going through here, sensing that last horrible mind. what of the journey? voices from different corners of organization survival. it's survivable. survival runs for reparations. and justice stories from other angles. life is actually music of the way people talk, the way we walk programs that open your eyes to an alternative view of the world today. on now to sierra the envelopes virus goes the world health organization size states of alert set across the republic of congo has reported the majority of cases put infections that being recorded in sweden and profit stone. so who's at risk? and it's the will for past and the labels help for emergency. this is inside story, [000:00:00;00]

the welcome to the product lines. the whole rob and the world health organization is issued as highest states of a load. after such an impulse, virus infections in the democratic republic of congo cases have now much follow beyond the countries boulder showing how contagious the diseases and the international risk that it poses. within the deals a mold and 7000000 people have been displaced by decades of conflict. many falls to live in crowded conditions where the disease can run rampant. but the innovation of a 100000000 people and fighting in the east vaccination is a huge challenge. and there's a shortage of vaccines with only a small number approved for use globally. so come to the all see, get the help it needs is the will prepared for this outbreak and come the spread be stopped. we'll be putting that to all gas shortly. but 1st we consume sharif. how's

this report of a city at the heart of an armed conflict in eastern democratic republic of congo for decades is now on the front lines of another battle. goma is groans, evil in the latest outbreak of impulse. the rapidly spreading infectious disease is sending patients to this makes shift hospital enough keep promptly. this is one of the one. at 1st i felt a headache, fever, muscle, pain, and pain. and my growing after spots started to appear on me when i taught it must be an infection with my body has completely changed the nation has reported around $16000.00 cases, the caea, and most of that that it led the world health organization to, to goods highest international and not as a global health emergency. on wednesday, the virus press to close physical contact with someone whose infectious

contaminated materials or infected animals. and what by you, i am worried. we have been shown images on the phone and on tv of people who are suffering from the same illness. i'm scared and i am so worried. impulse formerly known as monkey pulse was 1st detected in for search monkeys in denmark, in the 1950s, and humans in congo in 1970. but the recent strain appears to spread more easily. the w h o says in some center for a more direct risk decimal social is 75 percent of cases are in children onto attendance. only 25 percent on adults between $15.50 is only going to it should also be noted is that around 70 percent of these cases they've come here with the cases from compass for internally displaced people. so there was a hive under ability within the company in the country, the plastic, the applicant centers for disease and control. and prevention says, and fox has been detected in sodium countries,

the seal with more than 500. that's all the countries and they'll seen cases of including sweden, reporting its 1st case to speak to the health authorities and focused on have also detected one case and a passenger for turning from the u. e. in 2022. the impulse outbreak was reported in more than 70 countries, but it's fed was slowed within months with vaccination programs and drugs in which countries exp, but say there's an urgent need for vaccine supplies in african nations to stop the spread of the wireless. i would not recommend a general explanation campaigns with the general population or at risk populations at this stage. it is also clear that the bank scenes that are available globally educated in africa urgently needed and regions for the virus currently is readings . and there is a severe shortage of vaccines. it looks to the goal of treating impulse is to take care of the rash, manage pain, and prevent complications,

getting an influx vaccine. we prevent infection and help called the outbreak. global pharmaceuticals of promising millions of doses in the coming months from a consumption eve on to see the inside story. the. so let's bring it all gets to this edition of inside story in geneva, margaret, how respects pass and the full, the world health organization and government, david monthly director of the agency world visions operations of easton, d. l. c. and also in geneva and the cash cappella professor i brought us of global health on to monetary, in the size of the university of memphis, the he to was fully direct to full emergencies of the w h. i will welcome to all august dr. harris could i just begin with you in geneva? how worried should we be about this outbreak? it's focused in africa, but as we see now, which is spreading beyond the continent,

certainly we don't call the public health emergency of international concerned unless there is a reason for worry. i mean, the he does in the name, international consent. and what we're worried about is the detection and rapid spread of, of this new strain clay one be in easton, d i c h. it's the fact that it spread so rapidly it's, and it's also been detected a neighboring countries that had not previously reported any types of impulse. and that clearly is potential for further spread within africa, but also beyond into the rest of the world. and there is a need to try to stop it. indeed, the move will speak more about the actual biology of played one in place to a little bit later in the program. a david monkey just to get your general impressions, your, as we say, of the cold face dealing with your staff, with your colleagues in just in your agency. i'm show you a quote to you with many other agencies as well about the problem of n pucks right now just give us move a few of,

of where the focal point is to your age opperation. yeah, this is a crisis on top of the crisis. simply due to the fact that in eastern d r c, there is a conflict. it's been longstanding that has taken 2500000 displays of people in the camps in and around coma in up or the conditions. so, so much of the work that we were doing was really just basic food provision, some general cash support protection services, really the, the basics for this to come into these camps. it now at this point is, is really horrific. it's a, it's a new crisis. and then these camps, again, you have high numbers of malnourishment from children who have high cases of abuse . these are really perfect conditions for the em, fox epidemic to grow quickly. so it's a chief concern for us to do what we can now to really limit this as much as possible. i a doctor because capella in geneva, you'll no stranger to these sorts of emergencies and certainly this type of problem . but the aussie is facing the right now in terms of the, hey,

we're now on the loan time progresses. let's just talk about the here. and now what you would expect to hear from the all saw were teasing the d all see in how they are trying to help the health services of the health personnel on the ground with what's going on right now with impulse. i think that shows up the topic isn't the i see on surrounding countries, but need to upgrade to on preparations. that means making sure the practitioners are familiarized with the same terms and signs, ensure that the have a systems in place for surveillance and the testing and the to put into place of preventing public health to measure as well. uh, which include, for example of hygiene sinus ation, water and infection control, which i think has an advantage. not only would it helps against and bolts,

but also doing so many other endemic, good, good, good, good diseases. including recent, the academics which are still going to go away in these parts of the, of the work. so that's the number one steps to be taken under to prepay the public as well to be, recognize the disease when it happens in their families and communities. and bring it to their attention, all the health care providers so that the beach, oh break, does it tables can be properly tracked? yeah, we'll talk about how they actually get that word as well a little bit later in the pick on margaret harrison geneva. i mean, how problematic is it to be able to deal with this when there's also conflict in the area? um, obviously your dealing directly with the old medical colleagues and equivalence in the d all see in governments. but at the end of the day, the troll buries hundreds of miles away from the capital of control. so indeed,

conflict makes everything more difficult when you're dealing with public health, said that the advice indeed is to say come to the health set to get treatment, protect yourself. now if you're a displaced person, you're in the middle of a conflict, you can't get to the health center. you can protect yourself. and as david mentioned you, you don't have food, you don't have was that you don't have the, the safe conditions. so at the same time as we take all the actions which we all taking to prevent that to prevent the spread, then needs to be much more effort to resolve the conflict of support the population . otherwise, she will just continue to have problem on problem mess. david said crisis on a crisis, david could look about doing good. but can you just tell us a little bit about those living conditions of the situations, those of that have been displaced, not just ones, but maybe twice or thrice, or actually facing because this all adds to the troll,

but not be able to have clean health facilities clean water, clean food, and accessibility to medical cap, the yeah, the these camps, they really sprung up over night. they were unplanned. so people would literally find themselves on the side of the road at different points in or on the periphery of goma. and poof, all of a sudden it would be 10015000, just the other day. was it a camp or 22000 households over 800000 people? it was garbage everywhere. there is no strong sanitation system. we enrolled vision, we provide again emergency phone cache and some hygiene support, but we're overstretched. this is so big, there's hundreds of thousands of displaced people just around goma. so for this to make itself known for em, fox to enter into these camps were overstretched as it is. we're under funded as it is. so to be able to find the resources necessary is incredibly difficult, which is why we're asking the international community to step in immediately because we need more support in his caps. david, i'm just gonna just hold a little conversation here for a moment to give all view as

a little bit of context and then i'll be coming to mckay shortly because the democratic republic of congo has been at the center of the reason thought because we've just mentioned that the counts the mold in 90 percent of the reported infections, but in the kenya when the new guns have reported that 1st impulse infections in the past month. now those cases of also be identified in nigeria kind of ruins. central african public, south africa, ivory coast, liberia and gone. there is also spot concerns about spreading to other countries around the world. and as we just mentioned, sweden is recorded. it's fast case and pocket stone to has increased screening of passengers, that it's apples after a traveler tested positive for and polk. so we could not view as a home document. gosh, an idea of how far wide this is going. porous borders across the conflict. so have you gotten to d, c, but wendy doesn't really help matters. now we thing sweden and pockets stop in the

whole mix. when you investigate and you back track to where this older could help this is transmitting, besides isolating an individual and interviewing them. what is the process to try and contain the problem? certainly, if a country got suite in the pocket stone right now to divert it's very come to diverse countries. i think it shouldn't be a surprise to anyone that the diseases correct. and the 1st to say is, has been very important, not that this function measures like both the logos and the kind of that has often attended the fossil break. so you only have to look at the border and go with which you and that those things cause as much problem as the origin of the disease. know what can be done about it? i think it's for an outbreak is detected in a location wherever that might be very sweet, no apart to stone or uh,

in symmetric on the country it takes about the are selecting the button. it is about the are selecting the contacts. it's about to if you have access to back scenes, but vaccinating doors, so contact i've been keeping an eye on the media to neighborhood so that lucas outbreaks can be controlled. this is way back session does come in and why the relevant to your hvac seems to not with general deployment, but florida outbreak control is extremely important because the vaccines are quite to effective. i think. so to start, none of this is possible, as market has already said, it's but in the middle of across, so you don't have access. and as we already heard from, of the month if resources, the limitations, infrastructure is very poor. so, you know, they're not forecasted this, but they're all day as a complicated circumstances should not at the same time be called the what's all hopeless. you can't do anything. a lot can be done locally,

little by little in a 1000000 different situations. it is to a national action and national court isn't the lead. i'm the ultimate local organizations local communities of alternately vital to control this. so these are the brakes. yeah. david's agree. i'll come to you in a moment, david, about the agreeing about how the community support that dr. harris in geneva. can we just talk for the view as well? what back seems all available? and you might say, eligible to get into the d all see what is being you might say, researched or not quite verified, yet. given the w a hate show tick of approval before they can be distributed. how quickly can we get these? that seems that when can we get them in the volumes that central african needs? so there is 2 main vaccine, say these succeeds were actually developed against smallpox and impulses, a member of the same family and, and that's been proven efficacious against the impulse. so that's why we have these

succeeds and that's why they've been in some countries because they've actually built up, small polk stopped piles for one of them. they both but terrible names. i'm sorry, one is called m v a. and they're currently point 5000000 doses available in stock. and that the manufacturer, uh, it says that they could produce an additional $2500000.00 doses, potentially. so by 2025, we hope that will be an additional $10000000.00 doses produced. the other one is l . c. 16. it's a vaccine that's not commercialized but produced on behalf of the government of japan. and there's a considerable stopped part of dyslexia and japan as we're working closely with w 8 show on facilitating donations. so that vaccines. so they're all that states. now the question is, and the important thing to understand is just as location mentioned, i think it's been not full mess, vaccination campaigns. they need to be used in

a very targeted way. and the best if they use for prevention of people at very high preventative eviction people are very high risk, although, so you've just been in contact with a note in case if you can vaccinate them very early. so again, as we said, this depends on getting the vaccines to the right people, knowing exactly where the virus is being able to track it and, and, and doing the best quality public health. so let's go back to, to david the in the, you know, doing an agreement about the communication david, because even a ways to fade people in africa because of bad faith because of being suspicious. cultural differences, voice very worried about vaccines. i and the always happy these were in the system and as a location mentioned, getting the word out is very important. how people reacting to the potential possibility of taking it back, saying, you know, they could be suspicious. they couldn't be worried,

but the mist go simple superstition. what's the general consensus for what you're hearing? and there have been some games made due to the fact that in recent times there's been coded, but locally as well, that was also the depaula epidemic. so there is a better understanding of vaccines, but when we talk about that local communication component, that's very important. we talk this, this is an international concern, but so many of the solutions will happen nationally or locally hygiene promotion, for example, early detection and surveillance. this is where we need more support because if you're able to, you know, detect early these cases or identify certain weak spots or the stronger hygiene promotion set up necessary sanitation services. they're going to address so many of the many issues that could lead to greater impacts numbers in these caps. so it's again working in partnership with these communities to really focus on those most vulnerable, as we've noted here. and in many cases, it's children for bearing the brunt of inbox cases and even functionalities

fatalities. pardon me? so for us, it's really about continuing kind of hygiene, promotions, community dialogue and discussion to ensure that there's buying their support at local level because that's where so much of this is going to take place, dr. because capella in geneva, it's all very well as it did to try and get the communication soul to it. but again, to get the vaccines that requires money, it requires a budget, it requires goodwill. there is an organization, parts of which the w h ways of medical gabby for all view as it's about the rich dual system to all the rich developed countries, helping the poor, a sales, all the poor countries in the world when it comes to the need full vaccines, we saw this during the cove, it pandemic. it's it's, it's a system that works if it works properly. yes, the before a come to that, let me just make a point to the communication point. i'm a veteran office. i try raising the origins from all those early

decades ago. i remember the struggles, likeness at chevy and the biggest issue apart from trying to get the word off. what's the issue of stigma and the stigma on do mind control efforts for a very, very long time in a try be an element of the the all just saw in the, in the step. okay. so my point here is that i hope that david strategy, it may go my others. how does this pay? i focus on ensuring that the victims not being stigmatized because of course, one of the move. so cost mission is also a sexual. that's one thing. and secondly, the slow it's distance understanding, but always the at the beginnings of any a condition that specific communications i needed to overcome a, a dispo misunderstandings. i'm here to help even talking about all the vaccine

denials. and so that's a separate issue. i'm gonna do a question on quotes, the vaccine equity. this of course, has an ongoing debate. now we have international regulations impact goodness at the last was that somebody that was agreed to improved under wise that you're still in the middle of the bank. that makes good negotiations in terms of a better treaty and we're, we're stuck on is this business so fast? sharing a l for sol, susan, and the opportunities around the world to control diseases which are all countries are, are there now? i think we have to be realistic. so what's helping always have conflict kitchenman where i am in canada, the us in the european union are here. you know, that busy stop finding vaccines that already got some stopped by us for those positions been so uh, you know, con lady does government to, uh, to try and preserve the health of their own at risk populations that are expect

montgomery to also. so what we need is the petition installed quite to the one that did the other. so by 2nd got since and basically we don't need deputy or joe and davi and others. and the un generally to come in and say, because we have some kind of the above, you know, the same did give us your reps, the, inspect your populations. but at least about the, which means it's available to these vaccines that are part of the country, especially now this spring break is going to be controlled in africa and not technical hers. and so that's what we need to focus on to get back to me. is there a deductible go high risk? and i just, i'm bringing you a sort of a, i don't like of a question here because, you know, we've seen that the d. c. a is going through a major crisis it on it's east and bold as with civil strife and, and revel groups all vying for territory. and that was fighting. we know how that's impacting on the public at large. but we also have conflicts, dca humans who dom and we're seeing that this virus can transmit itself very

quickly. if it can get to sweet in the pocket started and get to other parts of the continental dr. mcclatchy's also building an agreement. how do you actually start talking to governments and to interested stakeholders when there is conflict in the region? well, this is really the, the biggest difficulty i think we as a well face right now. i be way, way looking at conflict around the world that is causing nasty threats to human health because the health systems that, that have taking decades to build up but just being destroyed. and indeed, as you say it's, it's a, it's a virus gets into a country that's got no surveillance and it's got no health system. but 1st of all, you don't know, it said, because you haven't got the surveillance, 2nd executable. if you even suspect it, say you called up for the treatment because people can't even leave their homes and come to a health care center it with any safety. and with the conflicts going on around the

world, we are asking for trouble. we can be brilliant at public health, we can be printed up developing vaccines. and yet all of that is destroyed by conflict of the democratic i just come to you. i mean, it might be destroyed by conflict, but is it, is that now what time or discussion that again, going to another direction. why you might say global health card is required by people who travel that would be universally accepted by all governments. i know that the issue with identity cod is always problematic and lots of countries, but to get the basic information of what vaccines you've had, what blood type you are. is that a conversation looking as a be had with see me, a civil servants? forget the, the, the power bro, cuz it's always a civil servants that develop a push policy. i think this is extremely important to remember, begins 11 and then seeing the city address it is coming across a song ever done. what type of the triggered incident there could you do

a hyper vaccinated the getting the 4 year old vaccines. and the other reason is that since over and over again, because they didn't have proper records and the doctors afraid not to believe anyone else had do things for golf street. my know, i think and we have my great yeah, my big 2 populations. even me in the know how many to me a good permanent or displacement to that, and many of them as refugees. so we know that there are students going on in terms of degree has direct thoughts which come pick up safely or populations in process. i mean, the population is cross it. so some kind of system under the framework of universal health coverage, which is a good choice such a big jump in a champion, all so as to ensure that the health records the people wherever they might be taken by a public debt, excessive quote you decide to look at what to, to, to access and that might be worth it to them. and yes,

this is also very important to, to give agency to individual is caught up in the, in the, in conflicts and crosses and moving around the 1st time it changes, but only makes sense to make that list. so i think this is very good. i need to, we need a global approach to this building on the to on set the future and you and it's the are and others have already gone and they're working with margaret. so just thought final, what modeling your results is to help those on the ground. that's the message. can the w h i with this part is globally help central africa in this particular instance? absolutely, and that's probably the main reason for calling the public health and much to the international could said when you have an outbreak left, this, the world needs to come together, bring the resources, be the human financial, scientific, technical like vaccines, bring it to where the problem is, don't be worried about it coming, stop it, where it is and, and just as a matter of the whole community. we've mentioned the pandemic, tracy,

this is what it's about. we can stop these problems if we work together, even when we have conflict and we all of us, all of us here, well, all the health workers will never stop trying to help. well, it's great to have and it's good to have all of you here on inside story, dr. margaret harris, david monthly, and dr. lucas capella. thank you for joining us back from geneva and from game and thank you to for watching this edition of inside store. you can watch at any time by visiting our website that i'll just share adult comments for further discussion . good will facebook page that's facebook dot com forward slash a great inside story. you can also join the conversation on x. i'll handle virus as a j inside story. for me. so rahman on the inside story team here, thanks very much for your time and your company. the with americans more divided than ever. are we watching the end of the american era? the us once to keep the war in ukraine,

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the end of the question, why it's happening like this. now let denise to disclose your mind it's area and really foundation

the hello. i'm sort of hired. it's and don't have the top stories on al jazeera and ty palestinian families continue to be wiped out by his radio strikes in gauze. a family of eights, including 6 children, were killed, one in his riley strike, hit the home while they were sleeping. the attack took place in data by law and the central parts of garza. and that's where about 1000000 people all sheltering insightful. 38 palestinians have been killed by israel across this trip since sunday morning. you're

a secretary of state anthony blinking is and israel has 9th trip with us since the will began in october. this is his latest attempt to push for an end to the will