with respect to pyongyang that's not the case for beijing beijing is more interested in stability yet in one area at least there's a promise of cooperation at a virtual summit this week china and the u.s. the world's 2 biggest carbon emitters pledged to work more closely on cutting their emissions a rare display of collaboration but one unlikely to be repeated on other fronts adrian brown al-jazeera hong kong. well again i'm fully back to bill with the headlines on al-jazeera desperately needed medical supplies are arriving in india as it struggles to contain coverage 19 it accounts for half of the world's new infections one person is dying every 4 minutes in the capital and predatory arms are breaking points for sale senate has launched an inquiry into the government's handling of the pandemic nearly 400000

people have died there from culver 19 investigation could be damaging for president abbas and narrow as if their past to seek reelection next year somalia's president mohammed up to life on my show has agreed not to extend this time amid domestic and international pressure he made the announcement after the prime minister said he was against the proposed 2 year extension and the could go to the one of the federal government of somalia has always believed in still sees dialogue compromise negotiation and the return to the discussion table as the only viable options. are finally all security agencies to maintain the stability of the capital and the safety of innocent civilians avoiding any actions that may lead to insecurity i also urge the somali people to support the armed forces in this regard . at least 5 people have been killed and dozens wounded in chad during protests against

a new military transitional council demonstrators are demanding every turn to civilian rule after the military took charge last week following the sudden death of president idriss deby people burned ties in the streets and were dispersed by security forces using tear gas protesters have returned to the streets of elisabeth in the u.s. state of north carolina they're calling for justice for andrew brown jr who was shot dead by police during an attempted addressed last week is and he says he was no threat to offices and was trying to flee the f.b.i. has opened a federal civil rights investigation into the killing. and a u.s. military ship has fired warning shots at even in naval vessels in the persian gulf washington says the boats came within 62 meters of the u.s.s. firebolt it calms us talks continue on bringing the u.s. and tehran back into the 2015 nuclear deal you're up to date with the headlines on al-jazeera coming up next year the stream. frank assessments are

a lot of poison but the government wants one exactly how and one measure of their thinking for this situation might not be ever again and in-depth analysis of the day it's global headlines inside story on al-jazeera. i am femi oke a today on the stream philippe no nurses on the front lines of code 8 we find out why one group of nurses have died from the quota virus in greater numbers than their coworkers i know you have questions this is a mystery that has multiple audiences jump into the you cheap comment section and you too can be part of today's show we start with a tribute from one of the largest nurses unions in the united states take a look. filipino nurses and other foreign trained health workers are very much the unsung heroes of health care delivery. and there are so many

hospitals and health care institutions that would not be able to run efficiently and effectively without the work of filipino nurse migrants. we have got to delve into the life the work and some of the challenges of being in the filipino community we have sunny we've janina of rose and thank you for being on the stream and to get you to introduce yourself to out audience sunny go ahead tell us who you are what you're doing thanks so much for having me 1st i read a couple had i'm a clinician i'm a pediatric nurse practitioner but i'm also a ph d. prepared nurse scientist and professor at villanova university where i teach health policy research and pediatrics good to have you do need to tell our audience who you are what you do. so i'm zinni i am a proud filipino immigrant i migrated here when i was 19 with my family and i have

been an i.c.u. nurse for about 6 years now and i work in a corridor i.c.u. in the top hospital in your city nice to have you raise our welcome to the stream introduce yourself to the stream of us. thank you so much for having me here similar to sunny i what i wear a bunch of different hats. operating room nurse for about 9 years i'm also a proud filipino immigrant and i have also been documenting a bunch of of filipino nursing families who are dependent make a freelance documentary photographer all right so i'm going to get it all if you'll take on this because a more little one outside but i want to start sunny refute there's a statistic that is a shocking statistic for filipino nurses and covert casualties and covert deaths covert infections can you hit us with that statistic because it is huge and it will make everybody stop doing what they're doing and watch the t.v.

or their screens. i think the 1st thing people have to know is that filipino nurses make up 4 percent of the total registered nurse in population in the united states however when it comes to kobe they've suffered one 3rd of the casualties that have been experienced by registered nurses in the u.s. this may be due to a couple of things 1st of all filipino nurses disproportionately work in really highly acute areas like intensive care for instance also there are also employed sometimes in areas such as long term care facilities which are not as acute but a really great vectors as we know for the kobe virus. i'm just looking to pick just a few working on my laptop here and that statistic how did you find out about it and then how did you experience it so the small number of relative

small number of filipino nurses working the u.s. health care system and then the large number who were impacted by cove it. so i personally experienced that. when you know when york city was 1st hit by the penn demick. and the 1st search happen in your city and you were admitting very sick he said and i see you. and that number is just really alarming for me i actually didn't know about it till just recently. but also i think it's very important you know it that you know even before the penned that make filipinos for ready experiencing poverty and you know multigenerational and multiply. multifamily households and you know. there's there's already inequality and i think that in the qualities was just

exacerbated by quite a bit 19 when you talk about inequality and poverty expanse poverty if i say why that is such a giant question would be half a for have yeah but if you could sort of pinpoint why in particular some filipinos would be living in a difficult situation can you do that. my monthly take that if it's real to you stuff and then decided to pick up. sure. so. inequality because i think there chisel are of filipino nurses that work in densely populated urban areas like new york city and los angeles right so and the fact that we were it areas where it just like high exposures like the ice you lose the eat the sick son he said you know we're already. we're already at a higher risk of you know that i cope so sunny go ahead so i think another really

important thing is that code sort of highlights an issue that's really at the forefront of a lot of things that are happening in terms of legislation right now that's specific to immigration so high proportion you know filipino nurses are immigrating from the philippines for many many reasons and they are the solution to health care staffing shortages in a bunch of countries not just the u.s. but canada are in germany u.k. australia finland and the u.a.e. and so because filipino nurses that basic sort of human capital that's coming from the philippines the highly qualified and trained human capital it's coming from the philippines is coming to help us with our staffing shortages in us that's one of the reasons why they experience poverty when they arrive because when you knew you're really just trying to get settled and you don't really have a lot while you're trying to get on your feet during comit

a lot of things happened there were there were a lot of solutions that hospitals tried to use to mitigate the staffing shortages using our domestically trained nurses and by that i mean nurses educate in the united states we tried unlicensed nurse interns who cared for covert 1000 patients we try to learn nurses and doctors who were already retired to come back to us to try and practice but in that sense we also relied on this immigrant nursing workforce that either has been here for a long. long time or was recruited to come here to help us resolve some of our staffing solutions in that period and that's why there may be poverty experienced by the filipino community even before the pandemic i want to play a little comment this is from melissa we are really so why would more filipino nurses be dying than their coworkers at exactly the same time working in the same conditions and this is what she told us i would love for you to react and then give

us your take to he she is i think it really comes down to the barrio to bedside pipeline that is deeply rooted in u.s. imperialism and colonialism in the philippines a recent study by jennifer nazareth know of the brown university filipino health initiative done that instead of addressing insufficient staffing and unsafe working conditions in the u.s. for decades policy has led to an exodus of mainly white our ends from the acute in-patient an i.c.u. settings and has led to the direct recruitment of immigrant labor primarily filipino of these crucial roles that now have a ever dangerous and life threatening role in cope at 19. go ahead. there is just really a lot of things to unpack from her state man her really powerful statement to start off i feel there is really historical ties to what brought to philip you know

nursing the asper here and in the united states. american colonialism had established the nursing profession to be what it is what it is now in the philippines and in turn have to have prepared many filipinos nurses to be nurses in america instead of their home country so as so over the years as more and more shortages have happened through different pandemics and its different health crisis as filipino nurses have answered that call. for which really goes back to what she was saying as as more white nurses leave the field and create this demand filipino nurses really fill in those gaps and as mentioned earlier it's usually an acute settings in really high populated areas like new york city and culturally a lot of filipino nurses also live in in the east multigenerational household like

janine had mentioned earlier. so all of these different factors coupled with health. help disparities as well a lot of filipino communities have high rates of diabetes or heart disease and all of these risk factors really are compounding each other to make the community really be hit hard by that 1000 that he's i want you to respond to some of the comments on each of you don't have to agree with them but i am really intrigued by your reaction. from you chief. filipinos will do jobs that people here in the united states complain or won't take that is direct and pretty brutal you know for us i think there's some accuracy in that for sure i think a lot of the family so photographed or are working 60 hours

a week or 2 full time jobs sometimes even 3 jobs just to provide for their family and they're not necessarily people who would complain about work conditions because they really feel strongly about caring for their patients and caring for their family soul i've also met some. people who have. paid the price for it. the pub the whole family of her cheryl about how she lost both of her parents to cope with 19 very early in the pandemic and that was because. her father did not have personal protective equipment to protect him while transporting equal than 1000 patients and that's something that he wasn't empowered and not to feel that he could refuse because he really wanted to care for his speech and at that time in a i feel like many people were really placed in difficult situations especially in

the beginning of the pandemic when there was such a shortage to protect yourself roseanne i'm just looking at your your photo series here asper on the front lines took us through some of these pictures i'm just about to click from here this family. this is the bad gun family that's elizabeth grace and ernest and that's her firstborn child and both of them are nurses ernest on the right here he works in the by a containment unit so he he had seen patients essentially die every day and this is the gun here he works night shift at a telemetry unit and he tends to also volunteered to take care of patients on his on his unit and that's him resting on his day and you feel bad you feel that pain when you're so tired it hurts some people when i you tube comment section

jeanine are just saying this is all about racism this is all it is we're in the united states the institutions of racist this is racism respond. so like what i said earlier there was already some level of inequality there was just exacerbated by the cold midnight and i think we should just continue these conversations but because it's actually really important to be able to talk about it and be able as a filipino be able to speak my personal experiences about it and just you know i think it's true there are some level of inequality maybe raises so we don't know at this point but do you honestly honestly not know you just finger very cautious about not corning in god we are in america right now we are in america in 2021 are

you paying careful because you still have to go back to work. saying health institutions in the united states could do so much better for their filipino nurses it's ok if you want to get that question to study right do a. study take it. so one thing you think that's really important to remember and i think touches on the experiences of on there says that are here is that it's not easy to come to the united states when you come to the united states you are a highly trained person that has a baccalaureate degree you in order to practice as a registered nurse in the united states you also have to pass an english language exam you need to have that education evaluated to make sure it's a saying or at least equivalent to an american education and you also have to pass a board exam what's not expected when people come here and just as

a footnote i'm also an immigrant but i immigrated from canada so when i check that box i check an immigrant and i also check filipino but the perception is a little bit different but understanding that you know people p. . people who get care from a filipino nurse are getting care from an individual who has been trained to care for them who has had an education equivalent to what we've had in the united states and this idea of inequality in terms of education and language and culture is really a huge barrier to sort of resolving a lot of the things that you're seeing there in the chat and also by my colleagues that are here with me and one of the things that we could do so much better is to one understand that we're recruiting people to come work with us not for a spot with us alongside us here in the united states and we could do so much better by helping them in culture at themselves in the u.s.

but also within health care facilities where both providers aren't really necessarily culturally competent to understand what the immigrant nurse does because for so long there's been so many other names that have been attributed to immigrant nurses or nurses that just don't look like what we expect or wait such as for an educated nurse. you know internationally educated nurse which are basically euphemisms for nurses that haven't come from here and that's where we can you know we can really make a great improvement you know on may 11th there's going to be this very important document released from the national academy of medical sciences here in the us so when that when that report gets released it's going to be the future of nursing report 2030 i will be so interested to know in that report which is focused on health equity if anything is in there that really focuses on how we can make the

experience of nurses coming to this country better so we can work together was what you want to add i can tell that you have something extra to jump into the conversation go ahead. i think just kind of jumping in on that conversation and one of the things i discovered throughout this journey of documenting a lot of filipino nursing families is there are recruitment agencies who who put the who play the middle middle man role in recruiting these nurses from the philippines and one of the nurses i i had documented. she learned that this company is taking a significant chunk of her salary for the 1st 3 years and that that also speaks to the poverty issue the just men period of immigration and all this inequality is that really come into play to make you disadvantage right from the get go when you're just trying to better your life and also provide care for people around you

bob obliques time is in our you chief comments right now hi there barbara thank you for having us thank you being part of the show and a barber says thank you for covering this critically important issue the public needs to understand how important filipino nurses are to the health of the public and their role in the health care system and star thing i want to go back to the reason why we started this conversation and bring in emerson because emerson is trying to unpack why or when so many medical professionals were on the frontline why filipino nurses in particular face extra danger have a listen have a look. a significant number of filipino registered nurses were in acute in critical care areas that include the intensive care unit and emergency department which may place and they were exposed or vulnerable to the effects of the new coronavirus filipinos have disproportionate read some chronic illness such as by

the knees and hypertension when compared with other asian american subgroups these conditions have been associated with the severity of come in 1900 dirhams including deaths many of these filipino registered nurses maybe burdened by these chronic disease states did i remember in the u.k. . during the early days of the pandemic the national health service discovered that people of color who were in the medical profession what dying going to numbers that . because they took them off the front lines they made sure that they were safe as much as they possibly could be what has changed for filipino nurses now that we've got this information that we know that you have added risk you'll still work and what's different now. but i think it can be i

think. not like there. are some more we're just we just have more information and more knowledge about what we're dealing with. compared to when we 1st started last you know last year. so it's like the vaccine now and although we have more p.p. east now which is good so i don't think there is much there prince but i one thing i learned from this though is i have more appreciation and i feel more proud of it being a front line worker and philip you know a nurse. rasm what's different now. i would have got at cole what janine said that at my job there hasn't really been much difference i feel that i am the person who has been telling the statistics to

everyone i know. but it hasn't really shaken any kind of change is not that i also kind of don't really know how to move forward from here knowing knowing these really astounding numbers are you scared that you more scared now that you've got the information i leaned on that i'm not more scared i kind of more angry and i think that's really why i'm pushing for a lot of awareness on this topic i think not just what is happening now i also want people to have an understanding will what happened in the past that brought us here to really have this deeper understanding of this filipino nursing they are spread out were not just people who are dying we're not just a to stakes there are people's lives here that are really all. and i want people to also get to know that piece i want to bring in one more thought and this is from

butch to castro and it's really about taking action once we know this information how do we act upon it have a listen to poach. health care organizations most critically examine those factors in decisions that create working conditions that increase filipino nurses occupational exposure to coding side just about the personal protective equipment it's made available to them but it's also what are some units they're primarily employed in what patients their routine lee assigned to. shift their typically given how many hours are made to work and bigger question that needs to be asked is how institutional discrimination may be influencing these determinations. does unjustly subtracting them as nurses of color to disproportionate risk of code related illness and death. so

what would you suggest that we now do with this information not just for the peano nurses but the public as well what next. you know cobra has taught us many things. you know we put a lot of things in place that have helped us to just get through those pandemic and some of them have been really brilliant but what we really have to understand is that these changes that we're making through this discovery discussion are going to make things better for everybody and i think it's a it's a really important one to sort of make sure that everybody is staffed appropriately to to make sure that we have the equipment that we need in order to protect us but also really make conscious decisions about how nursing staff is being distributed and used you know nursing is a really tough jobs and when you're working at the front lines of coded these are

areas and situations that we've never been exposed to so it's important for us to work together to make this whole year something that's really meaningful but also something that kerry insults through our post cold world we need to really figure out a better way to be stronger in a nursing workforce so that we can both balance the needs of you know nurses like janine right at the front line in my nurses in the o.r. like roads together sonny dineen thank you very much for taking part in our conversation today about filipino nurses and how they're being disproportionately impacted by covert the neko workers thank you chivas for your comments and questions i have a feeling there are a few nurses in the u.t.v. comments thank you for that and then we send you to one more place here this is can this will tell you about the filipino nurses the tradition in the united states and also show you some of the extraordinary people who we lost over the past year

thanks for watching this train see you next time. may own and that is there. from a 3rd wave to the vaccine rollout the latest developments as the coronavirus pandemic continues to spread around the world out there is emmy award winning investigative program is back exploring the folk lines in the u.s. . 15 years since last elect a new leaders palestinians go to the polls but will the elections be free from foreign interference from hostile to hostile more hotels explodes geopolitical conflicts from the perspective of iconic hotels on the frontlines and former south african president jacob zuma goes on trial for corruption. may on al-jazeera. if the political debates show that challenging the way you think i want to know

where you're to stand on cancer culture decreasing the range of ideas that can be heard from international politics to the global pandemic and everything in between tech companies are the ones with all the power what do we do what's the solution or get organized and what are world leaders or governments missing thread talking about targets like 2040 we're trying to talk of right now up front with me marc lamont hill on al-jazeera vaccines a promising paul thought of the pandemic but implementing the greatest inoculation in history is testing the global community around the world already a clear gap as the match between rich nations and poor ones when it comes to vaccinating their populations from the geopolitics to the pure economics the misinformation and the latest developments what's going on here is very different 1st stop the facts incomes in the form of the nasal spray special coverage of the coronavirus pandemic are not just.

be the hero the world needs right now. the. the. india's battle to bury its dead as it struggles with a record number of covert 19 infections. i'm fully back to watching al jazeera live from doha also ahead somalia's president decides not to extend his term by 2 years after protests and calls for early elections to ease tensions. it is demanding.