and we visit those who are finding it difficult with successes in a weekly coping 19 special. next on d w. b, we've got some hot tips for your bucket list ah, magic corner track hotspot for food chairs and some great cultural memorials to boot d w. travel off we go with the new army concept variance be a point 5 has triggered arise and infections in portugal. but in many countries, the pandemic appears to be leveling off right now. what have we learned over the last 2 years?

that's the question we'll be looking at in this weeks cove. 19 special. how was the grown of iris impacted the education system in the philippines? but 1st to germany, where we look at the challenges faced by nurses and care workers, they bought the brunt of the pandemic. so have working conditions now improved. we hear from the staff themselves. oh, a, a future piece. coke. really sick? who cares? the performance rounded off a 2 day meeting of berlin's health care professionals. there are sick of the

working conditions in germany's capital. so these health care workers have got together with the unions to fight for better conditions for hospital staff. oh, good. it's good to home, the 3 of his crusades. we haven't seen any improvement in our working conditions during the pandemic. and our jobs were already hard before it started. and that's on that shows that it's up to us to take the initiative. and yeah, that we need to improve our working conditions and the care we gave our patients has all the bas anderson, the vitals aren't good. hospitals here are chronically understaffed, leading to heavy workloads, while wages remain low. that's due to budget cuts across the board in the health care system. many of the cuts hit caregivers paychecks and also affect the level of care that patients receive. berlin's hospital protest movement was

born last year, spurred on by the nightly applause from the berlin residents who are eager to support health care professionals and other key workers. during the pandemic, protestors argued that the government and even promised reform, but failed to deliver on those promises. with persistent strikes, the protest movement managed to negotiate a deal which on paper at least seemed to fulfill many of their demands. that was in the fall of last year, but hospital administrators had been slow to keep up their end of the bargain. for some, it's just all too much get them in, in for gung. we've lost 6 colleagues in the last 3 months because the new agreement just isn't being implemented. as i said, that was the last straw as my minor a poor all their energy and making things better let's. but it hasn't happened in symptom hobble, so they're done with a profession that's on it here. the situation now was worse than before. the strike

act to ash. lemme i for on some strike and it's worse still for health care workers that don't have the backing of a strong union. like those providing in home care or working in care homes for the elderly or disabled. for the leak va, loan spent many years caring for the mentally disabled. during the pandemic, he wrote a book about the conditions in the home where he used to work, interviewing many of the workers there. a number of them have now also turned their backs on the profession. the hall to albert, i'm carrying for the residence. one on one is hard work and increasingly not as what's coming up short. so it's getting harder to find people wanting to do the job . we have to look hard to find new caregiver somebody on many move on quickly because the pressure has gotten so high. the alberts blessed on the south, exclaimed hawk alarms all of the time. new trainees need incentives to stay in the field for the long term, but that's where the problems begin for. first, on a 2nd,

i was been honest. gaskins, and when you train some wine and you 1st show them the ropes with i then work with them and then let them work on their own. when didn't of not before these 3 steps that are essential and training are just not happening. i said it's often it's still a hybrid of online courses and face to face training given god. and we've seen a wave of people quitting you. but right after training were put to work on warrens that are understaffed and many burn out after a year or 29. so i on get off a heights. we spoke to one trainee who asked not to be identified for fear of reprisals. this good news can clear out. as a student, there aren't enough teachers and just not enough staff to guide us and all its we never did the training, we need its own call. every time you go to a new ward, you have to figure it out all yourself. thompson, with host, you're always afraid you'll make a mistake and harm a patient to talk. okay. uh huh. it's emotionally stressful that every time of my leave, despite the difficult conditions, every one here has gotten together to exchange ideas. they want to stand their jobs

and improve the health care system because they think the new union back to agreement is an opportunity to do just that. escape guns, kam k, it down specifically, we need to have the right support for working in these delicate situations. whether it's caring for people joining beth a while facing serious illness or even death sign, we need supervision. was i need to have the sense that i can live up to the expectations that people have of me because i this is a great profession. as i pass and i know how important it is, i think it's important that i'm able to give adequate care to the people who put themselves in my hands to them mitten mentioned disease me and her tone, i was berlin's health care workers are serving as a role model for the health sector nationwide. right now, health care workers in western germany are on strike. and the activists think your

message will continue to spread in the coming months. okay. ah. so how did the situation in germany compare with the nursing profession elsewhere on nurses and care? workers in other countries also pushed to the limit d. w. me, africa spoke to how it cotton. he's the ceo of the international council of nurses . we just learned about the situation of health care workers here in germany, which unfortunately has not improved over the course of the pandemic. what is it like in other countries? now the pandemic is taken out on health care workers right around the world. both the physical and then mental health. and what we now see is that pressure is

translating into nursing health care workers quitting, resigning, leaving earlier than i would've otherwise done. we went into this pandemic 6. we'll see sure around the world. what we've done, we think back to be close to doubling back. one of the biggest issues here in germany is to recruit new healthcare workers. many don't see it as an attractive career. what has to be done to change that not only in germany, but on a global scale, we need to focus much more on how we retain the stock that we currently have. these are very simple, obvious things that we know about people feeling respect to being nice, being listened to, having a good working conditions. they're paying the equipment to do the job, being safe at work. having a not stop is always an issue for nurses to in

a high quality care germany has over the last few years trying to attract people from abroad for the health care field. what do you think about those initiatives? not just germany. we have seen an increase in recruitment from other countries, particularly from high income countries, looking to recruit from low, low middle income countries. this is becoming a significant problem. it's getting increased global attention because effectively what those high income countries are doing is the cost of educating barren workforce. that means another country has paid for the education and then see those nurses recruited from them and they are writing, but he should be compensated by for this. ultimately, this could potentially also leave those 3rd countries with less efficient workforce, right? we absolutely have seen often the effects can be quite dramatic on the countries

the health care work is it might only be a small number of workers, but they are coming for country already has fewer nurses ahead of population, right, inequality, distribution of nurses around the world with 10 different similar ratios of nurses population. so the impact can be very severe in terms of being able to continue to provide health services and also not forget when your colleagues lee, that was additional pressure on those that stay. meaning that they might then exit the work for student and they otherwise would have done. are there any countries that come to mind where you think they could be real role models for the rest of the world when it comes to welfare of health care workers? i think all countries could do more to have more nursing voices in top leadership positions. so the politicians,

policy makers making these because these big decisions about the health care country and global health make sure that they are getting expert advice from the nursing profession, which is the largest section of our health care workers. health care was around the world. 60 to 70 percent. our nurses, you know, in a might strong health policy and have great health systems. if you're not getting that nursing advice. thank you very much for the interview and for your time howard . my flesh ah ah,

this is what remote learning looks like for 17 year old raquel, every day she hikes along the teeny park river to collect the homework assignment. papers covered numbers in this remote part of the philippines. 3 hours, east of manila are down, but her school, like most in the country, has remain closed for over 2 years now. with no internet connection, children in her village have no choice. but to study alone. wilma, finding some of my classmate and would rather be climbs and tell them to make money for others as friends to new their time. as i know my, they didn't complete them anymore. and michelle obama, let's face it. they can quickly owe money this way. and a minimum and manila, raquel saw many friends drop out of school during the pandemic. some even got married. the philippines have seen one of the toughest locked downs for children worldwide. this public school in

a poor suburb of manila is ready to resume face to face classes. the moment they get the green light director cecilia re gala is deeply worried about the learning loss and the dropout rate. she says the longer children stay out of school, the less likely they will return most especially those who is kept cloth and don't comply with the requirements are poor. that's why i'm telling my, my teachers not to engage too much on the, i'll put on the, i mean the complete mess or completeness of the, the boards find ways and means give them easy pass so that they complied. because the parents not how salaries the un children's organisation had already demand that the government should prioritize the reopening of schools. a task that is now up to sarah, to test the freshly elected vice president. and that you cation minister,

who will run country at the side of fed. marcus junior, particularly, and disadvantaged and poor community like recalls village children face an increased risk of exploitation. raquel father admit that with 9 siblings. she has to help out in the house a lot in the mom, mom not what, as long as i early enough money for some survive. i want her among them all the study because that is what i do not do the owner. he lay out a lot of people's, raquel hasn't bishops plans for the future. during the lockdown, she enjoyed helping other children in the village with their modules. so she decided to become a teacher. but 1st, she really hopes to graduate. after attending in person classes.

the pandemic has also left its mark on young people in germany after more than 2 years of stress with cov 19. now this the war in ukraine too, for youngsters suffering from depression, life is especially tough. we met with 2 young people who've learned to take an open approach about the illness, particularly in these times of crisis. ah, the take, the war and ukraine has affected my depression and massively increased my fears. what if we attacked these fears? just add to the thoughts already spinning round in my head, the onions, then it all start spinning, even more than hints will quantity of cancer abnormal, mental ongoing kind of m and undeserved creeks. minisey these images of

the war i ask myself and in my do i feel so bad? it's middens as others are doing much, much worse. and that triggers mess of feelings of guilt. food, even though this illness isn't my fault, and i had an honest kung. oh, don't come out on a tight then came a time of extreme suicidal thoughts over. i was literally waking up every morning and my 1st thought was with me. i don't want to live any more. and i and i went to bad thinking the same thing and often spent gung on longs for wake up in the morning and think. i could just stay in bed counting because i don't have the motivation. you don't have the strength to get up. the cough all because you think everything is cracked now anyway of his will got out in the shower, so ah, it is our dinner time. jenny routine, of course collapsed as the corona virus, as presley just sitting on my couch thinking, oh great, now i have just moved to a new town and i hardly. now anyone here for my,

my only chance now is to lose myself in depression of the transmission. when to pull swarms of foliage, when have you had enough and when to time to time or it's time i was consumed by fear. if like me, you have an anxiety, your panic disorder, you can totally develop a fear of in fact. so ange, dick on that that resulted in panic attack recently, and a big fear of dying attack. resolute he had ordered on her to my mocked retire lungs from toward ah, by mine of anthony paint or draw that always helps me to come down trim wouldn't even if i sometimes think that didn't turn out so well. no, but i know that the whole point of art is that it doesn't have to be perfect. perfect plan was ah scott mission, it's nothing, nothing is more important than talking. having someone who listens, who takes you seriously. and that's a great, great help in the course of the middle of allegation gave me to modern middle by now i can sometimes joke about as good when part of me is feeling bad and sometimes

not necessarily a good job though. i'm kind of with a very common disease, no one should feel ashamed. dementia morris, and with every voice raised, one more person is talking about it. um and maybe there'll be someone in his mind story and says, hold on if he can do it then. so can i buy for like a mud important questions off in that aspect of it? it feels like i've had one infection after another caused by other bugs. is there a connection? i've talked to a few people who believed that contracting coven 19 made them more susceptible to other pathogens. and since recovering, they told me they feel like they've been sick from other stuff practically nonstop . um, those reports are all anecdotal though, and, and rigorously checking the hypothesis of whether or, sorry,

covey to is also somehow to blame for post cove infections with other microbes. that would be a big challenge. first and foremost because it's obviously going to be difficult to distinguish between any post covered, acquired illnesses and symptoms that might be caused by long covered estimates differ, but a lot of studies have shown that somewhere between 10 and 30 percent of the people who had about of coven 19 have recurring long cove, its symptoms for weeks, or maybe even for months afterwards. in other words, sorry, covey to has done something to their bodies that makes them continue to feel lousy in some way, and figuring out exactly what's making them feel lousy. whether it's the after

effects of the coven infection, or maybe a new infection, with something else entirely, that can be influenced by many factors. so many factors and fat, that proving direct cause and effect would be really hard. um, there are, however, some indications that in some people, at least getting coven 19 can affect the immune system in ways that likely make it harder to fight off other pathogens. for example, in a study published last october, researchers here in germany looking at hospitalized patients, discovered that in them levels of key immune system cells, known as dendritic cells dropped. they also found that the effect was long lasting and that the den drelick cells that were produced appeared to be functionally impaired. now,

then drelick cells spread the news about any recent invaders to the immune systems shock troops. so if they stop doing that effectively as the study authors say, then it could have consequences for fighting off subsequent infections caused by other microbes in theory than at least yes. having coven 19 could make you more susceptible to other bogs, later, but exactly how much would also be different from person to person. m. paypal on the canary islands, flip holla, a facing a double challenge in the full f, astir. a major volcanic eruption devastated the island residents are still dealing with the consequences now and with the aftermath of the pandemic.

with major volcanic eruption on la high my in the canaries, the 1st in 50 years on the island lava poured out of the columbia volcano for 3 months. some 3000 properties were destroyed. displacing 7000 people. the estimated cost of reconstruction on the island is more than $840000000.00 euros. and all this, in the midst of the corona virus pandemic, the hard work of reconstruction has begun. over $900.00 workers have been employed just to clear up the volcanic ash, the public body entrusted to carry out the work by the governments of spain and the canary islands is guess plan a little mockery feel if you look on the most difficult thing was to see people totally shattered and seeing the psychological impact of losing their homes. somebody. i put myself in their place, saw the anxiety. they're still suffering that you're in the middle of

a pandemic. that's not yet over on it still with us and will continue in the future or in the year. if you see it on a full doodle, homes and homes are slowly being salvaged. this house was covered up to its windows in ash, visitors as well as locals come to see the devastation. in some places, the lava has solidified to create a wall 70 meters high, and it spread out over 3 kilometers on its journey down to the sea. on one side is lush vegetation, on the other lava cuts off a motorway covering entire neighborhoods including a local health center which had been vital during the height of the pandemic. the motorway itself is also blocked, extending journeys to the south of the island by an extra hour and a half. one resident told us how she struggled to cope with both cove it and the fallout from the volcano. i had called the delay half year ago during the time that they will k no, it was slight combine into things after dad to

a hard time off cove eat. we had to been at home because it was a lot of sulphur and there was no oxygen enough and a lot of asia and it was so dangerous to get out. it was the importance of keep that security at home, that isolation blast the noise of their will. k not constantly, day and night. it was like a sound from the deep day. it was impossible to restore when our in our brain, our head. it was so challenging the islands health service already in overdrive having to deal with more than $11000.00 cases of co at 19 since it's outbreak also has to deal with health concerns posed by the volcanic eruption. part of the letter there a little mental little symbol. luckily, at the time of the erection, la palmer had good epidemiological data. there were fewer covered cases. as

a result, we could allocate time of the epidemiological control of the people coming into the island as well as residents who had contact with others, or were even sharing living spaces. and let me see the growth you want to look into for. we concentrated on making sure people met our health measures garcia if you feel unwelcome, it is very difficult to tell people who have lost their homes. people who have had to move in with neighbors to wear a mask and comply with health measures in order to avoid infections that but i made up about a little bit of no one can say how long it will take for lap hi my to fully recover while covet cases have decreased, the island is still on a high risk alert, especially for people aged 60 and above. and although rebuilding work has begun the immense amount of volcanic ash that is spread out over the island. in addition to the disruptions to working schedules due to coven has made rapid progress. very

difficult. that's all for this week. stay healthy and see you next time. ah ah ah ah ah ah ah

ah ah, with who to the point. strong opinions are positions, international perspectives. as western sanctions take a total on russia's economy, it's looking elsewhere for markets and finding a welcome partner in china. russia's more on ukraine could china hold the cards, join us on to the point. to look point in 30 minutes on d, w. in good shape. because the pineapple heavy isn't host

human brain. here you can learn how it works. what is the need? how it can be trained and we answer one of human kinds. biggest questions do male and female brains work differently in good shape. in 90 minutes on d, w with will go to the dark side where intelligence agencies are pulling the strings. there was a before 911 and an after 911. he says after $911.00, the clubs came off. where organized crime rules were conglomerates make their own laws?

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