A very painful very very painful 2 weeks. The white house predicts up 2240000 u. S. Citizens could die in the pandemic. Afghanistan steps up its efforts to contain coverage 19 but now faces an additional challenge from the thousands of people returning home from iraq. Im still gal welcome to the program governments around the world are scrambling to find ways to limit the spread of the coronavirus many have imposed restrictions on peoples movements and were told to wash our hands and keep our distance from others and many places especially in asia people are also being told to wear face masks but how effective ave the opinion here in europe is divided it well hear from an expert in a moment 1st this report. Facemasks for years theyve been part of daily life for many in asia and now for parts of europe theyre about to become so too busters decision to make it compulsory to wear the masks in supermarkets has sparked a debate in neighboring germany. The town of you know has now become germanys 1st to announce similar measures though given the shortage of facemasks the city has encouraged people to sow their own its a move large the welcome to buy their residence. I think in spirit the more that stung the better and the more everyone does it the sooner it will be free of the virus i have 6 simple masks at home and then push comes to shove also my soon. I think its a good idea in principle of the problem is that there simply arent any masks makes. 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. 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 because of air pollution but in this pandemic theyre practically a civic duty in europe that attitude is now increasingly gaining ground. As if im dr Alexander Edwards hes an immunologist from the university of reading in the u. K. A welcome to do double talk at whats whats your position on the take the use of face masks by the general public during this pandemic. I think its a really difficult one to judge because we have i absolutely agree with the w. H. O. Guidelines that proper. Officially tested protective equipment is absolutely essential for those people who are working with patients but the question here is about whether you should wear just some kind of Face Covering a tall and whether that would be helpful in day to day life and unfortunately i think that we dont have enough data to suggest one way or another. This turn to the general business of this pandemic ive seen a us estimate a quarter of people with covered 19 showed no symptoms how much of a concern is that so i think that this is the driver behind a very very rapid spread an increase in numbers that weve seen across europe in the u. S. The most likely explanation for that enormous exhilaration is that a lot of people of spreading the virus without really realizing that they are sick and thats why were having these sort of rather Dramatic Movement restrictions because we cant identify every Single Person infected and therefore we have to just stop everyone moving around but the real difficulty is that the kind of studies that we need to be able to identify how many people are infected without symptoms are actually quite difficult to run and theyre actually quite timekeeper time consuming a laborious so well thought start to see more of these studies coming out and being published but we wait anxiously for that Scientific Data to really understand the situation so while we are in the midst of this pandemic all sources around the world are trying to flatten the if they do manage to have this kind of infection what do they need to do to stop it spiking again. Again the really important question i think the recommendation of test test test becomes really important because once you have a low level of infection in a population it becomes more realistic to restrict the movement of people who are infected allowing everybody else to get back to their normal business that will be difficult but we are starting to learn more about how to do that and expand testing capability to make sure that when we get to that. Point that we can start coming up with safe returning to work protocols good talking to thank you for joining us dr Alexander Edwards from the university of miami there is a look at some other developments in the pandemic will stop and split spain which is recorded a new daily death toll of 864 and the total of more than 9000 people with no more than 1990 deaths european scientists are launching a joint initiative to develop applications to help Contact Tracing and theyre looking at ways of making an app thats compliant with the block stuff principles of china has reported dont numbers of asymptomatic cases for the 1st time it says 1300 people who showed no symptoms of tested positive and the captain of a u. S. Aircraft carrier is calling for urgent help to quarantine his crew 4000 he feared old roosevelt seized dock to guam in the pacific with the disease spreading rapidly on board. You know i think nations secretary general antonio good terrorists as the world is facing the most challenging crisis since the 2nd world war speaking at the launch of a un a plan to address the pandemic Socio Economic impact he called for a much stronger and more effective Global Response and warp of the world was still a long way from fighting the virus effectively was to be terrorist went on to say the fight would need 10 percent of global g. D. P. And he stressed the need for solidarity with countries most affected by the pandemic let us remember. As strong as the weakest Health System you know interconnected world every single do during and after these crises must be the strong focus on building a more equal inclusive and sustainable economies and societies that are more resilient in the face of and then Climate Change and the many other global challenges we face well its now hes sorry that we saw today we can defeat the fives and build a better. Us president to dont trump has told americans to prepare for a very painful 2 weeks he was speaking of the countrys covered 900 death toll surpassed 4000 greater than chinas official tally president strums said as many as 240000 people in the u. S. Could die even if current social distancing measures are maintained. Bringing out the dead 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 authorities there 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 go through a very tough to express. Fully as the experts are predicting as they. Started it so. You can start seeing some real light at the end of the tunnel but this is going to be a very painful very very painful to exclude 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 helping just that ultimately theres a ha 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. Making news around the world of britain has taken just days to turn and Exhibition Center in london into a temporary coronavirus to Field Hospitals treat up to 4000 patients struck down by cop at 19 who previously for some healthy sick of patients and those with Underlying Health conditions will be treated in regular hospitals. As in ukraine passed a historic laundry bill clearing hurdles to an 8000000000. 00 i. M. F. Loan package Wearing Masks and gloves against the coronavirus lifted a longstanding ban on the sale of phone and mark. Afghanistan has recorded in the 200. 00 current virus cases and 4 deaths while thor says there are taking steps to hold 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 elsewhere the 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 wild fire. 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 delpy 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. The number of afghan refugees returning has increased massively. Theyre afraid of the coronavirus in iraq and the not finding work because of the. Government is concerned about the huge number of 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 pandemics had a profound impact on peoples social lives with lockdowns forcing the temperate closure of boss restaurants and set of us well almost all of them at the city of s. And has a notable exception but youll need a car with a few blankets for the cold evening nicole and her daughter get ready to watch a film at the drive in cinema theyre also taking some ice cream and candy along tonight a german comedy is playing. You can you understand we cant go to a normal cinema and theres nothing else to do in the car we dont have to worry about joans life different so to go said lets go to the cinema ok to get into kino like nicole many people are making their 1st trip to the drive in. Its funny weve never be here if it would have gone to a normal cinema but this was suitable sandstad of sitting in time on the couch we decided to come here and one of my ski again well most of germanys drive in cinemas are closed the city of essen has issued a special permit allowing this one to remain open amid tight restrictions each car is limited to 2 people and their children and tickets are only Available Online chat easy to wind up and hold out the ticket. The tickets are only chucked when the window is up the stock bar and heater rental remain closed but drive in is open during all kinds of weather regardless of how cold it is devoid night protocol most drakensberg everything was sold out while i was also in the midst of the pandemic movie fans are looking for a bit of normality as long as they can get a ticket. This is news that live from more on the crown of honors a coming up in just a moment news at the top they are under the hot a good. Combating the corona pandemic. Where does research stand. What are scientists learning. Background information and news. Hour carona update. 1000. 00 special next on d w. The global corona crisis you can find more Information Online at e. W. Dot com and on t. W. Social Media Channels. This pandemic is this is overwhelming so many people that need a breathing machine just simply have manufactured. You have a 30 year old patient and an 80 year old both infected with the coronavirus severe symptoms and both need an oxygen mask but you only have one who. Has this kind of decision is called tria which is 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 tree are we looking at today and all special coverage of the covert 900. 00 crisis here in d w. It all comes down to how well the Health System is prepared for a pandemic in the end the number of intensive care beds and ventilators that counts most Health System outside italy and france are holding the line but around the world hospitals are filling up tria become a reality for doctors all that. This is the worst Case Scenario when treating patients in front stopped as a force to make life or death decisions patients save the age of 80 will not be put on mechanical ventilator. This process is called triano the term comes from the french for t. N. A. It means the sourcing of and allocation of treatment to patients modern medical triano she 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 stalk about those decisions are now joined by dr to be escort is a physician and the epidemiologist at the director and also the director of the institute for Public Health at berlin sorry tale 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 were so well prepared in the world and the training and the hospitals. And the medical students yes well. How does triacs work in a hospital is it just one doctor who ends up being the only one responsible who carries this burg. Well there certainly are operating procedures in place so its going to imagine eventually you have a very short time to decide in which case it will be left by its treating physician and 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 the professor how can doctors and hospitals actually prepare for trios. 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 creation 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 point of here we need to korea are 2 areas things 1st victory asked for quotes that provides for a step by step evaluation and criteria for testing patients and in germany several medical association pettish recommendations but we are protocol last week with their ketamine for ethics in medicine in the lead and 2nd each hospital test if. These will and 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 its s. And i think i spent that there only if 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. I think not those that this and this 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 come of it that go into the triac or the courts in the hospital can also. In the periphery 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 certainly is a lot of mentors and medical history medical experience of the trade in decisions that will help to support your decision but theres no certainty there to be made decision is he is the right one and also theres a loop. Here in spain that it seems made a different decision so the canoe up situation will be a circle a learning curve. And theyre going to the mat it seems a little early best to really use the hour for the rest of the march professor winkler coming back to you as an ethicist what can you tell a frontline doctor whos 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 outspent our 100 doctors ethicists and some are tested for actually upsets dilemmas and then coming back to those schools and protocols that we have now are set up saying and. There are different phases of the pen demick and if you have not enough. Tests for our patients who needs you and 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 Current Situation up the patient come up to tease for a piece and criteria but for example age just not a credit here that went into our recommendation said cherry and if i think the steps thing that i would recommend is make. A way out of. A timber supply its in 2nd or absolute terms because you know that this is a serious stress and more and other way stressing situation and these structures and now in the hospital floor relieve the stress that happens in 2 yosh situations professor having to and doctor to be a sports thank you very much. And i was every day heres a science correspondent stare equal him for a couple of answers to questions that you have sent him keep them coming today its about how men and women can be differently affected by covert 19 its the covance 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 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 covert 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 for 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 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 parole 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 Derek Williams that keep the questions coming and that was our coverage 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 solid doubts with those bottling caracal and iris across the globe the 1st time last night stay safe. Thank you those keeping us safe flashed across a towering structure at the keys a platter. More. Of. The return of the markets. The momentum of the working world. Your business magazine made in germany. Next on. Small acts who can inspire the changes to the people making it possible to go africa fantastic right. Join them as they set out to save the environment learn from one another and Work Together for a better future. Many songs do you all but you mean it for. In 60 minutes on d w. Is for me than it. Is for you. Beethoven as for hell. Beethoven is for. Is for. Beethoven is for. Tovan is for playing. Beethoven 2020 but 250th anniversary here on d. You. Play as. It is the year 2019 were sending money around the walled phones are talking about autonomy 7 as flying taxis were taking pictures of black holes
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