Summit the surface. To. What ideas today how far future. G. W. Dot com for the cities for the 1000. Click or. The corona virus pandemic is expected to call the surge and deaths from another nasty virus hiv. There are fears that there could be an extra half a 1000000 aids deaths this year alone the blue jews did leave concern the impact of 19 on the Global Response to a charity. More than 70 countries risk of running out of the antiretroviral drugs needed for the daily management of the condition. Whats more hiv patients who arent on a. R. V. s are thought to have an increased risk from covert 19. So how can we protect people with hiv during the coronavirus condemning. This is your cover 19 special. It is good to have you with us the coronavirus outbreak is endangering the fight against hiv and thats becoming a growing problem particularly in african countries where many lives depend on antiretroviral drugs the very ones now becoming scarce because of the conduct the increased reports from south africa. Tempi would have preferred not to come to the clinic today because of the corona virus and to avoid questions from neighbors temby is not her real name she prefers to remain anonymous i knew she is a Charity Positive and wants to make sure her one year old daughter does not become infected. So my family knows and you. Know. Because they like to call for a little bit build they judge you on this not crying because you dont know your future husband to you after all. 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 spoke with Education Programs in normal times a group of mothers with h i. V. Meteo once a month at the corner crisis means the meetings have been cancelled. To gain from the groups a chance discussing with p. Is given time to discuss with defense and teach us in the internet that so in the group happening anymore. It is really afraid to post natal clubs the medics know how and where the mothers on a one to one basis hiv is still a serious problem. The hospital is much emptier than usual because of covert 19 many patients void hospitals and therefore dont have access to their medication experts believe this could have a Strong Negative impact on the page said be aids but also with tuberculosis patients in the future. Knows her medication significantly increases her own life expectancy. But 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 una its 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 in lifesaving anti retroviral drugs i asked dr heater why. Yeah you know we have sort of these colliding epidemics right now of hiv and coded 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 the country so that 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 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 in each i. V. Treatment but we really are. Decided to say well how bad could it get with kogan 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 w. H. O. And that the Modeling Consortium we found that a 6 month interruption in Treatment Services would lead to an additional an additional 500000. 00 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 we could lose a decade of progress in just one year channon our 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 and 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 ringback 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 except tra now 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 posted were really slow in implementing those kind of practices fortunately we have seen a major scale up in a number of countries 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 in countries that are not moving to that Community LeftCommunity Based models its a problem Shannon Hader deputy executive director of u. N. Aids thank you for speaking to w. And now it is time for your questions about coven 19 and our science correspondent very girly arms as usual doing his best chance of them. Ive Heard Research just talk about trying to meet the immune response but also saying that a young stronger immune system is more successful in fighting off 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 have it but in more severe forms of the disease if the virus eventually makes it to the lungs 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 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 this is pretty tricky. Can you tell us more about dickson methods. Dexa 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 and 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 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 v. W. Website for now thanks for watching see you tomorrow stay safe in the meantime. In good shape it is the metabolic motor from bodies our liver is our main thats about it although that gets rid off many talks of. The consumption of alcohol content in its host. By causing fatty liver and cirrhosis so how can you protect your liver. Next to. A meal im good looking for the 2nd season on the french system back environment so about society its still about our split off planet on the brink we spoke to several leading experts in the film about how to change. The just to fit a couple of events. This is some notes story a stubborn rice farmer from thailand. His problem tests. His credo no chemical. Industry. Step. By step. Senators. The students from the past. Training successful. Starts. Transept. Hello and welcome to in good shape one of the many myths at the beginning of the corona crisis was that alcohol could kill the virus. Could that be the reason that the consumption of alcohol has increased in many regions of the world since the break if that is so this could be a very Dangerous Development especially for liver