the corona up to. 19 special. monday to friday on d. w. from. mrs d. devotee means live from birth and the fight against global hunger is honored with the nobel peace prize then the region's no vote committee has decided to award the nobel peace prize 412222 the world food program the u.n. agency was chosen her its role in improving conditions in conflict areas and

driving efforts to stop the use of hunger as a weapon of war also coming up president trump says he's ready to return to the campaign trial and says he may even hold a public rally in florida this weekend troubles hospitalized for covert 9 taking and his doctor has not said whether the president still has the virus. plus europe sees a surge in new coronavirus cases tougher restrictions take effect in berlin and across germany to stem the tide of infections hospitals those say they are ready and. her. church bells ring on life comes to a brief halt in eastern germany city of hala where one year ago today taken vest near nazi attacked a synagogue killing 2 people. i'm

rebecca returns welcome to the program the united nations world food program has won this year's nobel peace prize receiving the news in nigeria the head of the agency david bailey said he was deeply humbled by the award the w.f. provide provided assistance to almost 100000000 people in 88 countries last year basically said the prize will inspire the organization to do even more. so when nobel committee announced the award in all slow chairwoman barrett rice anderson explained the reasons behind the choice then the region lobo committee has decided to award the nobel peace prize for 2022 the world food program for its efforts to combat hunger. for its contribution to bettering conditions for peace in conflict affected

areas. and for acting as a driving force in the efforts to prevent the use of hunger as a weapon of war and conflict for more i'm joined by data chief international editor richard walker richard hi nice to see you so the u.n. world food program it is this year was that expected it wasn't really one of the most hotly tipped organizations or institutions in the days leading up to the announcement but when you stand bags and it certainly does look like it really does fit the mold of many previous nobel prizes the nobel committee has given the award to u.n. institutions many times over the years but equally in the years where they're given mission was particularly critical and that is something that the nobel committee is saying really is the case right now in terms of hunger and drawing the connection

between conflicts and hunger one feeding off the other and also with the corona virus pandemic here on top of that that adding to the problem especially looking to the year ahead absolutely we actually have a reaction from the w.f. pay is the executive director reacting to the price. i mean this is the 1st time a lot of big speeches like. this. talk about the most exciting point in time when your wife is a nobel peace prize it is because of the family they're out there in the most difficult complex places all in the world where this war conflict one of the streams it doesn't matter they're out there and they deserve this award and wow wow wow wow here we'll leave it very happy reaction that was this was this decision controversial in. anyway well what's striking about it is actually how uncontroversial it is. many of the other potential cabinet would've sparked

controversy one way or another the peace prize was inherently a political statement of course as the world health organization for instance was egypt and there's a lot of controversy over that whether the united states having pulled out of it is you're accusing it of being close too close to china or that the world through britain is not completely without blemish it's been accusations for instance last year from within the organization aren't taking place within it but but in the announcement the chair of the committee said to the world of the w.s.p. to the benefit of human kind it's in an endeavor that all the nations of the world should be able to endorse and support and i think that's what so kind of a sign that they do think this is basically something that everyone could get behind why do you think the nobel committee went in that direction then and rather than making more of a political statement they were quite clear in their thinking in the announcement of the very beginning of the announcement was about multilateralism saying that the

1st line was about the importance of global cooperation particularly in this time so it's not just the mission of the world food programme that they're highlighting here it's also the way it works is a multilateral organization of countries working together. then also drawing attention to an underappreciated program and saying that the world is essentially underestimating the problem of hunger at my particular the pandemic coming saying that at the moment more than 100000000 people of facing possible starvation but next year that could go up to 265000000 so that cooling attention of the world for problem and then these are very specifically they did say that they want countries to step up funding to the world food programme to tackle that issue urging countries to boost funding saying that the funding that they're getting currently is not enough so i think really quite concrete objectives that they are. trying to achieve by making this announcement this was. the last year was full of scandals

and controversies i suppose you could say there were other alternatives do you think the nobel prize is still up with the times i think it is absolutely still relevant every year definitely isn't the world is due to the attention of the widows looks on that doorway and also that we just saw a day of course they have been prizes over the years that have been controversial and prizes that don't shed the nobel committee in the best light and the arrival of things like the alternative nobel prize also give you know a forum for. bringing to the fore people who are not on the radar of the nobel committee but i think there's no doubt the place the world would be the poorer without this institution every year really bring in. richard roth thank you for coming. and take a look at some of the other stories making news around the world 3 european hostages and one kidnapped politician were freed on thursday after lengthy periods

in the hands of islamic insurgents this after reports that mounted in all $400.00 free schools of suspected militants it was unclear whether ransoms were paid. taina has approved genetically modified drought resistant wheat by biotechnology. it is the 1st country in the world to approve a strain of g.m. oh wait other crops such as corn and soybeans have been widely genetically modified to improve previewed stand natural threats. the f.b.i. says it's an alleged plot to kidnap and overthrow the democratic governor of the state of michigan 13 men have been charged many of whom have links to right wing militias thanking all far as he's governor gretchen whitmer accused president trump of stoking extremism by failing to condemn hate groups xx. it's germany's foreign minister has called right wing terror the greatest threat facing

the country maskaev the warning in an interview as germany marks the one year anniversary of a deadly attack on a synagogue in the eastern city of hama a confessed neo nazi file to breach the synagogues front door that gunned down 2 people outside. on yom kippur war the holiest day in the jewish calendar more than 50 community members and guests were celebrating in the synagogue and holler. at midday a heavily armed neo nazi attacked the synagogue he fired shots at the door and threw hand grenades. but the synagogue solid wooden door withstood the attack saving the lives of those inside. among them was max pivot hot ski chairman of hull is jewish community the experience has left him traumatized. sylvester not.

never had a problem with the fireworks on new year's eve in the past but i noticed this year that they make me feel a bit i wouldn't say they make me nervous but i really don't feel comfortable i sociate them with the attack. he's been the does mean he's a monster look. when they attack or fail to enter the synagogue he shot a woman walking by who had spoken to him he then storm to a snack bar and opened fire killing a customer the gunmen filmed everything on his own helmet camera streaming the attack live on the internet. a sign in the window commemorates the 2 people who were killed. 9 months later the trial of the alleged perpetrator began. the 28 year old confessed expressing his extreme right wing views. he showed no remorse. max prison heart ski has twice found paper

swastikas left in front of the jewish community office once he saw a police officer surreptitiously removing a swastika he finds this unsettling. i can't feel completely sure the police or security authorities are safe. and that's bad. politicians in holland and throughout germany stress that combat ing anti semitism is their highest priority all the same very few jews in holland dare to show their religious affiliation in public. the synagogue door which saved their lives has been replaced with a new one that is even stronger. when more on this i'm joined by marina advised bunchy is a member of the german green party and also

a member of the jewish community here in berlin thanks very much for joining us as we just heard anti-semitism is on the rise and germany's foreign minister says it's the biggest threat in the country do you feel that in your daily life. i feel and many friends tell me that we are more afraid of being jewish in germany today than we have been hafiz year ago or a year ago. this trend started to rise a couple of years ago being. being forced by their platforms by social media where on to semitic conspiracy theories thrive so the attack on hollow was not a surprise to many we were rather expecting when will something happen and where will something happen and we are expecting the next terror attacks today as the likes of queuing on spread around the globe telling and to submit to conspiracy theories certainly is alarming at i mean it's been

a year since the attack now and holler has germany been doing enough. i don't think that germany has been doing enough we are particularly concerned with the far right extremist views within the police because whenever i receive death threats or rape threats what i do is i go to the police but we are now learning of more and more police stations where right wing radical chats groups preparation groups have been uncovered and the ministers of the interior on to doing a very good job at uncovering these structures on the contrary they are saying that we do not need studies because the police has no problem of racism and the synagogues aren't protected well enough and where they are the. minister president has been saying stark and it has been saying well the police are needed

elsewhere as well and because we have to protect the jews basically we cannot react as fast to kohls of the police from the other citizens. will not doing enough then what do you say germany should be doing to tackle the problem. i think that we need to look at the larger structural issues. and to semitic and races structures within the police that is what is going on on social media monitor it more closely understand these groups more closely and act before words and humor turn into violence because right now police is not taking very seriously what is happening online because it doesn't seem real. member of the german green party thanks very much for speaking to talk about him. and i found that you up to speed on some of the latest developments in the corona virus pandemic nearly half of all intensive care unit patients beds in paris rather are now occupied by covert 19 patients

hospitals there have cancelled staff holidays and postponed non-essential operations china has formally joined the global covert 19 vaccine initiative known as kovacs pledging support to help finance vaccine supplies for low income countries and the u.n. says almost 3000000 migrants are stranded abroad juta the coronavirus restrictions its calling for more cooperation between countries to allow people to safely return home meanwhile u.s. president donald trump is stepping up his plans to return to the campaign trail just a few days after being released from hospital for a covert 19 infection he's considered considering holding rallies this weekend in florida and pennsylvania but it's not yet known whether he's tested negative for the virus since his release the uncertainty is also throwing the remaining debates with his rival democrat joe biden into doubt. as the u.s. presidential campaign enters its final stages it's still unclear if next week's

debate will actually go ahead because of president don trump's health but trump insists he's recovered and wants to get back on the campaign trail well what we're doing is we want to do a rally in florida florida and saturday night might come back if you want to pennsylvania in the following night and it incredible what's going on i feel so good in a phone interview with the u.s. network fox news he sounded upbeat but less than clear about his health. care slippery tomorrow and the actual test because the very latest on the time but they found very little infection or virus if any had only that they found any i didn't go into it greatly with their doctors many trump has dismissed as ridiculous a proposal to hold next week's presidential debate virtually but the debate commission is concerned that the u.s. president could still be infectious many in the medical field agree everybody has

had a test is not necessarily consider a mild please put on steroids up for all and if you think about that then the c.d.c. guidelines suggests at least a 20 day window period are isolation plus added to the fact that it is put on steroids which can actually prolong the viral setting meanwhile democratic candidate joe biden continues his campaign. we don't know what the president. might every 2nd i mean to come in and out now and be irresponsible i think it is not going to fall of a commission recommendation because obviously i have a rally on my own on many in washington believe that if the rivals meet again face to face it will most likely not be before the final debate should you all for the 22nd of october. europe is seeing a resurgence of corona virus cases which have nelson pass those in the united

states daily infections have reached record levels in the united kingdom and france in germany meanwhile lin has been declared a coronavirus hotspot and made and nationwide surge new restrictions are going into effect with the head of germany's maine public health institute warning that widespread infections are likely if people fail to kape to hygiene and distancing rules but officials say the country's health care system is up to the task. coronavirus hotspots are cropping up all over germany but local and regional officials say the country is ready intensive care beds are available at most hospitals nationwide with around one in 3 beds an occupied the increasing number of infections is worrying medical workers but unlike in march they feel they're well prepared. we are now able to recognize symptoms in patients we have more tests and more protective measures than before for example there is no shortage of mosques which was

a big issue in march. night life is only one contributing factor to the rising infections in another part of germany it's a nursing home elsewhere it's a slaughterhouse hence the urgent warning this nuclear this is real it's just possible that we see more than $10000.00 new cases per day it is possible that the virus spreads uncontrolled i hope this won't be the case under. the whole city of berlin is now a risk area with the number of new infections having risen to 50 per 100000 people well over government threshold. restrictions are imminent. testament point meeting with friends are becoming smaller shorter and less frequent like at the start of the year but i think we all expected it to get the 1st year i can't understand why people are being so unreasonable about the new restrictions they're jeopardizing everything that we've worked on in the months up to now so this is our

. touch you can't really plan anything anymore because you don't know if you can do it or not in this. the island of very again was thought to be a safe bet for holiday makers from berlin now it's only possible with testing ahead of time and quarantining. caught up with germany's leading carolla just christian to holston here in berlin in the front with the virus now spreading fastest in urban areas that some in fonda asked him why that was professor dressed in cities all over the world seem to be particularly vulnerable for this virus why is this the case and what can be done in cities. well it's actually an obvious thing we have. a younger age structure in cities and we had over the last few weeks a higher incidence in young people over the summer months. so this infection is now prevalent in cities and it's now redistributing into older age groups these

are all the effects that we have so if not only in cities but also elsewhere but obviously because of the higher density because of some situations. like leisure. and professional life where you have more people to gather like say and lots off with this. this is probably a specific trait of cities so we have. well. let's say. and have a higher incidence now what can german cities for example burden learn from the experiences in new york paris london other cities all over the world well i believe the experience in other cities is like. look into the future if we are not ready to to act on the problem now especially and in cities and the the element of this activity is to inform the

general public to avoid misinformation and to rely on the corporation of of the general public including the younger people. so to address younger people. via media channels that they actually use. is is really a target that maybe hasn't been addressed sufficiently now one patient that we see a lot in media channels all over the world the u.s. president is his treatment and medication a blueprint for patients all over the world well this is very difficult to comment on because i don't have any particular knowledge on this treatment regimen there are drugs. that are being discussed in the public that will be widely available other drugs will are not even even clear now so. this

is. maybe or bits of a complex type of question. maybe also very specific to this particular place. so you wouldn't say that it's that these medications would be helpful in this fast recovery could be also seen with other patients who get this treatment well i mean . the list of drugs that's being discussed in public i think for each of these trucks there is evidence for an effect or a pivotal but this all depends very much on the point of time when they are up minister but those are the general condition of the patient and so on so these are all aspects but i can't comment on what the drugs that were given certainly contributed to a positive outcome. germany's leading her all of his christian name on next report profiles a former gang boss from brazil's city slums who turned his life around but not

before he almost lost it he's traded his pistols for a preacher's pulpit even if he can't stand up anymore. dimitrios wife prays for her husband every time he leaves the house to go preach in rio de janeiro's most dangerous shanty towns or fellas. but he was born enough of the land and that's where he's lived when he was still leading a life of crime. today for the 1st time since the pandemic started dimitriou traveled to a poor part of town to hold a church service. and while outside drug gangs patrol the streets with automatic weapons inside he prepares for his sermon. here if you end up on the wrong side of the last 3 things can happen you'll be killed you'll go to jail or you end up in a wheelchair that's my message today. he asks people to come forward if they have a friend or family member who is a member of

a drug gang it does. and take long until half the room is standing up in front of dimitri oh that's when he starts talking about his previous life of crime. what kind of lie it was that. i had money and power but it night i always had to hide out somewhere because i couldn't even trust my friends. besides the danger posed by rival gangs to me trio was also on the run from the country's military policed but one morning they caught up with him. suddenly i heard a burst of gunfire i fell on the floor and was in shock my bodyguards were running around me at his job. but walk sense then dimitrios has been a paraplegic. he goes in his wheelchair with his bible on his lap week after

week into rio slums. and when he's there demetrius meets drug dealers on practically every street corner because they trust him and they pray with him you want to go with you but they come armed with hand grenades just in case. the government needs to give young people prospects for the future so that they don't just take the easy way out and start dealing drugs. back at the church service dimitrios finishes by meeting a drug dealer who wants to get blessed confirmation and cocaine strange bedfellows . each person has to take responsibility for themselves. he knows who's going to how do you see your future 1015 years from now . i want to stop being involved in drugs dimitrios might just have saved

another soul karmic payback from a preacher who came from a similar background and got out alive. you know watching it date over the news from the land next stop is in good shape looking at the social impact of the corona virus pandemic don't forget you can always stay up to date on our website that's dot com i'm rebecca ridges in that end for me and in time of same thanks very much for watching. model. claiming.

to. be in good shape the topic of this episode affects every single one of us how is the colonna virus the fact in our minds what impact does a couple more spirit. more. than our relationships.

plus. one of the long term affects. good shape. next on d w. o. every 2 seconds a person is forced to flee their homes nearly 71000000 people have been forcibly displaced. the consequences of the disastrous for our documentary series displaced depicts dramatic humanitarian crises around the world. forgetting when i didn't go to university to kill people that i didn't want to have my boss come to me and tell me to kill someone having him and even if i don't they'll kill me. people feared for their lives and their future so they seek refuge abroad about the war in

a basket as me the most about their status seems to rise is that someday we won't even see the relief. but what will become of those who stay behind it's a way my husband went to peru because of the crisis. if he hadn't gone there we would have died of hunger. plan a sentiment i want to down. just starts october 16th all you. get out of. me. hello and welcome to it safe since the outbreak of the novel coronavirus late 200-1000 everything has changed we have to wear a mask we have to keep always social distance and some of us even have to work from

home the pen demick has made people grow a propensity for getting infected and people feel isolated because of social distancing and doctors are seeing an increase in stress levels especially in patients with a. many members who are infected today shows about the physical long term effects of corona and what the virus does to our psyche and i'm going to need dr under yes based on he's a psychiatrist and he's the head of the department of psychiatry psychosomatic and psychotherapy into clinics in berlin and they he's confronted with the effects of the coronavirus preservation of nice meeting and thanks for having me today as a 2nd i just what kind of problems do you see during the could run up and down here people present with small anxiety symptoms more depressive symptoms sleep disturbance and some people they tend to use small substances like or a kind of this all. illegal drugs but what you also see is that people who

already suffer from severe mental disorders like severe depression of psychosis. presenting hospitals with small suv you episodes and do you think that all those episodes are very severe and that that the corona pandemic has a severe impact of the psyche of patients i talk i think corona has an impact on mental hopeful of all of us and then people. in his old school goes in do you think that the number of cases would rise in the future i think i would expect in the future that the cases would rise and if. corona has brought about a lot of insecurity and uncertainty some people are constantly checking whether the tastebuds are still working and whether they've got a sore throat of us are experiencing a loss of control because they're not allowed to lead the life they used to and i see a lot of patients with migraines

a heart palpitations and these are just some of the problems which are on the rise right now. what does the coronavirus do to us to our relationships with family friends and strangers how does it affect our car. friends in ourselves and in the world. a team of psychologists at marburg university in germany has been gathering the public's answers to those questions in an online survey the surveys findings offer a broad picture of the myriad effects that the coronavirus pandemic has had on our mental health model to shrink is an educational psychologist. so what do people need to feel good in theory the feeling of being in control of their lives being independent and belonging to a social group. that when it comes to these 3 basic needs we found that our sense of autonomy has suffered our need to be in charge of our own lives has been very badly impaired we know from investigating these 3 needs that the situation can also

lead to psychological problems they can even manifest themselves as psychological disorders like depression anxiety and the like. and yet people experience the restrictions in very different ways just how different personality types get through the crisis is the focus of equipment as work one finding is that introverted and withdrawn people are suffering due to the current coronavirus restrictions those restrictions can magnify a person sense of isolation but there's a more surprising result in miller's work. people who are most sociable extroverted and more optimistic tend to go through life positively they're experiencing a noticeable increase in bad moods suffering very much from the situation. we think it's caused by the restrictive measures which obviously lead to fewer social contacts. so the crisis even weighs down on those who otherwise go through life in

a sociable and positive manner one serious problem in the pandemic is the sudden uncertainty when people can't stick to things they plant anxiety disorder specialist christiane upon a 5 day looks at how we try to reassert control through behaviors like panic buying . excessive hygiene and pathological obsessions with the symptoms of the illness this is. relatively important to keep an eye on the question as to what degree we've observed that if parents raise their children to be obsessive about even relatively harmless physical symptoms like a runny nose or minor heart palpitations. there is children have a higher risk of developing anxiety disorders and they could be uncertainty is also promoting a relapse into old gender role behaviors women are once again managing the household and family while the men are focusing more on earning a living. and what are the effects of the economic shift to home office.

organisational psychologist 10 include wants to know how working from home affects our social identity our perception of ourselves as group members. that includes professional contacts. working from home over the long term could lead to people sense of belonging in the week and the entry so it could be alienation. as a source for a slice of sustain the things that used to be a given for attain their identity are suddenly no longer there it could be things as mundane as gathering around the coffee machine. and if a company can't keep social identities alive in the way they've always existed they can have a negative effect on the health of its employees effect of the top item until the top. those who have lost their jobs as a result of the crisis are in a much worse position they experienced less access to social activities shelter and

healthy food all of which can contribute to psychological disorders and the affected could no longer count on society understanding their plight the mob or team hopes they're focused therapies will give patients the tools they need to deal with the cataclysmic changes happening in their lives. and. to give any advice how we can keep mentally stable in such difficult times. yeah 1st of all i think it's important that we acknowledge that these are difficult times for us and that we tend to it's a kind of normal reaction for everybody to be even more nervous more irritated if a little bit more sleep difficult than usual so that's important just to acknowledge that and the other strategy which could be a priest to. to reduce the times when you with the cold called it pandemic. because since we tend to be irritated

somehow when we do you very long with the issues around and it endemic then it makes that that's even more nervous what should we do if we feel living in the because of the social distancing measures. i think it's important to recognize that there's too many options how we can stay in contact with others like on the on sky and on the all the decision media which is around and also to plan more social context for example if we. if you have a day where we have to be in a home office or something that makes sense that it's important for us to organize a kind of social context maybe even especially if you live alone and to. organize in advance that you make a phone call in the afternoon or that we see someone on skype or see someone you know in a cafe it's because in the opposite situation when the big family sits in

a small apartment and it's also crowded and you don't have any space for yourself so how can you do with. it that's helpful to stick to certain routine so even if children are not going to school or something like that then to start the day kind of together so even to get up to have breakfast together those kind of things so that so to have a daily routine even if there's no external stimulus for that and also to plan on things which everyone can do on on his or her own since that's what we are used to to have times doing there where we do something on our own and still to stick to that. let's broaden our view a bit right now we focused just in germany and europe but what's a situation world why from a psychiatric mind if you i mean it's very preliminary data we have for now but it

looks like that the actual symptoms in in the german population from small studies it's this stage it looks a bit like people in germany tend to err for less symptoms then people in the us saw in china and it's interesting to speculate how that could happen and maybe it has to do with the strategy the politics came up with that they tend to focus on the individual and that's stated their decision how they deal with the rules and that they may know strict laws which kind of. makes everybody doing the same because we know when there's a stress around it is it is helpful. for coping with stress if it. it's their own decision what we are doing when young people get infected with the coronavirus the disease does not seem to progress so badly where is the virus hits

patients with preconditions or other people hard in any case a coronavirus is not stimulated it can not only lead to severe respiratory problems it can also damage the kidneys and the brain among convalescent persons. holding up clients not came down with covert 19 today she's still suffering the consequences to her health. i got really sick 3 months after catching the coronavirus my hair started falling out really badly i was like a christmas tree losing its needles i grabbed my hair and it came out in bushels there were areas where i was totally bowled it's not as bad as it was then but it still falls out and the hair that does grow back is there now wiring and a different color. in march she was rushed to the hospital unable to breathe she made a video journal of her illness for the magazine can turn. on

not being able to breathe has an effect on your mind my condition was miserable i couldn't inhale my whole body rebelled my pulse skyrocketed i wanted to breathe i inhaled and tried to get tat but i couldn't breathe and. come. even after leaving the hospital her breathing problems continued after a very light physical exertion she needed to take breaks and catch her breath. another dramatic consequence that colleen appliance i noticed much later was that she had difficulty speaking. she found it hard to turn her thoughts into words. but i imagined the sentence in my head but a completely different one came out my nouns got mixed up for a whole day. i replaced every noun in my head with the word random but. the central nervous system seems to be more effective than medical experts 1st realized

patients who have recovered from cope with 1000 have reported exhaustion dizzy spells and problems formulating words. researchers are now trying to determine what the long term effects of the infection are they already have a good idea to do. most common symptoms are various disorders in 92 percent of the cases they usually disappear within 4 to 5 weeks but we don't know about the remaining 10 percent will the disorders become permanent we know that some patients suffer from strokes even patients who are younger and have no history of blood vessel risk factors. dementia could be another neurological long term fact christiane cummings who is still has problems remembering the possible effect of the virus he doesn't belong to a high risk group and yet the fireman was put in an artificial coma for 17 days 3

months later his perception is still strongly affected. and figured if i have to deal with a lot of things all at once getting those tossed on is still very difficult for me i have to admit. neurologist peter bell it says that a 3rd of 1000 patients admitted to the intensive care unit have diffuse brain damage that won't improve in the short term decides if this is typically manifested by the fact that patients have memory problems as well as difficulties paying attention and concentrating they could also start getting confused they show signs of perceiving things wrong or they have a loser nations so it's often accompanied by anxiety and restlessness and here. they also determine that the kidney is the 2nd most affected organ. the. baby when. caught the coronavirus his kidneys failed he was put in an artificially induced coma for

a month. please next moment. i had such a moment of happiness i woke up to a forest of chub and all around me were people who said i should open my eyes i started crying at that point on top scorer. the coronavirus can do lasting damage to the kidneys like causing a kidney in far action a part of the organ dies in that case and becomes dead scar tissue. the process is the reversible a kidney can compensate somewhat so you don't notice it immediately but you only have so much kidney and all of a sudden half of it is scar tissue that has a lasting effect because the scar tissue doesn't recover. or young people especially don't even notice that their kidneys aren't working to full capacity but the older i think it the more they'll feel the consequences.