tourism following sub orbital flights in july by billionaires richard branson and amazon founder jeff bezos, space ex, owned by yet another billionaire ilan mosque is one of the leading companies planning for a lucrative mass market in space tourism over the coming decades. rob reynolds al jazeera, we can do that, ah tough. a quick check of the headlines on our to 0, the us australia and the u. k. have announced a new indo pacific security alliance athena, their strategy to counsel china's influence in the region. the orchestra lines involved corporation in cyber and underwater defense. australia also gets new nuclear power submarines with american and british help. august will bring together our sailors, our scientists, and our industries maintain and expand our engine,

military capabilities and critical technology such as cyber artificial intelligence, quantum technologies, and undersea domains. now as the key project under archive, we are launching consultations with australia acquisition of conventionally our nuclear powered submarines. more details are emerging about wednesdays. miss our launch by north korea state media say a new train mounted massage system was tested. south korea report that its own test just hours later, and a sign of escalating tension. the government of the philippines says it will not cooperate with an investigation by the international criminal court into its so called war on drugs. the icpc for the inquiry into president detective campaign on wednesday, prosecutors will look into claims of human rights abuses. thousands of people have been killed during anti drug operations. an upgrade construct southwest china killing at least 2 people be shallow magnitude 6 trema hips, fish,

one province. local media say hundreds of homes were destroyed. emergency crews have been sent to the area. i've kind of phone's acting deputy prime minister has denied reports. he was hurting the class with a rival faction in a video released by the taliban. i'll be gone by dawn said he's safe and well, it follows days of rumors. that supporters about a clash with members of the connie network and taliban affiliated group faced never pakistan. border department, i can help organizations says corona virus infections of surge by 20 percent across the americas. in the past week cases rose by a 3rd across the united states, and canada, average daddy, dest told him, the us, that its highest the peak of the crisis in winter. well, those were the headlines, and he's continued 0 now to 0 after the stream. thanks. thanks for watching the, how many nukes there's too many new america has in many ways driven the arms race

parties are much more like the british parties. now, there are fewer regulations to own a tiger than there are to own a dog. how can this be happening? we take on us politics and i see and that's the bottom line. ah, i am josh rushing in for for me. ok, and you are in the stream. is afghanistan's health care system on the verge of collapse. but 1st, look, if you're to an extent you to be sure to chime in what you see is over here. ok, share your comments, your questions, and we'll try to address them during our live discussion. now here's the situation . international aid. money needed to keep the health care system going has been held up because of the taliban international designation. as a terrorist group, al jazeera is charles trappers recently filed this devastating report. after visiting the country's largest public hospital massage had to travel 12 hours with

his sick mother to this cobble hospital to get the life saving diana's treatment she needs if she isn't treated every couple of days, dr. saying she could die within 2 weeks long. the fact that you're going to several people are living in poverty. the situation is bad. patients need dialysis and treatment. if they don't get it on the foreign aid stop. and if people can't afford the treatment, it's going to be very difficult. this is the largest public hospital and i've gone histone. the dialysis department is mainly funded by the world bank along with money from the previous government. but hospital staff say they haven't seen any cash for 3 months. they call by vital equipment and medicine and they lost received their salaries in may and joining us to discuss what can be done to avert a disaster and cobbled doctor why he was sure. he's the country's acting health minister in paris. he was the mud. she's

a former deputy minister of public health for afghanistan and in cairo, dr. richard brennan. he's a regional emergency director for the world health organization whose jurisdiction covers afghanistan. welcome, everybody, doctors are. i'd like to begin with you. you are the acting minister of public health before the transition from the us back government and cobbled to now taliban control. so i'm curious from you. what was the plan for ask in health care system by the us and by the government and cobble after the us announced that they were leaving thank you very much. the withdrawal and the transition happened just out of the there the way it was expected. it did not give the opportunity for health system specifically

in the context where the last few months of the last regime was fully stay focused on fighting and ongoing conflict in 34 provinces. and i should say, i should say that even those in, during those days, the ministry of public health and the health sector was one of those sectors deprived of require inputs and resources needed in those adapt phase of the operation. and as you, as you readily say in your report, we have our staff members was not received the challenges for last week, 5 months. which, which shows that the, the extent of the delay in the challenge goes beyond the last 3 or 4 weeks. so can you eliminate why, why they haven't received their pay for the last 3 or 4 months when the taliban over to only took over a month ago? i said the focus, the major focus on the form of government. last few months of the

system was full on conflict is the money to the minister of defense ministry, intruder affairs and the mid term budget review which had to happen in the last month unfortunately, was delayed to do the on bringing the escalating conflicts in the country but so i stepped the change in the contract with the implementing partners in different finances and we're obviously, of the government as well as the bank was another factor, delaying the process of contracts to be signed with the different deals, the challenge which we are now in today is a multi dimensional which are some different factors, but the main topic was, was and then the, the conflict in the emergency which escalated in a way that was not rejected by any national, international role play or in the country. and yeah,

but i can't believe it wasn't at least one of the possibilities that was being considered. i mean, i'm sure they hope that it wasn't going to happen this way. i'm sure they hoped it was going to happen as fast. but they had to say, what if, what if the taliban roles in before the u. s. is even out of here, and in that case the, well, i don't know when were you, when did you leave a couple de la i left coral on the day of the phone. it was a terrible experience i was working on prior to leaving. got gone. it's gone, i was working at pfizer, remove, i was providing technical help support to the ministry of public health. i was working in close collaboration with dr. michael. now i remember working on increasing health lead idp, and i've done it and call 91900 response,

and ensuring cross pictorial collaboration. in regards to the 2 important area. as of the last week, there was increasing final cost of that government and their problems were falling one after another starting from new roles and being up in kandahar and all about the money cities that we were not even predicting the bank. a there was a lot of flesh on bank bank. if we there was a weight loss. the values in these are defined of collapse. and then we were informed that tyler bond had reached to couple doors in the there were signs of shooting. and that's how i managed to go to the airport and i was able to come to the last flight and but money people

had a lot of trouble leaving. i've got a phone. i'm the only one left from my family and my family still in cobble. are you worried about them? yes, my sister who are also healthcare professional work and in health, but somebody there. dr. baron coble, i'm worried for them and they're cool. what do you hear from your sisters, or are they still going in to work? and what's the situation like my say the are not going to work at the moment. although the taliban, they have announced that the women who are working in health care, they're allowed to go to work, but fear is very dominant and there are in wheezing it from the report. we hear from a gun and there is increasing human rights violations. people are scared, including my bed. they are not going to work specially that they were working at

least and, and military health are not public health. 6 or so at the moment they're not showing up. rick, you're with the who wears international organizations on this. did they see this coming? did they anticipate that the money was going to be cut off and that this health care system could collapse? well, i think it was said that hadn't been much money flowing into the health system for the few months before the government collapsed. and i think that our focus as humanitarian agencies during the taliban advance was, was really responding to the key humanitarian needs. the, the d y referred to the internally displaced people, the high levels of trauma and so on. but we did not expect to see i can't say that in our planning, we anticipated the acute pause of funding coming from the main donuts and then which was announced around the 26 the warmest. and then you saw the n g o is that

are implementing the basic package of health services. the doctor merge mentioned they write a letter on the 31st of august to the ministry saying, you know where we're not going to be responsible for the common you've helped us off the 10th of september. so now we're faced with this very high risk of mass enclosure of health facilities. so, you know, we've got to have an immediate response to that where we're working with, with the, with health sector partners with jennifer around 538 health facilities priority health facilities across the country for, for immediate support. and at the same time we're trying to work with done is to find out, you know, as you rightly said, because of their own internal rules and regulations, they're not able to fund any structures in a telephone, red gap, the government. but we're going to find some other mechanism to fund the health system because, you know, they were responsible for funding over 2300 health facilities across the country.

so we're working with them to say, you know, okay, we'll try and fix things with the 530 a priority facilities. but we needed urgent fix to ensure that the money starts flowing again to a new mechanism. so we can get those over to 1000 health facilities back on track that i'm sure you are now part of the taliban government. what are they saying about this internally? well, and so there in the ministry, one out of several roles i want to play is to communicate the extent to the challenge. the people in the health sector is facing and communicate a sense of urgency. i've been trying to me to make sure that i am successful in the role the some ports i should say that i feel the failure sense of urgency. we have in the way we expect that it is felt on the other

side. different is different. but at least we're really, i'm assured that they're there, they're concerned about it and they're trying to find a solution that but then in the day, this is the technical part of the ministry. me and my parking, my friends, or who know the language of donors, the limitations, those are facing west and the possible mechanisms of successful experiences in similar context here enough, ganesh, down 20 years ago in the regional country, which door had to shift their approaches, the policies but at the same time, there were possibility of channeling funds contributing to the health sector differ mechanism. just to reconnect to your question before it is one part of the question in the game was the how we anticipate it in the other part is while one is in one or understanding of the responsibility of our donors,

just to be very honest, i thought there was more responsibility rather than just reading everything at once . and i should say that the impact of the fonts being frozen goes beyond the indirect contribution of the world bank. and you report, you know that out. the him, a dallas is project which is implemented in general hospital and 10 other hospitals around the country is funded through the government. but unfortunately, although we have in the 1st legal contract for the supplier to provide supplies for him at the centers around the country. but this contract along with 10 more and more 100, more other contract or not for funding, illegal and contractual obligation because they say that when the major provider, the major kind of computer which is world bank has stopped as food and they're fun . and how can you guarantee that the government or other smaller donors will

continue to follow their commitments? the effect that they're the, the, their reaction had goes beyond the 2500 health facilities with our burg, funded by to have money in the world bank. you said europe in union. and fortunately, the government run hospitals which are 22 in couple 13 and other problems that are in the worse condition compared to those off funded facilities. so i really wanted to do that on that. but yeah, i, you know, i think that, you know, this is, this is the big issue right now we've. so, you know, we're the world health organization. i mean, we are having conversations right now with the diners. i mean, they understand the issue. and it's because of their own internal rules and regulations. you know, it's the, it's hard to be, you know,

it's hard to be too critical of them because the constrains their got their hands tied behind their backs. but we need a quick decision on this. so there's a lot of conversations going on at global level about how we can free up that funding to get those $2500.00 health facilities. ready going again at the same time, earlier in the week, you had the big humanitarian conference with around $1000000000.00 now released for humanitarian systems. that's a different different source of funding. we are seeing now that in the health sector we'll get close to at least $66000000.00 support a lot of these health facilities till the end of the year until we find another mechanism. but here we can handle that kind of way can last the year d, i see you're trying to jump into. and so jose, thank you. well, i agree with callie that on hope 6, or is it the virtual lot?

i know if we want to understand what the width, lack of funding to ask, and it's important that we find out ways i understand the con, concerns of donor for china lane, not, not a channel, the funds to toddler, but we need to find out if make any, let's not forget that over the past 2 decades at be more than 80 percent of services and i've done it on war delivered by non governmental organization and yield. so as we need to support you, there can be an opportunity or a credible intermediate. you like us or your fee to, to support, but we shouldn't give up on the health sector. it's important and also to know that what, what we shouldn't do as my colleague said, that there are wages we had a conference. but if you mean, if you're in a conference, well now it's important for the international community to revisit humanitarian aid

that we're being provided between 995001 and the power button. we have the results of those that's kind of investments and i've got a category health system with the queen iniquity today and, and the 20 years we have established our health system with a population based intervention. it's important that we keep the system that is run by a low coming due by community, by african professional. here we need to support these people. i take your point, do i think it's important when we're talking about the kind of bureaucratic step people are dealing with. and the rules and regulations is to remember that someone's mom is on dialysis in a hospital and cobble right now. and they don't know what the future holds for that family. we have some questions coming in from youtube. there's one that says our other relief sources or aid there. how can patients be helped and have

a comment from m s. f? can we actually bring this up? this is from k tundra. he is the afghanistan operations coordinator for myself, has been working against and since many years the health care system has always been very fragile. but today the same system is about to collapse. the reason is that the system was relying heavily on the money coming from abroad from new york min things from government. and they decided to most of them to stop their funding to the new show of hands. so to deal with today, what we see on the ground in the 5 projects location where we have a hospital that more patients are coming to the structure because they has nowhere has to go. the other factors simply have no money to pay their stuff. they have no drinks in their pharmacy, they are not able to make their structure function and they have to close them. so it's urgent to ensure the continuation of the funding for the care system on the

entire system will collapse. ok, he's talking about the entire system. collapsing is also talking about lacking supplies. i want to bring in one more piece of video before we come back to the questions. this is going back to al jazeera, as charles stratford in the report that he filed from the hospital and couple so this is the clinics medicine still just look at these empty shelves. there aren't even basic medicines here. bear in mind, they started out as a maternity clinic and we have pregnant women in the wards. there are no rubber gloves. there are no anesthetics, there are no antibiotics. there aren't even paracetamol tablets available here. and it's been like this now for 3 months. doctor, mature, can you walk us through? what does this look like if nothing changes in 2 weeks, one month, 3 months, 6 months, health system, which proved it as resiliency doing 3 waves, of course, and then t. health system, which is resilience in neutrality and impartiality during memphis,

had entered conflict and $34.00 pounds last few months will collapse. at least $150.00 mothers meet up in sections will be deprived of a day, which most of them will lead to death. unfortunately, the size that we conduct about 500 operation sergio operations every day in our system at least 50 percent of these patients in need of emergency into one sion. otherwise they will end up to death. more than 5000 children will be deprived of human as ation services. a day in about 20000 children will be deprived of nutrition services every day. thousands and mothers and children will be affected and based on the programs that presented, the joint achievement that we made with along with our dorms. and so many partners when it comes to maternal and mentality will be unfortunately, but the effect of the same time health system was said by the colleagues which was

build up doing last 20 years, where the pennies, what is in dollars paid by tax payers will be lost in the context in which time experiencing these days. the way our implementing in partners in our donor agencies are sidelining, the ministry of public health and the mother institution of the coordinating body of the sewer ship institution. their way is that the, the coordination is unfortunately lacking among partners. it will have, it is negative impact. in short term, we will have duplications, we will have lack of center using. but in the longer term, everybody has to pay for that unfortunately. so i quite there, i call a whole dollars in old partners the despite of the limitations they have today, which i respected in the past, we thought that they, they will look at the ministry of public health, the health sector, the neutral technical agencies. and as patients is the right target group,

but unfortunately the conduct is different today. we have no other options, but to respect the limitations. despite of that, we believe that still the ministry of public health as then technical institution can play the positive, coordinating role lining the ministry, taken it and taking it out of the coordination mechanisms disrupt the system that we built to get. it negative negatively affects the mothers and children that we were getting. we were promoting agenda for last 2 decades that we have here to work for mothers and children in this country. those are affected today. we need more coordinated, hey, regular synergetic approach. does the us have a special responsibility here? what can it do? yeah. well i, i, i think they do. i think all the dinos do. so,

i mean the u. s. is providing some humanitarian assistance right now through a different, a different funding mechanism from the one that's supported the 2300 health facilities. and i think that they have to step up in other ways as well. we talk about. so we've got the immediate humanitarian needs, but then we need the reinvestment in this big health project that had a budget of $200000000.00 a year that was running the $2500.00 health facilities. so you know, dr. murray is absolutely right. we cannot afford rolling back of the tremendous health game of the last 2 decades, where maternal mortality is reduced by which of 60 percent child mortalities reduced by with the 50 percent. i, you know, i did my 1st visit to afghanistan in 2000 when it's all about, i'm still in the health sector. there was a credit. there's been tremendous progress. we cannot afford that rolling back. so we are putting a lot of pressure on the donors right now to,

to make their decisions. i think dr. emerge is absolutely right as well. we, we cannot be setting up parallel systems. we've got to build on, on what exists, build on the n g o that, that have the local knowledge that are on the ground. i've got less than 60 seconds left and i want to get do one here one more time. can you give us kind of the last word on this and i'm curious what you say to your sisters now and what they're looking at in the next few months coming i again, i want to say, but there are a lot of gun capacity and i've gone on board, still working for african health system. not everyone has less stuff going on. we still have women showing up in health, but simply be a life. i applaud their resilience and, and it's important that we, we invest in the community. we invest the people and we invest in africa and

including those who are working in the health sector, but i have my firms, i'm such a mess. speak about their future with restrictions that are coming up every day, including restriction on higher education restriction on work with an other field restriction on social determinant health. and that's concerning, that will impact health pick. so one way or another, but that is concerning the map to cut you up there because we're at the end of the show. i want to think all 3 of my guest for joining us today and thank you for watching. and until next time, we'll see you in the stream ah, [000:00:00;00]

use . use the news. news to

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