for greys on them, so we have electricity now and the children can study, but we still have no water or gas, so we have to carry water on our heads. but despite all this, some of our villages have returned as there is electricity here. small scalable projects can be adapted for large communities if there's political will and money. but pocket funds, water challenges are complex, multifaceted and time is running out to address them from a majority, they are going to stand further pakistan. ah, hello, you're watching al jazeera, these are the top stories this our south african nobel peace prize. when a desmond to, to has died at the age of 90. he was appointed the 1st black archbishop of cape town and became known for his vocal opposition to the countries apartheid system. it's actually a very sad and i don't think not only full set africa,

but for africa as a continent. we have lost a great icon, a father, a human who are they not just full, the, the african people, african people. but for africa as, as, as a nation, africa, as a unit, africa, as one. i feel i feel, i feel very, very, very down emotionally. right? now, because he was somebody that almost everybody liked, especially the kids love him. the saudi led coalition in the am, in, is accusing the hurry fee rebels of using santa airport to launch ballistic missiles into the kingdom. the coalition attach the airport earlier this week. human rights groups are accusing the mos military of committing a massacre. the chad remains of 30 people have been found in k, a state. the say that children charity says 2 of its staff and we see in the area

there being emotional scenes in northern iraq. off the bodies of 16 migrants were turned from france. family members gathered over a port to receive their remains. the victims drowned in the english channel last month trying to reach bridge and the bodies of at least 27 people, including a child had been found on libby's western coast that were trying to make their way to europe drowned in the mediterranean, 3 other refugees and migrants were rescued and search efforts are underway for others. flood cancellations, and continuing to stack up across the us because of the current increase in coven, 19 cases. airlines say ami. kron has had a huge impact on their staffing levels. that is, the headline sees, continues, he analogy, xerox after inside story, stay with us. ah,

thousands of doctors and nurses are dying on the front lines of the pandemic. many more our 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 coven 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 homeric audrey 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 there are breaking point, like the workers in this hospital in russia, not only of a battling a surgery, infections nationwide. they're dealing with misinformation about vaccines and

people refusing to get to 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 a 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 grown 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 unprotected, 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 in ultimate sacrifice with their lives. less than one in 10 health workers in africa and the western pacific afily 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. in 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 with like need 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 mere statistic 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 burnout, you get compassion, fatigue, get a bit, semi colon responded about things. so in spain, 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 waterfront, sitting at home, getting very, very scared of this brand. i'm quite a lot of wishing. so they came out only after a year or so, i'd say currently 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? 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 good enough. what will people, what will be effective 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 infected as any other you want be united with that being doctors. we are all the more because we got across deaths are putting and one reject mortality. what in figures as well as the pictures are data 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 dramatize ation. that's now translating to people who are leaving are 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 u. s. where governments have to bring in army personnel 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 i health workers is who are you just heard it, howard there, talk about how governments from his point of view really have been failing and 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 and treat people from your perspective. what can be done about this from a health management point of view? i think the him, what does toil care and his go go to should be bad a year. it should not only be saudi when did is about them if you remember or dr. st had because and when everything is siding you are not bothered. similarly for health care infrastructure on band did you just thing that you did grad oxygen?

you took what schubert smell? you could do some debris facility and did i forget it is not going to be done by the grid. he was looking at the was his dog edition. they had the report from may with them, the shooting on that report for pipelines. why they should, dec such what are your time to? because i, what is the problem? what they're talking about is a healthy body. i think there are, there was who deborah body to understand what can happen to the front. right. what gus, doctors, nurses, technicians at that stop. so if they pick one up your time, we don't expect while much, much more for more hours or governments are not technical people and up water sol. during the pick up the big, they all want to dump it for doctors. and they brought a lot of doctors or a lot it will stop down here to take pictures that are lot of assaults happening. all one of the good 3 are there are larger lists what those laws. 1 are the wanted

for us when i got up to judge gum and the wall is a rental. i think the hospitals, clinics nursing homes that are when it comes to your doctors. so when they were there is a big problem where they'd, whether it's ivy or to book loss, he's out of the art classes and not worried people. what the property could provision those, what their provision they want were begley or they want to relax. and those who want to join, they were big boys are ties with a visual joint probation because it is not a body making proficient anymore. and of those who else kind of a ship. but the, but the u. one service at the heart are part of that. going to bring about this unless people are mostly commercially interested. i just started ship the ticket to be so i think these are i door of belt. got and say that what is to be done for me to go over just really not mere lead 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 made to feel safe. they need to feel that, you know, they're being looked after. and these 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 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 peer 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 realistic expectations for themselves and to be able to switch off and paste themselves. because these panoramic has turned out to be a marathon. we noted the acute crisis anymore, wherein an ongoing sort of long term management scenario. and remember, you can feel someone else's top if your copies empty. so the health workforce need to understand self care at the same time. so very important issues that we have to deal with. howard, there was a shortage of nurses, even before the pandemic began. how much worse is the situation now on 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

covey, 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 iniquity. on one hand, they can do like canada, usa, european union, australia wired to go 4 times one number of actually the required for the entire population. and they're allowing it to expire because of accidents. l. a really short expiry, but they're not going to bring in a very large that was all africa a 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 on can you do that? 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 pre go where they are in the back to georgia. so if it turned off his go, goes out there, back to it. i think it was the responsibility of not only of a few days,

but really that big rush direction, at least bar rockers got. if they are not really worried about it, they'll get a crisis devil. so if you look at in airlines, there are special sheets for a lunch top in deal with that, i'll switch you to our in this top you got up. it says they're all just going to stop. but for doctors, for nurses, there is no special or special ed any bit by board doctor us or doctor they are expecting delivery during the long i did to needed to started the same q opt in 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 visual you on friday, but at least in the hospital for the doctors like weekend piper babies. what 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. it was while this talking particular lavista life. what was diagnosis? what is science on this site up was douglas bit is a good the on this out of was started us. so on what have 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 stuck mining the vaccines. so that directive, good rush to the up. this is very dick wires the most particularly as get a 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 ask anybody who might be watching, you know, would you like, 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 are mentors properly. and also, you know,

over time 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 or their family or friends. you know, keep in mind that those health professionals open, you a really putting their lives on the line, you know, they're, they're genuinely, you know, 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 wanted sir, i just a come to that that 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 agile education in terms of career advancement as well. and this attitude that caring work, an important as it is an 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 want to put this on the tables. 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 a tax on a health care workers. guess 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. all right, well we have run out of time, so we're gonna have to in the discussion there. thanks so much oliver. i guess howard caton, 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 during the conversation on twitter, our handle is at ha, inside story for me, how much am joomla 14 here? 5 for now. ah aah. and

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