i'm aaron tilton in berlin for me and the entire team thanks for watching. the fight against the corona virus pandemic. has the rate of infection been developing what does the latest research say. information and context around a virus update 19 special. on t w. children to come to. one giant problem and one near it getting on the scene.

by. certainly if you can get. how will climate change affect us and our children. and w dot com slash water. to. the stress of the coronavirus pandemic is taking its toll on all of us. there's the ever present fear that you or a loved one could catch the virus. on top of the strain of having to work and learn from home. with normal ways of relaxing and socializing on hold for now scientists are starting to study the emotional impact the pandemic is having on people everywhere. from the oldest to the youngest.

son missing. ringback children perhaps can't fully comprehend the unusual strain that this pandemic is placing upon them is not normal times for anyone and the impact is being felt strongly by those who would normally need the most help the elderly are among. the 3 friends have met up to play cards in leipzig germany they are between 70 and one over 90 years old they all still live in their own homes they regularly

to exercise classes together and meet up in a restaurant on sundays so how do they feel about the contact restrictions. i don't want to take any risks i prefer to follow the recommendations i won't take any risks and. of course this is stressful because you become really isolated and very alone. and you need a bit more. at least i personally need a little bit more company after nursing homes have had restrictions for a long time visits are now limited to half an hour each day one of this home's residence is lucy a little she is 99 years old has 4 children and she's a grand and great grandmother. they mention yankee excel and really go to sleep humans are meant to be social you can have a good life when you have closeness when you can hug things that aren't possible

now. and how think you have to think in the end i don't care to shake hands with the children that's not what you're supposed to do and that's the hardest part the . man has experienced a lot in her life escape from war illnesses and great upheaval so you know the lesson all we can do is stay calm and accept whatever comes our way and name both of went through. the only thing we can influence that is by being considerate to each other. the impact of the coronavirus on the mental health of people of all ages is something that's being studied very closely we can now speak to professor christoph corral from the sherry tate medical school here in berlin he's conducting a major international survey called the collaborative outcomes study on health and functioning during infection times or co fit for short and i think we need a short version of that thank you very much for joining us professor i mean what's

the aim of your study. yes when a cool fit actually cool it hits the worlds we were stunned by myself and marcos only the cool and we thought we need to do something to learn from it and feel fortified so the idea is to state and be fit cool fits during the cool bit pandemic and of the next trying to understand who are the people who are at highest risk of having poor outcomes from it and one are coping strategies to actually do well during the pandemic so that we could learn from india from individuals for individuals but also do something like evidence based governance that's politicians and society could learn from what kind of strategies to deal with pandemic health both physical and mental wellbeing or actually make it worse so what sort of thing you're asking people. so you are asking many things it's a long survey that's

a little bit of weakness about 30 minutes for a dolls and other lessons and about 15 to 20 minutes for all children aged 6 to 13 we're asking them obviously where they live how they live where they know someone who has been infected or they've been infected themselves if they're in karm team right now or not but also do they have a physical or mental illness already and what is the help seeking behavior during the condemning getting the medication all they care they need and then we are asked symptoms looking at not full validated scales but we drew out single questions to b.s. trans diagnostic as possible having as many mental domains and physical domains we want to cover and then we already saw that having drawn out just a couple of questions always on 0 to $10.00 how much you feel it is true not that you're anxious lonely or stressed angry and how it was that the 2 weeks

before the pandemic hit in order to see a change and then we also ask about coping strategies what works the best and then we want to see people who do well what kind of coping strategies they use versus those that don't so that we can actually recommend certain strategies to people who may not use them appropriately they're already send theories on the impact that their pandemics been having on mental health all the specific ideas that you are trying to either challenge all or prove with this. so i mean we're looking both at an all modifiable risk factors which are basically socceroo definitions and modifiable risk factors so can we do something that we want to change so for example. how much people go outside how much they are in contact with other us is it just personal contact or what about also online contact that is

already pretty good but what about telemedicine that supplements for in person visits and can still maintain well being so where we're testing a couple of also resilience factors doesn't resilience change over time or is it something that you're born with into the endemic what about altruism and altruistic behavior change and thereby also improve outcomes these are all some of the questions we're asking with in looking on the program and specifically the impact for young people and older people are there specific groups that you are expecting to see the pandemic having a lot to impact on. yes all are looking at 1st of all this is an anonymous for the general population but we're very interested in subgroups migrants pregnant women women in general the young the very old the people who live alone from plant health care workers all of these will be examined we conned if 110000 people across

the world 147 countries 6 continents to participate we need more people to understand it better but what we've learned already is that women seem to be at the brunt they have more stress and more angry and they also feel somewhat more lonely than males and particularly it seems those that have to do triple ta skiing there are home running the household but they have to do home schooling and maybe also do a home office kind of work and it seems that they are much more affected all the more open and honest about it because also more women participated in the surveys of all will be interesting to see which groups to turn out to be the greater effective professor christoph corral from the sharia to medical school and the coast fit study thanks for joining us thanks for having me and you can

take part in the survey by visiting co fits dot com they want people from all over the world and it's available and lots of different languages and you can help create a better understanding of the human impact of covered 90. now is the part of the program where we put one of your questions submitted through how you choose channel to our science correspondent derrick williams. i would like to know why the pfizer vaccine needs to be kept so very cold especially since it presumably has to be warmed up prior to administer a sion to answer this i 1st have to go over a few basics of cell biology the vaccine developed by biotech and fires or is what's known as a messenger r.n.a. or m r n a vaccine m r n a is a chain like a molecule that fulfills a very important function and cells it contains codes to make proteins and it acts

as a messenger between the cells control center and its protein building machinery as hence the name but the protein this particular m r n a vaccine that codes for isn't a human one it's a protein that's made by the corona virus and when the m r n a is injected it causes your cells to begin making that viral protein and that provokes an immune response just as if you caught covert 19 sending in the pretty simple quick to produce more and a code molecules to make these these complicated proteins and getting the body to do all of the work of producing them this business elegant solution to a complex problem but of course it can't be all easy we've been trying to produce these kinds of vaccines for decades now and one of the major hurdles has been keeping the m.r.i. in a stable long enough for it to accomplish its task after all messenger r.n.a.

isn't built to last in the cell that's supposed to break down again after it's proteins have been produced not hang around because that would cause all kinds of problems so lots of the research in the field involves keeping this pretty fragile molecule stable and one way to do that is to code it in a in a specially designed molecular envelope and then and. unfreeze it at all to a low temperatures of when he thought back out again the more n a begins to degrade but it's not instantly the best description i've heard of the process compere these vaccines to chocolate covered ice cream bars with with the coding hoping to retain the integrity of the ice cream to some extent even as it slowly melts pfizer and by on tax say that their vaccine if refrigerated remains stable for up to 2 about 5 days after thawing and maternal which which

makes the other m.r. and a vaccine candidate that's making headlines at the moment it says that it's those says have a refrigerated shelf life of up of up to 30 days. that's all from us stay healthy. for. surviving. and then returning to normal life. meaning inflicting struggles and long term side effects they don't know if their symptoms will never go away. the trial studies hope to find. for a life after the. next d.w.i. . they are

a burden on women and the environment because they are made health and real energy wasters traditional stuff. how to reduce half of this gases with just simple thermal cookstove say fine with. 60 minutes. in these challenging times it is especially important to us the issue of how big a healthy home. the coronavirus has kept us apart from family and friends all here easy to feel loved and especially during this holiday season we go to w. we're here with you we will keep you informed on all our plans and someone to

remind you we're all in this together we wish you happy holidays merry christmas everyone a very merry festive season merry christmas and stacy happy holidays everyone happy holidays to you i mean super happy holidays a way to stay sick the. many people who fall sick with coronavirus in march or april a still not fully recovered that struggle shows how problematic this virus can bait . the shoot out of my try and i try but as soon as i go the trustor from my body says no way. back in spring hardly anyone was thinking about the long term health effects especially not for young patients who symptoms were mild a statement every week i think this can't be happening and it's just taking so long

i'd much rather be hiking up weldon's like i normally do in summer. adult is dealing with this still relatively unknown new virus this reduces us the most difficult thing is we've only just started to understand the disease better it's like running in a race where the rules keep changing. this is the should cannick lake etude in the alpine foothills of southern germany it's a rehab dilatation center specialized in palm and regis orders. the 31 year old maria has been here for 3 weeks. she had coded 19 back in

march. and this as alice is much much harder for me now i've always been very sporty including cycling a lot going off my files mountain and racing bikes permission of the bridge now i can only put out 70 or 80 watts it's crazy now gas africa and sam i don't think it's way below my training level and i still has a pain in my lower lungs when breathing and intervention but i have. a real was not in a high risk group and did not require hospital treatment for the virus but more than 5 months off to falling sick she's still not fit enough to work here at the clinic she's been working on have fitness every day in the hope to soon be able to return to her job as a doctor traumatic shock and i need a certain level of physical fitness to do my job because i don't just sit at

a desk for your cup i have a lot of tasks that are quite physical life changing the bandages on big ones are running back and forth all day from the emergency room to the ward and fans to mention my boys i'm in the operating room i'm standing for 8 hours a day holding something stay in on time or stitching a wounded. man doesn't maria think she probably got cave at 19 at work in the hospital. in fact from the very beginning my lungs hurt him and i got him own here and personally thought and said i want to fill in some income it completely bypassed my nose and throat area that you normally think are so key i probably inhaled the virus directly in hell yet cause i was wiped out like never before or a moment when i finally got the strength to get out of bed put some musically in a bowl but then have to go back to bed before i even got to read it it was an extreme exhaustion like i have never ever had the 4. democrats and so we're going

to do a 6 minute walking test the aim is to walk as far as you can in the time allotted. 8 weeks off to falling sick maria went back to work even with pain medication she only managed 9 days in july she tried again when the increased pain levels and exhaustion returned she applied to come here it's been off the style breathless where you while walking still have the 205 and 6 did you manage the 720 metres so you've increased from 671-2720 metres into the air and that i could it was actually the technique of walking that was the limiting factor rather than being out of breath the bottom of. the head of the pulmonology departments professor rembert could surely says maria isn't an isolated case patients who are young and

fit with no preexisting conditions and requiring no hospital treatment because it can still experience health problems months after contracting the virus. is enough to have to. we can see from the number of people seeking help that there are more patients suffering from post coping problems than we thought even just a few months ago. and. it's not just the classic older patients like we initially saw in the statistics. there are young people whose lives have suddenly been turned upside down for example because they're not fit enough to work. every patient that arrives at the shared clinic suffering from after effects 19 undergoes a detailed examination to understand this virus fully adult has from different fields of medicine need to work together. this is i think it's important to be honest at this point and to say that we're in

a learning process let's assume through the large amount of new data that we're getting every day here to feel annoyed we can learn more about this virus. we try to pass on our findings to others to a lot of this data still needs to be checked on the book but i. don't have a particular treatment strategy and the classic sense because we don't have years of experience to draw on it's the corporate or a book with treatment recommendations from the last go but outbreak we're learning as we go as we care for these patients were discovering what kinds of problems the virus can produce. and. by now doctors know that 19 affects multiple organs. from lung problems to hair loss to sleep disorders fatigue and neurological disorders. then critical illness paula neuropathy heart problems people blame and plus issues resulting from the treatment

and intensive care and cuts. are the 1st we're seeing a multitude of problems and the list is growing and. i don't think we would have expected such a variety of issues and. talks provision of oxford maria has now moved on to the next examination spiral. the aim is to tell. send all that will perform on to physical exertion she has one more week at the clinic here in this area. for her. in the german capital has seen well over 80000 cases of 19 since the start of the pandemic of those around 80 percent have recovered officially but like christopher bligh not all of them fully restored to health.

but. i really have to catch my breath of course it's tiring and i've never been like this before that is actually. if i could go up the stairs and could go straight back down and up again now climbing stairs isn't actually. whenever i have to walk uphill i get out of breath. 19. full members of the family in fact. if this is going on that's why we don't really know how we got it we were in austria we're not into a role where it was bad we came back on march 1st my oldest daughter went back to kindergarten for 7 days a virus was in the news but not to get. at the beginning of march most people

didn't see the virus is a major threat all the start of a global pandemic so christopher didn't take his symptoms too seriously. my oldest daughter had started kindergarten the previous summer and since then i've had a permanent cold so i was used to having cold symptoms that i'm. on holiday in austria i still felt fine. then we came back and i developed a sore throat and a bit of a coffee nothing serious i didn't have a temperature neither did my partner. or the children had a slight temperature but that's not unusual jordon often do it was all relatively unproblematic. so. once that quarantine period was over they were considered officially recovered and were allowed to leave the house again but one month later both christopher and his partner developed some new symptoms. it was quite

a long time before we realized that what we were experiencing was linked to covert 19 i have allergies i didn't make the start of the allergy season i suddenly started getting short of breath which i never had before. i usually took an anti-histamine. i had these few problems but nothing special about them so i thought well biology. gotten worse but i didn't link it to cope at 19. going to kill going out on the balcony because i felt i had to get some fresh air and i'd bend over to catch my breath. and have that about every 2 days. but then it rained and normally that would mean all of my allergy problems disappear. but i still got it and that's when i knew something was wrong com dot after some of it wasn't her fault. so christopher went to a general practitioner. but he wasn't really able to help.

the dr did link my symptoms the covered 19 but they weren't life threatening and not that major. was my fitness levels matched my body weight. but christopher has also recently developed an underactive thyroid which has caused him to put on a lot of weight 17 kilos to date it's not yet clear whether covais it can affect the thyroid gland. in the past christopher ran in the birdland marathon but there's no way he could manage that right now. christopher's partner. also experienced problems after having cave at 19 but her symptoms are quite different. he's actually i felt dizzy and it just wouldn't stop what if i went to pick up my daughter romy and everything would just spin and spin a. fight i was afraid that it might never stop that this could be the new normal

for me i was just steps forward. after 4 months dizziness finally tapered off it's now known that cave in 19 was a trigger neurological issues. christopher is hoping that his breathing difficulties also disappear in time. international studies show that the lungs and heart can indeed recover from the virus given time a test shows maria's lung function is now back to normal 5 months after she caught the virus. needs its height on the one hand i feel good because i'm getting lots of therapy here but on the other i keep thinking what will it be like after the therapy and my time when i go back to work tomorrow. for i

am all the year and how will things progress with this illness or will there always be issues or will i get back to the same level of fitness and quality of life that i had before. maria was lucky to get a place here waiting lists for patients with post kovac problems. the show in clinical and has a huge number of patients waiting for treatment. in the areas time here has now come to an end. in terms of fitness for the tiredness levels of the teak have you noticed any change but we've talked and have that may have changed but i probably won't know until i get back to work and see whether i can cope better with unaided. or if i am still is tired yes i did. write about the chest pains. half and that the pain is better when i have

therapy the whole time and i noticed over the weekend where there is less going on or when i had physio wednesday last week back and then the next time on tuesday that the pain in the base of my lungs returned 5 if you don't come visit we're seeing patients who have symptoms some of which we can't really explain. and so we're trying to find answers and treatments it's like a black box. and whenever i can't explain and convey something in a way that's well founded it leaves a sense of uncertainty i freely admit that. to. the author effects of the virus to gain an increasing attention in $1000.00 research at the end of october gemini's university medical center she's the holy shrine

launched the largest study to date on the long term effects of coronavirus. over. christmas the 2 must bamma and a diverse team of doctors are examining 2900 patients in germany who were no younger positive and are listed in the statistics as recovered. recently. we certainly know more than we did back in february march or april it's because now the phase is beginning where we can start to understand the after effects of the virus or the heart of your but the question is how do you define an after effect in the open sea we now have 6 months worth of after effects but of course a virus like. 19 could cause symptoms that don't appear within 6 months. you might have long term effects that emerge after 5 or 10 years.

this study is focusing on the long hot kidneys as well as the nervous system and metabolism. and the latest tonight one is things are taking part back in march he was here in intensive care and in an artificial coma for 7 days when he heard about the study he applied immediately. for a drug issue with the i hope it means that i'm now being monitored so that if there are any after effects they can respond. movie it's only a lots of people take part that we can gather information that can then be available for others. professor obama and his team are also examining post patients who didn't require hospital treatment the doctors fear that even patients who had mild symptoms could still suffer long term damage.

a wide range of symptoms that we as doctors are confronted with where we need to differentiate carefully. what can be attributed to the virus that may have been directly caused by it when and where do we need to exercise caution and not just put everything down to corona we need to continue doing our work thoroughly as before taking covert 19 into account but tough. with the mix so the next thing we'll examine is your liver the study also looks at whether the damage to the listener can result directly from being infected with the virus that's really. a kind of got in the most difficult thing is we've only just started to understand the disease better it's like running in a race where the rules keep changing where some of our findings from 34 or 5 months ago already need to be re-evaluated. that's a very important process and it's moving very fast. i don't think we've ever had an

illness where there's been such an enormous increase in knowledge so in such a short time in norman business tool marks. as part of the study the subjects will be monitored for up to 10 years that's the only way to collect data on possible long term effects. and talking out of. the study is also monitoring the subject sense of taste and smell many patients report an impairment or even complete loss of the senses. this is. so we're trying to draw expertise from all medical fields bringing in all the various disciplines that we now know to be relevant to them so that in the end we get scientific knowledge. on the patient and assessment from different medical specialists from before this.

3000000 people in germany have now recovered from the corona virus writer nina my risking is one of them off to a short holiday in valencia and she started to show typical symptoms that was in mid march but the test centers and her doctor refused to give her a test so she paid for one her self the result positive. by april she was no longer positive months later she still didn't feel well. it was distressing psychologically does my hair started falling out and if i started very slowly there was more here than usual in my brush and in the shower and over breakfast one day my husband said you've got hair all over your shoulders as i felt like i was falling apart. she has also suffered heart palpitations and chronic

fatigue her doctor did not link these new symptoms with her previous coded 19 infection after completing her time in corinth she started writing about what she means through on facebook at the time she didn't know that she would have more symptoms to deal with later try and i had a mild case i was only in hospital briefly i didn't need a ventilator and didn't have pneumonia when i posted a photo of my positive corona test and wrote about how it felt to have the virus i realise that many people felt a real need to know more about this illness. people started writing to me because they were experiencing the same things they were sick but weren't getting help or were seeking advice on how and i discovered that many were feeling very very helpless he. she also wrote online about her experiences with the latest symptoms nina and other coated long haul as talk regularly on social media.

one man who's taking part in a medical study abroad and told me that he and his wife have both sustained damage to the heart it's in the paper again today a study by scientists at the university hospital frankfurt shows alarming findings on the impact of the corona virus on the heart the virus can cause serious damage to the heart thankfully it's no slowly coming to light it's scary but i'm glad that the media are now finally reporting on how dangerous this really is. the number of ski has found new friends through the articles she's posted online angela cullen from ireland is also scottish until long after having given 19. she was a singer before she got sick but still. this is it was all for helen too and. saying oh i've got this or that i cannot think how god got that to. know how it's getting daughters of us all as well as i so it's been

a great supporter i stick up. hard hearted and acar but when you need someone else who has the same illness and understands what you're going through. angela is also suffering from something many postcodes did suffer as complain of how and why the virus leads to chronic fatigue it's still unclear are you tired all the time too yeah but i have this triad nest that comes really suddenly. asked too often do you get that too that you feel super and then suddenly you get a day where you can't do anything at all got ya but after 5 months i don't get that as much thankfully. i have and yes it does when you get it it's like a flashback of how you start to panic that you're getting sick again when you know you're definitely feel afraid it's not to be underestimated i was in great shape i never thought something like this would happen to me it all happened so fast. i

felt like i'd been hit by a steamroller within hours i was unable to move out for. the 2 women find it hard to understand how some people can make light of the virus. revision i'm fucked as we know that we need to take it seriously because we both know how awful it is and i have lost contact with some people a bit who just rolled their eyes. or even friendships and because some people don't recognize the danger. and think these public will stricture and those are the problem not the virus. angela misses have family back in ireland she hasn't stepped on a plane since the start of the pandemic even though she now has antibodies she's too afraid of getting really infected. fear can be so debilitating. it doesn't help you get better not at all you need to be careful and stay informed

but you can't eliminate everything. back in but. it's now mid september and has to have bligh feels he still comp breeds very well it's now been 6 months since he had the virus. the next year will be but in the last 4 weeks i've really struggled at times i've got some days i wasn't able to do any sport at all times and it's often some nights i can up unable to breathe or to get off. the cliff my chest felt really tight and i couldn't get enough air from the roof to push thank you it's better again now but only since 3 days. i do your best to try to. justify what says an insurance broker so he can do his job even with symptoms but his condition is causing him psychological stress. commission's matsumoto i'm going to the doctor

because it's just not getting better because i kept thinking i'm improving but i'm not. clearly is a lung specialist he's treated more than 30 postcode patients in recent months. many of them were not in a high risk group just like christopher. was in terms of this issue of ever just feels like i'm not getting enough oxygen because i don't know what i should do that . i just don't know what to do. for this moment or at the moment as he. looks at being unable to breathe properly is scary people with those problems always try to take things easy the end of the bad if that continues and you always have that uncertainty you stop pushing yourself in here and don't build back up your previous training happens and your body suffers as a result and. surely shooting off as long as i could breathe through my nose it was ok. once i couldn't it went downhill rapidly. i.

was submerged is this view whatever effect this virus had on you and your lungs and alveoli during the acute phase and post acute phase i can't see any deficits anymore as regards the exchange of oxygen and c o 2 may i was there is a wash no diffusion impairment as we say miles. it's very important to show that there's no serious business going parent so that's good that's just because faith needs to be restored confidence in your own body that's football and that's the most important thing that does this is just. you know this is. the consideration of my age it's biased against us so i'm really relieved because i now know that there's no damage that's been. by the virus i'll get the other things

checked out but he already indicated he doesn't think it's going to be a problem so i can get back to normal that's going to speak. unlike christopher maria is still not doing well. since returning from the clinic she goes out to the forest as often as she can to go walking and build up her fitness. twitter for the clinic certified me unfit to work i definitely still couldn't do a physical job which is what my career requires members. i'm supposed to do 24 hour shifts as well where i have to cover the entire hospital how if there's an emergency if someone needs to be resuscitated i get an alarm on my phone and have to run over and i'm then responsible for resuscitating the person that right now and. she is managing to work but only for a maximum of 7 hours a day and it's mostly office work behind a desk. that's been as you and i've been sick now for more than 6 months i really

can't be bothered with it anymore i just wanted to be over you know to try to ok this is where i am right now and i just have to make the best of it that's. new studies on the after effects of cope with 19 and now appearing almost daily but for people like maria who are struggling with the symptoms many questions remain. after 6 months christopher bligh has recovered his next goal is to run another marathon. can't. indeed. they are

a burden on women and the environment because they are made. and real energy wasters traditional stuff. cultures reduce hazardous gases with this simple thermal cookstove say fine with. 30 minutes to. this since the freedom. this is a story behind companies to come on line. and to do with the social emancipation of the mind. the collar of an old idea and to endure in strength to do to small scale coffee farmers to withstand the most difficult circumstances. in 75 minutes on d w. what secrets lie behind. discover new

adventures in 360 degree. and explore fascinating world heritage sites. w. world heritage 360 get that now. this is g.w. news and these are our top stories. prominent russian opposition figure lexing of ali says he has spoken with one of the security agents allegedly involved in his poisoning last august he maintains the agent believed he was talking to a government official and revealed details about the attack the investigative website telling katz says russian security agents have been tailing of only 4 years . the european union has approved the buy.