now for the future. come for to make your city. your insight. into. this is the w.'s live from berlin a stop warning from u.s. president donald trump as his country's death toll from the coronavirus of passes china. this is going to be a very painful. very very painful 2 weeks the white house predicts up 224-0000 u.s. citizens could die in this pandemic also on the program. afghanistan steps up its

efforts to contain the spread of coverage 19 of the country faces an additional challenge in the thousands of people not coming home from iraq. and face masks and other protective gear are in short supply around the world we look at efforts fire an engineer in spain to try and solve the problem. i'm filled welcome to the program u.s. president donald trump has told americans to prepare for i very painful 2 weeks he was speaking as the country's death toll from the coronavirus a past 4000 greater than china's official tally president trump said as many as 240000 people in the u.s. could die even if current social distancing measures were maintained. bringing out the dead new york is america's coronavirus hot spots. 19 has killed more than

1500 people across the state most of the deaths have been in new york city authorities that are ramping up hospital capacity across the u.s. numbers are rising sharply. i want every american to be prepared for the hard days that lie ahead we're going to. as the experts are predicting. this is going to be a very painful. very very painful 2 weeks new york's world renowned central park is normally a haven for walkers and jug is now dozens of volunteers have helped to build a field hospital in the park to cope with an expected surgeon coronavirus cases there's hope that people really care i think we've seen so many new yorkers come

out here and help in just that ultimately there's a lot there's hope out there i think it shows the capacity for our health care system to reach out and do whatever it takes to take care of this is the united states the field hospital in central park will be able to take nearly 70 carona patients the u.s. open tennis complex will be home to another makeshift emergency clinic the white house is projecting as many as 240000 u.s. deaths officials say that without social distancing measures now in place that could have been more than 2000000. well here also more of the latest developments in this pandemic china has reported for the 1st time on numbers of asymptomatic cases it's s. 1300 people have tested positive despite showing no symptoms the captain of a u.s. aircraft carrier is calling for urgent help to quarantine his crew of 4000 theodore roosevelt says docked in guam in the pacific with the disease responding rapidly

and the 12 year old girl has died in belgium she's thought to be europe's youngest victim so far meanwhile france the u.k. and spain all recorded their highest daily death tolls on tuesday. well spain is one of europe's worst hit countries are record 849 people died there on tuesday bring in the country's covered 19 death toll to more than 8000 hospitals are struggling to cope with the overwhelming number of cases and a lack of personal protective equipment like facemasks for doctors and nurses now asked d.-w. zhang for live shots reports some private citizens are seizing the initiative to try and help the country's medical professionals. it takes just minutes to produce the plastic brackets needed for protective masks engineer francisco has a 3 d. printer at home when an initiative in his hometown of seville was set up to produce masks for medical personnel he joined in right away for safety reasons we met

francisco outside his apartment his family for the video inside their home he proudly showed us the model that the members of the initiative designs together the emphasis is on simplicity so that the masks can be produced quickly. i know that people need this going off of the problem is going on much of the year for us so curious. because from my on my way up the. tree when he she goes through all the tough enough to protect and live to the max i'm lou dobbs . for about 100 other participants princeps more than 5000. few days local police then distribute them the lack of basic protective gear at spanish medical facilities is getting worse about one in 10 people newly infected with the coronavirus work in health care according to official statistics.

situation in many hospitals and clinics. and. private initiatives. some. questions about the responsibility of the government. seem to be prepared for a crisis like this and the government. protective. francisco is too busy to do questions like me motivated by the many expressions of gratitude and pictures of people thankful to have urgently needed protectors. and. joins us from the spanish civil welcome by philip let's start with question you posed at the end of your report how does the spanish government explain its lack of preparation. it doesn't explain it very well checked of course spain is not alone in this situation countries all over the world have been ill prepared for a crisis of this that mention but i think there are some sectors that makes

especially vulnerable 1st of all that's the current government kunz the blame for but rather previous governments it's the mess of cost cutting in the health sector since the last trimester crisis in 2008 2nd reason it's something that the current government can be blamed for it's the very slow response to the crisis there has been no sufficient testing in the beginning of the outbreak and also later on the response was slow the very strict measures have only been in place when the death rate was already quite high and so where will spain go to try and get the protective equipment it needs when spain as trying to use all channels available at the moment to purchase protective. medical equipment in china for several hundreds of several $100000000000.00 euros unfortunately some of the

protective gear has already turned out to be faulty spend is also relying on the stock of its military like a lot of other countries that has european partners for how to test nato allies for help but i think. many people's nerves are on edge at the moment the confidence of the head of the confederation of medical unions in spain has accused the government of. repeating the lies and false promises and some people have already gone to court it's using the government of neglecting its duty to protect. supplies around the world including here in germany then mandating the use of face masks in certain situations and what's the situation there in spain. there is no official regulation regarding the use of face masks in spain also probably because the professional masts should be for medical personnel for the people that need it the most however

measures here are among the strictest in the world you're not allowed to go out for a walk anymore if you don't to work in the so-called essential business sectors you are not allowed to go. to to go to work anymore and also what is special in spain is the fact that the people are very disciplined and following these regulations could talking to you thanks for joining us live shots in seville. afghanistan has recorded nearly $200.00 coronavirus cases and 4 deaths of ours is that are taking steps to halt the spread of infection but after years of war the health system is weak and would be overwhelmed if the number of cases grows as it has in other countries the country's problems are exacerbated by the return of thousands of people from iran one of the country's worst hit by covered 19 spraying down the streets of kabul in a desperate attempt to stave off

a deadly disease afghanistan is one of the world's poorest countries its health care system is no match for a pandemic that's spreading across the globe like wildfire as the number of coronavirus cases here rises the government is taking measures to contain the outbreak the western city of herat is eerily calm shops and mosques have been ordered to shut down mmer as a coronavirus keeps spreading they'll be in a minute tarion catastrophe the government must take serious measures to help like most afghans the residents of herat a pool the government has ordered the release of hundreds of inmates to prevent crowded jails from becoming infection hotspots. but afghanistan has bigger worries than its prison population millions of afghans have been displaced during years of conflict many have fled to neighboring iran one of the country's worst hit by the corona virus pandemic those people are now streaming back in their thousands all

are potential carriers of the disease. only. the number of afghan refugees returning has increased massively. they're afraid of the coronavirus in iraq and they're no longer finding work because of the. government is concerned about the huge know people returning among the most vulnerable to the virus is afghanistan's internally displaced population many of them live in sprawling camps on the outskirts of hirano which is close to the iranian border here survival is already a daily struggle camp residents depend on critical help from overstretched international aid agencies whose work is now made even more difficult by the global pandemic. now here are some more of the stories making news around the world thousands of people in brazil abandoned pots and pans at their windows for a 15th night in prison mr president

a response to the coronavirus pandemic president used televised address on tuesday to insist the virus would cause less tom than shutting down the economy is this describe the pandemic is one of the greatest challenges of our generation. of the tokyo olympics another big ticket sporting events because of the covered 19 pandemic is dramatically affecting business for german insurance giant munich re the reinsurer originally forecast of $3000000000.00 for the sheer ignorance specs around a quarter of that company said that cancelling the olympics completely would have hit profits even harder. lawmakers in ukraine passed a historical land reform bill a clearing hurdles to unlock an $18000000000.00 i.m.f. loan package wearing masks and gloves against the coronavirus they lifted a longstanding ban on the sale of farmland. the forest fire that started on

monday still raging in the chinese the province of sichuan at least 19 people have died according to the state news agency is now threatening a major facilities in downtown is each august city of around 690000 pounds firefighters continue to fight the blaze. and the german football league has confirmed that the bundesliga will restart on april the 30th at the earliest clubs agreed on tuesday that the suspension should be extended because of the coronavirus however games might still be played behind closed doors when the season resumes. these are uncertain times for german football there's been no action inside a stadium since the middle of march now the $36.00 clubs from germany's top 2 division say that's will remain the case until at least the end of april. so it does leave your clubs have unanimously followed the recommendations of the

committee. should stop at least the 30th of april wouldn't. training stop until the 5th of april to support the efforts of the government to interest its. from major league wants to look at playing games behind closed doors without fans if the season were to be cancelled clubs would lose a combined 750000000 euros in revenue mainly from t.v. contracts and that some teams in financial peril. what was made clear today is that certain clubs. games this season can. and if t.v. licensing fees from certain media broadcasters aren't paid the fees and clips then certain clubs in may and others in june could find their existence résistance but on is it what's on. the desire and need to play what's not clear is whether the

possibility is to. think of a 19 pandemic hit the telly say isn't as well of course but it hasn't stopped one of the sport's biggest stars from keeping his spill skills into full well just federer this video on twitter is by the snow in switzerland he managed to pull off some nifty trick shots he's been out of action since january after he joked with fans that he hasn't forgotten how to play. situ up to date with full on the coronavirus a copy of the split in the back of the top of the i'm good for. combating the corona pandemic. where does research stand. what are scientists learning. background information and news. hour corona updates. from the coded 19 special next on d w. how does

a virus spread. why do we panic and when we'll. just 3 of the topics covered and the weekly radio show is called spectrum if you would like any information on the chrono larysa or any other science topic you should really check out our podcast you can get it wherever you get your podcast you can also find us at dot com slash science. this pandemic is 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 then the 80 year old both infected with the coronavirus both strong severe symptoms and both need to have oxygen but you only have one who do

you should use this kind of decision it's called trio it's 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 look at off today. special coverage of the covert 19 crisis here on the w. i'm god all things welcome it all comes down to how well the health system is prepared for a pandemic in the end as 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 front stopped as a force to make life or death decisions patients over the age of 80 will not be put

on mechanical ventilators this process is called tria. the term comes from the french 28 it means the sourcing of an allocation of treatment to patients modern medical triano 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 stuart about those decisions are now joined by dr to be escorted physician and the epidemiologist at the director also the director of the institute for public health and balance charity hospital professor vinca 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 we're just so well prepared as are the doctors in the world and the training and the hospitals and physicians organization. theoretical i think we're in what's reactions necessary in germany it will be very challenging for a doctors and medical students here as 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 and so it's going to imagine eventually you have a very short time to decide in which case it louis left by the treating physician in a medical teams on site will get are going to laser 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 it's very important to support these medical

teams to make these decisions but talking about these procedures a professor how can doctors and hospitals actually prepare for tria. but 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 fair a patient of resources. across teams across units and hospitals and because doctors in their everyday clinical don't and i'm not familiar not at ease this such decisions because the traditional clinical ethics is patient centered and not at for allocating patients to different levels of contingency care so from an ethical point of here we need to korea are 2 areas i think 1st a tree ask for quotes that provides for a step by step evaluation and criteria for testing patients am in germany several

medical association pettish recommendation protocol last week with their ketamine for ethics in medicine in the lead and 2nd each hospital test if. this will and 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 and they give it a place not to charge for the responsibility taken in these decisions that's 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 dilemmas. and 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 as 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 hospital can also be applied in the periphery for normal primary care physician or at least of importance for him. not 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 a certain fuselage of parameters medical history musical experience or the treating physician at work are to support your decision but there is no certainty there to be minute decision is it is the right one also there's only. so you can spend it it

seems made a difference decision so the canoe up situation will be a circle a learning curve. and their opinions of the matter if teams are going to early best to really use the arts for 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 that have to sessions that kind of head out spend our 100 doctors ethics and summer test of fetch if you have such dilemma and then coming back to those tools and protocols that we have now is set up saying. there are different faces of the pandemic and if you have not enough bed to lay tests for our patients who needs you 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 is the current situation up the patient come a bit ts for a it isn't criteria but for example age just not a credit here that went into our recommendation said chumbley and if i think that that thing that i would recommend is make. a way out of. a timber supply it's in secular absolute terms because you know that this is a serious stress and more and other west wrestling situation and these structures a bit up now in the hospital it's will relieve the stress that happens in 2 situations professor having to and doctor to be escorts thank you very much.

and hours every day here's a science correspondent stoic williams with a couple of answers to questions that you have sent to him keep them coming today it's about how men and women kemi differently affected by covert 19 it's the culverts gender gap. money 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 cope at 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 those are conditions like like hypertension or a cardiovascular disease or chronic lung disease and many of the victims of covert 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 role 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 derrick 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 and now we want to leave you with a few images from that egypt the famous great pyramids unpleasant with messages of unity and solidarity with those battling noble caracal and iris across the globe

of 1st time last night stay safe. thank you those peeping safe flashed across the tower structure at the kings up plot. moving. eco india. how can a country's economy grow in harmony with its people and the environment when there are doers to look at the bigger picture india a country that faces many challenges and whose people are striving to create a sustainable future clever projects from europe and india equal to.

the next bond d.w. . history and for repeat itself. germany at the time at the time the republic. today. just now found in the shadows of the concert reach. acts of the future. time out today. in 45 minutes on. what's the secret behind this classic. music for so.

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