a successes in a weekly coven. 19 special. on d. w. ah, if you ever have to cover up a murder, the best way is to make it look like an accident. raring to me. you've never read a book like this. literature list or germany last reads. ah ah ah, around the world, the 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 coping 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 too. 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 milk. 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 increase 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 to live in developing countries like always. so with the onset of

calvin and the look downs and the loss of jobs, the loss of livelihood, i believe that you know more and more people are going to become poor and even severely malnourished. beatrice cook gonzo used to work as a vendor at a roadside market until the locked down rendered her out of a job. the single mother now struggles to feed her 4 children dead. 6 dover, when i lost my income in a situation with my family, got worse, i could no longer afford sugar or so for my family love, i'm in. and when the kids fell ill think i'd already lost my livelihood. well, what i see in the case of nutritionist, bernard wan barlow. 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 and give them pivots on which nutrient rich plants they can grow best. so that in fact, that men of our households in total will produce food. but for market just to meet other needs of the household. if it comes to the coordinated fund image, people didn't have a lot of things. people were planning to textured, went back to school, and the money was in there. so if you have your whole echo of banana or rubinez or whatever, the priority was, how do i take my children to school? so they sell of everything and take the children to school to meet are the 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 fund. 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 are needed. russo new to mature that they have says them are responsive enough to didn't tricia 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 in 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 dora today, foreseeing domain get dad 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 cuz that

like a baby, long months of recovery followed, isabel christiana 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 nadia game was tomorrow for me. yes. the seminars we've been taking have lifted been a veil of darkness in fulton will think they've been a catalyst for us if i'm super we needed them in order to get started on my the side that way could be rebel on almost, but a best that i would bid i got a message then 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. in dallas, when already had 16 seminars and impacted almost 1500 colombian families who live

with diabetes in boys care given that patients i it's a 15 day process with you studying 2 hours a night from monday to friday, which is in this audience 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 for example, insulin injections garcia horn is biased, but 80 percent of the trait. when is not a pharmacological, she has already been, patients have to exercise and follow

a nutritional plan at home. any he sees you, he had 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 russian 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 from premier. and if you don't have sugar on local medicine, you're fine. simply quando local muscle credit. the diabetes is a disease that eats away at the body and her little by little overseas 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 on 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? they're very supportive it. they realize that you're not alone. because c fleming, that's the message i want to get out there. how to put back in the sun soil smell me. look at us. compare the chef story, helps inspire participants. following his advice, isabel christiana was able to lose almost 20 kilos. your dad, you held east and see late, don't baby carriage near. you always have to move forward and not lay size of your love of life. i made those then 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 coven? 19 our science correspondent, derrick williams has the answers. 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 covered 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 me? does it mean last week? does it mean asked 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. and 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 covert symptoms is getting longer, as is the range of treatment options. ashi 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 coated symptoms which have devastated her career plans. normally i could do this in one marlene, but i have been with it like in the table, maybe 2 weeks. not be able to work the property. it's very hard. i started leaving him. is my mouth. i'm not you start to like, lucene. my was my last my stuff that like it like falling in the side. it started to heart. my

joined my mom. i was not able to walk. i was and i started also, we meant 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 things is we cannot travel, we cannot go there. we cannot go shopping, we can. okay. it's not important. it's estimated that some 15 percent for people who co cobra in spain have gone on to suffer from long cobra symptoms. associations have now sprang up across the country, made up of patients. they're joining forces to raise medical awareness of the condition and to help each other with practical,

as well as emotional support. maria lacey's part of an association based in madrid, which is more than $800.00 members. our objective mainly is to try to get a investigation in order to know more about the unit, to access the organization, the to the, to see on the public is to do soon to help us and recognize where illness. and if any social support muddy 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 has ardmore at 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. elementary, long calling. people with long covert can have low muscle tone and almost no capacity for involuntary action. we utilize and work with the language of the body and brother, which means working on the key areas used by the nervous is set up to speak directly to the muscles. yeah, by from there we try and make the muscles work in the most efficient way possible. will are, and we'll talk about if immunization, bathroom exercises normally focus on voluntary muscular action of factors. but we try to stimulate the part of the nervous system that works with involuntary actions . and we're now in the 1st floor was one of the most in the class, took the elevator because they couldn't manage a flight of stairs up now and they all walk and little before them up there. i try, i e, i e c o colleagues is was working and i feel better when i finish their society. i think it's because say they are the people we say into, oh,

good research in spain. message 2020 and the 1st wave, some 6000000 people were diagnosed and hospitalized with cove it, with the further 22000000 people being infected. francisco, jose science martinez. he's one of the doctors involved in the research is that wasn't the dahl will not hold him up guard. 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. there's other. so we'll be able to say that a person has certain characteristics and might develop long cove. it and we can treat them and advanced with everything. 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. us honest . we want to study these people to see if they have a reduced chance of contracting long cove. it until shame it or they yet part of it . this could guide us towards using these retro virals for any person who has cove

it how to solve it. all without it and quite good, but a look at and 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, anger, hello. glean some. the sparks elusive like me. like this one the over to go. 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 con, is home to about 1000 people. for the buffet coat is the only doctor here. they can moved here from far away bank alone, a metropolitan city. she wanted to 12 people, whether it's needed the most but this is a choice. few open doctors may come in, indian or one new doctor is a privilege that you don't understand until you pump bill of it. before i'm here, i was reading even thinking of medicine and i thought in what is the big dealer a doctor once a day american is very important. so many were, you know, really changing somebody's life. you know, some, even my iron goblet is like saving and i do the 2nd 2nd came to this hospital through an initiative called little rural 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 there. specifically, it's very sad that 60 percent of our population is in your little india, but only 30 percent of our doctors walker. so there's a definite need and go to and yet i now are just for doctors, but for health care professionals, what rudo hospital network has done is built a database which helps health care workers find rural placements. the idea is to bring doctors nurses, medical assistance to villages like these that otherwise run the danger of becoming medical deserts. this hospital has become an oasis, o, saker, and the nurse to see they are able to resolve 3 quarters of the communities and medical problems. right, you know, as we wait patients file in and out of the hospital all day now as possible. there was no one else wrong now with a new doctor he had or thinks

a lot better later. yeah. but the so he that what a year they treat as no matter what time of the night or day we come, that they never closed the door on us them as a nick, when they say every week they cut on her team was it nearby? we'll adjust the check children for fines of malnutrition. it was in there. they measured their weight and height. keep records 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 shared ward, this is really want to see the outcome we want. do i actually, you know, again, we won't black. you see the to learn grew up and they are growing. the hope is that the number of workers will to so that the future sudle, health care media no longer hangs in the balance.

during the crown of iris 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't afford to send them to school. they live in a jiggly, a poverty stricken neighbourhood in legos. 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 grace genea in kusha, in the heat of covey. we reset the, we opened a library, it was an office. we had a transfer me to a library for children because we realized that these kids were not learning. they,

they're wearing some there were left behind of course because of the aims on it. gap and map for some of the parents to not really have to put them. it's even, even if they have, they have to go to 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. a lay comes in the level to live. i put on, put the lyla to litigation on game player who who do i roof gloves to linux playing many children living in this community have to work instead of going to school. but the library, it has become an alternative place to learn for these kids. providing a small but potentially vital chance for a brighter future. a

and that's all for this week's edition of the coping. 19 special. thanks for watching. stay healthy and see you next time. ah ah, ah, ah, ah ah ah

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