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tv   Outside Source  BBC News  July 13, 2020 8:00pm-8:31pm BST

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hello, i'm ros atkins, welcome to outside source. the world health organisation says too many countries are getting their coronavirus responses wrong. i want to be straight with you. there will be no return to the old normalfor there will be no return to the old normal for the foreseeable future. from its impact on the heart, to how immunity works — there's still a lot being learned about the virus. we'll take a look at some of the latest discoveries. in england, the message on face coverings is shifting. wearing them in shops is likely
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to become mandatory. parts of the us are still struggling to get on top of the pandemic. if florida were a country, the number of new cases there in one day would put it fourth in the world. and manchester city have overturned a two year ban on playing european club football — that would have seriously harmed their finances and their chances of keeping their best players. welcome. the head of the world health organization has repeated his warning that the pandemic is getting worse — it says too many countries are heading in the wrong direction. this is from its latest briefing. we need to reach a sustainable situation where we have adequate control of the virus without shutting down our lives entirely. lurching from lockdown to lockdown. which has a hugely detrimental impact on societies. i want to be straight with you, there will be no
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return to the old normal for the foreseeable future. one of the fundamental challenges of this pandemic is how little we know what covidi9 is doing to the human body. and of course many thousands of scientists are working to correct that. we wanted to focus on a number of new pieces of research. for example — we know the virus affects the lungs. well new research suggests it can affect the heart too. this study is by edinburgh univesity and the british heart foundation. it looked at heart scans from more than 1200 patients in 69 countries. more than half of the scans showed heart problems. one in seven showed "severe abnormalities likely to have a major effect on their survival and recovery". and the majority of these patients had no known heart disease before the scans were done. that includes a man called pietro marino — this was his experience. after the second relapse i basically isolated getting better. i did not
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have any temperature any more and i went back to my normal life. including a bit of running and cycling. but one day something happened, i was cycling with my partner and i started to have a very high palpitation with just a pain partner and i started to have a very high palpitation withjust a pain in my chest and i started having television. so my partner called the ambulance and the ambulance came and i was admitted to hospital. —— tunnel vision. a third of patients had their treatment changed as a result of the heart scans. professor marc dweck led the research. with the patients who have severe infections are reasonably high proportion will have complications affecting the heart and i think it is important that we are aware of
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that in the patients that are in hospital because if we pick these patients up it is an opportunity for us patients up it is an opportunity for us to get patients better because we have very good treatments to help the heart pump better if it is impaired and he an opportunity for us impaired and he an opportunity for us to accelerate the recovery and get them out of hospital and back to a normal life quicker. so that's how coronavirus can affect the heart. this next research looks at how covid—i9 can damage the entire body. columbia university in new york has reviewed data from patients around the world — it's found the virus is affecting the heart and lungs — and several other organs. here's doctor aakriti gupta who worked on this review. ina in a substantial proportion of patients, not all but i would say a significant proportion, we noticed a lot of blood clots and a lot of patience with high blood sugar even if they did not have diabetes and many patients experienced damage to the hearts, kidneys, brain and even gut. that led us to believe that we
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need to really understand cover 19 asa need to really understand cover 19 as a multisystem illness particularly in the severely ill hospitalised patients. of course, those kind of conclusions could have major implications for treatment of covid. here's dr gupta again. through a clot to the lungs, something we called pulmonary embolism, they will then need after discharge to be on blood thinners for a significant time and need to be followed up in clinics after that. and a lot of patience, it is ten, 15% of patients would require new dialysis when they're hospitalised sell out certain people will recover but others will go on to require dialysis for life. next — the crucial issue of immunity — one of the hopes for slowing the virus — is that the more people who get it, the more are immune to it. a new study casts doubt on that theory. scientists at king's college london have found patients who've had covid—i9 have lost their immunity within months. this is based on the the experience
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of over 90 patients and healthcare workers. 60% of patients had what's called a ‘potent‘ antibody response. but only i7% of them maintained those antibody levels three months later. and without those antibody levels, you can get the virus again. here's professor robin shattock from imperial college london reacting to the study. if you have been infected with the virus you are less likely to get severe disease if you are infected again so it is quite likely you will have a level of immunity that may well protect you from serious disease. but you may still be infectious and be a source of transmission to other vulnerable people and that is what is important in terms of public health implications. another virologist reacted to this. "most importantly, it puts another nail in the coffin of the dangerous concept of herd immunity. that is the idea that when a certain percentage of a community becomes immune the virus
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can no longer flourish. this research on immunity also has implications for vaccine development too. here's professor shattock again. there is a very clear distinction between natural infection and a vaccine, natural infection is variable in terms of the immune response it induces because you get different doses of the virus whereas a vaccine, different doses of the virus whereas a vaccine, everyone different doses of the virus whereas a vaccine, everyone gets the same dose and we are looking for a very consistent immune response across the population. there may well be a requirement for an annual booster along the same lines as we have seen for the influenza and we need to make sure that we are ready and prepared to be able to deliver that should it be required. next to a potential treatment for covidi9 which is coming from unusual source — llamas. it's thought that antibodies in llamas can be engineered to neutralise the virus in sick patients and boost their immunity. you can read bbc science correspondent victoria gill writing about this on the bbc website. the research is being led here in the uk —
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and could enter clinical trials within months. victoria gilljoins us from manchester. the first question would just be how do they even think to look there to find something that could help us? actually the template for this kind of making antibodies and the fact it comes from alpaca or llama, any camel species, it comes from a discovery in the 1980s looking at these animals and their blood and antibodies. they work in the same way as us antibodies. they work in the same way as us but structurally there are quite different, they're much simpler essentially. so these researchers started to look at whether llama derived antibodies could be made to be potent against the coronavirus. because the trick with that is because they're much simpler molecules that can be engineered and produced in the lab so basically this is making a
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antibodies that you were talking about to treat people with this, they call it passive immunisation and basically you give people the antibody so the body does not have to make them. and making them from llama antibodies means that they can be engineered pretty quickly and simply and partly published this latest research is that they can make the antibodies very potent against coronavirus and it attaches to and locks onto the virus and kills it very effectively. so they have that what they caught nano bodies because of their small size, they hope that these would be able to enter clinical trials within months which gives the prospect of treating some of the sicker patients who do get quite severe disease. you mentioned those trials and that they will need months themselves and that highlights the broader challenge for signs that the world is calling out for some help with this pandemic but there is work takes time? this is it, the researchers how we get back to any sense of normality and it
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really be a panacea is the vaccine, being able to give immunity to inject people with a vaccine and provide immunity for a large number of people and protect everybody. but really we are still learning so much so very quickly but we've had to learn very quickly because this is still a new disease and the genetic code was sequenced only injanuary and here we are injuly and we have 200 differentjust a vaccination development programmes in the offing. it just shows development programmes in the offing. itjust shows how incredibly fast the science has moved, just a few years ago you would be looking at here is, even decades to produce at here is, even decades to produce a vaccine and that is just one element of what we are developing and learning. but there is a long way to go and i think is your introduction summed up we open more questions than we do answers as scientists probe into this disease. thank you very much. the weekend brought the largest daily increase in cases
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since the pandemic began. today, the world health organisation is warning too many many countries are heading in the wrong direction. and has reiterated the need for basic measures to be implemented. the only aim of the virus is to find people to infect. mixed messages from leaders are undermining the most critical ingredient of any response. trust. if governments do not clearly communicate with their citizens and roll out a comprehensive strategy focused on suppressing transmission and saving lives, if populations do not follow the basic public health principles of physical distancing, hand washing, wearing masks, staying at home when they are sick, if the basics are not followed then there is only one way that this pandemic
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is only one way that this pandemic is going to go. it is going to get worse and worse and worse. the us is by far he worst affected country — florida has now recorded more cases in a single day than any other us state. 15,000 is figure — higher than one april day in new york. to put the scale of this in context, if florida were a country, it's one day statistic would rank fourth after the us, brazil and india. well dozens of florida's hospitals have intensive care facilities at full capacity. peter bowes has more. when the pandemic started in florida was slow to respond, the beaches and by stayed open, they eventually were forced to closed but they reopened early only to be shut down again. this is a state dogged by the disease and confusion over how to deal with it. even as the numbers rose over the weekend disney world opened again to the public. mickey mouse at a distance. and mandatory face for visitors. —— facemasks.
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while the virus spreads, in washington, the white house is briefing against us infectious disease chief dr anthony fauci. on sunday, an official shared a list of say comments he'd made early on in the outbreak — with a view to highlighting their inaccuracies. more evidence of the collapse in the relationship between dr fauci and the president comes here. dr fauci's told the financial times that the last time president trump heard one of his briefings was 2nd june. given america's situation has deteriorated since then — that's quite a time to stop listening. here's julia manchester from the hill. essentially the administration last weekend sent out opposition research if you will, something political campaigns normally stand out against their opponent saying that they do not necessarily want to listen to the doctor fauci because he's been several and suddenly things according to the white house for that they say that before masks became a thing in the united states he was saying he did not think
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people should be wearing them at that point and such. so interesting to see how they appear to be treating anthony fauci as more of a political opponent than someone who is very much a part of the coronavirus task force. but still seeing anthony fauci making some very accessible to journalists and the american people doing a number of interviews with media outlets. short time ago president trump said he does not always agree with anthony fauci. texas is another state that's under pressure. a doctor in the city of antonio has spoken out after a man in his thirties who thought coronavirus was a hoax, died from covid—i9. this is the doctor in question. we cared for 30—year—old patient at methodist hospital who told nurse that they attended a covid party, the thought that as people get together to see if the virus is real
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and if everyone gets infected. just before the patient died they looked at the nurse and said, i think i made a mistake. i thought that this was a hoax but it is not. this is just one example of a potentially avoidable death in a young member of our community and i can imagine the loss of the family. the united states is seeing rising infection rates. brazil and colombia have the same issue. india and south africa too — let's look at them. south africa has reintroduced a ban on alcohol sales — in the hope people will stick the rules better. a night—time curfew has also been imposed — and wearing masks has been made compulsory. pumza fihlani is injohannesburg. alcohol is no longer available for sale in south africa and it is also illegal to be found transporting alcohol in the event that you only had alcohol in the in the house and tried to moved elsewhere. if you found transporting it you could face arrest. the president says this decision of the difficult is necessary and he pointed to the
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situation in south africa cosmic state hospital is particularly which have become factually of around saying that they're now at a place where many are having to turn people away because that isn't enough space for them and that a number of people in those trauma units are people that are coming as a result of alcohol—related injuries and the need to take this decision to try to ta ke need to take this decision to try to take some of that weight off. india has seen yet another record for the number of confirmed cases in a single day. more than 28,000 were reported on monday. the national total is approaching 878,000. this is the fourth consecutive day india's recorded a daily increase over 26,000. the government there says it's providing medical support to everyone who needs it — but there have been reports of hospitals having to turn people away. for those who can afford it, one option is to be treated privately at home. the bbc‘s nitin srivastava has more. a residential apartment block in a
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wealthy delhi suburb. home to more than 600 people and an isolation ward for covid patients. the government has increased bed capacity but patients like this one prefer their own facilities like these. after testing positive, i went to a government hospital, he said, but decided not to get admitted because of the excessive overcrowding. we do not panic as a family and we opted for home isolation with a mini i see you set up isolation with a mini i see you set up which really helped me. this is an oxygen concentrator which provides the oxygen for 300 hours nonstop on power back up. this is a cardiac monitor which right now is monitoring my oxygen levels and blood pressure and all other vitals and this is a ventilator for the worst case scenarios. whilst buying services like home intensive care and isolation beds is becoming more
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popular against the indian elite the majority of patients do not have the option. stay with us on oustide source, still to come: manchester city overturn their two year ban on taking part in european football. in england, some beauty salons, nail bars and tattoo parlours have been able to open, as more lockdown restrictions are lifted. sarah corker has been to one. hello, come in. for the first time, since march, customers are returning to this treatment room in huddersfield. the visors are on, screens are up, and customers are asked to wear masks. kayleigh is the first one through the doors. it is a different experience, but it is not too different, either. it is just a glass screen that is in front of there. it doesn't feel scary. i feel safe. beauty therapist holly is a sole trader and her family had to help her buy the ppe
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she needed to reopen. i needed the support but obviously i am back now, so it is great to be back and earning a little bit of money. it is not obviously all the treatments i offer, it isjust nails, and toes and things, and it isjust10% of what i am going to be doing,... this is outside source live from the bbc newsroom. our lead story from the who warning that too many countries are getting the coronavirus response wrong. in england — lots of interest, some confusion on when to wear face masks. here's the prime minister. yes, face coverings, i think people should be wearing in shops. in terms of how we do that, how, whether we make it mandatory or not, we will be looking at the guidance and we will be saying a little bit more
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in the next few days the messaging is not what it might be. this was the front page of metro today. ‘clear up the mask muddle'. the reason it's a muddle — is because cabinet miniser michael gove said this yesterday. i would encourage people to wear face masks when they are inside, an environment where they're likely to be mixing with others and where the ventilation may not be as good it might. this gets more complicated still as the rules vary across the uk. in england and northern ireland, it's currently mandatory to wear a mask on public transport and in hospitals. in wales, it will only be mandatory to wear a mask on public transport in two weeks time. whilst in scotland, it's been mandatory to wear a mask in shops for the last seven days. here's its first minister. saturday and yesterday was the first full weekend when face coverings were mandatory in shops and everything i have seen or heard through social media, through other reports and actually
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through my one brief visit to a couple of shops yesterday, everything suggested compliance with the new law had been extremely high indeed. to help us through this — here's our medical correspondent fergus walsh. it has evolved as we've understood more about the virus and especially the risk of symptomatic spread, that is apparently healthy people who are nonetheless infected and wittingly passing on the virus and also the virus may remain suspended airborne in tiny particles for some time. wearing a face covering is an act of altruism, it is about you protecting me and me protecting you. the idea is it should increase —— are increasingly be seen as socially unacceptable increasingly be seen as socially u na cce pta ble to increasingly be seen as socially unacceptable to go in a crowded place like a shop or poorly ventilated area without wearing them. the government would rather that people do this voluntarily but it has not really caught on and ministers have not exactly been setting an example. that is why in
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scotla nd setting an example. that is why in scotland they were made mandatory. in england and scotland any face covering will do, wales and said they would like people to have three layer face coverings. based they would like people to have three layerface coverings. based on they would like people to have three layer face coverings. based on world health organisation advice, but they're not health organisation advice, but they‘ re not mandatory health organisation advice, but they're not mandatory there. there are concerns about face coverings that they might encourage people not to wash their hands and not to socially distance but like it or face coverings are going to be increasingly part of our daily lives. manchester city has overturned a two—year ban from european club competitions. this means city can play in the 2020—21 champions league. the club was accused of breaking what are known as "financial fair play" rules set by uefa — which is governing body for european football. the story goes back two years to the german magazine der spiegel publishing leaked emails which they said showed city had misled uefa. the documents appeared to show that of a £67.5 million sponsorship deal
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with the airline etihad, just £8 million had been paid by the airline, with the rest coming from the club's owners, the abu dhabi united group — that group is an investment vehicle of the man city owner sheikh mansour. manchester city had always denied that, and today, a body called the court of arbitration for sport agreed, saying "manchester city fc did not disguise equity funding as sponsorship contributions". but it did say that the club had failed to co—operate with uefa, so it's still being fined 10m euros. which is a tiny amount to a club of this size. murad ahmed, sports editor for the financial times. thank you for your time today. help us thank you for your time today. help us understand what the evidence was that meant the original ruling went one way and now this ruling goes the other way? so uefa thought there was clear and strong evidence that
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essentially manchester city have been disguising where it was getting its money from and this ruling does not quite exonerate manchester city or at least we have not seen the full willing yet but what we have seen is that they said that most of the alleged breaches were either not established, so there was not enough evidence to prove them or they were time—barred which suggests there was a five year period in which uefa could have brought this case and at that time, the time had run out. so it led to speculation that may be what manchester city had done very well was run down the clock on this before the sanctions could apply. good news i'm sure for manchester city but in terms of financial fair play but this has been a big theme and a big issue for years now and
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