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tv   BBC News  BBC News  April 18, 2020 12:00pm-12:28pm BST

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of london, sadiq khan. the masks are compulsory in new york, as well as the czech says that, apart from health workers, masks should only be worn by those who display the symptoms this is bbc news with the latest of covid—19 or are caring headlines for viewers in the uk for somebody who does. and around the world. john mcmanus, bbc news. unions representing doctors and nurses in england express concerns about new guidelines allowing the reuse of personal protective equipment. amidst a global shortage — some hospitals in the uk warn they may run out of the equipment this weekend. where do you think we are today? it isa it is a real disappointment for us well, as you have already said in that the government has been unable, your piece, we are in a very even after a month, to address this difficult situation today. we progressively worsening shortage of ppe. president trump angers democrats — believe that it is possible that after tweeting in support gowns may run out for some trusts of protests against stringent this weekend. just to put that into lockdown measures in three democrat—run us states. perspective, we probably got tens of doctors injapan are warning the country's medical system thousands of gowns left but each day could collapse amid a rising number
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a big hospital might use around 4000 of coronavirus cases. russia records nearly 5,000 gallons and london alone can use new cases of coronavirus in the past 2a hours, between 30 and 40,000 gallons so we its biggest daily increase since the start of the outbreak. are ina between 30 and 40,000 gallons so we are in a really worrying situation in terms of gowns and if you are a hospital trust leader that is particularly challenging because your top priority is to make sure and even the famous have to work from home — your top priority is to make sure as artists like concert pianist your staff are safe and are doing lang lang, the rolling stones and stevie wonder will take part everything they can, working really in the ‘0ne world together‘ concert closely with the national supply — which will be streamed globally. chain to try and get as many downs across the country but there is a shortage and a global shortage. it isa shortage and a global shortage. it is a really worrying situation and it isa is a really worrying situation and it is a concerning situation but these new guidelines have come out to help get through this situation until new gowns come into the country. and so do you think that health care workers should be comfortable with hello and welcome to audiences the guidelines? the department of in the uk and around the world. we're covering all the latest coronavirus developments, both here and globally. health has said this morning that unions representing doctors and nurses have expressed concerns they have been approved by the world
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about revised guidance that allows personal protective equipment to be re—used in some circumstances health organization, by the cdc, at hospitals in england. an official from the doctors‘ union that they are consistent with their — the bma — said the change guidelines. are you comfortable that the new could lead to some frontline staff rules are safe? i think, in these deciding they're unable to treat people with covid—19. extraordinary times and in the global pandemic, we have to really focus on what we can do because there is a shortage of gowns and in it comes as the head of the organisation which represents that situation, following world national health service trusts has health organization guidelines has to be the way that we go and they warned some hospitals could run out are saying, if other stocks are rent available and this is the way to go of the gowns used in intensive care units this weekend — and this is safe to use so i think amid a global shortage. 00:02:38,512 --> 2147483051:38:03,971 in other developments, 2147483051:38:03,971 --> 4294966103:13:29,430 the world health organisation has come on that basis, you know, it is worrying, it is concerning and it is deeply frustrating for those that are working so hard, but are in a situation where these guidelines have been issued and the trust leader is trying to protect their staff, this is the way forward. it is very sobering to listen to you saying that because it sounds as if, basically, what we're saying is, we've got to make do with what we
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have are the guidelines in the circumstances but you will know better than i that some of the unions involve representing doctors and nurses are saying, actually, they are within their rights their rights to say they do not feel safe and they are unable to give this ca re and they are unable to give this care in the circumstances. com pletely care in the circumstances. completely and utterly understand peoples‘ concerns and their worries at the moment because we are living through a situation that we haven‘t encountered before and i think the one thing we can say is that stress leaders are doing everything they can to protect their staff and their patients and they are working around the clock to try and make sure that there is a supplier, working with there is a supplier, working with the national supply chain and i think, using these new guidelines, yes, they are not what we had before, they are changes, but they are guidelines. we are trying to make sure come on the front line, that staff are safe as possible given that the supply of gowns is
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not what we would want it to be and we really hope that this disruption is short lived. i think what we are talking about is finding a way to a period of time until those new gowns arrived. they were ordered about a month ago, they have not yet arrived andi month ago, they have not yet arrived and i think that that is the real challenge here. and also the fact that we have heard that new manufacturing is coming on to help stop that gap, as it were, in terms of having no gowns. so that is a bit of having no gowns. so that is a bit of heartening news in what is a very challenging and difficult situation. giving the effort to do that has been slow? i mean, there has, as you will know, been criticism in some quarters that the government is focused more on commissioning designer labels like burberry and barbara who are not really set up to do mass or workplace clothing. rather than commission, taking up the offers of help from those who are much more familiar with the
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doing workplace clothing in bulk. so, ithink doing workplace clothing in bulk. so, i think this is actually a complex issue and, in the face of it, it can seem as though we should be taking everyone‘s offers of making protective clothing and taking them from wherever we can get them but we have got to make sure that they do actually meet the safety sta nda rds that they do actually meet the safety standards and i think that has been some of the issues that we have faced. they have to be the right kind of level of textile and fabric so that they are genuinely fluid repellent in the way that they need to be. and there are all sorts of factors. we know that the issue with supply, particularly from china, apart from the fact that the supplies being interrupted because of their own coronavirus challenges, what we do is that sometimes the supply that has come in has not met the health and safety executive standards and the php standard so it is really about making sure that we
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are manufacturing to the right levels. so, you know, we are fair we are... sorry. we are very short of time and ijust wonder. we sorry. we are very short of time and i just wonder. we are where we are. in some of the viewers watching this programme will be doctors or nurses going off to shift i will be the pa rents, going off to shift i will be the parents, brothers or sisters of nurses going off to a ship. do you feel comfortable in saying, should they feel safe and going to work in a coronavirus ward today if they don‘t have a full body protective gown? i can‘t give you that yes or no answer. the answer i can give you is that these are the safest possible guidelines. gowns are not available for everyone bite at this moment. thank you forjoining us. we can bring you a couple of lines on the situation in spain. the latest figures from there and they do their daily news conference at about this
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time of day. the death toll in spain has risen by 565, we arejust living in the last couple of minutes. that is down from a rise of 585 the previous day. and the total is up from 19,478 to 20,043. the number of cases up from 19,478 to 20,043. the number of cases up to 191,726. i probably should just say, obviously, that those are confirmed cases and confirmed deaths from coronavirus but there is uncertainty about debts in the community in spain as there are here and in so many other countries.
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he has been described as charismatic kind and thoughtful. an officer who was much loved and respected by all those he worked with. president trump has defended a series of tweets encouraging protests against lockdown measures in minnesota, michigan and virginia, three states with democratic party governors. at a white house briefing, mr trump said the measures imposed in some states had been too tough. he called for the three states to be "liberated". 0ur north america correspondent david willis reports. it isa it is a massive undertaking in a country of their size and president trump believes the responsibility for carrying it out rests with
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individual states, not to the federal government which he oversees. in york, the epicentre of the virus here in america, the states governor says he has neither the money nor the manpower to carry out widespread testing for the coronavirus and he is not alone amongst state governors. he accused the president of passing the buck but not the bucs. an accusation which prompted president trump to take to twitter to urge the democrat governor to spend more time doing and less time complaining. later, it fell to the vice president to assure reporters that there are sufficient resources to carry out widespread testing. our best scientists and health experts assess that states today have enough tests to implement the criteria of phase one if they choose to do so. horns blast. president trump has made little secret of his desire to reopen the american economy quickly ahead of elections later this year,
quote
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and he appeared to lend his support to protests over stay at home orders that have sprung up in several us states. protests in minnesota, michigan and virginia are thought to have been orchestrated by conservative groups that want to see the president re—elected. each has targeted democratic governors whose lockdowns the demonstrators want to see lifted. the president, in a series of tweets, called for all three of those states to be "liberated", as he put it, adding a call to his supporters in virginia to see what he called your great second amendment, which he said was under siege. the second amendment grants american citizens the right to bear arms. last week, virginia‘s governor ralph northam signed several gun control measures into law, a move prompted by the mass shooting at virginia beach last year in which 13 people died. the president denied suggestions that his tweets could foment dissent
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and undermine his calls for national unity. he also denied suggestions that by defying social distancing guidelines, the demonstrators could add to the spread of the coronavirus. these are people expressing their views. i see where they are and i see the way they‘re working. they seem to be very responsible people to me. horns blast. the protests in michigan are said to have involved around 3,000 demonstrators, some of whom were armed. that state has seen more than a thousand new cases and more than 100 new deaths a day. and the state‘s governor said she hoped the president‘s tweets would not be seen as encouraging the protests. i totally respect people's right to dissent and to voice their disagreement with decisions i've made. i'll tell you this, every decision i've made has been centred around what's in the best interests of the public health of the people of michigan. instead of the big re—opening
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of the american economy that president trump had hoped to see, his administration is putting a tentative toe in the water. the reopening of the world‘s largest economy will be slower and more cautious than many in his administration might have liked and quite possibly fraught with controversy. david willis, bbc news, los angeles. pressure is mounting on the government to publish an exit strategy from the coronavirus lockdown from the leader of the opposition, sir keir starmer, and from within the government. the government has said that talking about an exit before the virus had reached its peak risks confusing the public. let‘s speak now to the former conservative leader iain duncan smith, mp. you don‘t agree, you also share the view that we do need to start
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thinking about an exit strategy? yes. i think the real issue here is not whether, it is when. and of course, absolutely, the government has been right so far, completely right about the lockdown and i also believe they are right to see this through properly by extending the lockdown. there is no issue about that. i think the real issue is the government having to do two things. first is absolutely plan as to how we will bring the economy out of lockdown and secondly, to, i think, bring the british people into his confidence over this because i think the british people have shown already a remarkable level of common sense. they have gone into the lockdown, they have confounded, actually, many of the predictions made that this would not hold in quite the same way and that means, i think, that it has effectively arrived earlier than epidemiologists thought and that means they have done what they were asked and they‘ve done it with good humour and
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sense and they have also accepted, quite rightly, the governments extensions for very good reasons. but i do think they want to know, businesses, small businesses particularly, how we will come out so particularly, how we will come out so they can start plans and i think it is right for the government to look at that and i reference a very good paper written by significant economists who talk about how this would be done in a kind of stage by stage traffic light process to allow some businesses to come on in some sectors and then pause, wait and see how that happens and move on. and people wearing face masks and social distancing. so it would be done reasonably and i think the government should respect the fact that the british people are quite capable, i think, that the british people are quite capable, ithink, of that the british people are quite capable, i think, of recognising what they need to do not done in recognising any plans the government makes for coming out of plans which are not going to be implemented immediately and will come out from the government says they are ready to. if you are interested in this idea of the traffic light system for
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raising the lockdown tell us a bit more about it. not a full academic paper length, i hasten to add, but the brief come in a nutshell version. essentially, what these economists have said is that you now need to factor in behavioural aspects as well which not really been factored into the original epidemiology predictions. that means, to what degree can we recognise that the public are capable of making the right decisions and been influenced to do that so the traffic light system is about say, write me start with a kind of red point where you allow some sectors to come back to work, still emphasising social distancing and while you do that may be schools, suddenly primary schools, reasonably early because of course their parents won‘t be able to go back to work unless their children are in school so that is some balancing to be done. then pause for a couple of weeks while you check to see how that is having an effect, public transport and everything else. then you move to the amber phase where you open up more sectors if everything is going
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0k and that allows you to check again and finally moved to a green face, taking probably about a month in total to get to that point of all goes well. and you check, and you test, and to make sure that people still social distancing even when and if they have to go into work, are the norm. and it is not going back to the way we are yet until we have got a medication that can or eventually vaccinations. the new normal is social distancing. maybe it is wearing face mass at all times while out of the house, though sort of things will help us reach that point. i wish we had longer to discuss it but thank you very much for summing it up in brief for us. russia has recorded nearly 5,000 new cases of coronavirus in the past 24 hours, its biggest daily increase since the start of the outbreak. it comes as hospitals are said to be
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in danger of running out of space. the situation has led to president putin postponing the annual victory day celebrations, one of the most important days on the russian calendar. here‘s our moscow correspondent, steve rosenberg. rarely has moscow felt so calm. bells chime. so quiet. so empty. in lockdown, a city of 12 million people so peaceful. but not everywhere. 0n the edge of moscow, ambulances queue outside a hospital that‘s treating covid—19. the crews had to wait more than nine hours to bring in their patients. just look at this line. it‘s a sign of a national emergency. at another facility, doctors are preparing for their shift in the coronavirus ward.
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with moscow the epicenter of the outbreak, the hospital is already overcapacity. but its head doctor is used to emergencies — he was a paramedic in chernobyl. translation: the pressure on us has increased. we‘re getting around 150 new patients every day. we‘re not at breaking point yet, but we‘re getting close. when georgiy got sick with suspected coronavirus and was struggling to breathe, twice he called for an ambulance, but none came. the system was overloaded. translation: when i did get to hospital, it was like watching a conveyor belt — ambulances constantly coming and going, bringing in new patients. the strain on the system is close to catastrophic. i decided to go back home. most of the patients were sicker than me. this pandemic is putting an enormous strain on public health systems everywhere, including russia.
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officials here are warning that moscow could run out of hospital beds for coronavirus patients within two weeks. for the president, this epidemic is the biggest challenge he‘s faced. it‘s already forced vladimir putin to postpone the annual may 9th victory day parade on red square. huge celebrations for the 75th anniversary of the end of world war two now on hold. and in moscow, the lockdown is tightening. to use a car or public transport, you now need a digital permit. the aim is to slow the spread of the virus by keeping more muscovites off the streets. steve rosenberg, bbc news, moscow. doctors injapan are warning the country‘s medical system could collapse amid a rising number of coronavirus cases. one patient in an ambulance with a fever was turned away by 80 medical facilities before finding
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a hospital in tokyo that would accept him. japan initially appeared to have the outbreak under control, but on thursday the prime minister, shinzo abe, declared a state of emergency across the whole country. i‘m joined now by kenji shibuya, director of the institute for population health at king‘s college london. he is also the former chief of health policy at the world health organisation, and now serves as a senior adviser to the director—general. what does that mean in detail? there is obviously a growing number of cases but my biggest concern is hospital transmission because of the lack of testing. so why. .. lack of testing. so why... i mean, it is perplexing on the surface thatjapan, such an advanced economy with such an advanced economy with such an advanced medical system, such an elderly population as well, should actually have these problems and not
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prepare in the same way that we saw so prepare in the same way that we saw so many other asian countries taking it very seriously in the first place. obviously we are not prepared for this kind of pandemic because we are primarily targeting chronic disease. injapan, the number of beds and especially nicu is very limited. but japan has had especially nicu is very limited. butjapan has had time to prepare and it is only next door to china. i mean, look at thai one. it has had a mere handful and is only at 100 miles from china. japan watched china go through size just a few decades ago and it interesting to hear you say it is not pandemic prepared. japan was initially successful in controlling the epidemic in small cities but in big cities like tokyo japan still employs a different approach for targeting the main group of patients and testing. and
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they did not expand the test so there was delay in terms of changing there was delay in terms of changing the strategy to test and isolation phase. u nfortu nately, phase. unfortunately, sound a cautionary tale but thank you for coming on to tell it. it has been a cloudy and showery start for some. the rain is now sweeping its way through the midlands, into north wales where it will tend to weaken and ground to a halt for the west of the afternoon. eventually, to the south of that rain band we should see the cloud breaking up and some sunshine coming through. it has been a beautiful starting to scotland, northern england and northern ireland. you keep the sunshine throughout the afternoon. a breeze and make it feel call on exposed coasts. 9—13d here. only around ten or 11 in the cloud and rain, highest values of 15. as we head into sunday, high pressure sits up to scandinavia. the wind swinging round in a clockwise
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direction so we always keep the breeze coming in of the cool north sea but that breeze will act as our rain and put some of the cloud back to the west so as we go to sand it will be dry, settled with more sunshine around and as temperatures will be a degree or so higher. ranging from nine — 18 degrees.
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this gives you more news, the headlines. unions representing doctors and nurses in england have
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shown concern about allowing the reuse of ppe. hospitals in the uk i worry b may run out of the equipment this weekend. president trump has angered democrats in tweeting for support against democrats in three democrat run us states. russia records nearly 5,000 new cases of coronavirus in the past 24 hours —— its biggest daily increase since the start of the outbreak. it comes as hospitals there seem to be running out of space.
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