been ah, cleaning, having journalists come and see the films they've really, really been doing a great job of keeping people from getting the virus on making sure that people that are coming to see the films and being on sat vaccinated. i think they knew that they had all their, you know everything, their checks and balances all and their ducks in a row rather when it came to even getting the film shots. and i think at this point, they noticed that people were going back to the box office and it was just time it was time to, to see what this film was going to do and put it in the theaters as opposed to going to our streaming platform ah, hello again, i'm and as of the problem and don't have the headlines on al jazeera tributes of being paid to south africa, nobel peace prize lawyer desmond to to after his death 8090 south africa's president's civil rom, oppose appraised to 2 as

a man of extraordinary intellect and integrity, he rose to prominence in the 1980s as a strong critic of apartheid. we have lost the person who carried the burden of leadership, with compassion, with dignity, with humility, and with such good humour. we are comforted and the knowledge that he has left an indelible mark the lives of millions of people who had the privilege and honor of knowing him. like many of his time, he was a witness to the gravest injustices and most intolerable cruelty that our country has ever witnessed. the bodies of 16 people have been laid to rest in iraq. they were among 27 migraines who drowned in the english channel last month

trying to reach the u. k. was the worst disaster on record now, a crossing between southern england and france. libby as red presence as the bodies of 27 migrants have watched a show on the west and closed in the town of homes. 3 people have been rescued and the search continues for the survivors. star shortages due to close 19 and have forced airlines to cancel hundreds of us flights for a 3rd day in a row. meanwhile, health officials in new york have reported an increase in the number of children being admitted to hospital, half of the admissions on the 5 years old, which is too young to be vaccinated. china has reported its highest de the rise in corona virus cases in 21 month. the increase has been driven by infections in the northwestern city of she on last week. the city of more than 13000000 people is put under locked down. those are the headlines on al jazeera

inside story is coming up next. ah, thousands of doctors and nurses are dying on the front lines of the pandemic. many more are stressed, 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 store. ah hello and welcome to the program. i'm how much am jerome, doctors, nurses,

and other health care 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. we'll bring in our guests in a moment. first this report, by homeric audrey health and care workers, ah, they protect us. when we meet it 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 just with water. and to be honest, we're not even outraged anymore. we just feel sorry for these people because even to take our hospital, i can tell you the out of every 50 admit 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 on 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 protestors 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 u. s. 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 the profession. it's fair to many more will follow them if the situation doesn't improve. seen her marriage all 3 for inside story with like me live over. all right, let me in 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 yolanda 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 thank 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 cobra. 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 this that you get burn out, you get compassion, fatigue, get

a bit cynical and despondent about things. so it's been very tough and really were very concerned about the psychological well being of a health workforce is who are let me ask you also being on the front lines in this fight against a pandemic from your vantage point. i mean, you just heard a grant there, talk about the burnout. 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 fine sir. digger tall guy getting very, very scared of this plan, the big data quite a lot of machine. so they came out only after a year or so. secondly, people like us who are always on the report and being in medical profession. we've done a lot for our kind of professional upkeep conferences. so what does that put in last weren't given hardly any time and we, we don't, we didn't click now all or when the video digs are

a skype reduce. so that kind of interaction is not a good, it was, well, people what will be effective with people having things or professionals or so there is obviously some sort of burnout exam is a, some psychological problem. and more so, by seeing more and more death and suffering, it is not only merely i'll be sure to, but some time or the and the other one's family members. so that way we are all being infected as any other you want be united with that being doctors. we are all the more because we've got a cross debts are suffering and one reject mortality. what triggers as well as the fisher's data del, howard your organization, the international council of nurses calls the number of deaths that health care workers covered. 900 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 around 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 government 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 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 i health workers is who are you just heard it. howard there talk about how governments are 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 employee does coiled care and his go go to should be bad a year. it should not only be saudi when did his abandonment, you remember or dr. santa had well,

because and when everything is side and 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 that way. even looking at the was held dog edition, they had the report from may with them. the shooting on that report will pipelines . why they should dec such what are your time to be good? i. what is the problem? what is their dog? is a healthy body. i think they are they what's their 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 from goalbooks or government are not technical people. and up water, so our duty to 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 there 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 them to jump gum. the wall is of the gospel, those clinics, nursing homes that are when it comes to your doctors. so when they were there is a big problem where they'd love it or to book glossy, sort of the article classes and not worried. people want to put medical provision those what they provision, they want to take leave or they want to relax. and those who want to join, they were by surprise with a visual joint probation because it is not making proficient anymore. and of those who else kind of a ship. but the, but the, you one service at heart or part of that going to bring about this unless people are mostly commercially interested. i just started going to be. so i think these

are i door of the cat 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, you know, they're being looked after. i made 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

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 the 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 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 wearing 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 tandem. it 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 do 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. we just hate 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 going to prioritize them, not to deliver on that. our government's a g 20 a leaders are 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 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 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 or can you do it? but now we are done up, you know, back to mission. we cross 1000000000, i started it and we all been getting that reaction. sure does. to also pretty 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 one of the, of the few days, but really that big rush direction at the bar. rockers got if they are not get really worried about it, they'll care crises them. 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 gathered up is that all of it is all going to stop. but for doctors, for nurses, there is no special or special ed any bit by board. doctor us, our doctor never expecting delivery. you didn't belong. i did to needed to started the same q opt in are to be out of the board as she that they get a bit. she that they're delivered properly. if this is a situation, what a doctor, you the hospital that you can imagine what facilities we're getting nowhere. so i didn't, we should bryant, i like everywhere. i'm not saying that doctor should be treated like god. visual

will probably be 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, really good water. good. it was while this talking particular lavista like what was diagnosis, what is science on this? i got was douglas bid is a good deal on this out of worcester, those 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 kind of unique your t is not acceptable. and i think the merger should come come on. he really should make all sorts of efforts with the district, the bombings who it was. so it is stuck mining the vaccines. so that directive, good rush to the place has very dick wires the most particularly a get 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 mentor 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 health system, either because of their own illness or their family or friends. you know, keep in mind that those health professionals, so we're hoping you 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 while it, sir, i just 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 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 in essential investment in the economic security of all of our countries. we shouldn't also, i just wanna 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 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 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 do the conversation on twitter. our handle is at a j inside story for me. mm hm. mm hm. jerome, the 4th him here, 5 for now. ah ah.

in 2002 coins and back loads mount the launch of the euro. today is the official currency of 19 of the 27 members states of the european union. on the 20th anniversary of the euro entering circulation, al jazeera investigates how the eurozone benefited from having unofficial currency alike. i've always been fascinated by space, but the story, the space race isn't just about the men who wish their lives to travel and see unknown. but the ones who held those lives in their hands. your grandfather and his colleagues worked on the space suits they design is faye suits. apollo. aladdin was his triumph or all around and the policy design space seats with his legacy putting

man on the moon on al jazeera. we understand the differences and similarities have count chance across the lounge. so no matter how you take it out, you 0. we're bringing the news and current to fast cut matter to you. countess era. aah! had arman as a brought him in dire, harboured the top stories on al jazeera tributes being paid to south africa. nobel peace prize lawyer desmond tutu after his death at 90 years old, south africa's presidents service rob oppose appraised to 2 as a man of extraordinary intellect and integrity. he was to prominence in the 1980s as an opponent of a partied gillian wolf has this report from cape town. as news broke of the death

of their beloved bishop desmond tutu tributes poured in from across south africa and around the world. his legacy will be.