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tv   Inside Story  Al Jazeera  December 2, 2020 8:30pm-9:01pm +03

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killing 9000000 people annually more than 6 times the current all of the pandemic. conservationists advise the un are blaming climate change for pushing this trail years great barrier reef corals into critical condition the corals are said to be into kind gizzi ocean warming and that's impacting several marine species shows great barrier reef is a un the city natural world heritage site. this is al jazeera these are the headlines the u.k. government has approved the pfizer and biotech over vaccine for general use committee says it expects to start inoculating those most at risk including health workers care home residents from next week british prime minister boris johnson says the vaccine is a reason to be hopeful still a long fight ahead it will inevitably take some months before all the most
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vulnerable are protected long cold months so it's all removed vital that as we celebrate this scientific achievement we're not carried away with overoptimism or fall into the naive belief that the struggle is over it's not we've got to stick to our winter plan. russia's president has ordered officials to begin mask over $1000.00 vaccinations next week vladimir putin says there will be $2000000.00 doses of the sputnik the vaccine produced within the next few days after months of deadlock there's been a breakthrough in efforts to restart peace talks between the afghan government and the taliban representatives from both sides say they've agreed on a framework for negotiations representatives from libya's 2 rival powers are preparing to meet for their 1st joint session since 2014 parliament members are traveling to the city of havana say in western libya for the meeting on monday the
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highly anticipated session follows talks in morocco wyvil screed on frameworks and the year's long division. israel could be heading towards force general election in less than 2 years after lawmakers passed a preliminary bill to dissolve parliament one of the people back us is alternate prime minister benny gantz see says he's lost patience with his coalition partner netanyahu and iran has approved new legislation that would allow the resumption of higher levels of your brain im enrichment the bill which was passed by parliament on choose say was signed into law after approval by iran's top decision making body that is here up to date stay with us on al-jazeera inside story is up next.
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coronavirus all malaria tuberculosis and. the u.n. warns the fight against one is threatening efforts made to control the others what is the pandemic done to the decades long efforts to control these disease this is inside story. hello welcome to the program and burn it's more than 7000000 lives have been saved from malaria in the past 2 decades but progress in fighting the disease has been hindered as efforts are diverted to the coronavirus pandemic the world health
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organization expects the target for reducing malaria cases to be missed by almost 40 percent this year funding shortfalls and disruptions to treatments putting thousands of lives at risk only $3000000000.00 was received last year when more than 5000000000 was needed for interventions a simple as using nets and residual spraying can help prevent the mosquito borne disease w.h.o. is urging nations to step up their efforts for a world free of malaria. w.h.o. says 229000000 people were infected by malaria in 29000 their stated figure has remained virtually unchanged over the past 4 years last year more than 400000 people died from the disease africa accounted for more than 90 percent of all global cases and deaths half of them were in nigeria democratic republic of congo tanzania mozambique and. the continent has significantly reduced the death rate since 2000 but that was slowed in recent years while india is among the major
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contributors to malaria the nation has been making progress in eliminating the disease. and the impact of corona virus is also affecting the fight against other diseases and addition to malaria tuberculosis and hiv programs also reported about 80 percent of disruption services tuberculosis diagnoses for example a drop by nearly 75 percent in india since the pandemic began while one in 4 people suffering with hiv reported problems gaining access to medications. let's now bring in our guests joining us from nairobi is jeremy heron he's a scientist at the international center of insect physiology and ecology in brussels martin the smatter physician and leader of the doctors without borders malaria working group out in kuala lumpur john fleming the asia pacific head of the regional health unit of the international federation of red cross and red crescent
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societies welcome to you all john i'll start with you the red cross is the world's largest humanitarian network or have you had to divert resources from things like malaria tb and a job to deal with cove it absolutely no. early call it is the biggest operation. ration the international federation also. gauged and we for instance in the asia pacific region we have 38 national red cross . and every one of those $38.00. are engaged in. warrants allocation activities in respect of all the also activities or so little. anomic programs. so there isn't much aid
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a major priority or right. jeremy when you hear about resources being diverted what does it tell you are going to be the challenges in trying to bring down the cases of malaria there was this ambitious strategy set up by the global tech technical strategy from the w.h.o. to bring cases down to 90 a down by 90 percent by 2030 already it suggests they're way off beam what's going wrong yeah well i think there's really a lack of investment in that that was pointed out in the reports. we're not really on track to meet the goals and unfortunately with the events of the last year i think investments will probably take another hit. so we weren't on the right track with investments before. and i think it's really it's going to be really unfortunate one of resources are diverted towards kervyn which is important
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but there is a risk that people start to forget about malaria which is really an incredibly important. martin were those g.t.s. the global technical strategy targets to. i think it's good that the targets are and remain bishops but indeed the reality is that we were not able to meet star gets for a number of reasons as mentioned already before. not only due to coverage but even before debt 400000 people dying every year you cannot called out of course being on track for a number of reasons that were present before culverts and receipt of progress mainly in countries conflict countries all stable countries post conflict countries also a number of and environmental events that unfortunately continue to increase extreme
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events vance flooding leading to more and more malaria technical problems linked to insecticide resistance for example so there's a number of reasons why it has been in detroit very difficult to reach the targets but we still have to do a maximum of bit mobilization to come as close as possible and. have health care are being affected by the concentration on fighting kovac 19. or until 80 humans over a 1000000. made of night or. measles. really goes beyond that. early. but many many other.
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really overstretched. ready. very inviting strike all of them out beyond. stretched beyond their feet and again you know like of the best in the some of the only mention it and other really important areas on it and we're looking at again disasters that have been mentioned so it is thanks a 2nd. boat to our elation my groom's oblations one day and they do me threat. nomic challenges many. social. challenges. are getting on the horizon.
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jeremy more than half the malaria and demick countries have reported disruptions to malaria diagnosis and treatment what are the consequences of that if you're not diagnosing it earlier on what chain of events is that creates. it's a disease that you know operates very quickly so. if people are not getting diagnosed in a timely manner getting medication. the rate of mortality is going to increase very significantly and i think we have seen that these here. the levels are definitely going up it's hard to say exactly by how much and the worst may be still to come because i think a lot of the economic impacts of the pandemic are still coming and i think that will have a major effects in sub-saharan africa where of course as you mentioned malaria it's easy is the worst martin have the doctors without borders teams have been reporting
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delays in diagnosing malaria what i what are their concerns. well we are of course also observing delays and to places where we work. very often to the whole of just tickle implication of. travel restrictions drugs diagnostics but that's that can just be shipped. but. i would like to say that are also some positive aspects because beginning we all understood that this was going to be a major major challenge with very high risk of exploding malaria and fortunately there has been a huge mobilization among the different actors to invest as much as possible and prevention and in fact this was quite successful thanks to that.
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just one example there is a nice strategy that's protect children from. prevention the children do receive and that's millions and millions of children receive antimalarial drugs during the transmission season on a monthly basis we were all afraid that this would completely collapse. because of the coverts the logistical challenges the movement restrictions but thanks to huge mobilization national control programs world health organization n.g.o.s unicef to our own surprise in fact all these interventions did take place and the countries as they were planned basically with only some minor disruptions a lot of the bed nets distribution. take place so i think there was a shift do we really have to invest into prevention still the opportunity the window of opportunity between. us and i think this really was helpful
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to. do to reduce the impact. it's of the culture it's on the other hand we do see and it's no a daily struggle indeed to make sure that there are sufficient drugs and diagnostic tools will grow. and his ranges from an deets manufacturing issues the reality is that we're very happy deaths there are today good tests to test profits but it's basically the same production lines in the saying companies producing malaria tests so it's a daily struggle to make sure that we still have sufficient malaria dusts the whole are just tickle challenge to bring the drugs over dinner and then in many countries the impact on the don'ts travel restrictions people can't get to the health centrists sometimes so we have surf very worrying and concerning
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developments and at the same time we see and courage ng dynamics as i mentioned true that's strong mobilization very close follow up the different agencies looking to get or how we can swiftly react to didn't eat so that's a bit sour observations john while there is good positive news from martin that he mentions the diagnostic tests now these rapid diagnostic tests they make profit of about $0.18 a test i understand the money factor as well as the krona virus is much more lucrative the test is $10.00 ago there's a red cross see problems in getting these tests produced and distributed and provided because a capacity is being switched the coronavirus testing. you know we our main role frankly in bolton of viruses and also in the areas created and for are tessa's think now you know maybe some national site is. the key
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if i may say comparative advantage. so to play station generated in threats it testing or entrance to or certain demand creation in the state or a bad treatment or testing so a lot of our. work is at the community level it's basically it's based on our coverage to the branches or some of our to well so a lot of its base from advocacy it aids management social mobilization and also as i indicated engage in solution gage so from the task in point of view clearly it's of interest to us than in many cases and say national societies may get involved in testing the for the most part are from our area is working with governments it's going in with the agencies the things named here but it's
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utilizing or comparative advantage. germy can you just help us understand what the new formulations of artemisinin combined therapy the improvements have then have made in have made for the treatment of malaria and these introduction of these rapid diagnostic tests what is difference are they making. well a huge huge difference i mean the bell ability they see teases really made made it possible to treat people across africa and the world the treatments are cheap and effective. and so far have had a relatively minimal amount of resistance from the side of the. it's been very very effective way of controlling the disease. there is you know a cautionary note that it will not last forever resistance always of old and that's
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why you know research and development is incredibly important suddenly have the next line of drugs available when when this instance opponents as it most definitely will so we really can't rest on the sort this one. what we have is working at the moment that's great but we've got to live to the future as well but jeremy off people getting reliable access to those drugs at the moment because of course resistant resistance builds doesn't it if people don't use the drug regularly another gotz in treatment yeah well i think a lot of that has. actually this year but even in other years there were challenges in getting access to you know even some of the most remote the most most places in sub-saharan africa so i would say that you know
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there's been a lot of effort and a lot of the group meant but we're still not not there yet and the challenge of this year it's a little bit hard to say exactly how much effect it's had and in course in different countries in africa that have been affected more or less by coronaviruses the levels of. blockage in the sort of supply chains is different but what we know is that there has been and the fact and that is unfortunate martin have you if your teams report at the affair of people going to clinics because they're going to contract coronavirus have you been able to account of that. yes we did observe for people accessing the health center fortunately there is indeed as was already mentioned quite some investment in community based treatment. people can get treatment for the basic disease
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including malaria in their own village but it served a fear on different levels. the patient was afraid to attend the health center sometimes the health staff is afraid of going to work because they're afraid especially in the beginning when there wasn't enough personal protective equipment available that stuff was afraid to go to the health center and on top of that there were in a number of african countries strict rules all movements also reducing this access at the same time we were also fearing that the same factor which for these prevent afic devotees for example attending a better distribution attending vaccination. for measles for example and so we are really and i think all the actress really invested so lots and motion explaining clearly to the people that the risk was truly there because the ways
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were organized in a safe way and at the same time also thanks to the world health organization boats together with all the partners there was very clear guidance issued on how can you deal with for example a better distribution of context how can you reorganize your circuits in a clinic in a context of. transmission i'm going so there's a problem but fortunately with good health promotion good guidance on how to adapt reassuring i think this does is less disrupt. if done research and the beginning but no one can tell what's going to to be in the future of course. because general rumors spread events easily in africa rumors of spreading.
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coffee to during the election nation campaign for example has a huge impact on the coverage of the future campaigns of. john how do you mitigate those concerns that people have people nervous to come for treatment because they fear the going to get corona virus which means tb doesn't get identified early enough or or malaria doesn't get identified. right so we you know we've been here a number of let's say a broad 'd means of engaging unities of course in the context to. many countries there's. no social media so we can rule a clear. route size of people to various means were you know we're working in many of the communities anyway so we have. trust but certainly as my colleague has mentioned this building trust and dealing with rumors
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and misinformation through or. through communication risk communication generating trust i mean it is a huge area but also it was mentioned the disasters we're in the midst of the season. for us nic and ivan's only in the philippines. now so again believe me and risk communication and all i'm seeing are a means of getting through in the formation of i think that so that's certainly one area that we and many other many other organizations. are represented in this final hour in a cage then but it is definitely a real real struggle a lot of misinformation regards to pull but also in regards to the let's say going to else the silage so it is it's certainly
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a big chunk or. it's in africa that's forced until i'm. ok are jeremy can i ask you if you're aware of this new bit of research from germany amar and mali into why malaria. persists during the dry seasons when hardly anyone gets sick and there are 2 new too few mosquitoes to carry the power site suggesting the mosquito performs some sort of genetic change to lie in wait waiting for the wet season what difference does a discovery of this new make to the development of an eventual vaccine while i think that's a very important discovery because of course if you can if you could prevent skeeters from holding malaria from one season to the next then you can you know much it's much easier to eradicate it so you can prevent that sort of transmission
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across seasons because malaria does kind of disappear when when there are no rains in the in a lot of places that are at the epidemic levels of malaria and so you know eve you can target that particular stage could be sort of a weak weak link in the parasite cycle. but i think it also underscores the need for more research to really understand the whole malaria cycle and the biology of the factor so that we can find these sort of no hanging fruits weak links we can then target as as part of new interventions which i think are really going to be the key to me eradicating malaria and until we have sort of reached that we're always going to have these types of challenges every time we have you know an outbreak of a different disease it's going to compound the efforts of trying to control malaria on a. cue with all the billions of billions of dollars that's been poured into finding
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covert vaccines in the last less than 12 months if a been committed to malaria would we have a vaccine today would we have got rid of it. there's of course a big difference and no direct has been a lot of investments and a malaria vaccine and fortunately the last trials are ongoing are encouraging but indeed. i think the 1st discussions and the 1st steps in the development of that fax and started to and i was still a university student i think is so. debt's huge boosts expression when it comes to the time line. of course that that would have helped a lot for malaria as well there is a lot of investments but unfortunately the results still have to be proved true. but we hope deaths the success of the tracks following to success of the
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ebola vaccine will also lead to a furder sustained and increased investments in the developments of delivery of vaccine or of one of the malaria facts and because dr several in the pipeline but in very different stages of development are a focus on fortunately we are out of time but thank you to all our guests to jeremy heron to dr martin and to john fleming and thank you to watching you can see the problem again any time by visiting our web site al-jazeera dot com more debate go to our facebook page facebook dot com forward slash a.j. inside story you can also join the conversation on twitter our handle is at a.j. inside story from me. and the whole team here by foot.
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and. moved out of his parents' house after he got married he says he found more space living in biscayne after a run of eating it last year it's now his home along with his wife daughter and all but the israeli government said that he was reconstructed we've gotten permits and issued as a militia and ordered last month our interview with cut short as he hears that the israeli army has arrived in the village with a bulldozer residents say soldiers gave them one minute to do. it took the found me months to build their brick and dust in an hour to see it get demolished.
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in the light of the open seas hides a dark secret. men forced to work without pay in slave for you. but it glimmer of hope remains for the for girls and fisherman as a group of activists delve deep into the illegal fishing industry demanding justice . and freedom to. go street witness documentary on al-jazeera. with tiny hidden cameras criminals are illegally filming and sharing people's most intimate moments when east investigates south korea's i can't demick on al-jazeera. al-jazeera.
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if you want to help save the world. sneeze and hero. this is al-jazeera. hello there i am alomar here david the al-jazeera news archives you live from doha coming up in the next 60 minutes the u.k. becomes the 1st country in the world to proof eiser and by own sex covert 19 vaccine for widespread use. the n.h.s. has been preparing for the biggest program of mass vaccination in the history of the u.k. that's going to begin next week. we'll get the latest on the situation at a red.

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