pretty new thing,
and they don't know a ton about it.
No.
So there's a lot of mystery involved,
and a lot is changing on a daily basis.
So just take it with a grain of salt.
Yes, that's not medical advice, though.
And some deet.
So you said it's a fairly recent, a fairly recent origin.
And a lot of people say, yeah,
the weird stuff suddenly appearing around the world
like chicken gunia, which is related to Zika,
and Zika has to have something to do with climate change.
There's definitely a thread that's going.
Chicken, I was about to say, that's delicious.
No, you're thinking of chicken tonight.
Oh, okay.
Chicken gunia is not delicious.
It's very painful.
Yes, not making light of that.
I was, but you know what I mean?
Yeah, you're Chuck.
Yeah.
But it's actually, it was back in, I think, 1947,
that some researchers from Europe and the United States
working in Uganda discovered this in a rhesus monkey
named rhesus 766.
It was born to be an experimental lab animal.
Because it was named that.
And they were looking for yellow fever,
and they found instead this brand new virus
that they'd never seen before.
And so rhesus 766 became the first known carrier of Zika.
Yeah, and it's named after that forest in Uganda
where they found this monkey.
And they didn't find it in humans until 1952.
And if you're thinking, and at that point it was Uganda,
United, and Tanzania where they found it in humans.
Right.
And if you're thinking, 1947, 1952, guys,
this is like breaking news.
Well, this outbreak is breaking news.
Zika had not been previously a very big problem.
No.
Pre-2007.
It was very localized to tropical Africa.
Yeah, and not a lot of cases even.
In fact, even in 2007, there were 14 cases documented,
although they think it was probably more undocumented.
Yeah.
And it wasn't until later in 2007 in Micronesia
that they had sort of the first large outbreak,
which was 49 cases, which isn't even that much.
And then in 2014 in French Polynesia,
19,000 suspected cases.
It's a lot bigger.
And then now this one is much, much bigger.
Yeah, something like, again, I was really pressed
to find hard figures, but it looks like something
like a million people have been infected with Zika worldwide
since 2015 is when this outbreak officially started.
Right.
And it's shown up in 67 countries since 2015,
since the beginning of this outbreak.
67?
And I've seen so many different numbers.
I was counting, too, and I came up with 58,
but I was like, it's got to be more than that.
I saw something in the 50s.
Yeah.
I saw 67, I think, on the World Health Organization
website, which is why I was like, that's probably right.
But while we were recording this,
literally another country could pop up.
Yeah, actually, Singapore is in the midst
of a new outbreak right now.
As of September 20, they have 383 reported locally
transmitted cases, which is pretty significant.
But that's up from 54 on August 29.
So less than a month, it's gone from 54 cases to 383.
Wow.
I read, actually, a posted an article on our Facebook page
yesterday about, I think it may have been from Slate,
but the author's suggestion was that there's
a lot of apathy in the United States toward Zika right now.
And then there were a bunch of, I read the comments,
and a lot of people had valid points.
They were like, sort of a crying wolf situation.
Like Ebola didn't turn out to be,
Mad Cow didn't turn out to be, none of these things
turned out to be these devastating pandemics.
Here in the US.
Well, exactly.
So the United States has a tendency
to be a little US-centric.
Sure.
So I think the comments I got from our listeners at least
were like, you know what, we've heard this before.
And so maybe there is some apathy.
There's a huge fear that that is going to prevent a vaccine
from being developed.
That's why there's not an Ebola vaccine.
Because the outbreak was contained.
And everyone said, well, we don't need to fund,
we don't need to start funneling emergency funds
toward vaccination research.
Yeah.
It's fine.
It stayed basically in Africa.
Hit a couple of people in America and Europe.
But for the most part, it's over there.
So we don't have to worry about it.
And they're worried that the same thing is going to happen.
The end of October, mosquito season is going to decline.
And the outbreak is going to naturally, in step,
decline as well.
And the public will and public funding for vaccinations,
emergency vaccinations against Zika is going to dry up.
The big problem is, we're eventually
going to, those dire public warnings
could eventually come to pass.
It might not have this past time with Ebola.
It might not this time with Zika.
But there's a definite possibility that it could happen.
And we're going to be like, man, I really
wish we would have stuck with it 10 years ago when we had
the chance to develop a Zika vaccine.
Yeah.
It's a really narrow line, I think,
that with media reporting on stuff like avian flu and mad cow
and to get people fired up and scared and preach fear.
Or for people to know that there is a really good chance
that this could be bad.
And if it's not, then great.
But then turn around and say, well,
you got scared over nothing.
Like, people should say, well, that's wonderful news
that it was smaller than we thought.
Sure.
But yes, you can lay a certain amount of the blame for this
at the feet of the media for drumming up fear for ratings.
And we should say that's not at all our intention with this.
No, no.
We're perfectly happy with our ratings normally.
And I think it goes to say, most public health officials
are not panicking about this thing.
And Zika itself is even like a pretty mild disease.
The problem is, and the reason the World Health Organization
created a global health emergency alert.
They put everybody on high alert and started funneling
money and attention towards Zika is
because there is a cluster of microcephaly in Brazil, which
is basically ground zero for this most recent outbreak.
And they're saying now there hasn't been any direct evidence,
but there's so much correlation between being infected
with the Zika virus while pregnant
and having a baby with microcephaly afterward
that they're like, yes, Zika causes microcephaly basically
is the point we're at.
Yeah, well, let's jump back a little bit.
So if you get Zika, only 20% of the people infected
will show any symptoms at all.
And these symptoms, just so you're looking out for them,
which is always good to do, fever, red eyes, joint pain,
bumpy rash, what else?
You can have muscle pain and headache.
Those apparently are less common symptoms.
But that's about it.
And like you said, I think four fifths of people
who have Zika are not going to show symptoms.
And the ones who do have symptoms,
probably they're not going to be bad enough to even
go to the doctor for.
Yeah, they only last a few days to a week.
And it's not something that will kill you.
And I think that's another reason
that a lot of people have apathy is because it has
such a narrow focus of harm, which is specifically right now,
at least, largely pregnant women's babies.
That, and then there's one other thing
that it's been linked to, although not quite
as conclusively, is a Guillet-Barre syndrome,
which is a really bizarre and mysterious disorder that
comes out of nowhere where your immune system attacks
the nerves in your body and can leave you paralyzed at worst,
but even milder on the spectrum can
leave you laid up, bedridden, on a ventilator.
Yeah, and the idea that they don't have any idea where
it comes from is very unsettling.
Yeah, and right now they've made a much stronger
correlation with the microcephaly than they have the GBS.
Because I'm going to try and pronounce that again.
Guillet-Barre.
Yeah, it sounds easy.
I know that because there's stuff you should know.
Listen, remember the guy whose Get Well card we filled out?
Oh, yeah.
And I tweeted there's, I think, a GoFundMe to get a wheelchair
access van because this guy is laid up.
Wow.
His name is John Say, he lives here in Atlanta.
He's a great guy.
That's right.
You can chip in for John if you want to.
You can search John Say, S-A-Y-E, on GoFundMe.com,
or go to GoFundMe.com-2-J-H-X-8-Y-K.
But I should say, he didn't get it from Zika,
but he has Guillet-Barre.
They have no idea where it came from,
but all of a sudden one day your immune system
just turns on your nerves and you're in trouble.
Amazing.
Yeah.
All right, so let's talk a little bit about microcephaly.
It is a birth defect.
The characterization mainly is that your baby
will have a very small head and as a result
an underdeveloped brain, or I don't know as a result,
but those two things happen.
Well, they think what happens is that the virus
attacks stem cells in the developing brain
and ends up preventing the brain from developing properly.
And they think it's also possible,
it simultaneously attacks structural proteins in the brain.
So the existing tissue that's already been developed
can be destabilized, and then the stuff that's developing
doesn't have a chance to develop correctly,
in which case you have babies born
with a lot of parts of their brain missing, right?
Yeah, and I read this one interview on...
It was an NPR interview.
Yeah, it was from NPR and their health correspondent Rob Stein
was talking about kind of like he went and visited Brazil
and visited these babies.
And he said it was devastating and that some
of the new research, they published some brain scan images
from a bunch of these Brazilian babies.
And they found some really weird things.
Entire portions of their nervous systems are missing,
just not there, like parts of the brain stem,
parts of the spinal cord.
And then sometimes, in some cases,
you think the baby's okay, and then they're born.
And then you realize that parts of the brain
are like full of fluid, so it has puffed up the brain,
so it looks like it's a normal size.
Unlike a scan or something, right?
Yeah, but there's severe brain damage going on.
Right, and so this leads to things like seizures,
developmental delay, intellectual disabilities,
problems with moving around or balance,
difficulty swallowing, hearing loss, vision problems.
And typically, it's irreversible once it happens.
Yeah, and super sad, he talks about the cries
of these babies.
He said they cry more, and not only more,
but he said it's a really, you know,
if you have a baby, you know there are different cries,
meaning different things, and one of the keys
is to figure out what's what.
And these cries, he said, are just abnormal
in that they sound like anguishing pain is going on,
and they're much harder to soothe,
so that's just like heartbreaking stuff.
It is, and so you can understand why couples
who are planning on getting pregnant,
women who are pregnant, are just scared to death
of the idea of contracting Zika.
Sure.
They've found that at first they thought
that the first trimester was the most dangerous point,
but now apparently after further study,
they're like, yeah, there's really no safe point
in a pregnancy where you could get a Zika infection
and probably be protected.
Yeah, and I think they're airing on the side of caution
because they're still so early in the game,
they don't want to say like, nope,
just the first trimester, they're kind of saying,
we don't know, it could be any time during the pregnancy.
And he, the NPR correspondent was,
he couched the whole thing and saying like,
he wasn't raising public fears.
I think he did it in the right way.
He said, we don't know what this one's gonna look like.
He said, it could just die out again
and be a medium-sized outbreak that goes away.
He said, or it could be worse.
We just gotta like be responsible and see what happens.
Yeah, and they were saying also, Chuck,
that the estimates of the incidents of microcephaly
that come from Zika so far is between like one and 13%.
Right.
Which is an enormous increase
in the incidents of microcephaly
because it's apparently a fairly uncommon disorder
and something like two to 12 babies per 10,000 births
in the United States are born with microcephaly normally.
Under normal circumstances between two and 12 per 10,000
births, if 1%, just 1% of women who contract Zika
give birth to a baby with microcephaly,
that's like 10 times the normal rate.
And that's the low end of the estimate.
So again, like, yeah, if you're just some dude,
some bachelor who's like, you know,
hanging around Margaritaville at the bar,
and you get stung by a mosquito,
and you contract Zika and you don't even have symptoms,
who cares?
Well, the idea that somebody else could have a baby
with microcephaly, that's who cares.
That's just making this a public health emergency.
All right, well, let's take a quick break
and we'll get back and talk a little bit
about how it is spread.
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All right, Josh, you mentioned mosquitoes.
I did.
We've kind of danced around it,
or maybe we already said, but we'll go and say it now.
Yellow fever mosquitoes.
The, uh...
Aedes aegypti.
There you go.
That's the little bugger responsible.
Yeah.
Uh, they're responsible not just for yellow fever
and zika, but also dengue,
and, um, uh, chicken gunya, too.
Which is delicious.
Again, you're thinking of chicken tonight.
And only certain chicken tonight, too.
Um, did we talk...
We did a really good podcast, I remember, on mosquitoes.
It was great.
But did we talk about...
I know we talked a little bit, but I can't remember
when we landed on the idea of eradicating them outright.
Eradicator.
And are they one of those that we can get rid of
and it doesn't have some big ripple effect?
We can't say that we could get rid of anything,
any species of anything, wholesale,
and not have really detrimental effects.
But isn't the mosquito one of those that people,
like, researchers think we might?
Well, yeah.
Get rid of without losing, you know?
It's not like losing the honeybee.
There are some serious proposals to get rid of mosquitoes
as part of treating Zika.
I just hope that's the case.
I hate them, I hate them, I hate them.
Oh, that we get rid of them?
Yeah, I think it would be great.
They carry, I mean, beyond the stupid nuisance that, you know,
I, you know, my privilege self feels at my house.
I'm talking about, you know, in countries
where they spread serious disease.
Right.
It's a real, real problem.
It is a real problem.
And so I guess we might as well talk about this.
There's a couple of proposals
that the World Health Organization...
Who?
Right.
That was good, though.
You almost got me.
They're looking into and are planning on deploying
and are actually, there's some pilot projects.
One of them we talked about in the Mosquito episode,
which was releasing transgenic mosquitoes into the wild.
Right.
And so these things carry a genetic,
artificially inserted genetic mutation
that prevents their offspring from surviving to maturity
and therefore they're unable to reproduce.
Right.
So you release these genetically altered mosquitoes
into the wild and after several generations,
the mosquito population starts to die off.
Wonderful.
There's one, there's a test pilot by this company
called Oxitec working out of England, I believe.
I'm not quite sure exactly where.
But they created a genetically modified mosquito back in 2002.
And part of the project, part of the proving test experiment...
Sure.
That's what they call it.
There's ellipses in everything to indicate the pauses.
But they released some in Sao Paulo, Brazil
as part of a pilot project in April last year.
Yeah.
But in January of this year, there'd been an 82% reduction
in wild mosquito larva.
Let's do it.
So it works.
The problem is, is I think that is the pinnacle of human hubris.
The idea that we can just get rid of an entire species
and there not be some sort of ripple effect
that we couldn't foresee that we're going to be like,
oh, we shouldn't have done that.
There's an alternative one.
So yes, you're inconvenienced, right?
Yeah.
There's a mosquito and it sucks.
See?
That was an accident.
All right.
I'll buy that.
But the bigger problem is for people who are suffering
and dying from diseases like malaria or dengue fever,
something like that.
Well, there's an alternative to getting rid of mosquitoes.
And it's actually treating mosquitoes with something
called wallbachia, which is a bacteria that infects the gut
of a mosquito and actually prevents the Zika virus
from living there.
Okay.
So you've still got the mosquito.
Yes.
So you're not completely altering the ecosystem.
I'm still inconvenienced, but lives are being saved.
But you're getting right.
Which is what really matters.
Exactly.
Yeah.
So that one seems to me like a little smarter.
And they're working on that too.
They've released a bunch in Brazil.
And so these artificially infected mosquitoes go out
and they infect other mosquitoes out in the wild.
And pretty soon all of a sudden Zika is like, oh man,
I remember the good times and they're gone.
Well, it seems like the mosquito is one that they could probably
research enough to see if it would have an impact if it left us.
Yeah.
But off the top of my head, I'm thinking, well,
bats eat mosquitoes.
And all of a sudden you're taking away a food source from
an animal that we love.
That's just off the top of your head.
But then you think like, but do they need mosquitoes or they
just like, well, they're there.
Or would they just move on to something else?
But then do they decimate some other thing that might be useful?
You know, I get the ripple effect.
Like they start going after house cats.
They never know while they already do that.
Yes.
There's a real possibility for a ripple effect that would have
catastrophic unforeseen consequences.
And also, I mean, I am totally for getting rid of mosquitoes.
Yeah.
If we know for certain that there wouldn't be that ripple effect,
I'd be on board 100%.
I'd go out there and start squashing them myself.
Yeah.
But I think what you're saying is that there's no way to know
for certain.
Right.
Which, you know, is valid.
Yeah.
So one thing about this mosquito, and I know you know a bit more
than me about how it's transmitted, but looking at this guy,
this particular yellow fever mosquito, it has white markings
on the leg.
And like all mosquitoes, they're active in the morning and the
evening, tend to die down a bit in the heat of the day.
And then at night, you know, go off and hide.
Right.
But how does it actually transmit beyond just sticking that
needle in?
So I guess some mosquito got a hold of Rhesus 766 one day.
Yeah.
Or something, some other carrier like that.
And the mosquito itself becomes infected, although it doesn't
have, as far as we know, any symptoms from Zika.
Oh, interesting.
So it's not just that it's carrying the infected blood.
They're actually sick.
Yeah.
And that's a big point because if a mosquito comes and sucks
your blood, it's not transmitting any of its own blood in
there.
So when it sucks your blood and you have Zika, right?
The mosquito puts its, what is it?
Proboscis.
Thank you, man.
That one, that and deleterious always elude me.
When it puts its proboscis in your skin to suck out your
blood, it also salivates in there, which is like it
anesthetizes you.
Yeah.
And if you have Zika, that Zika goes from your blood into the
mosquito's gut, where the Zika begins to colonize the
mosquito, infect the mosquito, and ultimately it makes it
into its salivary glands.
So when that mosquito inserts its proboscis into the next
person's arm, it uses the saliva, I should say she,
because it's always a female mosquito that bites you.
She uses saliva to anesthetize your arm and that's where
the Zika gets into you.
Okay, because they have found that the virus lives in
saliva.
Yeah, that's a big deal, but they're not, you know,
they're still trying to figure out like exactly all the
ways it could be transmitted.
They found it in saliva, they know it can be transmitted
through, well, through sexy time.
Right.
It can live in semen for seemingly longer than in
blood.
Yeah, so when it's in your blood, it stays there for like a
week and then they're like, okay, where does it go?
Obviously, it stays in the body because they did find it in
some guy's semen.
Was it like 10 weeks after he was infected with Zika?
Yeah.
And they know that you can get it sexually and through
mosquitoes, but they've also found it in saliva, vaginal
secretions.
I think you're in definitely breast milk.
Yeah.
Which is another fear among mothers too.
The one, the sexual transmission, I think the first
couple of cases, one was in Texas and a man was infected
after having sex with someone who came back from
Venezuela that was infected.
So, you know, a little scary, right?
And here's one of the rubs is in 2011, as far as
intercourse.
There was a guy named, a researcher named Brian Foy who
published a paper.
This was five years ago in the journal Emerging
Infectious Diseases, which is a great read at a dinner
party.
Yeah.
I'll tell you.
Just pull that out and get the conversation going.
Right.
But he argued that there was evidence that you could
transmit Zika sexually through intercourse and he
said, we need to study this more.
And it basically was denied.
And they said, you know what, this is too obscure
disease to give funding, which, you know, may have
been the case.
It's sort of a tough thing.
You can't throw money at everything, but it is
frustrating when this guy was on this five years
ago.
Right.
And it could be a lot further along as far as
learning more about the sexual transmission.
Yep.
You know?
Yep.
Zika just wasn't hot enough back then.
People are saying like, how do we stop this?
For love of God, think of the children.
Yeah.
Well, the mosquito part is a big part of it.
And we talked a little bit about eradicating
mosquitoes, but, you know, all the normal safe
things, safe measures you can take with
mosquitoes, you should obviously do if you're
in a place where Zika might be more rampant.
And listen to our mosquito podcast for that.
But, you know, insect repellent, long sleeve
shirts and pants, try to not be outside during
those times of day where they're around more.
Yeah.
So all that stuff.
But a vaccine is what we're really looking for.
Yeah.
You know?
There's apparently a few companies who are
really trying to race a vaccine to market and
get fast tracked.
I think a company in India is the top contender
right now.
And then you found one that seems pretty
legit too.
So as best I can figure, the NIH has a division
called the NIAID.
Right.
The National Institute for Allergic and
Infectious Diseases, I think.
That sounds right.
But they are working on a vaccine and they're
using a similar approach to what they have been
successful with with West Nile.
And right now it is safe in the phase one of
the clinical trials and they're trying to
push forward.
And what they're doing is, and I don't fully
understand this.
So I'm just going to kind of read this part.
But they said their vaccine has a small
circular piece of DNA called a plasmid that
they've engineered to contain genes that
code for the proteins of the virus.
Then when you inject that, the cells read
those genes and make those virus proteins.
And then they self-assemble into the
virus-like particles.
Then that gets that immune system kicked
into gear.
Right.
So you're putting in basically an
artificial version that's not infectious.
Yeah, that's the key, I think.
Yeah.
Because I mean like you couldn't possibly
transmit that artificial Zika virus to
anybody else.
But it will still get your body to
mountain immune response.
And that would mean that when you actually
do come in contact with the actual Zika
virus, it'd be toast.
Yeah.
And this is just one of the vaccines that
they're continuing in a trial run.
But I think, I mean, there are several that
they're, like you said, a couple in India
they're trying to get through.
Like a lot of people are hard at work
trying to conquer this thing via vaccinations.
Yeah.
And again, there's a real tremendous fear
that the public will and public funding
will dry up when this makes it out of
the news cycle, when it's dropped from
the news cycle, you know?
Yeah.
And speaking of funding, well, should we
take a break?
That's a good little tease.
Speaking of funding.
Speaking of, the stage coach is about to
go off the cliff.
All right.
We'll be right back.
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Hey, I'm Lance Bass, host of the new
iHeart podcast Frosted Tips with Lance Bass.
The hardest thing can be knowing who to turn
to when questions arise or times get tough
at the end of the road.
Ah, okay, I see what you're doing.
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Okay, we're back and Chuck, we're talking
about funding.
Yes.
Uh, and not only do, is funding possibly
gonna be a problem when the Zika, um,
outbreak goes away, which it inevitably
will, we hope.
Yeah.
Um, there's actually a huge problem
with funding right now.
Yeah.
The, the CDC head, uh, Thomas Frieden
set his name.
Yeah, I think that's it.
Um, he took to the airwaves and said,
uh, guys, we're running out of money
and we need Congress to come back
in session and give us some ASAP.
Yeah, for Zika.
Yeah.
Uh, so the timeline on this is last
year, early last year, uh, President
Obama, uh, said Congress, can we have
1.9 billion, uh, in emergency funds
for Zika to help fight Zika?
And, uh, Congress said no.
Um, they said, wait, wait, Obama,
are you asking?
Well, yeah, I'm asking.
They said no.
Yeah.
The, uh, controlling, uh, Republican said
that they said we want more accountability
for the money, uh, where it's going.
And why don't you take some of the money
left over from Ebola and other projects
and use that instead?
Or they said, or we could do this.
We could take money away from Planned
Parenthood if you want money for Zika.
And then the Democrats were like, well,
that's not very nice.
And, uh, it turned political, no surprise.
But, um, they, uh, CDC did, in fact,
end up taking money from Ebola.
I think, um, how much was it?
$38 million from Ebola funding and
$44 million from emergency response
funding, which is really scary.
Yeah.
Because that means if something really
happened here in the U.S.
Uh, in terms of Zika, they may not,
literally may not have the money to
send teams of people to wherever that is.
Yeah.
So they're nicking money from these
other programs.
They're saying we really need this
to be seriously funded.
And, uh, right now, uh, politics
is getting in the way.
Yeah.
Which is pretty sad.
Of course.
Because again, think of the children.
Yeah.
And hopefully this will change and
they'll get the funding they need.
But right now, I mean, Fried,
I don't know if he's crying
wolf too much to try and get the
public worked up, but he seems to
think that it's pretty dire and
that they need these resources.
So I'm just, I'm taking the man at his
word at this point.
He said that of the $220 million
that they had allocated for Zika,
$20 million is already out the door.
And if they've already used another,
um, you know, $44 million from,
uh, emergency response funding,
$38 million from Ebola,
uh, I would, I would guess that,
yes, there's some problems coming.
Yeah.
Um, the CDs, speaking of the CDC,
they actually, um, did something
as a result of the Zika outbreak that
they've never done before.
They issued a travel warning,
advisory against travel to a place
in America.
Yeah.
They've never done that before.
It's always been somewhere else
outside of the country.
Uh-huh.
But, um, when I think in, uh,
August, the beginning of August,
when there was an outbreak of Zika,
including a local, uh, transmission,
which means that it wasn't,
uh, up to that point,
there were a couple thousand cases
of Zika in the United States,
but all of them were people who went
to the Caribbean or to Africa
or to the Americas or to Southeast
Asia, got bit by an egetis,
Egypti mosquito, and then came back.
And then we're at risk of possibly
transmitting it sexually or of a
mosquito biting them and spreading it.
Well, that apparently finally happened
because someone in Miami was bit by
a mosquito and contracted Zika.
Yeah.
So that means that it is,
it had entered the mosquito,
the wild mosquito population.
And that's what really started to get,
um, the CDC and others worried.
Yeah, Florida is, uh,
Florida's tough right now.
Yeah.
I mean, it's,
it's not like rampant or anything,
but there, the cases are,
are accumulating to the point where people are getting a little worried.
Yeah.
And, and again, if you go to, uh,
the Caribbean and come back with Zika,
they, they weren't too worried about that.
What was worrying them is, is the,
the idea of mosquitoes getting it because
they've said humans are not the vectors
of transmission that we need to be worried about.
It's the mosquitoes.
Yeah.
Well, and Puerto Rico is a big problem right now.
Um, in fact, the name of this article I got
was Puerto Rico is ground zero.
Uh, it's not literally ground zero,
but as far as the U S is concerned,
it probably, you know, they're American citizens
and at this rate,
2000 people a week
are getting infected in Puerto Rico.
And they said,
if this holds 25%
of their entire population by the end of the year,
could be infected with Zika.
Uh, more than 1300 pregnant women.
Wait, wait, I'm sorry.
Did you see 25%?
Yeah.
It says a quarter of their 3.5 million,
uh, population could get it by the end of this year.
And, you know, we're in almost September.
Wow.
So, uh, more than 1300 women,
pregnant women have tested positive.
And, um...
Man, I feel so bad for those women.
Yeah.
I'll bet they are losing their minds with just fear right now.
Sure.
That is so sad.
As if it, you know, pregnancy isn't, you know,
worse than enough.
Right, right.
Yeah.
Uh, and there are a lot of problems in Puerto Rico
or a lot of challenges at least.
Um, it rains a lot.
There are a lot of puddles, a lot of mosquitoes.
Um, one of the big, they're in a financial crisis
and one of their main sources of income is tourism.
And this is not helping their tourism in any way.
Yeah.
So, uh, they need funding for real.
And, um, they were gonna do some mass spraying,
but the people said no.
Uh, it's dangerous.
There was...
Well, apparently also mosquitoes have developed a lot
of, uh, tolerance to that over the decades too.
Well, yeah.
It nearly is effective.
They found, uh, one certain insecticide that they said is working a lot better,
but, uh, there's a lot of resistance to it.
So, um, right now the CDC says if you're pregnant,
don't go to Puerto Rico and, uh, wait at least two months
before trying to get pregnant after you come home.
Right.
If that's in your plans.
Uh-huh.
And, uh, I've even seen some people say if you go to Puerto Rico,
you know, don't have sex or make sure you practice safe sex.
Yeah.
But none of that bodes well for their tourism industry.
No.
Which is where a lot of their dough comes from.
Come to Puerto Rico and don't have sex afterward.
Yeah.
That's not a good slogan.
It's definitely not.
Um, so I want to specify the CDC didn't say that you should not go to Florida.
They said that you should not go to this particular spot in North Miami.
Right.
Or just north of downtown Miami.
There's a neighborhood that was kind of ground zero for this outbreak.
But Florida in and of itself is suffering, uh, as far as tourism goes.
Sure.
Um, or on the precipice of really suffering, depending on how this outbreak goes down there.
Um, and as a result, like Walt Disney World and Universal Florida and SeaWorld all now
are just kind of casually giving you a, uh, small aerosol can of complimentary, um, mosquito
spray.
Yeah.
Uh, whenever you come into the park.
Yeah.
They're not, um, and probably rightfully so they're not putting up signs that say Zika
because that would be a PR disaster.
Right.
But I think it's pretty clear what's going on is there.
Yeah.
Like here's your ticket and here's your stub and here's your deep.
Deep.
Mickey Mouse brand deep.
Yeah.
Probably so.
So Chuck, how do you, uh, get diagnosed with Zika if you are worried about it?
Well, one of the, um, like a lot of these, uh, diseases that you might catch abroad,
one of the first things they do is say, where have you been lately?
Have you traveled?
And if you say, yeah, if you say, well, I was in Brazil and that's another thing too.
Let's have the Olympics.
So the whole world comes together at ground zero for the current Zika outbreak.
That was a big worry, but apparently no one associated with the Olympics has tested positive
for Zika.
I was wondering about it.
It's been over for a couple of weeks now.
That's good.
It's been over for an erupting.
Oh, no, I was actually, I was wondering about that because I knew it was a big fear going
in.
Sure.
Um, yeah.
So they're going to say, where have you been traveling?
Uh, ask what kind of symptoms and we already went over those and then they're going to
just basically give you blood in urine tests and, uh, that'll let them know pretty quick
what's going on.
Yeah.
I think they can actually detect the virus itself in your blood, but again, it leaves
the blood after a week and starts going other places.
And once that's, um, the case, I think they can do saliva tests and detect antibodies
in your saliva and urine.
Yeah.
They should just do all those tests.
Like, don't even ask me where I've been.
Just take some blood and right now or maybe ask where I've been cause that doesn't take
long.
Yeah.
But do it as you're drawing my blood.
Well, these days, I mean, I mean, it doesn't really matter where you've been increasingly
because it's starting to creep up and Chuck, actually we have to say this is really important.
Before you, um, take anything, if you think you have Zika, you have to be diagnosed with
Zika before you can take NSAIDs, right?
Like Advil or a leave or a Motrin, something like that.
Yeah.
Because it's possible you actually have dengue fever, right?
In which case, because the symptoms are very similar.
And if you do have dengue and you cannot take NSAIDs because, uh, dengue, um, blocks the
action of platelets, which are clotting that will help with clotting, right?
Right.
And so to do NSAIDs.
So you put NSAIDs and dengue together and you can hemorrhage pretty easily.
Yeah.
That's not good.
Yeah.
Now, if you're worried about this and you're in, uh, Michigan, you probably don't need
to unless you get it through sexual transmission or Canada.
Totally out of the question again, except through sexual transmission because this is very much
out of the range of the agitas, the gypti, and mosquito.
Yeah.
Um, it's just, uh, parts of the South, the American South, Southeast, um, a little bit,
it creeps up a little bit into the Midwest.
Um, and then all basically of South America, Africa, Southeast Asia, um, California, yeah,
parts of California, there's a really, um, helpful map.
If you're just panicking right now, uh, on the World Health Organization website, which
you shouldn't do.
Don't panic.
Yeah.
Don't panic.
There's, uh, no cause to panic.
No.
Uh, please don't panic.
No.
I think the best practice is to educate yourself by listening to this and, um, then spreading
fear to everyone you know, just kidding.
Great advice.
That was a top, top notch way to end this one.
Yeah, be very, uh, calm and everything and just spread fear.
Right.
Like we just did.
Uh, you got anything else?
No.
Um, how much of this is out of date already?
Do you think?
Probably 15%.
That's not too bad.
I can live with that.
Yeah.
We get 15% wrong anyway.
Okay.
Uh, if you want to know more about Zika, well, to surf the web, man, there's plenty
out there.
And since I said surf the web, it's time for listener mail.
Uh, I'm going to call this bacon buddy.
Remember, we were talking about bacon buddy.
Yeah.
The B T T Y.
Yep.
Uh, which I didn't know what it was.
I didn't either.
But now we do.
Cause our good friends in the United Kingdom have written this.
Yeah.
I wish somebody would have brought this up before we went cause I would have been on
the lookout for one of these.
Well, well, I'll get to it.
Uh, hey guys, can't believe you have never heard of the amazing bacon buddy.
Just that name sounds great.
A little bacon buddy, even though it's spelled differently, especially if you've recently
been to England, home of the buddy.
The word buddy is a UK British shorthand for buttered sandwich or roll.
Uh, like, uh, like, you know, remember when I was saying chippy for fish and chips?
Yeah.
They just have cute ways of shortening things.
So a bacon buddy is essentially a bacon sandwich, uh, or roll with a, on a roll with a lovely
helping of butter.
Uh, or if you're me, you let it with HP sauce.
Yeah.
That could be good too.
They love their HP sauce.
Uh-huh.
HP.
Is that what you say?
Uh, another cracking buddy you might have heard of in the past are chip buddies as you
call French fries.
So the next time you're in the UK, pop into any fish and chip shop, uh, ask for a chip
buddy.
You get a crusty roll loaded with, uh, chips covered in vinegar and salt.
So bad for you, but so tasty on a slightly separate note, Chuck's hearing Chuck's love
for mayonnaise makes me so happy as I am also slightly addicted to the stuff.
When I was younger, I would eat what I called a cheesy dunkers.
I love this dude.
Uh, this was essentially cheddar cheese cut into long, thick strips, which I would then
dunk into my pot of helmets, mayonnaise, man.
Fancy dunk them all.
Uh, great show as usual, guys.
Keep doing what you're doing.
That's from Kyle Chandler from Kent, England, but right now in South Korea and two things
I would add.
I was totally wrong about aioli.
It is garlic based by definition.
Yeah.
Yeah.
That's what I thought.
I didn't know that.
I didn't stand up for myself.
You were fine.
Okay.
And two, I've had a bacon buddy.
I didn't know it.
No.
I was at the Sky Lounge at, uh, at, uh, Heathrow.
Stop rubbing that in my face.
What?
The Sky Lounge membership you have.
It can be yours.
But I want it for free.
Well, here's the thing, dude.
You eat and drink well over $450 in a year worth of free stuff in these Sky Lounge's.
Oh yeah, I could.
I could probably do that in a visit.
I was at one the other day.
I just went to Cleveland, had two Bloody Marys and a buffet meal for free.
It's like $35.
Yeah.
And an airport?
Yeah.
I'm telling you, I'm keeping tally.
Like, I'm going to make my money back on this.
You have a little ledger.
I do.
Yeah.
You put on your little, uh, banker's visor with the green bill.
One bacon buddy, one whiskey.
How was the bacon buddy?
Well, it was delicious.
And, um, someone else wrote in the bacon that they have over there is different than
what we have over here.
Yeah.
It's like a fatback or something.
Yeah.
They call it streaky bacon.
That's a big wide, hammy chunks.
Oh man.
And I got, it wasn't called a bacon buddy on the menu, it was just called bacon on a
roll.
Cause nobody would know what you're talking about if they call it bacon buddy.
Yeah.
And, uh, so I did, I had a bacon buddy and I loaded it with butter and it was, oh man.
See in America we have that with egg and cheese all wrapped up, but just the bacon is enough
for them.
Sure.
And it was delicious.
Yeah, we call that the Ignormous Sandwich.
Oh yeah.
Burger King.
I haven't had that one.
Oh, you haven't.
It's basically everything you could possibly eat for breakfast on like a hoagie roll.
You say.
Yeah.
Yeah.
Uh, if you want to get in touch with Chuck or me, you can hang out with us on Twitter
at S-Y-S-K podcast.
You can look me up at Josh M. Clark.
You can hang out with Chuck at Charles W. Chuck Bryant on Facebook or our official page
is facebook.com slash stuff you should know.
Send us an email to stuffpodcast at howstuffworks.com and as always join us at our home on the web,
the slightly klugey stuff you should know.com.
For more on this and thousands of other topics, visit howstuffworks.com.
On the podcast, Hey Dude the 90s called David Lasher and Christine Taylor, stars of the
cult classic show Hey Dude, bring you back to the days of slip dresses and choker necklaces.
We're going to use Hey Dude as our jumping off point, but we are going to unpack and
dive back into the decade of the 90s.
We lived it and now we're calling on all of our friends to come back and relive it.
Listen to Hey Dude the 90s called on the iHeart radio app, Apple Podcasts or wherever you
get your podcasts.
Listen to Frosted Tips with Lance Bass on the iHeart radio app, Apple Podcasts or wherever
you listen to podcasts.