ruling party says the vote was open and transparent which the u.s. and the e.u. project more protests are planned next week as the legal battle plays out. al-jazeera. thousands of people have gathered in taiwan for the largest gay pride parade in asia they marched from government buildings through the streets of taipei and then took performance stage celebrations 1st held in 2003 and was criticized by the government at the time. you are watching al-jazeera these are the top stories rescuers continue to search for earthquake survivors in the turkish city of is near the mag richard 7 tremor under the aegean sea down buildings and triggered tidal waves in turkey and greece at least 27 people died tim costello has more from izmir. a 16 year old girl was rescued just more than an hour ago or 17 hours after the earthquake she

was rescued alive and 3 people were killed on the this rubble camp and so far this 16 people have been rescued from the struggles and the turkeys management the disaster agency tell us that they they believe there are there almost 4 to one more people right now on there the rubble. we don't know whether how many of them are alive or how many of them are dead but and search and rescue operation is still underway for resolve a building. a media as prime minister has asked russia for its health and its conflict with azerbaijan the 2 countries have agreed to not deliberately target civilian populations. field hospitals are being set up in parts of italy as it recorded its highest increase in daily infections on friday and the us reported the world's largest ever single day increase in cases. police in thailand have

rearrested 3 prominent leaders of the growing anti-government protests one of them . lost consciousness when he was reportedly placed in a chokehold by an officer of since being released a number of early and mail in vote in the u.s. state of texas has now surpassed the total number of votes cast there 2016 election where the 9000000 texans have cost early votes polls have opened in ivory coast following an election campaign that's been mobbed by violence and a boycott by the opposition candidates are putting their names forward for the presidency including the incumbent and a son will tolerate. the headlines the news continues here on al-jazeera right after inside story which is coming up next stay with us as donald trump to good for america everything is in disarray the media of course take every day that they can to mark the america has been

a force for good. for the american people get inspiration from him and the other cred you. want to take the site that's the bottom line. back to lock down more countries impose news shutdowns as grown up violence cases and their round warnings for things may get even worse but these restrictions the answer to this one demick this is inside story. hello welcome to the program. europe is once again of the epicenter of the global pandemic that so far seen more than 44000000 infections and over a 1000000 deaths worldwide the region is struggling with rising numbers of

infections while deaths from cove in 1000 rose by 32 percent last week while france has imposed a month long lockdown that went into effect at midnight on thursday for the 2nd time this year people are living and toughest directions present in manuel macron says the measures will help reduce infections from about 58000 today to 5000 according to the john hopkins university friends has reported more than a 1000000 cases and over 36000 deaths across the border people in germany are also preparing for a month of distractions from monday chancellor angela merkel was once praised for her handling of the pandemic but she is now warning that health authorities have lost control of skyrocketing new infections despite a contact tracing program and amend data required on teens authorities say they are

unable to identify where 75 percent of new infections are coming from. the 2nd wave in europe is rapidly outpacing the original outbreak earlier this year this time the region looks better prepared or vanderlei in the e.u. chief has unveiled plans to transfer covert patients from hard hit member states to neighbors with spare hospital beds the commission announced tonight that we are making 220000000 euros a vailable to finance a safe cross border transfer of patients where it is needed and for that there good use of the money requires good information in exchange britain has once again decided to go its own way in how it handles the pandemic prime minister boys johnson is resisting following germany and france in ordering a 2nd lockdown it's

a decision that's led to criticism of the government especially since the u.k. has the largest number of corn about its debts in europe more than 46000 instead it's imposed local lockdowns despite any new studies showing cases in england are doubling every 9 days in the us we're just heard nearly 90 a 1000 you know infections on thursday is the highest number of daily cases since the start of the pandemic the virus is spreading rapidly in the western half of the country affecting every swing state crucial to the next week's presidential election at least 228000 deaths have been linked to the virus president donald trump who was hospitalized earlier this month with kovan 1000 continues to play down the threat. in asia india is struggling with the largest number of infections more than 8000000 cases and over 121000 deaths have been recorded

health authorities believe the act or numbers may be higher some experts estimate at least 130000000 people may be impacted. joining me now our guest in milan dr. chikane president elect of the european society of intensive care medicine and head of intensive care medicine at humanity research hospital in boston matthew fox infectious disease it biddy manager and professor of geology at boston university's school of public health and in regard to as a dealer brahimi director of the medical biotechnology laboratory med biotech and director of the bio on of our research center a warm welcome to you or mauricio german chancellor angela merkel said that this winter will be hard for long difficult months are you bracing for

a surge in the cases of the people that will be a better to the intensive care units in the coming weeks. and yes i think we are and actually we've been bracing for a while because many of the 1st wave was a curing the fairest months of the day year before dishonor and imagery to work on trees in europe experience there and accumulate quite somber work around virus cases we were actually never able to have a single transmission of cases in the community so indeed the beige and they they arrived leaving the summary for not even if not we've the numbers are going to say now. unfortunately now the number that we're seeing in your very high tick and india the arche that are big asian of the virus as it reached explanation body was in many countries or i would say that we already see this say or do not in the recent weeks that some of the countries the live experience and the 1st wave that

we've seen any surely a lot of patients coming to the office the doorway to my own severe symptoms and then a few days or weeks later we started to see their eyes of course an intensive care case and you know i would say that our colleagues in intensive care are us europe in many countries are already seeing the serger and where at least you know cuban serape said and sometimes in the range of 50 percent like in belgium or in france now so i would say the surgery is already all right and we have to try to control the spread of the virus as much as possible and to community that to avoid it and any and bigger difficulty not one of their systems matthew matthew at the same pattern in the u.s. to new highs a daily basis plus more than $1000000.00 infections is the start of the pun demick but still you get the impression of that the government is not weird and moving forward to words more restrictions like the ones we are seeing in europe. this

exactly right the patterns that we're seeing here in the united states are very similar to the patterns that you've seen in europe except with the difference that they're quite regional so in parts of the country we've already seen the spike already intensify where is in the northeast where i am it's just starting to begin but absolutely we are we are not taking the actions that we need to be taking in order to stave this increase in the spread and so we're going to you're seeing some states starting to go to more intensive mitigation measures measures but we're not going towards the full lock downs that we saw in april so we really do need to be starting to take more concrete action to to stave off a really terrible winter into things happening simultaneously in morocco infection is increasing and the mortality rate is also spiking we expected the government to reinstate the same measures taken about a few months ago. well i don't know the government would be taken this decision but

i think the station of morocco is in between your open the us in morocco we see what's happening in morocco and compare it to what's happening in europe but i think came to us the decision to do something it's political decision but in morocco we're thinking what to do and i think that's the main think that's what everybody is thinking about but we are almost like 2 weeks behind europe so i think if there is something to be taken as a decision it has to be right now i think is the right time to deal with because we are surging the number of infected people are certain and the 2nd thing is basically we are having more and more death and we see the projection of for washington university to see that in morocco if we don't do anything by this summer the 1st i think that's going to be exponentially increasing and we might have a big problem a lot of our resources the start of the pandemic the debate has been or divided

self should we listen more to experts or more to politicians now ultimately is politicians will have the upper hand and they are now bracing for tougher restrictions do you think that the lock down is the efficient way given what is happening at all in terms of infections. an important thing could during the fairest way that these things in europe count trees that there were foster in there 'd reacting to the advice of scientists think the nations where those countries that minimizes their eyes of sick patients and usually they were also able to receive mcdavid these areas i think this community has and scientists and i can speak for many colleagues across europe we've been demanding as trigger measures when we saw the cases started to increase and that the virus of the degrees a bit more explanation does virus as a unique characteristic in the same stent that it's not a problem although we want to see more sick patient the days when

a number of patients start to more to buy and to give an example of the r.t. as a tool we know that in 57 days we would see them and that the whole of patients and their bikes and those they don't that that will again numbers can really put any earth care system on their knees importantly we're not curing just patients we want to care for or care patients in our off beat there was in our insecure systems if we were rolled up our care system and just with patients we started to compete for resources in some way if it is to care for other patients or to be grossing go in there to to care for coheed so our advice to government is to be fast and to take strange other measures i don't think there is a fixed recipe to think clearly we cannot just leave bear market with people down the beverage d.v.d. but certainly strange and measures career fuels lockdowns that probably become necessary at some point in different forms when the spread of the virus in the

community is out of control and we see that this plane actually it could bring that all of brought us to our roles but there was also remember that by the nature of all things could be should be or then when you start to get symptoms everything that you do today is about it kind of measure will have an impact on our earth care system but 'd at least 2 weeks ago when the situation. he's already out of control we can still see significant number of cases i'm too aware as he was going into me taking out matthew the optics are quite different in the united states of america because we are in the midst of an unprecedented bitter presidential race dominated by a polarizing issue and you have a president who continues to discredit the expert. the medical community oddly lucky to see the handling of the 900. 11 but the 2nd well i think we don't yet know that obviously partly that's going to depend on who wins the election but i think it you know we know clearly what it is that we need

to do we have the tools available to us to both mitigate the spread of reduce the amount of mortality without needing to necessarily go to a full lockdown i'm hopeful that we don't end up in that kind of situation but that is social distancing wearing masks keeping away from each other as much as possible and if we can move towards that as a country regardless of who is in charge we have an opportunity to really bring down the community spread and then hopefully not overwhelm the hospitals and continue to see progress but obviously that takes takes will of the people and that takes leadership and i am hopeful that we continue to move in that direction but as you point out we're not there yet as dean in morocco is a country that does not have the same resources the u.s. or europe and have do you have any concerns that if the pattern continues we're likely to see intensive care units overwhelmed in the coming weeks in morocco.

wow i'm talking to my colleagues from europe and the usa i think for africa it was a really big big big thing to see this pandemic because we don't have in year our models or benchmarking to do because usually in africa we look up to the north to see what's happening but i think what's happening has what's happening in the europe is not something that is very helpful and they feel really set for what's happening in the u.s. and that would say that's matthew because i think the last life he knew were is a lost life and i think it's not a question of numbers but a question of families of work jobs and lots of think that he's done and i think when you compare what's happening in africa with as you said her sources that are really limited and we see we try to compare to what's happening in europe and what's happening to us it's very difficult transparent with the 1300000000 zene africa we have 303-5000. death and you see what's happening to us with

22025000 death and they think we really don't assimilate what's happening in iran and we're that's i think coming back to morocco i agree with you completely i think we are reaching the capacity of our i.c.u. is and i think will be we have to make tough decision i think without a lacking and that really strange and decision and very courageous decision and i think by the 1st of december it will be very difficult to catch up to the then factions and the rays of the right of tomorrow murray certainly has been traumatized a few months ago by the increasing cases and the infection and we've seen of those bushes from intensive care units in in parts of italy the protocol so far has been steroids along with other medication and ventilation for cases for severe cases is this likely to continue to be the same protocol for the upcoming. months with

all the learnings that we have managed to accumulate a and understanding about the disease itself it's a very good question and i think it goes back again to the fact that prevention is the best strategy and that's why we need the help of individual citizens very to speak to 'd mosques and watching and this is the same because actually wanting port a message that we have to buy us into the community is that and the moment we don't have a specific therapy for kobe 94 patients of can be managed at all now we can give symptomatic therapies like a spirit but a symptom or and supportive therapies is very important that those patients these to receive i think when attrition migration them about i think right if they admitted to the article we have now any evidence that spirits for those patients that require are actually tracking you when you will do need that the z's and that are associated with a decreasing want out of the so that was why i hold it because the balance between mating research over the last few months we've realized when to use your eggs and

these are really a great advancement however we don't have are there specific therapies for this virus and 'd indeed what's left is a supportive therapy again something that we can do in the article and intensive care unit if it would benefit from that kind of indication that's what we do to basically give time to the body to heave to rest and when we take care of organs with our techniques we protect the your guests and we hope to get a covert matthew the trumpet mr mason has been saying that a vaccine will be will be available before the end of this year now if when you listen to experts over the last 48 hours particularly. and tony. is basically saying that we have maybe we'll have to wait longer what does it mean for the americans than. so it means that things are going to continue roughly as they are over the next few months we're heading into winter here that means more people

inside that means schools have reopened and that's going to be even more transmission and until we have both a safe and effective vaccine we're not going to be able to completely control the spread so there are all those measures for prevention that we know already we're going to we're going to need to double down on those but i am still hopeful that we do get a vaccine that is reasonably effective by early next year and then we can start to scale that up and rule that out once that happens then we can start to see a real dent in the amount of transmission that it that is occurring that's not going to bring things completely back to normal right away but over time things should start to get better. as the well he's waiting to see which company is going to be able to manufacture the fast that scene we're talking about that if you trust that companies basically in europe and the united states of america so give me an idea about the debate that you're having with your colleague here of the act of

a medical biotechnology laboratory what are you thinking about today tomorrow how to get a vaccine what would be the potential for a country like morocco countries neighboring you'll in north africa. well i think the vaccine will be a solution but i think as matthew said i think it's going to take a little bit of time because it's here and there want don't want to give force hopes it's not going to be for tomorrow because even if we get different a vaccine and gets accepted there prove the by this sober we have to go through what we call a mass vaccination and that's would take a long time to grow to be done so we are not looking at solution that would be there but i think the american approach was clearly a good one in this sense because morocco doesn't have the capabilities right now to develop its own vaccine so with partner with a couple of companies from asia from china particularly and it's acquiring divide seems to astra zeneca for example that something it's good to to have but i agree

with with the boss got both colleagues actually the best way to fight the corner of our see right now is the mitigation and the bar or gesture that you have to have i think that's the big problem that we have in rocor we have less than 60 percent we have almost like 50 percent of the population and they are into wearing a face mask and we know that without having a face mask you cannot have any protection ok they'll distance yourself from other people and they think it's tough to do within the moroccan cultural mentality and the western kind of ok countries because we have a less than 6 minutes and would like to or like to move on to tackle different issues. do you think the virus has become less very real and compared to 789 months ago because when you look at europe you can see that the mortality rate is becoming less and less i don't think we have any area that. the

areas that we have is that we know more or have 5 of the virus in the you knowing that lost their minds all this summer there was a lot of preparation ongoing your own. that we don't decide of intensive government is important because we want grozny with your young commission and one important message that we tried to boss was the fact that we need to find if asked play to increase competencies to care for patients during this era you know nice you're going to late or even if you buy it's not really nice your bad without competent people there and that's why recently with nonstick a project that program in europe to train its care workers not talking about romney care which is of course in ending space and we hope we've had passed during this era but i don't think the bios has become ok byron muthee as we move forward with we're starting to learn more about covert 19 or about it's syndrome which needs no

more patients with crippling issues like lasting response to problems due to logical problem causing a complete patients. could this be the moment where we have to think of the way we deal with medicine itself the way we need to put more investments aside for the near future because we seem to be entering a new territory here why do you think that's right but i also think that this gets back to the issue that there are real goal here isn't to only get good at treating this disease our goal is to prevent people from getting it in the 1st place it's it's actually true we don't have great evidence yet to suggest whether the virus is getting weaker or we're just getting better at treating it but we do know is that the mortality is dropping but that doesn't mean that people aren't still suffering severe consequences and so the goal is to prevent people from getting infected in the 1st place and and that's a really difficult thing to convince people when they see their mortality dropping so i agree with you we need to we need certainly need to invest in our ability to

care for people who are sick dealing with the severe consequences but our primary goal still needs to be preventing infection in the 1st place as the in the majority of people in morocco operate in the informal sector if you push ahead with a lock down him is that many people will suffer economically and financially in the near future then it boils down to people like you to step in in the and try to raise awareness about how to move forward you know particularly in countries like in north africa if this is going to stay with us longer how do you see how do you see the future in places like iraq or north africa well i think it's going to stay longer with us i think that's a definitely it's kind of the far east one here anger who are not just in iraq because this time we are in same boat i think if the virus is somewhat it's going to be everywhere so that's i think what was a very good equity is the virus the diversity of the virus is not treating

increasing and i think that through our work 7 colleagues we showed actually that the virus that came off genomic is safer from a rogue. and for the lockdown i think the key bridge between the economy and will be an issue that is really important i think all of the people rule the scientists say mean all of the decision maker people or they would have to communicate or care it's not there to people to give them now what to do and they think it's clear that we can surmount failure and a problem in less than 30 seconds for us intensive care unit. ventilator and the crowds and the desperate attempt to save people is this something that we have also to rethink with covert 19 intensive care bed intensive care people there are doctors nurses we have to find flexible ways to increase these competencies so that we can start more bad periods of surgeries but we are all together it is we need citizens to have burst as we're being save for the last

minute they get out of the transmission of the virus in the community and then we can take care of many as you patients not just cover it we want to go after everyone german thank you very much indeed dr morris you took on a matthew a farce i said in your brahimi thank you for your insight and i promise you we'll continue to visit in this particular subject in the coming days and weeks and thank you for watching you can see the program again any time by visiting our website dot com for further discussion go to our facebook page that's facebook dot com forward slash a.j. inside story you can also join the conversation on twitter our handle is a jane side story from me. and the entire team here in doha by phone or.

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earth the world. where. turkish rescuers search for survivors after an earthquake that killed at least $27.00 people. alone can but al with his own jazeera live from doha also coming up. maybe as prime minister asks russia for help in the fight against azerbaijan both sides agree not to target civilians. resoundingly lection victory for tanzania's president but opposition groups say there was fraud. detained in the u.s. and then deported to make.