been forced to evacuate a new wave of wildfires in northern california the state of emergency has been declared in 3 counties including the famed napa and sonoma wine regions so the north 3 people were killed in a separate blaze bringing the total number of fire deaths this year to $29.00 more than $100.00 homes in napa valley have been destroyed. you can find much more on our web site al jazeera dot com. and let's take you through some of the stories now as a debate john and armenia are accusing each other of firing deep into each other's territory fighting over nagorno-karabakh is continuing for a 4th day kuwait's new amir has been sworn in the day after the death of the nation's late ruler

a server he was held in parliament for 83 year old chair now after lattimer the. he paid tribute to his half brother the later mir. of the sabar he died on tuesday at the age of $91.00 a funeral will be held in the coming hours there from. bill just. as a soon this huge burden of this office i promise god almighty i promise our homeland and our people that i will spare no effort so that i will continue to work to cvs the interests of our homeland preserve the freedoms of our people their welfare and continue to support the peoples of kuwait and i pray to god almighty to guide our steps forward. the 1st debate in the u.s. presidential election has taken place in ohio it was a bad tempered and times chaotic affair biden called trump a liar a clown and a fall trump failed to condemn white supremacists and targeted what he called the

radical left. indian activists are calling on authorities to investigate the gang rape of a teenager died from the injuries the 19 year old suffered spinal and neck injuries after the attack by 4 men in the pradesh police have arrested 4 suspects 2 a family in the so-called low cost community they say police cremated her body against their wishes india's $200000000.00 have long faced discrimination and abuse are caught in hong kong is granted temporary release to pro-democracy activists joshua one he was arrested last week and charged with taking part in an unauthorized demonstration last year also charged with violating laws against wearing masks wang is among several activists facing charges related to last year's pro-democracy protests it's inside story next so stay with us.

1000000 lives lost to the coronavirus the milestone the world has no past what emerged from the market in what has affected every single part of the planet and with no end to this crisis where do we go from here this is inside story. welcome to the program. a 1000000 deaths and counting from kovi 19 it's

a milestone nobody wanted to see in a 1st to stem the spread economies have been crippled around the world and still it continues there's a resurgence of infections in europe with destructions being put back in place yet the deaths mount up as you can see from the johns hopkins university tracker thousands more lives have been lost and there are more than 33000000 recorded infections the world health organization is warning the number of dead could double to 2000000 before an effective vaccine is widely available the united nations secretary general antonio terrorist is calling on the world to unite and not lose hope or will this reached an agonizing milestone the loss of 1000000 lives from the cover in 1000 pandemic it's a mind numbing figure. yet we must never lose sight of each and every individual

life there were fathers and mothers wives and husbands brothers and sisters friends and colleagues the pain those mean multiplied by the 7 minutes of these the zs riess of infection kept families from bedsides and the process of mourning and celebrating a life will soften maybe impossible the pandemic has changed the world but some places are worse affective than others the us brazil and india account for more than half of the infections and nearly half of all deaths with more than 7000000 cases and 205000 fatalities the united states is the worst hit india is 2nd in the number of infections but has a relatively low death rate given the size of its population europe is bracing for a 2nd wave as winter approaches with lockdowns been lockdowns been reimpose in some countries and on the african continent south africa has been worst affected but

infections have dropped there recently. let's bring in our guest instow in the u.s. bob arnot is a medical doctor and a former chief medical correspondent be seen use in going to talk india dipstick archer 3 is a medical doctor who works with the calcutta rescue a charity which provides free health care for those in need in lancaster in the u.k. darragh gather is a biologic and a lecturer at the lancaster university walk of the program bob with this new somber milestone what is the message was the feeling in the united states of america is there the sentiment that this could be a long way to go before a vaccine is developed. sure so how to 1st i thought you gave an incredibly empathetic and. eloquent introduction to this this terrible tragedy taking so many people i think interesting is on the one hand it's

a little off to miss him in that things are changing you know they're much better mass than we have you up to 97 percent protection the vaccine is on the way here we figured work arounds in terms of you know good social distancing better ventilation systems businesses are getting up and going and yet we have this tremendous to cotton i'm sure in the northeast in our state from our we've a one percent faction rate we haven't had a death since july it's been phenomenal because everyone really plays the game right that is they do the social distancing they're wearing the mask they're very respectful you look at the southern part of the united states especially states like florida where they they really sort of. not worried a mass not distancing going back to the bars going back to restaurants and suffered for 18000 excess deaths so we really have is a very unstable political situation here where we know what to do and we're not doing what we should do a dance or question more directly you know it's great hope that the things are the

commending change you know so it can be it's i mean there's a there's a bigger sort of push back to life but just this morning in the new york times they reported how the white house had tried to change the data that the c.d.c. had for the rest of children to get them back to school without realizing that there are real dangers children of the children not in large numbers but children as are getting sick and dying from the virus so tremendous political turmoil here is the reason they were the number one worst country in the world when it comes to agreement i was about to talk one in detail about the particular political aspect of the story that sick of the death rate in the in india is now compared to many many countries but when you look at the curve it has never plateaued he has always been going up picking up is a source of concern for you are you concerned that in the coming weeks we might see more more targets in india. yes of course i mean it is

a fact that the case that ality rate has been very low comparatively but we cannot dig that fact to undermine that our case is have also been growing very exponentially so it is a matter of concern and it should be a matter of concern because now we are in our down phase 5 i think and with every passing day via opening more and more things bubbling transports are being opened slowly we are considering opening schools and so with every passing day i expect the govt to rise even higher and though looking is the data to read as i think it's so. it is a lot of factors and a major factor is also because we have a major population. in the age group which is less than 80 that is less than the more susceptible each group so that is on our side and you know so all those factors also play a lot of part so i cannot hold that as a very comforting fact and not to dismiss the end daioh raising cove as you sent

right derrick could this be the trend the numbers the figures we're talking about an indication. to the 2nd wave that we've been talking about for quite some time. i think the world health organization estimate of to date is based on the assumption that we are about to get a 2nd wave which may well be as big as the 1st wave and in most parts of the world we are seeing this 2nd we've started to arrive certainly it's more striking in europe but it can also be seen in the americas as well and as we just heard in places like india it seems that the 1st wave is still still on the way up and is yet to come down and so different parts of the world are are proceeding at different rates but. good in the end is that we probably will have maybe another 1000000 deaths before before the status is finished just crossing the 1000000 mile

stood means that we have definitely had more dates than we had in 2009 from the swine flu outbreak give even the highest estimates of swine flu what were less than 1000000 so we've already passed at most 2 in but we can from the back into the 20 century there were 2 through pandemics 157168 where the official death talks were rather larger than that either swine flu or cough it did 157 it was maybe as many as $4000000.00 people died from permission for each train to is caught and in $9068.00 perhaps 2 and a half $13000000.00 people died from whole conflict the end to the interesting thing about those pandemics it is that there was much less overall impact society much least economic watchlist collateral damage we might see them or see no with couvade so it's an interesting case it's forcing us to to rethink. the organize itself and response to the other agents that we seem to be learning by

the day bob if you look at the studies sticks long the u.s. we've seen the number of infections increase in some states then come down and when see it now picking up in some states new york is. fascinating place to. as far as covert 1000 is concerned particularly last few days and we see in that number further spike could it be a warning to the political establishment of the medical community that the worst is yet to come in the u.s. . you know i think there is some optimism that it's somewhat under our control that is when you look at york state you know it was the our city place the united states you know. or 10000 deaths catastrophic i think quoted a very good job. site in the nursing homes you know they really dial back lots of social distancing they went to mass and what not they've been able to control what they now don't have any spikes in manhattan with their very specific neighborhoods

and they'll have strong control measures there they have the health authorities out this morning you know the looking a masking of distancing the way the businesses are put together i think the most important thing actually is that you know the virus has its own law a bio physics which are very simple and they have changed recently that is one we now believe the virus is arab and what that means is you know we used to think was just a droplet you know drop will come out of our mouth to preview to drop to the ground so that you know masking a little bit just in c seemed ok now the belief the world health organization holds us up c.d.c. said it is that it may actually stay and live in the areas viral particles should that be true it means that if you're in a closed indoor space you're a high risk and i think that's the biggest message is don't get to those closed indoor spaces and the other is a new paper coming out of harvard in the broad institute showing the phenomena we call super spreaders there is a case of one single individual who came from new york to boston in february at

least 98000 cases from that infected much of the area there were public health authorities are saying is listen we should have had a very good contact case trace who should have had testy with chevron on incredibly vigorously early in february there to stem the epidemic once you miss it you completely missed it's just out of the bag because of the super spreader phenomenon that's a few months ago we were always asking doctors about whether the. rampant . the tracing and testing capabilities was the best way to contain the stem of the virus now with this new milestone with 1000000 deaths what do you think is your the biggest challenge that doctors are facing in india for example oh see as for the ramping up of the tests it has been a very. successful tactic in my country because what we do is request a certain individual and supposing one e.g.

a person has tested positive we do not feel the whole state but than that but if you look building the area where the causative person is there that particular building or localities contained until and unless the last person in that locality tests negative this mode who was initially started by the feet of get along which is a very exemplary and model state of my country and then the other states followed suit so this has you know it has helped us to contain the virus to a great extent and the challenges that we as health workers are facing is of course there i mean we are one of the most i think in the next census we will be the most populous country in the world so we have a large number of patients and not only ovid like you know we have our own endemic problems there's the money you have season coming up now on october dangle 2nd we have our own other endemic girls who not it could diseases to deal with so covert is one of the things that we have to fight and then there is as my predecessor bob

said you know why are the virus has got more chances to spread in a closed space to india so populated there is more than i think a great portion of the population was living in loose spam to places in slums and in rural india so you know for us even overcrowding is a very basic problem that we have to deal with the same happens in the hospitals our health facilities are good but then like there is such a huge population to cater to so that remains our biggest challenge and also feel like many hope with every passing the health workers have been testing positive their families have been testing positive so of course i think not only in india but the whole world health workers continue to face the brunt firsthand and you know at this point i just want all of foster remember that we as not as a country as a world at this point get in just weapon. and and everything to destroy the earth in one go and then re as and i are planted did not have enough medicines and health

workers to counter a pandemic so this is a big big check for us and i want you know we should work better i mean should work more and we should work more for what is required more for humanity now is the time derek the conventional wisdom was that as far as test positivity of bait should always be below 'd 5 percent for any government to decide how to move forward if it was to relax the confinement if it was to reopen if we was to tell people you know what it's safe derek is that metric development now do we have to think about something different. well what we saw in europe was that as the 1st wave abated and case number sphero dramatically we scarcely had hit bottom before they started to go up again there wasn't really adamant any flat period and western europe where case numbers were sustainably who as soon as long term started to be

released the vita simply too could vantage of of the possibility to get more posts and then the number started to go back up again not to steep as they did in the spring but they started to go back up steadily and nowhere in the throes of a of a 2nd wave so it is undoubtedly the case that locked on was a very effective method of reducing numbers and anybody that go to that just last week at the time we can go however stay and won't go on forever because that is the economic consequences of too serious and it isn't really in an economy versus lives it question a dichotomy as some people were trying to suggest because we are we have a can only damage we have social damage and then we have collateral medical problems we have seen increases now holes in the new diseases unplanned pregnancies all that sort of thing and mental health problems is going on certainly in the u.k.

so i think that too to take too much of a of a metric approach to it to say that when we reach 5 percent we can on walk the community but when we go above that we have to start imposing welcome measures again it is overly simplistic stream a complex situation bob this this in an ideal environment this should have been purely medical to bait about a disease and the need for a vaccine to protect people unfortunately when politics jump in jump in this is where the lions. and the in the u.s. where you live. you have people dismissive of the threats of covidien and you have those conspiracy theorists and you have a president who says or said initially shouldn't be worried isn't this politically explosive and divisive landscape a detriment to moving forward and containing the spread of covert 19. absolutely

you know it's the it's the swaggering sort of you know me 1st person of freedom hoaxers you know conspiracy theorists that have cost us over 100000 excess lives i mean look a couple of examples this morning in new york times again you know it turns out that the white house tried to downplay the data among children who say it was safe to go back to school to press them back in the state of florida the governor there fired the person who does the dash board so he could say it's safe to open up and then last for 18000 people so yes terrible just information campaigns you know the centers for disease control has been deep for me or world wide agency in terms of epidemiology and tracing testing and whatnot and it's really shamed itself you know by by allowing white house. interference and by telling people things that were true said you don't need to test if you've been exposed to the virus so it's been

a terrible terrible time so in terms of political turmoil and just to add you know state a careless example which i love you know such an inspirational part of india there to think that india has what you know quadruple the population united states and actually has done better you know that there's a more cohesive political message they've done very well in terms of contact case tracing but just one last quick point and that is in boston the boston homeless a project there they had an outbreak in 100900 people were infected and it was simple contact case tracing and doing what they did in a movie and which is the mobile cabins taking those in contact with the infected and isolating them completely broke the back of the the outbreak there so the tools are there we can when we can't because as you point out we have terrible divisive political ideologies here in the united states making us the number one worst country in the world when it comes to the coronavirus death sikka now the

preventive measures we have to continue until we develop a vaccine in india what is the general sentiment among the experts of the indians going to find a vaccine in 234 months from now. 234 months is. i'll tell you the status 6 as for the various dan lubman so we have been working in close conjunction with the oxford school of medicine and their vaccine is now entering the 3rd phase of trial which is being manufactured at our serum institute in poona and then there are the 3 vaccines which are indigenous to india one being from the pirate biotech and those are all now soon going to enter the 3rd phase but then you know it's very difficult to stipulate a timeframe and even after if i do give you a time frame as well it's. see vaccination is not 0 you know i will never see that it is a solution to the span dimmick because vaccines come with a lot of pros and cons number one there is the ethical point of view you are you

cannot mass produce millions and trillions of vaccines for the whole world at one point of act a single goal so there's going to be a proper hierarchal method of so as who is going to get the vaccine 1st is it going to be the health workers is it going to be the architectural you know infrastructure of the society the drivers the shopkeepers but then again is it ethical to segregate people in a manner so that you give the 1st and foremost priority to only a certain segment of the people so there is the ethical view as you point and then again there is here and then again there's a mash my vision of the vaccine there are lots of rich countries we are one of the poorer countries with massive population so of course the rich countries are going to get the vaccines 1st that is going to create lots of problems deborah is it safe nationalization of let me go to derrick doc is it safe to say there's a vaccine being developed now by the oxford university is the most promising one in

the world. i'm not i wouldn't go as far as to take any vaccine as the most promising one at all the ones that are being developed there are some quite far along in development pipeline site sign of vioxx and student in china and russia respectively are already and thankfully giving the vaccine out to the general population in particular with phase 3 trials without any really villains that the vaccine is if acacias fortunately the phase 2 trial seem to indicate that vaccines are safe but we have no evidence that these vaccines work and today we have to be didn't mind because the virus is so infectious it has an art know it a basic representation number of about 3 which means it's much more infectious than influenza and that means that in order to achieve herd immunity threshold you've got to have a lot more people respond to the vaccine so that the usual vaccine if it kish this threshold for regular trip prove which is round about 50 percent probably wouldn't

want to actually be high enough for a covert $1000.00 francs in to be effective $1000.00 francs in would probably have to be affective in something like 70 percent of the vigils in order for it to produce hard to meet in the population and bring me a great to a safe conclusion so that it's going to be difficult to develop a really good vaccine precisely because of the nature of the virus of the car differences that is producing a flu fantasy. and that's why for instance a coronavirus pandemic is potentially born of a dangerous thing that a flu pandemic we had at least 3 we knew how to produce vaccines with making flu vaccines reliably for decades and we can make a new flu vaccine to any pandemic strain comes on but not necessarily a group of viruses in the u.s. the say this he and some experts of the view that by april 2021. or summer $21.00 would have the vaccine and it could be administered by the end of

$21.00 is a is a feasible is not possible. or surely possible you know i agree the oxer vaccine out like that or like the moderna vaccine but keep in mind that the vaccine only has to be 50 percent effective to be approved and that means that we some false confidence you see spikes from it may be helpful in terms of people who don't get quite a 2nd but you know they have the c.d.c. said a very interesting they said you know the most maybe more powerful than the vaccine is the right mask and what he needs is you know the right but they we call them in 95 bands but they go through a very careful screening process and they're up to 97 percent effective in terms of trying to be the virus that seems only 50 percent i think there are solutions right now which is the right masking stayed out of those closed in your spaces contact case tracy you don't we don't want to make their the vaccine a panacea it's going to be another interesting tool right so i expect to go by the

end of this year you'll have some and then they'll be rolling out a course to health care providers and people in old age homes and whatnot i have over the course of next year i have less than one minute and this is going to be my last question to death and to derek starts with less than 20 seconds please if the fight the hunt for the vaccine takes us longer and longer what could be the repercussions on india for example i mean i've always told everybody that vaccine is not the solution the solution is to wear your mask mending a distance and wash your hands so i think if we continue then well i'm going to be much of a difference i think because any need to get a flu country magazine coverage in india is of a far fetched dream so i suggest we continue yeah derek if the if the hunt continues. in the u.k. here we have 90 percent compliance with mike's query but not everybody wears the mask correctly often the mask is falling off the face which means it's useless

however we all have each 100 percent compliance with social distancing according to the way it is figures and so it's mostly our reluctance as human beings to do with that level of course contact that naturally we seek to have now that seems to be our problem but we do have to create interest wearing a mask program washing our hands as well we have to take your ourselves and think of others and thank you species we for i have to remind our viewers that this is something that continues to shatter lives to tall people apart and the hunt continues and people are just asking the same question again and again when life is going to be back to normal bob arnot deb sikka chettri and derek gatherer really appreciate your insight looking forward to talking to you in the near future as the hunt for a vaccine and a better life continue as well thank you for watching you can see the program again any time by visiting our website al jazeera dot com for further discussion go to our facebook page that's facebook dot com for was last a.j.

inside story you can also join the conversation on twitter our hand there is a jane sized voice on the house about the entire team here in doha by for now. i. to he not global community we are having this conversation. crazy. looks like be part of the debate you can jump into the conversation right away when no topic is off the table you're not afraid of anyone taking just what. you says

3 children richer and the poor getting poorer it's not killing the story the system it's just to look at the system and. this street on out is there. i've been covering all of that narrative from most of my career but no country is alike and it's my job to shed light on how and why. 1200 hours g.m.t. on al-jazeera on camel santa maria and these are the headlines azerbaijan and armenia are accusing each other of firing deep into each other's territory fighting over going to cut about his continuing for a 4th day with both sides reporting heavy casualties from forced to walk following developments for us from tbilisi. already accused by john of working with.