{"@context":"http://iiif.io/api/presentation/3/context.json","id":"https://globalhealthchronicles.aviaryplatform.com/iiif/0z70v8c45x/manifest","type":"Manifest","label":{"en":["Bryant-Genevier, Jonathan"]},"logo":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/289/original/CDCM_Mark_2.1.png?1728486742","metadata":[{"label":{"en":["Source Metadata URI"]},"value":{"en":["12852"]}},{"label":{"en":["Publisher"]},"value":{"en":["David J. Sencer CDC Museum"]}},{"label":{"en":["Rights Statement"]},"value":{"en":["All rights to the interviews, including but not restricted to legal title, copyrights, and literary property rights, have been transferred to the David J. Sencer CDC Museum","Interviews may only be reproduced with permission from the David J. Sencer CDC Museum."]}},{"label":{"en":["Agent"]},"value":{"en":["Jonathan Bryant-Genevier (Interviewee)","Mary Hilpertshauser (Interviewer)"]}},{"label":{"en":["Date"]},"value":{"en":["2022-05-20 (Created)"]}},{"label":{"en":["Language"]},"value":{"en":["English"]}},{"label":{"en":["Format"]},"value":{"en":["audio"]}},{"label":{"en":["Identifier"]},"value":{"en":["2022.800.015 (accession number)","OHCDCM800 (collection call number)"]}},{"label":{"en":["Relation"]},"value":{"en":["COVID-19 Oral History and Memory Archive (is part of)"]}},{"label":{"en":["Type"]},"value":{"en":["oral history"]}}],"requiredStatement":{"label":{"en":["Attribution"]},"value":{"en":["All rights to the interviews, including but not restricted to legal title, copyrights, and literary property rights, have been transferred to the David J. Sencer CDC Museum","Interviews may only be reproduced with permission from the David J. 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Sencer CDC Museum"]},"format":"text/html"}],"logo":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/289/original/CDCM_Mark_2.1.png?1728486742","type":"Image"}]}],"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/249/546/small/BRYANT-GENEVIERJONATHAN.jpg?1727838869","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546","type":"Canvas","label":{"en":["Media File 1 of 1 - 12852_jonathan_bryantgenevier.mpga"]},"duration":8568.432,"width":640,"height":40,"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/249/546/small/BRYANT-GENEVIERJONATHAN.jpg?1727838869","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/content/1","type":"AnnotationPage","items":[{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/content/1/annotation/1","type":"Annotation","motivation":"painting","body":{"id":"https://aviary-p-globalhealthchronicles.s3.wasabisys.com/collection_resource_files/resource_files/000/249/546/original/12852_jonathan_bryantgenevier.mpga?1724661936","type":"Audio","format":"audio/mpeg","duration":8568.432,"width":640,"height":40},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546","metadata":[]}]}],"annotations":[{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858","type":"AnnotationPage","label":{"en":["content172466192320240826-2043719-5t77yd.xml [Transcript]"]},"items":[{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/1","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Today is Friday, May 20, 2022. This is Mary Hilpertshauser for the COVID-19\nOral History and Memory Archive Project. I’m in Atlanta, Georgia, and I will be\ntalking with Jonathan Bryant-Genevier who is also in Atlanta, Georgia. We are\nrecording through Zoom. We have had one pre-interview before this. Hello, Jonathan.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=0.0,0.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/2","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Hi, Mary.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=0.0,0.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/3","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Do I have your permission to interview you and record this session?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=0.0,0.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/4","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, you do.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=0.0,0.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/5","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Thank you. Thank you for being here with me today and being part of this\nproject. For the record, can I ask you to say my name is and then state your\nfull name and tell me what your current position is at CDC [Centers for Disease\nControl and Prevention]?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=0.0,0.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/6","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: My name is Jonathan Bryant-Genevier, and I am currently a\nhealth scientist in the Division of Cancer Prevention and Control here at CDC.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=0.0,0.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/7","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Great, and before we delve into those details of your path to CDC and\nCOVID-19 [Coronavirus Disease 2019], could you tell me a little bit about your\nfamily background and the community that you grew up in?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=0.0,0.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/8","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Right. I was born in the UK [United Kingdom]. My father’s\nAmerican, and my mother’s French, and at the time, my father was a scientist\nworking as a postdoc there, and we moved around a bit for the first few years of\nmy life. From the UK, we went to New York, a few different places in New York,\nand then most of my childhood was spent after we moved to DC [District of\nColumbia], I was probably about four or five years old, yes, and so I grew up\nmostly in the northwestern suburbs of DC in a town called Montgomery Village, Maryland.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=0.0,0.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/9","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: What did your parents do at that time?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=0.0,0.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/10","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Right, so when we were in Maryland, my father worked as a\nscientist, a PI [principal investigator] for NIH’s [National Institutes of\nHealth] National Center for Biotechnology Information or NCBI, and my mother\nstayed home. She had been a physician in France but couldn’t practice medicine\nin the States, so for when we were really little, she stayed home and watched my\nsister and I. When we got to middle school, she went back into the workforce and\nultimately landed at FDA [Food and Drug Administration] and working on a variety\nof different projects, it was mostly in vaccine review and post-market review of\nvaccines and medical devices.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=0.0,0.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/11","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Okay. Can you tell me a little bit about your schooling?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=0.0,0.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/12","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, so I mostly attended the public schools in the area—in\nMontgomery Village. I’m a dual citizen, a French and American citizen, so for a\nfew years, my sister and I attended a French school in DC. They have that there,\nso we learned to speak French and instructed in the French grade school\ncurriculum—I think I was, I don’t know, maybe fourth and fifth grade, sixth\ngrade maybe, so when I was really little. Yes, I went to middle school and high\nschool at the local high—at the local public schools in my town, and, yes, I\nultimately went into college at the University of Maryland, Baltimore County to\nstudy chemistry and English.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=0.0,0.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/13","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Chemistry, what made you want to go in that direction?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=0.0,0.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/14","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: I had done well in my science classes in high school,\nchemistry, biology, and physics, and chemistry had been the thing that made the\nmost sense to me, or I was just—maybe I did better in that than I did in the\nother courses. It was, to me, a fairly simple problem, right, there wasn’t as\nmany things to remember, I was never very good at remembering all of the things\nthat I needed to know to do well in biology classes, the pathways and all that.\nI didn’t do as well in those classes and so when I got to college, I actually\ndidn’t really want to study—I was good at chemistry, so I figured you know what,\nI’ll do this because I’m good at it. I wanted to be an engineer, I wanted to\nmake things, to build things, I was a tinkerer, I loved taking things apart,\nputting them back together, fixing things, understanding how they worked. But\nthen when I got to college and I realized, okay, the engineering curriculum was\nso regimented, there was never going to be a pause to do anything outside of\nengineering courses, and you wouldn’t have time to learn another language, you\nwouldn’t have time to—I wanted to take writing courses, and I wanted to study\nabroad, I wanted to do all the other things that kids like to do when they’re in\ncollege, and if I went down the engineering path, I wouldn’t—it would have a lot harder.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=0.0,1.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/15","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I showed up as an engineer, dropped out of the engineering program and then\nfocused on chemistry. I floated a little bit between biology and biochemistry\nand chemistry, worked in a couple of different labs, and tried to find my, kind\nof, little home there, but I kept coming back, and chemistry made the most\nsense. That’s how I ended up there may be.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=1.0,1.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/16","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Okay, so during our pre-interview, we had—you had talked a little bit about\nwhen you’re growing on the Chesapeake [Bay], which is—the Chesapeake is a—?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=1.0,1.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/17","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: A body of water, yes. Yes, I guess zooming back, so I grew up\nin Montgomery Village Maryland, but my family spent summers—my dad had this\nlittle sailboat that he’d kept on the Chesapeake. He had gone to graduate school\nat [Johns] Hopkins [University] and so had—so we had— our family had been in the\nMaryland area for a while. My grandparents, my father’s parents lived in\nVirginia relatively nearby and so the family would get together and sail\ntogether on the Chesapeake. I spent my summers as a kid growing up there, and\nthat was probably a bit of the impetus to go into the sciences or—I—the\nChesapeake Bay is a—was at the time and perhaps less so now, it was a polluted\narea. Growing up as a kid in that area, you saw front-hand pollution and—you saw\nthe natural environment, you saw the pollution, you saw the mix of those two. I\nthink that bothered me a little bit, so I wanted to—so I think my interest in\nscience was a little bit about how to—and that was 2000. I graduated in high\nschool 2004, climate change, global warming, those were things that were\nhappening then. They didn’t feel as—quite as pervasive as they do now, though\ncertainly they were, and so I think a lot of those pieces were instrumental in\npushing me towards a career in how to use science to solve some of the bigger\nproblems. That was my interest.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=1.0,2.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/18","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: You had also spoke about boat conservation, which is also—when you conserve\nanything, it’s all about chemistry. I thought that was interesting and kind of a\nnod to history and keeping it going.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=2.0,2.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/19","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, yes, that I think came together later. Early on, it was\njust boating was a family hobby and something I did. When I was in college, I\nsailed on the sailing team at the University of Maryland, Baltimore County,\nrowed fairly competitively. I was involved in that as—it’s a weird sport where\nyou make a fairly slow thing go really quick. It was a lot of fun and being\ninvolved in that community early on was important to me, yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=2.0,2.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/20","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: It must be hard for you living in Atlanta, which is a land—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=2.0,2.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/21","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: No, although after I left Maryland, I mean the road was long,\nbut I did graduate work in Michigan, and I moved to the frozen wilderness. I did\nsome time in the Midwest and then Upstate New York and so, yes, I’ve been—I’ve\nlived away from the water for a long time. Atlanta didn’t—yes, this was some—one\nof the—that’s okay.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=2.0,2.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/22","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Right, yes. So, after you were—you were at the University of Maryland,\nBaltimore County, what happened after that?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=2.0,2.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/23","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Right. I was graduating with a degree in chemistry, I had a\nminor in English, writing, I had a lot of different ideas of what I wanted to\ndo. At my last year of the university, I had taken classes in a bunch of\ndifferent things, in environmental science and in other spaces and so I’d ended\ncollege on a note of, well, I don’t really know exactly what I want to do next\nand it’s—I was still unsure. I graduated in 2008. I got a job working in a small\norganic synthesis lab, so it was basically a start-up company, a couple of\nemployees, I think I was employee number three. The company was called Aurora\nAnalytics [LLC], and this company mostly did custom organic synthesis, so that’s\nmaking small batches of chemical substances for other companies, usually\npharmaceutical start-ups that want to test a particular chemical structure and\nso my job there was mostly to just do the synthesis. I was a chemist, I had—I\nknew how to do the—follow the recipe, so to speak, and then synthesize and\npurify whatever it was that the lab needed to make that week or whatever. So\nthat was my first job.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=2.0,2.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/24","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: I love the honesty of your comments of not really knowing what you wanted to\ndo after you’ve gone through your four years of college. I think a lot of people\nget there, and they think they go straight into a job, and sometimes that’s not\nalways clear. I appreciate your honesty there. You had mentioned or we had\ntalked about your interest in EIS [Epidemic Intelligence Service] in 2017.\nThere’s some time there, you were at Aurora Analytics for some time and then how\ndid you—?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=2.0,2.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/25","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, so we’re sort of jumping around. I started this job in\n2008, so this is—we’re still like nine years before I figure out that EIS is a\nthing. We’ve got a long—we’re—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=2.0,2.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/26","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Okay, and so [crosstalk]—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=2.0,2.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/27","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: I don’t pick it up that quick.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=2.0,2.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/28","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: You were at Aurora Analytics, and you’re in bench chemistry, probably not\nwhat you thought would be the real world. So, you return to get a PhD [Doctor of\nPhilosophy], am I right?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=2.0,2.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/29","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, so the impetus there was I haven’t really decided what I\nwant to do, and so the crystallizing moment was I was working in organic\nsynthesis and I was mixing stuff in a jar and then it hit me one day that some\nof the stuff that we were—was—we were disposing of in a very rigid way, was\ngoing into the waste and this sort of thing. Then other things were sort of\nlike, oh, that’s not really all that bad, we can rinse that out as we rinse the\nglassware. I remember this crystallizing moment for me was realizing, well, how\ndo I know which one of these things is bad or not bad, and is it bad for me, is\nit bad for the fish, is it bad for the bird? It hit me in this practical sense\nof like am I polluting stuff, how is this—? The lab was following the\nregulations, but at the time, it hit me that I realized I’ve been through four\nyears of chemistry and never really learned that much about what was bad, the\ntoxicology of substances, right? I’ve learned how to mix things, I’ve learned\nhow to make things, I learned why they behave the way to do, but I never really\nunderstood the interface between the chemical substances and their impact on\nhuman health. That was the moment when I realized, okay, that’s what I want to\ndo, that’s where I’m going to go spend my PhD time doing.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=2.0,3.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/30","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So, I applied to programs in environmental health, and that’s—was my plan. I\nworked for about a year, in that time, I applied to graduate school and then I\ngot into the program at the University of Michigan, their School of Public\nHealth in their environmental health program, so I moved to Ann Arbor, Michigan,\nin late 2009 to start my studies, I guess.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=3.0,3.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/31","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yes. You still have the thought of environment and doing good for the world\non your mind while you’re doing this?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=3.0,3.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/32","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: It seemed like a way to make use of my knowledge of chemistry,\nright. At that point, I had studied something, I knew a little bit, I was like\nhow am I going to use this? A lot of the guys I had studied chemistry or people\nI studied chemistry with went on to work for pharmaceutical companies or other\nthings. It wasn’t that I thought that there’s anything wrong with that, it just\nwasn’t exactly speaking to me, it wasn’t what I wanted to do.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=3.0,3.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/33","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I go to Michigan, and this is 2009, there had been the market crash, funding for\nacademic—the academic funding in general was a little tight. My experience with\nstarting in academia was not what do I want to study and me writing proposals,\nit was like what money can be had and how do you fund a degree. I mean I make it\nsound bad, but I think in the—there was a lot of academic space that may operate\non some level to that in that way. I joined a research group that was primarily\nfocused on developing instrumentation for exposure assessment. This is exposures\nlike how to—measuring how much of a chemical a person is exposed to, and we use\nthis in the occupational setting to understand like is this worker exposed to a\ndangerous level of whatever substance that they’re working with or— and the\nambient environment are people who live in their homes or schools or whatever,\nare they exposed to dangerous levels of some hazard? My group was focused on\nchemical hazards so that’s—as opposed to particulate matter or radiation or\nnoise, all of these are exposures of concern. In the environmental exposure\nassessment field, we focused on the chemical exposures.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=3.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/34","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: I see. So why public health though? You went into the school of public\nhealth, why not— why not do chemical engineering or— why that?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/35","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, that’s a good question. My family had been public health\npractitioners, right, so in some way or other, my parents had been involved in\nthe health sciences and so I think that was part of it.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/36","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I think the objective to the culture in public health schools was about\nimproving health period and it wasn’t—so I can enjoyed ecology, right, so\nthe—how do you study just the environment in general, not human health, but\nthere was a little bit more—in public health, there felt like there was an\naction responsibility, right? You have a responsibility to then take action on\nwhat you’ve identified as a risk or a hazard and try to improve it. I think that\nculture, yes, lured me in maybe?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/37","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: The culture that you grew up with your parents. Did somebody else have some\ninfluence on you regarding improving health and responsibility for this—the\npublic’s health essentially?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/38","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: I had never taken a public health class at all before coming to\nMichigan to do my PhD. I had never taken an epidemiology class— I had never\ntaken a—so my exposure to it through other mentors outside of just the network\nof who—where I had grown up hadn’t exposed me to that. In a lot of ways, I\ndidn’t know what I was getting into when I joined the public health school. I\nhave a couple of aunts who were—and uncles who are physicians and a lot of\ndifferent family members in the extended family have worked in public health in\nsome way or another and so it just felt like a pathway that I might fit in. I\nhad a hunch is basically the—it’s best I can share—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/39","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: It’s subtly baked into your DNA?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/40","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Maybe, maybe, yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/41","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Okay. Can you describe what you were working on at the University of Michigan\nin the School of Public Health, in environmental health sciences?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/42","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, so my doctoral research was mostly on developing tools\non—instrumentation so we—that could be used to do exposure assessment. The idea\nbeing that measuring very low levels of chemical exposures is a job that\ntypically requires quite a sophisticated piece of laboratory bench equipment.\nSo, a large instrument that sits on a tabletop, and you can’t really bring it\nwith you very easily, and you can’t really bring it to the place where, say, a\nworker is doing his job. The field has developed a lot of ways to basically\ncollect a sample and—on a tube or in a bag or in a canister and then you bring\nthat sample to a lab and analyze it and then later—so six weeks or two weeks\nafter the—you take—collect the sample, you figure out the number, like how much,\nhe was exposed to X quantity of a substance. But there’s this Holy Grail in the\nfield of being able to get that answer in the moment, real-time detection of\nthese chemical exposures.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/43","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"The lab was basically—that I worked in was half an engineering lab and then half\na public health lab. We were partnering with colleagues in the engineering\nschool, and the idea being how do you shrink the size of that tool, simplify it\nenough, that you can get a reliable measurement, an accurate measurement of\nindividual things, individual substances that are present in the work\nenvironment and have that guy wear that tool on his belt that worker, whoever is\nbeing exposed can wear. It’s an engineering objective— it’s a public health\nobjective. A lot of the work was the mix of engineering and public health. I\nthink that’s why I fit because I joined—I think I was one of the few chemists\nwho came in in my PhD class. I was a tinkerer, again I enjoyed taking things\napart, I’d worked with a lot of instrumentation before in—when I worked in the\norganic lab, so I just fit with the team. At the time the—yes, the group had\nfunding and so I joined and it had worked out for me.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/44","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: You were actually building machine-type things, instruments—?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/45","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/46","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: When you say you’re—you are—you’re working on instrumentation, I’m like,\nokay, and you’re tinkering, so that tells me that you’re actually building\nthings like—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/47","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Designing, building—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/48","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: —prototypes, that type of thing?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/49","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, prototyping instrumentation.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/50","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yes, you’re —you’re sawing down tiny, little instrument, is that really what\nyou’re doing?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/51","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Right. The components we used in the machines were manufactured\nusing the same processes big companies use to make computer chips. They were\netched of silicon wafers, so the individual components of the machine were\nincredibly tiny, you could put them on a penny, or a quarter is how we would—you know?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/52","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"When we were writing a paper, we wanted a big splash picture, we would take a\npicture of the component on a—on the face—make—look—Lincoln’s face huge look\nhuge on it. But, yes, so they were very small components, we put them together\ninto machines that were relatively small at the time, and so, yes, it was\nprototyping, it was instrumentation development, and it gave me a really\nhands-on understanding of how to build from scratch these chemical sensors basically.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/53","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Wow, so that really is hands-on.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/54","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, it was kind of an engineering training, but I wasn’t an\nengineer, so I didn’t get a PhD in engineering, I got a PhD in public health,\nbut then when public health looked at what I did, they were like, “Wait, but you\ndon’t do population statistics.” I’m like, “No, no, I’m an engineer.” For me, it\nwas a great exposure, it was this interesting mix of things I was interested in.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/55","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Sure.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/56","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: But down the pipeline, why—what did you really learn how to do.\nIt was hard to pitch that to other people.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/57","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: I just never thought of engineering labs actually doing that type of thing.\nAll right, so tell me more about what you—besides your building and tinkering,\nwere you—I know if you were—if you’re getting your PhD, you’re probably teaching\na little.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/58","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, so I taught, I was a graduate student teaching assistant\nfor a couple of years, and I taught an environment sampling class for master’s\nstudents in the environmental health and industrial hygiene tracks at the school\nof public health. They needed to know how to go collect these samples in the\nfield, right, whether it was a particulate matter sample or whether it was a\nwastewater sample, whether it was any sort of chemical. And a lot of it was\nbiological detection too, so whatever they were interested in sampling for, if\nyou’re going to do environment sampling, this was the class, the field class,\nthe lab class that taught those techniques. My job as the teaching assistant was\nto make sure that all the equipment was working, and everything was packed up\nand we had all the specimen collection tools and all that stuff. It was really a\nhands-on lab course, and it took a ton of time, so it was—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/59","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yes, it sounds like you really liked teaching?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/60","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: The teaching part was a lot of fun. There was a little bit of\nfieldwork— it got me outside. Sometimes when we would go do some lab activities,\nit got you thinking about the practical end a little bit of why are we\ncollecting these things, why does it matter. We’d do these labs on pesticide\nexposure, and you would have the students put on coveralls, like the—a\nbody-protective suit. It wasn’t anything dangerous, it was just—and then we had\nlike a fluorescent dye, something that you can only see with the black light and\nthen they would pretend that they were applying a pesticide to a plant or\npruning plants or something and then, yes, after the exercise is over, you’d\nlook with the black light how much of this color dye did you get on your suit to\nunderstand how does like thermal contact exposure happen in that setting. There\nwas a lot of these little pieces that was interesting to think about. The\nstudents usually really liked the class. I think there was a lot of art to the\nteaching that I really liked.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/61","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yes, and so there you are, you had your PhD and you’re at that crossroads, do\nyou want to stay or should—do you want to stay in academia, or shall you branch\nout into the great, unknown world?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,4.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/62","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes. After that, I had a hard time as a graduate student. My\nadvisor and I didn’t really get along very well. I didn’t have a good working\nrelationship with him and then we collaborated with some groups, but actually,\nhe had a relatively not-great working relationship with other groups and so our\ncollaborations didn’t pan out super well a lot of the times. I started looking\nfor postdocs when I knew the end of time, but there wasn’t a lot of\nopportunities to places to go. Like I mentioned, I was in this weird niche. I\ndidn’t do traditional environmental health research, so if they were—if someone\nwas looking for an environmental health postdoc, I was on the fringe of the\nvalue. They’d have to want something really specific to choose me, and then at\nthe same time in an engineering space, then I wasn’t a trained engineer. I\ndidn’t have the background that engineer—a PhD in engineering would have, so I\nwasn’t really valuable there. I remember looking for postdocs for, I don’t know,\nmaybe three, four, five months and not having any luck finding anything. When it\ncame time, like defended, I needed a job, so I had thought about staying on and\nbeing an academic, but I—the process of writing grants basically and finding a\nhome, I had just not enjoyed my time as a graduate student enough to pursue that.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=4.0,5.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/63","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"My also feeling was that there—I saw some of my colleagues who were really\nimpressive folks struggling to succeed in that career path also, and I was like,\nwell, these guys are way better than I’m going to be. This isn’t going to pan\nout, I need to find another way to be useful because if I—yes, it’s not going to\ngo well for me. I basically started looking for jobs just like out of the blue,\nand I—like cold calling places and trying to find something to do.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=5.0,5.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/64","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Oh, that’s hard.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=5.0,5.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/65","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, yes, it was. I mean it was a bit scary. I think I started\nthe PhD expecting, oh, when you’re done, they’ll come to you, you’ll be all set,\neverything will be golden, you’re on a smooth walk—smooth sailing from there on\nout. I was disappointed a lot in—yes, this. I think just I hadn’t figured out\nhow to use my training yet. I hadn’t figured a way to link what I knew how to do\nwith what I wanted to do and so that took a few more years to figure out.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=5.0,5.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/66","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yes, that’s honest and very much a real thing.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=5.0,5.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/67","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes. I land a job at a company called INFICON, and INFICON is\nan instrumentation manufacturing company, so they make chemical sensors. I knew\na lot about chemical sensors, right? This was a company, they sold chemical\nsensors for a bunch of different applications, most of which were semiconductor\nfab, which is not important. But it’s basically like when you make a computer\nchip, they need a sensor to monitor the chamber that that computer chip or that\nOLED [organic light-emitting diode] screen or that whatever is being\nmanufactured inside of. They make sensor for that, and the company just makes\nthat sensor and then puts it into the giant machine and then that helps them\nmanufacture chips more efficiently, and that was the bulk of his company’s\nmarket. But they had also adapted a tool or an instrument for environmental\ndetection, right, which is basically a backpack-sized GC-MS or gas\nchromatograph-mass spectrometer, which is basically the type of equipment that I\nhad learned how to use pretty well and learned how to design reasonably well.\nThey had a backpack one that they sold primarily for—to military groups looking\nto detect chemical weapons or to environmental groups looking detect trace\nlevels of pollutants.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=5.0,6.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/68","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"But they didn’t have anyone on the team who could talk to the scientists who\nworked with these, who bought these tools, and help them run trainings or help\nthem adapt the tool or other stuff, so I ended up joining their marketing\ndepartment to be the scientist on the marketing team that—yes. I was basically\nthe subject matter expert on using the tool and the problem. I understood why\nyou are worried about—at this point I knew a fair bit about which chemicals are\nbad for you and why and how much is bad and how much is less bad and that kind\nof thing, so, or how to answer those questions, yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=6.0,6.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/69","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: A marketing SME [subject matter expert].","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=6.0,6.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/70","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, yes, it was a very weird role. It was the first job I got\nout of my PhD. I remember I showed up, my first day, it was about seven days\nafter I defended. Anyone who’s done a defense, your brain is so focused on the\nthing and then you show up in this totally different building, in this totally\ndifferent—I had moved, so we’d move to Upstate New York, so I had left Michigan.\nMy whole life had been in Michigan for six years and then in a weekend, you up\nand move, you pack, and you find a new apartment and then boom, you show up in\nthis office building, I don’t know, and you’re meeting with Susan in HR [Human\nResources]. It was a very surreal experience because I—they’re like, “Oh, you\nmust be Dr. Bryant?” I’m like, “Yes, I guess, so,” “Cool,” so it’s a very weird\nspace. Anyway, so I worked there, and I—my job is mostly to run trainings for\ncustomers who buy the equipment to apply—to adapt, help design the\nnext-generation equipment, and then to basically be the scientist support for\nanyone who—in the department who needed it. I did a lot of sales support, I did\na lot of marketing support, and a lot of manufacturing support. The\nmanufacturing facility was downstairs and so I would float between all of those places.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=6.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/71","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Well, you’re using all of the stuff that you learned, including teaching.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/72","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, it was jack-of-all-trades kind of space. I immediately\ndisliked the corporate space. I immediately felt like we weren’t really doing\nscience, we weren’t really at all interested in people be exposed to chemicals,\nwe were interested in selling a tool that helps them answer that question and so\nimmediately I felt like, oh, this isn’t for me.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/73","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"My girlfriend at the time moved up, she was living in DC, she moved up to join\nme in Upstate New York, like frozen. We lived in Syracuse, New York, there in\nSyracuse, New York. She moved in February—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/74","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: That is cold.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/75","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, don’t move in—don’t move to Syracuse, New York, in\nFebruary. She moved up, and I remember she had just moved, she’d left her life\nin DC, and we were moving in together there in Syracuse, and it was like, oh\nman, I—we moved, and now I’m here working at this job that I don’t like how—?\nEven the first six months we were in Syracuse that are—we were like, how do we\nget out of Syracuse? It’s not that we didn’t like the town, it was—nothing to do\nwith that, but it was just I knew it wasn’t for me, I knew it wasn’t what I was\ngoing to love to do, so—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/76","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: So, what did you do? There was not enough—hmm, what we would we say—public\nservice in your life, you needed something a little bit more for your soul?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/77","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, so I basically tried to get creative, and that’s when I\nstarted to realize, okay. Then I really started thinking how do I do it? I had a\npaycheck, I could pay my bills, I was paying off my debt, I felt good, the job\nis helping me do something and so then I started thinking a little bit more. I\nvolunteered a fair bit with the local industrial hygiene chapter to help man,\nrun a conference a couple of times.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/78","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: What is industrial hygiene?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/79","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Right. So industrial hygiene is the field—occupational health\nand safety is the—probably the more common term that people would know. It’s\nabout making safe workplaces, and industrial hygiene is specifically concerned\nnot with safety so much as the protection against illness and disease from\nexposure. The field, if you ask an industrial hygienist, do I wear a helmet in\nthis setting that that industrial hygienist will be very— “Oh, that’s not my\ndepartment.” They’ll be like, “We’re more concerned with the chemical\nexposures.” At the end of the day, it’s all— is the workplace safe? So it’s kind\nof a little bit of the same thing, but the industrial hygienist concerned with\nthe, yes, hazardous exposures.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/80","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Okay, so chemical-related thing rather than have—being in a place with that\ngiant I beam over your head?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/81","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Right, that’s exactly right, so that would be—you know? Anyway,\nit’s a small, minute point, but when you say industrial hygiene, that’s kind of\nthat—oh, I guess that’s I’m pointing—an obvious oversimplification—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/82","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Oh sorry. Sorry.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/83","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/84","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Okay, because when you say industrial hygiene, it just makes me feel like a\nbunch of guys in a factory washing their hands, so—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/85","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Right, or a big, giant toothbrush or something, yes, so it’s—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/86","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Something like that, yes, anything—because hygiene is like that. So, it’s a\nlittle bit different, it’s more chemical related, and what you’re exposed to in\nthe workplace?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/87","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Right, exactly, yes, yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/88","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Got it. All right, so then what did you do? You were saying you’re here in\nUpstate New York, you are kind of cold—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/89","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Kind of cold and—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/90","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: —you’re searching for something more fulfilling.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/91","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Right, so I mean I—we—I get married, we—my girlfriend and I get—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/92","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Oh, wait a minute, how’d you get married? You were already just—what happened there?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/93","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Well, so my girlfriend had moved up. We’d been in Syracuse for\na couple of years, we’re there. We end up being in Syracuse for about four years\nand so we’re up there. Our life moves on, like some of my career stuff doesn’t\npan out the way I’d like it to, but we just continue. But it’s during that time,\nmaybe after about two years in Syracuse as I’m working with other space that I\nhear about the EIS program. This is the first time, so this is like 2016,\nprobably 2017, I’m realizing, oh, there’s this thing where the—I try to imagine\nwhat would you like to do if you can picture anything? I was like, well, I’d\nlove to investigate a new thing. Like when a new outbreak of occupational\nillness happens and we don’t know what’s causing it, I’d love to be the person\nthey call to go investigate what that is, to figure out that mystery, that\nsounded fascinating too. I’ve met a few people, I’d done a training for a NIOSH\n[National Institute of Occupational Safety \u0026 Health] team, so it’s a CDC team,\nwhile I was at INFICON.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/94","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: NIOSH is, what does that stand for?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/95","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: The National Institute of Occupational Safety \u0026 Health. All the\nindustrial hygienists at CDC are mostly there. I’d done a training for a team of\nCDC industrial hygienists at one point and so that had pointed the way a little\nbit, oh, there—that is a job that exists and then doing more and more research,\nI just ended up finding the EIS program reading about it on my own. I don’t\nremember anyone pointing to it, but it just came on to my radar. Once I read\nabout the EIS program, it’s like this sounds like a great place to be, this is\nexactly what I want to do, going to be a disease detective. I was like maybe I’m\nqualified for this, right, like maybe I can do that job, so I applied and\neventually get into the program, yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/96","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Wow. That’s not an easy thing to do, so congratulations. You and I had a talk\nbeforehand in the pre-interview, you got your invitation to be a part of EIS, is\nthis true, the day before your wedding?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/97","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, right, yes, yes, I forgot about this. Anyone who has been\nthrough the EIS process knows that it’s a bit—the application is a bit grueling,\nright? So, you apply, you fly to—or well you did—you flew to Atlanta, and they\ninterviewed, and you went to this gamut of steps, and then eventually after this\nlong process, they’d call you on the phone and they say you’re in, right? If you\ndidn’t get in—the first time I applied, I didn’t get in—so you don’t get the\ncall, and you’re bummed out. You get an email way later that says no, but if you\nget in, you get a phone call. The day before my wedding, I get a phone call from\none of the program folks, a guy named Wences [Arvelo]. So, I’m getting married\nthat week, this was the day before I’m getting married, I’m in the grocery store\nup at—we get married in Lake Placid, New York, which is up in the Adirondacks\n[Mountains], like really pretty remote space and down at the grocery store start\npicking up, I don’t know, some sort of wedding-related item. I can’t remember\nwhat it was, soda or booze or—I can’t remember.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/98","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Anyway, I’m in the grocery store, I’m running through, I’m late, I’m doing\nsomething else, and Wences is like telling me, “You’re in the program,” and I’m\nlike, “Great, great, great, great, that’s huge news,” and he’s like, “You don’t\nseem excited.” I can remember telling him like, “Oh, no, I’m super thrilled but\nI’m just—I’m a little distracted, I’m getting married tomorrow, I’m trying to\nfind—” whatever it was I was trying to look for,” and I was like, “Can I call\nyou on Monday?” I think it was a Friday afternoon or something he called me.\nAnyway, so yes, that was my EIS phone call story, yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/99","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Wow. So, you got to fly down here, you did interview, and then what happens\nafter that? Usually, they’ll tell you in what month, like October or something\nlike that.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/100","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, you find out in October and then you attend the conference\nin May. I was the class of 2019, so we had a conference in May of—our first, our\nsort of inaugural conference—May of 2019, so I—or April or something. I fly down\nto Atlanta, and I attend the EIS conference, and it’s a big, giant zoo. I’d\nnever attended EIS conference before, a lot of people have been to the\nconference, so they know what to expect, I was completely—completely no idea.\nBut it’s a big conference, you get to see a lot of presentations from the\nexisting officers, and then the main objective for you as an incoming officer is\nto interview and—with all the available programs and then match with a position.\nYou’re basically running around the conference trying to talk to all the\nsupervisors in this division and that division, and it’s a really great\nexperience I think. I really enjoyed it, you learn so much, you see—basically,\nyou get a snapshot of what the agency looks like in a way that I think most\npeople who come to CDC don’t get that view. You see like all—how do all the\ndifferent groups here operate, and you get to figure that about four days, so\nit’s pretty fun.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=7.0,8.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/101","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yes, it’s pretty intense and then there are other past EIS officers that are\nthere too—because everybody comes back too, sometimes. I mean your interview,\nthat’s like the process of, what they call it, matching?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=8.0,8.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/102","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Right. You’d talk with people, then you list which programs\nyou’re “interested in,” and then you interview them in a slightly more formal\nprocess on the last day, and then everybody ranks each other. You rank the\npositions, they rank you, and then—there’s the algorithm, and everyone has their\nstory on how this works. But basically at the end of the day, you get paired\nwith a position with the idea being that everyone’s happy. I end up matching in\nthe Division of Global Health Protection, which is in the Center for Global\nHealth, and that position is all about infectious disease and global health\nwork. Again, we have just been talking about it, I was a chemist who knew how to\ntinker with things. I had never worked in infectious disease, I’d never worked\nin global health, but they tell you, use EIS to learn some new stuff, step out\nof your comfort zone, so I volunteered. The only thing I had going for me was I\nspoke French, right, because I’m a French, so I thought maybe that would help,\nmaybe that would help.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=8.0,8.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/103","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Did it?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=8.0,8.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/104","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: I think so yes, I think it did help. I don’t know if it helped\nthem match with me, I think mostly it just helped do my job when I got there but\nyes. EIS was this great opportunity that enables you to left turn in a career,\nand I had just spent so much of my career figuring out how am I going to change\ndirection even slightly.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=8.0,8.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/105","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Because I was always kind of where I wanted to be but not quite and then EIS\njust throws you this unimaginable opportunity, just go somewhere and do\nsomething different that you wouldn’t have gotten the opportunity to do, which\nis great.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=8.0,8.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/106","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Your class is the last class to actually train in person together and\nestablish some sort of rapport.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=8.0,8.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/107","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: I mean hopefully not the last one, but yes, there’s been a\npause, yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=8.0,8.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/108","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yes, yours was the last. Now, they’re starting to—this one that’s coming in\nis now starting to do that so that’s—yes. Anyhow, so you’re in DGHP, which is\nwhat, the Division of Global Health Protection is.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=8.0,8.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/109","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=8.0,8.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/110","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: How many people are in that division and what does their—I mean it’s global,\nso it’s everywhere in the world kind of thing?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=8.0,8.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/111","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Right.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=8.0,8.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/112","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Tell me more about DGHP —","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=8.0,8.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/113","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: So DGHP, okay, I can’t tell you how the people in the division,\nthat’s a great question, I should have the answer to that. It’s a fairly large\ndivision because it houses a lot of the country offices that CDC funds. The\nGlobal Health Protection team is mostly interested in the Global Health Security\nAgenda, which is basically a long-standing kind of strategy on how to do\ncapacity-building work overseas and—yes, that’s the main tagline, but that\nbasically no specific pathogens are housed in that group. It’s a division where\nyou’re focused on building work-building capacity whether it’s work, so some of\nthe—one of the branches focus on workplace development, the FETP program, which\nis the, oh man, Field Epi [Epidemiology] Training Programs, CDC helps countries\nestablish and so it’s about building partnerships. It’s about capacity building,\nit’s about building partnerships, it’s about working with country offices and\ncountry ministries to help them address their priorities and connect them with\nother areas of CDC where we have an expert that might be able to assist on that.\nSo it’s really this middle-ground player, and the reason I went to that group\nand the reason I think what I learned about—really learned a lot is because they\nsort of—how do you manage these big partnerships where the priorities aren’t—I\nmean not already established, it’s not, does not as—is not always clean and\nspecific. So you’re building those partnerships, right? It’s a lot of\ncommunication, a lot of diplomacy, a lot of, yes, working together.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=8.0,9.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/114","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: That’s what capacity building is?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=9.0,9.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/115","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Exactly, yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=9.0,9.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/116","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Right. So, you start EIS program July first usually, so you start with this\ngroup and they—this is very typical of EIS, they instantly send you out on a\ndeployment—to a place that you’re unfamiliar with, with a task that is not in\nyour usual abilities.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=9.0,9.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/117","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=9.0,9.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/118","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Can you describe your first deployment?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=9.0,9.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/119","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes. So, my first project in the division is to do a\nsurveillance evaluation project, and it’s to evaluate the meningitis\nsurveillance system in Senegal. The team had prepped this project for me, they’d\nset up the collaborators and primed everyone, and so. But within a few weeks of\narriving in the team, I fly out to Dakar, and I have one guy from the branch\nwith me and then we meet other partner members at the CDC country office in\nSenegal. We meet with the ministry of health partners, and so. But the basic\nobjective is to figure out how well meningitis surveillance works in Senegal.\nMeningitis in CDC is housed in the Division of Bacterial Diseases, so my—I’m\nlearning about what is meningitis, oh, it’s caused by a bacteria, oh, oh, right.\nI don’t know any of this and so I’m learning not exactly on the plane but pretty\nclose to on the plane. And then we arrive in country, and pretty much everything\nis in French, and I speak French, but as I mentioned I think the last time I\nused it regularly was about sixth or seventh grade, so I—my French isn’t great,\nand it certainly doesn’t include medical terminology, things like that, so, or\nepidemiology terminology, so I’m trying to update my vocabulary accordingly. I’m\nin country about three weeks, and the first week we’re in Dakar, basically\nworking with the planning group to plan the field activities.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=9.0,10.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/120","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"It’s building interview questionnaires, it’s building the tools, who we’re going\nto interview, what we’re going to ask them, what types of data are we going to\ntry to collect, that type of thing, all the planning stuff. Because I had never\nworked on a surveillance system before, this was pretty new to me, I really had\nno idea what I was doing. In basically the second week, the guy I’m with, he’s\nlike, “Okay, I’m going to go back to Atlanta, you’re going to go into the field\nwith your counterpart here from the country office and then—who’s a Senegalese\nguy who’d worked at the ministry for a long time, and so you guys are going to\ndo the field interviews. You’re going to drive around to some different parts of\nSenegal, outside of Dakar, go interview some folks, and then try to answer these\nquestions.” So that’s we do.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=10.0,10.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/121","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"He flies back to Atlanta, I get in the car, and we drive out into Senegal. We\ninterview, we stop by the hospitals, surveillance offices at the district and\nregional level, the laboratories, the local health clinics. We basically\ninterview providers, we’re interviewing surveillance officers, we’re\ninterviewing laboratorians, we’re interviewing all these different people. We\nhave these different questionnaires that we’re sort of following, but they’re\nunstructured, and just trying—getting—gathering qualitative data. Every once in\na while, we get a—we look at some of the quantitative data for meningitis\nsurveillance, how many CSF [cerebrospinal fluid] samples or cerebrospinal fluid\nsamples were collected, which is the process. If you think you have a case, a\nsuspected case, you take a CSF sample and then this is all for children. We’re\nlooking at that, we’re looking at the flow of where do the lab samples go, how\ndo they move their—you know? It’s all very kind of standard surveillance\nevaluation work in the field.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=10.0,10.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/122","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I had never done this type of work before, and I was doing it all in French\ntrying to conduct these interviews, and of course, you feel—you’re the CDC\nrepresentative from Atlanta and so it was—I had been with CDC like six weeks and\nso I feel like, oh yes, I guess so, but—yes. So anyway, you really get thrown\nit. It was a great experience— I learned a ton. In the last week, I present all\nthe findings to the head honchos, all come from big ministry departments and so\nwe have the coordination meeting in Dakar and then we—I give a talk, which I\nfelt super embarrassed about. I was like I don’t want to give a talk, but they\nhad me give me a talk, so I gave a talk to partners. I think it went pretty\nwell. I think we’d highlighted some things that worked well, some things that\ndidn’t work well, and some ways to make it work better. In theory, we\naccomplished the goal, yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=10.0,10.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/123","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: You helped their capacity building?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=10.0,10.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/124","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, I think they recognized also that it’s a training\nexercise, right? The country office knew when they were getting some help that\nthey were going to be getting trainees, so everyone knows a little bit, and\nyou’re there to ask questions too. There were a lot of things I didn’t know how\nto do, so then you ask, like, “I don’t know how to do this, what do we mean by\nthis?” and then you start the conversation. So, EIS is set up to put you in\nuncomfortable situations and then expect you to ask questions to figure out how\nto resolve. They pick people, I think, who they think have the potential to\nsolve those problems even if they don’t already have those skills, right? You’re\nthere to learn those skills and so, yes, so anyway. I think it worked out, it\nwas a good experience, I really learned a ton, and that was my first trip out.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=10.0,10.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/125","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: In the span of six weeks, you had moved from northern New York to Atlanta,\nand went straight into the field?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=10.0,10.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/126","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes. Well, we had late summer course, but it’s an epi training\nI mean—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=10.0,10.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/127","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Sure.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=10.0,10.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/128","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: —yes, and then I’m back on a plane, yes, so it was a lot.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=10.0,10.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/129","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yes, there’s the two-week summer course.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=10.0,10.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/130","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: It was kind of a wild ride.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=10.0,10.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/131","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yes, there’s that two-week summer course where they give you the basics of\nwhat epidemiology? I don’t know what the—you tell me what they do. Well, you—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=10.0,10.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/132","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: My PhD was in public health, so all the coursework you do for a\nPhD is epidemiology principles, right, so I—we do all the stuff, so it was\nbasically recapping that. I started EIS in 2009 or excuse me, I started EIS in\n2019, I started my PhD in 2009, so it had been ten years since I—someone said,\n“Hey, make a two-by-two table.” I was like, “Oh yes, a two-by-two table.” You\nhad to go back and remember a little bit, but, yes, so it was good. There’s\nobviously more to it than two-by-two tables, but the summer course covers a lot\nof investigating outbreaks, right, and create some mock scenarios for you to\npretend you’re doing that. It’s great exercise. I remembered I tutored some high\nschool kids when I lived in Syracuse on disease detective science competition, I\ndon’t know, that’s the thing, I—anyway. I had a friend who taught at the\nlocal—he was a science teacher at the local high school, and he’d asked me to—he\nknew —I don’t know, I don’t know how we made this up, but he knew that I was\ninterested in that kind of thing and so he had pulled me in tutor some kids. I\nwas going through, and I tutored some high school kids on how to do these\nbasically exact same scenarios for a high school competition.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=10.0,11.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/133","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So, then you show up at EIS—to the EIS program, and you’re doing their summer\ncourse, then you’re going—it’s like, hey, I think I remember this from we did\nwith the high school kids. It’s obviously not the exact same thing but it’s—it\ngives you a bit of a flavor.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=11.0,11.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/134","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yes. Do they also give you media training?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=11.0,11.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/135","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Why, am I doing bad?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=11.0,11.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/136","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: No, I think because when you’re out in the field and especially now during\nCOVID, a lot of people are—I mean media has become almost another player. Part\nof your outbreak investigations, you have to report, you have to be able to talk\nin front of a camera, that type of thing, and it’s become even more prevalent\nespecially during COVID and how media has become this other thing that you need\nto manage. Did they give you any?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=11.0,11.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/137","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: They do, and they really tried to do—to include that, but the\nsummer course is short, there’s not a lot of time. I remember doing the media\ntraining, you learn like if you’re—basically there are people whose job it is to\ncommunicate to media, yes. If you can, pull them in, right, pull them in to help\nyou. It was my takeaway from the training that we got. Nothing that we did in\n2009 was at all geared towards the type of media we were going to—we were soon\nto encounter, right? None of us, no one attends a—there’s not much media in\ngeneral in public health. The pandemic has totally changed that but—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=11.0,11.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/138","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yes, and we’ll get to that later. Because that is a big part of this whole experience.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=11.0,11.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/139","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=11.0,11.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/140","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: All right, so then you come back home, do they throw you back out in the\nfield again, what happens after that? Because we’re now in, let’s see, July of\n2019, you were there three weeks, so you really — June, July?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=11.0,11.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/141","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: I get to Senegal more in the August, September, I think I’m\nthere from like August, September. July is summer course, I start with the group\nin August, I think it’s near the end of August, beginning of September that I go\nto Senegal, so I get back from Senegal in September. I have some projects at—in\nthe branch that I’m working on, data analysis projects that are—and prepping for\nmanuscripts and stuff like that, so I had some non-fieldwork that I’d do. In\nOctober, I go to—I do fact training, which is this required thing for a lot of\npeople in the Center for Global Health or anyone who works overseas. It’s this\nforeign affairs counterterrorism training— it’s this weeklong thing where you—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=11.0,11.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/142","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Yes. It’s a required thing, and so I had other stuff basically happening in the\nfall of 2019.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=11.0,11.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/143","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Do you do a health check too before you are deployed by the way?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=11.0,11.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/144","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: You do, and it—so they have like a basic one if you’re going to\nbe gone for some—less than thirty days at a time, I think. It’s not a big deal.\nThey have a state department one that’s a little bit more involved, that\nbasically if you’re going to live overseas, you need to have done, so, yes,\nthere’s a couple of different layers of that. You have to go do the CDC clinic\nto get all your shots before you do anything, so I think I went and got vaxed. I\nshowed up one day before I went to Senegal and they’re like, all right, so you\nget—you do yellow fever, you got—it’s like boosters for everything, so I think I\ngot like six vaccines in one day when I went into the clinic. The folks was like\n[phonetic], “Like have you ever done work like this before?” I was like, “No,”\n“No? Okay,” so.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=11.0,11.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/145","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"But I think in December or November, I volunteered. There’s a call for—to\nsupport the polio surge. This is not a branch or not an activity in my division\nreally. The EOC is activated, the Emergency Operations Center is activated, and\nthey’re calling for more people to support this polio outbreak effort, and I\nvolunteer, and I think a lot of my EIS classmates volunteer. This is a big—like\na lot of, I think at least ten, fifteen people. We have a few emergencies\nhappening then at the end of 2019. There’s Ebola [virus] going on, people are\ndeploying to DRC [Democratic Republic of the Congo] for Ebola, polio surge is\ngoing on, there was the EVALI [e-cigarette or vaping use-associated lung injury]\ndomestic vaping outbreak of lung disease that happened. A lot of my classmates\nimmediately after summer course ends in the backend of 2019, people are\ndeploying all over the place. I jump on and do polio deployment, and this is to\nCôte d’Ivoire in I think November, December 2019.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=11.0,11.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/146","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Okay——can you describe what you did there?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=11.0,11.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/147","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes. I joined a group of two scientists from the GID, which is\nGlobal Immunization Division, who are experts in polio. The three of us joined\ntogether with the two guys from WHO/AFRO [World Health Organization / Regional\nOffice for Africa] who are leading the outbreak response, the team. We joined\nthe WHO team, and they’re leading that team and then we’re partnering with the\ncountry ministry of health in Côte d’Ivoire. This is all happening in Abidjan\n[Côte d’Ivoire], so we fly to Abidjan, we set up shop in the WHO office there,\nand there was a meeting with different partners in—with the ministry of health\nto get them started on outbreak-response activities. It’s like a combination of\nsurveillance strengthening, so training all the surveillance officers again on\nthe practices for acute flaccid paralysis because polio is monitored—the\nsurveillance for polio is syndromic. You’re basically looking for the paralysis\nand then basically the processes for doing the testing, it’s collecting stool\nsamples and the transport of those samples. We’re involved in writing the budget\nplan, writing the proposals, working with the ministry of health to get them—who\nneeds to be involved, doing some site assessments of different places. We did\nmake some visits of local clinics in what you call like active surveillance,\nbasically reviewing the registries, similar to what I had done in Senegal but\nlooking and seeing, okay, were there any cases that—a registry, and I don’t know\nif anyone doesn’t know what registry is. A registry in this setting is basically\nwhere the doctor records, okay, and one entry will be a patient came in and\npresented with these symptoms, et cetera, and then diagnosed with X blah-blah-blah.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=11.0,12.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/148","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"The purpose in a public health or a surveillance setting is that you review the\nregistry, look at all the different patients that came in, and then try to see,\nokay, did anyone fit the case definition for acute flaccid paralysis? Should\nthey had been notified as a—because then that would be, okay, then you got to\nfill out the notification forms for a potential possible polio case, right? We\njust describe it as acute flaccid paralysis, but anyway, so we were doing the\nregistries in some of the local health clinics to see if they missed stuff. I\nget pulled into doing some of those activities, and it’s—it’s a mixed a bag.\nWe’re in Abidjan for maybe three weeks or something and right around the middle\nof December, we—it’s basically that we realized that everyone—everything is\ngoing to for the Christmas holiday. Everyone, all the public health department\nis going to go on vacation, and everything is going to shut down, so there was\nnothing for us to do the back end of December, so they were like, “Okay, we’re\nall going to go home and then we’ll be back in January or something, so we’re\njust going to fly everyone home.”","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=12.0,12.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/149","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I come back after being a few weeks in Côte d’Ivoire with the expectation with—I\nwas planning that I would just—I would come—I would be kind of U-turning and\nheading back in another month or two. Because I spoke French, and I was working,\nI knew a bit of the team, I knew who the members—I knew who the partners were, I\nhad that, I developed a little bit of relationship with some of the other people\nat the ministry of health there.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=12.0,12.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/150","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yes, okay, and so we are now at this pivotal part in the whole world\nwhere—we’re starting to hear these rumors about SARS-CoV-2 [severe acute\nrespiratory syndrome coronavirus 2], although it was not called that, it was\ncalled—I think it was pneumonia?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=12.0,12.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/151","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: We didn’t know— we didn’t have a name. The EIS rumor machine is\nstrong and so we all—it’s a pretty—we all get together, but they were still\ndoing what we call Tuesday Monthly Seminar, which is you’d go—all the EIS\nofficers go gather in a conference or an auditorium. Someone gives a\npresentation, and basically we all chitchat, and then go to the bar afterwards\nand talk. We had like a New Year’s Eve thing, I can’t remember what it was, but\nit something like New Year’s Eve in—of 2020, right, so the end of 2019,\nbeginning of 2020. We’re all getting together, and one of our classmates was\nlike, “Yes, I think I might go to this new pneumonia thing.” We’re like, “Oh,\ncool,” because we’ve been deploying all over the place for Ebola, polio,\neveryone was like, “What are you doing, what are you doing?” That’s how the\nculture works or it did anyway in—when I was, yes, at that time.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=12.0,12.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/152","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Right, so they’re all discussing it and to—your thoughts on that? Did you\nthink like, oh, yes, pneumonia or—?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=12.0,12.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/153","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, it’s really hard to say because we’d been involved in—I\nmean not that pneumonia isn’t scary, but it was this thing where we—people had\nbeen on the polio deployment, we had several of our classmates who had been to\nrural parts of DRC who had gotten the Ebola vaccine and then we’re—polio. I\nremember when we were doing polio, I don’t know, but basically the severity. I\ndon’t know you get roped in, you—I don’t know, it’s a hard thing to describe.\nYou don’t have a good emotional link to how serious the risks are because if you\nthink about it too much, you—it’s hard to do your job a little bit. You are kind\nof like zoomed out and thinking at it a little bit more from a public health\ndata lens. The immediate reaction is when you Victoria (another EIS officer) was\ngoing to go to do some of this stuff, it’s like, “Oh, where are you traveling\nto? That sounds great,” that was the immediate response. We didn’t have a good\nunderstanding of the risk, yes, that was on the horizon.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=12.0,12.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/154","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Right, I don’t think anybody had the understanding of this, what was coming.\nAll right, so after that get-together, you were starting to hear more and more\nabout the unknown cause, which is now becoming more like an official name. In\nFebruary, it’s officially named COVID-19.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=12.0,12.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/155","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Well, yes, so, yes, so I—end up not going back to a Côte\nd’Ivoire, and I start getting on the—and I volunteer for a COVID deployment. At\nthat point, it was still nCoV [novel coronavirus] something, something. It was\nlike the very beginning of February— I volunteer for a team that’s doing the\ninvestigation of a travel-imported case on which is the twelfth, was the twelfth\ncase in the United States in Wisconsin so this is—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=12.0,12.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/156","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: The twelfth case of CoV-2?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=12.0,12.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/157","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, and right, twelfth detected case in the United States.\nThis was around the time of the—while the—I don’t know, the dates, but it was\naround the time, maybe a little bit before the nursing home in Seattle, so it\nwas right around that time. It was like the first-time people realized how maybe\ndangerous it was.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=12.0,12.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/158","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: So, describe that investigation. This was in Wisconsin?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=12.0,12.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/159","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes. So, this is in Madison—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=12.0,12.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/160","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Case twelve.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=12.0,12.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/161","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: —case number twelve, yes. We fly out, it was the first week of\nFebruary, or, yes, middle of the first week of February, and I had a buddy, one\nof my EIS classmates was assigned to the department of health in the Wisconsin.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=12.0,12.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/162","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: What’s the name?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=12.0,12.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/163","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Ian, Ian [W.] Pray at the time. I believe Ian still works\nthere, but anyway. So, Ian wasn’t working specifically on this investigation,\nbut he was a buddy, and I was like, oh, I’m going to get to see Ian when I go\nout to Wisconsin, and so I—it was one—it’s just part of the mindset. We deploy\nout of the objective of this group is—of this mission is to conduct—essentially\ndo contact tracing for this travel-import case, to conduct the case\ninvestigation, and then what we end up doing is basically all the specimen\ncollection for all of the contacts that this person came into contact with and\nall the people that they sat near on the plane, family members, and all—and\nhealthcare workers who—the case that come had—knew they were sick and had\nbasically gone immediately from the airport to the hospital and said, “I am\nsick, I know that there was something in China where I was, and I—” so had\nbasically done their—had been very careful. But in that process, our job was to\ndo the legwork on going to collect those samples, and at the same time, we were\ndoing capacity work on the—for the county health department there. I can’t\nremember what the name of the county is there in Madison and then also—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=12.0,13.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/164","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Dane?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=13.0,13.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/165","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: —working with the state. What’s that?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=13.0,13.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/166","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Dane County?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=13.0,13.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/167","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, yes. We did a training for NP [nasopharyngeal] swabbing,\nright, or NP/OP [nasopharyngeal and oropharyngeal] swabbing. The other three\npeople on the team with me were physicians and so I was—so they mostly did that\npart, but I got swabbed. This was like the very beginning of February, and so\nwe’re like, oh, this is uncomfortable, man, I don’t have to do this much, very\nmuch, so. That’s basically what we do. We spend two weeks in February driving\naround to collect specimens from people who had come into contact with this\ncase. But remember, February, we were—it was low-profile time right? CDC didn’t\nknow what we were dealing with, so when we would go—we’d drive to someone’s\nhouse, we would arrive at their house, we would put on PPE [personal protective\nequipment], which was like the full gown, gloves, and then N95 respirators, and\nface guard. We were in full garb, what would you expect to see in a hospital\noperating room basically. We’re out in the real world and so we would like tell\npeople, “Okay, open your—do you have a garage? Open your garage, we’re going to\ndrive in, close the garage door behind us, and then we’re going to suit up in\nthe garage and come to your house” because we didn’t want people’s neighbors to\nsee the blue spacemen walking up. There were some sensitivities to that, so we\nwould go, and we would go to people’s house. We would call them ahead of time,\n“Hey we’re doing this, this is what we’re trying to do, this is a question we’re\ntrying to answer.”","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=13.0,14.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/168","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Essentially for me, this was like this eye-opening moment because you’re going\nto people’s houses and you’re the CDC, and you’re showing up in this outfit, and\nyou’re telling people like, “Don’t worry, it’s cool, we’re just going to get\nsome—collect some specimens from you,” and people, a lot of people were really\nscared. Yes, there was one group, they had their children, right, their children\nare there and they’re—one—this person you’re collecting the specimen from them\nbecause they were in contact with this person like, “Do you need to test my\nkids, what are you doing?” and we were like, “Uh, we don’t have any guidance on\nthat, so no, not going to do that.” You’re the frontline person, you’re the\nfirst person they talk to, they don’t have anyone else to call and so there was\nnowhere to find information on what they’re dealing. This was eye-opening for me.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=14.0,14.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/169","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"My main concern going into this was try and make—to reassure people, to tell\nthem we were going to—we’re going to try to help them. I’m not a clinician, I\ndon’t have like—I think clinicians have this—they just have training on you can\nonly do so much to help a patient, your job is to treat them for what they have,\nbut you can’t—you know. It’s a little maybe ingrained in their training to\nunderstand that mindset, and it wasn’t for me, so I—it was very—it was an\ninteresting space for me to be in there and pick that up firsthand. Because this\nwas the first time I’m interacting with, yes, doing like the—just seeing people\nwho could be in impacted by what you’re trying to do, like you’re having\nconversations with them. That’s what we were doing, so for two weeks we’re\ndriving all over was Wisconsin basically, donning these outfits, and generating\na—putting a lot of PPE waste in the bin, driving the specimens back to the lab.\nThis was the time when there was the snafu with the lab samples. The Wisconsin\nstate lab is doing those analyses, we were driving to the lab at the end of the\nday to bring them all the specimens, and I think they were pretty good. There\nmight have been like a day or two where we had some snafu, but it wasn’t—it was\nmostly resolved by the time we got going.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=14.0,15.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/170","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"We do all the assessing in the, and what we find was that no one had—no one else\ntested positive. So the case tested positive for a few more days and then none\nof the family members—like they had moved out of their house and gone to stay\nsomewhere else, a hotel or somewhere, I can’t remember. Yes, we tested the\nfamily members, we were testing everyone sequentially, so everyone who came into\ncontact, they would get multiple tests every other day for two weeks, and no—all\nof those tests come back negative. Everyone who tests—so we feel ecstatic. We’re\nbasically like, yes, contained, we’re good, we’re going to go home now. We\ncelebrated, we go to the bar, and we have a beer, it’s February in Wisconsin,\nand my buddy Ian, he’s—joins us for a drink. I think he joins us one day and\nthen the next day, we leave or we’re going. I don’t know, his wife has a baby\nright around that time, so we’re—it’s a celebratory mood is what I’m trying to\ncapture. We didn’t test any positives, we contained this thing, we felt really\ngood about it. Ian, his wife had a baby, everyone is really happy. Yes, I don’t\nknow, that was the mood, that paints the picture","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=15.0,16.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/171","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Wow, yes, I can just imagine how the children in those homes are remembering this.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=16.0,16.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/172","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, I have no idea. I remember the people were—by and large,\nthey were scared but they—we talked to them, they were aware of what was\nhappening. We were telling them this is overkill, this—none of this gear is\nprobably necessary—I mean it ultimately is probably pretty necessary, but we\nwere trying to reassure people. Yes, I remember one, at one point, the guy was\nlike, “Hey, do you mind if I take a picture with you? I think it will ease the\nsituation and make my kids see this is—” I’m like, “Yes, sure, absolutely.” If\nthis is going to help calm the situation down if someone takes a picture of you\nnext to me, I’m okay with that. I mean in the hindsight, I don’t know, maybe\nthat was a bad call, maybe that’s not how we should behave when we’re in the\nfield, but I do think we asked a lot. It was my impression, and this is my\nfirst—is we asked a lot of people when we were asking them to comply with these\nsorts of things, and it is voluntary, and it goes a long way to help, be as\nhuman as possible throughout that process, that was that was the best way I\ncould approach it. Yes, the human thing to do is smile, I mean we can’t smile, I\nhad a whole mask on, you couldn’t see my face at all, but, yes, take a picture\nwith the—with someone who’s helping you out.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=16.0,17.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/173","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: You tested them more than once, so this isn’t just like one day in, one day\nout, you were testing them multiple days just to make sure it was contained.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=17.0,17.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/174","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, yes, that’s correct. We didn’t know what the—like latency,\nwe didn’t know how long it was going to be between exposure to outcome. They\nhadn’t really picked up on that time, and we’ve been told when we first showed\nup that it could be five days or fourteen days, and we were like, okay, but—so\nthat’s why we were there that long. We basically tested everyone to day fourteen\nand then when no one tested positive, that’s when we came home.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=17.0,17.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/175","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yes, well it was a virus nobody knew anything about at all, so guidance was\nchanging constantly and how did—did you feel supported when you were in the\nfield? You’re saying you’re donning PPE, and now that I think about how much PPE\nyou may have gone through that one week and could have even—and all the ICUs\n[intensive care unit] that were reusing theirs—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=17.0,17.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/176","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: It was before—we knew any of that.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=17.0,17.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/177","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Before we knew anything like that and—yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=17.0,17.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/178","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, they would send us out, when we flew out, they would\nship—actually, I can’t remember, maybe they—we flew with the PPE. I don’t know\nif we—I can’t remember. On later deployments, they would just mail the PPE to\nwhatever hotel we were staying at, and you would get your cardboard box of\nwhatever and so most of the other deployments and whatever. I think this first\none, I showed up at the EOC, you go to the equipment room, you request PPE for\nwhatever, and they give you like two—basically a garbage-size bag of stuff, and\nyou just packed. I think I packed it in a separate suitcase and just flew with\nit, so I brought it all, and then we left it all. You left all the spare stuff\nat the health department because, I don’t know, we used like half of what they\ngave us or something. But, yes, this was just a different time, and the mood was\nso different in the early phase. This was investigating something that we didn’t\nrealize—I mean I remember asking one of the senior guys because this was my\nfirst time doing this kind of outbreak response in that kind of way, and I\nremember thinking like, how do—do we know these activities work in terms of\ncontainment, how do we do them, what’s our mindset when we’re going to this, is\nthis this severe, do we need to be this? I didn’t know what’s the default\npractice beforehand, and maybe I should’ve. But the mindset was, he told me this\nand I’ll never forget this, it was basically like, well, if we don’t know, we\napproach it like Ebola, that’s the level of precaution you take until you know\nbetter, and it’s like, oh, so obvious, duh, absolutely, that’s how you go about\nit. So it was like the mindset until we know it’s less severe, this is how we go\ninto it because you don’t know what you’re going to get too on the other end and\nso that’s why we wore all the PPE, that’s why we took that precaution, all those\nprecautions, and that’s why we went and did sequential testing. That was the\nearly phase, it was—in hindsight, it was what we needed to do. Yes, yes, I don’t\nknow, I don’t know, that was—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=17.0,18.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/179","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: You deployed a lot thought during those early months, you deployed again to\nRhode Island.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=18.0,18.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/180","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, yes, so I get back from Wisconsin, right, so then I’m home\nfor probably about two weeks, and then I get a call for another opportunity to\ngo out. I come home, I think it’s like mid-February, and then in late February\nor really—I think, yes, maybe the first few days of March of 2020, I get an\nopportunity to do another deployment, this one to Rhode Island. I jump on that,\nthat sound great. This team’s mission was to again investigate a\ntraveling-import case or a couple of them that were in a school with the idea of\ndoing something like an exposure study at the school to say, okay, you had a\nsymptomatic person in the school and there was contact in a school setting, how\nmany other students or staff at the school test positive, right? It’s a school\nsetting, a place where you could see transmission. This was the purpose of the\nstudy, and this was a great project, I was like, oh, yes, that’s super important\nto understand and so much more important than I ever would have—like later on,\nlike oh my God. Yes, so we fly out to Rhode Island, and I joined my team\nof—there was five of us.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=18.0,19.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/181","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"The health department of Rhode Island is all centralized. It’s very small, so\nthere’s no county health department, things like that, it’s all happening in one\nbuilding, and the laboratory is like right next door. Everyone is in the office\nat this point, right, everyone is going in, there’s—everything’s normal and so\nwe go and we have a conference room that we basically set up shop in and—or\nmaybe it’s a basement, I can’t remember. But anyway, the punchline is there’s\nfive of us and we’re all—we’re staying in the hotel across the street from the\nhealth department, and we start setting up this study. We had two objectives,\nright. So one objective is to investigate this, run this little study, this\nproject on the transmission in the school because the school had been notified\nthey had a case. They shut down that school and then they were doing—waiting,\nthis was early March, they were like, no other schools were closed, this was\njust—they—and this wasn’t like wasn’t like a demand, they had shut down\npractically. So, we’re doing that.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=19.0,19.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/182","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Oh, the other aspect of the project was to support processes related to case\ninvestigation and contact tracing for Rhode Island, so we were basically\nreviewing their protocols. Like what do you guys do for case investigation, what\ndo you guys do for contact tracing, and this is everything from what questions\nyou’re asking, all the way down to like how are you recording the information,\nthis was process flowing, how are you sorting the data, how are you uploading\nit. With the backend and what we end up realizing later on is that the scale,\nlike how do you this at scale, right. If your process is you talking into the\nphone and you—and then filling out a paper and had that piece of paper to Steve\n[phonetic] and then Steve does it, but then someone enters an Excel spreadsheet,\noh, but Peter has this Excel spreadsheet open. If you have that kind of process\ngoing, it’s going to be really, really hard. We were trying to basically, yes, I\ndon’t know, shed light on those processes and help build capacity where we\ncould. I can’t remember exactly where we—what their processes were at that time,\nbut we were effectively trying to do process improvement on that aspect. So\nthose are the two things we were doing in Rhode Island.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=19.0,20.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/183","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: How do you communicate though to parents and the school administration as\nwell, and was that an incredibly smooth process or was it not?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=20.0,20.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/184","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Well, so yes. We show up, and it’s the beginning of March, and\nthings were still pretty normal. We’re going to restaurants for dinner, we’re\nhanging out, no one’s really—no one’s wearing masks, where—this is before any of\nthat. Everyone is having a good time. And so we’re doing this case that the—and\nmaybe we shouldn’t have been, right, I don’t know. Basically, we started the\nproject, and in the time that we’re starting the project, the scale of the\nproblem around us, like the tension around us starts to go. Halfway through\nwe’re there, that’s when everything starts to shut down, people—I remember my\nfamily members calling me and texting me and be like, “What is this thing, what\nare we doing?” and so everything is shut down there in the middle of March. I\ncan’t remember the exact date, but basically, even we were like, oh wow, this is\na big deal and so it would—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=20.0,20.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/185","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: March fifteenth, President [Donald J.] Trump declares a nationwide emergency.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=20.0,20.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/186","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Right, so that’s right in the middle of our time there. When we\nfirst started the project, we meet with the school officials, we meet with some\nof the administrators, we have a good, smooth relationship, things seem okay,\nlike we have a plan for okay, we’re going to run an event essentially—well, I\ndon’t want to call it an event. We’re going to do a testing event, so we’re\ngoing to provide the testing. We’re going to basically do swabs and blood draws\nfor anyone who volunteers, and we’ll do it in the gymnasium of the school, and\nbasically then we’ll have a little questionnaire where we’ll ask some people\nsome questions like did you—basically to the effect of were you in this class,\ndo you—period four, so-and-so, or were you—you know? If you were, which desk did\nyou sit in? We had a map. This was a high school, so we had like a map of the\nroom of where people are. So we basically had the questionnaire, it was like\nthat. Oh, I didn’t take any of those classes and so we—that was the event that\nwe were planning. We had coordinated with the health department to have people\nto do the blood draws, to do specimen collection. We had a lab guy come from CDC\nto help get everything ready for the lab side, so all specimens could be\nanalyzed and prepped and organized and everything. It was a good, quick—in seven\ndays, we—even less than, we had the plan for all of this stuff, and we’d send\nout materials to the school, so all this.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=20.0,21.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/187","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Basically, when things start to close, it changes the mood. Everyone gets a\nlittle nervous, and we’re not sure it’s going to even happen. I don’t want to\nsay, it sounds so silly, so one of the parents had sent our flyer to a local\nnewspaper, and it was like—it felt like it was going to explode, like we’re\ngoing to get some sort of a crazy media presence at this event, and we are like,\nthis—it’s not what we want. We were going to start to have to talk to parents\nand stuff like that, so we—CDC sends us a comms [communications] expert to come\nto the team like a day before or two days before the event to basically walk us\nthrough like how to have these conversations, what to be aware of, how to—and\nsupport us in that. Yes, we were a little nervous, this could be a media event.\nThen the week after, everyone’s already locked in their houses is what I\nremember and very few people come to the event. We got enough to do the study— I\nthink we probably had twenty, thirty kids come by to do—to volunteer. Again,\nthey’re coming, they’re doing a blood draw, it’s not nothing, it was a big step,\na big help too, and so they come in, and we do that and then we write the study.\nIn this time, we’re trying to also—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=21.0,22.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/188","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And then the case number arise, right, and so we’re trying to help Rhode Island\nmanage how they prep for that like you’re going to have a scale up. And then the\nother things we were starting to realize, like you got everyone in one room, all\nyour people on your staff are in one room, they’re all on top of each other, we\nneed to out a way to get people spread out a little bit. We start to think about\nhow to do social distancing and all that stuff is—that’s happening in this\nmoment. We didn’t have plans for those things, it didn’t feel like we had plans\nfor those things in the beginning in March, but then by the middle of March,\nwe’re like we need this immediately, so that’s the space we were in and so we’re\nnavigating in those months. We did talk to some students and some parents. It\nwas more familiar than we thought. It was pretty straightforward. When it’s\nsmall numbers of people, you have three students, a couple of parents, and you\ncan have a one-on-one conversation that feels—you’re easy—it’s easier to convey\ninformation. It wasn’t like a big media thing where there was like fifty people\nand a crowd and a bus with a camera or all that stuff. It ended up being a very\nsmall thing. But again, I think that project was useful. Yes, it takes us a\nwhile, but we write up, and we learn some stuff.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=22.0,23.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/189","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"The major takeaways from that project were at that time with that variant,\nright, it wasn’t really—the school setting didn’t really result in that many\ninfections, a few but not a lot, so it was a little bit of what we—it was\nbuilding on that, what-did-we learn space, and I thought it was useful.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=23.0,23.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/190","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Okay. You’re doing this right at the time when the whole country is starting\nto shut down, schools are shutting down, the government is going home. We, CDC\nwas now working completely through telework, which is a completely different\nfeeling when you’ve been so used to working with other people and how that must\nhave affected the response as well?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=23.0,23.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/191","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, yes, yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=23.0,23.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/192","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: I mean it’s easier to run down the hall and say, “Hey, I have something here”\nrather than you go and set up a Zoom call and we’re going to talk about this.\nI’m just wondering if telework is slow—do you think it’s—it may have\nhad—affected the response at all?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=23.0,23.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/193","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: My sense is when you’re on response, there’s no telework, I\nmean when you fly into the field, right? When you’re in the field, you’re going\nto do stuff anyway, and there isn’t there—there’s less—yes, you social distance,\nyou do what can, you have Zoom calls with the team back in Atlanta, but the work\nin the ground is still—I mean so much of it was just face to face. We were\ndriving to the school, meeting with the administrators, setting stuff up. You\nwere physically needed to collect blood from these kids, so we were—we met with\nphlebotomist team, and we—so we had all this. Oh, in the field, you don’t notice\nit because you’re doing it anyway. What we noticed in the field was like as the\nemergency arose and the scale arose and there was so much more happening, we did\nget that feeling of like did CDC remember they sent us here? We would have\ncalls, and they’ll be like, “Where are you guys?” and we’re like, “We’re in\nRhode Island, you sent us to Rhode Island, do you—?” Our team, we were so\nworried that they were going to cancel all the flights and that there was going\nto—no CDC plane to get us home that we rented a car to drive back to Atlanta\nfrom Rhode Island that we—thinking we would never be able to get back. Yes, like\na lot of people on the team, they had kids, they had kids in school, they had\nkids in day care, they were trying to navigate that with their own families. It\nwent from organized to what felt like not organized— very quickly, and while we\nwere in the field to see that shift. I don’t know if telework made it that way—\nI can’t speak to that. I do think that there was this sense of we’re on the ball\nin February and then there was a sense of by the late March, we’re not on the\nball anymore. That’s what I felt like from my vantage point.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=23.0,24.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/194","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Do you think it was due to the fact that it was spreading so quickly in the\ncountry, or do you think it was more of leadership, or lack of leadership?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=24.0,24.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/195","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: It’s really hard to say, I mean there’s certainly some elements\nof the latter, right? There’s certainly some elements of leadership and\nthen—that probably could’ve stepped up and said some more things. I remember\nattending an EOC call, one of the early ones that Nancy Messonnier did, and I\nremember she kind of put the fear in me. I don’t know if that was the impact\nother people took away, and I was like, oh, this is a big deal, okay. Because I\ncame back from Wisconsin thinking, okay, we crushed, we’re good, this is not\ngoing to be a thing, I’ll go do something else in a month. I remember listening\nto that seminar and be like, oh, or yes, I was sitting in on that IM [incident\nmanagement] meeting or something, I can’t remember what it was, but I remember\nthinking like, oh, this is serious, okay. We need to refocus, I need to have a\ndifferent mindset here, and they helped me change that. I remember changing the\nway I looked at the problem at that space.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=24.0,24.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/196","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Again, everything was changing so fast. I think it was partly that it was\nchanging fast— I think it was part that the processes we had to manage things\nlike that, like contact tracing and case investigation, that those processes\ndidn’t include modern tools. In many of the places I deployed later, it was\nstill like phone calls, it was filling out paper forms, it was filing that paper\nform, it was someone putting in an Excel spreadsheet, it was—we didn’t have—and\nwhen we talk about public health systems, that’s what I’m talking about, that’s\nwhat everyone is talking about. It’s just like the transfer of that information\nif it’s not done in an efficient, automated way, then you—it just takes too many\nman-hours to do. When five cases a week, yes, you can probably do that with the\nstaffing you have, but if you get fifty, you can’t, all of a sudden, you’re\ngoing to be backloaded, and if you five hundred or five thousand, yes,\nyou’re—it’s a completely different system you needed. Those were the types of\nthings people were starting to realize in March was my sense and so that’s what\nthe—yes, that’s what I—that’s what you felt. When visited the following month\nin—even in April—in April 2020, those were low numbers of cases relative to what\nwe saw later on, right? Already people were so swamped, it was like they\ncouldn’t—they were doing five hundred a week, and they just didn’t have the\nstaffing and the capability to do that.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=24.0,25.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/197","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yes, it shed a light on how public health departments were a little bit\nunderstaffed and a little bit technically not all at the same size of technical—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=25.0,25.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/198","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, yes, absolutely.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=25.0,25.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/199","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: —expertise and so it helped bring everybody into a similar position, this\npandemic, I think.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=25.0,25.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/200","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, absolutely, I mean it shed light on that key problem I\nthink and—yes, but it was just a sheer scale. That many cases spreading that\nquickly, I mean, yes, none of the systems were really ready to handle that was\nmy takeaway.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=25.0,25.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/201","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Then you go on again in April to another deployment—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=25.0,25.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/202","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes. Right. So, I get back, I’m home. I missed Valentine’s Day\nbecause I was in whatever it was, Wisconsin. I’m gone for most of March and\nduring—while everything was shutting down, my wife is calling me and being like,\n“I’m freaking out.” I think I told her like that day, maybe two days before, I\ndidn’t know everything was going to shut down, but I was like, “Things are\ngetting kind of serious, go to the grocery store and buy like a month’s worth of\nfood, just do it.” and she’s like, “What, is this going to be a—?” because\neveryone had heard of it, of COVID, but no one was taking it seriously. I\nremember telling her that. And then while I’m away, she’s—we’re talking every\nnight, we’re—it was hard, it was hard to have family members far away. Remember,\nwe don’t know that many people other than the EIS officers in Atlanta, right, so\nit was—I think she got a cold or something and she was like so—right in\nFebruary, so it wasn’t COVID then, but she was so scared. Anyways, so this is\nlike all the stuff that’s happening, you’re managing what’s—and I have a text\nchain with all my family members and cousins. My sister is a physician, and my\ndad is in cancer treatment, you have all these different pieces of your life\nthat you’re navigating at the same time, trying to help while you’re doing your\njob. I mean you are the resource for them as much as you are for your—outside of\nnine-to-five, right, I’m the one who they call. Anyway, you’re trying to do that\nas well. But yes, so then I volunteer, I get back, I’m home for about two weeks,\nand then I volunteer again to go to North Dakota.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=25.0,26.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/203","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I was on a circuit, I think they had my number, and they said they would call\nand then say, “Hey, can you go out again?” We were all working from home, and\nall my—I came back, and I had all these analytic projects and other things I was\nsupposed to do, data analysis and manuscripts for regular branch activities, but\njust—everything got dropped essentially. No one was focusing on that, everything\nwas focusing on COVID, and people were volunteering to go everywhere. I took a\nlittle bit of a break, but then I was like I can go back out. A lot of people\ncouldn’t, and I could, so I volunteered. But it starts to change a little bit.\nSo, April and then I go out again in June to Pennsylvania, but those two—so\nthose two deployments, they were less in the space of a specific epidemiologic\nquestion and more just— go help. They had some definition of what the mission\nwas going to be, but effectively what it was, was just go try and help that\nstate health department or local health department.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=26.0,26.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/204","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Right, so we’re also we’re also in the middle of are we masking or are we not masking—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=26.0,26.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/205","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, yes, we’re masking at that point.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=26.0,26.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/206","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: —changing, and this is where you guys come in to fill in those gaps of here’s\nwhat we say we should do, but that guidance kept changing. There were constant\nWhite House press briefings indicating all sorts of interesting guideline and\nrecommendations. And then Dr. [Anthony Stephen] Fauci stepping that back a bit,\nbut we don’t see a lot coming out of CDC at that time.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=26.0,26.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/207","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: No.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=26.0,26.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/208","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Either we’re hunkering down trying to get our plan together or something is\nhappening. I’m not sure why we—maybe it was leadership.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=26.0,26.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/209","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, it felt very reactionary in that moment, and you would\nneed something, and it wasn’t there, and you’re like, “I just need an 80\npercent, I need good enough, I need—what’s our best advice now?” and like, “Well\nwe don’t have a guidance document for that.” I was like, “I don’t need a clear\nguidance stuff, I’m try—we need something now.” There was this push and pull.\nLike I was volunteering to go to the field, and from the field, the kind of\nmindset was you’re never—we aren’t getting the advice we need to give to the\npeople in the field. They have a need today, not for what document you can give\nus in two weeks, not for the clean, polished, media-ready version you can give\nus in two weeks, we need it today. We have the relationship now, and we’re going\nto lose it, and we’re going to—people are just going to do—they’re going to do\ntheir—whatever they think is the best call if we don’t help. So, there was a lot\nof duplicates, what felt like a duplication of effort, there was a lot of—yes, I\nmean lack of trust. CDC would show up and then we’d say, “Hey, do you have the\nguidance?” It’s like, “No, I don’t know, I don’t have it.” Or “Hey, can we talk\nto your expert on this?” but like, “Oh, we don’t know, we can’t get them there.”\nIt was tough.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=26.0,27.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/210","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"My takeaway in the moment was that by April, we had hit a pace where it was like\nthe guidance documentary is changing, the guidance often were—guidance documents\nwere very difficult for regular people to read, and there was just so much\nhappening so quickly and so it was just tough. I think there was just too much\nwork, not enough people, and then not enough time to have the conversations that\nneeded to happen. Yes, I think that was true for the April deployment, it was\ntrue for the June deployment to an extent, and what it felt like, a lot of—I—we\nstarted skipping. We didn’t watch the press briefings, we didn’t watch those\nthings when you’re in the field because it was just distracting, it was just not\nhelping. A lot of it came down to common sense in the absence of proper steps.\nIt’s like, okay, let’s just think about this and come up with a common sense\napproach and so we did that a few times in North Dakota where we were like we\nhad—we would encounter. What was one of the examples?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=27.0,27.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/211","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"We had a situation where there was nursing homes, so they were trying to come up\nwith a way to understand what was happening at the nursing homes, and they\ndidn’t have a system, so we’re like what do we ask the nursing homes to give us,\nwhat information we need from them, what—how do we prioritize which ones to\nfocus on and which ones not to? We’re just brainstorming, and this is like a\nten-minute conversation. We’re doing a dozen other things, and we sit down with\nthe VIP [very important person] from the North Dakota Health Department. Again,\nwe’re in conference rooms, we’re masking, but like effectively the five of us\nare like a family at that point. We’re like, okay, how do we do this? And so, we\ncome up with like, what about if we just say if you don’t get any information\nfrom the nursing home, that’s a red flag, like that’s that—you need to say,\nokay, we don’t know what’s happening there, that’s a red. If they have\nconfirmed, locate, like they have confirmed zero, like they know they have zero,\nthey’ve been testing people, and they’ve got a zero, like a confirmed zero, then\nthat’s a green one.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=27.0,28.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/212","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"If it’s like a confirmed any number less than—I don’t remember where we were at\nthat point, but we come up with some threshold arbitrarily and said, okay,\nyou’re a yellow. It was this brainstorm off the envelope kind of approach that\nenabled them to say, okay, now, I can tell that the junior members this is how\nyou’re prioritizing, this is—I need the priority list of nursing homes now,\nblah-blah-blah. There was just little things like that happening all the time\nthat we were always trying to navigate and then little things like we were—had\nfeel—inklings of no one knew long COVID at that point, but we had some cases of\nunusual things and so the team is like, okay, how do we forward that, how do we\nget that information to the right people to look into these special cases and so\nthat was happening in North Dakota. North Dakota was an interesting case because\nevery state navigated this in a different way. After having seen at several\ndifferent states, it stood out to me, in North Dakota, it was—the response, the\nemergency operations center was being led by the National Guard and so the\nNational Guard had taken charge of the—a lot of the key roles. In theory, I\ndon’t think there was anything wrong with that specific approach, but then there\nwas again a lot of duplication of effort, and the health department actually\nbeen sidelined, and in particular, a lot of the epidemiologists had been sort of\nsidelined in this process. When we came into North Dakota, we’re like, why, who\nrequested us, why are we here, what are we supposed to do? We were nominally\nlinked to the health department, but then the health department wasn’t really\nlinked in very well to the response effort. We did a little bit of bridging, and\nwe’re working across those two spaces.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=28.0,29.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/213","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"In North Dakota, we ended up doing a mass swabbing—like we ended up being the\nspecimen collectors for a big swabbing event, so I was happy that I’d learned\nhow to do the swabbing in Rhode Island. I then knew that, so we stand it up, and\nwe were working with the National Guard to prep that. Their response effort was\nlike every state had different needs, some states had—like Rhode Island had this\nsort of—they didn’t have the electronics systems they needed and then North\nDakota had like a different set of needs, right. It was a very different\nproblem. They had all the testing equipment they could want, they had all\nthe—they had purchased tons of software, so they had software systems. Resources\nweren’t the problem— it was more like coordination and prioritization. They had\nthese mobile testing labs they would send out for these big testing sites, but\nthey were sending them to places like on a whim, and it was like, well, we need\nto prioritize a little bit how we’re doing this because if you send them to a\nrural—an area where there’s not going to be much transmission, then you get\nnothing. It’s not like you’re in control, you need a broader picture, right.\nThey were basically doing snapshots with the mobile truck in all these places,\nso it’s more like you need to build a more collective view. I’m kind of\nrambling, I don’t really know exactly what I was trying to make the point here,\nbut my—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=29.0,30.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/214","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yes, the picture of what it was like there. As you said, each state has its\nown way of responding, and that is because it’s inherent in state’s rights\nbecause each state had its own health rights. So that is why each state is\ndifferent and—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=30.0,30.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/215","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Absolutely.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=30.0,30.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/216","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: —it’s a good thing, and something like, this can also work against you sometimes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=30.0,30.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/217","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, oh yes, for sure, and that we didn’t have a clear message\non what to tell people either in a lot of ways. When we would show up, they’re\nlike, “What—where, we need help, what do we do?” and we would be like, “I don’t\nknow, what are you doing now?” It’s very weird. The first two deployments or\nwhatever with COVID, we had missions, we had questions we were trying to answer,\nand then later as it starts to be the support thing, you, kind—I—yes, it got a\nlittle off the rails.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=30.0,30.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/218","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: I think a lot of people got off the rails there. Everybody is shut down,\nwe’re all home, and we’re all thinking about one thing. Besides getting our\nchildren up online and doing online learning and teleworking, we’re all thinking\nabout how long will this last, how long am I in my house. Some people are alone,\nsome people are not alone, some people are in nursing homes, people are in\nnursing homes not being able to see their loved ones, there was a lot of\nisolation happening.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=30.0,30.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/219","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, it was, yes. I mean, yes, yes, absolutely, absolutely.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=30.0,30.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/220","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Of course, then, we do start launching into looking for a vaccine sometime in\nApril, which is really interesting that it—that all went down pretty fast, which\nis great.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=30.0,30.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/221","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, absolutely.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=30.0,30.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/222","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: But back to you.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=30.0,30.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/223","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Well so yes, I guess I—so I do all these field deployments in\nthe first half of 2020 and then I sort of hit a wall that I—I think the last of\nJune one in—it was Erie County, it was a small county health department in\nPennsylvania, and we had the same problems as before. It was June, and we\nwere—it was still happening, and I think all the same problems I had encountered\non the previous deployments were still there and there didn’t feel like anything\nI could do. I got a little burned out. I remember being irritated and\nfrustrated, and they’re bringing basically previous frustrations with me and\nrealizing, okay, I wasn’t being as objective as I needed to be because I\nwas—well, yes, I was distraught by what I had—the past experience is another\none. I take a break after I come back from Pennsylvania, I say I’m going to—I’m\nnot going to do any more field deployments for a little while, so I take a break.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=30.0,30.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/224","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I work on some other EIS, I had a lot of projects, I worked on this analytic\nproject, I write a paper totally unrelated to COVID, I’m just sitting in my\napartment. My wife and I, we have this one, little one-bedroom apartment in the\ncity, and we’re sitting on top. Both of us working from home on top of each\nother in this little space, but we didn’t really want to go to at that point, so\nwe were just at home.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=30.0,30.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/225","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"The next project I volunteer for is a—is locally. It’s in Georgia, it’s\nin—basically—well not Atlanta but like nearby. I volunteer because it’s a\nquestion, right, they had a clear mission, they had a problem they wanted to—a\nquestion they wanted to answer, a problem they wanted to address. It was about\nlooking at the efficacy of this point-of-care diagnostic tests. This this is\nprobably October of—maybe September, October of 2020, and this is when those\nlike the swab, like the home test kits swabs, like that was the first time any\nof that started coming up, right. People couldn’t buy them regularly, they were\nstill not quite widely available, but they were in a variety of like nursing\nhomes and testing locations. The question that we go out is to find out does—do\nthese test kits work in a nursing home population? They had—sort of making a\nmandate for a lot of—or not a mandate but a request for a lot of nursing homes\nto do testing of all of their residents every—once every week or something to\ntrack and monitor the nursing home and—as a mitigation strategy or a containment strategy.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=30.0,30.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/226","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"That was the purpose of the project and so I volunteered for this project, and\nwe—the way it works is they were—the team was working with—nominally with the\nGeorgia’s—from what I understand, the Georgia state health department. I’m not\non the project planning team, I’m on the field group that’s going to go out and\ndo the swabbing, so we are waiting to find out. Well, uh, anyway, so we do our\ntraining and then we’re waiting like, “What nursing home were we going to?” “We\ndon’t know yet,” “And when we are we going?” “Oh, we don’t know that yet\neither.” We’re waiting to find out the finer detail. And then eventually, they\nidentify a nursing home, and in order for it to be—collect data that we needed,\nthey needed to wait for a nursing to be having an outbreak. They identified this\nnursing home, and we’d go, and they’re experiencing a COVID outbreak. In\nexchange for helping, like we’re going to do all the swabbing of your residents\nfor a couple of weeks, and in exchange, we’re going to the—we’re going to\ndo—we’re also going to test them with these separate kits. So, we’ll do a PCR\n[polymerase chain reaction] test and then we’re also going to do a—the sort of\npoint-of-care diagnostic testing kit. So, we’re doing a lot of swabbing every\nother day for all these nursing home residents, and it’s a, yes, low-income\nnursing home area. This was a tough place to be, and I had never spent any time\nin a nursing home like this before or any nursing home really but—and so we\nweren’t exactly welcome. There was not a great working relationship with—I mean\nthere was a working relationship with the facility, but it was not—we weren’t\ncollectively involved in the project. They were running the nursing home— we\nwere testing stuff. Anyway, it was a tough space to work in.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=30.0,31.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/227","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I volunteer for this project, but it ends up being like my—and I think we write\na paper, we finished the project, we get some answers to these questions. But I\nhave a tough time with this project because we asked a lot of the nursing home\nresidents to do this, just testing for several weeks, multiple times a day—or\nnot excuse me not—multiple times a week, like two, three tests a week and with\nthe value to them being not a lot, right? We asked a lot of people, and I don’t\nthink we brought that much to them or to the nursing home facility itself and so\nit was just a hard space to be in. This is a very deadly virus for this age\ngroup and for this population, and I just—we were there, and we were answering a\nquestion but it—the juice didn’t feel like the squeeze. This was a hard moment\nfor me because I’m there working, and I just don’t see—it doesn’t seem to fit\nwith the—what should we be doing here, are we answering a question we really\nneed to answer here, and I was a little torn.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=31.0,31.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/228","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Part of the COVID pandemic has really shown a huge light on health equity,\nand CDC has always been a big supporter of health equity and works hard at that.\nDo you feel that part of this long-term care sitting—setting was part of that\nor—? I’d like your opinion on that.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=31.0,31.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/229","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, it’s a great question. The line on that gets blurry when\nit’s an emergency, and that’s what I started to realize is that when in the\nemergency setting it changes. We’re like well, yes, well that’s our line, we\nknow, but that is an emergency. That was where I struggled, and I think that’s\nwhere the project kind of—because if you’re going to instruct me like why are\ndoing this here, do we need this is, is the answer we already have, which is\nthat they work okay, is that we need a better answer and if we do, who should be\nrunning that, right? For me, it was this question of what is CDC’s role versus\nwhat’s FDA’s role when it—like if FDA releases this under a thing, then we—we’re\ncollectively agreeing this works. We all know maybe it doesn’t work as good as\nit should, but should we be the—taking our time to do that in this setting? It\njust felt like we weren’t giving everyone the option to opt out of this. Like do\nyou want to be the data for this study? It was a hard question because if I had\nbeen, I would have no. If it had been me, if I had been a resident of the\nfacility, I would have said no, and I didn’t blame anyone who said no, I thought\nthey don’t want to do this. It was a hard space because it was—you know. I mean\nanyone who spent time in a nursing home see this, there was a memory unit, and\nwe were trying to swab. The memory unit, you’re—it’s—you’re not gathering—you’re\nnot—consent isn’t the same kind of conversation.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=31.0,32.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/230","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"The takeaway, yes, in—this was 2020, this was October, we were\nstill—collectively the nation was asking itself a lot of these types of\nquestions. I can’t speak to the larger agency, but it certainly felt to me that\nwe were stepping into a space that maybe we should really be thinking about is\nit worth.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=32.0,32.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/231","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: You bring up a good point of the line between what you do in an emergency and\nis it useful. Right at this time, I just want to insert this for the historical\nrecord that COVID death toll was at two hundred thousand and so I think a lot of\npeople were incredibly fearful.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=32.0,32.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/232","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Oh yes, oh yes—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=32.0,32.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/233","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: There is that part where you need health equity and respectfulness and—but\nalso with an emergency in mind. And that brings us to my favorite topic through\nthis, and that is panic and mental health of the people around us. And this work\non mental health, and I want to ask that as we—it’s another thing that COVID has\nbrought an overarching theme is mental health and how that has affected us in so\nmany ways during the pandemic from isolation to fear to death of a caregiver,\ndeath of most of your family. All of that has played a huge part and so you are\ngoing to tell me about those work that you did on the mental health survey and\nCarol [Y.] Rao.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=32.0,32.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/234","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, yes, Carol, oh man, Carol fan club, a big member of the\nCarol fan club, Carol is great. In November 2020, we have the election, I finish\nthis project at the nursing home facility, again it throws me for a loop. This\nwas a hard deployment for me, I’m reeling from this, I don’t deploy again for\nlittle while. I come, we do the holidays, I can’t remember, maybe—I don’t even\nremember what we do for Christmas 2020. I can’t remember what we do.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=32.0,32.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/235","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Well, it’s a very separate, everybody—there was not a lot of travel.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=32.0,32.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/236","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: I think we were just home, yes, I think I remember being home,\nwe did Zoom calls with family, we didn’t go anywhere, so we were in Atlanta.\nLater so in—I think it was early the following year in 2021, I—Carol is involved\nin a project that is looking at mental health outcomes among public health\nworkers. She knows a few people in the project, and she—and I’m—Carol is my EIS\nsupervisor, and she brings me in to do the analysis on this project and write it\nup, so be the data analyst for this.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=32.0,32.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/237","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"She’d built the survey or been involved in the team that built the survey.\nEssentially this was an online survey that they were going to distribute to\npublic health workers through national or just like partner organizations that\nwere involved. It was a convenient sample, and we were going to look. The survey\nincluded some indicators of depression, anxiety, post-traumatic stress, and\nsuicidal ideation, so the standardized screening tools that you’re probably\nfamiliar with that you would see for a lot of—yes, very similar. We were\nbasically employed in those and then linked them to some questions about public\nhealth work, what type of public health work did you do, how many days did\nyou—how many hours a week do you spend working period, how many hours a week do\nyou spend working on the response, the COVID-19 response activities, have you\nbeen able to take time off, have you—? We basically have this list of what we\nthink—what the team thought were the risk factors, like things that were—could\nbe causing some problems and stressors or potential traumatic stressors, so\nthings like losing a family member, things like being isolated, like not having\nsocial network, things like being targeted at work, so experiencing bullying or\nthreats or something in the workplace.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=32.0,33.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/238","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"That was something people had started to see, like people were reporting that\nI’d seen that. One of my county health departments they were just like a group\nof protesters outside the health department and so then we started to see that\nkind of stuff, and so. At that time, no one did a survey to figure out what’s\nthe impact of this. All of the evidence was anecdotal. The survey was to look at\nthe link between some of these factors and outcomes, right. Who among the public\nhealth workforce is—has these symptoms of mental health conditions. That’s what\nthe project is.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=33.0,33.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/239","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"That goes out in April of 2021, and we get an enormous response. Just over\ntwenty-six thousand respondents take this survey. For reference, the public\nhealth workforce, like the entire thing is about—is probably closer to—the best\nassessments we could find were like two hundred fifty thousand people to three\nhundred thousand people, so this is like 10 percent of the public health\nworkforce. This wasn’t that federal, we excluded federal, it was only the state,\nlocal, tribal, and territorial public health workers that were solicited.\nBasically what we find, it was pretty shocking, it was pretty hard. I was the\nfirst one to look at the data, and most of the data I’m analyzing is just these\nscorings for stuff. It was answer, check boxes and so it’s numerical responses,\nbut there were some—there was a lot of open text, and I had to—I wasn’t going to\nlook most of the open text, but there were some and so you scroll—you end up\nseeing it. Yes, a lot of the responses were people were having a hard time. It\nwas hard to read that data.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=33.0,33.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/240","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"We summarize the data, and what we find is that the prevalence of these symptoms\nare the same, if not more than a lot of what you’re seeing in the healthcare\ncommunities, so physicians and doctor—doctors, nurses on the frontline caring\nfor people. I don’t think anyone had really thought it was that bad, but I think\npeople kind of—the thinking maybe, but—so we kind of—that was what this project\nwas all about. I think it was the kick, it may have—I don’t know if it was the\nkick. It was certainly a factor that helped bring attention to this. Because\nright after we put this out, if people know that this report is coming, they\nknew we put out this survey, and when we get out this report, it gets a lot of\nattention, yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=33.0,33.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/241","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: You said this was April 2021, this is right around the time that people are\ngetting vaccines too.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=33.0,33.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/242","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, right, so right. Most of the project team, I had been\nvaccinated by that point. We’d seen vaccinations start to go out to seniors\nearlier like in December of 2020 and then by—and then healthcare providers and\nso on were eligible in the first part of 2021 and CDC responders, we—they had—we\nhad got, in some—I think it was March or April, I can’t remember, but, yes, the\ngeneral public was—it was coming on deck, it was starting to be—it was going to\nbe a little while but not too much further, and certainly by the time the report\nis published. I think it’s published in June, which is pretty quick. So we put\nthe survey out in April, we get the data back a couple of weeks later, we run\nthe analysis, run it through, get it through clearance, all that stuff, and then\nit’s published and—I have to look it up, but I think it was like late June or\nearly July, so it was a couple of months, which for me is like the fastest I’ve\never seen anything happen and that kind of thing. It was a high priority. It was\nmy only—the first project I’d work on that had that high priority lens to it.\nWhen you’re in the high priority category, you do move—you move through a lot of\nthose process pretty quick.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=33.0,34.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/243","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: We just touched on this real quick, the vaccine, you had your vaccine. I just\nwanted to ask, just as I’ve asked everybody, what was your thoughts and feelings\nwhen you got your first shot?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=34.0,34.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/244","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Oh, man.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=34.0,34.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/245","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: I know, I’m sorry. It goes—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=34.0,34.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/246","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: No, no, no, this is good, it’s a great question. When I was in\nthe field, when I was deploying to the field, I was in the—working in nursing\nhomes, working at health departments, and I was getting on a plane, and I was\nputting myself out of the house to respond, then, yes, then I felt like okay,\nI’m—then I felt like should be on a list. I was very anxious to get a vaccine, I\nwas super, super thrilled. But then by the time I was working on the back, and I\nwasn’t going to the field, I did like the last the mental health project was—I\nwas working from home, it was all remote. Basically, my takeaway was, oh man, I\nfelt like someone else should be in line before me. There’s probably someone\nhere who should get this, who needs this more than me. What my takeaway now is\nthat everyone who wants it has it, in the U.S. anyway, and so there’s sort\nof—you feel there’s plenty of people who just didn’t want it, but I do remember\nfeeling like I was cutting the line a little bit. I remember talking about with\nCarol, she’s like, “No, you’re not cutting the line, you’re fine, just it’s\nokay, everyone is getting there, we just need to—we need to get people through\nthe assembly line.” That was a strange feeling, yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=34.0,35.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/247","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Right, which leads me to your assessment of those who don’t want the vaccine.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=35.0,35.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/248","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: My God, oh jeez, ah. Well, how do I put this? There’s so\nmuch—so I quit, I’m on a tangent, I’m going to try not to spend too much time on\nthis, but I quit social media several years ago before I joined EIS. I don’t\nhave a feed of any kind, there’s no—so I don’t get any of my information from a\nfeed. When I don’t know the answer to something, I have to go look it up, and I\nhave to be conscious about how I’m vetting that information that I’m getting. It\ntakes longer, it’s slow, and I usually don’t know 90 percent of the current\nwhatever is happening in the news today. What’s trending today, I have no idea,\nI don’t pay any attention. For me having done that before the pandemic, like\nbefore we did this, I had already pulled that habit out of my of my day-to-day\nlife, I think it was a good idea. Obviously, everyone home, everyone was working\nremotely, everyone is scrolling through their feeds, and the knowledge that they\nhave on any given moment is just what the Facebook algorithm thinks is going to\nkeep you on that screen, right. So much of the information people are getting\nisn’t based on—you know, it’s just that. When you combine the level, just the\nanxiety people are having with the amount of time they’re spending on devices,\nthe lack of connection they have with other people, you put all these things\ntogether, and I’m not trying to build excuses. Objectively wrong if you’re not\ngetting a vaccine, I’m sorry, but I am looking at it from this other way, well\nhow did they get there?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=35.0,36.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/249","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"If we don’t ask that second question, I feel like we’re missing a point and so I\nlook at it from that other way, how are we all getting our information, how are\nwe all processing that, and how are we all doing that? I try to find what piece\nthat I can own and what we can do, how you can resolve it because running around\nand vaccinating people like requirements, well I would—you know, I don’t know,\nyou’re always going to run into a problem there. It has to be—I don’t know. We\ndo it for our kids and polio, right? So, I guess I can’t—I guess I can’t really\ndisagree. I feel that we should do it for the kids. We’re May of 2022, and we\nstill don’t have a vaccine for little kids. Like my daughter won’t have a\nvaccine before she goes to day care, and all the people I know who have small\nkids, they’re sending their kids to day care, and for them it’s still happening,\nright, these questions are still going on. Yes, we should have mandates,\nabsolutely, yes, the people who don’t get vaccine are objectively wrong, but I\nthink there’s more to it than that.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=36.0,37.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/250","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yes. Yes. I agree with the—I shouldn’t have said this. There’s a lot of\nmisinformation out there, and the role of media has become another part of the,\nwhat we—what CDC have to work through to get science out there. Okay, and I’m—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=37.0,37.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/251","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, absolutely, yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=37.0,37.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/252","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: —going to pivot now because you are now no longer in EIS. You graduated with\nfull honors from the EIS officer program. Huzzah! But you stayed on at CDC. A\nlot of people don’t always do that. They go off and they become something else,\nbut you stayed on.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=37.0,37.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/253","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: I did.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=37.0,37.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/254","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: What made you want to stay here?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=37.0,37.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/255","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: It’s a tough call. I actually took interviews for jobs outside\nof CDC too. When I was doing the climate work outside—after EIS, I took some\ninterviews elsewhere too because I wasn’t sold. I guess a lot of people come and\nits sort of every—where they always dreamt they’d be, and I didn’t have that\ncoming in. EIS itself was everything I could’ve hoped it would be. Everything I\ncould’ve thought I would want to learn out of this program, I got it, so I feel\nstrongly about that. I think the reason I ended up staying is because I had a\nlot—oh, I don’t know. One of my classmates and I we talk about this a lot. We\nsee the potential, right, there’s a lot—CDC does some great stuff, and it could\ndo even better stuff, right? But you need people to stay and—to do that and so\nthere’s a little bit of belief in the potential of what the agency could be.\nIt’s got a long way to go now, but we’re at the beginning of some—what could be\nsomething new. So, I think there was part of that. I think there’s a lot of\nopportunities that staying with the agency kind of opened.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=37.0,38.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/256","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I’d love to go work overseas, and I think there’s some door—some pathways to\nthat type of work that are probably more open if you’re still at the agency. But\nbasically, the thought I had joked with my classmates, I says, “CDC is—when\nyou’re at—when you’re in Atlanta, when you’re in CDC, I always felt like I’m the\nsmall—like the little fish in the big pond and then when you go to deployments\nto elsewhere, you feel like the big fish in the little pond.” It’s just there’s\nnot as many public health workers in those other spaces and so I know that I’m\nlearning a lot, I don’t want to say more, but I am learning a lot in kind of\nnavigate the big pond. Those are the top reasons why I stay. I have good friends\nhere, we’ve made Atlanta a home, it was the other part that we bought a house\nhere, we live here now, so we—for us, it made sense, for now, it made sense.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=38.0,38.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/257","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Hmm I like your thoughts on staying on and using your institutional knowledge\nto create a new or better or new—I think I already said that—new CDC or with\nthat knowledge. It’s great. It always a shame that sometimes people take their\ninstitutional knowledge and go elsewhere with it, which is good also but\nsometimes you need—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=38.0,38.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/258","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, my sense is it’s good when that institution knowledge\nincludes some frustrations, right? If you only keep the people who stay, that\nalready agreed with the way you were doing everything, you don’t change much,\nright? So it’s good—when people who don’t always agree stay.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=38.0,38.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/259","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I don’t know, I don’t want to say I’m an objector to that, I don’t agree with\nthat, but I do think that I—we do need to change how we do things in some way\nand from my lowly perspective and so I think staying on to try and help that,\nthat’s—that feels like what I should do, I don’t know, for now.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=38.0,38.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/260","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Once again, quite honest. We touched on the role of media and social media,\nwhich was fabulous— I’m so glad you got there. And then CDC’s communication to\nthe world was a little dodgy and spotty at times because, as we said, the virus\nis moving and changing so fast, CDC is a very large organization, and sometimes\ncan’t be that nimble. Do you have any thoughts on that? I mean we had a lot of\ncommunication to the world, but communication to—employees and even you guys in\nthe field was a different—I don’t know, I it wasn’t there, what it was like?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=38.0,38.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/261","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Depended on when and where and so it was just luck of the draw.\nThere were so many deployment roles, people are stepping on and off the response\nthat a person you talk to at the end of every day may be a different person,\nright? You don’t know who you’re talking to, so, yes, it’s tough. I think\nthe—how you feel about that communication, I don’t know.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=38.0,38.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/262","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yes, it’s true, you have to explain the fact that people were—when you said\npeople are on and off deployments, so there’s people being deployed to the EOC\nand they’re there for just, what, three or four months and then they leave.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=38.0,38.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/263","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, maybe that long, maybe less.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=38.0,38.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/264","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yes, there’s a lot of continuity, maybe not always. I know they probably get\nbriefed, but sometimes that doesn’t always—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=38.0,38.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/265","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: A lot gets lost in translation, and—I don’t know. I did a brief\ntime in corporate, and I didn’t like it, but you do some—you learned some\nlessons about how to be—I don’t know my mindset on how to be agile is when you\nhave all these—ah, what’s the old saying—the two pizzas. If you’re trying to\nsolve a problem, you should only have enough people in the room that could be\nfed by two pizzas, right? If you have more than that many people in the room,\nyou have too many people in the room. Sometimes there’s this ability to be—that\nyou need a smaller team to solve a specific problem, and if the problem isn’t\nspecific enough, you need to separate it out. A lot of my deployments, the ones\nthat went well were when the small team was given a little bit of decisional\nlatitude to navigate their problem. We’re giving you a problem, we’re not\ntelling you exactly how to solve it, we’re going to give you some wiggle room to\nsolve some of these on your own. We’ll support you— you tell us what you need,\nand then approach it that way. Those types of settings, it worked well.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=38.0,39.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/266","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Remember when I was working on the paper for the mental health study, one of the\nthings that I learned that I honestly didn’t know, I imagine could be true but\nhad never really studied, was this idea that when you give someone a high\nworkload and very low decisional latitude to navigate it, it’s going to result\nin stress and frustration and lower productivity overall. One of the—I don’t\nknow if you call it—industrial psychology, whatever you want is—but it is to\nempower people to make decisions and solve their problems. In a part of a giant\norganization that’s got a very strict hierarchy and no rigid checks and\nbalances, it’s hard to do that, but I think that’s our challenge, right? So\nthat’s kind of—yes, I don’t know, I don’t know. Without soapboxing too much, I’d\nsay that’s—we have to figure out a way just to address those problems.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=39.0,39.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/267","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Thank you for that assessment, which you were on—you were working in the\nareas where we had leader—a lot of leadership changed not only the center—oh,\nyes, we are—we did, yes—not even at CDC but also at the federal level. Do you\nthink of that change in leadership affected your work, or did you see it change\nwhile you were working while there was?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=39.0,39.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/268","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: I thought it would impact it more to be honest. I thought it\nwould have a large impact. I remember asking questions to that affect even\nbefore COVID started, saying like have—to my colleagues who I was working with,\nlike hey, have you noticed, have things been different in Global Health, how our\nrelationships with these different countries are going? Or like with WHO\nwhen—with the previous administration, how has that impacted our working\nrelationships? Most of what I got was like an eye roll and a, huh, and I\nremember thinking like, well, what does that mean? What I tended to find was\nthat a lot of the good work that people do, you just do the work that you need\nto get done. If the work requires you to circumvent and do more tedious steps to\nget the work done, you do it, right? What needs to be done is pretty much the\nsame, so it’s just people spend less resources, right. I don’t want to say\ncircumventing because that’s not the word at all. What I’m trying to say is like\nit just is that much more work to maintain a relationship, right? So, if you\nneed to have a relationship with this partner in order to get this project done,\nand people above you break that relationship or make it very difficult to\nmaintain, it’s just more work for you to maintain it.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=39.0,40.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/269","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Having the leadership turnover and changes that we did even in my time, I\nthought they would cause us more of a problem, but I think what makes CDC a\nstrong place is that pretty much everyone who’s working at—I don’t want to say\nmy level, but like the general level, the just the regular folks, not\nsupervisory leadership, it has a pretty good sense of what needs to be done, and\nthey’re pretty open to collectively agreeing on that. I don’t see a lot of\nindividual teams disagreeing vehemently on the solution to a problem. People\ngenerally assume, and I’m like, okay, how do you think of it? Okay, I think we\nshould do it a little bit this way, okay, let’s split the difference, let’s talk\nabout it, we’ll revisit it in a couple of—and so it’s a collegial place to work,\nand people are generally interested in the greater good. There’s very\nlittle—yes, so I don’t know. So, the leadership impacts, it matters, but it’s\nalmost more the leadership is painting the brand of the agency and how people\noutside of the agency perceive us and how they work with us and so how our\nrelationships work with them. That’s where I see the leadership piece having the\nmost impact.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=40.0,41.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/270","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Thank you. Do you think COVID will have a lasting impact on public health and CDC?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=41.0,41.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/271","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: I don’t see any way that it won’t. I think the bigger question\nfor me is what will that impact be. I think we had a lot—I don’t want to call\nthem failures, but we had a lot of failures. My approach here to this was we\njoined EIS, and this was a big thing, and we learned a lot, but we were the\nfrontline foot soldiers—I don’t know how else to describe it—in what amounted to\nprobably the biggest public health failure in a hundred years, right? I will\nlive with that forever, right, so that is my mindset. Every time I approach a\npublic health problem, I’m approaching it from, God, I don’t want it to fail as\nthat other thing did. I don’t know, in my opinion, anyone who’s involved in\npublic health during the last three years, if they don’t have that mindset,\nthey’re looking at a problem the wrong way. Whenever you think of a problem, how\ndo we build a data system for this? God, I can’t fail as bad as those other data\nsystems we had, right? That has to be the coalescing moment, and just a complete\nunwillingness to accept that level of performance again. It’s personal, I think\nit comes down to it, you don’t—yes, I don’t know. Yes, I don’t know if that\nanswers your question, but I do think it’s going to have an impact if only\nbecause most of the people that I interact with have the same—I don’t know. Many\nof my classmates have—I don’t know. I mean we don’t talk about it all that much,\nbut yes, I think people do feel like yes, we kind of—we lost this one, badly, so—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=41.0,42.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/272","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: What do you think we need to keep in mind for the future then?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=42.0,42.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/273","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: You can lose.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=42.0,42.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/274","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Okay, yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=42.0,42.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/275","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: I think I came to CDC and the sense was outbreak’s happening,\nwe stop that, that’s what you’re here to do. I was like, oh, okay, cool. What I\nlearned was outbreak is happening, you can’t always stop that, and the impacts\ncan be very big. I think there was a humbling element to that. I mean it’s a fun\njob, it’s a fun in the sense of like it’s a challenging mystery to solve, and\nhow do you do that? For people who are academics who like solving problems, it’s\na great puzzle, but it’s very serious, and I think we need to remember that. I\nthink in line with you can fail is the same thing of being sensitive of the cost\nof answering a question.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=42.0,42.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/276","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"We are not an academic university, we are not writing R01s [NIH research project\ngrant program] and doing basic research, that is not really our job. We have a\nresponsibility in a different way that’s not just academic, that is about—so we\nhave to ask questions from a different lens, a different mindset, and it’s about\nhow that question is going to be actively used to solve a pressing problem for\nthe American people, but really the people overall, right? You have to look at\nit that way. Is the juice worth the squeeze is the question, and if it’s a\nscience project, no, we don’t do that, we don’t. If you want to run science\nprojects, get a different job, go to a different place. We have to answer\nscience questions, and we have to make our decisions in a science-based way, so\nthat’s why we need that, but the questions we ask have to be prioritized in a\nway that matter to the people who are expecting us to solve that, right? I don’t\nknow how to say that in a less wordy way, but the juice has to be worth the\nsqueeze. We have to have a better—I don’t know if it’s an ethical\ndecision-making process or a—I don’t know, we just have to trust our instinct on\nthat. I remember thinking that was a weird thing to have instincts about that.\nNow I’m realizing, oh, no, that’s s so important, the empathizing with the—yes,\nthe public, that you are responsible for. I think there’s a huge piece of that,\nand I think that that’s a—oh man, looking back, that’s probably one of the\nbigger pieces of how to do this job really well. You need that, yes. But, yes,\nso those are the—I don’t know, those are my two bits, you can lose and more\nempathy, yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=42.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/277","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Do you think there are parts about your job or your experience, even your\nbackground that you want people to know? I mean your back—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/278","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: About me?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/279","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: About you and how you responded, I mean your background without you even\nknowing it prepared you for work you did during the pandemic, actually it did\nvery much, so.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/280","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Right, so I think a lot of public health problems are that it’s\nnot—there’s a technical problem, right? Someone has to make a vaccine, and\nthat’s very difficult to do, so someone has got to do some very complicated\nstuff, but a lot of the work is not—it’s not and it’s—it broke. Yes, so I don’t\nknow how to say that another way. Like writing a symphony is hard. What we do is\ndifficult, and it requires teamwork, and the teamwork and maintaining the\nteamwork, that’s a challenge. You got to have these people working together and\nthat keeping those teams together is hard, especially when everyone is pulled in\nso many different directions and have so many concurrent problems to address.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/281","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: But you’re teaching that skills are also part of what you are using.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/282","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, yes, absolutely. Yes, there’s value across the work—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/283","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: A value there?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/284","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: —I think. Yes, absolutely, and I think we—there’s—yes, a lot of\nit when you go to the field and you do public health work, you find a lot of\npeople doing public health work at the county level and the state level. They\ndon’t have the kind of training I have necessarily, but they’re doing so—they\nhave everything they need to do the—and they’re amazing at their job. I got a\nwindow to see into that world a few times, and it was really eye-opening because\nwhat they—the last thing they need is—in a lot of times is a science project,\nright, a PhD just coming and ask all sorts of esoteric questions that maybe\nisn’t a practical solution to their problem. So I think it’s kind of being\nsensitive to that. I try to think of it as what work needs to be done and what\ncan I do to solve those problems. It’s a mindset shift. I don’t know, I didn’t\ngo into—I didn’t learn what I learned to think about it that way or I don’t\nknow, I don’t know how to—yes, sorry, I don’t know. I’m having a difficult\nproblem answering your question.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/285","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Oh, okay, I’m going to stop pestering you with the reflective questions and\nstart turning towards something personal.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/286","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Oh, okay","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/287","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Well, we have gone over time and I’m—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/288","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: I know—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/289","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: —that we have.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/290","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: I told you this would happen.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/291","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: It was really a nice chat, and I really thank you for this. But I must ask\nyou, is there anything that we haven’t covered you’d like to share?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/292","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: No, I think we—let me see.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/293","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: You didn’t take up any hobbies like sourdough breadmaking? You do have a—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/294","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: No, I mean—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/295","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Rituals would have been a habit. I mean I wouldn’t call them rituals, but\nthings that you would do to get through the day. Like if you had your groceries\ndelivered, a lot of people would wipe them down before they came in the house.\nDid you change your clothes when you came home from wherever you were?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/296","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes. It’s all of those, all of the things. Everyone was doing\nit, and it became habits. I think the job was stressful. There were several\ntimes when I—in the last several years when I had a—doing this job was really\ntough. The mental health project, the personal takeaway from that was just the\nimportance at an individual level to prioritize your mental health. I had always\nlike put it on the backburner, I’ll solve a problem, I’ll figure it out later,\nbut it pushed to the forefront that it has to be part of the process of how you\nwork from the beginning. It’s almost like you can’t if—you can’t build it in\nafter the fact, right? If you start and you don’t have a sourdough bread—I mean\npeople were making bread because they didn’t have anything else to do, but I\nthink if you don’t have an activity or a thing that you do or some habits that\nyou have that keep you grounded—I build boats, my hobby is I build wooden boats\nin the basement, so I—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/297","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Ones that you can sit in or small ones?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/298","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: No, no, like row boats and sailboats. The one I have in the\nbasement now is about a thirteen-foot little skiff. Yes, and I built a couple,\nand it’s a hobby, and it’s a bizarre thing to do, and I—but I love it because it\ngives me something I can physically do with my hands that I separate entirely\nfrom screens and from what I’m doing and then you have something to work on.\nAfter we moved to the house, I would down every day for like an hour and just do\nwhatever I was going to do.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/299","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Park your brain?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/300","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, and it doesn’t matter, it almost doesn’t matter. It’s\nabout having something to do, an activity because for me that’s how I would keep\nmy—I would recharge, so in the next day, I can do the same project. Because we\nface the same problems over and over again and they—a lot of them are\nheartbreaking, so you got to have a way to navigate that. It’s weird, you don’t\nrealize it until you get—until it’s not there, until you don’t have it and so,\nyes, it’s something to be mindful of.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/301","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yes, this brings us back to health equity where you’re not in a place where\nyou have that ability to be able to get out of your apartment or get out\nof—you’ve got like two jobs that you’re just running between—","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/302","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Oh yes, oh yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/303","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: —hoping that you don’t get sick between those two jobs.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/304","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes, I mean the level of stress and the level—what it costs.\nThe schools closing, like the value—a lot of the stuff happening now in the last\nfew months has been a lot of the impact on adolescents, right, the impact on\nyoung people and their mental health, and that’s huge. So I think some of my\nbigger takeaways from all of the COVID-19 responses is just a difference in your\npriorities. We were thinking, yes, okay, morbidity, mortality, obviously, we\nwant to reduce those as much as possible, but I think we have to—it’s important\nto put a slightly finer lens on that. And, yes, youth mental health is like—it\nshould—it has to be a higher priority item. The schools be closed so long and\nwhat—the impact of that on the long term, I—yes, it’s changed our mindset. I\nthink when we first had those conversations, I was very much close the schools,\nlock it down, and then, yes, after the year later, you think, oh man, no, I\nthink—yes, I think we got to—we have to recognize when we’re going to fail and\nthen prioritize. Because we failed and then we—I don’t know, anyway, I don’t\nknow. Not to yammer on, but I think how we prioritize the risks and what we’re\nsacrificing is something to definitely be mindful of.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=43.0,44.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/305","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yes, lessons learned.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=44.0,44.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/306","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes. Not my department, but I do think it’s important to share.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=44.0,44.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/307","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: I think really important to share, yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=44.0,44.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/308","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Yes.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=44.0,44.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/309","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Well, I think we can end there, question mark at the end of that?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=44.0,44.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/310","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"BRYANT-GENEVIER: Sure, yes. No, I don’t have any other closing remarks. Thank\nyou for letting me participate. I feel like this was great opportunity for me\njust to chat. In talking with you, I realize I haven’t really talked about most\nof these things. There rarely is opportunities for this type of conversation I\nthink, so this was great.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=44.0,44.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/311","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yes, thank you, this has been wonderful.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=44.0,44.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/transcript/69858/annotation/312","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"[END OF INTERVIEW] ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=44.0,44.0"}]},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/index/85343","type":"AnnotationPage","label":{"en":["content172466192320240826-2043719-5t77yd.xml [English] [Index]"]},"items":[{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/index/85343/annotation/313","type":"Annotation","motivation":"supplementing","body":[{"type":"TextualBody","value":"Background","format":"text/plain","label":{"en":["Title"]}}],"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=53.0,516.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/index/85343/annotation/314","type":"Annotation","motivation":"supplementing","body":[{"type":"TextualBody","value":"Dr. Jonathan Bryant-Genevier discusses his early life, interests, and educational background. ","format":"text/plain","label":{"en":["Synopsis"]}}],"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=53.0,516.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/index/85343/annotation/315","type":"Annotation","motivation":"supplementing","body":[{"type":"TextualBody","value":"Great, and before we delve into those details of your path to CDC and COVID-19 [Coronavirus Disease 2019], could you tell me a little bit about your family background and the community that you grew up in?","format":"text/plain","label":{"en":["Partial Transcript"]}}],"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546#t=53.0,516.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2849/collection_resources/134494/file/249546/index/85343/annotation/316","type":"Annotation","motivation":"supplementing","body":[{"type":"TextualBody","value":"career","format":"text/plain","label":{"en":["Subjects"]}},{"type":"TextualBody","value":"college","format":"text/plain","label":{"en":["Subjects"]}},{"type":"TextualBody","value":"community","format":"text/plain","label":{"en":["Subjects"]}},{"type":"TextualBody","value":"District of Columbia","format":"text/plain","label":{"en":["Subjects"]}},{"type":"TextualBody","value":"education","format":"text/plain","label":{"en":["Subjects"]}},{"type":"TextualBody","value":"engineering","format":"text/plain","label":{"en":["Subjects"]}},{"type":"TextualBody","value":"environmental 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