and they did not even have the chance to speak with a doctor. so that is the, the situation here. the number has concerning as they are. some local data agencies say that the government numbers are very much an under estimate. and by their estimates, the confirmed death toll which as the government states, it is around $70000.00 by their estimates, the death toll is actually around 5 times higher. ah, i look at the main stories now in lebanon. the prime minister designate says he stepping aside off again, failing to form a new cabinet sadala, hurry announced his resignation. after meeting the president michel own saying it was clear they couldn't agree. lebanon hasn't had a functioning government for 9 months. compounding its financial and economic crisis, the currency is lost more than 90 percent of its value since late 2019. that's not

res. i met with the president and he demanded what i deem as substantial change to the formation of the government. we also discussed other issues and it became clear that we will not be able to reach an agreement. i suggested to the president if he needed more time to consider my proposal, but he saw no prospect for agreement. for these reasons, i stepped down as i will not be able to form the government. after hours of negotiations, the afghan taliban and the pakistani government of agreed to re open one of the main border crossings to allow stranded people to pass through. the taliban captured the spin boulder crossing on wednesday. this is gone down the 2nd busiest entry point and it connects its vall, south west with pakistani ports, and the province of pollution on at least 42 people have died in germany and dozens and missing as flooded rivers sweep through towns and villages across west, from europe, hundreds of german soldiers and thousands of relief work because i've been helping

police with the rescue efforts. at least 2 others have been killed in belgium as rack or rainfall drenched the region, destroying houses and leaving people stranded on rooftops, sneeze from syria where i search and rescue group is saying that government as strike is killed if 9 civilians that include 3 children, volunteers from the white helmets has been taken to the rubble in england, a town in southern. the strike followed an attack on the town of food which killed another 6 civilians. white helmet, sorry, the government is shelling again, rebels in it live despite c 5, which was broken by turkey and russia last year. so those are the headlines this how the stream is coming out next, looking at how south africa is coping with its 3rd wave of the corona virus. ah,

ah ah ah hi, i'm semi okay and you're watching the stream on this episode. we are talking about south africa, the 3rd covered wave sweeping the country. and this week, protests of riots are to an additional challenge for medical staff already under pressure, trying to tackle the highly infectious delta of variance. we intended to open on the, on friday, the 24th of june. and when we saw the situation in the hospitals and how full things were getting, we were forced to open on the thursday the night before. ever since then, it's been one bit gets get in. the next patient comes in. we time prioritize

resources in which i need. sure. so we even turn around once a patient is discharged, the way the bed room gets clean and gets back for the next patient is done within an hour. but that's because it's a saturday and need for beds and for treatment and oxygen joining the show today to talk about a covey crisis in south africa, dr. linda gal dotty aca, don't to, and doctors, it's great to have you. i wish it was under better circumstances. doctor linda gal, welcome back to the stream. please tell audience and remind them who you are. i want you day. they said me and the director of the day's min teacher at the same time a clinical trial is research based here in south africa, most recently involved in quite a lot of the covered vaccine research get to happy thought the lack of introduce yourself to the stream audience? yes, i'm a family practitioners treating lot of covered patients and the frontline,

emotionally volunteer medical directive of give the give us doing lots of support work with patients and working networks with other n joe's and have done some vaccine child work for private vaccine child center. thanks for being with us. and dr. dr. owen, welcome to the stream. please introduce yourself. try international viewers from dr . o. in carla. dublin representative to south africa and my weight was trading. what was around supporting the government efforts in public health in general. but this time, particularly focusing on covered 90 response surveys. you know, when we have 3 doctors on the street, we can only be talking about cove at 19. they are here at your disposal. they are ready to answer your questions about the delta variance about cov, in 1900, about 2nd ways, thirds weight, whatever you want to know, they will answer it right here. put your questions in the comment section. be part of today's show, dr. young. let me start with you festival. this. this 3rd wife for south africa.

you are dealing with you on the front light. can you give us an example of what your days are? like? holidays are not the day. it's actually the day in the night. if you really think about it, you try and squeeze in a bit of sleep at the end of your shift. i'm in private practice. but as i mentioned, i'm part of some various dr. covert groups, which we set up in the 1st wave. so the days a long day, you don't know where you can encounter your practice and how many covert patients will be coming. we see patients from various spectrums of the economic economy. so those that can afford a covert test, those that cannot, and i want to put the context into that because most of the patients and there's a term that's bandied around, p u i with the patient and the investigation will meet certain criteria as a suspected positive covert case, but they need to be tested. so those who can afford some private facility to test

themselves, those are the ones that will present to the symptoms. we will test them to be easy, but the challenges for those patients that i see some of my clinics is the ones that cannot afford the test in a hesitant and need to go to govern facility. some of them will go there. some are reluctant because of the cues, and the fact that the, the not positive, they feel they may get infected and out too. so that's how it start. we investigate them. you'll get the results coming. they have to go home and isolate until the results come back. we have to check the size of the family. if to get a more comprehensive assessment of the patient than you normally do. when the results come back, we have to be quite vigilant as to who's positive we could have been a false positive for, i mean a false negative rather who may need to be seen again. those that have positive then these a whole protocol of management, which didn't actually takes a quite

a different cause. some live mild disease. either will have moderate live, severe, and you've got to your inflammatory marcus wanted to then get the oxygen levels monitors been sent to you every day. so we have a group of doctors in my clinics and kind of them. i'm hearing the importance of the detail of treatment, but if everyone getting this kind of treatment not to go, no because you got to this south 3 like rich people's treatment. oh no. so basically that that's i tried to differentiate. i'm, i mentioned those at goes to the state clinic, right? it will not get that kind of private treatment. so they will go to the state clinic, but we in our group we will try and follow them up as much as possible to have protocols in place for them. you call me back when you get sick. the minutes you do the symptomatic li or will call you on day 7, or you call us back. we will decide whether you can get her into a government facility. so i was getting to the point when they starting to turn was

when the danger signs coming up in the 2nd week or 3, call it fight to kind storm. that's the danger and you see it. ok, we'll find a bid for them. can they be managed at home, which a patient that you spoke about? yes, we can manage to some degree as you had interviewed somebody in the and you said that i know the set up some facilities. so they to take the burden off the hospital . ok. but your pride but your pride that your poor patient, the majority of them, i think we missing them, they're not getting that access. and while i'm near big metro center like joanna speaking, how thing that those are the out in the rural areas. they have very little excess, so we don't know how many we missing that we not testing. we don't know how many that are tested positive are not getting the follow up kids. and so we don't normally we losing. and so we don't really have a clue of actually the actual spectrum of the damage the desires is causing. we have statistics, we have the figures that have, let me have a conversation with dr. linda go. if i may, i will come back to you through the into gal visual delta. very. we were ready for

we knew, let's say, let me, let me rephrase this. we knew that would be variance, but was south africa ready for the delta variance? what's the damage being done right now? yeah, so send me, i think the be to very and which of course will famous. the thought to come out of south africa. you know that cortes quite by store. you know, i think particularly because they was the recognition that this was far more transmissible and sprayed so quickly and really contributed to an extraordinary 2nd way. now we didn't know there was this delta variant occurring in other countries. in particular, india, we saw the devastation in india in many respects, i guess it was, we knew it was just a matter of time. and so mid april, we started to feel like there was a change in the epidemic. there was just

a st that the disease look slightly different. many people were getting infected. we recognized the 3rd wave was coming and of course that was the delta way. yes. i'm going to bring in here an additional voice that does he have. so when he got on the show, should be muggy, talked a little bit earlier, and about the preparedness of south africa for multiple ways, 51. this is what he told us that the avalanche avalon unfortunately contributing to the number of cases has been experience in the country. it's a consequence. jessica, having left behind when it comes to the overtime conflict, seen and particularly to high risk individual. yes. today, just over 50 percent of people about the age of 60 of conflict unaided. but the overall population left and 7 percent of individual received a piece, a single dose. in addition to each planning. but the god to ensuring that our

health care facilities were adequately equipped for a resurgence of this magnitude to in the number of childcare facility has been completely overwhelmed. and there been inadequate numbers in many senses, to ensure adequate care of individuals that are being asked mr. to cover 19 doctor owing that that doctor mattie said and talked about being overwhelmed as the representative of the w h. o. in south africa you all there to help support the health ministry of south africa. why would another adult to say that the health system was being overwhelmed? are you seeing that too? yes. festival. let me say that the indeed the data variant is really spreading quite a lot and he does become the dominant variant about his driving the same with but we have good provincial differences the, the, the, the biggest ups h we,

the video and of course is, is in house team, they have the progress is also increasing. but at this row at 8 and i have not reached yet the state where our team has reached. ah, indeed you now take, there has been as easy hit 15 as being overwhelmed in terms of the number of patients required in care. this situation was most oh, of course we did of 8 and coming in which is either transmissible. this situation is as a result of that, by just to comment on the issue of via the vaccines as well. yes, it has been a delay in terms of the the out of the vaccine. unfortunately, few a few challenges with the bitter variant area on when some of the local studies had indicated that the as in eco, i was not as, as was,

was not as protective. i was, if or if he cases, i guess the bit of a didn't, didn't really work well. we did it, it was the astrazeneca vaccines didn't really work on, on the very of, over the south africans were, were experiencing at that time. so that put you put south africa back, that was a blow i totally galka had yeah, definitely. i think say me, we, you know, we took that blow on the chin. we had, you know, 1000000 vaccines ready to go, particularly for our frontline, how k work is in said me, i had dated to show that they would, this was not as effective against the beach variant. and so at that point, we took the decision to roll out jane j single dose, which we did have some day to run for health care workers. but we have been on the back foot for acquisition of, of covet 19 vaccines. and we should've been in

a better position before the 3rd wave we knew it was coming. and unfortunately we're behind in terms of vaccinating should be a said. the commodity said less than 7 percent. i think it's around 3 point something by the name of the population has been vaccinated so far. so we have a long way to really long way to go. i'm going to put this thought to you from youtube. if i may, on youtube, are audience what you're right now. a wondering, as they're watching on al jazeera, the news of riots protests that wondering if those gatherings are they going to be super sweaters, dr. yak up your thoughts? yes, most definitely. there would be superstring, as i mean, we've had of the steady event before in our country. and this is like a, i mean, if somebody's put it on social media that the virus miss smiling at these events because you've got a life opportunity and doesn't have to do much work. so this is just adding. so

besides the, the comments paid by respected colleagues does rice opportunity for the virus to spit and coming back to the point that other mutations with most definitely occur if we do not continue. or rather to our best to try and curb these kinds of things . because mutations can take place in many scenarios, and with the vaccine are so far beyond the mobile patients. there's more the vaccines that can cope with it. so we, we like in a melting pot here. we don't know, and i would, the perfect storm is just not correct. and the scenario painted earliest to a doctor's day's work. what are the hospital days and what the health care workers are going on a daily basis. and now some of the health care workers have been looted in right that so there's less health facilities. less mentioned a lot, just what transport is it getting? i would like to i would like to share that with you very tiny took video. it didn't take it for us. you took video of 150 for you. yeah. yeah. you probably see it for

the insurance. so it's company. but you know, it wasn't for me, it wasn't for me just from a colleague that just sent to us. let's, let's pretty, pretty tell us what we're going to play the video right now, because we talk about the rights and the protests we're talking about with delta vary and how to infectious. let's play the video was show it, and then talk a through, what are we seeing? got a can see the video. well, you sent it to i say the one where i'll tell you. yeah, i'm going. i'm seeing moving around. i'm empty draws things on the floor to tell us what happened. it's your office, you know what happened there? yeah, i like, like i said, is my mouth is just my colleagues. so that's what happened to him. this is a fact isn't causal in the tell and this is exactly what's happening. they were getting looted the broken in the middle of the night. and that's the, the,

the scenario that took place there. but things came through the broke through the next morning. the doctor was given the information in a no go area, couldn't visit. there was good pictures by the stuff that went there and to see it had been completely ransacked. i'm say me, we seeing this, this happening all around the country, particularly as young had say, didn't a, and they have, you know, cause you and how ting areas where, you know, distressingly clinical facilities are being deleted. and this is obviously the very worst thing that could happen at this time. and vaccine seemed to have had to close down, which of course is the worst scenario for where we are in terms of the curve at 19 said way. i think so. so just to come in for me in did this as a brought it much back in terms of the dispos took of it. but just to i don't,

it's also affected essential health care services because that's our victims. even those that have to take up the fuse for diseases like h, i v like d, b. so the, the essential services of health care services that are supposed to be provided have also been affected. and then in addition to that, the livelihoods of the people and those will also be affected. so not only is it putting people at risk in terms of, of it in terms of b superscript, but also in terms of the very ability to be able to take care of people. and what if you increase if he's ever ability, in terms of them not being able to have a job or last week, this is a mix. the impact of coffee eat much harder on the affected community present or i'm opposed. spoke about the impact like you to you,

3 dots is all of the impact on trying to tackle with delta, very up right now in south africa. and what the riots is and the protesters, the impact that they're having on that aim. this is him from just a day or 2 ago. this, the president poses, are sick, cannot get medication from pharmacies, food does not reach supermarket shelves and health workers cannot go to work. our vaccination program has been severely disrupted, just as it is gaining momentum. i want to show this tweet that was sent to us from you nathi claudser and she talks about the de coney and knocked down regulations exasperated a crisis south africa has been grappling with for years. the rate of unemployment has been the cause of anti investment of race based policies that the government is

determined to embrace is a political angle that to her, to her tweet. but what people are saying when i've been watching those interviews of right isn't protesters on the streets, is that they are poor, and they have had enough. and then there's coven 19 as well. they can't work that businesses have been impacted a life is impacted. it's just layer upon layer upon layer of disaster thought to leave the go. yeah, i think stay me, you right. i have the sense that we're sitting on a powder cake. you know, and, and there's no doubt that the country is, as we say in south africa. yeah. hurtful. which means, you know, we kind of had enough and, and unfortunately, you know, whilst we have on the one hand, a how system met, overwhelmed in the government doing what they can to try and contain, through npi the restrictions,

the lockdown did cetera. this is just fueling that seems of lack of control, lack of ability to have an impact on their own destinies. and i think this is what to realize, you know, resulting in people feeling out of control and, and adding to the anarchy that we see. if we go back to the health, i say there is a way, there is a way out of it and, and it's vaccines. it's like, how fast can you get? got africans vaccinated. this is vicky. she is a researcher, and she go to a little bit early about vaccines and rolling out the vaccines and where south africa is right now, have a listen to have a look. i think it's definitely some vaccine hesitancy in south africa. however, now that we have the vaccine here, i think it is definitely reduced. so i think right now on the machine, i say it is a stock availability, but our infrastructure that's available to that garage next. and

a people to the most likely have to move that seem to seem daily. however, currenty, unfortunately with the rights that are happening in south africa at the moment that has really reduce the number of sd and science available all the way down to a seen massive reductions. and the number of estimates the every day the yucca, what difference because they make to your, your patient care. it will make a huge difference because obviously that change the cornerstone to try and control the panoramic. but just to comment on the video that we've had colleagues of applied to be vaccine centers to meet the requirements and surely are far more vaccine center can be set up. and the number of dr. grouping's in is it is independent and practitioner organizations are willing to become vaccine centers, but them sure. regulations and rules to set up the vaccine said there's a plea, but a lot of us have been involved in clinical trials before. we've given vaccines for

years in our practices, a child who fixing an ongoing travel vaccines. but again, there's just too much bureaucracy in our country. and even the previous argument about layer upon the you can understand it. we just don't have ourselves. we just make things a lot more difficult and i think he should be loosened up. this should be a lot more collaboration between private and public so that we can really get this thing going much faster. and everybody's keen, i mean, from the 1st day, from over a week, them 1 march 26. last year the health care workers have been at the forefront not only in terms of working the private practices, but they're willing to give all the time. but this just hasn't been enough. coming back from the bureau. bureaucracy is just been re. but if dr. when you have the end of the health ministry, can you cut down the oxy? well yeah. i know that not to be

a no doctor shifting uncomfortably and he said no, that is not possible. i know that the, the, the, the department of health is waking quite a lot towards speeding up the whole process logins as to what does that mean issue . i mean, how, how far, let me, let me it about it. okay. looking, 1st of all, at ensuring that their adequate vaccines to be able to be road out. secondary looking at the, the ensuring that they built the, the, the, the demand to be able to speed up even to get people accepted. that's why they're even opening up nowadays. that people who can even walking who have been registered to walking, to get their vaccinations. but also trying to build the system to increase of sites for vaccinations. so the more vaccine could be could be provided at the

moment. or do they have opened up the vaccination to, to those where at least to the registration to those well 55 to 49 having already started the 50 and above. so yes, the, the, the, the process should be faster because we'll have much of the impact if we do speed up as the vaccination. maybe for this particular wave. we might not experience the benefit of having rode out to the faxing. but we know we as all come you very on super, but you may or may develop the 4th wave. so we did it. there will be a 4th way we do. yeah. i've learned from all of your different doctors that have been on the stream of the past 16 months is there will be another way i want to ask you right now, and it's a yes or no one called a question, dr. o and how optimistic are you right now about vaccines being rolled out across

south africa? one word i'm reasonably optimistic that if we knew have vaccine supplies. if, if, if you're on the 9th, how optimistic all is right now. i'm not optimistic because it's not the only if the doctor over there with judy specter is talking about the historically and now the process is just too slow and i can't see anything working at this rate. the tired, i'm not up to your candle, doctor linda gal. we need vaccines. that's the main constraint. we need the vaccines to come into country and you know that that's. that's really the biggest ask. yeah. daughter, thank you so much talk to linda gower, dr. jack of dr. owing, appreciate you being on the street today and shania expertise about the closing 19 delta variance in south africa and the impact that he's having that's watching

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story, we are your voice. you knew your net back out here. ah . oh i marian was in and, and our main story this hour and i've been in the prime minister designate says he is stepping aside after again failing to form a new cabinet saddle. harry's resignation pushes the country further into turmoil. it hasn't had a functioning government for 9 months compounding its existing financial and economic problems. they know how to reports now from the lebanese capital bay route along political struggle has just become more difficult to resolve. lebanon's primary.