discrimination, inequality or part of everyday life for many why? because life it's diversity. to make up your own mind. d. w. need for mines. news coming up today, indonesia unfolding cobra emergency. oxygen supplies are low and hospitals are overwhelmed. it's a surge fueled by the delta variance, but could have been prevented, plus, expeditious ahead of a festival bunker their shift to national, locked on before either prompting thousands to leave the captains when the party animal vendors, i'm making your killings before the actual killing begins on the

news i'm finished energy. welcome to dw news, a show. glad you could join us. indonesia, over $900.00 situation is currently was case scenario. according to a government minister. in the week the country surpassed india daily. total's of one of our cases registering more than 56000. the optic in cases has been blamed on the more infectious delta variant. first identified in india. was it or the island of java and bali. some hospitals here are having to turn away patients because they don't have capacity. and enough oxygen, the government has imposed new a tougher restrictions to control the spread of the virus. but for some, it's already too late. oh, i know rights performed for a victim of indonesia,

new devastating wave of covert infections. a team of volunteers support the police and retrieving the bodies of those who died at home. and there are more and more of them putting young and they stay. we only received a call for one day on the 2nd day, there were 3 day, 2 days a week after the group was formed. there were 7. yeah. so the situation is getting many of those who die at home since the land able to get a hospital bed. the explosion into the cases has left was over flowing with patients. some of them have to be treated and make sure beds and hospital who ways experts say that the government failed to take adequate measures to prevent this crisis took up on one report, but also everywhere in indonesia, in most of the district,

lay it up with me and been i would say that this is more or less enthusiastic tuition and may be would be if been brought and like in india 2 months ago. oxygen here is also starting to run short with many patients being treated at home. there is huge demand at this oxygen filling station on the me. demik has forced me to come here and buy oxygen for my mother. she is sick with cozy, and i'm trying to give her oxygen therapy at home. so for all the most people here are buying oxygen for infected people to compet treated at the hospital and they have to cancel them at home. what do you want so far? any around 6 percent of people in indonesia have been fully vaccinate. vaccine deliveries are finally picking up speed, raising hopes that this latest explosion in cases can eventually become

and jeremy know from jakarta is epidemiologist, dr. bundle the owner, who's been monitoring the cobra crisis in indonesia, dr. young to welcome. the situation has been described by a government minister as a worst case scenario. could it get as bad as india? yes. the part of the increasing cases is like india, you know, we got soon started june day increasing cases is bad. it was an almost step up like better people, but increasing is look like the india parton's of the increasing of cases. it been there also we got the same problem like india that our call is because all house be there or the people who got one to do got

picking care and also have difficulty to get the ox again. we got a crisis. the ox again, to appreciate you know, because all the pace in the month for the oxy. again, it also many hosp the run out of hospital because we got the money increasing the money from the people who got infections. and also, another problem is re run out of bad. i see you also and the drug war taking care of the patients. everything that you're saying is what happened in india, just about a month back. i wonder therefore if indonesia did not see this coming, this sheet is coming, but they don't know they will hopefully not like india. and that's why the problem is we are waiting until we got the last find the levy good. the

increasing cases the actually we good grief and the early as possible. like before, rama down our it will be 350. we got a lot. busy of must be mobile decisions from in job 5 from the card back, the job islands and, and at a time also we already got the bill about bobby on bus. still not domini up there. the bus if nobody station during ramadan festival. the interesting bill that dominates in our country, then we followed the increasing of the cases. it meant and there are no, we cannot controlling the pun to me because the, the body and, and also the late response from our go from and to got to stop to so status reaction. it mean dad, this why it's been

a very worst come out. you know that we are, we have coming into new york. now this i can cases, as you connect to point out is also because of the delta vet and you are an epidemiologist. can you tell us what we know about this baby? and why does it spread so fast and why is it so deadly? yeah, because in, in the area actually already we already identified in january. and then we see the old body of like old by it is still dominate. and then up there, mars will be increasing more because we'll look at the end of march already dipping of the impacts and in some c, p. and it been that now it's become ruminated because we find of the transmission is 2 times or double. then before,

and also the increasing of possibilities. it mean that this party and it's very, very dangerous because we cannot stop the fun to make stop transmission. even in one person's got the infection suddenly and all the member of the household in the also it will be also good, infected and die. and also the problem is that the host be at the can lord accept the new patients mostly is now people done in their home and also in the, in the and emma didn't room. right. we'll leave it there for the time being. but thank you so much for joining us to the doctor. we are no longer there still has seen an uptick in cases due to the delta variant. despite that, the government is now linked to the national lockdown imposed during the month the reason the upcoming festival of either of her on monday, for many residents,

the lockdown could have been lifted early enough. this is getting out of town on an industrial scale with locked down, lifted, the stack of residents rushing back to their home towns in time to eat whatever the lot done. i'm taking the 1st chance to head home off to look down if it's imposed again to see you know, the east and i'll stay at home if everything's normal, i'll return to deca. despite soaring corona virus cases, will sources have ease restrictions that you can nomic reasons. e represents a big source of income from many industries. industries that have been suffering during the pandemic. life has been very hard for us is not down for us to stay out of where we're waiting for people to cross the river with us. i don't know if we'll make any money, so we have to keep the boat going on. the line to the base is a country that's no stranger to overcrowded ferries. but, you know,

pandemic with social distancing, appearing to go out the window, some health expert warning the a, the crowding will come with additional risks. local police, the vigilance law. you can see the amount of passengers on the ferry lockdown list and we've taken strict measures to make sure that very many passengers, again, when the health regulations goes up and down in the water community for these people though, getting home is what matters. they're prepared to do whatever it takes pandemic or not. and as we just heard, the muslims around the world are getting up to celebrate eat next week. among other things, the festivities involve sacrificing certain types of animals and then eating them with friends and neighbors or giving the meat to the last one of we look at how some vendors of sacrificial animals are preparing for the event in pakistan.

this ox is about to go on the journey of a lifetime. it will also be the last journey of its lifetime. the lowering of troops will buy cranes, and the top of the building in karachi had become an annual spectacle ahead of the festival of eat. i'd have the for the community, it's fun for the cattle owner. it's serious business, but i buy the small i bring them onto the rooftop case and with them. and after a year, when they fully grown to become a get them down to the ground using or so that's why i have to hire a crane to do it. in a neighbor, alma has been rearing capital on his roof nearly 20 years. when the time is right, they're sold, slaughtered and sacrificed for aid and other entrepreneur selling animals

ahead of the festival is vanya munez. but she's using a very different and new way of trading her projects. she's telling her goats, online. customers simply come to collect the goats after viewing videos of them. according to my life curve at 19 people became interested in online shopping dining . it's a good opportunity, especially for young entrepreneurs, or they don't need to go in person or just make hold and look online order. and as a go deep in, it's very easy to do my business of what do you think was the competitive as a good when it is making a lot of fails this way. but there's still a big place for traditional sacrificial markets in pakistan. such as this one stood up good thought to be the largest in asia. hundreds of thousands of animals are expected to be traded as add her approaches. and that's

it for today. and this week there's other news, an analysis from the region on our website, dot com, forward slash asia, and you can follow us. and so for media as well. we'll see you back here on monday . the the site against the corolla virus pandemic. how has the rate of infection in developing? what does the latest research information and contact the corona virus? because the 19 special on next on d, w. women in asia in speaking. that's me for them all the money and lunch and dinner. but the voices,

the only way i can be up top is to create my own the see their house standing stories in the women in asia this weekend on d, w ah, the fax vaccines need police escorts is assign the value the hot commodity that also goes to waste me as much as 30 percent of the vaccines are thrown away in some countries in the reasons, very storage and logistical challenges as well as the type of sales and syringes used. ah, but innovations could end the waste and dense as well, and nice to have you on some countries have had to throw away thousands of jobs.

others like finland, a fine shooting their vaccine campaigns to ensure every last drop counts. it's putting the nation way ahead of others. at this vaccination center, around 3000 doses are prepared and administered every day. it's around 40 percent more than should be possible with the supplies available. that is because a finish invention makes it possible to make a little bit effect seen it's go a long way. the person behind the creation is nurse sorry. ruth, who was among those starting covert vaccinations in december last year, who called 180 and to see if we don't want to throw away any viable vaccine. it has become paramount to use to exceed economically as possible, especially after some of them were limited to certain groups. only cruise works in a public hospital but volunteered to do extra vaccination shifts. she find you and

her technique within the 1st few days of preparing the doses. why have stuck on who am i saying that? once i noticed that exchanging the syringes and getting rid of excess error in the equipment guaranteed to extra doses of faxing. i sent an email to our medical director. he quickly contacted house authorities about it. everybody was very excited. the thought roses technique requires syringes with a one millimeter capacity and small scale. the syringe is 1st fills vaccine, but just enough to get the required vaccine dose. in addition, a bit of air is drawn from the vial, bottle into the syringe. finally, the air and vaccine inside the syringe, the to swap places before the vaccine is administered. the air bubble technique maximizes the amount of faxing that is extracted from each mile. for instance, makes it possible to prepare 7 instead of 5 by intake doses,

as well as 12 instead of 10 astrazeneca josie's health experts made her rosa's technique, their official recommendation for covert the vaccinations in the country in january . despite its benefits, norway is the only country to fall, often winds footsteps, medical director, democrat pan from the city of helsinki, so far hasn't had the time to advertise the method globally. some teaching materials have only recently been translated into english. that club bodies $300.00 . so here we go. i think this technique can be copied to other countries to, to be able to vaccinate 40 percent more people on originally projected is simply incredible. and among robert for the world to reopen, however, it is not enough to vaccinate people in just one country. while nations such as finland are continuously easing restrictions, other parts of the world are only starting their own vaccination campaigns. i think

he's city medical director team or look at it and joins us. so team all should the rest of the will be watching our show very closely today. truly we are. we are in dire in dire need of vaccines then, of course, every, every back dean can't explain to us again then how exactly this works. you're talking about precision equipment, but getting the right type of quitman is extremely important. starting with what sort of syringe do we need to know? there are different sorts of syringes with low dead space. ours with high dead space. so a lot of that back thing it's wasted. it gets stuck either in the syringe or in the needle itself. what sort of syringe do we need? first of all, we start it, it's actually a b, d as your you only need small enough range. that's why i mean that is, the range is enough, because at the end, when given, when the bad thing is given,

the data space can be it doesn't matter when you have the air properly and over there to be used to push out the vaccine from the range and then what sort of a needle do you need? it's a small map. well basically it's a small, smallest possible meter naval, which can handle their vaccine itself. so small die meter long enough to be able to give a pen a. so there's not a lot of problem with a needle in a way. and what about when it comes to the vile that, that you get the actual vaccine in yes, the violin are a little bit different story. first of all, if it's of course, you have to be usually the hygiene, but there's a different amount of doses in each vile. you might get 6, you might get 8. so you have to be precise that you, you, for every dose you take every vaccine you create from the multi multi dose file.

you make sure that every every vaccination, every job you're going into the case to the patients are truly full. so that you get the precise dose. so you cannot accept kinda as little less than that precise amount of dozing. if, if that's not enough for the doses, then there's not enough. so there are so many little steps where this could go wrong, and we're talking about human error here. why not just go for a single dose while where it's all pre measured and pre dosed and you have nothing to worry about? well, we don't smile so much easier to produce, i think as well. it did have to be around to globally. so we prefer premade pre dosed appearances and, and pre with needle thing in so that are ready. but there's not,

there's no such thing that the moment available for our qualities. it's all a race against time. in the meantime, you can other countries. i mean, is there anything holding back other countries from repeating what you guys are doing, read replicating. the method that you've discovered, i don't think so. it's basically all that you needed the right reference, precise working and the process around that, around the vaccination center that's you get to take care that you have the precise amount of that kind of the patient you're vaccinating enough of them as well. because if you, if you count that there's only 5 doses coming from the while and you get sick and you only have 5 patients coming in, then the one dose gets wasted anyway. so you have to take care of that. there's also patients around. it's also a lot to call for now, but for other vaccines,

for global best practice, is there a possibility of maybe some day thing that needles the right needles are always use the right syringes are also used that we get some sort of global best practice. definitely in a way, if we use this more dose biles, but when it comes to pre pre manufacture it, sir, inches with the needles to pass it there, threat, there's not much to do anymore, but if you use more dose miles than of course, it can be applied to different scenes as well. okay. fantastic therapy on the show today team will look at it and how thank you. city medical director and excellent news and nice insights about that local hero of yours. you'll have to pass on my congratulations. thank you. and we will now here's derek williams with his take on back things. vials and waste out of your question. ball.

why aren't injected vaccines manufactured as a single unit instead of having the vaccine in the syringe separate? this is a great question. one that i've never really actually considered before. right now, most vaccine manufacturers are filling and shipping. multi dose bio vaccine that contain between 5 and 15 doses on site at the vaccination center or at the doctors office. staff then have to painstakingly draw them into syringes in a complex time consuming series of steps where, where a lot could actually go wrong due to human error and, and there are a lot of other issues with the bio system not least that once the seal on one has been broken, all of the doses in the bio has to be used quickly. leftovers can't just be stuck

back in the fridge for use later so. so since everyone is getting their own syringe anyway, why aren't machines just pre filling them directly as a single unit? instead of putting large batches of doses in vile 1st pre filled single shops, syringes are already the norm in some parts of the world for, for vaccinations against other pathogens. but, but there appear to be 2 primary reasons why the older, via the system has been the method of choice so far for the mass. cobit 19 vaccine rollout. the 1st is speed with manufacturers churning out hundreds of millions of doses. it's simply faster for them to score tenant a time into a single vial than it is to fill 10 separate syringes and with the pandemic in full swing,

getting as much vaccine as possible out there has been vital. and the 2nd factor is cost until now. single dose prefilled syringes have been more expensive to produce but, but many manufacturers say that's changing and that, that pre filling syringes is actually more efficient because then you don't need millions of medical grade class files. so. so when demand for cobra, 1900 vaccines begins to slow. i think that you can expect prefilled syringes to grow in popularity because they have so many advantages. me and some other stories making years in asia has reported a regular increase of 1025 covert deaths. that brings the total number of fatalities to more than $71000.00. and the southeast asian country has been struggling to cope

with a new wave of conventions. and the pfizer by and take colored vaccine is on track to become the 1st foreign jap approved in china. chinese regulators have completed an expert review, a, b, m r. in the event st. china said to use the drunk as a booster for those who proceed to sean, so call me back thanks for watching se, se fancy. you against the the use the

the, the the ah, the india. in a secluded valley in the himalayan mountains, many people still live without electricity. hydro electric power is meant to solve the energy problem. with these clean power plants going local agriculture. and the population is starting to fight back to india in 90 minutes on the w. o.

this is important to understand the world better. we need to take a closer oh, the experience knowledge of 2016. that's a good bye to the queen because the want to see if germany was the last few years have been quite right clearly in touch with the germans averted on the home when it comes to germany. and of course, in the iceberg is perhaps the biggest on the new hobby of $900.00 on approved to be in the news. every person never comes, but when you're feeling together, you'll realize it's culture. another way of living, are you ready to meet the german? then join me, right, just do it on the w. the

news me can. because you know

the, the news . this is due to be news alive from berlin. no lead catastrophe. catastrophic flooding kills more than a 100 in germany. hundreds more are missing. rescuers search for survivors in towns buried under mud and rubble. more rain is forecast also coming out the chancellor angler medical speaks of the national tragedy. a farewell visit to washington.