尽管所有对于艾滋病和禽流感的忧虑都是合理的——
With all the legitimate concerns about AIDS and avian flu —
稍后我们将会听到
and we’ll hear about that from the
优秀的Brilliant医生的演讲——
brilliant Dr. Brilliant later today —
我想要说的是另一种流行疾病
I want to talk about the other pandemic, which is
也就是心血管疾病、糖尿病、
cardiovascular disease, diabetes, hypertension —
高血压——这些疾病对于至少95%的人而言
all of which are completely preventable for at
都是可以通过改变饮食和生活方式
least 95 percent of people
而完全预防的
just by changing diet and lifestyle.
而目前的情况是
And what’s happening is that there’s a
疾病的全球化正在发生
globalization of illness occurring, that people
人们开始以我们一样的方式吃饭、生活以及死亡
are starting to eat like us, and live like us, and
举例来说 在一代人的时间内
die like us. And in one generation, for example,
亚洲人患心脏病、肥胖症以及糖尿病
Asia’s gone from having one of the lowest rates of
的比率即从最低的群体之一攀升至最高
heart disease and obesity and diabetes to one
而在非洲大多数国家
of the highest. And in Africa, cardiovascular disease
心血管疾病致死的人数与HIV和艾滋病
equals the HIV and AIDS deaths
致死的人数相同
in most countries.
因此这是一个关键的机遇
So there’s a critical window of opportunity we
我们不得不作出重要的改变
have to make an important difference that can
这个改变能够影响成千上万人的生命
affect the lives of literally millions of people,
并在全球范围内实践
and practice preventive medicine on a global
预防医学
scale.
心脑血管疾病致死的人数超过了
Heart and blood vessel diseases still kill more
其他疾病致死人数的总和
people — not only in this country, but also
不仅仅在我们国家 而且是在全球范围之内
worldwide — than everything else combined, and yet
对于几乎所有人而言 这是完全可以预防的
it’s completely preventable for almost everybody.
而这不仅仅是可以预防的
It’s not only preventable; it’s actually
而且实际上是可治愈的 在过去约29年里
reversible. And for the last almost 29 years,
我们可以证实 仅仅是通过改变饮食和生活方式
we’ve been able to show that by simply changing
我们使用了非常昂高科技、昂贵和顶尖的手段
diet and lifestyle, using these very high-tech,
来证实这些
expensive, state-of-the-art measures to prove how
简单、低科技和低成本的预防措施
powerful these very simple and low-tech and low-cost
作用是如此之大
interventions can be like — quantitative
我们使用了动脉造影 一年前后还使用了
arteriography, before and after a year, and
心脏PET扫描
cardiac PET scans.
我们几个月前还证明了——我们发表了一项研究成果
We showed a few months ago — we published the
该成果首次显示出你可以通过改变饮食和生活方式
first study showing you can actually stop or
来阻止前列腺癌的恶化
reverse the progression of prostate cancer by
肿瘤生长衰退或抑制
making changes in diet and lifestyle, and 70 percent
的比例达到70%
regression in the tumor growth, or inhibition of
与此相对应的是
the tumor growth, compared to only nine percent in the
控制组的比例仅为9%
control group.
这里的核磁共振光谱显示
And in the MRI and MR spectroscopy here, the
肿瘤生长活动为红色
prostate tumor activity is shown in red — you can
你可以看到这在一年之后就消失了此外
see it diminishing after a year.
现在出现的还有糖尿病的流行
Now there is an epidemic of obesity: two-thirds of
这占到了成人的2/3和儿童的15%
adults and 15 percent of kids. What’s really concerning
真正令我担忧的是在过去的10年里
to me is that diabetes has increased 70 percent in the
糖尿病的患病比例上升了70%
past 10 years, and this may be the first
而这可能将首次出我们下一代的孩子们的寿命
generation in which our kids live a shorter life
将会短于我们
span than we do. That’s pitiful, and it’s
这很让人痛心 但又是可以预防的
preventable.
现在大家看到的不是选举结果
Now these are not election returns, these are the
这是按州统计的患糖尿病的人口人数
people — the number of the people who are obese
从85、86、87年开始——
by state, beginning in ’85, ’86, ’87 — these are
数字来源是美国疾病控制中心的网站——现在是88、89、90、
from the CDC website — ’88, ’89, ’90, ’91 — you
91年——又是一个新的组别——92、93、94、95、
get a new category — ’92, ’93, ’94, ’95, ’96,
96年到97、98、99、2000、2001年——
’97, ’98, ’99, 2000, 2001 — it gets worse. We’re
情况越来越糟糕 我们在某种程度上在退化
kind of devolving. (Laughter)
对于这些我们能做些什么？嗯
Now what can we do about this? Well, you know, the
你知道我们所发现的能够阻止心脏病
diet that we’ve found that can reverse heart
与癌症的饮食就是亚洲饮食
disease and cancer is an Asian diet.
但是现在亚洲人开始像我们一样饮食
But the people in Asia are starting to eat like we
这也是他们开始像我们患一样的病的
are, which is why they’re starting to get sick
原因
like we are.
我一直与许多大的食品公司合作
So I’ve been working with a lot of the big food
他们能够使吃更健康的食物变得有趣
companies. They can make it fun and sexy and hip
、性感、时尚、口感好以及方便
and crunchy and convenient to eat healthier foods,
例如——我担任麦当劳、
like — I chair the advisory boards to McDonald’s,
百事可乐、康尼格拉、Safeway超市的顾问委员会主席
and PepsiCo, and ConAgra, and Safeway, and soon
稍后还将担任德尔蒙特的 他们也正在
Del Monte, and they’re finding that it’s good
发现这是项好生意
business.
你可以在麦当劳看到的沙拉就是这项工作的成果——
The salads that you see at McDonald’s came from
他们开始提供亚洲沙拉
the work — they’re going to have an Asian salad. At
在百事可乐公司 3/2的收入增加来自
Pepsi, two-thirds of their revenue growth came
他们更好的食品
from their better foods.
而如果我们能做到这些
And so if we can do that, then we can free up
我们可以将购买药物的资源解放出来
resources for buying drugs that you really do need
而将这些资源用到真正需要的治疗艾滋病、HIV、
for treating AIDS and HIV and malaria and for
疟疾以及预防禽流感之中 感谢各位
preventing avian flu. Thank you.