also through the measures like collaboration and licensing are you why did that they're kinder for pandemic that we are seeing deepening every day in india with potentially harm india's the supply of vaccines that india can deliver to the rest of the world including the e.u. is that the 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 in school just in india to other parts of the world this 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 really fun to 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 w. tertian 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 on a spike preteen that's the bit of the virus that gets into our body cells both genetic mutations of corrupt up before around the wild 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 medic increase if the across india mortar 50 mil for the thing they could if thing that what might be happening is that something that is more prosperous live between people is pretty rapidly moving through the population of people who are yet to contract infection and their 4th 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 welder working to find out how deadly p 1617 is as the number of people dying continues to rise there on says can come quickly enough joining me now for more is dr lancelot

pinto about monologist an epidemiologist of the renowned hindutva hospital in mumbai dr venter 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 whether it's been associated with 3 infections where the questions that are let us get questions that are on video and send questions around transmissibility i think we have very limited information at the moment but dr patel why is that i think the 1st reports of this virus became available in october last year then again in december and then in march earlier this year the government in fact released 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 whole genome sequencing

my understanding is that it's not maybe inexpensive to do but yes you know a pocket that does because i think maybe the gravity of knowing these patients is not fully comprehended and understood because it may not necessarily converge 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 over 1000 patients on a daily basis what instance variant doing to the body that's making it so deadly so i'm not really sure 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 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 spaces people attending a magnet said to me for example a significant proportion of them turning positive which suggests that it's highly transmissible and i think been that the nominee that 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 blocking number and i think that's what we're really seeing i don't think that absolutely convinced that it's more to 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 isn't going to keep mutating with time and i think the most efficient way to prevent that is not send rapid vaccinations so i think if you racks next innate enough individuals you prevent this constant cycles of transmission and transmission is eventually associated with commuting so you know this is called selection pressure mutants that that develop if people are vaccinated enough and

that transmission cycle is broken i think i think we would succeed intervent think the emergence of new mutants and be against you want to see mosques under operate vaccinations how hopeful are you that will happen 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 its stock of vaccines which are very optimistic and hopeful about i think there are certain supply cheating hurdles which have kind of which are being cleared at the moment and hopefully that will allow us to ramp up production i think the government has also provided some sort of an incentive in terms of fines to the vaccine manufacture does to scale up if they do it fast enough i think that is open on the con 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 numbers will continue to rise in india before they stabilise are we still awaiting the peak of infections. sign up for the fact that the state of mind asked of the state in which i practice is kind of like going out over the past 4 to 5 days it does have the number of new infections that you have to be going out of course we know that mark ballot the stand in to lag by about what t.v. so 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 the worst 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 am seeing in mumbai and in the state of modest i 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 corder

a lot of thought the seeing coventry have been prevented with better preparation. i think mistakes were made all around i think in hindsight lot 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 know over the past one the 0 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. spread that the mosque level at an individual level as well i think we got very optimistic incomplete and after the numbers went to an all time low in the months of december and january after we survived through the valley after we survived through new yes without seeing spikes i think all of us

collectively let our guard down and i think betraying the by price for that so yes this could have been prevented to a certain extent. that i mean that's what's really amazing in hindsight now unfortunately document or icon to magine the stress you were on your colleagues are having to work under on a daily basis how are you and your colleagues coping i think on a stretch in a lot of the us you know i think you don't see light at the end of that and which is friday which is a very difficult circumstance to work on when you know every time you see a glimmer of hope unfortunately that is another way of that that leads you down i think i think all if as. close to. true to the end of asians to the end the fed as the interest i think one of us and a lot more effective been a lot less patient than we used to be dusty. but that's just the way it is i think talk to lots of open to a public knowledge just an epidemiologist at him due to hospital in mumbai thank

you so much for joining us and thank you for the work that you do thank thank you for having. as dr pinto alluded to there india's coronavirus health emergency mosque's 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 illness is taking a toll across all age groups in all settings and rule of but for the sizable population of young people the impact is specially hard on them. breakdowns feel anxiety these other words 29 year old carlie god uses when asked about how she's coping with the 2nd week of school with 90. water parents are called positive and help others has been in the hospital for days parcells only been an emotional me happens in the 2nd wave my dad became a victim and

a very serious one and it's made me realize how crazy things are at the moment 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 feelings id depression and grief that many are already experiencing she says a lot of young people may end up suffering with p.t.s.d. or post-traumatic stress disorder last year there were about $50.00 to $60.00 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 or be 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 wellbeing of many some experts are convinced this we've had

triggered a mental health epidemic of its own. terrible 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. as difficult as. she was in ads that being constantly connected with the world online and accessing new information why healthful is also impacting the country's youth. by the 2nd meeting. the next week or 2 idioms of these very major including very distressing in regions not the west state and dade and reading some nice and obviously effect and that's i don't think it's an experience that any of us could ever recover from yes we need

help. on this yes he will more. help comes there are. increased conversations about both of them 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 mine thius that 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 i'm describing 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 bong welcome now you have been looking at 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 the stoppage of schools colleges just a lack of certainty you on when things will improve they've also seen in lots of cases ellipses 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've been increasing cases of domestic violence and all of that obviously has it all 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 mental health i'd like to talk a bit about the frontline work as the medical professionals doctors nurses medical attendants who are literally at the frontline of this crisis and have been for more

than a yeah 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. but there is a lot of things id that is about them as fat as they've seen many colleagues 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 paradice patient care where 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 live with young ones many of them live it 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 most every minute and to have to take decisions on triads saying no to individuals and that is not a bed that we live is not enough oxygen available can be incredibly traumatic do people have any of the cost to help on assistance. 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 health provider community the larger community of frontline i think everyone is trying their best to try to help out the fact that you know this is a situation which was once this kind of a sponsor. is unique but also in fact. india has barely one psychiatric

for every 100000 citizens clearly india is undead equipped to deal with mental health i'm wondering if you think that this has not been a priority at hand for the government in the past but eventually has has been historically declared dead globally not just in india but even in india that numbers show that the mental health burden is daily north known very well because it's start being studied adequately many of my colleagues have been looking for many is trying to come up with data to show how important mental health is entitled then come up with that it spawns as you would rightly think part of the issue is that specialists can supply so if you rely on models which only require psychiatric psychologists 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 for there to stop sharing where you can work frontline help us

train them to offer firstly 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 over isn't especially in the primary care let me. talk to me a bit about the rural areas of india i mean the but it is still a please have some sort of mental health facility that i need some psychiatric is that what about the rural areas of the country in the villages in the hinterland what is the situ you see it's sort of the situation that. yes so 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 north though or in the health system there are some medical officers who might have been trained profar preliminary care but in most cases patients with mental health conditions that either not identify and if they're identified they're usually their foot up there 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 markets which we have looked at other colleagues have come up with in southeast more training frontline such as data made by such as evidence social activist activists so that frontline has a look at least are able to identify those with mental health conditions of our care to 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 and send everyone who's identified in the mental health condition to a specialist but you are able to provide more prose or to the community that is a policy level but just an individual level not to 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 of information 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 bill clinton tooting in our communities just in the same way of you would access care for a physical ailment we should feel comfortable seeking tell if we have a mental health issue talk to on the on believe day for the time being but thank you so much for joining us. thank you for having me. 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 morticians are barely able to keep up these makeshift crematoriums have become a symbol of india's coated 1000 catastrophe. 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 were running out of fire when. you. coded 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 getting lawyer number were given there but nobody is born in number nor do we believe me. my brother it is going to go on board and their laws were yesterday only. my father 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.

beds asking but oxygen asking for help. 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 is no. 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 game a common message that it does not matter whether you mean the people who are.

normally where all of that the are being fired 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 absolutely in a sense of i mean in a sense of the dash and from your you stories when you are and people just recently be our oil going to this yacht in the middle of this and it kind of images that we have been seeing people desperately struggling to so why are you breaking down in

front of that those 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 all settings like the issues issues when i know i'm a journalist and of there i understand what the situation is like now i know how difficult it is so that doesn't equal access for my own health for the health of my loved ones and i like to say that a lot of people of my generation that were into these missions and including people from when you get the benefit and you see a lot of this i mean nothing over this incident get that incident people are mourning their feelings out there and one bullet which has been coming up and across a lot someone let people know you speak to them about their mental health even the man is almost 60 me about my mention that right now that it is about things like that what does that lets you do clearly a very overpowering sense of helplessness in this situation that even though people of my generation youngsters ogden's and socially again time to mobilize help there

it's still an all of our own sense of hopelessness of not being able to do as much as any parent because clearly the markets are such is we're not even on the bits of collapse which is almost collapsed right now so there is a big sense of and it's i wonder if there's also a sense of abandonment but just disappeared sort of what it's like living in the national capital of the biggest democracy on the planet whether federal government has advised people in delhi to wed 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 do get in sync. we do not have a lot of the contrary to that and then you could just. like not because there isn't a lot of left so yes a low key thing the right eye. and the. right luck and son about.

finding the right medical help at the right time right actually right you know to help see someone write write them when you're not aren't so much sorry to interrupt or thank so much for joining us you've been watching a special edition of the dr news on the india has come about as a crisis thank you to michael wacha. 96. it's their story their very own personal drama. the people who survived the catastrophe remember. and they share private footage with us never been seen just. internal. existence on t.w.

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