in very times larger impact maintaining biodiversity ecology of the city. researches have showed the island is void to sensibly sees or to population plans to turn it into a recreational park. have since been show. it's now a candidate to join european emerald network of protected areas. there is still hope for these authors and let footage like this will inspire the human neighbors to cherish them or risk losing them forever. robin 1st year walker al jazeera tbilisi. ah hello there. this is al jazeera and these are the headlines. the european union says it's extremely concerned about the growing number of migrants and refugees crossing from neighboring belarus, accusing men's give what it calls

a state sponsored smuggling, some a calling for offense as part of a new migration packed. but the u commission president says that's not going to happen. the u. n. has suspended flights to ethiopia as t gr i region after a plane carrying aid was forced to abort. it's landing because of a government air strike. it's now the 4th day of air raids this week on the to grind capital nicolay the u n's previously accused the government of an effective blockade on the region. are you and you monitoring light that departed at us about this morning was burst forced to turn back in the midst of it by ought to asterix began in the cabin. i can confirm that the government was informed of that site where it took up at the or soccer also group and that the site was forced to turn back in mid air because of the events on while we're still ascertaining all of the facts in relation to this events are obviously bad about what has taken place to day and what it means. monitoring operations in northern moving forward violence

has broken out at marches by supporters of the band to rekey la bake pakistan party, known as the t l. p. 2 policemen have been killed. tale p members are demanding the release of their leader sod hussain rigby who is arrested earlier this year for inciting violence. gunman who killed at least 7 people at a re hinder refugee canton bangladesh. the attack happened in the early hours of friday morning at a religious school and cox's bazaar. one person has been arrested hollywood star. alec baldwin says he is fully cooperating with police after what he called a tragic accident on a new mexico films that he fired a prop gun, killing a cinematographer and wounding the director. so far, no charges have been filed. well, those are the headlines. i'll be back with the news hour after the inside story, stay with us. ah.

thousands of doctors and nurses are dying on the front lines of the pandemic. many more are stress burnt out and leaving their jobs. so what should be done to ensure health care workers receive the protection and support they need? this is inside story. ah hello and welcome to the program. i'm how much am jerome, doctors, nurses, and other healthcare workers around the world have been working tirelessly to save lives since the pandemic began. but the world health organization says since

january last year, up to $180000.00 of them have died from cove at 19. some believe the actual number may be much higher. many health care workers say they're overworked and under appreciated. some have opted to leave the profession, industry leaders or warning of widespread staff shortages. if governments don't give medical workers more support will bring in our guests in a moment. first this report by home era children health and care workers ah, they protect us. when we meet at most, they're seen as the heroes of the pandemic. doctors and nurses around the world have been working nonstop for nearly 2 years to controlled the spread of coven 19. often without proper protective equipment, lies many say they're at breaking point. like the work is in this hospital in busha, not only are they battling a surge of infections nationwide, they're dealing with misinformation about vaccines and people refusing to get the

job. only a 3rd russians awfully inoculated children go water, and to be honest, we're not even outraged anymore. we just feel sorry for these people, because even if you take our hospital, i can tell you the out of every 50 admitted only one or 2 of them are vaccinated. the world health organization estimates up to $180000.00 health workers have died on the front lines of the bustle against growing the virus since january last year . it's urgent governments to get better support and speed up vaccinations. the fund to me is a powerful demonstration of just how much we rely on health workers and how vulnerable we all are when the people who protect are held out of themselves and protected my expense, say many more burnt out, stressed suffering from anxiety and fatigued. it's

a shocking and documents of government. it's a shocking indictment of their lack of juicy, of care to protect health care care workers here ultimate sacrifice with their lives. less than one in 10 health workers in africa and the western pacific awfully vaccinated compared to 80 percent in wealthy nations. doctors and nurses in some countries have been told they'll lose their jobs if they don't get vaccinated . oh, these protest is outside the health ministry increase. say the vaccine mandate is unfair and will lead to further staff shortages in hospitals. again, we are going on the streets going on strike, because the government has transformed us from heroes, into scapegoats. we're going on the streets because so far they haven't satisfied any of our fair demands. surveys in the us and the u. k. have found the pandemic

has worse and existing problems in their health care systems, such as under funding long hours, and a lack of support for staff. thousands have already left that profession. it's feared many more will follow them if the situation doesn't improve. seen her marriage all 3 for inside story. i mean of all right. all right, let's bring our guests joining us live by skype from geneva, howard captain. he is the chief executive officer of the international council of nurses from one by dr. issue arg alada, an infectious diseases expert, and secretary general of the organized medicine academic guild, and from melbourne. grant blashley and associate professor at the nozzle institute for global health at the university of melbourne. a warm welcome to you all and thanks so much for joining us today on inside story. howard, let me start with you today. it is estimated that between 80002880002

health care workers could have died from cupboard 19 since the beginning of the pandemic. that is a staggering number. just how shocking is it to you. i'm. it's a, it's a conservative estimate. it is absolutely shocking. i think the true figure could be higher. i think we could be pushing close to a quarter of a 1000000. it's an indictment of government's failure to act, to protect health care work as these are people who were just going to work to do their job. but the real issue that worries me hugely here is that the actual number of deaths reported to the world health organization. from countries around the world is less than $7000.00. people are clapping, but nobody is counting. and that sends a message to suggest that it's just not being taken seriously enough. one death is

a tragedy. it leaves in its wake families left without her with, without mums, without did dad's kids being offered. but when we get into the scale of the thousands, it appears that we just treat it as a mr. to stick. grant. let me ask you how traumatizing a has this pandemic been for health care workers on the front lines. are fighting against coven 19? yes, i think that the, the mental health impacts for health workers is vain. enormous. you know, it's been a mix of anxiety, you know, concerned about getting the illness, the uncertainty. and i think as time goes on, you know, the chronic nature of bass that you get burn out, you get compassion, fatigue, get a bit, semi colon responded about things. so it's been very tough and really were very concerned about a psychological well being of

a health workforce is who are let me ask you also being on the front lines in this fight against the pandemic. from your vantage point. i mean, you just heard a grant there, talk about the burn out. i can talk about the psychological impact. what do you see amongst colleagues? how, what kind of an effect has this had if we are to kind of colleagues one, those are not going to work fine. sir. digger tall guy getting very, very scared of this band. i'm wired a lot of wishing. so they came out only after a year or so. and secondly, people like us who are always on the horn and being in medical profession, we've done a lot for our kind of professional upkeep conferences. so why does that put in last one? hardly any time and we, we don't need any colleague now all our only video buddies are skype meetings. so that kind of interaction is not a good it of what it will of people, what will be inducted with people having professional circle. so there is

obviously some sort of burnout exam is a, some psychological problem and more so by seeing more and more depth and suffering, it is not only merely i'll be sure to put some time on the and the other was family members. so that way we'll all be directed as any other you want be united with that being doctors. we are all the more because we got across death search. so putting in one rigid mortality, what triggers as well as the fisher's, dana del, howard your organization, the international council of nurses calls the number of deaths that health care workers from coven, 1900, a damning indictment of governments. do you think that we're at the stage where we will start seeing governments do more i'm, i hope we will. i hope that this will spur them into action because i'm really concerned that they've been looking the other way by not reporting by not counting,

pretending that the problem doesn't exist, but what we're seeing now very clearly are the consequences of the impact you've just heard about the mental health impact the mass traumatized zation. that's now translating to people who are leaving. ah, the professions not just nursing other health professions as well. who feel that they can give no more nurses round the world. we went into this pandemic 6000000 nurses, short the impact of the pandemic. we believe has increased that. and we think that we could be on the edge on the brink of a global health workforce crisis. and if governments don't do something about that, if they don't recognize the issue, if they don't invest in recruitment and retention, we have no health services without our health care workers. there are some parts of the world we've heard already of reports from, from,

from scotland. i think from the us where governments, how to bring in army personnel or army medics to help to deal with the demands that are, that exist and governments cannot afford not to address this issue to invest in our health workers is who are you just heard it howard there talk about how governments, from his point of view really have been failing in their responsibility when it comes to protecting health care workers. i, when it comes to ensuring their safety and to ensuring that the health care sector is able to help people entree people from your perspective. what can be done about this from a health management point of view? i think the him, what does to health care and his go go to should be bad. yeah. here it should not only be saudi when it is about them. if you remember her doctor sent her well because and when everything is either you or not bothered, she was at lee for health care infrastructure. on monday, you just think that you declared oxygen. all you require schubert smell,

you could do some debris facility i did. i didn't forget, it is not going to be done by that. when he was looking at the was held organization, they had to report from me with them the shooting that they were pipelines. why they should dec such what an op, your time to? because eyes, what is the problem? what is their dog digestion is a healthy body. i think there are, there was who they were body to understand what could happen to the parent like gus, doctors, nurses, technicians at that stop. so if they pick one up you're buying, we don't expect while much, much more from or goldbergs or governors are not technical people and up water sol are doing to pick up their brand. they all want to dump it for doctors. and they brought a lot of doctors are a lot of stop down here to take pictures. there are a lot of assaults happening all over the country up there are larger list what those laws. 1 are the wanted for when they got up to just gum. the wall is

regulating hospitals, clinics, nursing homes, that when it comes to your doctors. so they were there is a big problem where they'd love it or to book club, she's out of the art to classes and not worried people. one was for me to go vision, those one of the provisions they want to take leave or they want to relax. and those who want to join, they were picked by some ties with a visual journal probation because it is not making proficient anymore. and those, well, some of the, but the, you one service at the heart or part of that got oblivious about this unless people are mostly commercially interested at the same time that your district is going to be. so i think these are i door of the got and say that what is to be done for me to go over just really not merely in the article by grant. could you talk our

viewers through some of the specific types of anxiety being experienced by health care workers around the world during the pandemic? and from your perspective, our countries doing enough to provide these health care workers with the appropriate amount of mental health care? yes, so i think the 1st thing we need to say is that common sense will tell you health care work is need to feel safe. they need to feel that. busy you know, they're being looked after a maze, a simple things, before we get into psychological support, you know, i, you vaccinated. i do, you have access to protective equipment, appropriate, protective equipment. and i'm do you have ways to manage the sort of occupational sort of a violence and abuse that goes on with some very stressed communities. so this is

the 1st step that governments have got to think about to deal with those really practical issues. you can imagine as a health worker, fairly terrifying for any body to be in that position without the proper safeguards . so that's the 1st thing on site. i think that 2nd lay governments can do a lot more to provide psychological support to take it seriously. and i think i very much agree with howard's comments that we're going to have a gap in the health workforce if we don't make sure that we're attending to the psychological things as well. so that can be things like pay support from colleagues, mentoring young health professionals, helping them to learn to manage their boundaries, their professional boundaries, when they're working in this very difficult global pandemic. and to understand that

i have to have really stick expectations for themselves and to be able to switch off and paste themselves because this pandemic is turned out to be a marathon. we're not in the acute crisis anymore where in an ongoing sort of long term management scenario. and remember you can feel someone else's cup if your copies empty. so the health workforce need to understand self care at the same time. so very important me, she's that we have to deal with our there was a shortage of nurses even before the pandemic began. how much worse is the situation now? the shortage before the tan demick was $6000000.00, but we've got an aging population in many parts of the the world. that's another 4000000 nurses. we know it due to retire over the next few years. this impact of

cove with the covey effect on the nursing workforce with estimated could push us up to 1213000000 nurses that we will need to replace or over the next few years. that's about half the number of nurses in the world as a 27000000 nurses around the world. i think what grant is highlighted here, those well, is it. this is a health crisis clearly, but there's also a rights crisis, a human rights crisis. the rights of nurses and health workers, which is, which are not being respected, which is take this vaccine issue. there are some equally shocking statistics about the in equity of access to vaccine for health care workers. on the continent of africa, we've done some work to look at how many health workers have been fully vaccinated . about 10 percent in other developed countries. 1890 percent of populations were up to in terms of people who are being vaccinated. we are asking workers, health workers and, and africa. they're of low levels in the western pacific as well, to go to work,

to be at higher risk and not to afford them the protection, despite the words that we're gonna prioritize them not to deliver on that. our government's a g 20 a leaders, a meeting at the end of this month that made big promises about numbers of vaccines that they will share. but the process for delivering them seems very opaque to us. we heard gordon brown in the last few days say that actually there are 500 1000000 available day st doses around the world, some of which my actually expire. go out of date. he's called for an air lift to get them to the people who need them to health work is. this isn't an issue about supply, it's an issue about sharing and it takes is back again to ah, health leaders to deliver actions, actions, investment to support health care workers. not just the continuing words and

applause is where i saw you reacting to some of what howard was saying there. did you want to jump in? now basically, we look at the own too much of integrity. on one hand, that does like to canada, usa european union, australia, why 2 to 4 times one number of actually the required for the entire population. and they're allowing it to expire because of accidents. hell of a short expiry. but they're not going to bring in a very large numbers to africa, rebuild initially started doing, but they're after they're the u. s. guy in india. and they said that typically we don't have action. can you do it? but now we are done up, you know, back to mission. we cross, 1000000000 has started and we've been getting that record showed us to also pretty go where they are in the back to georgia. so if it turned off his go out there vaccinated, i think it was the responsibility of not only of a few days,

but really that big rush direction at the bar who's got rockers got if they are not really worried about it, they'll get a crisis down so if you look at in airlines, there are special sheets for a lunch top in deal with that switch. you are in this top, you've got a visit, they're all just going to stop. but for doctors, for nurses, there is no special or special ed any bit by board. doctor doctor they are expecting delivery. you didn't be locked out. i did to needed to started the same cue, often are to be out of the board as she that they get a bed. she that they're delivered properly. if this is the situation, what a doctor, you the hospital that you can imagine what facilities we're getting nowhere. so i didn't, we should prioritize like every of it. i'm not saying that doctor should be treated like god. visually, he will probably be, but at least in the hospital, for the doctors like we can piper based on others. what if we have to fight?

but i want to be that it is very difficult situation. so i think it could be very watered science, very good water. good. while this talking particular lavista life but was diagnosis . where is science on the site was douglas bit is a good the on this out of was started us. so on what and you want. i see gotten kick on the other act. you don't want us to get you one kick. so basically did this got to be make your t is not acceptable, and i think the merger should come, come on. he really should make all sorts of efforts with the respective bombings who it was. so it is fuck mining the vaccines. so that direction good. rush to the up. this is very dick wires, the most particularly healthcare community grant in this situation that we all find ourselves in where health care workers are so fatigue where they are experiencing so much burnout. how are hospitals and clinics around the world going to be able to hold on to their current staff and also to get new staff? yeah, i think it's

a very important question because what we're looking at is really a combination of a very serious occupational health issue. i mean, if you asked anybody who might be watching, you know, would you, would you go into a dangerous workplace where you haven't got the right safety equipment or preparations, and most people would want to do that. so you're not, that's not a mental health condition match just, you know, the human humanity of just worry about a very real issue. so i think that that's the 1st issue that needs to be dealt with . i think that once we deal with that, there are things that we can to in place to make the health work force feel supported, that it can be a resilient work force that you're bringing in young new people as well, who a mentor, prop plane, and also you know,

old turn piece support for managing a very traumatic time. this is a very serious pandemic. and you know, it's not like one person can, can somehow solve it. i mean, if you're working as a health professional, you really are finding yourself in a very difficult situation. one other important thing, which i think is a community attitude thing is for people who are listening, if they find themselves interacting with the whole system, either because of their own illness, for their family or friends. you know, keep in mind that those health professionals who are open, you a really putting their lives on the line, you know, they're, they're genuinely extraordinary people who are trying to do the humanitarian thing and do the right thing. but everybody's got a limit. so we need to make sure that we nurture a health work forces and build them up so that they can continue to provide the

care for the community. howard, what needs to happen from your point of view to improve the situation for health care workers around the world? what are the steps, the concrete steps that can be taken? i just want it, sir, i just come to that, but just to also put on the table, i think that there is a really significant gender issue at play here as well as 60 percent of our health workforce. our women, 90 percent in nursing are women. the historic, under valuing of the work that women do inequality in access to education in terms of career advancement as well. and this attitude that caring work and important as it is, i'm doesn't really have any economic value. and i think one of the things that the pandemic has shown us as just how if we don't invest in our health systems, if our health systems are weak and not working, the impact it has on our economic life, on our, on our freedoms,

in abilities to go for a, for a walk in the park to go and see, see granny that i think must result in a change in our thinking about spending on health. it's not something we do just in the good times when we can afford to. it is spending that is an essential investment in the economic security of all of our countries. we shouldn't also, i just wanna put this on the table as well, with the issue of vaccines, not shy away from misinformation about vaccines and the anti facts campaigners. i've talked to nurses, i've had their stories. that how they believe that some of the attacks in the abuse that they have been subject to is a result of anti vax mis information. there's a direct line, i believe, between misinformation and attacks on a health care workers. yes, we need to invest in recruiting more health care workers, but that will take time. doesn't happen over night. we need to really focus as much

attention on how we support and retain the staff that we've got our i will, we have run out of time. so we're gonna have to in the discussion there, thanks so much all or i guess howard captain, dr. ish ward yolanda and grant laskey and thank you for watching. you can see the program again any time by visiting our website al jazeera dot com, and for further discussion, go to our facebook page. that's facebook dot com, forward slash ha inside story. you can also do in the conversation on twitter. our handle is at a j inside story for me. mm hm. mm hm. to him, the whole team here, 5 for now. ah ah.

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