Is it up to the coronavirus challenge the cracks already starting to show. And production the facemask is ramping up some governments believe that they can help prevent the spread of the corona virus but the World Health Organization says theres little evidence for that. Im sorry kelly welcome to the program spain has been mourning the victims of the corona virus with a minutes silence across the nation the countrys death toll is the 2nd highest in europe behind italy which also held a minutes silence Spains Health system is being pushed to the limits although the government believes that it is seeing signs of hope a minute of silence in madrid after the deadliest day yet in spains corona virus outbreak. The city and much of the country are on lockdown following other european nations. A Senior Health official who has been infected appeared via video link to praise measures taken so far but with a warning. And his. Analysis from last week in certain regions shows that the measures are little by little having the desired effect now it wouldnt make any sense to try new measures very important measures were rolled out on the 15th of march in as many that he did in the effect of this you know if you miss a minute but we can institute more measures if the present ones are having an effect this isnt a race to the top. Meanwhile with many medical facilities strained to the breaking point in coming patients are being treated in makeshift hospitals like this one in madrids Convention Center which just opened up a new section on monday. As the death toll spikes the leader of spains Main Business association complained about the effect of stay at home orders. And industry cannot stop we have to try to not stop it and if it has to stop it should be for the minimum time possible this is because industry gives strength to the spanish economy. In the industry must be treated with special care because it generates employment and services it is a very important issue. That it clearly is soldiers in hazmat suits have been called up to help disinfect public spaces as the battle against the deadly virus grinds on. And earlier we spoke with correspondent john Philip Schultz in seville and he told us how spanish people are dealing with the situation the situation becoming increasingly intense its the 4th day in a row now with more than 800 people dying every day so that. People are worried when i go to a supermarket i see a lot of where each face is on the other and officials also try to be optimistic and say that the peak might be reached in the coming days but i think what makes it especially difficult full strength of these is the Economic Uncertainty because they dont know if they will lose their jobs maybe in the next weeks and studies thats up to 50 percent of the people in spain straits to boost their jobs thought was on Philip Schultz in spain lets take a look now at some other ways coronavirus is affecting people around the world russia has reported its biggest one day rise in new cases some 500. 00 bringing a countrys total to more than 2300. 00 authorities in belgium have confirmed the death of a 12 Year Old Girl infected with coated 19 although serious infections among the young remain rare several countries have reported exceptions and the World Health Organization is warning that even though the focus is now on europe and the United States the coronavirus pandemic is still quote far from over in asia and the pacific region. Well germany is generally reckoned to have one of the best Health Systems in europe but as other countries the number of confirmed coronavirus cases keeps relentlessly rising there are now more than 67000 confirmed cases here the German Government has warned that the Health System faces its biggest challenge in 75 years and already cracks may be starting to show. The german city of alephs book has been badly affected by the corona virus at least 17 people recently died in a care home and now this hospital has been forced to stop receiving new patients after various employees tested positive for this case is an example of how the crisis in this country which is one of the most affected in europe is testing the limits of its Health Care System which is often considered one of the most advanced in the world but the pandemic is also revealing its weaknesses. There are reports of staff and equipment shortages of unnecessary bureaucracy of lacking digitalisation and also of the frequent need to improvise the government and in particular the Health Minister are aware of the challenges ahead its to inflict a coup if the doctors and nurses are probably preparing for the biggest challenge in 75 years. We already have many infected people in germany and we also mourn many deaths. This is still the calm before the storm for the im sure. Germany has comparatively few coronavirus deaths which is partly to do with the high number of tests in the country. But this is not enough to weather the storm and thats why a package of measures has been passed to help hospitals financially reduce bureaucracy and expedite reaction times and berlin is planning to build a new hospital which could house between 501000 patients the government has asked for doctors to be brought out of retirement and for hospitals to suspend any nonurgent operations in order to free up intensive care beds germany already has more beds than many countries in europe and thats why it has been able to bring in 50 coronavirus patients from france and from italy germany sees this as European Solidarity in times of crisis but as the infection rate here continues to be too high for authorities to lift restrictions it remains a big question whether germanys own Health System will be able to pass the test. And for more im joined now by andrew alon a member of the parliament for the german Opposition Party of the free democrats is also professor of in fact ology on thank you so much for joining us here on news are you anticipating a sharp increase in coronavirus deaths in the next weeks and the next months. Im of fruits of the out the death rate will further increase here in germany as well we are still lucky as a country if you look at the amount of insect it. Look at the numbers of dead were still less than one percent this is a very low count so laura the Global Community if you compare us however if those numbers will still increase even if we stay with one percent those numbers of people who are sick come on qubit 19 will be increasing you mention that the numbers here do tend to at least on the face of it look better than in other areas what do you think that that is down to i mean is the country simply a better prepared than others and is it likely to stay that way. Im not so quite sure if youre really well prepared youre looking out there shortly so were facing for protective gear masks gloves disinfection the disinfectant seems not were not really well prepared however if you look at the testing that we have in our country and this is spread throughout the country its not lead one city that sees our use or even to be able in smaller cities shows that there were better prepared for the testing situation then and there are countries nevertheless i think we will be short of seeing that we are well prepared there are some who are out there who dont really believe that this virus is that dangerous how do you see society right now adapting to the pentameter and you know the general mindset of the public. I think the public is learning very quickly you know we had here some little elections just 2 weeks ago here very i was really shocked how good were still gathering in parts we had wonderful weather here in the area and i do understand that we like to gather however nobody a lot of people dont understand the urgency of the severity of. The crisis that were facing and now that we are locked down people start to understand comprehend whats happening. Things are changing i see it in the Grocery Stores people are keeping their distance they have coffee because that theyre using their coffee to their their sleeves people washing their hands more using disinfectants if theyre available so what i think people are learning along this crisis well how about wearing face masks as we have a city haryana the 1st german city to introduce the mandatory wearing a face not sending initially we were all told that it doesnt really make too much of a difference the narrative seems to be changing where do you weigh in here. Well the narrative is very simple its just one solution a one size fits all all the measures that we take our important meaning and Wearing Masks even if they are just claw they might be helpful but theyre not as good a surgical masks of course this is for your hands wash your hands very frequently keeping your distance away from your own citizens these are there together very important not by a single measure itself wont change anything that much were all together this could be very helpful professor andrew alon thanks so much for your time thanks for having. So we just heard it there professor all month saying that masks might be helpful but theyre not as good a surgical masks well despite doubts about their affective ness there seems to be a surge toward Wearing Masks in europe president wants french factories to produce 10000000 a week. Face masks for years theyve been part of daily life for many in asia and now for parts of europe theyre about to become so to austrias decision to make it compulsory to wear the masks in supermarkets has sparked a debate in neighboring germany. The town of vienna has now become germanys 1st to announce similar measures though given the shortage of face masks the city has encouraged people to sow their own its a move largely welcomed by the residents. Here and i think its good the more thats done the better and the more everyone does it the center will be free of the virus i have 6 simple masks at home the 1st comes to shove also my own over soon in. Terms of beautiful i think its a good idea in principle the problem is simply that there arent any masks. The World Health Organization is among those saying theres little Scientific Evidence showing that basic masks was not intended for medical use actively 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 and not intrude masks for nose and mouth are relevant for the protection of others someone is in fact is the mosques hinder the virus drops to fly when he sneezes or coughs lucid renews ditto true 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. The people have won face masks for years because of pollution but in this pandemic there practically a civic duty. In europe that attitude is now increasingly gaining ground. The German Football League has confirmed that the restart date for the bundestag there will be april 30th at the earliest germanys Top Tier League has been suspended since march 13th the clubs agreed on tuesday that the suspension should be extended because of the coronavirus however games may still be played behind closed doors when the season resumes there are 9 rounds of matches left in the current going to sleep. Announcing the extension of the bundesliga suspension the German Football Leagues c. E. O. Questions i felt one tip that some clubs could soon find themselves in a precarious financial situation clause of a hard to gordon. Does i need to troops what was made clear today is that certain clubs if you miss the season cant be played for and if t. V. Licensing fees from sas and media group cost is paid then session clubs in may and others in june could find their existence threatened god couldnt meantime tokyos main countdown clock for the 2020 olympics has been reset the digital clock in front of the iconic tokyo station was built in the run up to the games it had been counting down to the originally slated date until organizers agreed on monday that the games would be rescheduled for the 23rd to august 8th of next year now 479 days and counting remain on the clock which also serves as a tourist attraction. Youre watching d. W. News live from berlin and dont forget you can always get the latest news and information around the clock on our website at the d. W. T. Tom you can also follow us on social media im sorry you so much for joining us. Combating the corona pandemic. Where does research stand. What are scientists learning. Background information and news. Hour corona. 19 special on d w. How does a virus spread. Why do we panic and when were. Just 3 of the topics covered and the weekly radio show is called spectrum if you would like any information on the crawl along or any other science topic you should really check out our podcast you can get it wherever you can get your podcast you can also find us and. Science. This pandemic is overwhelming so many people that need the breathing machines that just simply havent been manufactured yet. Imagine youre a doctor and have a 30 year old patient and an 80 year old both infected with the coronavirus both showing severe symptoms and both need an oxygen mask but you only have one who should use this kind of decision is called trio 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 what were looking at today and all special coverage. Of the covert 19 crisis here on the w m god all things welcome it all comes down to how well the Health System is prepared for a pandemic in the end its the number of intensive care beds and ventilators that counts currently most Health System outside italy and france are holding the line but around the world hospitals are filling up trio might become a reality for doctors sooner or later. This is the worst Case Scenario when treating patients in from stopped is a false to make life or death decisions patients over the age of 81 not be put on mechanical ventilators this process is called tria. The time comes from the french team it means the sourcing of and allocation of treatment to patients modern medical triology 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 the director also the director of the institute for Public Health of berlin started to hospital professor. Physician teaching medical ethics at Heidelberg University lets start with you dr corder were not yet doing triology in germany are doctors well prepared for taking these decisions. Well words are so well prepared as other doctors in the world and the training and the hospitals and physicians organization. Theoretical as in when its reaction is necessary in germany it will be very challenging for a doctors and medical teams yes well. To put how does trash work in a hospital is it just one doctor who ends up being the only one responsible and carries this burden well there are certainly operating procedures in place 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 in the medical teams on the side will get it going to later who are not so its going to be a very challenging situation so therefore the support of the law structures the hospital as well as the legal system is very important to support his medical teams to make these decisions were talking about these procedures a professor how can doctors and hospitals actually prepare for tria. Well i think. From an ethical point if you were prepayment for these decisions this crucial for 2 reasons the question of uniform rules in order to ensure a fair and educational resources. Across teams across units and hospitals and because doctors in their everyday chemical dont and im not familiar not at ease this as such decisions because the traditional clinic or ethics is patient centered and not at for allocating patients to Different Levels of contingency care so from an ethical. Need to actually are 2 areas i think the 1st victory asked for courts 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 and then test it and assess how it does feel it should be implemented and therefore a tree ask teams that include the expertise of intensive care physicians. Maybe even clinical ethics committees can support in setting up these processes think the most important think is s. And thing as doctors that there are only if they give it up its not to charge for the responsibility taken in these decisions and thats where 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 that happens. I think not those that dissent is and the decision on. Who gets under ventilator is obviously not the primary care physician that they have at their tree ash 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