the c.w. news live from berlin spain has been warning the victims of the corona virus with a minute's silence across the nation the country's death toll is the 2nd highest in europe behind italy which is also held a minute's silence spain's health system is being pushed to the limits although the government believes it is seeing signs of hope. also coming up germany may have one of the best health care systems in europe but

is it up to the coronavirus challenge the cracks already starting to show. and production the facemask is ramping up some governments believe that they can help prevent the spread of the corona virus but the world health organization says there's little evidence for that. i'm sorry kelly welcome to the program spain has been mourning the victims of the corona virus with a minute's silence across the nation the country's death toll is the 2nd highest in europe behind italy which also held a minute's silence spain's health system is being pushed to the limits although the government believes that it is seeing signs of hope a minute of silence in madrid after the deadliest day yet in spain's corona virus

outbreak. the city and much of the country are on lockdown following other european nations. a senior health official who has been infected appeared via video link to praise measures taken so far but with a warning. and his. analysis from last week in certain regions shows that the measures are little by little having the desired effect now it wouldn't make any sense to try new measures very important measures were rolled out on the 15th of march in as many that he did in the effect of this you know if you miss a minute but we can institute more measures if the present ones are having an effect this isn't a race to the top. meanwhile with many medical facilities strained to the breaking point in coming patients are being treated in makeshift hospitals like this one in madrid's convention center which just opened up

a new section on monday. as the death toll spikes the leader of spain's main business association complained about the effect of stay at home orders. and industry cannot stop we have to try to not stop it and if it has to stop it should be for the minimum time possible this is because industry gives strength to the spanish economy. in the industry must be treated with special care because it generates employment and services it is a very important issue. that it clearly is soldiers in hazmat suits have been called up to help disinfect public spaces as the battle against the deadly virus grinds on. and earlier we spoke with correspondent john philip schultz in seville and he told us how spanish people are dealing with

the situation the situation becoming increasingly intense it's the 4th day in a row now with more than 800 people dying every day so that. people are worried when i go to a supermarket i see a lot of where each face is on the other and officials also try to be optimistic and say that the peak might be reached in the coming days but i think what makes it especially difficult full strength of these is the economic uncertainty because they don't know if they will lose their jobs maybe in the next weeks and studies that's up to 50 percent of the people in spain straits to boost their jobs thought was on philip schultz in spain let's take a look now at some other ways coronavirus is affecting people around the world russia has reported its biggest one day rise in new cases some $500.00 bringing a country's total to more than $2300.00 authorities in belgium have confirmed the death of a 12 year old girl infected with coated 19 although serious infections among the

young remain rare several countries have reported exceptions and the world health organization is warning that even though the focus is now on europe and the united states the coronavirus pandemic is still quote far from over in asia and the pacific region. well germany is generally reckoned to have one of the best health systems in europe but as other countries the number of confirmed coronavirus cases keeps relentlessly rising there are now more than 67000 confirmed cases here the german government has warned that the health system faces its biggest challenge in 75 years and already cracks may be starting to show. the german city of alephs book has been badly affected by the corona virus at least 17 people recently died in a care home and now this hospital has been forced to stop receiving new patients after various employees tested positive for this case is an example of how the crisis in this country which is one of the most affected in europe is testing the

limits of its health care system which is often considered one of the most advanced in the world but the pandemic is also revealing its weaknesses. there are reports of staff and equipment shortages of unnecessary bureaucracy of lacking digitalisation and also of the frequent need to improvise the government and in particular the health minister are aware of the challenges ahead it's to inflict a coup if the doctors and nurses are probably preparing for the biggest challenge in 75 years. we already have many infected people in germany and we also mourn many deaths. this is still the calm before the storm for the i'm sure . germany has comparatively few coronavirus deaths which is partly to do with the high number of tests in the country. but this is not enough to weather the storm

and that's why a package of measures has been passed to help hospitals financially reduce bureaucracy and expedite reaction times and berlin is planning to build a new hospital which could house between 501000 patients the government has asked for doctors to be brought out of retirement and for hospitals to suspend any non-urgent operations in order to free up intensive care beds germany already has more beds than many countries in europe and that's why it has been able to bring in 50 coronavirus patients from france and from italy germany sees this as european solidarity in times of crisis but as the infection rate here continues to be too high for authorities to lift restrictions it remains a big question whether germany's own health system will be able to pass the test. and for more i'm joined now by andrew alon a member of the parliament for the german opposition party of the free democrats is

also professor of in fact ology on thank you so much for joining us here on news are you anticipating a sharp increase in coronavirus deaths in the next weeks and the next months. i'm of fruits of the out the death rate will further increase here in germany as well we are still lucky as a country if you look at the amount of insect it. look at the numbers of dead were still less than one percent this is a very low count so laura the global community if you compare us however if those numbers will still increase even if we stay with one percent those numbers of people who are sick come on qubit 19 will be increasing you mention that the numbers here do tend to at least on the face of it look better than in other areas what do you think that that is down to i mean is the country simply a better prepared than others and is it likely to stay that way. i'm not so quite sure if you're really well prepared you're looking out there shortly so we're

facing for protective gear masks gloves disinfection the disinfectant seems not we're not really well prepared however if you look at the testing that we have in our country and this is spread throughout the country it's not lead one city that sees our use or even to be able in smaller cities shows that there we're better prepared for the testing situation then and there are countries nevertheless i think we will be short of seeing that we are well prepared there are some who are out there who don't really believe that this virus is that dangerous how do you see society right now adapting to the pentameter and you know the general mindset of the public. i think the public is learning very quickly you know we had here some little elections just 2 weeks ago here very i was really shocked how good we're still gathering in parts we had wonderful weather here in the area and i

do understand that we like to gather however nobody a lot of people don't understand the urgency of the severity of. the crisis that we're facing and now that we are locked down people start to understand comprehend what's happening. things are changing i see it in the grocery stores people are keeping their distance they have coffee because that they're using their coffee to their their sleeves people washing their hands more using disinfectants if they're available so what i think people are learning along this crisis well how about wearing face masks as we have a city haryana the 1st german city to introduce the mandatory wearing a face not sending initially we were all told that it doesn't really make too much of a difference the narrative seems to be changing where do you weigh in here. well the narrative is very simple it's just one solution a one size fits all all the measures that we take our important meaning and wearing masks even if they are just claw they might be helpful but they're not as good

a surgical masks of course this is for your hands wash your hands very frequently keeping your distance away from your own citizens these are there together very important not by a single measure itself won't change anything that much we're all together this could be very helpful professor andrew alon thanks so much for your time thanks for having. so we just heard it there professor all month saying that masks might be helpful but they're not as good a surgical masks well despite doubts about their affective ness there seems to be a surge toward wearing masks in europe president wants french factories to produce 10000000 a week. face masks for years they've been part of daily life for many in asia and now for parts of europe they're about to become so to austria's decision to make it compulsory to wear the masks in supermarkets has sparked a debate in neighboring germany. the town of vienna has now become germany's 1st to

announce similar measures though given the shortage of face masks the city has encouraged people to sow their own it's a move largely welcomed by the residents. here and i think it's good the more that's done the better and the more everyone does it the center will be free of the virus i have 6 simple masks at home the 1st comes to shove also my own over soon in. terms of beautiful i think it's a good idea in principle the problem is simply that there aren't any masks. the world health organization is among those saying there's little scientific evidence showing that basic masks was not intended for medical use actively prevent healthy people from catching the corona virus but some experts advise that they could be useful as a barrier to stop those infected from contaminating others and not intrude masks for nose and mouth are relevant for the protection of others someone is in fact is the mosques hinder the virus drops to fly when he sneezes or coughs lucid renews

ditto true mr voight. up to now the insistence by many western countries that the widespread use of masks is not necessary has surprised many in asia. the people have won face masks for years because of pollution but in this pandemic there practically a civic duty. in europe that attitude is now increasingly gaining ground. the german football league has confirmed that the restart date for the bundestag there will be april 30th at the earliest germany's top tier league has been suspended since march 13th the club's agreed on tuesday that the suspension should be extended because of the coronavirus however games may still be played behind closed doors when the season resumes there are 9 rounds of matches left in the current going to sleep. announcing the extension of the bundesliga suspension the

german football league's c.e.o. questions i felt one tip that some clubs could soon find themselves in a precarious financial situation clause of a hard to gordon. does i need to troops what was made clear today is that certain clubs if you miss the season can't be played for and if t.v. licensing fees from sas and media group cost is paid then session clubs in may and others in june could find their existence threatened god couldn't meantime tokyo's main countdown clock for the 2020 olympics has been reset the digital clock in front of the iconic tokyo station was built in the run up to the games it had been counting down to the originally slated date until organizers agreed on monday that the games would be rescheduled for the 23rd to august 8th of next year now 479 days and counting remain on the clock which also serves as

a tourist attraction. you're watching d.w. news live from berlin and don't forget you can always get the latest news and information around the clock on our website at the d.w.t. . tom you can also follow us on social media i'm sorry you so much for joining us. combating the corona pandemic. where does research stand. what are scientists learning. background information and news. hour corona. 19 special on d w. how does a virus spread. why do we panic and when we're. just 3 of the topics covered and the weekly radio show is called spectrum if you would

like any information on the crawl along or any other science topic you should really check out our podcast you can get it wherever you can get your podcast you can also find us and. science. this pandemic is overwhelming so many people that need the breathing machines that just simply haven't been manufactured yet. imagine you're a doctor and have a 30 year old patient and an 80 year old both infected with the coronavirus both showing severe symptoms and both need an oxygen mask but you only have one who should use this kind of decision is called trio which is french and it means deciding who has a higher chance of survival and is given a higher priority in medical treatment and who might be left to the.

doctors around the globe are taking these decisions right now what does that mean for those doctors and what are the ethics behind what we're looking at today and all special coverage. of the covert 19 crisis here on the w m god all things welcome it all comes down to how well the health system is prepared for a pandemic in the end it's the number of intensive care beds and ventilators that counts currently most health system outside italy and france are holding the line but around the world hospitals are filling up trio might become a reality for doctors sooner or later. this is the worst case scenario when treating patients in from stopped is a false to make life or death decisions patients over the age of 81 not be put on mechanical ventilators this process is called tria. the time comes from the french team it means the sourcing of and allocation of treatment to patients modern

medical triology was invented during the napoleonic wars france spain and italy of the worst affected countries in europe more than 100000 people have been infected with the virus in italy unknown nearly 12000 have died and the longer the crisis continues the more often doctors are faced with making some very tough decisions and stalk about those decisions are now joined by dr to be escort is a physician and the epidemiologist the director also the director of the institute for public health of berlin started to hospital professor. physician teaching medical ethics at heidelberg university let's start with you dr corder we're not yet doing triology in germany are doctors well prepared for taking these decisions . well words are so well prepared as other doctors in the world and the training

and the hospitals and physicians organization. theoretical as in when its reaction is necessary in germany it will be very challenging for a doctors and medical teams yes well. to put how does trash work in a hospital is it just one doctor who ends up being the only one responsible and carries this burden well there are certainly operating procedures in place so it's going to imagine eventually you have a very short time to decide in which case it will be left by its treating physician in the medical teams on the side will get it going to later who are not so it's going to be a very challenging situation so therefore the support of the law structures the hospital as well as the legal system is very important to support his medical teams to make these decisions we're talking about these procedures a professor how can doctors and hospitals actually prepare for tria.

well i think. from an ethical point if you were prepayment for these decisions this crucial for 2 reasons the question of uniform rules in order to ensure a fair and educational resources. across teams across units and hospitals and because doctors in their everyday chemical don't and i'm not familiar not at ease this as such decisions because the traditional clinic or ethics is patient centered and not at for allocating patients to different levels of contingency care so from an ethical. need to actually are 2 areas i think the 1st victory asked for courts that provides for a step by step evaluation and criteria for testing patients and in germany several medical association pettish recommendations but we are protocol last week with their ketamine for ethics in medicine in the lead and 2nd each hospital and then

test it and assess how it does feel it should be implemented and therefore a tree ask teams that include the expertise of intensive care physicians. maybe even clinical ethics committees can support in setting up these processes think the most important think is s. and thing as doctors that there are only if they give it up it's not to charge for the responsibility taken in these decisions and that's where one key issue of course but what about normal doctors say in the community village doctors who have covered patients do they also or might they also face these ethical that happens. i think not those that dissent is and the decision on. who gets under ventilator is obviously not the primary care physician that they have at their tree ash decisions if there are many patients who are going to transfer to the hospital. if there are

many patients in need so i think the same criteria of seriousness and and commodities that go into the trash or the courts in the hospitals can also play in their territory for their nominal primary care physician or at least of importance for him. but of course coming back to you how well can you predict actually whether a person will probably die even if treated isn't that also a bit of a lottery. but there are certain visa logic parameters medical history medical experience of the trade in the social network are to support your decision but there's no certainty that the 2 minute decision is he is the right one also there is only. 2 years painted it seems made a difference decisions the canoe up situation it will be a circle

a learning curve who are there in the medical teams that will best to really use the arts or the rest of the arts professor winkler coming back to you as an ethicist what can you tell a frontline doctor who is facing a decision like that could you give us an example. well i think 1st it would be important to or to acknowledge that these are tough decisions that kind of head out spend our 100 doctors ethics and summer test the church if you have such dilemma and then coming back to those rules and protocols that we have now is set up saying. there are different faces of the pen demick and if you have not enough. tests for our patients who needs your have to prioritize so it's. certain that you are and that they will survive and then others

and there we have clearly laid out criteria so that this was a good set current situation up the patient come up to tease for a it isn't criteria but for example age just not a credit here that went into our recommendation so charitable and if i think the 3rd thing that i would recommend is make. a way out of. a terrible suppliants in secular absolute terms because you know that this is a serious stress and more and otherwise stressing situation and this church as a bit up now in the hospital will relieve the stress that happens in trio situations professor you have in the end started to be asked for thank you very much. and i was every day here's a science correspondent stan make with him for a couple of answers to questions that you have sent him keep them coming today it's

about how men and women can be differently affected by cope at 19 it's the covance gender gap. he suggests men are more likely to catch covert $1000.00 than women is that true it does indeed appear that men are more likely to test positive for the disease than women are in other words men make up more than the 50 percent of confirmed cases you would expect if the virus infected men and women with equal frequency. are men more likely to die from coven 1000 as well. here the data is this more conclusive and what it's saying is that men are more likely to die after infection with covert 19 then women are the numbers are very striking for example in italy where over 70 percent of the confirmed patients who succumbed to the disease were men also the coronavirus really does appear to be more lethal for men than it is for women. so why are men more

vulnerable than women. like so much else about this virus free just don't know enough at this point to really pin down why it's killing more men than it is women but researchers have hazarded some guesses on average worldwide more than women do men pursue behaviors that are considered to be health risks like smoking tobacco or we're drinking alcohol and everyone should know those risks those unhealthy behaviors can also lead to what are called co-morbidities there are conditions like like hypertension or a cardiovascular disease or chronic lung disease and many of the victims of cope at 19 were elderly men with co-morbidities yet other researchers are trying to cast some light on the issue by focusing on the biological and genetic differences between men and women could estrogen be playing a protective parole for example maybe there are also some well documented immune

system differences between men and women and what's most probable is that all of those factors social behavioral biological that they're all going to play a role in why covert 19 is hitting men harder than it's hitting women there's not going to be a simple straightforward explanation. on the terry williams there keep the questions coming and that was our covered 900 special for more on the pandemic to check out our social media channels and our web site that's d w dot com of course which is dedicated covert 900 pages in 30 languages now we want to leave you with a few images from that egypt the famous great pyramids and pleasant with messages of unity i'm solid out with those bachmann. across the globe the 1st time last night stay safe. thank you those keeping us safe flashed across

a towering structure at the giza plateau.

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