to find out is there a well tells the powerful story of how football became more than just a sport in the fight against the french and british colonial authorities against the initial executive and hold on thing actually the rebel game, algeria. and so dawn on challenges, era resistance to antibiotics could cause 10000000 deaths to get from 2050. that's according to the united nations scientist say, climate change is another factor driving the leading crisis. why is that such a risk and what's being done? the balance, it's, this is inside story, the color welcome to the bracket, loves the whole rom and the united nations and science as world wide. a warning that unless urgent action is taken to deal with resistance, antibiotics across is much bigger than the cobit 19 pandemic. could occur by 2050.

do you an estimate. so as many as 10000000 people could die every year from what's known as mt microbial resistance. o m a. not somebody moved that seemed just one. yeah. then the 7000000 lives lost showing the pandemic. so why is this happening and what can be done to address it? we'll discuss that in detail with, i'll get shortly. but 1st, let's take a quick look at the problem. recent reports by the you and development program says a major drive is climate change. fueling the rise of global antique microbial resistance. this happens when bacteria viruses from guy or other power sites develop the ability to resist drugs designed to kill and disease causing bacteria. under the microbes have historically been limited by geography and cold temperatures have prevented diseases from spreading extensively, but climate change is disrupting. these barriers of wilma planet is bringing in more diseases flood some drought,

so disrupting water systems and sanitation facilities, creating breeding grounds for my crepes health experts say a critical way to stop the super bugs is to cub over use and misuse of antibiotics, measures to help climate change loss of help and the bottle gains and t. my crew bill resistance. well that spring in august for this edition of inside story engine, even more cash capella and advise the for the world health organizations specifically hold onto my crew, be able resistance. he's also a professor emeritus of global health and to monetary and assess now the university of manchester in david's out of fargo and infectious diseases specialist for doctors without borders. and recently cut, wrote a piece addressing the development and spread antibiotic resistance bacteria in garza, and an oxford in the u. k. i list of all the scientific lead us in your socks,

the institute for and t microbial research who specializes in but to real resistance. well, welcome to all of you on the program because could i just begin with you? um, is that all 2 ways perhaps of looking at this? and what's happening is that we have this scenario in our heads around the. well, that's the pun, demik. the cobit pandemic has had a huge impact on our society. so how is the pundum equity focus scientists and medical mines in general about global infections? what's a good reason, but that makes the most a lot to lee up covered. i've shown the world that didn't just apply when bugs go out of control, there's spread across regions and continents, and then making millions and billions of people vulnerable. i'm the new opener. goods,

new products of goods are coming up all the time. and 2 or 3 of them every year, the have potential for causing brenda makes no resistance is upfront, doesn't mean it's old, right? because of the way it impacts it is a public across all continents. the way it could affect everybody. richard ford, north and south, and it's even worse because it is a kind of slow, good, slow growing, and frank demick and it's on the media, but the simple solutions, that's what i think is likely to brenda meant is appropriate. but unfortunately, it doesn't come with the complexity of the problems we face the present time. now hopefully we'll have pick a as we go along with this edition of inside story i list of all the adults, such as, like i said, a slow growing pandemic. would you agree with that? not? absolutely. i. i agree here that dog talk. how allows please the target pandemic, but it's a slow growing one. and if we don't take action appropriately,

we have prepared adequately, then the consequences could be less than what bias we've experienced during type it . and then let me just bring you in quickly because obviously you and your colleagues that doctors about board is also name is a m s. s. do work all over the world, not just in conflict size button, climate disaster areas. but obviously, you know, these scenarios occur when the infrastructure of those areas collapses . how is it presenting in general uh, to your colleagues who a noticing this, you might say a full front to of medical care. so we're noticing it in, in as, as our 1st speaker said, these, these bugs, nose no, no, no boundaries. and even in places where we were not expecting to see

a lot of resistance, we are seeing, it's even there where we were assuming that's not a lot of anti microbial is, would be used. and this changes a bit makes us change the ways we need to treat patients and maybe we need to prepare in another way and all emergencies. it's, it's a very difficult us and already isn't that uh, you might say conflict. so at a natural disaster, they have their own issues and they raise that road problems. look, ash, i mean, you went into dog, i believe, as well in the gospel area. we're also seeing events and fold in places like brazil, whether it was heavy flooding recently. we've had the storms in the caribbean, and of course we've got the ongoing conflicting, gaza, how different all similar, all these areas when it comes to these microbes and bacteria showing you might say that ugly face. i think all those the corrections of disasters was and those

conflicts are different. they have their own specificities. however, the underlying risk and vulnerability has been created. are you really similar? so for example, when you are living in a long concert, vc now in the sedan or chronic crisis, like in the city of, or an acute caught war. like, you know, no gods and part of your printer, what we're seeing is that health systems are breaking down. oh, we see the basic access to health care is disrupted. what that means is that when the patients need urgent health care, they don't necessarily have access to the all the move configuration of pharmaceutical agents required, basically adult this will make do with whatever is available. and very often the patients will not get properly treated. instead of having the flu close to find about like somebody to only be able to do a hold or have access to maybe 3 days,

which means that these situations become a hot bed or cause expense because the bugs then get adapt to the conditions in this a regions under and we have received this upon the change as well. um and uh that means that there are organisms like bacteria, viruses, and so on. they're pretty good foster, thus creating the conditions for uh, the, the, uh, the resistance, but to genetically be imbedded in the population of organisms, dr. scalds is disease and greetings all over. so we see a remarkable commonality despite the diversity around the world. so i was thinking, i'll just bring you in here as well because what we all have and you said there was a salam bell alarm bells being run across the world. and by very evident segatus, i mean, if i just mentioned jeannie bizarre i, she's the lady that took over from and, and to the, found she after the, the co,

5th 19 scenario, sidney from the american side to think she's now the new head of that whole health department across the us, she's told about live, stop being over stage and being treated with antibiotics all the time. and it's not very livestock, but humans eat and that's what with them. all right, bodies, we become, you might say, a new to the health care that we would expect if we, with the full a let me the cycle of food generation and, and taking it in how much of a problem does the food chain create for us in this scenario, but i think one thing that's being absolutely clear and is that we all one find that we are connected to my cargo resistance. doesn't know any boundaries, any national and have no geographic boundaries. and my point there is a link between onto my card bill use it and she medicine and i could culture

something around between 60 and 75 percent on to politics by mass, while a wide set by way are used in agriculture, in some phone. and some cases this is use to, to treat an infection, but not many cases. it's used preventative, like an apple as provided. so the widespread spread of an infection across a lot of and now the, the was off bad. so this can spread out into the environment is the amount is documented. but what, what is clay is the use of and to micro, uh, antibiotics in agriculture is spreading resistance specific resistance. genes that can fire resistance to human drugs is exhausted by 2. by use macro culture, you're all about doing an agreement to if i just about to add to, i mean what we all seeing studying complex sciences if we just come to something like gaza, just as $11.00 incident,

one story is that when you have the infrastructure of a location destroyed and you have the water supply disrupted. they sold exacerbates the problem of spreading disease. and you might say disease and met to both of you single, changing it into new forms that are very difficult to treat. how, how much of a problem is it to have medical locations destroyed? be in a complex though all by natural disaster. i've been trying to rebuild them quickly . so the disease doesn't spread and the sorts of microbes become prevalent. so in complex all you have the dis, this destruction of the medical infrastructure meeting that people can seek healthcare or not able to get the health care or the medication or whatever the. so that's this part you don't get treated in the right way or get the necessary

treatment. then there's the 2nd part which is the regular, all around your infrastructure and the water and you don't get to water properly. maybe your house is destroyed. maybe, you know where you live is destroyed, you have to, you have to go somewhere else. you're living conditions change so, so the, the diseases can spread. so things like color i was water or other diseases can spread. these could or could not be resistant, but even if you're sick, you become more prompt to get there. other resistance you increase the use of anti microbial is if it's available, but also you become more prone to getting disease because of stress because of your food and water. you can't foster cells hygiene. so all these factors play in what is going to be such a yeah, this is going to be out of a certain that because you're thinking about research within countries such as pockets starting south asia, the americas, when you're looking into,

are you not and about how these and t, microtubules actually affect the loan to scenario, but as i still want 6 hits and gone. so i'm well with colleagues with colleagues we, we have series of labels, surveillance programs, and looking in pot and contact, signed and often not for this often, but it's just more generally um that on a big issues is, is, diagnostics is working out what the bacteria is actually infection and that's what you should use antibiotics and what of what type of bacteria? i'm not telling me, don't know what type of resistance james, do they have to get? well, they, what drugs are they resistant to? and i think you can, you can work out and if you can get cheap uh, cheap and accessible diagnostics and cold wave,

ready to pay you the ability of the right time to politics. along with good health care and sanitation, then we will be able to tackle problems i. that's my coco resistance list as best as connection though not with the with climate change. i mean, when did that actually don't on you might say the assigned to so there was such as a, in your understanding and this is not something this just being discussed over the last 6 months. is that this is something that's been going yeah. is becoming more prevalent now the discussions and gaining momentum and but what's clear is that climate climate change is exacerbating extreme weather events. i mean that we're seeing that whether it's flooding, whether it's hurricanes that we're seeing at the moment and all these things disrupt um, basic health and sanitation. and this leads inevitably to spread off

diseases including dice caused by a bacteria and that's for and to my cargo resistance spreads. yeah, i know that you are agreeing it in say, a reasonable look. i should like to come to you really as the guy who's traveled a well the for the us as well. i mean i, i, you lingle, i usually sort of loathing in agreement generally with wireless to said that there is this link canal and it's becoming more and more evident that it has to be dealt with at a very high level, a governmental level. yes, i would agree with that, but i would also say that there is unfortunately not a lot go foot urgency about this. what was the problem and the police feel free to selection in terms of global mobilization and actual action is is very poor. i mean, i'm, i'm, i'm a strategic and by the organization on the, on i do micro being resistance and the spring month back to this problem

or how to ton global guidance on good practices and the technologies and science. and we really know what to do with this issue is how you can governments around the world, especially those in the developing countries in poor countries who uh don't have a national geographic distribution with this, but not the salt in the, in the re, to what you have to complete to complacency and in the developing world, you have a lot of a lack of awareness about this. and now how book salary, but action so that we can have a public coke movement. that is to get this a problem before a to implode on a much bigger scale. that the thing at the moment is really the issue. that's why the upcoming meeting of the united nations, the high level for a move september on our, to my cool the distance is that some of the event will be much more global

engagement and resources. more resources are needed in countries to build the best surveillance to boot up the board of trees to build up their reporting capacities and some kind of global corporation to be accelerated. so we can get to grips with this. yeah, i just want to come to that said that you in general assembly meeting in september to by me, just want to just get back quickly to add a you know, thing ahead your head as well. i'm in agreement with both of our the speakers because i want starsky. yes, it's all very well, isn't it that the government level for this to be made aware of it at the end of the day? your of the grass roots. that's a lot that the coal sites to a certain extent, how do you get your voice heard of? how do you get the voices of your doctors and magics hood? when you have these incidents that these bacteria arising all the same need to be made aware of to the why to medical surgical. i think this is the point making the world where and where i would like to go back to the

diagnostics part the both of my co speaker has talked about. diagnostics is key to now that is a, if we talk about bacteria, we need to know that you have a bacteria 1st and then you need to know that it's the resistance. and where we work, i can say that only in, in, in the areas we work, we usually use the diagnostics. we try to use a local diagnostic, a local loc, and only in, in it's less than 40 percent of the places where we work, where we actually can find a lab that has a good quality enough that we can work with. so in 60 percent of the time we have to come with our own and build our microbiology lab. and at of knowing your problem is where it starts and a lot of places we don't know where the, what the problem is. so we have to was, uh that we the, so we've, we've tried to make the diagnostics lighter. so we have like the tools that we have

to make it easier for people. so there's a front of capacity building. there's a part of, of, you know, it's, uh, i'm assuming those there is the infrastructure for it. so we've tried to make it to the, to the, to easier. so we have something called a mini lab. we have the empty juggle app and you can use your smart phone to be able to interpret these sensitivities easier. so i would like to make calls for that. yeah, time is your end to me, isn't it really, to a certain extent to try and get that voice to get those findings actually outside to those people that kind of make the difference. i list the collect coming here because of the book i've just mentioned the un general assembly meeting. why the various reports, for example, of who strategic and technical advisory group for entry, antique micro biome issues, place the, i need to have the un general assembly. but we've also got the, the call 29 conference happening and back who announced that by jobs which again,

links to climate change. how high up the agenda should this be when you know, when you go to the un general assembly, you're, you're on the sidelines. the and then you both for the will be on the sidelines of the, of the call meeting as well later in the, to get your voice heard to get your findings out the, to tell people, this is what's happening. alright, and then no man, no many competing issues and issue competence facing the world at the moment. i'm to my current bill. resistance is, is a really big growing problem. and what we want to do is to prevent the unthinkable being inevitable. this is something that we need to safe god, date and use fancy on to politics, which on the pin martin medicine, a variety of things and they used to treat infections, but they also use but when patients with all the diseases. so for example, it came most i say you often tell you about takes routine,

so treat might no longer be possible. if i am all it is a problem. so what we need to do along with all the other issues and climate change is planned for the future. and that's why we're talking um, raising this issue now. lucas, could i just put you in here? i think you want to, i mean, how links all these to conferences now in terms of getting the debate going don't have any in september in new york, but late throughout the and also by john as well as having worked all my life into your and i wish i could say that all these different conferences were linked together. they're not there. oh, well, when get on tracks, give tracks and know the route. it's a good things and maybe have some good outcomes, but we're not good at connecting the global global issues. but i want them all to come and one thing. sure. new technology is new techniques, hun hooked technologist, for example, in conflict or own. so i had a black box. the on to, for the fact of the matter is that we're constantly looking for new ways to solve

problems when we're not doing, doing the basics. so for example, we have the problem about hospital infections. uh, which is the major pause of the spread of m r would have put down to the lack of health care universal health coverage is going i've been going down or is not that a little or it's under advancing. and we're looking for some kind of book, a good solution to ask you might, could be resistance from what we need to do is to attend to the basics. there isn't going to be a magic solution or a new visible that is going to this, to this a simple solve this problem. we have to deal with the fundamental building block of healthy societies. whether it is a model, a peaceful world, or the more equitable world, or the work where what have are available. ok, this one says, unavailable, they are acting like will be with the says, integrated into the, i think you to go down the road. okay. and mark as another sees the be sold alone. so other diseases and health problems being one of many other problems facing the,

was the pre em. i'd read oldest on low down the list of i'm more integrated comprehensive approaches. there's been one of the many problems that we don't want to partition between my problem is bigger than your problem. what that questions the conflict is the pick up in my disaster. but i think we need the smaller kind of unified approach and everyone has their own, the patient or a environment list. yeah, i think i think the other piece because of the kinds of virginia i mean how much money is that being pulled into this research to try and find solutions to a boss. it is the same amount of money that was pulled into and finding solutions for carpet mount. when governments were forced to act, they did, they put money into it, they subsidized the companies to develop new therapy. we would develop new n t politics quite quickly. i'm one of the issues as far as that many companies i have withdrawing from the field of development,

putting you down to politics and many types of economic with tons that you typically see what other therapy took areas. i just know that instead we need more funding from government and organized labor organizations from the private sector and one of their nations or other research partnerships to continue the basic research to find new treatments. so you're basically saying that big fob is not interested if there's not a big profit margin involved. no, it's more complicated than that. um, but what i was um will say is that the economic incentives that developing a new drug and you have to box it. um, it's just, it's just not that so you're developing at a loss or anti biotech that would be used in an extreme cases. you don't want to use it widely. i'm most on to bile today's what most of the time. and that really cheap, generally cheap, readily available, just in part why they use um,

in agriculture and so, and the problem because when these common antibiotics no longer what was that you wanted to come in the yeah, i think the, i just, i think it's a, it's bunk covered the problem with developing new enter. biotech status is a bus missed if you got it printed, do i have to, but i think i can just do kind of start using it then before nobody was like but assistance to it because the resistance of the natural phenomena, it's been with us since the funded by 670 years ago. so regardless of the business model, good. uh, this is not going to be funded, but anyway, so we need a public goats approach as opposed to an individual, the companies coming in and developing visual doctor. and they won't take the approach. the other thing is that they do the easy stuff, you know, in the full once a year and, you know, done something good and back to that is really all blog excessive use of i d micro

bills as a result of the last few years. a didn't wanted to use has really gone down and your whole step generated political problems, getting back to a farmer than frost belgium, and many other countries are writing, including leading to the political in upside is as you see in your notice. so it's a politicized ation. of a modern gender, we come picketing to see along the side to politicize, the vision of the commentators. and so if you look into that complex, we also see the challenge ahead that we have to face the regardless of the technical solutions, the amount of money which fro epic on it will come to the end of the program. i'd like to give you the final say being of the full front of looking after people who have this problem. uh, you're facing it and say what your colleagues, what would your appeal be to the, the, the move is in the shape because it could very make the decisions as to how to, you might say stop a ball is actually the coloring incoming society when they're all conflict zones or

climate changes affect to the community. i think we need to go back, go back to basics like, like okay said, prevention is key and to have accessibility to proper living condition, hygiene, etc. are the basics are the basics prevention vaccine nation? a teen alter, these are prerequisites for, you know, forgetting for preventing at the micro investments. we need to think of it as an i call resistance lots of vertical thing. it's really needs to be integrated that everything you do a little bit like when you're thinking of climate change, we need to think about it in every gesture we do everyday. yeah, it needs to be the same. well, let's hope it can be in some shape or for both of them, but we have to leave it that we have come to the end of all. probably going to take all of my guess because capella and the father and all of us to folly and thank you as well for watching. you can see the program again any time by visiting our website. it's all just there. adults come on for further discussion. go to on

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this is officer on duty navigator with the check on your world headlines in gaza is really strikes of killed at least 14 palestinians over the past few hours for the victims died in a don attack on a home near on this laid off the refugee camp. the injured were taken to the hospital and they didn't buy those strikes. follow one of the deadly is these 4 guys that in recent weeks, a police 52 palestinians were killed across the strip on tuesday. among the worst attacks was the bombing of a school housing displays families in southern gaza. at least 27 people were killed in knots, drake and the statements on x. the head of the u. n. agency for palestinian refugees owner was responded to israel's tory.