very slow. everywhere in the world resources to fight the virus are limited that is why there are priority lists for vaccination 1st we must protect those most at risk but are we really doing that what about children their way down at the bottom of any priority list besides there's not even a vaccine available for them yet. that leaves children with special needs especially vulnerable. in special i wanted to have you with us and you just have to admire kids and their ability to deal with new situations i see kids every day on their way to school or in supermarkets with their parents and they're wearing their little face masks with such as if it was the most natural thing in the world but not every child can adapt easily and for some this virus is an additional risk to an already challenging life

. physical exercises are important especially for flavia the 14 year old has down's syndrome normally she doesn't do that with her mother but her physio therapist but since the coronavirus pandemic started the family has severely restricted their contacts because for flavia covered infection could be fatal. and infect your own booked by mention madonsela of people with down syndrome and infection harbors much greater risks than those additionally we know very little about long term effects of this illness so even if she were to survive and in fact you wouldn't know what would come after that. this is after the 1st family and how hard. therefore the family keeps to themselves physical contact with others is restricted the children are only ok finally allowed to play with. school happens

online all of this puts a strain on flavia what's wrong. with my go by i cried quite a bit because school was closed so we had to do it digitally and that was stressful . massive our flat. top $1.05 we've noticed that flavia suffers enormously from this loneliness she sits in her room for hours she talks to herself more and more she makes noise she just isolates a self. want a cup of thaw. getting flavia vaccinated against covered would help the family but no vaccine has yet been approved for under 16 year olds in germany clinical trials are still ongoing in test run as it was on to. explain these trials

different age groups are tested and the close observation that way the research is congressionally find out how the drug reacts with certain groups but they haven't finished that yet so using the pixie now is a bit like walking into a dark forest so to speak and don't invite good villains of it. the family hopes that this dark forest will clear soon they don't know when the vaccination will be approved for children until then they will do everything they can to protect their daughter. of a more i'm joined by dr goods she's assistant professor of epidemiology and environmental health of the ronan school of public health at more university in atlanta good to have you with us. please tell us 1st of all how much do we actually know about kopek 19 in patients with d.s. and because thanks a lot for having me and yes actually you know we. mentioned she was

a society conducted last year study on and he just was done some tom and colby 19 and what we found when investigating more than $1000.00 if you don't have doesn't and probably 90 is that just a 1000. much more likely to die after having killed 19 than the general population so for example individuals with down syndrome and. and so their mortality rates when they are 40 are comparable to those from the general population who are 70 so and their mentality we're just as much higher than the general population why why is that what puts them at such high risk. so there's still different reasons one thing is that he does with down syndrome in general often south of harm pretty much like aging so for example many of us with down syndrome are ours or

very likely to develop dementia at a very young age so in their forty's many of them already have dementia and that reason is that they are so often suffer from immune dysfunction so as an example individuals with down syndrome are so they are known to be the most vulnerable to all the other kinds of especially disease and not knowing when you have quite a sample so it's unfortunately it's not surprising that they are also more vulnerable to chilcote you 90 right so when when the mother in this report that we just saw says she's she's terribly worried about her daughter you just basically agree that she has every right to be that worried how can she better protect her. yeah so 1st of all i really want to highlight that the high mortality rates that he observed among and it was down some who are had securely present for the new years

was down syndrome about the age of 40 so we only found very few. deaths among children with down syndrome so it was really really rare but just similar as in the general population so that's at least one good thing i don't call us nevertheless that doesn't mean that parents of us with down syndrome don't have to worry because as i already mentioned death is not the only yet come of this disease and we still know so little about the long term effects of code 90 and also . other. complications might be more prevalent in my circumstance and them than a mansion or was out on some cost and as a part to protect them but the other problem is that it's arsenal. yes that's a hot thing to do and i had decision because especially kids let's dance and grown they as we are going so in the video we they really need

a special care not only for their physical health but also apply carpenter and mental health so it's always an act of balancing and benefits and. at the moment our highest chance to really protect them as suspects a nation vaccination i know that in the united states teenagers at least from the age of 16 on words can now be vaccinated does this include teenagers with down syndrome. yes absolutely so and december the students included dance around our products and some of us high risk medical complications 19 so and then and january right and the last roll out started at most states including leader was with down syndrome and there for 1st 2nd priority group so and since march early april the whole country the whole country and it was down syndrome can

be vaccinated against cold 19 and that includes. yeah lots of teenagers are so starting at the age of 16 and i know that most european countries now are not now it's a backseat aging interviews with down syndrome was it does now well known that they are at a higher risk for severe cold 19 so so many european countries are so vaccinating is down syndrome starting at the age of 16 all right so now we have to look forward to that and of course to vaccines for children that are even younger than that but for now thank you so much dr phil's from the road school of public health it more university in atlanta thank you so much for your time thank you for having me. and of course we all hope that vaccination will bring back the freedoms we've enjoyed before the pandemic some sooner than others perhaps time to us derek.

germany or the e.u. be implementing a covert vaccine passport. yes though it won't be called that as it will also document people who've had the disease or have recorded recent negative tests the e.u. is moving forward with what's being called a digital green certificated to facilitate movement within the bloc though it's still not yet clear exactly what rights it will confer there's opposition of course but but but proponents say governments currently really have few other options after all long before the pandemic hit tourism had become a key peller for for nearly every economy on earth and the last 15 months have just cut the industry off at the ankles europe relies on tourism heavily and desperate attempts to to restart it somehow someway have been going on since the

very 1st days of lock down over a year ago so so what are the issues well there are many ethical questions but a lot of critics think the most serious is that a certificate could lead to discrimination against people who for whatever reason haven't been vaccinated or or at least not yet especially if the documents are used to limit their activities and their own countries by their own governments there are also big practical and technological barriers to overcome in plenty certification systems especially when it comes to to data privacy and secure. the potential fraud is another big issue despite the many hurdles the plan is to have the program up and running by june in order to make travel between e.u.

member states easier for people who are vaccinated or who have recovered and and not just for europeans talks have also begun with the us about the best ways to allow fully vaccinated or or recovered american tourists to begin returning to europe. that's all for today thanks for watching.

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