Hard Core Public Health measures of case finding Contact Tracing quarantine isolation so in some senses we need to slow down the virus then we need to suppress the virus and then we need to go after the virus and that takes different combinations of different measures. Of social or physical distancing measures and Movement Restriction measures are very hard socially and theyre very hard economically and we need to use whatever time those measures are in place to put him place the Public Health architecture can then go after the virus because lifting those measures may result in the disease returning if you dont have in place the Public Health measures to do you. Yeah i think if he thinks just very simply about what physical distance you know he think of think of a large gathering or you think of a crowded space and people are very close to one another if you had acted in the video. In that clustering of people the opportunity for the virus to pass between people is much greater because youre physically closer to one another what physical distancing does is just that it actually separates people out so think of that same cluster of people but spread out over a much larger Geographic Area just think of a drawing you know where youre seeing a bunch of dots either theyre very close together or theyre very spread apart if those dots are spread apart and those dots represent people and you have infected people in those areas you remove the exposure you remove the opportunity for that virus to pass between one person and other but as mike has said and as have we have said before social distancing physical distancing alone is not enough it has to be part of a much larger package of interventions. Thank you maria so you know i have a question from image an image in food on the line imagine. Imagine i mean hear me hi. Go ahead. But there are some questions about the mortality rate in europe for you know it is tragic when really really high germany so far its quite low amid some questions about how the cause of death has been recorded for example is somebody an individual one body had serious Underlying Health conditions do you have any data from the Different Countries are reporting. We. Dont have any specific date about how each country is recording a cause of death whether it was associated with covert 19 or if there were other reasons why people died we do know from the confirmed cases if those individuals have been reported as having recovered or who have died we spoke about this the other day the differences in mortality as you compare them by country we have to be very careful about how we compare countries right now. Theres a combination of factors of why were seeing differences in mortality by country the 1st is about the populations that the virus is affecting and infecting we gave the comparison between. The virus moving in older populations because we know that the virus can cause more death in older individuals as opposed to the virus circulating in younger populations where you would see less mortality so theres there are a number of factors in which the mortality rate can can vary by different populations. And we also discussed previously about the challenges of describing mortality as an epidemic unfold as this pandemic unfolds. Looking just at the numbers of deaths over the numbers of cases that are reported is only a snapshot and its an incorrect snapshot of what the true mortality is because we dont know the extent of infection in the population. On the one hand and on the other hand there are number of individuals who are in who are very severe who are still in i. C. U. Some of whom will recover and some of whom will die so we dont have those precise numbers yet of how many will die out of those that are infected and we still dont know the the overall infection rate in the general population. Thank you maria im just going to ask a question that was sent to me by email from a correspondent a health right. Whos been struggling to get on virtually a name is. My own bug what india has tested a close to has tested close 213000 samples w. H. O. Says test test test. By not scaling up the tests has india lost critical time. So its wonderful that were seeing testing being done across countries we know that there are challenges associated with doing that test we know were working very hard across all of our regions with many different manufacturers to ensure that tests are available in countries that need them were working with labs across all countries to ensure that the lab capacity in each country is increasing and were seeing many countries take additional steps to further increase that capacity what they meant when he said test test test was that we would like to see all we recommend that all suspect cases be tested and we recommend that all contacts that have symptoms are tested and the reason that that is absolutely critical is that we need to know where this virus is so that we could stop the n word transmission from those who are infected to infect other people and so by doing that by ad having adequate testing and ample testing as part of your strategy will help reduce this down but that isnt enough we know that by finding those cases isolating cases in caring for those cases is critical quarantining of your contacts so that they cannot pass that virus onwards its absolutely critical to stopping transmission moving between people. Thank you maria you want to do it. Ok so no. Chill. From liberals are you on the line. Hello no this is the question. Like should know you are cold going to different. Fashions you might have from a Member States who dont really have the same priorities or ways to fight these barrus oh how do you cope with the different appreciations coming from larger Member States. I think for. Whether its a small country or a big whether its a rich country or poor its the same with with them the same same way. To treat. You know or the same way the best principle is to. Actually be principled. To help them to give them advise or to respond to their aquarius based on principles so as long as we do that then i think i dont consider any thing that comes from Member States as pressure. Thank you ive got an. Ive got another printed question that was emad to me by johns our cost to some behalf of friends 24 and the line said. What is the shortfall in the Global Supply p. P. And critical say life saving medical equipment and in view of the surge of cases it how much production the supplies needs to increase. Long. Its difficult to make an estimate obviously for the whole world we dont know the stocks that the National Governments actually hold so we can only make estimates based on the number of Health Workers that we would expect to be in the front line of a certain level of service so its a shortfall is the difference between what you need and what you have. Right now we dont know how much were going to need because we dont know how fast this is going to develop so we have projections with having learned different scenarios and equally its difficult to know where the gap is because were not we dont have full knowledge of more countries actually themselves how. We are going through a very sophisticated process of establishing and finalizing the gaps as we see them or asking countries what their gaps are specifically doing marcum analysis as to what the supply chain has within it its safe to say that the supply chain is under huge pressure were working with the Pandemic Supply Chain Network to maximize the amount to flow of p. P. Is a protected supply chain for people for Health Workers around the world but its not just the p. P. Itself its getting that people now to countries we have issues with flights we wish use were getting access so were going to need a hume and aca texture in effect were going to need their bridges good hours to bring staff to bring stuff. To countries to help and assist them and that stuff maybe lab tests that stuff maybe people he that stuff maybe expertise is becoming increasingly difficult for us to move material around because. Even ships and cargo i think as we speak over 100000 merchant seamen are currently sitting in ports all over the world and can either come into the country theyre in or move on the ships there are so we have some serious issues with the supply chain we are there on this and it is not without hope. And did you mean wish to speak to the. Manufacturers in china. In cooperation with the Chinese Government have moved very significantly and offered to resupply our warehouses in dubai and were currently finalizing those shipments of finalizing the needs and we will obviously continue to do that we do have a whole series of numbers around what is potentially needed and ill be very happy to share some of them with you in the next couple of days as soon as the validate that were currently validating the number of lab test me but if i give you a sense of scale. Joe has distributed one and a half 1000000 that tests around the world if we look forward in this epidemic and we project ourselves forward the number of months and the amount of testing thats going to be needed we need to scale that up approximately 80. 00 to 100. 00 times so its not about doubling the well ability of lab tests its not about troubling us its about potentially increasing that easy food no thats an extreme analysis but thats what we need to aim for and the director general outlined the mechanism by which were going to achieve that working with a Public Private partnership and scaling up production and access to test. Equally we estimate that there are probably if you look again around the world probably in excess of 26000000 Health Care Workers who may have to at some point in gauge in health care to people who potentially have cope with one thing thats an awful lot of Health Care Workers to protect you work out that those Health Care Workers. Doing a few hour shifts they have to change p. P. Every time they do is shift they have to be trained to use that p. P. I think you can see just what the gaps are in terms of masks and gloves. In their plans actually were valid a single numbers because we have to match them against what countries actually have the greatest tragedy for me among all the tragedies received in this outbreak is the prospect of losing. Part of our hope workforce that those individuals those doctors and nurses and hygiene assume others who put themselves in the front line to care for our most vulnerable would themselves become exposed become sick and potentially die because they dont have protective equipment it is a it is a huge responsibility of the Global National and global level that we protect the supply chains for Health Workers around the world and that we solidarity between governments between producers manufacturers so this has been the briefing every 2nd day this briefing comes from the World Health Organization dr ted ross there in the middle as the secretary general of the World Health Organization bringing people up to date with what is going on around the world with regards to corona virus and also ahead was interesting a sort of a Public Service announcement just talking to people about watching their own physical and Mental Health which is actually pretty good advice in the time james bass has been listening along with us lets talk to him about some of what weve heard from the World Health Organization a change in phrasing james we now hear physical distancing rather than social this thing as i guess is a good rider the people that or anyone whos still not doing it but it is about the physical distance between you and someone else that you actually really have to take note of. Avoiding contact with other people avoid getting close to other people is the message that the World Health Organization has been stressing for a very long time but youre now hearing it from governments all over the world this time of day that the News Conference is taking place in the white house for number 10 downing street and theyre all saying the same thing all showing i think real concern about the situation but in this News Conference in the World Health Organization they said they had 2 good bits of news one that there be no new cases in which their original place of the regime outbreak and secondly the World Health Organization has done a deal to get protective equipment starting mean made in china for them but then you heard dr mike ryan talk about the problems of the supply chain of getting this equipment and the number of pieces of gloves and surgical masks and the rest that they need to get to doctors all around the world to some of the most of porous places on the world but also where i am now where the u. N. Is based here in new york they do not have personal protective equipment here in the worlds Financial Capital this is a worldwide problem of course so many flights have been stopped at this stage so its going to be very difficult i think Going Forward to get this equipment to the people that really need it so were telling you come all d the while the w. H. O. Been briefing a little earlier here in new york the u. N. Had a briefing to its correspondents again a virtual briefing that was interesting because the uns concern from u. N. Headquarters even though theyre in a hot spot here in new york is about places like africa which is seeing beginning to see a surge in cases and about 100000000 people around the world who live in war zones or other vulnerable areas and of course refugees around the world they are really concerned the 2nd to. 24 hours ago you could terrorists really concerned about some of these people and the fact that millions of people could die he said that he wanted to see the richest countries on earth helping the poorest but of course theres a slight aurally to that as i speak to you from new york city which is itself arguably the richest city on earth in terms of its position with the World Markets but suffering deeply james i thought it was interesting as we obviously here and broadcast television are listening to the World Health Organization and are broadcasting this to our viewers and other channels are as well but theyre also the World Health Organization themselves realizing how important social and mobile media is they said theyre teaming up with whatsapp and facebook to provide a sort of official information line i guess a sign that their word needs to get out there to combat all the rumor that can spread so easily on social media. All the rumor that comes out and potentially differing information coming out from different governments around the world certainly here in the u. S. There has been some criticism of some of the communication coming from the white house and specifically from the president the World Health Organization wants the put out that their information as the part of the u. N. That deals with Global Health ive been watching these News Conferences for some time coming from the World Health Organization about the Current Situation they are now going to go totally virtual were told rather than being in that room together and they certainly sitting a lot further apart than they were just a few weeks ago on that were telling you that the World Health Organization is the Global Health agency of the u. N. The one that provides food for people who need it around the world and given the problems with supply chains could become particularly important is the World Food Program and weve got confirmed news that the executive director of the World Food ProgramDavid Beasley whos an american in fact hes a former governor of South Carolina he has tested positive for corona virus ok thank you for all as updates james bays is our diplomatic editor in new york keeping an eye on what the World Health Organization has been telling us. Now youve seen this hopefully on the red ticker at the bottom of your screen now but we should go into it into some more detail italy reporting and this is extraordinary 627. 00 for the deaths across the whole country due to coronavirus they are now saying that the death toll is up above 4004032 in fact is an increase of 18. 4 percent the biggest one day increase we have seen in the numbers coming out of basically until today friday is 3 hadnt seen more than 475 deaths in a day which is of course an extraordinary number but now 627 may have been in our european news center in london i cant believe were reading out numbers. The situation in italy is it just feels like its getting out of control. It does it feels like its worsening by the minutes this is the largest single day jump in recorded deaths anywhere since the start of the coronavirus outbreak just to put this into perspective for you italy had been averaging as you mentioned around 450 deaths a day in the past fe