tossing corporation, but how's it happen? so install for it's for all t as responded angrily or it's deputy editor in chief on a bell kit. a certain off. com is in her view. nothing more than a tune of government bending to its media, suppressing will. so a lot of pushback from her channel, i'm from the kremlin fox, which is called me here, madness. ah, this is our desert. these you top stories. thousands of people are stranded in the ukranian port of mario polt. the cities being bombarded by russian forces as they tried to seize control. several buildings had been reduced to rubble with russian troops now reportedly in the city. ukrainian president vladimir zalinski as again called for meaningful peace and security talks with moscow. now santas patrol is she, but truly i shall blue musky and this is time to me of this. this is the time to

speak with time to restore territorial integrity and justice for ukraine induction . otherwise, the losses of russia will be such that you won't have any resources to get up after that. so when you move the ukrainian capital, keith has also been hit by russian selling part of a russian. mr. had a residential building in the adel ski district of the city. emergency crews have been searching for survivors in the wreckage. the mayor of caves, brother, former bulk sir vladimir catch go, said the attack was proof. ukraine needed a no fly zone. several russian rockets have had an aircraft maintenance plant near the airport in the western city of live. if the city has so far scape, the worst of the bombardments seen elsewhere in ukraine. it's also become a safe haven for refugees fleeing parts of the country that have come under russian assaults. us president joe biden has warned his chinese counterpart seizing, paying that they will be consequences. phasing provides material support to russian

forces, attacking ukraine, the latest bike on the phone for nearly 2 hours. the white house hasn't specified what those consequences would be. china's so far refused to condemn russia's invasion. but present, she did say the fighting in ukraine is in no one's interest. we have a range of tools that could be considered. and sanctions are certainly one tool in the toolbox as they are for other countries as well. even if we, as we have not outline specific consequences and we'll communicate those directly to china. and of course, with our european partners and counterparts, crushes president vladimir putin as praise the war and ukraine as a success that a concert in moscow, he appeared before large crowns, who gathered to celebrate 8 years since russia annex calling you those. the headlines coming up next upfront, examining the headline, what is the situation there right now? was there any kind of nice math?

it was unflinching journalism. what is it telling us about india? it's telling us that we're going down a very maybe in this sharing personal story with a global audience. here i am meeting with people, sharon things struggle, sharon thing, stories at blue and abundance of world programming on al jazeera hope at 19 has driven rates of depression and anxiety across the globe to record highs. are we undergoing a collective trauma and can society cope with a mental health pandemic within the pandemic? that conversation is coming up. but 1st, the trauma burn out caused by the coven. 19 pandemic has hit frontline health care workers, especially hard in the united kingdom. a mass resignation of health care workers has left hospitals under resource, and patients are never ending waitlist with debilitating consequences for britain's health care system. through our doctors and nurses passed their breaking point.

this week we'll speak with 2 doctors from the you, kate, who have been on the front lines abandon. ah, joining us to discuss the impact of the pandemic on frontline workers are 2 doctors from the u. k. national health service, also known as in h. s. dr. mino, this and dr. dan goya. thank you both for joining me on up front. deductive is, i'm going to start with you. in the u. k, there has been a mass exodus of health care workers in the, in a chess over 27000 staff left from july to september in 2021. that's the most in any quarter on record. the deputy council chair of the british medical association says doctors are leaving quote, due to punishing workloads, stress exhaustion, and sadly verbal and physical abuse. can you describe the told that this is taking on health care workers? so i think that when we look at the n h us,

we have to ask herself the question that why is it that so many people have made the decision to leave the system until the work that they love so much you have to remember all of these health care workers sacrifice a lot of their own, a lot of their own life to be on the line to protect the british publics. why is it now that they've decided to leave the job? and i, i really feel that all of the stress and all of this fatigue, these are all this outcomes of a system that seems to be running purely on good will. and i know that during the pandemic in the any chess was face with the one of its is biggest crisis in its history. but a lot of us stayed away from our loved ones. a lot of us work through the night, a lot of work, a lot of us worked over time. yet while we are from the government, we weren't getting to the very people who were on the line saving the british public, who won protected, who was taken care of. what else do you expect from it, from them 2 years on? wow. but the girl can you describe what you and your colleagues her personally experienced as health care workers? ah broadband m yes mark and you can think back to

february 2020 when we were witnessing this sars virus spreading around the globe with that time a 10 percent mortality rate with the knowledge that had killed a very young doctor that discovered it. and there we were getting ready to face that very flimsy. p. p. terrifying. really is a scary time. and then we've had and so many patients, so many people not making their family members, not able to see them. us ourselves. not knowing if we were safe. you know, if we were going to catch or pass, it's our family and loved ones. and it was really a very traumatic time. and then mark yard to the lack of good p, p as exactly as manila said, you know, this, you know, expecting good. well,

but no actually given us anything to protect ourselves with that took a tool on us and i would in this situation 2 years on where they need the solver whelmed case has been so rationed to the public that we know can't provide care at the standard that we normally would and from what i'm hearing from my colleagues leaving, that's one of the biggest reasons i trained to this level to, to, to deliver this level of care. and the n e s, and the government are not providing me with the equipment. the space, the resources to do that. i'm sorry, i'm just not willing to keep sacrificing that visit. definitely want you to jump in on this point as well because you actually staged a silent protest outside of 10 downing street. of course, the official residence of the prime minister, demanding better protection for health care workers. you even called for legal action over the government's lack of guidance on safety protocols and rights to p p e. personal protective equipment. what lead you to that point will at this time

walk, i was about 66 months pregnant. and the last thing i wanted to do was go out and protest. i had a and a baby inside me and i had to take care of my health and i had to take care of my family. the last thing i wanted to do was go out and protest and i'd really didn't have the energy to take the government to court. but i was in a situation where i was begging for a mosque in my hospital. i was begging for equipment to protect myself because i wasn't just afraid about my life, but i was obviously afraid of the life of my unborn child as well. so when i was, when i was in the situation, i was left with no other choice because i wasn't being protected. but at the same time we were seeing ethnic minority groups been disproportionately affected as well . and when we asked for answers when we were asking questions and why is it that these policies are changing without rhyme or reason, how is it that we're wearing a hazmat to one day and the next day we're wearing a dinner ladies apron. it made no sense whatsoever. so the fact that we weren't

getting what we asked for as scientists, when we know what we're talking about, we understand how infection spread. and our manager is telling us to stay quiet on manager silencing us and threatening us if we did go to the media, it left me with no other choice. but let me ask you, what do you think is the motivation that kept me with that the actual, what harm to come upon you like? oh is it indifference? is it a lack of care? what, what is it that leads you to be a frontline worker? that the state needs but doesn't get the bills. most basic protections. i personally think it's, it's a lack of preparedness and that there is a one issue that we've had with the last couple of years despite having this knowledge. and despite having the best scientists on board to tell us what's going to happen to help us predict what the future looks like, they're not being listened to. our government and our minister seemed to be having different 2 priorities during that time. i mean,

we spend billions and billions of pounds on the test and tree system. it was given to the company which had no idea what they were doing. we had billions of pounds lost in p p a contract. you know, we were still begging for, for protection on the shop floor. it made no sense. one thing didn't work with the other. so i think the lack of preparedness, or lack of willingness to learn from scientists and to actually be held accountable . i think the biggest problem is if you want to jump in on that point, go ahead, please. yeah, i mean, i would agree with minot enough, i would say was indifference. i think our political leadership of, you know, really failed here really quite dramatically. you know, the, the lack of preparedness is mental said, oh, so i think the priorities are very skewed. a lot of money and resources went into private sector industry sectors and very little resources there to strengthen the n h s. and i think the big questions they are, why we didn't you strengthen your only lane of defense against

a deadly pandemic? and you know, we were all screaming as me now said mon, now to to the streets, to protest. and yet, you know, where we were one of the was performers in the world and you know, we lost so many and i think this was a lack of care and attention for the british public. and i certainly think it was a very start deference and priorities. i want to talk to you about the conditions before the pandemic burnout and mental strain were high even before this global crisis. nearly a 3rd of doctors who responded to a survey published in the british medical journal in january of 2020, described that they were facing a high burn out. and about 26 percent had secondary or high secondary traumatic stress. can you pinpoint when this mental health crisis among doctors and other health care workers actually began? and i don't know if i can speak specific enough time. certainly they meet chess is

always run hot for the 20 years. the are going to win. and we've always been busy revolt enough against that. i think the difference then was it felt like leadership was where you and would be responsive to those demands at the moment. and i'd say probably for the last 10 years. and it's been, we raised those concerns as too dangerous as to, to too much and demands and know enough of us to be able to do that. and this is the time when you have not been responding to that, probably the last 10 years. and we have been the funded a lot of our money has went away from the frontline and to private providers. so yeah, i mean, i think that as a sense the government does one to change that we health care is delivered and, and the u. k. and that's fine, we can have an open to be,

we can discuss that. but it seems like a law of law has been done. perhaps no, very upfront about that, really would you, would you share that assessment, that sort of pre pandemic. you were wrestling with these very same conditions and you and your colleagues were struggling with high levels of stress and burn out in other factors. sure, i think for the last few years i've been seeing very similar situation to what dr. dan has as just explained. and i think that when we were raising the alarm bells, especially in the pandemic, especially during a time where not only were we seeing the british public suffer bo, losing our own colleagues to suffer. we were seeing our own colleagues in i to you beds. we were seeing our own colleagues on ventilators. so i think the fact that if the politicians don't listen to us at such an acute time when we're in such high levels of distress, i really think it's a shame on british politics. burke, the girl there are currently more than 6000000 people on the wait list for hospital

treatment in england. ah, that's the highest it's ever been. or how did hospitals get to this point? yes, i mean, on believable number. i mean, almost unfathomable, 6000000 people. it was already 4 and a half 1000000 before the pandemic started. and, and you look at cancer waiting list, they are the wash, the, they ever be. i mean, you know, to see the, any chess has been severe, neglected over the last 10 years. as an understatement, and you know, there is no, well from our leaders to invest properly in the any chess and in the front line. and that means that is no well, to protect the people. you know, could you imagine, you know, we, in 2 months to get treated for cancer? i mean, it is $4000.00 people every month having to wait 2 months just to be treated for cancer. i mean, i think, you know, it's time to call and say that, you know,

the government is feeling hartfield to provide health care. we can even provide urgent care no. the longest, 12 weeks and he has 30 and you know, it's really getting quite per and i think it's exactly what you point. it's a mark exactly what me said is a lack of priorities. and it seems to be an indifference to the health and safety of the public doc, if someone say that's reflected in the, not just lack of investment, but the actual divestment from public health. the public health grant has been cut by nearly a quarter since 2015 under the project of austerity. what impact of that kind of austerity ahead on the jets? well, it just continues to have the impact that we were talking about in terms of the mental stress and fatigue. and we don't have enough doctors on the, on the floor to deal with all of these patients. and imagine if you are

a doctor in a busy shift and patients are complaining, the system is crumbling right before your eyes. it just makes you wonder, why are you, why actually doing all of this just makes you wonder that everything that you worked hard for to be in that position as a doctor to serve the public to serve the community. and doctors in the health care work is it has a huge personal impact, and i've seen it with my own eyes as we go back into work as we start to lift restrictions. and people feel like they're like going back to know the messaging from the government is so different to what, what really is happening around, well, what is happening with a virus? it really frustrates small because we know that that's the reality. but the message that's going through the british public is completely different, and ultimately the impact that it's having is having is coming down straight to us is health care workers in the us? absolutely right, mark, if i can, i mean, you know, you have to thing, we have families, we have a life, you know, i've got kids, me now got kids and you come home exhausted,

traumatized. not able to engage them in the homework or go to the school play or, or to be there with them. you know, my biggest complaints, my wife says, you know, you hear, but you're not really. yes. and you know, why are we continuing to take that? i would take it, i would seek it, continue to take a solution in the table that we say, look in the future, we will have some solutions here. here we go. we're going to run and we're going to affect that. what the opposite is happening actually. and as actually we're not going to put any money into you guys were going to continue to put it into the private sector. so now says why, why should be stay for that would only human. and i just like to just like to add to that mark as well. i'm sorry, my last point was that you mentioned the legal case that we had. and at that time, i remember we had about 2030 health care workers who died because of the virus. and that's when we started a legal challenge because we couldn't see those numbers go up. i mean one health

care worker dying was enough for us. but the fact that it took the government 8 months to get back to us as back and forth of trying to figure out what we can do to change the policies and to change the law on the guidelines around p. p. eat to them 8 months and in that time, hundreds of health care workers had died. so it just goes back to my point of saying that, why is it that the politicians don't have the same parties as we do? but of his house at the state have responded to the pandemic. oh, what could have been done differently? well, that could have been many things that have been done differently more can i know that now they're talking about a covered inquiry and now 2 years on you just sitting and thinking, well, do people actually remember what happened 2 years ago? obviously, 2 years ago, i remember what happened, dan remembers what happened, but the british public will move on with the lives in the whole world and move on with their lives. is covered inquiry. now, as we've seen with everything else has happened with the parties held at downing street with dominic cummings, going to bernard cost. so all of these things,

they ultimately get away with it. and that's a very, very frustrating thing. because as doctors we do everything we possibly can to save the lives of our patients. we make sure that we don't break any rules and make sure that we stick to our gmc guidelines will carry out all our duties as a doctor. because if we don't, we know that we can get into trouble. but why is it that our leaders don't have that same feeling? why is it our leaders don't get in any trouble at all? and this is why we held the legal challenge because nobody was being held accountable. and that's all we want. we want our ministers to stand up and say, look, we've made a mistake. and this is what we're doing to learn from it. but instead, the coming up in on the media being trained by people to, to crate lies and to try and, and get all the questions that are being asked about the boy that the 1st thing so much for joining me on of the cobra. 19 pandemic has had a traumatic effect, not just on doctors, but on the population at large. so how do we deal with this global mental health crisis? and what role does trauma play and making conspiracy theories more appealing for

some coming up? we speak the trauma expert and best selling author gobber, marty, the government. a thank you so much for joining me on upfront. since the pandemic various study, the documented record levels of anxiety and depression, the length reported that in 2020 some 53000000 cases of major depressive disorder and 76000000 cases of anxiety disorders were reported globally. how would you explain the trauma or traumas of this pandemic from the most obvious forms that include the loss of a loved one to some of the more inconspicuous ones? yeah, so yes, the statistics are right. did they mean coming in for years? there's also been a rise in substance consumption calls and there's been a significant rise in domestic violence. more women are suffering the impacts of domestic violence. more babies in canada have been admitted to the hospital awards

emergency or is it head injuries wanting to home violence? martin, large numbers of people are committing or considering suicide young people. so there's been going on since dependent on the onset and there are 2 things going on here. one thing is that the one study has shown that the more adversity somebody experienced in childhood, the worse their reactions to call that is emotionally speaking. in other words, are we talking about here? is people have already been traumatized. and then under the stress of the call in that, from those being expressed or so we've seen that in large numbers. the other thing is then the other thing is if you look at what dr. stressed in society, the communist factors that are promoting stress,

i'm talking about physiological, emotional stress in a human being or a factor such as uncertainty, loss of control, lack of vision, nation in conflict. and all of those have been exacerbated by the call with crisis. so on, on one hand, we have the impact of the virus itself and the threat that it was to people to like a nation, the uncertainty imposed by this pandemic. and then it, and of course we have a public health measures that you know, really damage debated. but they've isolated people. you've said that some people who hold extreme anti vaccine ideologies, you know, they've been talking about the type of people that organized protests or promote conspiracy theories on social media. you say that they often do so out of unresolved trauma. and that they're quote, finding a political outlet for their mistrust and anger. what about trauma in the paint

them it makes them seek a political outlet in particular. and there was a study just a couple of weeks ago that was flourished in a very good news already. and i can show it to you right here, published couple weeks ago and said, call it action evidence. it could be linked to childhood trauma and they looked at a large number of people in the u. k. and the people that were most adamant against that scene where most likely have been traumatized in childhood now. but it doesn't mean that there's no valid arguments against actually, it doesn't mean that everybody's against action is crazy. i'm not saying that. but i'm saying that they seem suspicion. and the conspiracy theories on vaccine are from looted and shelter trauma. so anyway, traumatize and show when the authority figures are supposed to look after you and care for you instead heard you, you're going to go with

a lifelong description of these authority figures. there's a couple of interesting pieces of what you're saying. there are one of the study you're pointing to is about vaccine hesitancy, which in some ways, right now we're sort of conflating with the extremist views around conspiracies in and the mass protest against that goes back to that hesitancy seems to be something slightly different or could be something slightly different, but the other piece of this that i was curious about that you're saying there are many communities where you know, the lack of confidence in the medical establishment, the lack of access to the vaccine. or all these are factors bad experiences with, with, with, with medical personnel, lack of cultural competency. all these things are factors. how do you tease out or disentangled that stuff from this idea that it might be rooted in childhood trauma . the concern being for some myself, included, that we might end up stigmatizing people who might have legitimate concerns about the vaccine, even at the same time that we advocate for vaccines. yeah,

this is danger and an unfortunate tendency that people are getting stigmatized no matter what their opinions are. and i see that is very unfortunate. now there are certain communities for, for example, in canada, indigenous germany have been very hurt by society. have been medically heard pesticide, it's very notorious in the u. s. elements of the black population, rich friend of mine, truly experimented upon and medical studies not that long ago. why should these people trust a medical establishment in others? some people might have very legitimate, historical reasons for being very suspicious. and i think we have to respect that. we have to understand if the patient with that. on the other hand, there was an american pastor or minister, thousands of followers in his podcast and florida, who says that the vaccine is a plot by the gates from the clinton foundation and bill gates. doing so to insert

micro chip center people, but circulation to control them. now, it's not, i wouldn't put it past bill gates in the clinton's, but i don't think they have the technology to do it. just so this guy, paranoid, i'm convinced that what he's talking about is there is a child. he was controlled by malicious forces. he was abused, he was traumatized, and i was projecting that trauma, suspicion on to the gates in the clinton's and the medical establishment. so i think there are many, many sources of vaccine hesitancy, of i've seen reluctance of vaccine paranoia. and i think we have to be very careful of what we talk about these people and i will talk to them because we can't lumped them all in one bag and just dismissed them all those crazy. another piece of the story is how politics and personal decisions affect beliefs over how to respond to the pandemic. vaccines for example, have given a wage between families politics have always been divisive. but the question of

actually it is somewhat different because it's a rare instance where the personal is the political for everybody. and yet family and community are actually important. given the isolation and loneliness of this pandemic, what advice do you have for people who are at odds with their relatives over these matters? i would say to people, be various respectful will be very tolerant. do not take things personally, allow each person to make that decision ready to go with them or not. i'm personally, i'm very much in favor of vaccines. i'm very glad to receive the triple vaccine. i think they saved a lot of lives, but i've learned not to argue with anybody in such a high personal decision. and can we respect each other and live with the consequences or the decisions without getting hostile to one other 2 people that actually are very close to us? so i think that's, that's a very important issue. how we talk to each other and how we listen to each other

and we cannot be. and we cannot be course of about it in our personal lives that we might say. thank you so much for joining us, an upright. my pleasure. ah frank assessments for china as well. banner said from the 0 call it strategy. if the rest, the world cannot get together informed opinions at all costs focused on needs. another thought of that statement critical debate. why group would need the claims that need to constitutes an interest and chill threat to russia, but it's precisely his actions that's rated this insecurity in the region. in depth analysis of the days global headlines inside story on al jazeera, we understand the differences and similarities of cultures across the world said no

matter what lucy. now does, laura will bring you the news and current affairs that matter to you. how does in europe with some of the world's largest presents needs? yeah. provides much of the uranium that fuels year. it's nuclear power. but at what cost? people and power follows the uranium trail from these add to the source at the mediterranean and investigates. the devastating effects on the planets and all those who inhabit the industries power. the cost of uranium pot too on al jazeera, when the news breaks for those started really out around 5 am very large explosions . people waking up to walk, but never expect to many of them when people need to be heard. and the story told fine line or it's playing the role of bringing our differences together with

exclusive interviews and in depth reports. this is norma. this is tyler. al jazeera has teens on the ground to bring you more award, winning documentaries, and light knees ah ukrainians. buried upside their own homes, the people of maria paul pay the price as russian troops and to the city. to school with my mother in law, one in 1936, she survived to letting grad cj rushing possible on at work a russian federation, fishing industry that she is lying. ah, oh, i made room for the good. this is al jazeera alive from oh, so coming up.