tv The Bottom Line Al Jazeera June 25, 2022 3:00pm-3:31pm AST
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fascinates requires talking to everyday people to the mayor of the city and now said you doing away with the curfew. that was, that was to get everybody off. it's international perspective with the human touch zooming way in, and then pulling back out again. around 3 quarters of sub saharan africa's cultural heritage is on display in western museums. it didn't happen overnight. we were rob color time. the 1st episode of a new series reveals how european colonization remove tens of thousands of artifacts and the appeal struggle to reclaim restitution. africa stolen on episode one blunder. oh, now jazeera ah hello, i'm emily anglin, in anto headquarters. these, the top stories on al jazeera in the u. s. several states. and now in the process
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of banning all restricting abortion after the supreme court struck down a landmark rolling on friday. or ivy wade had guarantied a woman's right to terminate a pregnancy within the 1st 12 weeks. had he cal hang reports from washington dc. ah, for some this is what they've been working to for almost 50 years. as the supreme court decides access to an abortion is no longer a constitutional right now, the states can decide and $26.00 states are likely to ban abortions in the coming weeks and months. once those words were read, that the decision of roe v wade was reverse. i had to kind of this mix of relief and excitement. it's really hard to describe, but a bunch of us to start bursting into tears. i outside the supreme court, pro abortion rights activist, cried enraged at a court. many of them consider illegitimate. confronted the anti abortion rights
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activists? i well, both acknowledged, they had no hope of changing minds. it's hurtful. there are women in gra, i, there are people who are going to go to jail britain. we can't control in their own body because the people who make the law don't understand. i will not, not being pro white because science is on our side. president joe biden was quick to condemn. the decision is a sad day for the court and for the continent. now our ro gone, must be very clear. the health and life of women in this nation are now at risk. this decision basically said that the robi way decision was simply wrong. it is highly unusual for supreme court to overrule precedence, especially one of this important. so this court is unlikely to change its mind. now the focus turned to congress to try and get a law that guarantees abortion access power concedes nothing without
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a demand. never has never will. do i think it's realistic to say we'll restore abortion right. if we sit home, hell know, do i think if we come out and raise body, we flushed the streets and don't go home. absolutely. we can compel them to restore legal abortion on demand across the country and nothing less than that is acceptable poll showed the majority of americans didn't want this decision to happen. how much they care will determine if this is a permanent new reality in america. how do you have al jazeera at the supreme court? ration bosses are moving to surround the city of lissy chunks. that's a day after ukrainian military were ordered to withdraw from the nearby strategic city of russian missiles have also hidden number of military science in western and northern ukraine. police in norway, se then now trading as shooting outside a gay night. clubbing also is an act of terrorism. 2 people were killed in the attack and more than 14 injured police have arrested
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a 42 year old suspect cargo planes from pakistan and cuts. i have landed in afghanistan bringing aid to those effected by wednesdays, devastating quite at least 1100 people have been confirmed dead and entire villages have been destroyed. people are desperate for food, shelter, and drinking water, moroccan, i'm sorry. say i said, my friends have been killed while storming the border separating the spanish enclave of malaya from morocco. about 130 pages succeeded in great defence. the iranian foreign minister says, ty, ron is ready to resume talks in the 2015 nuclear deal, it comes after a meeting with the european union's top diplomat. joe sit around is entire run to talk about the agreement after months of stand life over differences between the us and iran and afghan prisoner held in one of my bank for 15 years without trial has been released. a vigil court ruled aside della harun gould was attained unlawfully
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he's been in prison since 2007 accused of having links with al qaeda and the mayor of cuts. i was in cairo to meet with the gyptian president. they said to discuss investment deals to boost the struggling egyptian economy. okay, those are the headlines. i'm emily angland news continues here on al jazeera after the bottom line. oh i i am steve clements and i have a question after more than 1000000 deaths attributed to the corona virus. what did america get wrong and it's response, and it's going to get any better. let's get to the bottom line. ah, america's response to the cobra, 1900 pandemic has always been a work in progress. in the early days,
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very few people knew what the virus was or what the world was going to do about it . different countries tried to fight cove it in different ways, shutting borders and locking down their citizens as much as possible. this show did its 1st expose a on the potential consequences of a devotee pandemic. on february 11th, 2020, even before it had been officially termed append demik, but many simply did not take the threat seriously at that time. as time marches on and vaccines are becoming more widespread, people are learning to live side by side with a virus, even though we're obviously not out of the woods. now we're seeing people who already got the virus get reinfected in some cases reinfected again. we still don't know what all the effects of long covert are, and the virus keeps mutating and new variance. today we're talking with a leading physician who had a front row seat to all the politics, the science, and the media awards that were going on inside the white house and around it. when the pandemic broke out more than 2 years ago, dr. deborah burke's was the white house corona virus task force coordinator during the trump administration. and she just come out with a book on her time,
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their silent invasion, the untold story of the trump administration, coban 1900 and preventing the next pandemic before it's too late. dr. burke, thank you so much for joining us today. and i guess, you know, the obvious question is, when you look at the pandemic came and i was, you know, we were talking about that on february 2020, early before a lot of folks had even begun to register. this might be serious. how did we get so much wrong? well, you know, i think most of our people who are working in public healthy united states haven't worked globally. and we've been battling pandemic h i v. tv malaria as the people around the world for decades and successfully so. so we had those lessons learned, so it's interesting that international system had it well because we knew we knew that it starts with community and it starts with data and it starts working with people from day one. and so i think where the us really thought that they could contain the virus, sometimes highly industrial, high income countries think that they can conquer infectious diseases. but we've
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learned when you work around the globe that, that wealth does not determine your ability of being infected or not infected. i guess i'm really interested in the next pandemic or the next big thing that comes and in my view, just reading and listening the you, you believe that will happen? yes. well, i believe that if you want to be ready for the next pandemic, you figure out this one. and if we can get this one under control, we will be ready for the next one. and it's not just the public health infrastructure. it is setting up to parallel systems. and so the information that we need is in the clinical and the laboratory system of the united states. and so we now need another public health system. we need to learn how to work successfully every day with the private sector that's getting the information. so the information is there and the information was always there, but we weren't collecting it systematically and anonymized so that no one could
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tell who was who like we do all around the world. so i mean if we had approached h i v and t b like the u. s. approach covert in those early days, we would have failed miserably. and we learned that you create the data so you know where the virus is, where it's going and what needs to be done. so let she what donald trump shared with us on february 24th. the krona virus is very much under control in the usa. we're in contact with everyone and all relevant countries. cdc in world health have been working hard and very smart stock market starting to look very good to me. i find is fascinating at the time because i was freaking out that this was spreading . the silent spread that it was probably already here and drove correct. donald trump links it to the stock market. so what was going on there? starting in january like you, i'm seeing this, i call the national security council, the africa bureau and say this is an emergency. i need all the african diplomats
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coming into the white house and we need to talk to them about what's coming. and so we're holding a meeting the end of january with all the african diplomat so that they'll cable to their countries. and so that they'll say those resources, the laboratory infrastructure, everything that we built to combat h i, b, t, b and malaria. you can use the people, the labs, the facilities you can use to combat cove it and get ready. so i am taking this very seriously. and the us is talking about containment, because just like you, i knew it was everywhere because i could see that it was spreading silently. you don't end up with that many people in the hospital and will hon if there is not incredible community spread. and the only way you have that level of community spread without awareness is when most of it is happening in people that have such
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a mild disease that they don't believe that they're infected. you're desperate. so i'm gonna share something with our audience about you that many may not know for 29 years. you are not you when you're in the army or an army colonel. you you help on pet far. and pet for which of course, was a rather remarkably successful interdiction with h i v aids in africa in the developing part of the world. and i don't know how to put this and i may put it, you know, in elegantly. there are a lot of kind of big headed guys that are running, you know, governments military's and you are also worked with a lot of that kind of person in the white house, the trump white house. so i just be interesting to reflect on your time working with you know, north assisted self absorbed bosses, both in the white house, but also out in africa. and in the military. you are one of the few women of your stature in public health. tell us about that journey while you find a way to make it work. and the reason you do that is because lives are at stake.
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and so you know, so many people say, well, why didn't you do this? or why did you do that? or why did you leave as long as you're making progress, even if it's on seen, but you can see it. and you know that you're making a difference every day. and that's where i've always approached everything i've done. i mean, in the military, it was the same way h, i, b was very stigmatizing. and so to be in the military, in the eighty's working for our commit anders of a hospital which were 2 and 3 star general, who would look me in the eye and say, i don't want aids cases here because i don't want to be known as the a hospital, this is walter reed in, in the eighty's. and i mean it with all due respect to kind of sounds like president from saying don't test any more. we don't want to find any more people with tests. so it's very similar, but as opposed to president trump, who was saying that and then giving me $6367000000000.00 to expand, testing around the united states and calling in the private sector and asking them
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to make all the tasks that we need. he would say one thing and we were able to do something very different and i think that's where you continue to work on seeing on heard, but making a big difference day after day. and that's how i've had to work around the globe there. and so many of these pandemic se are political, and so many of them are so many infectious diseases are stigmatizing and, and a lot of people go to the corners, and you don't want to talk about it. and when you can talk to people, frankly about what's actually happening and show them the data, that's when you get movement and policy changes. and, and even though the president, after about early april, was not really looking at my data anymore, the vice president and the task force was and more critically, the private sector was using that data to ensure that we get the supplies to the
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people who need it. and that was what was important to me when you work. we were essentially a resource limited setting in that time. i mean, we didn't have p p e. we didn't have treatments. treatments were very limited. and when you have limited resources, like i've had for decades in sub saharan africa, you just, you why you have to do today was present tense, a hero, and this was the villain. you know, alex is r peter navarro who's been in the news lately. you know that when you look at the circle of people there and you know, price president pence was given, at least for a time, you know, some latitude to, to deal with this. did you find pockets of support for what you felt like you really needed to do to save lives? and i have to say, save lives despite the fact that we're talking about this because a 1000000 americans have died. and that's something we shouldn't be at all. acquiescing to we're happy with. yeah, i think you describe it perfectly. i know people would like to have everybody into a black and white to have either victims or villains and it wasn't like that. and
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that's why i thought it was important to write the book because i wanted people to understand what went right and what went wrong because of you don't, you're managing correcting the wrong thanks. right, and i think part of that is today we haven't been transparent enough about what's working and what's not working. and that has led us to just really confusing communications to the american people and not real time common sense solutions that they can apply to protect themselves in their family. and that's really the key. and the most important thing to me is there are solutions out there for everything that we're experiencing. and many of the countries have gotten those solutions to the public and a very clear, transparent way. and we still suffer in this united states from not being able to get that clarity into every community. when i look at attitudes about president
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biden's responsive croner virus, we see about 49 percent of americans approve 43 percent disapproved. you know, it's very partisan. the, you know, the view, 81 percent of democrats are supported in 42 percent of independence, which is not a great number. and in 1900 percent of republicans, i guess perhaps it's an unfair question cuz you're a public health. you know, you're a doctor and you're out there running systems, but you must have a sense of the ability of the, of the nation to absorb science and absorb guidance. how did this become? you know, 3 be it's really because independents are different to independence. republicans, democrats, 3 different countries. we let it do that and i think we're letting it do at still today. and that is what i find. it's so discouraging because we should be treating every hospitalization and every death as a programmatic failure and holding ourselves accountable. that is the way you change pandemic. that's what i did with h i b, that's what i did with t
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b and we have 90 percent less new cases of h. i v in many countries of sub saharan africa. but you have to treat every new infection as a failure. and i think in this country, we're still doing the tyranny of averages. we're still making states or counties red and blue when you make, when you put up data and you put it up as a how people voted, you further push people into the corners. and i have found that where i have worked, if you go and talk to people honestly with clear data and the evidence to make decisions, they will make the right decisions. but you have to use local peer educators like we learned with h. i b, you can go in there and say, well, i've said that i said that i said that from the white house microphone that doesn't work get on the ground, see what's happening, talk to communities, find out what their barriers to access are. why are we talking about right now that
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it's not people look at health care, they think it's all the same. i can tell you health care in new york city area is very different than health care in mississippi. and people have been dying at a higher rate in our rural counties for decades. for decades. cove, it has uncovered that, but this isn't because they voted republican or they voted democrat is because they don't have access to the same level of health care. how do we elevate that commitment to the uncovered and connected american and prioritize that? because i think one of the few people i've read who gets the fact that their health is our health. and i think that's true internationally to that our house of the development under develop nation that does not have the resources we do guess what, what happens there may come and impact our health here. how do we change the vector? because i can tell you almost no one in this town in washington d. c. walks around with that template. first you have to shed
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a bright light onto the issue like you are doing. and that is absolutely critical. and that's our job is to really shine that bright light and say it's not so simple . when i came back, i found a country with less data and less communication than i had in sub saharan africa, the united states of america. i found tribal nations that were less for health care access than what i had built for communities in africa. and i felt incredibly guilty. and so you know, my passion and why i have so many sections on that in the book. as we know what to do, we know what to do, but we have to recognize that it's a problem. i think for decades we believed if we built stronger urban areas than we would elevate health care everywhere. and we neglected all the rural areas. most people in rural areas believe their doctor is the wal mart i, dr. and the
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e r. that is 2 hours away. so if you look at how distant people are from, let's just say a level, let's say your level one trauma as a sarah, good. because in order to become a lever one trauma, you have to have surgeons and you have to have advanced and sophisticated medical care. so let's use that as an indicator. there are 22 level one trauma centers within the new york. metro area is one in mississippi. in the whole state in the whole state. well, and so when you look at who has health care within 30 minutes, you'll start to see that most of the read counties do not do not. and we did nothing about it. we built up the urban centers and created this sense that there would be a hub and spoke, but the people who are living at the end of the spokes know that they don't have the same access and they're angry about it and that has further disenfranchised
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them because people have not been there that i love to when i watch tv, and they said we'll talk to your primary doctor about co vaccines map, where there are primary doctors and how other people can access them again. and i think you'll find that most of the read counties don't have access to primary care doctors haven't per decades. so in the and that's why their diabetes is more out of control, their hypertension there, obesity. all those factors that put them at a greater risk. all of our tribal nations that have not had adequate preventive care for decades. cove, it has uncovered that, did you feel like you were in a kind of a really bad netflix soap opera sometimes? i mean, i think, you know, sometimes when you see some of these episodes it would come up like the whole, i mean, one of the ones that i fall that a lot with the hydroxyl clerk and obsession. which proved to be this very, very weird side show, but with staggering
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a numbers of people who believed in it and it created misinformation or, you know, we know and you, you've often talked about about the day where you're in the room and you're on camera. you know, chlorine and disinfected and what president trump was willing to say. and i know what i've read what you said that it was important for you to be in the room to try to fix these problems as and not just abandon ship. and then when they tried to shut you down, you went to talk to governors and go out to states and try to do this. i guess my question is, what is your counsel to people who are sitting at other tables in their kitchens or they're sitting in other policy planning discussions and the next chlorine disinfectant. comments. com or the next, you know, hydrox corklin type fad comes up. how do responsible people remain engaged with nuttiness? well, it's, you know, i guess i don't, i don't like to classify it isn't this because in the a, be a spend. when we had nothing. people were looking for cures and treatment,
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right is all kinds of products. so i lived that and i lived that desperation. now, if you're in a rural area where there is no rendez, severe, where there is no pack slow of it, where there are no adequate testing. what are you going to do? you're going to grab on to something that you can get your hands on. because when you have nothing access to nothing, you look for those miracles and you look for that hope and you, you hold on to anything that you can get access to our mistake and our mistake continues to be. i mean, we've lost a 180000 americans since january of 202280000 americans just in the last 5 and a half months. why aren't we getting test of the people we know who need it the most with a hotline? it says call this show on their test. get your tele medicine. if you don't have a smart phone call them, they'll believe you, they'll send you packs,
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love it in the mail. it will come to your address. that is the way you get services to people that live in far distant and rural areas. and we have that information and we're not using it. so i just feel like we have the tools, we have the common sense answers. we're not using peer educators, we're not getting information through people that they trust. we're not in the churches, we're not in the tribal nations every day. we're not setting up solutions that can work for every single american. yes, if you live in the washington area, york area, the area you are experience doing this exact. i mean, let me just ask you, you know, finally deborah burke's as scientist, because i've read that you have looked at the data, particularly out of africa. you see these 4 in 6 months cycles that come on. and in a way i want to ask you, do we need to be aired straight in the sense that even when i introduced this show,
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i said something, i'm not completely comfortable with that. we have learned we're learning to live with the virus and i'm not sure that's the right attitude or posture we should have . and i guess my fear is that talking to a lot of scientists, i know that variance can come in different forms and they don't always become more benign. they've can become something more deadly. i've been hearing about potential variance that are vaccine resistant. and so can you share with give us a snapshot, frankly, of why we should not be comfortable with the fact that potentially living with a virus? what is out there that we need to really arm ourselves against? because we are sort of shrugging our shoulders about a 1000000 people debt. i mean, it could be a very different number to tell us what, how we need to change our frame. well, we have the tools to live with the virus. but i think though, the key phrase that you just sat is live. what is our plan? so every american can live, not just those $45.00 or 25 year olds,
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but the 65 year olds, the 85 year old. how are they going to live and survive despite cove it? and there is a pathway to do that, but we're still not on that road. other countries have gotten on that road. and so if you look at delta and am a kron in the u. k. they are, death rates were almost half what ours were when we were equal went all through 2020 in 2021. they had half. the reason they had have is they communicated to the public successfully. they told them that vaccines were not the 100 percent answer in this country. we said, throw off your, may i ask vaccines got to keep you from getting infected. we never had that evidence. when you say you're following the data and the science, you have to look at the data on the science. and once you saw those periodic surges in south africa, it was clear that natural infection did not lead to long term protection like measles, mumps, and rubella,
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and therefore the vaccine was not going to lead to long term protection from infection. so now we have lot more people with mild and asymptomatic disease, passing it on to their sick aunts, their grandparents and those individuals are dying on. so the u. k. started testing at 4 times our rate, but not only 4 times the rate, they told the piece of people the reason to test you task before you go and visit grandma, because you could be silently infected and they people did it. and so that's what is always discouraging to me, no matter where i worked. if you show people the evidence, the grass, the data, everyone can understand it. it's not, it's your job as a public health official to make sure that people get what you're talking about and, and spend enough time answering their questions so that they get it. and it's our job than to make sure they not only get it, they have the tools to survive. and so we're not putting enough emphasis on communication down at the county and the local level with peer educators. and we're
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not putting enough tools into those counties. so everyone can survive. if we do that, just like we did with h i, b and t b, we can have a different outcome, but we can just say test entry and everything's going to be better. and then when it is it, yes, we've gotten through a low swell we had one last year with alpha variance variance, our predictable swells are predictable surges are predictable. well, i want to thank you for that. deborah burke's former white house corona virus task force coordinator during the trump administration and author of and you should read it silent invasion. thank you so much for being with us. thank you. so what's the bottom line? former president donald trump was laser focused on his election prospects and wanted to stay on message. the virus is under control, no need to panic. he thought in my view incorrectly, that leveling with the american public would undermine the economy and cost him political support. science had to take
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a backseat with him. president joe biden doesn't sugarcoat the reality of the situation as much. but he was also unprepared for the waves of corona virus that infected millions and killed hundreds of thousands under his watch. and his administration's public guidance on masks and on vaccines and on testing contact tracing has also been erratic. this pandemic has exposed america's inequality and political divisions. and now the united states has the sad distinction of being number one in the world in known corona virus depths. my guess says we have to take our blinders off and make sure we're better prepared next time. because in my view, there will be a next time, and that's the bottom line. ah, we understand the differences and similarities of cultures across the world. so no matter why you call home al jazeera will bring you the news and current
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