ramp up the production of the vaccine was initially the big issue facing you up as well as the world was limited production capacity this has now been improved also through the measures like call obliteration and licensing are you why did that kinder for a pandemic that we are seeing deepening every day in india with potentially harm india as the supply of vaccines that india can deliver to the rest of the world including the e.u. is that a concern in the e.u. right now. we are concerned because of the situation in india very much 1st of all because of the situation affect the indians themselves but 2nd also because india is one of the biggest if not the biggest producer of acceptance worldwide and until the current crisis india has exported tens and tens of millions of folks since produced in india to other parts of the world these

exports have now stopped and this may have negative impact on the availability of exodus is in large parts of the world so we are concerned and we will try to find a way to to make up for that. yanick not just the european commission of a crisis management thank you so much for joining us from brussels. a new of the coronavirus in india has been partly blamed for the rapid increase in cases it's said to be more infectious and deadly than. here is what is known so far about. the west indian state of maharashtra is where the b. 1617 far into the corona virus was 1st recorded in december 2020 the strain has 2 mutations and it spiked preteen that's the bit of the virus that gets into our body cells. both genetic mutations of kept up before around the world

in other strains of the current virus and when they did they willing to the virus passing between people more easily they were also linked to the virus being better able to get past the body's defenses we've seen the 1st method increase in the field across india more or less the more for the thing the diff thing that what might be happening is that something that it was the sort of between people is very rapidly moving through the population of people who are yet to contract infection and therefore pretty often. but how quickly does this new type spread to get a handle on that research is need to be able to see when people have it. and when they die from it which means sequencing the viruses genes that research has been extremely limited so far in india out of millions of cases in this new wave only around a 1000 sequences have been published meanwhile scientists across the world are working to find out how deadly p 1617 is as the number of people dying continues to

rise they're on says can come quickly enough john enough and more is dr lancelot into a pile monologist an epidemiologist of the renowned hindu to hospital in mumbai dr patel welcome do scientists in india have enough data to be able to understand the b 161 double mutant variant. you know i don't think we have enough data and i think far more sequencing needs to be done than what this country done to really understand the transmission dynamics to understand where that it's been associated with the infections with. questions that aren't immune askin questions that are on video and send questions that aren't transmissibility i think we have very limited information at the moment but dr been to why is that i think the 1st reports of this virus became available in october last year then again in december and then in macho earlier this year the government in fact had

a press release why did not have scientific data as yet i think to a certain extent that's limited by the expense associated with hulu genome sequencing my understanding is that it's not maybe inexpensive to do but yes you know a lot of that is because i think maybe the gravity of knowing these patients is not fully comprehended and understood because it may not necessarily convert to treatment outcomes of implications immediately iran has to be fascinated when it comes to these kinds of things and you want a doctor who's working with covert 1000 patients on a daily basis what is this variant doing to the body that's making it so deadly. so i'm not really sure about that it's more deadly than the 1st time around but we do know for a fact that it appears to be a lot more transmissible than the 1st time it out so the 1st time around when the average rate of infection among close contacts was about 10 to 15 percent which

meant that in a family of fight of or fight for every 5 individuals who were exposed to a patient one would get infected this time and only a few leasing in their families and the world faces people attending a mad it said to me for example a significant proportion of them turning positive which suggests that it's highly transmissible and i think when that denominator becomes as huge as it is right now even if a small proportion of individuals need hospitalization need intensive get that going let's do a whopping number and i think that's what we're really seeing i don't think that absolutely convinced that it's more to kill the agent of the bias yet given hope transmissible this is there any actions that people can take to avoid getting infected i think by this is unknown to mutate good or not it's going to keep mutating with them and i think the most efficient way to prevent that is not send rapid vaccination so i think if you racks next you need enough individuals you prevent this constant cycles of transmission and

transmission as eventually associated with mutating so you know this is called selection pressure mutants that that devil up if people are vaccinated enough and that transmission cycle is broken i think i think people succeed in preventing the emergence of new mutants and be against you want to sue moss i'm dropper vaccinations how hopeful are you. given the vaccine stalking the country. not many hopeful at the moment but i think things are changing you know i think there is this aid which is coming from the us the u.s. is sending us all a stock of vaccines which are very optimistic and hopeful about i think of a certain some light cheating hurdles which have kind of creature been p.o.d. at the moment and hopefully that will allow us to damp up production i think the government has also provided some sort of an incentive in terms of fines to the vaccine manufacturers as to scale up if they do it fast enough i think that is open

on the con and i think the other vaccines have also been put on a fast track to approval so the more the number of vaccines that end of the country i think greater the probability of being even to rule scale up vaccination what is your honest prognosis doctor do you think or care stumble as we continue to rise in india before this stabilise our eastern awaiting the peak of infections saying with an effect of the state of mind as to the state in which i practice is kind of like going out over the last 4 to 5 days it does have the number of new infections that we have to be flattening out of course we know that mark malloch the staying in to lag by about what the soul you know unfortunately i think the need for it and beds the need for ventilator has to not be unfortunately in the city of mumbai. if you look at the trains from last year the city of the state of modest on the city of mumbai where that was affected initially and then the rest of the country followed suit but so did the recovery about so based on the recovery

back then is that i'm seeing in mumbai and in the state of modest ah you know there is reason to be optimistic that within the next 2 or 3 days hopefully the rest of the country can follow as well dr pinto a lot of thought that we are seeing coventry have been prevented with better preparation. i think mistakes were made all around i think in hindsight lots of people probably figured it a lot of things that they did in terms of slowing down in terms of gatherings that that occurred which which possibly should not have happened given the fact that we nor over the last one you know that gatherings of people enclosed spaces and crowded spaces and close contact it's all a bunch of individuals is the most efficient we have spread so in hindsight i do think that we could have done a better job in preventing. the spread of the mosque level at an individual level as well i think we got very optimistic in complacent after the numbers went to an

all time low in the months of december and january after we survived through the valley of the recent riots who knew us without seeing spikes i think all of us collectively let our guard down and i think betraying the buy price for that so yes this could have been prevented to a certain extent. but i mean that's what really amazing in hindsight now unfortunately document or icon to magine the stress you were on your colleagues and having to work under on a daily basis how are you and your colleagues coping i think all of has stretched in a lot of the fusty and i think you don't see light at the end of that which is friday which is a very difficult circumstance to work on bill when you know every time you see a glimmer of hope unfortunately that is another way of that that pulls you down i think i think all if as. close to. to to the end of patience to the end the fed as the interest i think one of us and a lot more negative been

a lot less patient than we used to be dusty. but but that's just the way it is i think talk to lots of open to a public knowledge just an epidemiologist up in the hospital in mumbai thank you so much for joining us and thank you for the work that you do thank thank you for having me. as dr pinto alluded to there india's coronavirus health emergency masks another medical crisis that's been bubbling away he didn't from view from the last year itself the impact on the mental health of its people repeated lockdowns death in this is taking a toll across all age groups in all settings one and rural but with a sizable population of young people the impact is especially hard on them. breakdowns feel anxiety these other words 29 year old uses when asked about how she's coping with the 2nd week of school with 90. water parents are cool because

the and help father has been in the hospital for days bustles only when the emotional me happens in the 2nd wave my dad became a victim and a very serious one and it just made me realize how crazy things are at them. runs an online mental health platform mind. which connects people to terrorists. and the statistics are enough to tell her that she is not alone. about from anxiety depression and grief that many are already experiencing she says a lot of young people may end up suffering with p.t.s.d. post-traumatic stress disorder last year there were about 50 to 60 parity that were coming in in one day and right now from the last 3 to 4 weeks at least that has started to 50 already the 2nd wave has been catastrophic images of people gasping for breath and collapsing in front of hospitals where no beds or oxygen are

available have a back to the mental well being of many some experts are convinced this wave has triggered a mental health epidemic of its own. terrorist threat ash in the us and says many young people who come to her feel hopeless and anxious over an uncertain future we're also collectively going to all. right now. on anxiety. we all know well and which means that none of us. to handle and. i was difficult. cian of us in ads that being constantly connected with the world online and accessing new information while helpful is also impacting the country's youth. i guess secondly to. make the majority and of these very very generating very

distressing in regions. people westgate and and leaving some nice and obvious and that's i don't think it's an experience that any of us will ever recover from yes we need help. from this yes he will more. help. there are. increased conversations about both. have been doing what they can to help my app you think the quest for emergency aid on social media they see that while there is an overpowering feeling of helplessness there is also some optimism in the way young people have been mobilizing help in these times . it is a work at might be a start has been helping her cope plan i come back from the hospital in the evening i'm just working because i know if i'm not going to distract myself and describe. as she struggles to maintain a positive mindset she's doing everything she can to bring her father back home

soon. and joining me from popal in central india is dr one of the on a public health policy expert dr bob welcome now you have been looking of the mental health impact of the coronavirus emergency in india do you think young people are particularly vulnerable. thanks for having me yes absolutely young people are certainly quite vulnerable you know this has been an extended much more than a year of lockdowns in a stoppage of schools colleges just a lack of certain a dui then things will improve they've also seen in lots of cases illicit within family losses within family but ups not being able to reach out to friends and meet them in the way they were able to have support systems earlier they have been increasing cases of domestic violence and all of that obviously has a toll specially now i think with the increasing number of cases the negativity all around the visual say thing on t.v.

it is adding to the mentally ill i'd like to talk a bit about the frontline was the medical professionals doctors nurses medical attendants were literally at the frontline of this crisis and have been for more than a year we were just talking to a doctor from mumbai who was trying to explain to us what they go through on a daily basis what is the impact on medical health professionals such as these. well there is a lot of things id that is a must read as well they have seen many can get infected they know that they are taking great personal risk in offering care obviously but you know given the kind of profession they are in they obviously bad patient care over their personal well being but it does come at a cost because every day when they go back home they are faithful about taking back the infection to their families many of them there with young ones many of them there with and then the family members and it is quite stressful you know we have seen many providers unfortunately die during this pandemic and. many of

them continue to get sick and they don't really have a breathing space because there is a shortage of health professionals so every day they have to go and do work in these kind of stressful situations where it's a matter of life and death on the 70 minute and to have to take decisions that aren't. saying or doing do a job and there is not a better way of those not enough oxygen available can be incredibly traumatic do people have any vetoes to help or assistance. well you know it helps obviously to talk about people out also you know reaching out to other professionals a lot of mental health professionals have stepped up and are trying to be available you know everyone's trying their best to be able to be there these are incredibly tough times for everyone but you know the wider community the larger community of friends i think everyone is trying their best to try to help out the fact that you

know this is a situation which once this kind of a sponsor is unique but also in fact india has barely one psychiatric for every 100000 citizens. is under the equipped to deal with mental health i'm wondering if you think that this has not been a priority again for the government in the past. but mental health has been historically declared globally not just in india but he went in india the numbers show that the mental health burden is alien or known very well because it's not been studied adequately many of my colleagues have been looking for many it's trying to come up with data to show how important mental health is entitled then come up with a response as you would rightly think part of the issue is that specialist audience can supply so if you rely on models which only require psychiatric or psychologist to be available it's going to be very difficult to offer mental health care in the

country of india size and population what might be more useful to look at models where they would stop sharing where you can plan help us train them to offer 1st line mental health care and then been there for the mechanisms there is no evidence evidence that this kind of can be very useful for mental health get overs in especially the primary care level. talk to me a bit about the rural areas of india i mean the areas philocles have some sort of mental health facilities that some psychiatric what about the urban areas of the country in the villages in the hinterland what is the situation since sort of the situation that. yes oh and psychologists can be difficult to find you know you'd be lucky if you have a psychiatric center district level if they're usually at the district hospital though or in the health system there are some medical officers who might have been trained for preliminary care but in most cases patients with mental health

conditions that either not identify and if they're identified they're usually to put up with that can be a loss because not every patient who is identified will go to a district hospital or to a care medical center. the models which we have looked with other colleagues have come up with in southeast more training frontline such as data made by such i think that it's social activists activists so that frontline had to look at least are able to identify those with mental health conditions of our care do they to an extent possible and then they put those who need more specialized care this way you don't end up having to spend send everyone who's identified in the mental health condition to a specialist but you are able to provide more prosaic to the community that is not a policy level but just individual level. much can people do to tackle their fear and anxieties. lots of things people

can do certainly one is just being cognizant of them or defend filmation and misinformation which is being shared having support systems having trusted people they can speak to as well as knowing if they are having persistent symptoms of any kind which might indicate that they have a mental health issue if any that they should go ahead and accept that is a lot of stigma around mental health also which needs to be built going to be in our communities just in the same way of you would access care for the physical ailment we should feel comfortable seeking tell if we have a mental health issue. on believe a day for the time being but thank you so much for joining us. thank you for having . india's 2nd wave is a tragedy that has hit nearly every indian including this one it's a tsunami that overwhelms the country every day in case numbers that's more than 380000 just in the past 24 hours relatives trying to arrange

oxygen for their loved ones trying to arrange beds trying to arrange medical supplies most of the time failing in the process. the fires burn day and night. but delhi's morticians are barely able to keep up these makeshift crematoriums have become a symbol of india's covert 1000 catastrophe. if you will go to this particular good work this was a parking lot but we got permission to set up an extra $24.00 crematorium sites and now there are so many corpses who are running out of firewood. because in 1000 has taken an enormous toll on india many died because there was no one to take care of them. for days there have been

lines of patients in front of hospitals no one lets the men because there aren't enough beds or oxygen tanks people feel abandoned. and never been very good to going to them giving nor any number were given there but nobody is born in numbers or not me believe me believe my brother it is going to go on order and their laws were yesterday or last year. my father my mother. my father beg me to help him but i couldn't do you know how that feels when your own father cries and all you can do is put him in an auto rickshaw without an oxygen tank. for the 1st 3 days i've been walking from one hospital to the next i've never seen anything like this in my life. the doctors are aware of these catastrophic circumstances but they can't do anything about it one hospital director told d.w.

news the situation is out of control. used to making decisions then getting them implemented but i feel so helpless now i get more than 500. many people are scared and want to get back to needed but there isn't enough vaccine to go around even though india is the world's largest vaccine producer there's not enough for its own citizens. we don't have any more vaccines please leave please cooperate with the police. the prime minister narendra modi has promised help to overburden hospitals. but many say he is to blame he held election rallies despite rising infection numbers. and he allowed huge religious festivals like the coup to go ahead this is

now seen as a super spreader event on a common message that it does not matter whether you mean the be or. you don't know where all of that. being a part of. the consequences are catastrophic india urgently needs help. international assistance effort is underway but for many it's already too late. it. is in delhi when you've been reporting through this crisis in fact we just saw your report on mental health just earlier in the program i would wonder how have you through this pandemic. well i like to say that it's odd to me to in a sense of i mean in a sense of the dashing it from your you stories when you are and people to

submission be are all going to this yacht in the middle of this and a kind of images that we have been seeing people desperately struggling to so why are you breaking down in times hospitals crematorium go overboard and families are softening and struggling to put on the last rites of the loved ones the let down to affect you so you obviously i have been having my own share in that the issues the issues and i know i'm a journalist and over there i understand what the situation is like now i know how difficult it is so that doesn't make me actions for my own health or the health of my loved ones and i'd like to say that a lot of people of my generation are going through these missions and including people from when you get the journal and you see a lot of this coming out and over this incident get that instant that people are mourning their feelings out there and one which has been coming up and across a lot someone lot of people raised speak to them about their mental health even though i mean it's almost it's to me about my image and that's right now that it is about them exactly that what is that lets you do clearly

a very overpowering sense of atlas and that's in the situation that even though people of my generation answers and socially again time to mobilize have their it still and all of our own sense of helplessness of not being able to do as much as any parent because clearly the markets are such there is we're not even on the brink of collapse which is almost a last strike not so there is a big sense of and. i wonder if there's also a sense of abandonment but just disappeared of what it's like living in the national capital of the biggest democracy on the planet where the federal government has advised people in delhi to weather a mosque even at home. well it is so why i'm here if you will talk to anyone your friends or acquaintances. is essential and it is just a 2nd song right now because we can see that when you get into. the do not have a lot of the contrary to let on that you can just up so it's

a such and like not because there isn't a lot of left so yes locating the right i know and the. right luck and son about. finding the right medical at the right time right so actually right you never had someone write write them when you know that i'm so much sorry to interrupt or thank so much for joining us you've been watching a special edition of utah for news on the n.p.r.'s quarter by this crisis thank you do you want to watch a. scary africa. smog commenting cause he was. and is helping small thomas waits to natural. state provides information about fats in the eyes of the cultivation methods. a great

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this is the end of the news line from broadway and celebration turns to tragedy in at least $45.00 a trampled to death but $150.00 injured in a stampede the 1st major event just gathering since he and the pandemic restrict. the program 1st al sadr now a proxy for india's shortage of critical medical supplies continue as the country sets another global record because of it 19 infections and. trucking so also in the

grip of this crowded virus outbreak of the country and to see.