Vanessa Kerry is the new WHO envoy for health resilience. What's on her to-do list?

Resilience is one of those buzzy buzzwords.

韧性是那些流行的流行语之一。

But what does it mean, exactly?

但这到底是什么意思呢？

Bouncing back from tragedy?

从悲剧中恢复过来？

Conquering obstacles?

克服障碍？

Having the inner strength to follow a dream when the odds are against you?

当困难重重时，你是否拥有追寻梦想的内在力量？

For Dr. Vanessa Kerry, the definition is pretty straightforward.

对于 Vanessa Kerry 博士来说，这个定义非常简单。

It boils down to being prepared.

归根结底就是做好准备。

In the world of global health, she says, that means "strong systems, primary care and the ability to respond."

她说，在全球卫生领域，这意味着“强大的系统、初级保健和应对能力”。

Those are the ideas that will guide her in her new job as special envoy for health resilience at the World Health Organization.

这些想法将指导她担任世界卫生组织卫生复原力特使的新工作。

It's the latest addition to an impressive resume.

这是令人印象深刻的简历的最新补充。

Kerry was WHO's first special envoy for climate change and health, is director of global and climate health policy in the Department of Environmental Health at the Harvard T.H.

克里是世界卫生组织首位气候变化与健康问题特使，也是哈佛大学公共卫生学院环境卫生系全球和气候健康政策主任。

Chan School of Public Health and is the founder and CEO of Seed Global Health .

陈公共卫生学院，是 Seed Global Health 的创始人兼首席执行官。

That nonprofit group has been building resilience in lower-resource countries for over a decade, dispatching coaches and mentors to educate and train local healthcare students and practitioners as well as building financial and material resources.

十多年来，该非营利组织一直在资源匮乏国家建立抵御能力，派遣教练和导师教育和培训当地医疗保健学生和从业人员，并建立财政和物质资源。

Kerry's activism reflects seminal moments from her younger years.

克里的激进主义反映了她年轻时的重要时刻。

In grade school, she decided she wanted to become a doctor.

小学时，她决定要成为一名医生。

At age 14, she traveled to Vietnam with her father, former Senator and Secretary of State John Kerry, and was deeply struck by the poverty she saw.

14 岁时，她与父亲、前参议员兼国务卿约翰·克里 (John Kerry) 一起前往越南，她所看到的贫困给她留下了深刻的印象。

Between her third and fourth years in medical school, she spent time in a hospital in Rwanda.

在医学院的第三年和第四年之间，她在卢旺达的一家医院度过了一段时间。

One day she was asked to "be a helping hand" with a woman's labor and delivery, working with a nurse.

有一天，她被要求与一名护士一起为一名妇女的分娩“提供帮助”。

Kerry said, "I'm a student." So that was the team — this medical student from the U.S. and a Rwandan nurse.

克里说：“我是一名学生。”这就是团队——一名来自美国的医科学生和一名卢旺达护士。

"The mother was pushing, but the baby was not advancing," Kerry remembers.

“母亲在用力，但婴儿却没有前进，”克里回忆道。

"The shoulder had gotten stuck, and so we needed to do the maneuvers to help to deliver." She tried to remember everything she could from time spent in a "labor rotation a while back." There was no imaging, no specific training either she or the nurse had had for this type of situation.

“肩膀被卡住了，所以我们需要做一些动作来帮助分娩。”她试图回忆起“不久前的劳动轮换”中所经历的一切。她或护士没有接受过针对此类情况的影像学检查，也没有接受过专门的培训。

"We were lucky," she says, "Because what we remembered worked." Mother and child survived.

“我们很幸运，”她说，“因为我们记得的东西起作用了。”母亲和孩子幸存下来。

Kerry, now 49, recalls: "I remember walking out of that room thinking, that was extremely distressing — more than that, extremely shocking and terrifying.

现年 49 岁的克里回忆道：“我记得走出那个房间时心想，这非常令人痛苦，更重要的是，非常令人震惊和恐惧。

She could only conclude "this whole system doesn't work."

她只能得出“整个系统不起作用”的结论。

That harrowing delivery was the germ for Seed Global Health.

那次令人痛苦的分娩是 Seed Global Health 的萌芽。

She knew that many of her colleagues wanted to work to improve global health.

她知道她的许多同事都希望致力于改善全球健康。

But many of the opportunities involved flying in to perform certain procedures, then returning home.

但许多机会涉及飞往执行某些程序，然后返回家中。

"They made a contribution in that moment, but what then?"

“他们在那一刻做出了贡献，但之后呢？”

When she returned to Boston from Rwanda to finish her residency at Massachusetts General, she began hatching the idea of working with the Peace Corps to send doctors and nurses to sub-Saharan Africa as medical educators to train health care workers who could then train others — building a country's internal health care system.

当她从卢旺达回到波士顿完成马萨诸塞州总医院的住院医师实习时，她开始萌生与和平队合作的想法，将医生和护士派遣到撒哈拉以南非洲作为医学教育者，培训医护人员，然后这些医护人员可以培训其他人——建立一个国家的内部医疗保健系统。

Seed's collaboration with the Peace Corps lasted from 2012-2018, focusing on the development of country-led efforts at HIV/AIDS epidemic control.

Seed 与和平队的合作从 2012 年持续到 2018 年，重点关注发展国家主导的艾滋病毒/艾滋病流行控制工作。

Today, Seed is active in several sub-Saharan African countries for its training efforts.

如今，Seed 正在几个撒哈拉以南非洲国家积极开展培训工作。

In Uganda, for example, Kerry says that her group has partnered with the Ministry of Health to build up emergency medicine by training 30 emergency medicine physicians.

例如，克里表示，在乌干达，她的团队与卫生部合作，通过培训 30 名急诊医生来建立急诊医学。

When an Ebola outbreak occurred there earlier this year, she says that these emergency physicians and other specialists were able to train over 3,000 health workers around the country in Ebola case management and infection prevention and control.

她说，今年早些时候那里爆发埃博拉疫情时，这些急诊医生和其他专家能够对全国各地 3000 多名卫生工作者进行埃博拉病例管理和感染预防和控制方面的培训。

Seed, she says, has taught her that building resilience "is not a daunting task.

她说，种子教会她，建立适应力“并不是一项艰巨的任务。

If you train health workers, they can monitor and provide healthcare, they can provide surveillance, they can provide prevention."

如果你培训卫生工作者，他们就可以监测和提供医疗保健，他们可以提供监测，他们可以提供预防。”

Building responsive healthcare systems is what her new job is all about, she says.

她说，建立反应灵敏的医疗保健系统是她新工作的重点。

" We've been funding disease by disease and crisis by crisis.

“我们一直在为一种疾病和一场危机提供资金。

We can be thinking about this differently."

我们可以以不同的方式思考这个问题。”

Her goal is not merely to jump in when a new outbreak occurs.

她的目标不仅仅是在新的疫情爆发时介入。

"If a nation does not have a health system infrastructure in place, they will probably not be prepared to respond to the emergency.

“如果一个国家没有适当的卫生系统基础设施，他们可能不会准备好应对紧急情况。

Resilience means building a system that will already be in place."

弹性意味着建立一个已经到位的系统。”

And it also means listening to local voices.

这也意味着倾听当地人的声音。

"Countries know what their priorities are to care for their population," she says.

“各国都知道照顾本国人民的首要任务是什么，”她说。

As the resilience envoy, she wants to make sure there is ample funding so "we more effectively address the biggest burdens of disease."

作为复原力特使，她希望确保有充足的资金，以便“我们更有效地解决最大的疾病负担”。

Diane Cole writes for many publications, including The Wall Street Journal and The Washington Post.

黛安·科尔为许多出版物撰稿，包括《华尔街日报》和《华盛顿邮报》。

She is the author of the memoir After Great Pain: A New Life Emerges.

她是回忆录《巨大痛苦之后：新生活的出现》的作者。

Her website is DianeJoyceCole.com

她的网站是 DianeJoyceCole.com

For stories about life in our changing world, subscribe to NPR's Global Health newsletter.

有关我们不断变化的世界中的生活故事，请订阅 NPR 的全球健康时事通讯。