Opinion is divided on whether they can stop the spread of infection. And afghanistan steps up its efforts to contain the spread of coverage 19 but the country faces an additional challenge from the thousands of people now coming home from iraq. Im filled hello welcome to the program u. S. President donald trump has told americans to prepare for a very painful 2 weeks he was speaking as a countrys death toll from the coronavirus a past 4000 greater than chinas official tally president s trump said as many as 240000 people in the u. S. Could die even if some current social distancing measures were maintained. Bringing out the day new york is americas coronavirus hot spot with 19 has killed more than 1500 people across the state most of the deaths have been in new york city with thirtys that are ramping up Hospital Capacity across the u. S. Numbers are rising sharply. I want every american to be prepared for the hard days that were going to go through a very tough 2 weeks. As the experts are predicting as theyre predicting. In the start seeing some real light at the end of the tunnel but this is going to be a very painful very very painful to extend new yorks world renowned central park is normally a haven for walkers and jug is now dozens of volunteers have helped to build a Field Hospital in the park to cope with an expected surgeon coronavirus cases there is hope that people really care i think weve seen so many new yorkers come out here and help in just that ultimately theres a theres hope out there i think it shows the capacity for our Health Care System to reach out and do whatever it takes to take care of this is the United States the Field Hospital in central park will be able to take nearly 70 khurana patients the u. S. Open Tennis Complex will be home to another makeshift emergency clinic the white house is projecting as many as 240000 u. S. Deaths Officials Say that without social distancing measures now in place that could have been more than 2000000. Well hear some more of these developments in this pandemic the captain of a u. S. Aircraft carrier is calling for urgent help to quarantine his crew 4000 the Theodore Roosevelt is docked in guam in the pacific with the disease spreading rapidly on board here in europe france the u. K. And spain all recorded their hives daily death tolls on tuesday the 12 Year Old Girl has died in belgium she is thought to be europes youngest victims and ethiopia is postponing parliamentary elections set for august because of the pandemic. Well there you have pandemics could trigger a surge in demand for protective facemasks and shortages hit french president emanuel macro wants french factories to start producing 10000000 a week the masks a key for frontline medical staff coming into contact with infected patients but theres debate about their effectiveness in stopping the spread of infection amongst the general population. Face masks for years theyve been part of daily life for many in asia and now for parts of europe theyre about to become say to us troops decision to make it compulsory to wear the mosques in supermarkets sparked a debate in neighboring germany. The town of year has now become germanys 1st to announce similar measures though given the shortage of face masks the city has encouraged people to sow their own its a move large be welcomed by the residents. I think its good the more that stone the better and the more everyone does it the sooner well be free of the virus i have 6 simple masks at home and if push comes to shove also my assuming. I think its a good idea in principle of the problem is that there simply arent any masks next. The World Health Organization is among those saying theres little Scientific Evidence showing that basic masks once not intended for medical use affectively prevent Healthy People from catching the corona virus but some experts advise that they could be useful as a barrier to stop those infected from contaminating others. Nontruths masks for nose and mouth are relevant for the protection of others if someone is infected and masks keep the virus droplets from flying out when someone sneezes or coughs mr voight. Up to now the insistence by many western countries that the widespread use of masks is not necessary has surprised many in asia that people have worn face masks the years the cause of air pollution but in this pandemic theyre practically a civic duty in europe that attitude is now increasingly gaining ground. Elizabeth at some of the ways that cover nineteens impacting the world of business. The tokyo lympics another big ticket events over the coronavirus pandemic is drastically affected business for german surance giant munich re the reinsurers originally forecast earnings of 3000000000. 00 for this year it now expects just around a quarter of that its an outright counselors. The elim picture to hit profits even more. Factory activity plunged across to most of asia in march sassy coronavirus are paralyzed Global Economic activity surveys of purchasing managers around the continent indicated sharp declines in major exporters japan and south korea chinas factory activity improved slightly but domestic and export demand was still down. Tunisians demanding new Financial Aid have demonstrated in front of social welfare offices in the capital tunis the countrys lockdown has disproportionately affected the poor the news agreed to grant to d. C. 250000000. 00 to help fight the pandemic so. This infection teams have been spreading one of men most best known attractions the Shwedagon Pagoda dominates the skyline in the city of young god and is now operating with vic used Opening Hours in the history of reported 50 corona virus infections from one death. As an afghanistan which is recorded nearly 200. 00 coronavirus cases and 4 deaths or forces that are taking steps to help the spread of infection but after years of war the Health System is weak and would be overwhelmed if the number of cases grows as it has in other countries the countrys problems are exacerbated by the return of thousands of people from iran one of the countrys worst hit by covered 90 spraying down the streets of kabul in a desperate attempt to stave off a deadly disease afghanistan as one of the worlds poorest countries its Health Care System is no match for a pandemic thats spreading across the globe like wildfire. As the number of coronavirus cases here rises the government is taking measures to contain the outbreak the western city of herat is eerily calm shops and mosques have been ordered to shut down. Maddow more as a coronavirus keeps spreading theyll be in a minute terry and catastrophe the government must take serious measures to help like most afghans the residents of herat a poor the government has ordered the release of hundreds of inmates to prevent crowded jails from becoming infection hotspots but afghanistan has bigger worries than its prison population millions of afghans have been displaced during years of conflict many have fled to neighboring iran one of the countrys worst hit by the coronavirus pandemic those people are now streaming back in their thousands all are potential carriers of the disease. Only if it was the number of afghan refugees returning has increased massively. Theyre afraid of the coronavirus in iraq and the not finding work because of the economic downturn. To clear for them government is concerned about the huge no real people returning among the most vulnerable to the virus is afghanistans internally displaced population many of them live in sprawling camps on the outskirts of hirano which is close to the Iranian Border here survival is already a daily struggle camp residents depend on critical help from overstretched International Aid agencies whose work is now made even more difficult by the Global Pandemic so how do you protect refugees during a Global Pandemic egeland is secretary general of the region Refugee Council welcome to d. W. How dangerous is the coronavirus pandemic for people in displacement camps like the afghans we saw. Well it is horribly dangerous because remember that this place that refugees have fled from their homes from their communities from their space from the hospitals that may be bombed to small confined spaces very often where they thought they were safe now these places camps settlements may be traps where the virus will fright and humans will be very very vulnerable so we are in which a Refugee Council working very hard in afghanistan in iran and in 30 other countries were trying to create more hand washing facilities more water and sanitation were trying to also provide most base for the refugees so they can have some physical distance and pop perhaps we will also be able to put up poor and tie in tents and the like but its a race against the clock well over one who overstretched as into as the other the the very things that youre trying to provide as aid agencies water space a sudden station those are exactly the things that will missing a big complaint about before this pandemic hits. It indeed so we try to tell the refugees displaced people to wash their hands or good time keep a distance not spread it to cease keep stay and even in their own quarters they tell us when you do not work in the Informal Sector we will stop we have no clean water how can we wash our hands all the time and we are 10 people per 10 and the next tent is set is it is 2 meters away how can you have physical distance so i think this this is really a moment of reflection for the robust north from where the virus now spreads and where its great that havoc in new york and spain and italy. Is spreading to the vulnerable south and to be honest for up on the river which are the displaced and the refugees the must be solidarity now and must be more injection of humanitarian aid to. Get me for interrupting id like just like to pick up a point when when you talk about the robust noles which of course is also fighting this pandemic how do you respond when industrialized host countries say well we dont have the results is to protect the microns of were already struggling to protect our own populations. Well everybodys trying to protect their own population and weve all been in quarantined of course just 2 weeks in quiet time because they came from from abroad have to are slow but since were all in the same boat and since there will be a flattening of the curve in the north because of all of these enormous measures it is in our interests and in conformity with our ideals to not let the virus get permanent strong how households in the south and in in places like afghanistan or iran so caused as to be the same cant kind of packages intend National Solidarity that there is now for National Solidarity if its only america 1st europe 1st russia 1st and not humanity 1st it will come back to haunt us forever were begging that well look at this as an International Effort but talking to you young secretary general of the norwegian Refugee Council thank you so much thank you. Well the German Football League has confirmed that the bundesliga will resume a will resume on the 30th of april at the earliest germanys top league has been suspended since the 13th of march clubs agreed on tuesday that the suspension should be extended because of the pandemic of a games may still be played behind closed doors when the season resumes there are 9 rounds of much is left in the current ones leaving a season. Instead a season has caused been hit by a covered 90 but it hasnt stopped one of the sports biggest stars from keeping his skills in top form under a federal share this video with his twitter followers despite the snow in switzerland he managed to pull off some trick shots its been a lot of action since january since having that nice surgery but he joked with fans that he cousin forgotten how to play. This is d. W. News but it does get our website is that the latest news and information around the clock speed up called of the. Combating the corona pandemic. Where does research stand. What are scientists learning. Background information and news. Hour corona updates. From the covert 19 special next on d w. How does a virus spread. Why do we panic and when will all this is. Just 3 of the topics covered and the weekly radio show is called spectrum if you would like any information on the program virus or any other science topic you should really check out our podcast you can get it wherever you get your podcast you can also find us and comment for it slash science. This pandemic is is is overwhelming its just so many people that need the breathing machines that just simply havent been manufactured yet. Imagine youre a doctor and have a 30 year old patient and an 80 year old both infected with the coronavirus both strong severe symptoms and both need an oxygen but you only have one who should use this kind of decision is called tria thats french and that means deciding who has a higher chance of survival and is given a higher priority in medical treatment and who might be left to the. Doctor. Around the globe are taking these decisions right now what does that mean for those doctors and what are the ethics behind 3 os thats what were looking at today in all special coverage of the covert 19 crisis here on d w m god all things welcome it all comes down to how well the Health System is prepared for a pandemic in the end its the number of intensive care beds and ventilators that counts currently most Health System outside italy and france are holding the line but around the world hospitals are filling up trio might become a reality for doctors sooner or later. This is the worst Case Scenario when treating patients in front stopped is a false to make life or death decisions patients over the age of 80 will not be put on mechanical ventilators this process is called tria. The time comes from the french t. A. A. It means the sourcing of an allocation of treatment to patients modern medical triology was invented during the napoleonic wars france spain and italy and the worst affected countries in europe more than 100000 people have been infected with the virus in italy and i nearly 12000 have died and the longer the crisis continues the more often doctors are faced with making some very tough decisions and to talk about those decisions are now joined by a doctor to be escorting a physician and that the epidemiologist the director and also the director of the institute for Public Health at berlin started to hospital professor. Physician teaching medical ethics at Heidelberg University lets start with you dr corder were not yet doing in germany are doctors well prepared for taking these decisions. Well murders are well prepared against other doctors in the world in training and the hospitals and physicians already stationed. Theoretical as in when whats reaction is necessary in germany it will be very challenging for doctors and the medical teams yes well put how does trash work in a hospital is it just one doctor who ends up being the only one responsible and carries this burden well there are certainly operating procedures in place so its going to imagine eventually you have a very short time to decide in which case it louis left by its leading position d in the medical teams on the side will get it going to legs or not so its going to be a very challenging situation so therefore the support of the local law structures the hospital as well as the legal system is very important to support these medical teams to make these decisions but talking about these procedures a professor how can doctors and hospitals actually prepare for tria. But i think. From an ethical point of humor and prepayment for these decisions is crucial for 2 reasons the question of uniform rules in order to ensure a fair and a patient of resources. Across teams across units and hospitals and because doctors in their everyday clinical dont and im not familiar not at ease this as such decisions because the traditional clinical ethics is patient centered and not at for allocating patients to Different Levels of contingency care so from an ethical hero we need to korea are 2 areas things 1st victory at forecourts that provides for a step by step evaluation and criteria for testing patients and in germany several medical association pettish recommendation protocol last week if there ketamine for ethics in medicine in the lead and 2nd each hospital and test if and test out these bullets should be implemented and therefore actually asked teams that include the expertise of intensive care physicians. Maybe even clinical ethics committees can support in setting up these processes think the most important think is s. And thing as doctors that there are only if they give it up its not to charge for the responsibility taken in these decisions thats where one key issue of course but what about normal doctors say in the Community Village doctors who have covered patients do they also or might they also face these ethical dilemmas. I think not those that dissent is and the decision on. Who gets under ventilator is obviously not the primary care physician that they have at their tree ash decisions if there are many patients who are going to transfer to the hospital. If there are many patients in need so i think the same criteria of seriousness and and commodities that go into the triac or the courts in the hospital can also be a night in the territory for nominal primary care physician or at least of importance for him. Because coming back to you how well can you predict actually whether a person will probably die even if treated isnt that also a bit of a lottery but there are certain visa logic parameters medical history medical experience or the treating physician at work are to support your decision but there is no certainty that youll be minute decision is he is the right one there also is only because. Here in spain it it seems made a different decision so the canoe up situation will be a circle a learning curve. And there in the matter of the early breast you really miss the us for the rest of the march professor winkler coming back to you as an ethicist what can you tell a frontline doctor who is facing a decision like that could you give us an example. Well i think 1st it would be important to or to acknowledge that these are tough decisions that kind of head out spend our 100 doctors ethics and summer test the church if you have such dilemma and then coming back to those tools and protocols that we have now is set up saying. There are different phases of the pandemic and if you have not enough ventilators for our patients who needs you have to prioritize so its. Certain that you are and that they will survive and then others and there we have clearly laid out criteria so that. Was a good set is the Current Situation of the patient come up to tease for a it isnt criteria but for example age just not in criteria that went into our recommendation so charitable and if i think the step thing that i would recommend is make. A way out of a terrible supply its in 2nd or absolute terms because you know that this is a serious stress and more and other way stressing situation and this church has a bit you know in the hospital its will relieve the stress that happens in trio situations professor having to and doctor to be of course thank you very much. And hours every day here is our science correspondent Stary Williams with a couple of answers to questions that you have sent to him keep them coming today its about how men and women kemi differently affected by covert 19 its the culverts gender gap. Studies suggest men are more likely to catch covert 1000. 00 than women is that true it does indeed appear that men are more likely to test positive for the disease than women are in other words men make up more than the 50 percent of confirmed cases you would expect if the virus infected men and women with equal frequency. Are men more likely to die from cove in 1000 as well. Here the data is this more conclusive and what its saying is that men are more likely to die after infection with cope at 19 then women are the numbers are very striking for example in italy where over 70 percent of the confirmed patients who succumbed to the disease were men also the coronavirus really does appear to be more lethal for men than it is for women. So why are men more vulnerable than women. Like so much else about this virus free just dont know enough at this point to really pin down why its killing more men than it is women but researchers have hazarded some guesses on average worldwide more than women do men pursue behaviors that are considered to be health risks like smoking tobacco or were Drinking Alcohol and everyone should know those risks those unhealthy behaviors can also lead to what are called comorbidities those are conditions like like hypertension or a cardiovascular disease or chronic lung disease and many of the victims of covert 19 were elderly men with comorbidities yet other researchers are trying to cast some light on the issue by focusing on the biological and genetic differences between men and women could estrogen be playing a protective role for example maybe there are also some well documented immune system differences between men and women and whats most probable is that all of those factors social behavioral biological that theyre all going to play a role in why covert 19 is hitting men harder than its hitting women theres not going to be a simple straightforward explanation. On the Derrick Williams there keep the questions coming and that was our covered 900 special for more on the pandemic to check out our social Media Channels and our web site thats d w dot com of course which is dedicated covert 900 pages in 30 languages and now we want to leave you with a few images from that egypt the famous Great Pyramids and presents with messages of unity and solid dowds with those backing them of all caracas. Across the globe 1st time last night stay safe and thank you those keeping us safe flashed across the towering structure at the giza plateau. And dirty business worth billions of euros constanza much of the rubble used to make incomes come time here brooke is truly understand trying tensions discount nation wages in extremely unhealthy conditions in german manufacturers logging trains could refute exert pressure all the way down to the front steps. Closer to the. D. W. P. Equal india. How can a countrys economy grow in harmony with its people and the environment when there are do worse to look at the Bigger Picture india a country that faces many challenges and whose people are striving to create a sustainable future. Clever projects from europe and india eagle. In 60 minutes on t. W. Each still tells my story. Of the people who found me. Taking the same knives to me. I am not to dumb to cut. And leans on my secrets. I have not to my cities days for centuries and accompanied my country through its finest hour days until the day i mean. Not done diddly. Stunts a fool. Summer time is Vacation Time here in germany most car owners still prefer to drive even to distant holiday destinations when it comes to road safety tires are of course of paramount importance more than 50000000. 00 are sold each year in germany alone its a multibillion dollar business but where do these tires come from down under what conditions are they produced
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