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[Music]
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the early childhood brain development
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story
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has been a powerful influence on the
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growth of investments
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in programs to promote early learning
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and enhance school readiness
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but the brain does not exist by itself
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connecting the brain to the rest of the
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body is critically important
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early childhood experiences are as much
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about lifelong physical and mental
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health as they are
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about early learning and readiness to
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succeed in school
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all biological systems all of them are
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highly interconnected and
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all of these systems are primed to adapt
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to whatever the environment they throw
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at us think about this
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as a team of highly skilled athletes
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each has a role to play but they depend
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upon each other they influence each
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other's responses
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like any good team it's how they operate
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together that
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is the key to their success when we are
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stressed
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every cell in the body is working
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overtime
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the brain is the master control system
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that detects
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threat and then manages the response of
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all of the different
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systems it sends signals to the
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cardiovascular system to increase heart
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rate and blood pressure
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signals are picked up by metabolic
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systems to increase
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the availability of blood sugar to
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provide more energy stores for the body
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the immune system is activated to be on
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alert for the possibility of a wound
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or the need to protect against infection
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the neuroendocrine system is activated
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to increase
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levels of stress hormones in the
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bloodstream all of these
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also provide feedback to the brain the
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stress response system
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was designed to deal with an acute
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threat or challenge
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but when the stress continues at a very
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high level
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then these biological responses actually
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start to have a wear and tear effect
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on the body this is where stress
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explains chronic disease the science is
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really clear
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the most costly chronic diseases in our
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society
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have their roots in early childhood
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cardiovascular disease diabetes
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and depression three of many diseases
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that are associated with greater
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adversity early in life
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those three diseases together consume
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more than 600 billion dollars
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of health care costs a year so if we
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want to think about
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preventing disease and promoting health
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it doesn't begin with exercising more
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and eating better when you're 30 or 40
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years old
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health promotion and preventing disease
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begins prenatally and it extends into
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the early childhood period
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connecting the brain to the rest of the
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body has very important implications
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for early childhood policy if we look at
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the basic
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science-based principles focused on
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early learning
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strengthening relationships building
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skills reducing sources of stress
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those are the same principles that
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increase the likelihood
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for lifelong physical and mental health
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and when we think about the major
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sources of adversity early in life
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we talk about poverty discrimination
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exposure to violence
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maltreatment child abuse and neglect
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although each of these
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sources of adversity differ from each
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other biologically
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the effect on the body is the same
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systemic racism
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the dangers of implicit bias and
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everyday
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discrimination impose a level of stress
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and adversity on families of color
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raising children
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that is present all the time it's never
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too late to make things better
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and we are biologically prepared to
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adapt to whatever environment
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we live in but we need to look upstream
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at more systemic issues that are the
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sources
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of this enormous burden of threat
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and hardship we have to connect policies
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and resource allocations from the
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educational sector and the health sector
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and human
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services sector
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[Music]
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pediatric primary care is the one domain
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where almost all children are seen from
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birth on and
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provides a critical opportunity for
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engagement with families
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and developing relationships promoting
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healthy development
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and is the ideal frontline opportunity
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to connect families to needed services
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as early as possible when they can be
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most
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effective pediatrics alone
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is not going to provide all of the
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supports that many families need
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the opportunity is to move away from
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asking how do we connect
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pediatric primary care to early
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childhood programs and
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in a different way change our mindset to
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say how do we build
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a new early childhood ecosystem in which
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pediatrics is an integrated part
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[Music]
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the brain development story has been a
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powerful
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influence the same principles the same
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concepts
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are also affecting the early foundations
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of physical and mental health that will
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last for a lifetime
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you
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