Because they like to call from the building you own not crack the clothes you dont know your future to have been to you after. So you dont need to charge for. One in 5 mothers in khayelitsha township is age i be positive a few years ago 2 out of every 5 children also had the virus but now the chances of hiv being passed on that group are less than 5 percent south africa has made significant progress of the fight against hiv the government pays for the medicines and aid agencies like Doctors Without Borders help with Education Programs in normal times a group of mothers with h. I. V. Meet once a month but the crisis means the meetings have been cancelled. To gain from the groups ations discussing with p. Is given time to discuss the difference in the 2 dozen internet that so now that the group. Anymore. It is really affected post natal clubs the medics know how the mothers on a one to one basis hiv is serious problem here. The hospital is much energy or than usual because of 19 many patients the void hospitals and therefore dont have access to their medication experts believe this could have a Strong Negative impact on hiv aids but also with tuberculosis patients in the future. To be knows her medication significantly increases her own life expectancy. That in the future age i. V. In corona will no longer be a danger to her daughter. Earlier i spoke to dr Shannon Hader shes the deputy executive director of u. N. Aids the joint United Nations program on h i v and its just this week her organization along with more than 70 other countries warned that the coronavirus pandemic could lead to a dangerous shortage and lifesaving anti retroviral drugs i asked dr hater why. Yeah you know we have sort of these colliding epidemics right now of hiv encoded and we have to make sure we respond to both and so number one on a really practical level weve started to see some really good in creative approaches to making sure Services Continue but on a larger scale we are absolutely seeing the risks for drug treatment shortage shortages there are barriers in some cases to Raw Materials getting into countries that the production can happen there are barriers to produce drugs getting out of countries and into the countries that need them because of covert restrictions and so its its a really important dance to be monitoring where shortages might beat and problem solving to make sure they dont interrupt treatment now what would these shortages mean for People Living with hiv in many developing countries well you know weve made tremendous progress in the hiv fight since the beginning and we just put out new numbers that showed over 25400000 people worldwide are now an hiv treatment but we really are. Decided to say well how bad could it get with koby what happens for example if there were a 6 month interruption in Treatment Services in Subsaharan Africa now we dont plan on that happening but we have to look at that sort of bad Case Scenario and doing some modeling along with debbie h. O. And the Modeling Consortium we found that a 6 month interruption in Treatment Services would lead to an additional an additional 500000 deaths from aids in this year alone that would double the number of deaths in Subsaharan Africa and actually set us back to 2008 response levels so wed lose a decade of progress in just one year shannon are people with hiv more likely to suffer from a severe covert 19 infection. You know were learning as we go on that there is some new data south africa which is one of the 1st countries affected by covert that also has a very large hiv epidemic and they are seeing that there is some additional severity in People Living with hiv who get cove it its not as bad is for people who have diabetes or existing lung disease but of course People Living with hiv are aging and have those things too so it is particularly important that People Living with hiv. Take their conscience to try to avoid getting infected to begin with and that we hope to learn more as you know treatments evolve vaccines evolve excedrin speaking of precautions there are hiv patients that are avoiding hospitals out of fear of contracting the coronavirus how big of a problem is that. Well its a big problem if were not offering other solutions so one thing about hiv care is for a number of years now treatment guidelines have really promoted this idea of differentiated Service Delivery or Community Based deliberate so that someone living with hiv doesnt have to go to the clinic every month or every 3 months just for routine care the idea that someone living on stage i. V. Has their h. M. P. Under control could get 3 months of their medications in one visit and then not have to go back and forth but a lot of countries before coated were really slow in implementing those kind of practices fortunately we have seen a major scale up in a number of countries of putting those practices into place. Dispensing Community BasedDelivery Community based care Long Distance telephone consultations and those kind of engagements for questions so in countries that are moving to put those alternatives into place were seeing a lot less interruption of People Services but in countries that are not moving to that Community LevelCommunity Based models its a problem chana nater deputy executive director of u. N. Aids thank you for speaking to dump. And now it is time for your questions about covert 9 team and our science correspondent very girly arms as usual doing his best to answer them. Ive Heard Research just talk about trying to mute the immune response but also saying that a young stronger immune system is more successful in fighting off covered 19 is not a contradiction. To understand the apparent contradiction here you have to understand that there are are different stages of covert 19 that patients can go through the 1st is usually an initial infection in the upper respiratory tract and thats usually where it stays with most people thats where having a strong fast acting immune system is really great its able to keep the disease in check and eventually wipe it out in some cases it keeps it so effectively unchecked that you might not even notice that you had it but in more severe forms of the disease if the virus eventually makes it to the loans or to other organs it can kick in a severe immune response and when that happens the immune system can start attacking not just diseased tissue but but healthy tissue as well thats when doctors have to step in and try to mute the immune response with drugs because if it spirals out of control it can kill you but striking a balance between letting the immune system do its job and reining it in if it spins out of control is pretty tricky. Can you tell us more about decks and methods. Decks and methods zone is one of the drugs that doctors now prescribe at that critical stage of covert 19 that i just mentioned when the immune system has gone into overdrive and starts attacking healthy tissue and the body. A major study in britain thats still in peer review discovered that in critically ill patients who need respiratory support the compounds lowers mortality by between a 5th and and a 3rd which is actually pretty huge thats a meth is known as whats known as a corticosteroid and its widely used to treat many different conditions that cause painful or dangerous inflammation its also an immuno suppressant so it can help calm down the immune system when its running a mock but that also makes doctors wary about about giving patients the drug too early when the immune system needs to be active its not a new drug but one thats been approved for use for well over 50 years now so so its cheap its widely available and perhaps most importantly production of it can be can be ramped up quickly. And of course you can post your questions to derek on our you tube channel and if youd like to keep up with the latest developments on the coronavirus pandemic do you subscribe to our newsletter just log on to w dot com slash corona dash newsletter. And that wraps up our show if you want more go ahead and visit the coronavirus section of the b. W. Website for now thanks for watching see you tomorrow stay safe in the meantime. The point strong opinion clear position the International Perspective so. With corona infection surging in the u. S. President truck claims 99 percent of all cases are harmless americas struggle with the virus threatens to spiral out of control corona in the u. S. Trust down fall thats our topic on to the point to the point to the 30 minutes on g. W. In good shape it is the. Dog. Oliver thats about it although that gets rid of many toxins. The consumption of alcohol and conflict in it sounds. Funny causing fatty liver and cirrhosis so how can you protect your liver. Good shit. 90 minutes on w. Im not laughing stock of the general well i just sometimes i am but most often when it happens research i havent thinks even for german culture of looking at the stereotypes aquatics put in here thinks hes a country that i not. Yet needed to take for this drama they are new its all about an awful new im rachel join me from meet the gentleman from v. W. Post are they friends so long to be with you should try to steer the board before just in the way youre full of bottom of the finished munition for are the economy going to do the finish of used steel in coated steel pushed you to believe me but it is usually a little shes going to go give a shit i never heard from roger damo trump saddam or putin were 2 part complementary analyzes the difficult relationship between russia and the us and between their president s how does the punishment. This is e w news live from berlin thousands defy a ban on Mass Gatherings in serbia with a sitting protest against the governments Coronavirus Response to the Peaceful Demonstrations follows 2 days of violent clashes. Also coming up coronavirus testing stations in israel that were once shut down because they were being used are now running full tilt to the countrys was a model for its Pandemic Response but not. To the membranes of victims of the structure and he said genocide 25 years later