triangle what worries us is that those full $1000000000.00 will end up in the hands of the same corrupt presidents of the northern triangle. bill many are welcoming the return of a more multilateral approach to international migration policy experts warn that problems like violence extreme poverty and corruption won't be solved overnight. al jazeera mexico city. it is good to have you with us hello adrian fit here in doha the headlines on al-jazeera wrist for a tree expert has testified that george floyd died from a lack of oxygen which damaged his brain and caused his heart to stop that from dr lawson turban spoke on the 9th day of the trial of the former policeman derrick cho then who's accused of. then you have to breathe through thick and narrow passageway it's like. breathing through a drinking straw but it's much worse than that because breathing through it

thinking straw and be in is somewhat unpleasant but not that on person and that it gets much worse than that. so as the space narrows is it more difficult then to breathe through enormously more difficult and we know that from physics us president joe biden has announced a fuss tried of measures to reduce gun violence they include executive actions to regulate it's self assembled guns that upgraded pistols he's calling on congress to go further whether congress acts or not i'm going to use all the resources in my disposal treasure to keep the american people safe from gun violence but there's much more of the congress can do to help that effort and they can do it right now. they've offered plenty of thoughts and prayers members of congress but they passed not a single new federal law to reduce gun violence. and of prayers. time for some

action. hamill's ambassador to the u.k. has been locked out of his embassy in london by those loyal to the military brass of the chores while men recently called for the release of aung sun suu chee mean u.k. government is condemning the decision to remove the ambassador. to the african union has dropped plans to buy the astra zeneca vaccine from india and says that it will instead switch to one made by johnson and johnson but health officials insist it's not because of concerns about the potential of extremely rare linked to blood clots that india is temporarily putting a hold on major banks in exports the government there is revaluation distribution as it battles more severe wave of corona virus a record 126000 new cases were reported on thursday. as the headlines more news off the inside story next.

brad but still dangerous the european matter is his agency says the astra zeneca vaccine for covert 19 is linked to blood clots in the benefits outweigh the risks so should people be wary it this is the inside story. hello welcome to the program. many countries have been relying on the senate vaccine to get them out of the coronavirus been demick crisis but there have been

problems from supply side effects european regulators say the vaccine can in cases cause blood clots the u.k.'s to turn out to young people who appear to be at more risk but both the u.k. and say they're still confident in the us to identical vaccines effectiveness and safety. there have been fewer than 80 cases reported in the u.k. despite more than 20000000 being given out but even so that's caused a reaction there reported cases of unusual blood clotting following vaccination with the astra zeneca vaccine should be listed as possible side effects of the vaccine based on the current available evidence specific risk factors such as age gender or

a previous medical history of clotting disorders have not been able to be confirmed as the rarest and repents are seen in all ages and in men and women the 1st possible connection between the astra zeneca vaccine and blood clotting was made in late february since then speculation research and reactions have been mixed many medical body has carried out investigations but failed to come up with a link between their job and clotting even. just heard before so the image didn't think the 2 were related but more than a dozen countries temporary suspended us of the vaccine austria 1st then france spain germany in europe and then indonesia thailand and democratic republic of congo now where the latest moves many countries are introducing age limits for the drug australia the philippines and the one full of e.u. countries of ordered astra zeneca jobs for people and

a certain age. oxford university which was behind the creation of the vaccine continues to stand by its work in a statement is a professor of pediatric infection and immunity is that safety has been our priority throughout the development of the vaccine at university of oxford in 2020 and we are reassured to see that safety monitoring continues and the close scrutiny of regulators and public health authorities as a vaccine is around the world the identification of rare cases of blood clots which might be associated with a vaccine shows that the safety system works and has also allowed the u.k. and the regulators to conclude that the benefits of vaccination continue to are to weigh the risks putting in measures to help mitigate any possible risk.

let's bring in our guests in cambridge chris smith is consultant viola just at cambridge university and posed as host of the naked scientists in london sun up isaac is lead on the art break of infectious diseases for the university college london is global citizenship program in barcelona geoffrey lazarus had of the health systems research group of the bus and owner institute for global health welcome to the program chris the finding by the european medicines agency know about the link between the us resenting and the blood clots this should be really bad news for a company that has been battered by a series of setbacks. i think the chief executive officer pascal soriano has said the economy regrets going down the path of offering a vaccine which makes no profit fresh resentment which is the decision that they took this should be available at cost it was

a wonderful gesture it seems to be somewhat thrown back in their face yes it is tricky and obviously one is very concerned at the moment with the concept of vaccine hesitancy one of the crucial things about getting this over the line and getting the pandemic under control is that we have the support and trust of the general public and that translating into high uptake of vaccines which will suppress the spread of the virus and it will translate what would have otherwise been lethal infections into non-lethal infections with this kind of image problem that the vaccines currently laboring under but could be a problem going forward oksana with what do you think would be the immediate implications of the latest findings by the ema. so have said that the benefits outweigh the risks and actually they have not defined any age based recommendations but countries are choosing to do so. restricting

to about $55.00 brussels and. over 16 other countries as well so we do see that there is a very here in terms of the interpretation what the european medicines agency has concluded as well as the u.k. body m.h.r. what we see as well is that we consider the overall benefits of the vaccine not just in terms of focusing on were tallied the rate but younger people can also be affected by things like that and there was a recent study in the lancet which show that one in 3 people actually went on within 6 months to receive either on or a lot or course like a logical diagnosis and so we really do need to ensure that this vaccine rollout continues ok to avoid greater burden on the health care system jeffrey how do you explain the difference into the stations of both the says the reason link and the

u.k. regulates as host say that there needs to be more investigation before they stop that it's. it's difficult to explain you know how the other bodies came up with different findings but yes mention the european medicines agency has for the 2nd time said that this is a safe that with very rare side effects and it's common to have side effects with any backs or any medicines it's completely safe to take it now that different european countries have defined different age groups is is their decision the important thing is that the astra zeneca vaccine gets used and if that your peers are going to use all the duces available to them and that's more doses for the rest of the world chris is it political in a way or another the u.k. regulators are saying 1st of all as far as the causal relationship between the vaccine and the occurrence of the blood clots coming together with

a low platelets which are the main reason why we're seeing those fatalities is considered possible plausible however it has to be confirmed and for it to be confirmed this could take a body of work and research and data. a good right thinking about this is to look at the timeline over the life course and the risk profile so a person who is in there or eighty's may have say a 10 percent or higher chance of succumbing to severe or lethal infection with coronavirus whereas someone who's 18 rather than 80 may have a one in a 1000000 chance of having a severe outcome if they catch coronavirus now if we map onto that the vaccine. the vaccine has a side effect or complication rate attention of about one in a 1000000 that's roughly the rate at which we're seeing these blood clots that might or might not be associated but let's assume they are one in

a 1000000 so if we vaccinated a 1000000 people we might therefore expect to have one person with the complications now if those are all 80 year olds for one person with the complications we've saved 10 percent or 100000 lives from coronavirus but if you contrast that with an 18 year old we've caused one person to have complications and we've prevented one person from having complications so that ratio of the risk versus the benefit is quite different when considered across the range of ages and it's that that has provoked the regulators to say we don't think there's a serious issue here and the fact that they've said if you've already had one dose of it carry on and have a 2nd dose even if you are in the 20 to 29 year age group but because we do have alternatives and until we get the data we don't want to hold up the vaccination process because vaccines really do matter and they do save lives therefore let's

offer the people who might be at a risk a ok different bank seem while we similar tony eastley continue for those other people for whom that respect if analysis is absolutely clear it's a safe very effective and lifesaving lack of if this is the problem. the the the finding of itself is going definitely to create some problem among among the people who are definitely going to be more skeptical now and this is going to create huge problems for us transgenic i wish was hoping that it's vaccine widely touted as affordable easier to administer likely to compete with pfizer and modern or that image itself shattered in a way or another. well i think the flip flopping certainly hasn't helped originally he did see that the. older groups were not vaccinated to the fact that there is this idea or the feeling you're working to nuff data

honest and then that's now been rehearsing the other direction so i do think that what we this survey so hard to shift that there is a dip in confidence it's also interesting is that due to the different strategies in preparing a role. the k. had at 1st identified less cases because we focused on back meeting our older population 1st so whereas on the continent we saw that there were certain ied groups that work the elders in your originally wrote left off and people who were in front line positions either in hospitals care workers will tended to be female so also some of the patterns that we are looking at now may just be a result of a vaccine rather than something more significant than that however there is let's not forget there are some countries in the world who have very little or no vaccines and all this stage in it so i do think that certainly this is something

that can be overcome it is damaging but we know that it the real and known dangers of covert far outweigh any potential adverse effects really because back there it fits the typical profile jeffrey many countries are stepping in just right off of the front of the findings were released of the various about time to start looking for options but to be for the people under 30 it's very easy sent in practice this means that you have to with think your whole procedure as you whole swatches you think about alternatives by new medicine which is going to be extremely difficult particularly in the e.u. . so if you're interested into changing the vaccine strategy i'm not sure it's really that complicated it just means you're using your pies are more down our your johnson and johnson that scene for those younger age groups that are then asters

anika and you know like in spain where i am now they have limited yesterday to get used to those age 60 to 64 so they'll use up the vaccines they have built in the finished the 2nd doses for that as you have only received one dose and then that will be more than scenes and for the rest of the well what i'm hoping is that we can turn this around and say given that the european medicines agency has said it's safe we can use this to accelerate next ation programs in other parts of the world which is extremely important in order to avoid variance of concerns as as variants flourish leave risk that some of them may become resistant to the axioms chris when you have a you chasing 400000000 doses of. the americans 300000000 in the past trying to. be ready for the eventuality of starting the fast track vaccination campaign what would be the reaction do you think among the decision makers now against the backdrop of the

findings of the ema. well i hope they'll look at the statistics and the statistics paint a very encouraging picture we're talking here about chance events occurring down at the level of less than one in a 1000000 to one in half a 1000000 that's really really low and when you put this up against the fact that the complication we're talking about affects about 5 people in a 1000000 per year just by chance anyway and if people take the oral contraceptive pill increases their likelihood of this happening to them by maybe 8 fold and no one bats an eyelid about that sort of thing i think that probably most of the people making decisions around this will be saying well actually statistically we're on a very short footing here because what we absolutely know is this is a very effective vaccine and the data we're seeing coming through now show in some cases 90 percent plus protection in the most vulnerable groups and it's also very

very cheap it's one of the cheapest vaccines on the market and actually has one of the longest track records because the construct that's being used to make this vaccine has been used for more than a decade and and in the fight in west africa against a boa that construct went into thousands and thousands of people so we've also got long term follow up so there are many reasons to be reassured by these findings not least that they're being investigated properly oksana when you have people who have been from day one skeptical about this whole idea about getting vaccinated against kovi as a safest way and you get this whole story about astra zeneca and the and the and the link between the vaccination and the blood clots do you have any concerns that this could unfortunately or fortunately push some people to start comparing between vaccines and say you know what with the ink that one could be what it fish and safer than the other one well i think that there really have to distinguish

between people who are. anti actors who either for the. pandemic writ be concerned or refuse vaccines and those who have some really legitimate questions based on the headlines that they're seeing in the media and i think chris really broke it down in a in a understandable way that you know there's just and one in a 1000000 chance of this occurring which is the pope the same as getting murdered or being hit by a car in the next month or so so if we think about it that way it's it definitely i think eases the concerns that people how i think what's crucial though is that the public's question's all about seeing on the data that there is transparency and that scientists and the governments do address their public regularly so that that confidence that cost be rebuilt and regained so i don't think that it is

for this middle ground group who who just want to understand what it is that the real risk is i think that that's something that health care professionals perms this doctors can have those conversations and change people's minds that any vaccine at this stage is going to protect themselves and their loved ones because they see that there's something great that limited transmission it's not just about yourself it's also about the people around just for this looks like a it mammoth task ahead in a cup but when it comes to the american market the f.d.a. is yet to authorize emergency use and with starting to hit with force from american officials saying that we might not use the astros' anika told by the end of the day . that's right and if they don't then they will use pfizer medan and johnson and johnson and like i said earlier that means more doses of astra zeneca for the rest of the world right now the vaccine is desperately needed across latin america in

parts of africa where they have very very low numbers accepted that means the astra zeneca exene is more available and that's where that's where it should be distributed through the callbacks facility or through direct purchase so i'm not so worried about. in the u.s. right now with regards to tast or to the astra zeneca maxine i think people should get their 2nd dose. and then we have other options it's the countries that don't have those that are options because they don't have a cold chain to manage and pfizer down our because of the cost so as long as you know it gets used you know we were not facing you know severe problem with with astra zeneca the europeans were hoping from day one that they would have a comprehensive united approach when it comes to tackling covert 9 ting acquiring the same vaccine from astra zeneca and moving forward the germans are saying about that they are in talks with the russians for sputnik vaccine could this be an

indication of that we're seeing some cracks within the e.u. itself about dealing with us president and the new future. i think we've seen cracks in the e.u. right from the get go and and i don't think that they have made themselves look particularly honorable or really bolster their reputation internationally i think quite the opposite in fact interesting that they're going down the route of the russian sputnik vaccine though because a hasn't been approved yet but we understand that the a.m.a. the european medicines agency looking at that vaccine it's also very closely related to how astra zeneca has vaccine works it's a modified cold virus in fact it's a pair of cold viruses which are administered a few weeks apart it's also very similar to the johnson and johnson vaccine that's also still waiting for approval in the u.k. what unites all these different vaccines is they're all based on modified cold viruses which they used as trojan horses to smuggle into the body the corona virus coat message and therefore what is happening with astra zeneca is vaccine with this

rare complication albeit at very low levels it could also affect the johnson and johnson vaccine it could also affect the russian bank scene we haven't seen the data yet we haven't seen the follow up on millions of people who have had it like that had the astra zeneca back seen and that may yet emerge so it may well be that so we see the same trend emerging with these other products subsequently we'll have to watch this space china what does this leave the its grappling with a 3rd wave of covert 19 a spike in infectious death tolls that be lagging far behind when it terms of vaccinating lost sections of the society they have been grappling with ways to find new vaccines could this be the moment of reckoning as far as the europeans are concerned. well certainly the timing infant graves and some say there's a 3rd wave that is roland crossed the continent and there are more and more restrictions coming into place just as you can we start to lift. some of these

restrictions as early as next week so in this instance they do need to be accelerating the maximum roll out as quickly as possible as jeffrey has highlighted however did you have a selection of other types of vaccines that could also be using but i believe that they do have to think about how to best leverage their existing public health infrastructure job skills or health workers and ensure that we they get just many jobs and arms possible so that we don't. end up in a situation where we have the french variant to reduce bad variant. resulting in the fact not only confirmation a vaccination rates but also back in hesitancy there again these are all very particularly the latter more complicated to address in a given some of the issues that we've discussed that but i think another point as well is that outside of the u.k. and outside of the e.u.

brazil for instance the. case is that the moment and that situation is not looking ok we need to do mountain take a local approach and we definitely need to this is going to be my question to jeffrey about this whole thing has been an area for for us and for the scientific community because they're dealing with a where it was something new there's been trying and testing you may vaccine some of them using old technology some of them using ultra modern technologies don't you think that this whole thing about us doesn't it has should be an approach and it's a for everyone to put into place a mechanism to monitor all the vaccines and look for any of us. both side effects that we might be overlooking right now absolutely so we have the codex facility there which is a global mechanism for distribute a vaccine is to to the poor low resource countries but we need like you said global

mechanism to oversee all the vaccines we also need that or similar mechanism to look at production because where we failed is in be able to produce enough doses of the vaccines that governments invested early in developing the backseat has been one of the great scientific breakthroughs with so many successful vaccines but they haven't invested the same level in the production and we know that that seems require dozens of components for the ages to vials resins so on so we need an overview of what. would the availability of the different components and a massive global fargo vigilance for any possible side effect since we're seeing some in the in the u.k. but we need to make sure that we're seeing this the rest of the world crystal less than 20 seconds if you know why what would be your message to those ho better across and politicians doctors working in different parts of the world having to make that decision about sun allowing their own countries to continue using us

resident are not look at the data the risk profile is exceptionally good in the performance of a vaccine is very very high i have no conflict of interest i have no shares national democratic or not that's but i do of course have a share in being a doctor myself and treating patients who are suffering with this disease which we can prevent with this vaccine next backswing. thank you very much indeed i really appreciate your messages of the hope of this particular moment when people are eager to see light at the end of the tunnel chris smith oxana by sick and jeffrey lazarus thank you very much indeed for your contribution i thank you for watching you can see the program again any time by visiting our website c.n.n. 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 handle is a.j. inside story from the house and the entire team here in doha by for now.

jump into the story there is a lot going on in this and julia not global community when i talk of all the misinformation i think we don't want to feed than we are in a way it be part of the debate don't ever take anybody's one word because there's always a difference when no topic is off the table we have been disconnected from our land we have been disconnected from who we are and would love to hear from you and 18 could be part of today's discussion this streamed on out is their. first major legislation for president joe biden is getting the pandemic under control with

a massive exaction of money we bring you the stories and developments that are rapidly changing the world we live in now while the president because devastated many industries to give it a huge boost to the video game site counting the cost on al-jazeera. april out just from a food wave to the vaccine roll out we'll bring you the latest developments from around the world a year into the coronavirus pandemic one o one east scales rare behind the scenes accents into the secretive world of japanese sumo. good president introduced they be secure a 6th time in power join us on april 11th for the chop election. the award winning our choice returns stories of those striving to reduce or negative impact on the planet has president joe biden kept his campaign promises we'll have special coverage and in-depth analysis of his 1st $100.00 days in the oval office april on

al-jazeera. if you want to help save the world. this is al jazeera. hello i'm a very in for the good in this is that he's live from doha coming up in the next 60 minutes. it's like. breathing through a drinking straw but it's much worse than that on the 9th day of the dairy trevon trial expert medical testimony from a pulmonologist who says that a lack of oxygen cause floyd's death. gone.