0. Loosely. Based. On respect. Weve been told what to watch out for fever a loss of taste or smell a dry cough just some of the symptoms. But the effects of covert 19 on the body can go well beyond those and run much deeper a disease that begins in the lungs can have a profound impact on many parts of the body for some the effects can be long lasting. But theyre old many people should be called a lot of people are having Health Consequences today on a special recover from the infection most covert patients recover within weeks but some have been living with the effects for months exactly how long it can last we have yet to find out. Could covert 19 be a disease from which some of us never fully recover. And this is the w. s covert 900 special hello and welcome to the show im Stephen Beardsley in berlin 26 weeks thats the typical Recovery Time for a covert 1000 patient at least according to the World Health Organization but after all researchers are trying to figure out why some Patients Experience the disease more seriously and suffer more long term consequences heres the story of one such case Eric Alderman is struggling to return to normal life the 51 year old was infected with coded 19 in march it started with a cold and a bad cough and then a trip to the emergency room he was in an artificial coma for 2 and a half months now hes being treated at a neurological rehab clinic in the southern german town if. He has to relearn everything walking talking even how to set up all the thing. For had no preexisting conditions. Nothing. It came straight out of the blue. Oh been abroad i hadnt been on a ski trip. My friends were fine. I just dont know how i got it. Hall. Outman is a Sports Reporter for a newspaper helping him get through all this is positive attitude and the support from his family his wife and his part children. Pastoral it was touch and go oh oh. There were times when i i almost didnt make it. They are hard very. The neurologist treating aardman doctor friedly from rosen diagnosis or rebuild their dysfunction which can be directly attributed to mens called the 1000 virus he also has carved tissue on his lungs and no one knows if hell ever recover from that. We see patients who developed weak hearts which they never previously suffered from we see patients with liver impairment which only slowly returns to normal function we see patients with distinct muscle paralysis due to nerve damage which only gradually heals we also see others whose muscle paralysis quickly subsides so we see quite a wide variety of symptoms affecting different organs. Or gong. Research on the illness is going on everywhere including at the clinic in nuremberg in the meantime its become clear that the virus does attack the brain it can even cause strokes and make a persons immune system overreact. Its an illness that in many respects is unique and we learn new things every week and every month about it and will only be able to look back in a few years in order to say what weve done right and what weve done wrong. 10 percent of patients have a hard time with this disease just like Eric Alderman has 90 percent to recover even if it does take some time. Eric all those wife told us recently that her husband continues to make progress since the story was filmed and can now feed himself again speaking and walking remain difficult however the good news is that he has been relocated to a clinic much closer to the familys home or lets talk a lot more about Recovery Times with yon hennigs hes a specials for pulmonary medicine and coleader the postcode 1000 clinic at the university of hamburg Medical Center yawn thank you for joining us is there such a thing as post syndrome as well apparently there is right so we have reports of. Thousands of patients reporting long term effects after the disease raising. Mental problems but also restlessness so yes we have to say there seems to be Something Like that. Are we talking about the damage from a serious case of covert for example like lung damage your heart damage or are we talking about an ongoing path ology for example some people saying that theyre smell and taste go again months later. Thats the thats the basic paradigm so that the virus is causing cellular damage and these this damage then translate into long term effects and long term problems but there seems to be an additional component to that that is not just explained by the direct cellular damage that we have to figure out and we know from many viral diseases that there are long term effects there convalescence coming along. Might be neural problems so what we really have to figure out now is what specific to the virus whats additional but nevertheless i mean we we have probably thousands i mean given the. 40000000 infected people we probably have hundreds of thousands of people with. Patient long covered so thats going to be a real burden to our Health Care Systems and we have to figure out a way to see these patients are clearly going to have them what are the common symptoms or conditions that were seeing that might be lumped under long covert. Well basically were seeing a whole variety of symptoms so you might even call it a syndrome because basically the most commonly reported symptom seems to be for teak but short of breath headache joint pain. Red eyes so muscle pain so theres a lot of things but also we have anxiety we have a Cognitive Impairment so that is really a whole variety of plethora of symptoms that were dealing with and that makes it so difficult to basically. Treat the patients well because it is i mean we need a lot of specialists to really take care of the patients at the beginning of the study a 2 year study have to ask you even though youre at the beginning do you have any sort of results or any sort of trends that youre seeing right now that are applicable to how we look at long coven. Obviously since we just started a couple of weeks ago we dont have any solid data and that is basically the main problem were dealing with all around the world in. Long covert so what were seeing is which is interesting so the disease in our court is not associated naturally with the severity of the acute infection so we have patients who are totally fine you know after as you showed in your in your and movie in had a severe disease wont know how that belongs together but others have shown that basically women seem to be at higher risk to have more severe long it if youre older you seem to be at risk to have long coated but really we have to find out whats going on and thats why were trying to investigate for 2 years how these symptoms evolve and how. How we can help patients best at the beginning of this pandemic over 1000 was really described as a respiratory illness based on what we know now how would you describe it well it certainly starts in the lungs and we know that in fact the blood vessels and the kidney as a main target of the acute disease but from the long term symptoms the long term effects it seems to be a syndrome so it seems to really affect every part of the body so far the muster system the cognitive system even the psyche is part of it so. It is it is something that we really have to really have to look into how this. How we can help these patients and really how we actually are able to see all these patients because this might delay them these patients might be in the hundreds or thousands or a young heggs University HarvardMedical Center thank you so much thank you thanks very. And now its time for your questions its the part of the show where our science correspondent Derrick Williams and theres the questions youve posted to you tube channel over there. If youre diagnosed with coverage 19 and a recovering at higher measures should you take to prevent your family from catching it as well the last thing you want to do if you catch cove at 19 is give it to your friends or family unfortunately that can prove challenging if you live in the same household on the Positive Side the evidence we have so far indicates that after your symptoms appear with every day that passes youre likely grows less infectious though its still grinding its way through studies at least currently we think that maximum infectiousness hits around the 1st day that you show symptoms if not before so if you tested positive after you develop symptoms and are now convalescing at home and the people around you have tested negative then the likelihood youll infect them should as a rule drop by the day heres what authorities recommend you do 1st no visitors of course and both you and caregivers should wear masks and any interactions even if its hard stay as isolated as you possibly can preferably in your own room with a window that can remain open if temperature is permitted door closed try to only eat there as well a dedicated set of silverware and plates is a good idea if you have the option in your home of multiple bathrooms and toilets then dedicate one to your use limit contact with caregivers if at all possible they really should belong to a High Risk Group theyll need to disinfect regularly leave any dirty laundry or bed linens unwashed for as long as possible and finally dont forget that caregivers will. Also need to quarantine for as long as Health Authorities require even if that means long after your own symptoms have been proved. Science correspondent there claims there dont forget that you can post your questions to derek on our Youtube Channel and see if youd like to keep up with the latest developments in the crow virus to subscribe to our newsletter just log on to deal b. Dot com slash kuroda deshon newsletter. Thats all for us thanks for watching. Enter the conflicts on confronting the powerful more than 2 years ago the new government in armenia came to power in the socalled velvet revolution with the hope of fundamental democratic reform my guess this week from your obama is armenian foreign minister store up meant nothing kanya how much responsibility does armenia back for the conflict escalate conflicts of. The next few. Days past to silence in the. Bronx it is frightening frank and langridge his Family Business like many english sheep farmers their business depends on european and his friends without a Free Trade Agreement with the e. U. That could soon be over just like the future of farmers and their sheep any time hughes town. Focused on your own. Pain 60 minutes on the w. Why did this person. There are many survivors. Their arms. The reason that can be done to. Make up your mind. Double. The observer during summer has chosen the pompous or it seems as if youre not signalling that youre serious about peace excuse me you cannot agree with me i will never agree with you more than 2 years ago a new government in armenia rose to power in the socalled velvet revolution which raised hopes of fundamental democratic reform and that saw in relations with azerbaijan over the long disputed territory nagornokarabakh now the region has been hit by the worst fighting in decades and its ceasefire remains elusive with both sides to pluck tingling my guest this week from a year of on is armenian foreign minister and store of manasseh kanya how much responsibility does armenia bear for the conflicts escalation. Armenian Foreign Ministers or of manasseh kanya on welcome to conflict zone thank you very much there is currently fighting in the disputed region of nagornokarabakh which is governed by Ethnic Armenians but which is recognized as part of azerbaijan by the International Community hundreds have already been reported dead you have been part of talks to broker to cease fires in that regard and yet the fighting continues what responsibility does armenia and the for. Forces in the region which you back bear for the continued fighting. We have committed ourselves fully to the 2 statements one in moscow the joint statement of the time provoked rober and the 2nd one on the 17th of october committed fully to respect the system to go back to the negotiations and to find the peace were a solution to this conflict we have been totally faithful however the german side has chosen the path of war the 2 cease fires have been by lately it right away after we have reached an agreement and there has been no call on the one of contact and through the territory where the conflict is taking place so we have issued a notice a Statement Today in which today in which we have retreated our food commitment to the agreements that we have reached. And expressed in those 2 state mr foreign minister you say that you are committed but i would like to put it to you because on saturday the azerbaijani said side said that 14 people were killed 14 people in the city of ganja the countrys 2nd largest city in an overnight attack missile fire many you say that youre committed what is your responsibility now let me put it again in the context on the turn provoked over at 12 noon we were supposed to have a cease fire we have been the. Forces have been fully committed to this we have been restrained the showing was continuing the massive offensive have been continuing the armenian nagornokarabakh armenian settlements in the going to karbala ive been under a consistent constant shelling and are blooming the rocket launchers the u. A. B. Have been pound. The cities and villages the terms and villages in nagornokarabakh accessibly we have by now. 38 amongst the civilians we have and in 16 seriously wounded we have over 8000. Infrastructure and you have casualties the other side says that they have casualties the azerbaijani say that that 60 people have been killed 270 wounded since the flight the fighting so i just like to ask you because im hearing from you both sides are accusing each other they say that you started it you say that they started it either someone or one of you is lying here it doesnt bode well does it for 2 countries who need to sit together and find a peaceful solution to the conflict. In point you are making about the blame game this is exactly the devious part that has been chosen to engage in the blame game in to continue with the attacks on the civilians attacks im going to go in a car bomb consistently we have been calling for the very few creation mechanisms where the ceasefire and the very few creation of the cease fire american is if the armenian sides in are going to crowbar you know i mean you are blamed in anyway then lets go lets do the perpetration mechanism and be done with it however their budget has been consistently avoiding them consistently rejecting those proposals because this is a very convenient way of deception and engaging us into the right lane again while those accusations im going as you have been mentioning were going from from both sides mr foreign minister so then i would like to ask you the message ultimately that has been coming from your side. The message from the armenian Prime Minister he said the following in the days after the 1st cease. Ira was agreed and this is a quote at this decisive moment we will not prevent it because this is a fateful war for our people he added to that we will fight till the end and that and is called a free and happy and garner ill put it to you because i mean this was in the days after the 1st cease fire was agreed and hes talking about fighting to the very end is this really a rhetoric that is supposed to support build support for a cease fire build support for peace look when you have 30 days your people love the story of the 3 in the whole weeks when your people are under such massive attack when they have to day every day you have your people subjected to risks of existential threat risks of you know existence on this when youre fighting for your life when you have the ceasefire violations consistently. Poignant when you have this situation you obviously you are fighting for your life the armenian science again and for sizing this with full responsibility the armenian sides. Emphasized the importance of the ceasefire and the verification americans i read read strongly the commitment of armenia to respect the cease fire to spread the commitments were undertaken on the turn provoked under 17 to fork over the nagornokarabakh has also retreated support to that but sitting back and waiting when you are killed your family is killed you are you know your your property is destroyed is you have to understand this is what mr foreign minister i said in 3 years since this is now everything that this conflict is about because you are going far dark cannot run on i want to come back to the very important question but you also raised and that is the question of the peace resolution absolutely and we are certainly going to talk about that but before we have there i would just like to put it to you once more russia your partner with whom you have a defense still who has been working very hard at brokering cease fire agreements the foreign minister there Sergey Lavrov reportedly told you to quote halt the provocative warlike rhetoric so i would just like to ask you once again to give you an opportunity it seems as if youre not signaling that youre serious about peace about these negotiations with this type of rhetoric will you take responsibility for that look so far as the rhetoric is concerned we have been dealing with the record rhetoric which is based on the 4 minions on the encouragement to kill her minions we have today see cases of beheadings and mutilations of our compatriots in the going to occur fuelled by this rhetoric this is not a new thing this has been happening. For a very long time there we have cases of glorification of murders of her minions in not going to occur. What i want to come back to is not agree very much the right 3 percent of the rhetoric is fueling poison into this and the peaceful resolution has absolutely no alternative this is what we have been so consistent about when it comes to peaceful resolution were working very consistently and we have been. For peace resolution of this on the basis of search arrangement in which the interests of all the parties are taken into account so you acknowledge that the rhetoric is not helpful and that you want to pursue a peaceful solution then therefore i would like to ask you in that context lets talk about how we got here and id like to go go back to more than a year ago for months the tension has in fact been ratcheted up and id like to go back to something that your Prime Minister said this was more than a year ago he traveled to garner of region which is disputed we have to mention and called for the reunification of armenia with car about he said the following. Nagornokarabakh is armenia and that is that he also repeatedly led the crowd and chants of unification the nationalist slogan that gained popularity in the 1980 s. And the 1990 s. As armenians fought for car about to break away from us official do you acknowledge that more than a year ago this was a clear provocation of the other side if you want peace why would the Prime Minister travel to go back and say now let me come back again to the very point that the question about nagornokarabakh is the question of their existence their physical the physical threat to have been confronting over these many many years when the Prime Minister in armenia was saying this he was referring specifically to the responsibility or for media as the sole geren tool for the physical security of her competitors are internal to look after good security for our compatriots they defend themselves but there is no one of the guarantee apart from. The Prime Minister in fact has been very consistent in his specific approaches concerning the resolution of the conflict the Prime Minister in that very same speech he was referring to the negotiating process and repeating the very basic approaches that our media has been promoting as a compromise based solution which means the interests of the parties in that very same speech however what we have been dealing with is this deliberate you know taking out of context of the statement of the Prime Minister we dont have gone to all of the things he has been saying over there and most of the time now and this comment in particular came from your Prime Minister were talking a lot about about the language and the rhetoric and id also like to look at the actions that you have been taking. There is a sin. 3rd road currently planned to be constructed through disputed territory from armenia to garner karva a number of e. U. Parliamentary committees have condemned the move this is what they say the decision to build this highway has been taken without the consent of the competent authorities in azerbaijan in violation of International Law so these are not just words here these are real concrete actions on the part of armenia and armenian supported governments in the region these are these provocations are not just words theyre actions arent they now lets take it lets take another look at it that look at it through another prism prison for 30 years no other belligerent has been taking every effort to isolate nagornokarabakh from this world to isolate any any link of nagornokarabakh people from from from anyone outside their land blocking anything that might be you know referring to the normal normalcy normal life in nagornokarabakh but i think every every action that the International Community might take to you know. For the people in the going to have a normal life now new going to occur is. Is which people are leaving now we have a situation look now we have a situation where 90000 people were displaced 8000 property and infrastructure is destroyed there is a humanitarian situation in iraq and what are we having are we going to leave them alone are we going to disregard the lives of our people that that wasnt my question mr foreign minister my question was do you acknowledge that it is a provocative action that you are taking in the region that the other side interprets as a provocative action excuse me saying this again what is not provocative letting our people strangle in. Letting our people in isolation in nagornokarabakh they are less important than any of the people i knew were in the world excuse me i cannot agree with i will never agree with this are people who not be strangled they are people like any other people and this was exactly the policy of nagornokarabakh to degrade them to deny them the right to live freely in dignity to live in safety and to live in security and know youre telling me thats what were doing to make sure that they have the opportunity to live in the removed life is a provocative action i salute they not im just asking you about a road that youre planning to build in the region that the other side see it as a provocation mr foreign minister another action that i would like to also ask you about that has also been seen as a provocation from the other side is the following the fact that there was an election that was held recently the following transpired in relation to that at the inauguration in the city of shop which happens to be happens to have been overwhelmingly populated by azerbaijanis prior to the 1900 to 1904 war and a key symbol of azerbaijans claim to the territory it around super and the considerable anger in azerbaijan which was then added to the fact that your Prime Minister had a presence at the inauguration now the year. Union has acknowledged that the selection was indeed not valid under Legal International standards do you acknowledge that this was also provoked if again the European Union didnt put it exactly that way the European Union acknowledged the nagornokarabakh ease and they said it in view of the socalled swing president ial and parliamentary election waiting to garner. If they reiterated that it does not recognise the constitutional and Legal Framework exactly the constitutional and Legal Framework or would they do not. For the people of nagornokarabakh to organize their life in a democratic way to their representatives to their representatives by way of a democratic method and the planes coming from liberty are preposterous to say the least in a society which has. No nothing but one family rule for since 1960 s. And talking about democratic process and denying their people the democratic process and imposing imposing their methods on the people of nagornokarabakh is not going to work. Id also like to ask you because weve talked so much about peace here id like to ask you about where that process stands and your role in all of that because the International Community has really been calling on you for leadership and compromise on this issue you say that you are working with the o. S. C. Immense group which has been charged with helping to resolve the conflict but you cant even manage to take action on some of the basic principles that the group put forward more than a decade ago including returning. Territories 7 districts which are surrounding the guard to azerbaijan so id like to put it to you is territory more important to you that the peace the what is most important to us is this again let me repeat the free life in dignity in safety and security poor people in the going to karbala therefore what is most important for us is the statue certainly going to karbala and the security of nagornokarabakh and this has been very consistent position over armenia and who continue to work on this basis and we do the necessary parameters to work that compromise in which our interests are met while at the same time measured in a measurable. Interest of the other parties are also met so it is not. That is more important for us this devastation this pounding consistent pounding. Boming and showing that these people are going through for 3 weeks people are living in shelters this is happening at a time when cold it is still around in the world the least that knows about your good care book is about these things they apparently dont care about that said the prince process as mr foreign minister whelmed with this choice or for war but back to that because now id like to ask you because because the former Us Ambassador to to armenia Richard Mills i mean you say that you are supporting peace in the region he assessed the situation as follows upon his departure from the country and 2018 he said that it was disturbing how few armenians were willing to make concessions to azerbaijan over nagornokarabakh hes quoted as saying the harsh reality is that any settlement is going to require the return of some portion of the occupied territories he doesnt seem to believe that youre serious about it. Well i do not agree with i do not agree with the announcement of Richard Mills would do i would again read through it and retaliate in saying that i havent seen any sign of compromise coming from verbal during what we have been consistently seeing is the maximalist and this woman growing hate infused rhetoric and no willingness to compromise on the part of their budget let me put that aside let me go back again to the question of the compromise. For over these past 2 years we have our government has been fully committed to move forward with the peace ramos says so then let me ask you because when your cover meant took power back in 2018 it was the socalled divel that revolution there was so much hope for a thaw and in the conflict and this is how the International Crisis group assesses the situation they say that progress seemed possible they said that a new government was ready to see compromise a compromise solution and that it appeared that the government and in azerbaijan also reciprocated but then they said they cited this rhetoric the state for tat rhetoric that we talked about a bit earlier in our conversation and so id like to put it to you the bloodshed the toxic rhetoric from both sides has it limited your capacity to to reach a deal and did you miss an opportunity to seize on that initial hope did you miss your window did you overplay your hand you know i think its a very interesting point you are raising look part 2 for work over the past 2 years within this hour seeming to go ship was about creating an environment which is conducive to peace and we have been passing the very good effort in that together by the way to get the rhythm but your own and were going to occur we have been working towards sarge stamps which would somehow diffuse some you know we use but that. Mutual means. We have a very interesting project implemented in the in the autumn of 2019 when we changed journalists are traveling to baku to your amman and to stop and i cared this was a very modest but very important step it didnt fall apart and we had food confidence and we have very good in the standing going there are mean signs that you know we have to invest in creating the environment conducive to peace now would we see is that it was a futile effort and this is very very bad and so far as their opportunities are concerned look it is our job it is our responsibility never to give up to try to use every opportunity every window no matter who it is every corridor to walk because this is a responsibility because this is about the lives of our people and we care about the lives of our people we care about every single life and now we have so many so many casualties i hope that there is very much on this side also a sense of responsibility we need to see that demonstrated and the demonstration could be in this session of the state this ceasefire and the inside moving with the past a similar message to what you have have demonstrated and as east side were waiting to see movements from both sides mr foreign minister id like to just put it into the bigger regional picture because turkey a nato ally is of course backing azerbaijan quite forcefully we have to mention and pushing for a military solution here you have a defense deal with russia as we know but so far they have been relatively neutral are you short on friends right now we are never short of friends but would you put the very important point you are raised is about the major spoiler turkey turkey has been the destabilizing force in this situation we have been warning about this. Insistently we have been seeing these these 3 who i think are aggressive policies in every direction of the neighborhood of turkey mediterranean north africa middle east and we were absolutely cognizant of the risks of exporting this destabilizing policies in our region we have been seeing the signs of food when there was a transfer of military equipment to azerbaijan when there was a transfer or foreign terrorist pointers. Recruited in the parts of syria controlled by turkey but mr foreign minister my question to you about iran was about as it was known has done absolutely crazy or should i say you absolutely crazy the president was wrong today is a terrorist. My question to you is about whether you see the risk of being isolated in the region because the European Council on Foreign Relations there was an assessment in the following way they say that russias rather neutral reaction to recent clashes between armenia and azerbaijan reflects x. X. X. Exacerbation excuse me with its allies in flexibility in negotiations there is a perception in moscow that in the last 2 decades the balance of power has shifted in favor of azerbaijan and that instead of hearing to a more or less acceptable deal armenia has been unreasonable and uncompromising russia does not want to pick up the geo political tap for that. Are you afraid of being isolated well. I wouldnt agree with look we have we have the i want to see music group which russia russia is a responsible member we have. Allied relations with russia and we have many other partnerships in the world now the point here is that we have been consistent about the sashing are forced to return and consistent about you know the. Word that has been dying down personally by president putin. Personally by president my corn on the 17th of october this has to happen so intransigence upon media is not something i can agree with the. Armenian population in nagornokarabakh by the kind of forces and the support of armenia is something that is i was saying is about basic difference human lives in nagornokarabakh right again how many times stronger have to say there is no alternative to the peaceful resolution ok we have to leave it there thank you so much armenian Foreign Ministers or of a nazi kanya for joining us on conflicts thank you very much. Please pass to silence it. Breaks it is threatening frank and languages Family Business like many english sheep farmers in business depends on european explorers without a Free Trade Agreement with the e. U. That could soon be over and just like the future of farmers in their sheet only time to tell. On europe. In 30 minutes on w. Slow Internet Connections are a growing problem. But back to being changed with the help of a swarm of hundreds of mini satellite based orbit the earth and sun their data all over the world. The 1st satellite have already been sent out to high Speed Internet from outer space. In 75 minutes on d w. W. s crime fighters are back africas most successful radio drama series continues this season the stories focus on hate speech cholera prevention and sustainable chocolate production all of a sows are Available Online and of course you can share and discuss on africas Facebook Page and other social media platforms. Crime fighters tune in now. Its theyre upset for spectacular pictures. Its their passion for nature. Its their complete devotion that makes them the best wildlife photographer in the world. Fascinating. And poetic. Confrontational and stirring. 5 adventures. One goal for the preservation of our planet. Its not a sinister apartment trees and certain kind isnt a more. Exhaust thats in danger of surat nasrin through realize that theres a radically different way of living its rather. A passion for china starts november 6th on t. W. This is news and these are our top stories. U. S. Intelligence officials believe that iran and russia have interfered in the upcoming president ial election they accuse iran of being behind intimidating emails sent to American Voters also stated that teheran and moscow obtained voter red