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These are the user uploaded subtitles that are being translated: 1 00:00:00,000 --> 00:00:02,000 What makes Ebola so dangerous? 2 00:00:02,000 --> 00:00:04,289 How can a virus overwhelm the very complex 3 00:00:04,298 --> 00:00:06,561 defense system of the body so quickly 4 00:00:06,561 --> 00:00:08,859 and so effectively? 5 00:00:08,866 --> 00:00:11,469 Let's take a look at what Ebola does. 6 00:00:11,489 --> 00:00:14,480 (Theme music) 7 00:00:17,965 --> 00:00:19,380 Ebola is a virus. 8 00:00:19,918 --> 00:00:21,296 A virus is a very small thing. 9 00:00:21,725 --> 00:00:23,457 A bit of RNA or DNA 10 00:00:23,697 --> 00:00:24,878 and a few proteins 11 00:00:24,898 --> 00:00:25,785 and a hull. 12 00:00:25,785 --> 00:00:27,284 It has no ability to do anything 13 00:00:27,284 --> 00:00:28,415 by itself whatsoever, 14 00:00:28,415 --> 00:00:32,415 and can only survive and proliferate by infecting cells. 15 00:00:32,415 --> 00:00:35,005 To avoid this we have the immune system. 16 00:00:35,045 --> 00:00:38,175 The immune system is super complex 17 00:00:38,205 --> 00:00:39,795 so we develop a visual system 18 00:00:39,840 --> 00:00:41,430 that makes it easy to understand. 19 00:00:41,430 --> 00:00:43,210 So it looks like this: 20 00:00:43,217 --> 00:00:46,307 Let's concentrate on the part that is critical to understanding Ebola 21 00:00:46,307 --> 00:00:48,177 and ignore the rest. 22 00:00:48,177 --> 00:00:50,327 So usually dendritic cells will activate the army 23 00:00:50,327 --> 00:00:53,257 of anti-virus cells, support cells 24 00:00:53,282 --> 00:00:55,252 and anti-body factories 25 00:00:55,262 --> 00:00:57,239 that work together with the guard cells 26 00:00:57,239 --> 00:00:59,229 wipe out the infection in a matter of days. 27 00:00:59,229 --> 00:01:02,273 But when Ebola strikes, it directly 28 00:01:02,273 --> 00:01:04,273 attacks the immune system. 29 00:01:04,279 --> 00:01:06,252 Some of the first cells it takes over are 30 00:01:06,252 --> 00:01:09,222 the dendritic cells, the brains of 31 00:01:09,225 --> 00:01:10,246 the immune system. 32 00:01:10,246 --> 00:01:13,248 The Ebola virus enters a dendritic cell by 33 00:01:13,248 --> 00:01:16,247 binding into receptors for cell transport. 34 00:01:16,247 --> 00:01:20,247 Once it is inside, it dissolves its outer hull and releases 35 00:01:20,250 --> 00:01:24,250 its genetic material, nucleoproteins and enzymes. 36 00:01:24,255 --> 00:01:26,241 In a nutshell it takes over the cell, 37 00:01:26,241 --> 00:01:29,261 disables the cells protective mechanisms and 38 00:01:29,267 --> 00:01:31,248 reprograms it. 39 00:01:31,248 --> 00:01:34,215 The cell now becomes a virus production machine 40 00:01:34,215 --> 00:01:36,255 and uses its resources to build Ebola viruses. 41 00:01:36,255 --> 00:01:41,195 Once the cell is saturated, it dissolves the cell membrane 42 00:01:41,198 --> 00:01:44,267 and millions of viruses are released into the tissue. 43 00:01:44,267 --> 00:01:47,271 The virus not only prevents the dendritic cells 44 00:01:47,271 --> 00:01:50,218 from activating the specialized and anti-virus forces, 45 00:01:50,218 --> 00:01:52,468 it manipulates them into sending signal proteins 46 00:01:52,468 --> 00:01:55,174 that tricks specialized cells 47 00:01:55,174 --> 00:01:57,326 into ending their own life's prematurely. 48 00:01:57,326 --> 00:02:00,246 So the immune system is seriously disrupted 49 00:02:00,248 --> 00:02:02,234 and unable to react. 50 00:02:02,234 --> 00:02:06,252 When the virus rapidly multiplies, we're talking billions, 51 00:02:06,252 --> 00:02:09,245 there are cells that should deal with infected cells, 52 00:02:09,245 --> 00:02:12,223 the natural killer cells, but they also get infected 53 00:02:12,223 --> 00:02:15,213 and just die before they can prevent 54 00:02:15,214 --> 00:02:16,294 the disease from spreading. 55 00:02:16,369 --> 00:02:18,261 At the same time Ebola infects 56 00:02:18,261 --> 00:02:20,252 the guard cells of the body 57 00:02:20,252 --> 00:02:22,212 macrophages and monocytes, 58 00:02:22,212 --> 00:02:25,232 not only managing to circumvent their defenses, 59 00:02:25,232 --> 00:02:28,222 it also manipulates some to signal to 60 00:02:28,241 --> 00:02:29,335 the cells make up the blood vessels 61 00:02:29,335 --> 00:02:31,283 telling into release fluid into the body 62 00:02:31,283 --> 00:02:34,243 Usually this makes sense, but in this case 63 00:02:34,258 --> 00:02:36,258 it just causes mayhem. 64 00:02:36,265 --> 00:02:39,253 All of the body's neutrophils are activated 65 00:02:39,253 --> 00:02:42,253 awaken by the virus and the macrophages signals 66 00:02:42,253 --> 00:02:45,217 then are not very effective against viruses and 67 00:02:45,217 --> 00:02:47,253 should not be involve in this fight and 68 00:02:47,253 --> 00:02:49,263 begin to do lots of stuffs they shouldn't do. 69 00:02:49,266 --> 00:02:51,969 The neutrophils signals to the blood vessels to 70 00:02:51,969 --> 00:02:54,258 release more fluid causing internal bleeding. 71 00:02:54,258 --> 00:02:56,259 Another area of the body Ebola 72 00:02:56,259 --> 00:02:58,652 attacks is the liver. The virus finds it 73 00:02:58,652 --> 00:03:00,245 very easy to enter the liver and 74 00:03:00,245 --> 00:03:02,968 it quickly starts killing loads of liver cells 75 00:03:02,968 --> 00:03:06,111 and causing organ failure and more internal bleeding. 76 00:03:06,111 --> 00:03:09,220 And all those things are going on at the same time. 77 00:03:09,220 --> 00:03:14,200 As the virus spreads, it's like nukes exploding every where. 78 00:03:14,203 --> 00:03:17,263 One incident of this in one region will be problem enough 79 00:03:17,271 --> 00:03:20,220 But now is starting to happen everywhere at once. 80 00:03:20,220 --> 00:03:22,440 All the mechanisms of the immune system have evolve to 81 00:03:22,440 --> 00:03:25,897 handle infections work against you. 82 00:03:25,897 --> 00:03:28,230 And the virus continues to spread and spread. 83 00:03:28,230 --> 00:03:31,248 And finally begins to infect more and more body cells 84 00:03:31,248 --> 00:03:34,252 while the body desperately struggles to stay alive. 85 00:03:34,252 --> 00:03:37,230 In a desperate last effort to turn the tide 86 00:03:37,230 --> 00:03:39,310 the immune system launches a cytokine storm. 87 00:03:39,311 --> 00:03:42,251 A cytokine storm is an S.O.S signal 88 00:03:42,262 --> 00:03:45,255 that causes the immune system to launch all of its weapons, 89 00:03:45,255 --> 00:03:48,235 all at once in a desperate kamikaze attack. 90 00:03:48,235 --> 00:03:52,193 This hurts the virus but leaves behind tons of collateral damage, 91 00:03:52,193 --> 00:03:54,246 Especially in the blood vessels. 92 00:03:54,246 --> 00:03:57,237 Paradoxically the healthier the immune system, 93 00:03:57,237 --> 00:04:00,227 the more damage it can do to itself 94 00:04:00,239 --> 00:04:03,259 More and more fluid leaves the blood stream. 95 00:04:03,280 --> 00:04:05,260 Blood pours after every opening of the body. 96 00:04:05,260 --> 00:04:07,244 You become seriously dehydrated 97 00:04:07,244 --> 00:04:11,200 that just not now blood left to supply the organs with oxygen 98 00:04:11,200 --> 00:04:14,263 and cells begin to die. If you reach this point 99 00:04:14,263 --> 00:04:16,257 the chance of you dying is very high. 100 00:04:16,257 --> 00:04:20,234 Currently six out of ten infected die from Ebola. 101 00:04:20,234 --> 00:04:25,194 Wow! Ok. Ebola is nasty. So it’s time to panic, right? 102 00:04:25,199 --> 00:04:28,198 No, not even close. 103 00:04:28,198 --> 00:04:30,278 The severity of Ebola gets paper sold and 104 00:04:30,278 --> 00:04:34,255 YouTube videos shared so everybody is talking about Ebola. 105 00:04:34,255 --> 00:04:38,237 But currently the only way to get infected by Ebola 106 00:04:38,237 --> 00:04:40,483 is to come into contact with the body fluids 107 00:04:40,483 --> 00:04:42,253 of a person who shows symptoms 108 00:04:42,269 --> 00:04:45,260 Or from infected bat. So just don’t do that. 109 00:04:45,260 --> 00:04:49,230 Ebola has killed 5,000 people since June 2014. 110 00:04:49,240 --> 00:04:53,250 The common flu kills up to 500,000 people each year. 111 00:04:53,250 --> 00:04:56,206 Malaria causes up to one million each year. 112 00:04:56,206 --> 00:05:00,236 3,000 people every single day. Ten children since this video started. 113 00:05:00,245 --> 00:05:04,230 So even if Ebola is terrible and scary, 114 00:05:04,230 --> 00:05:08,248 don’t let yourself be scared. The most infectious thing about Ebola 115 00:05:08,248 --> 00:05:10,223 is the media hype around it. 116 00:05:10,223 --> 00:05:14,224 You could learn a bit more about the immune system though 117 00:05:14,224 --> 00:05:16,534 Transcription made by Miriam Delgado 118 00:05:23,500 --> 00:05:26,500 Subtitles by the Amara .org community 119 00:05:27,520 --> 00:05:29,434 Revised by: Ace Ervite8978

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