well, with disabilities more likely to lose their jobs. in the pandemic black lives matter, protest shine a spotlight on racially motivated police, my same sex marriage is being legalized in more and more countries, discrimination and inequality, or part of everyday life. for many we ask why? because life is diversity. to make up your own mind. aah! d. w. need for mines. ah! ah! around the world that pandemic has highlighted weaknesses and health care systems. patients in rural areas of india have been especially hard hit and poorly served. this week's coven 19 special looks at how a new initiative wants to change that also in the show spanish researchers focusing

on concepts for dealing with long cove it. while self help groups foster the development of new therapeutic approaches. but 1st, we go to uganda, where the pandemic has led to increased poverty and hunger. and the number of malnourished children is rising at an alarming bite. ha ha. ah davis, true yes. and gura is severely malnourished. his mother says the trouble started when the one year old was unable to breast feed o permit. i ran out of breastmilk and started fading my child, cassandra porridge. luckily our cow gave birth around that time so that i used her mouth. unfortunately the cal died and that's when my boys condition started to

deteriorate. here at the fort portal hospital in western uganda, doctors are seeing a rise in cases of severe malnutrition. as a result, a lot of children are not growing properly. insufficient nourishment at a crucial early age can also lead to impaired mental development and in increased susceptibility to illness. the doctor's blame, rising poverty in the wake of the coven 19 pandemic. and the truth is, if you're poor, then it means you're very unlikely to eat a sufficient amount of food. and then it means you're likely to become mon, nourished so out of the $1000000.00 plus people who are extremely poor. the majority lived in developing countries like always. so with

the onset of calvin and the look downs and the loss of jobs, the lucille livelihood, i believe that you know more and more people are going to become poor on even severely malnourished. beatrice cook gonzo used to work as a vendor at a roadside market until the lockdown rendered her out of a job. the single mother now struggles to feed her 4 children dead though when i lost my income, the situation with my family got worse. i could no longer afford sugar or so for my family, i'm in this and when the kids fell, ill think i'd already lost my livelihood. well, what i see in the case of nutritionist, bernard brumbalow, the pandemic hampered his efforts to help people in need with crucial advice.

not doing a lockdown. he was unable to visit families. they also said that he had to use radio in order to reach local communities about him and give them terms on which nutrient rich plants they can grow best. so that that men of our households in total, we produce food that for market just to meet other needs of the household. if it comes to the court, they didn't find any people didn't have a lot of things. people were planning to take children back to school and the money was in there. so if you have your whole echo of banana or rubinez, whatever the priority was, how do i take my children to school? so they sell off everything and take the children to school to mit, other costs of living. according to official figures, stunted growth affects one in every 3 children in uganda. chronic hunger means that a child is not eating enough of the right kind of food for regular development. the united nations children's fond unicef says that severely malnourished children are

11 times likelier than their healthy peers to die from common illnesses. best way to us the latest is to ensure that policies are targeted towards the poor through social protection measures that government need to consider and, and targeted for them to have access to quality died that day and needed. russo new to make sure that the health system are responsive enough to intrusion on nice personally to make sure that the education system is latricia sensitive aims that do not just apply to uganda. in a range of countries, the pandemic has worsened food shortages, leaving a lot of people suffering from severe acute malnutrition. in uganda, their proportion of the population is 20 percent higher than the global average. ah, mentions to goals as little boy may be in safe hands. those of the doctors,

but she remains worried, not just for her youngest child help, but also that of the entire family back home. proper nutrition is also the focus of our next report. more than 3000000 people in columbia have diabetes, but a change and diet and exercise, and often help prevent the conditions endangering the life of the sufferer. isabel christiana, life will never be the same. while making breakfast. she has to check each ingredient. she is diabetic, and had to spend $25.00 days in the intensive care unit. after catching coven 19 progress us out to diana, paris, foreseeing domain get died. elaine jenkins, me with lots of antibiotics. yog, do you go way too many in missouri gave me, pulmonary 5 very sissy, and 2 blood cuts in my legs. i had to learn to walk again. like

a baby. long months of recovery followed, isabel christiano took part in a training program organized by the diabetes voices columbia foundation. she believes the classes changed her life. me. the key is to send me mad. yost game was tomorrow for now. yes. the seminar wave bang taking have lifted a veil of darkness in fulton. we'll think they've been a catalyst for us. yes. and see what we needed them in order to get started on my the side that way could be ray barnett almost quite a bit sad. i work bit ugly, massive than will at the free workshops, patients receive information about the disease as well as ways to improve their health by changing their eating habits and getting expert advice. it almost when already had a 15 seminars and impacted almost 1500 colombian families who live with diabetes in

boys care given that impatient lane. it's a 15 day process with you study 2 hours a night from monday to friday, which are the nissan the workshops fill a void left by the colombian health care system, where consultations with doctors are often too short. that is, when i'm not asking these programs, train the patients and their families about the disease, what complications that brings with what the different trait went therapy saw your and something that is very important to me that non pharmacological treatment. yes . we as doctors establish a treatment, oklahoma, maybe for example, insulin injections garcia one is bad, but 80 percent of the trait when is not a pharmacological, she is already, patients have to exercise and follow a nutritional plan at home. any he sees you in plan would please, you know,

the training brings participants in a contact with some well known people, such as chef daniel riveras, who changed his own habits to avoid going through what his father experienced. no reaction on computer alive, couldn't they see it? they are my dad was diagnosed with type 2 diabetes at the age of 47 and quite he passed away about 5 years ago or due to complications with the disease. my family had to watch was his body degenerated, which was caused by the disease that he made a film been quit for many people. aha, diabetes is only about not eating sugar on our premier. and if you don't have sugar on local mid us, you're fine. simply quando local muscle credit. the diabetes is a disease that eats away at the body and her little by little oversee rossi cuz he couldn't come into a cold medicine. equitable booker book, daniel riveras prepares recipes to help both patients and caregivers. they're made with traditional ingredients and are very affordable noali thing. i'm you don't be

afraid of diabetes enough. you don't have to lock yourself away. you. you can still be active. many people have diabetes in columbia and around the world are through the foundation and their programs. are people meet many others in the same situation that they're very supportive in? they realize that you're not alone because he's living, that's the message i want to get out there. hold on one second. nathan soto, smell me. look at his critical path. the chefs story helps inspire participants. following his advice is about christiana was able to lose almost 20 kilos. you're healthy, sincerely, don't be discouraged anyway. you always have to move forward and not lose sight of your love of life i label than was that be is of a christiana was walking again. she's recover completely from her time at the hospital. the training course has taught her that through lived experience of diabetes and coven 19 life can sometimes give you

a 2nd chance. oh, do you have questions about covered 19? are science correspondent derek williams? has the answer is, based on the latest research and analysis. send an email to co producer at d w dot com this week d w viewer r t on wanted to know i just recovered from covet 19 but now my girlfriend has it. can i spend time with her and my resistant? first of all, it's important to say that every person's immune system will react in different ways to exposure or to repeated exposure to source covey to influenced by factors like vaccination status and whether you've been infected in the past with what variance and, and how long ago a lot. depends on a key word in your question. when you say,

i just had coven 19. what is just mean? does it mean last week? does it mean last month? 6 months ago? no one can tell you how long or how strongly you specifically will be protected from reinfection because no one is really average. but that said, researchers are making general predictions based on what we know about how the immune system works. so let's go over that quickly. when you're infected with source covey to your body soon begins to make huge numbers of antibodies against it . they are why is shaped proteins that can disarm the virus by latching on to it, they can prevent it from docking on to cells and infecting them. in the background, as your immune system grows acquainted with the specific features of the virus, it starts making what are called t cells,

which can detect and destroy infected body cells before they release the next wave of virus. it also makes what are called b cells, which retain a memory of the invader and can start churning out antibodies again quickly. during future infections before the virus can gain a foothold, but the system isn't perfect and it's normal for levels of antibodies in your blood to drop within a few months after an infection. i'm sure b cells can make more, but maybe not fast enough to prevent a re infection entirely. um, the 2nd issue is the virus has continuously mutated throughout the pandemic. so the longer ago you were infected, the less likely your immune system is to recognise a new variant and react to it effectively. some of the dominant new alma

chron sub variance appear, able to slip past immune defenses pretty fast, and some people and reports of re infections are growing also, and those who were quite recently infected. i'm a lot of experts agree that most people should still be well protected for at least a month or 2 after an initial infection. but if so, as covey too is like other human corona viruses, and there's no reason to think that it's not. then in the long term variance of it could well be able to in fact, most of us again at regular intervals, am for many topic 19 as not over once. the initial infection clears up the list of possible long cove at symptoms is getting longer, as is the range of treatment options i. she sharma and alberto garcia ortiz, have this report from spain. helga blanca was

a successful artist publishing an illustrative books, as well as producing artwork. she was on the verge of setting up her own publishing enterprise, when colbert, head back in march 2020, she developed long covey symptoms which have devastated her career plans. normally i could do this morning, but i have been with it like in the table, maybe 2 weeks, not be able to work properly. it's very hard. i started leaving him, is my mouth and you start to like lucene. my see my last. i started like like falling in one side, it started to heart,

my joined my mom. i was not able to walk. i was and i started also leave for like i was very slow to forget things, how good husband, hector, adapted his lifestyle in order to look after his wife. i'm just waiting for her to, to, to get better. for me. this is the most important thing. if other things is that we cannot travel, we cannot go there, we cannot go shopping, we can ok. it's not important. it's estimated that some 15 percent of all people who co cobra in spain have gone on to suffer from long cobit symptoms. associations have now sprang up across the country, made up of patients. they're joining forces to raise medical awareness of their condition and to help each other with practical,

as well as emotional support. maria, actually this is part of an association based in madrid, which is more than 800 members. our objective mainly is to try to get a investigation in order to know more out about the unit to the organization. the to the, to see on the public is to do soon to help us and the nice a i where illness and any social support money as long cobra symptoms affect concentration. she has to stop working every 2 hours as she suffers acute headaches and stomach pains. but a physical health was deemed good enough for her to participate in a 3 month study set up by 2 ologist brothers ricardo and hes ardmore at them. their research focuses on exercising, involuntary muscular movement. for example, when throwing a ball, the focus is not on the action of throwing,

but how the body automatically creates a posture to support that action. a 100 people with long covert can have low muscle tone and almost no capacity for involuntary action that we utilize and work with the language of the body in which means working on the key areas used by the nervous. just speak directly to the muscles from there we try and make the muscle work in the most efficient way possible. i think that's where the exercises normally focus on volunteer later because they couldn't manage a flight of stairs and now they all walk. and so when i'm going up there, i try, i see how it was working and i feel better when i printed their side. i seen it because they are the people in charge of the they know what problem and they know how to help

the society of general and from the medical practitioners is one of 50 institutions currently involved in long coded research in spain. that since 2020, and the 1st wave, some 6000000 people were diagnosed and hospitalized with cobit, with a further 22000000 people being infected. francisco, jose science martinez. he's one of the doctors involved in the research is that wasn't the doll will not form up. garth, we're trying to characterize the types of people who are going to have long coded symptoms in the hope of treating them beforehand. there are a number of you studies on this right now. and so. so will be able to say that a person has certain characteristics and might develop long covered and we can treat them and advanced for them if, if it is established or not in it is not that there's also another research proposal on developing an anti virus treatment item in the number of course there are series of retro virals that have been used effectively for recovery from regular cove. it in individual cases. yep. as honest, we want to study these people to see if they have a reduced chance of contracting long covered entertainment or they yet part of it.

this could guide us towards using these retro virals for any person who has covered how to solve it all. without it, and quite good, but a like, a thing. of course. what hopes this will bring to someone like blanco in the future remains to be seen. for now, her focus is on just trying to make her tomorrow's a little better than her today's. ah ango, a lot, glean some the far illustrates. have mike, me like this one? these are all right, so, yeah, of course i was quite satisfying. in india, a shortage of medical workers has long been a serious issue. the pandemic has underscored just how dire the situation is, especially in rural areas. but an initiative is trying to close the gap by sending

medical personnel where they're most needed the village of natal, i and roger tongue is home to about 1000 people. for the past, saker is the only doctor here. sake moved here from far away bank a loan, a metropolitan city. she wanted to sell people where it's needed the most. but this is a choice. few urban doctors make in india. i believe you need doctors that you don't understand until you come before me and i was reading human, taking up medicine and i saw the doctor once i came in and it is very important for many really oh, really teasing somebody like you know, some even one i and it's like saving and seek. i came to this hospital to an initiative called a hospital network which started in early 2022. the network is the brainchild of

a dr. herself who was keen to fill a deficit that's depriving millions of people of medical help in india. specifically, it's very sad that 60 percent of our population is in durham, india, but only 30 percent of doctors. there's so there's definitely need to go to the and yet i know not just for doctors look for has get professionals what router hospital network has done is built a database which helps health care workers find replacements. the idea is to bring doctor's no, says medical assistance to villagers like these that otherwise run the danger of becoming medical desert. this hospital has to come in always as faker and the nurses say they are able to resolve 3 quarters of the communities and medical problems. right. he'll summer as the weight patients file in and out of the hospital all day. now there was no one

else around with a new doctor. he thinks a lot better. yeah. but the so that they treat his no matter what time of the night or day we come, they never closed the door on us live as a nickel. and they say every week say cut on her team, was it nearby? we'll adjust the check children for fines of minute russian name was in there. that measure their weight and height keep record of their growth as well as a wise the mothers on how to reduce the kids addiction to chips and crackers. we are not focusing on just thought, you know how many, but when they share what you see me, they only want to see the outcome. we won't do. oh, actually you know good. he won't glad to see the children grow up and they are growing. the hope is that the number of workers will to select the future of federal health care in india no longer hangs in the balance.

during the corona virus pandemic, many children world wide have been unable to go to school. but for many young people, attending classes is one of the few chances to escape poverty. in a jacob lay one of the poorest neighborhoods in nigeria, capital lagos. a community project is providing new hope ah, many of these children come from families who can afford to send them to school. they live in a jiggling a poverty stricken neighbourhood in lagos. but this free library is a ray of hope for children in the community. hundreds of them now have access to books and computers, thanks to our project, initiated by great genea in kusha, in the heat of covey. re reset the we o plymouth library. it was an off, basically how to transfer me to a library for children because we realized that this kids were not learning gay.

there were, in fact there were left behind, of course, because of the infinite gap and not for some of the parents to not really have to put them to see if anyone happy. after this work with the project started out with 10 kids. now it has about 1000 library users. for most of them, it's their 1st time using a computer. lakehoma in 11. we'll go live. i can put linna to medication on there. who do i have groups? absolutely. many children living in this community have to work instead of going to school, but the library has become an alternative place to learn for these kids, providing a small but potentially vital chance for

a brighter future. ah. and that's all for this week's edition of the cupboard. 19 special thanks for watching. stay healthy and see you next time. ah ah ah with

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