but also the trainer. and the latter is deeply concerning the lucretia ankle, sir. she am you so vulnerable? people as means to put pressure on other countries or is cynical, aren't in her main, made those stands in full solidarity with all affected allies. we remain vigilant and stand ready to further help our allies. a jury has found us teenager, col. rittenhouse not guilty of murdering to men and wounding another. he opened fire with a semi automatic rifle during black lives matter protests in kenosha, wisconsin. last year. he says he acted in self defense. at least 2 people had been injured during what's been described as chaos in the dutch city of rotterdam, police fire warning shots and use water cannon. after protests, against corona vos restrictions spiraled into violence, rules are being re imposed in response to a new wave of cases. austria is the 1st western european country to impose another fool cobra 19 locked down and make vaccination against the virus compulsory restrictions. we'll start on monday and continue for 3 weeks. use president, jo biden's, $1.00 trillion dollar spending bill now goes to the senate after passing a divided house of representatives. the bill aimed at improving education, lowering health care costs and tackling climate change. past children, 20 votes to to 13 members, governments seeking to designate the whole of the palestinian militant group, hamas a terrorist organization. and secretary pretty patel announced the move in to washington . d. c. the military wing upon us is already proscribed by the u. k. as a terrorist organization, an emergency crews are trying to reach thousands of people still stranded in the canadian province of british columbia. days after floods and mud slides destroyed roads, houses, and bridges. the military is not helping with recovery efforts. but those were the headlines and these continues young al jazeera, after context, india, the health of india's health care sector stateroom. thanks. bye for now. serious dorcas days with one man leading the country through prison us out as last legitimacy. he needs to step down. how has he retained control through over a decade of war? we examine the global power games of president basha, alyssa, we believe assad simply carrying out iranian orders. what keeps you awake at night when the reason that could effect any human eyesight master of chaos on all jazeera hello and welcome to context india. i'm free, the souls are coming to you from them by context. india, re take the time to deliver a considered analysis of this country, politics and us people. in each episode in the series, we're taking a closer look at a specific facet of what has perhaps been the biggest crisis india has faced since independence recovered pandemic. this our 4th and final episode, we are examining the indian health gas sector that crumbled under the pressure of the 2nd wave. of course 19. we will be looking at issues of insufficient investment and public health care. the severe shortage of oxygen in many parts of the country and india vaccine policy. i'll be speaking with casey chuck, her former secretary of health for the government of india and sudan shumate the national spokesperson of the b g p. at the close of this week's episode will be an excerpt from a piece of music created in india through the call with month. this week with featuring when job be in the single people are in use in april and me 2021 indian social media space was flooded with messages like these ah, is hold . the 2nd wave of cove it in india was wreaking havoc and it seemed as though the country's health care system was going under. the 1st of may 2021. these were the tweets being posted by hospitals in the capital new delhi. ah, we have just lisa, everyone from the incident goes over the next 10 minutes. that will also them out. about half an hour after this video message was issued by the executive director of a private hospital in new delhi, 12 patients there died when the oxygen ran out. it wasn't the 1st time during the 2nd wave that a lack of oxygen resulted in depth. the delta variant off the corona virus double charged the spread of covert in india in the 1st half of 2021 health care systems around the world have struggled with the virus. in 2020, there were stories of medics in new york wearing garbage bags. s p p in the u. k. in january 2021. ready so we're just, we're deployed to chronically understaffed intensive care wards in the same month, regions in brazil struggled with oxygen shortages and critically low hospital capacity. however, the crisis in india's health care sector was off of magnitude. the country hadn't seen before. the delta v into loan doesn't explain a seeming collapse of so many hospitals at the most crucial phase of the fine demick indian health care system and weaknesses before the band and struck. it did have some strength in the sense that the primary system was established right. independence. but what do you kinetic quickly, the sauce? and order a fame? pay to the function if needed to over time. but he was still neglected from the very beginning. and then it was remind me that there would be adequate number of doctors and other areas to set up. and so the help desk system and yes, really, between a funded neglected system and the private sector. watson fi. there is also a deep dependence on the site, which he does not portion of the debris in the country. so what we ended up with is on one hand, sub optimal care that is provided weekend public system. and on the other hand, you have the private sector, which will be on profit driven breathing in a regular to back compared with many other countries. india, whether the 1st 3 recorded, well, the government implemented the largest lockdown in the world, which despite creating chaos, due to a sudden announcement helps contain case numbers. what happened after the 1st wave, however, very likely contributed to the intensity of the 2nd wave. it was in the 2nd wave that the biggest challenge was a combination of several factors. first of all, we had some of the the level of preparation that remote in the latter half of the temporary hospitals started can be dismantled. and then we also saw defect of state ordination because i meant it and said, because of that idea of reasons, not the least of which was that because election was off and the wireless so, but i went to travel across india with the large crowds gathering festivals for just gathering and for the election. and at this stage, the variance also gave it a key element of the global covered response strategy has been immunization, dr. india vaccine. manufacturing capacity is one of the highest in the world and supplies from india. what a crucial factor in the plans put together by many countries for their own vaccination campaign, i've got to look at, or he just walked. they had a young man with the coven, 19 vaccines, global access, a callback program, backed by the world health organization. and unicef signed agreements with india in august and september 2020 for 200000000 doses of vaccine medication in february 2021. the director general of the w h. teacher this ah, by media for 2021 india had donated and sold a combined total of 66000000 doses to nearly 100 countries. india domestic vaccination drive in the early months of 2021 had been slow compared to other countries. but the 2nd wave demanded action. on the 25th of march, india halted all exposed to vaccine. those supplies we needed to meet domestic demand, bringing the immunization network up to full capacity in a short period of time was not easy though. there were many changes that need to the back. along the me there were many edwards, for lack of ation. when it came to the production of the backs, the in which led to the situation of shortages and down, dive at these pages. now the bunch of aspect of the vaccination policy has been how the government has chosen to add base points in boston in vaccination. that policy announced in mid april 2021 meant the private hospitals were allowed to purchase and administer vaccine by august. however, the health minister months went out, reported in parliament, and only 79 percent of the vaccines reserved for private healthcare companies were being utilized. a key reason for the lack of uptake was cost. many indians were reluctant to pay high prices being charged by private hospitals for vaccines that were being administered for free by the seat. less than 6 months since the peak of the 2nd wave, of course, in the country. india's immunization drive had made up a remarkable amount of ground. according to government data, at the start of october 2021. 925000000 doses have been administered in the country . in an effort to expand distribution, jones were being tried out to deliver vaccines to remote locations, and with domestic production capabilities. having increased, india was able to review exporting vaccine strengths to destination dr. which is one of the not just one it has created. they hide the redness about who they did. that's the nation is the public. another outcome is that urgency to drive a lot of health care workers and other kinds of district administrator on staff. you've been with us, have been enlisted and have been working with me for the success of the program. we want to achieve to some degree and keep your friends mean the chain for distribution of axioms, while the scale and strength of india vaccination work has been noteworthy. the 2nd wave expose the chronic under investment and inequality in the countries health care system. overall. in the aftermath, specialists and policy advisors have advocated a boost in state funding the bus to the kids. we have seen public financing of health stagnate around one percent of the gross domestic product. it is risen now in the recent years. that is still a high out of pocket spending better than a number of people resulting in polity. so we do need much greater helps financing at least 3 percent of the g, d p. as somebody financing with that on the white bill in the midst of the health system, which is a function actively, whether it's just been trucks and supplies, and particularly to help us will not fall into place. cova devastated numerous countries, but india's expedient especially during the 2nd wave, was one of the most shocking pandemic audios. the corporate impact both in the short and the long term will be significant, especially so in the house. and so i'm discussing the challenges in the faces with case a formal secretary of health for the government of india, and so on to middle national spokesperson of the b g p. welcome to context india. my 1st question is to the both of you. india has an ad, livable record when dealing with the likes of polio small box. why is it then that we weren't able to deal with the pandemic? better this route? yeah, you're right. that you know, we do tremendous job in dealing with those to spend and makes and also and you have done by the infection, but the spend to make the betty betty infection and also very nice and part of the submit the my opening question to you as well, given india's expertise and dealing with help and that makes why didn't india deals with the fund? i mean, better if you look at the, you know, maybe of the mix, it's not just india this by 2 guys. words by surprise. if you look at the develop economies develop, can piece look at how many, that's the head. good. how many kisses they had a look at how many came bits which took missing there. so to say that india did not handle it, is it on? yes, because the to something that was completely unknown to the guy was and if you look at junk, actually that's weird. given the size of the indian population, because really all the number of cases of the size of the population, david said, he merged, i mean, secondly, are you donna on a competitive scale indented validity? look at, look at the look at the number of explanations and jasmine it will cheat. so in the perspective, if you look at how things have happened and i just don't, i think we've done and admittedly just of it. so your argument that this was an unknown may have been true in the fust wave of 2020, but in the 2nd, maybe 2021. we had a very clear idea of what this fight us was and how it moved around. and let me, if i may please call out some statistics according to the you in human development . about 2020 india ranked 155 out of 167 countries on hospital bed availability. according to data by the union health ministry, march 17, 2020. we had one docked up on 11600 indians. the statistics show that we could have been better prepared if our health care was stronger, which it was not mister smith. i did do. do different things yearly dressy. one is the infrastructure of the country being 1st to cover countries never meet in 6 months. one the other? yes. so yes, in the ag village population and given to call me has, elliptic, was in the infrastructure loaded island that the issue is, how did we deal with the 2nd week? i mean these up proportions which nobody in the world and a discipline, that is an infrastructure you should be taught because in good looking, he currently has its limitations. but looking at the infrastructure which was available and looking at the vaccination, which has been the vaccination program, is it so successful and that is that the containment of what would happen in the 3rd? so do you agree with mr. mit those argument him have to be yes. this was a new wires that it does very shocked me and it's not too bad for that back and much wants to beg for the 2nd. the book, given the fact that's not done yet, you've gone to one my be also saw a new radio or drop in between you. it was up in june. she again, it's a backlash in december. so we ought to have expected the 2nd and walk that says i'm denied me a lot of complacency. that the 2nd the fact that now when i say why is that yes it's true. is making giant because when you go next leg over the last 77, you know, what about from 97? you got the amount we spend on the so me continues to be. but one reason why me fancy was that and we had to get back to the student that was because of the of the care does not be it can either ship not be in india, it was given by technica the was was not special advising the pm advising the makers and then it's several steps even be being foreseen by any public as well. you're not there was some nice for that and it's not what i was about months made by when did you need? does that mean when you feel that it's a nice, he's look back to that, don't give it back down. but in that we forget that we need to see if that happens again. but as well as the point, i would like to say that that we need to be more ambler, i've experienced it, want to many of the get sense of what i be not. why did we but we had to get back in the not need. you need to me to have done better if only the need to ship around experience and if that lesson is not, then i would say is experienced is not lost on us, mr. mitchell, during the 2nd way. if people want just dying of cove, it, they were reportedly dying off a shortage of oxygen and a shortage of hospital beds. what responsibility does the central government bear for that? you know, he said be inadequate. has confessed to this a legacy issue. really blow a portion of 2 of the government of the day would be was kind of fed. you don't work good. make hospital regular day. i mean it's, it's not like putting up the government did really no, not really the central government. i would say all the state governments today equally rel, in kind of a little bit. see when you are planning you are, you look at the 1st aid. if 1000 cases that is much you would say probably what can it, what we've got to put 1000 could go 214000. it can go 260000. you don't anticipate that it will go to put it in a city. then you get the statistics of doctors, but a 1000000 bar population are bit. yes. it is a fact. this county has inadequate infrastructure because it's a developing country. it has limited resources. these resources are spent on or take us back. how did we respond to the challenges? the most important issue is there was an oxygen shorted. it was already anticipated that the strength of an oxygen requirement would be that i'm not saying that the government did this, the obligation government business. i'm not getting into that at all because i think every government and i think the on the get the situation. maybe it's the best effect to the least back of the issue this they did. they could have if they were delays. yes, it would be list there were, as i said, this law benchmark off by fiction. yes. things could always help me before. if but did was the sincerity is a was i think would be a treatment. yes. that if, if i take it to mr. out who has worked with the health ministry for over 2 decades . mr. out, if you want to respond to mr. you know, mr. with those point that it was no way to predict the number of cases that are cities actually saw creep up on a daily basis. you know, they do the fact and i agree with that. you can never hear you. i mean, i had system, can you be expect expanded organ deductible point even the best chance is done. i was also issued off. the steed is largely because the way it does the far walk is, is that our system yes, it's like you would never expect the kind of demand for oxygen that came up into it . it was made beyond beyond expectations and that it, it. but we don't want to have it ready. the problem is that god was late was so what it done because it was not put out. so we didn't have good modeling. and that went to bring in the complex and saying they want to get back if it is located, there's the why fi and it was not expected. and that's maybe, and that's the reason why we ought to be transparent and give it out because only the only benefit by more data being made available in the public domain. so better research comes in, the kind of wandering it says that, well, based on which decision, what date is julia ordering completely inoffensive or so yes, it was all there, me, i do a fucking is something that that is when you get what you did, what was the effort that you know, it was not and had to be aware of what happened. you were at the bed like you are not with this is what you are going to get some down in november, december again. every month that was based off of the submittal question for you when i'm reading out of the new york times dated september 14 2021, which said senior officials from the government forced scientist said to leap institutions to downplayed the threat of coven to prioritize mr. moore, these political goals, what is your response to this? i think if you could give sauce them being stood, the off danger, his liver pushes the risk of me, that it came to 7 and a half like bits. and he worse you young times has questioned its government. i believe that's a factual letter. you know? i can verbosity and very easy. i can make any kind of film issues. it must be something with this back brain. but if you live or does, it is bad, but something a mistake with my new i would becomes more trusted. so when you look at our search, you look at us. if with facts and figures, i'm paying for those i p to config that the foot, not things which would have been anticipated. mr. i come back to you to respond to mr itself. do you also believe that the government did a fair job in making those decisions? you know, i wouldn't want to get into this blame game. i do feel that even the best of luck to be that that would have been some element of a confusion is because of the nature of the band and we get the read out. but haven't sent that. there was some, a situation that would have been, never did that said if they had to fall more and more faster than we are meeting and discussion and even in vaccine policy, i even missed a very well. i mean, it is amazing that we've been able to cover 900 people with a single shot, but only 25 percent of our population has shot despite rejection. so that is a long way to go, and we would have a much better the previous ambition of the prime minister to have a lot of vaccinated nuclear by december. let me be and i had we taken what we did it every done it way back last year in november and in january 4th. and that seems wonderful. but up near starters, and there were so many other steps that would that be picking up at that time? my question to mister misses, of all of the decisions being needs by government. now, do you think we are adequately prepared for a thought of anything else that might hit up public health sector? i think the piece will be putting again it cheating via d. tolliver's hit a lot of keys. how you can affecting engaged for everybody to see. and the reason why it has been contained is largely because of the vaccination program, which the country if and the ticket. i would also say that because of the person living in it has given the nation, the confidence that good is on law for fighting up in the lake up and then it can be success me. so if, if you have the, it is all the information go to the content, sean, and i'm debbie optimistic guy. derby listens, which are this unexpected dog had to unknown disease has. so given the initial bill, those lessons have been well understood when they learned and the government and the people of the said geography. thank you both for speaking to a saw and for giving us your time. and finally, there are multitude of artists in india who created works through the long months of the pandemic. we wanted to feature some of the very languages they walk in and the perspectives say, bring this week, we're closing to the next up to for song, infant jobby, titled mohammed, any chance lips to pandemic. it was written and performed by the boulevard mark. thank you for watching context india and out to see the english i with oh, i thought again. then he finally got a hall pass for a show mission with with bullet b, the capital a puffy giddy is ranked one of the most dangerous in the world. one, a one east investigate the violent gains. instilling fear on the street. on l g 0, a war in afghanistan is now old. will non caliber figures make up a part of with american? you can only forward within the taliban and leave it. there will be a power to tell about the inside story podcast. a frank assessment of the days headlines subscribe now, however you listen to podcast. ah asylum in limbo, the dangerous and desperate journey to the opponent feller was buddha comes to an end as more refugees and migrants are sent back home. ah, hello, i'm darn jordan. this is al jazeera la you from dough also coming up. we did you find the defendant, kyle, a written, kyle: each red house is not guilty, a divisive verdict in the us where teenager col rittenhouse has been acquitted, of murdering 2 men at black lives matter protest. i returned to lockdown restrictions.