Efforts to contain the spread of coverage 19 of the country faces an additional challenge in the thousands of people not coming home from iraq. And face masks and other protective gear are in short supply around the world we look at efforts fire an engineer in spain to try and solve the problem. Im filled welcome to the program u. S. President donald trump has told americans to prepare for i very painful 2 weeks he was speaking as the countrys death toll from the coronavirus a past 4000 greater than chinas official tally President Trump said as many as 240000 people in the u. S. Could die even if current social distancing measures were maintained. Bringing out the dead new york is americas coronavirus hot spots. 19 has killed more than 1500 people across the state most of the deaths have been in new york city authorities 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 lie ahead were going to. As the experts are predicting. This is going to be a very painful. Very very painful 2 weeks 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 theres hope that people really care i think weve seen so many new yorkers come out here and help in just that ultimately theres a lot 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 carona 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 here also more of the latest developments in this pandemic china has reported for the 1st time on numbers of asymptomatic cases its s. 1300 people have tested positive despite showing no symptoms the captain of a u. S. Aircraft carrier is calling for urgent help to quarantine his crew of 4000 Theodore Roosevelt says docked in guam in the pacific with the disease responding rapidly and the 12 Year Old Girl has died in belgium shes thought to be europes youngest victim so far meanwhile france the u. K. And spain all recorded their highest daily death tolls on tuesday. Well spain is one of europes worst hit countries are record 849 people died there on tuesday bring in the countrys covered 19 death toll to more than 8000 hospitals are struggling to cope with the overwhelming number of cases and a lack of personal protective equipment like facemasks for doctors and nurses now asked d. W. Zhang for live shots reports some private citizens are seizing the initiative to try and help the countrys medical professionals. It takes just minutes to produce the plastic brackets needed for protective masks engineer francisco has a 3 d. Printer at home when an initiative in his hometown of seville was set up to produce masks for medical personnel he joined in right away for safety reasons we met francisco outside his apartment his family for the video inside their home he proudly showed us the model that the members of the initiative designs together the emphasis is on simplicity so that the masks can be produced quickly. I know that people need this going off of the problem is going on much of the year for us so curious. Because from my on my way up the. Tree when he she goes through all the tough enough to protect and live to the max im lou dobbs. For about 100 other participants princeps more than 5000. Few days local police then distribute them the lack of basic protective gear at spanish medical facilities is getting worse about one in 10 people newly infected with the coronavirus work in health care according to official statistics. Situation in many hospitals and clinics. And. Private initiatives. Some. Questions about the responsibility of the government. Seem to be prepared for a crisis like this and the government. Protective. Francisco is too busy to do questions like me motivated by the many expressions of gratitude and pictures of people thankful to have urgently needed protectors. And. Joins us from the spanish civil welcome by philip lets start with question you posed at the end of your report how does the Spanish Government explain its lack of preparation. It doesnt explain it very well checked of course spain is not alone in this situation countries all over the world have been ill prepared for a crisis of this that mention but i think there are some sectors that makes especially vulnerable 1st of all thats the current government kunz the blame for but rather previous governments its the mess of cost cutting in the Health Sector since the last trimester crisis in 2008 2nd reason its something that the current government can be blamed for its the very slow response to the crisis there has been no sufficient testing in the beginning of the outbreak and also later on the response was slow the very strict measures have only been in place when the death rate was already quite high and so where will spain go to try and get the protective equipment it needs when spain as trying to use all channels available at the moment to purchase protective. Medical equipment in china for several hundreds of several 100000000000. 00 euros unfortunately some of the protective gear has already turned out to be faulty spend is also relying on the stock of its military like a lot of other countries that has European Partners for how to test nato allies for help but i think. Many peoples nerves are on edge at the moment the confidence of the head of the confederation of medical unions in spain has accused the government of. Repeating the lies and false promises and some people have already gone to court its using the government of neglecting its duty to protect. Supplies around the world including here in germany then mandating the use of face masks in certain situations and whats the situation there in spain. There is no official regulation regarding the use of face masks in spain also probably because the professional masts should be for medical personnel for the people that need it the most however measures here are among the strictest in the world youre not allowed to go out for a walk anymore if you dont to work in the socalled essential business sectors you are not allowed to go. To to go to work anymore and also what is special in spain is the fact that the people are very disciplined and following these regulations could talking to you thanks for joining us live shots in seville. Afghanistan has recorded nearly 200. 00 coronavirus cases and 4 deaths of ours is that are taking steps to halt 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 19 spraying down the streets of kabul in a desperate attempt to stave off a deadly disease afghanistan is 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 mmer as a coronavirus keeps spreading theyll be in a minute tarion catastrophe the government must take serious measures to help like most afghans the residents of herat a pool 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 corona virus pandemic those people are now streaming back in their thousands all are potential carriers of the disease. Only. The number of afghan refugees returning has increased massively. Theyre afraid of the coronavirus in iraq and theyre no longer finding work because of the. Government is concerned about the huge know 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. Now here are some more of the stories making news around the world thousands of people in brazil abandoned pots and pans at their windows for a 15th night in prison mr president a response to the coronavirus pandemic president used televised address on tuesday to insist the virus would cause less tom than shutting down the economy is this describe the pandemic is one of the greatest challenges of our generation. Of the Tokyo Olympics another big ticket sporting events because of the covered 19 pandemic is dramatically affecting business for german insurance giant munich re the reinsurer originally forecast of 3000000000. 00 for the sheer ignorance specs around a quarter of that company said that cancelling the olympics completely would have hit profits even harder. Lawmakers in ukraine passed a historical land reform bill a clearing hurdles to unlock an 18000000000. 00 i. M. F. Loan package Wearing Masks and gloves against the coronavirus they lifted a longstanding ban on the sale of farmland. The forest fire that started on monday still raging in the chinese the province of sichuan at least 19 people have died according to the state news agency is now threatening a major facilities in downtown is each august city of around 690000 pounds firefighters continue to fight the blaze. And the German Football League has confirmed that the bundesliga will restart on april the 30th at the earliest clubs agreed on tuesday that the suspension should be extended because of the coronavirus however games might still be played behind closed doors when the season resumes. These are Uncertain Times for german football theres been no action inside a stadium since the middle of march now the 36. 00 clubs from germanys top 2 division say thats will remain the case until at least the end of april. So it does leave your clubs have unanimously followed the recommendations of the committee. Should stop at least the 30th of april wouldnt. Training stop until the 5th of april to support the efforts of the government to interest its. From major league wants to look at playing games behind closed doors without fans if the season were to be cancelled clubs would lose a combined 750000000 euros in revenue mainly from t. V. Contracts and that some teams in financial peril. What was made clear today is that certain clubs. Games this season can. And if t. V. Licensing fees from certain media broadcasters arent paid the fees and clips then certain clubs in may and others in june could find their existence resistance but on is it whats on. The desire and need to play whats not clear is whether the possibility is to. Think of a 19 pandemic hit the telly say isnt as well of course but it hasnt stopped one of the sports biggest stars from keeping his spill skills into full well just federer this video on twitter is by the snow in switzerland he managed to pull off some nifty trick shots hes been out of action since january after he joked with fans that he hasnt forgotten how to play. Situ up to date with full on the coronavirus a copy of the split in the back of the top of the im good for. Combating the corona pandemic. Where does research stand. What are scientists learning. Background information and news. Hour corona updates. From the coded 19 special next on d w. How does a virus spread. Why do we panic and when well. Just 3 of the topics covered and the weekly radio show is called spectrum if you would like any information on the chrono larysa 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 at dot com slash science. This pandemic is is overwhelming 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 then the 80 year old both infected with the coronavirus both strong severe symptoms and both need to have oxygen but you only have one who do you should use this kind of decision its called trio its french and it 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. Doctors around the globe are taking these decisions right now what does that mean for those doctors and what are the ethics behind what we look at off today. Special coverage of the covert 19 crisis here on the w. Im god all things welcome it all comes down to how well the Health System is prepared for a pandemic in the end as 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 as a force 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 term comes from the french 28 it means the sourcing of an allocation of treatment to patients modern medical triano was invented during the napoleonic wars france spain and italy of the worst affected countries in europe more than 100000 people have been infected with the virus in italy unknown nearly 12000 have died and the longer the crisis continues the more often doctors are faced with making some very tough decisions and stuart about those decisions are now joined by dr to be escorted physician and the epidemiologist at the director also the director of the institute for Public Health and balance Charity Hospital professor vinca physician teaching medical ethics at Heidelberg University lets start with you dr corder were not yet doing triology in germany are doctors well prepared for taking these decisions. Well were just so well prepared as are the doctors in the world and the training and the hospitals and physicians organization. Theoretical i think were in whats reactions necessary in germany it will be very challenging for a doctors and medical students here as well. To 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 and so its going to imagine eventually you have a very short time to decide in which case it louis left by the treating physician in a medical teams on site will get are going to laser not so its going to be a very challenging situation so therefore the support of the law structures the hospital as well as the legal system its 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 if you were prepayment for these decisions this crucial for 2 reasons the question of uniform rules in order to ensure fair 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 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 point of here we need to korea are 2 areas i think 1st a tree ask for quotes that provides for a step by step evaluation and criteria for testing patients am in germany several medical association pettish recommendation protocol last week with their ketamine for ethics in medicine in the lead and 2nd each hospital test if. This will and should be implemented and therefore a tree ask 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 and they give it a place not to charge for the responsibility taken in these decisions thats 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. And 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 as 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 trash or the courts in the hospital can also be applied in the periphery for normal primary care physician or at least of importance for him. Not of course 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 a certain fuselage of parameters medical history musical experience or the treating physician at work are to support your decision but there is no certainty there to be minute decision is it is the right one also theres only. So you can spend it it seems made a difference decision so the canoe up situation will be a circle a learning curve. And their opinions of the matter if teams are going to early best to really use the arts for the rest of the arts 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 that have to sessions that kind of head out spend our 100 doctors ethics and summer test of fetch 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 faces of the pandemic and if you have not enough bed to lay tests 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 this was a good set is the Current Situation up the patient come a bit ts for a it isnt criteria but for example age just not a credit here that went into our recommendation said chumbley and if i think that that thing that i would recommend is make. A way out of. A timber supply its in secular absolute terms because you know that this is a serious stress and more and other west wrestling situation and these structures a bit up now in the hospital its will relieve the stress that happens in 2 situations professor having to and doctor to be escorts thank you very much. And hours every day heres a science correspondent stoic 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. Money suggests 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 coven 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 unpleasant with messages of unity and solidarity with those battling noble caracal and iris across the globe of 1st time last night stay safe. Thank you those peeping safe flashed across the tower structure at the kings up plot. Moving. Eco india. How can a countrys economy grow in harmony with its people and the environment when there are doers 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 equal to. The next bond d. W. History and for repeat itself. Germany at the time at the time the republic. Today. Just now found in the shadows of the concert reach. Acts of the future. Time out today. In 45 minutes on. Whats the secret behind this classic. Music for so. Soon as you hear beethoven lose your mind. On the story behind the music. Was it for the ages british. Cars. Beethovens 9th. Or the more stars implements on t. W. The. Life itself arose from its why the essential reading blocks were formed over millennia it took thousands of years for a quest to cannibals and plants to make the transition on to