a reflection of a turbulent history. the cities, a mosaic of different people and languages. iran's mountains reveal unparalleled beauty as well. yeah, the scenery is magnificent particularly warm in our position is exceptionally ah, a special look at a special country. iran from above. start september 16th on d, w. ah ah. oh, should we be getting vaccinated again? what protection does another booster vaccination offer against sony variance? welcome to the latest edition of october 19th, special also in the program in spain,

medical experts to concerned that if not enough people get vaccinated worldwide. the greater the risk that new variance will emerge. but 1st to germany, one side effects can cove it vaccinations, horse and where can those affected find help? hello, hello. hello dr. with vicky, how are you? oh, pretty good. so far it went from my elements and my lymph nodes, and my armpits are always swollen in the evening, which is new. and i've got fluid retention in my legs. but i've had that for a while, and by now let us have you guys running off. mrs. guzman twice a week mark guild marker goes for oxygen therapy. the 45 year old from beulah felt is seriously ill. since his 2nd corona vaccination in june last year,

he's developed a range of symptoms. some of them life threatening. the so called post vaccine syndrome is a newly identified, multifaceted condition for which there are no studies or treatment guidelines in germany. the treatment here is mark's own personal attempt to ease his suffering. it won't cure him, but it promises to improve his resilience and ability to recuperate. you see the gold some as the impact on mr. goldman is huge, but it's not as easy to diagnose as known diseases. are we not experts in epidemiology that at 1st we had to learn how to handle the pandemic ease and find the right measures as discover what's appropriate and what's not the math, and it's the same again now. miss leslie hill canals is as yes. our mark guild markers condition makes it hard for him to climb stairs. he used to be passionate about sports and played soccer at a local club,

went running and did mountain bike tours until his symptoms made it impossible. the far ex natalia was really a great to around the weather was super. it was really fun and as he can see how happy i looked at he understood a cooker in my condition. now i can't do any of that. i, man, i don't even know if it will be possible again, if one of us, i'm just hoping for the backyard, it offered us ester that mark guild mark his condition has been caused by the vaccination, has been medically attested to and as long list of ailments speaks for itself, his blood vessels are damaged. so as his heart, he's in severe pain has concentration and circulation problems. the list goes on and on. he's been on sick leave since october last year. i a quarter that her foot and a fema tonya, john places it mark receives a lot of support, both in his pride life as well as from work. colleagues. his friends are shocked by

what has happened to him. yada ilan feared that pep is missing coffee, a drive is missing the now he's not, not going any more the halls than we invite him for a drink after practice. like not to have a peer or even a soda. it's gonna be it's, he doesn't want to, would he just doesn't have the energy anymore. i ha, yahoo in the, the coffee mahatma base full of until 14 or 15 months ago he was still always active. i'm so sorry that something like this has happened to him, but he it. but he had his new one. we want you back to how you were before him to how we loved and valued you to an article. does my i'm really good that i have the guys that i can have a chat about things and get support equal because otherwise i'll be very, very alone with my problems and probably in there are currently only a few places in germany where patients can turn to for help, like at the university hospital and my book cardiologist been hot,

chiva is one of the leading physicians treating this condition blue did. the complexity of the symptoms is actually similar to that found in long covered patients in that is a symptom. atalla g changes over time at sea, but its site that makes it difficult to establish a diagnosis. yet most it all to stand with a 100. in fact, glycogen infect. so on, we treat the associated infections and we put them on a histamine free diet to boost immune system this year. actually the micro biome at the center of the immune system and bonded on retreat, co morbidities home of white blood pressure and diabetes. and all the things that were unknown and each patient up to that point, alice, but that's in best to do some type of contract. ah, the fundamental lack of information means doctors often research covered related symptoms for themselves and develop their own methods for treatment. this is exactly what ana cutting program on did together with

a colleague from berlin and other doctors from german speaking countries. she has put together a medical handbook, ah, this is, and of course a group of phone and we are a large group of physicians and scientists from other fields, ian who have ideas about this problem once. and we brought those ideas together in one document where we also made sure, however that we could give as much evidence as possible with everything that we wrote in lucas finn and even can. so that is easy for everyone. he reads it to understand how we came up with the ideas. yeah. and that the treatment we suggest it is evidence based. oh, my god, this is her. hi. boogeyman speaks from experi. she's also living with post vaccine syndrome. the 46 year old has been unable to work since last fall. she suffered

from severe exhaustion for weeks and could hardly get out of bed. in the beginning, she found it hard to manage your symptoms, but now she's feeling better. would she get the cook vaccine again? when i seen her? if i could see that there was now development in dealing with the problem off to the vaccination, i think i could imagine getting vaccinated again, washed the lesson at. but right now, to be honest, because i haven't really had any help except of course the fantastic help of my family doctor and my ologist and i would steer clear of it at the moment, minus i level that is activated often i've sent him the poll alleys institute is responsible for the safety of vaccines in germany. it recently announced it was conducting a study on vaccine side effect together with the hanover medical school. it's an important step for post vaccination sufferers like mock go maha and honor. katrina berman who hope that researchers might discover the cause of their problem so that

they and others can finally get help. and for 118000000 vaccine doses have been administered in germany. how many recipients have suffered from complications? the poll alice institute mentioned in the previous reports is responsible for monitoring the safety of vaccines in germany. i reported stephanie, so will talk to it's president klaus see who tech to find out more vba about how does the pool as institute respond to reports of suspect to cases of side effects. the of bohannon oliver dot father. we handle all reports of suspected cases of vaccine cider. thanks for the war. complications in the same way here. a fast via the data is anonymized as an evaluator of slimy. the suspected cases are reported like doctors all the drug commission that seen manufacturers and effect people in

the, on the firstly we check if these are identifiable cases are rare, or very rare side effects, or whether it's a coincidence that the reactions are taking place after getting a particular vaccine covered system and to reduce the risk of pain. this is the aim of this exercise. we take measures or have measures taken by the risks of fun. lawson muslim so called little to me, feel if, how many suspect 2 cases have been reported to the center, told hundreds of thousands relating to various vaccines. but fundamentally, i can see that we are lucky that the coven vaccines that have been approved for use in germany. in europe are very safe lessons and says he has that means that we are fewer than 10 recognize the cases of some of your side effect and per 100000 vaccinations in a toast. that's a very good ratio and it would have it on and we know on the basis of the many vaccinations and that have now taken place globally, is not just in germany or europe that we have

a very good overview of even the most minor side effects aren't linked to certain vaccines and stuff from problems and, and we have acted very quickly either with the power early hint studio itself, or in conjunction with a standing committee on vaccination. the, or the european medicine's agency to take no measures to further reduce. the risk signal is not that that's already con. dizzy healthy is it's, i guess, can you already put a figure on it so that when so may suspect 2 cases of already been reported? when more may be reported and require investigation of cookie. again, miss cynthia in schism for many of these vaccinations up to billions of vaccinations have already taken place globally public on. they have also now been taking place over a considerable length of time over years and. and we have learned an awful lot about the vaccines and about very rare, sag effect, which purely statistically cannot be collected even in very big clinical trials of

. so just so we can specify agree or read of certain side effects being reported. clark metadata outside, and they're exclaimed in described in detail. casino are periodic safety reports under w, w. w dot p e. i dot d, i a clear told him to tell me doug gave him a sentence class. what are the typical side effects report to t n? an event is to summit up a typical severe side effects identified up to now are my car digests and perry car davis. but in the case of young men under 30 after m, r in a vaccination that are not in the case of the adenovirus factored vaccines, we have seen sign of venus thrombosis and from bosis with from both sides pena syndrome. nice. and you can react to these accordingly. warden of human knowledge question here, young. then there are very minimal reactions which are all recorded in the polish institute safety report to scholarly to for me. now see her take cloud. she should

take him president of the pool ellis institute. i thank you, but i thank you. oh, do you have questions about coven 19 or science correspondence? derrick williams is up to date with the latest research and analysis. just send your questions to covey produce at d, w dot com. this week he answers the question from 10. if new variants are evading immunity, how does getting another booster help with different health care authorities all over the world, making a range of different recommendations. the whole question of who should get a 2nd booster and which one they should get and, and when they should get it, that's really so a lot of confusion. so let's just look at some of the questions and the answers. and the speculation. first, it's clear that getting

a booster shot doesn't act as an iron clad barrier that prevents you from getting the disease completely. in most of us though, it does seem to act as a pretty good deterrent for at least a while, by pumping up antibody numbers. but that effect doesn't last forever. i've talked to an awful lot of people who thought that they were up to date on their shots. but then came down with cove at 19 anyway. but on the bright side, evidence from study shows that when they do get the disease booster, people are less likely to have a severe case. even if they got the booster shot many months ago. that indicates that at least some of the long term effects that original vaccines have on the immune system, that they seem to be holding up pretty well. in other words, vaccinated and booster people are getting sick because their immune response isn't

really sinks to the new were fast spreading. alma chron sub variance that now dominate the coven landscape. but as a rule, they aren't getting really sag because their immune system reacts faster than if it had to learn about the pathogen from scratch. so that's certainly an argument for getting at least the 1st booster, but expert opinion is still pretty divided on whether a 2nd booster shot makes sense for everyone. at least it's a question that's complicated by the fact that so many people have been infected this year as alma, crohn's sub variance swept across the globe. and, and what makes things more complicated still is the issue of what are called by vaillant shots, which are slated to arrive in some places this fall. they include a component that specifically targets those arm across sub variance. so many people

are choosing to wait for them, but because we still don't really have any wide scale data on how well those tweaked vaccines will actually work on health care authorities in many places are trying to strike what seems to me to be a safe balance um, they recommend a 2nd booster with current vaccines for seniors and vulnerable groups. if it's been several months since the 1st booster, because especially for those people, every extra bed of immune protection helps, particularly with winter looming in the northern hemisphere. ah, another campaign to get people vaccinated is dancing insane. this fall around half a bull spaniards have already received that 1st place to shelter. vaccination rates

are high in the country. 85 percent of people have been vaccinated at least twice. with one of europe's highest vaccination rates, spain east, it's covered 19 restrictions. last march. those are tested positive no longer had to self isolate. masks became mandatory only in health care settings and on public transport. only the over sixty's, the immunocompromised, pregnant women, and health workers are monitored. after 2 years, people in spain returned to everyday life. some welcome that. i think it was not mentality though. jak is ha, certainly i'm happy that the situation has been normalized russel's house because this disease is going to be staying with us for life. im yes, miss. lucky that guy. but of course we have to be careful. got it. all but it's time for us to return to our daily lives. molly? yes, no, it's fun to treat covered like another flu,

a the law or model. others remain more cautious. bidick a young if they go, can you hear me? i think we are all aware that the disease is natural, that it hasn't gone away completely well. so we have to be careful when we mix with others like another glass ah, the relaxation of restrictions in spain took place when the less aggressive b a to omicron sub variant was predominant. this didn't put pressure on the health system, but was it too soon? or i could have either yes no more though it was risky and away maggie is olivia. ah, nobody in europe had done it yada mit almost out of the mosque. but with hindsight, keanu, if we look at the data now, we see acceptable results in terms of hospitalization, rates and no one. this is severe cases in intensive care units, ultimately. and there was no increase in the fatality rate that a little leader. however, in june, the new omicron sub variance be a 4 and be

a 5 more transmissible than the previous ones. unleashed another wave of infections . the new sub variants are immune to the anti bodies produced by natural infection or vaccination. so people who have already been infected can be reinfected. as a result, the number of covered cases increased and more than 11000 people were hospitalized at the beginning of july. that latin, that admitted as the relaxation of measures together with the emergence of new some variance has made it easier for the virus to spread. again, has been a spike of case among the general population and in the health care sector, felicity them, it on that put a strain on the health system wasn't there. so unfortunately, it's held up quite well. i mean this how 1030 in spain is currently undergoing its 8th covered wave. but incidence in the over sixty's has now dropped to $400.00 cases per 100000 people. the same rate as before,

the lifting of restrictions hospitalizations have also significantly decreased. the spanish government has announced that the 4th vaccination campaign will start in autumn. however, the new vaccines have to be adapted to the latest variance of the virus. experts are also warning that the global vaccination rate will play an important role in how the pandemic develops, and that a close eye should be kept on new mutations. a for grew up on the future of the cobra. 19 pandemic. well, also depend very much on the overall development in the world, in the sense that the entire world population has to be vaccinated at 80. okay. yeah, o'clock. if the virus continues to reproduce and other parts of the world, they'll always be the possibility of variance that escaped immunity that's been generated. i put together identity. you ended up at a monia canada to veto. so cannot monica. it is. the virus the dictates the route we have to take and how we have to react at mass, mutilate,

if the virus becomes more infectious. again, boyer, we may have to resort to more drastic measures on limiting a free movement math setting capacity limits or curfews afford. oh, okay, okay, that experts say the situation in spain is under control for now. and that prevention remains the best weapon to combat the unpredictable virus healing. and now our science updates the coven studies making headlines. so you had covet 19 and have felt fatigued or short of breath ever since 4 weeks maybe even month. it's probably already occurred to you that those are classic signs of long cove. it but maybe you noticed other symptoms as well, like that you're losing a lot of hair or that your sex life is suffering according to this study. those

can also be symptoms of long cove. it and they occur a lot more often than you might think. for their study, the research is mind a huge british database. they compared information provided by around half a 1000000 people who tested positive for cove at 19, but weren't hospitalized with data from close to 2000000 people who had no prior indications of infection. the studies to big goals were able to determine the most common lunk of its symptoms and might be to pin down who is most in danger of ending up along holler. the research is identified a total of $62.00 symptoms that were linked to an infection with sas co v 2 among them once that regularly occurred and some patients, even 12 weeks later, this long list includes a couple of symptoms that grab your attention. things like reported hairless

difficulty jackie, lading and reduced libido. the researchers also looked at who was most at risk of having one or more of the listed symptoms, 12 weeks or longer after the initial infection. results showed that women are affected more often than men, and that all set is considered younger people appear to be more likely to develop long covered than elderly patients. socioeconomic status also had an impact, as did of course, the patient's health before the infection. the study has helped clarify the confusion surrounding the wide range of long term symptoms reported by people who suffer from long covet that in turn, can help medical professionals diagnosed the condition with more confidence and in the long run, hopefully develop better treatments for coping with its many different debilitating effects doctors worldwide are still working out how best to treat the symptoms of long cove it. in taiwan,

people are increasingly turning to traditional chinese medicine when the symptoms of a covert infection won't go away. herbal preparations can help one way contracted cobra 191 month ago, and he still has difficulty breathing in chicago, i recovered from the initial illness after about 7 days. but now when i ride my bike, it's hard to breathe and i can barely get going. carry care on our one is still suffering from the after effects of the infection. he had to change his lifestyle to help cope with the symptoms. he also to martha and john pito. g for me, modern medicine is more for urgent treatments. walk through my for i disease or cut yelton. i take chinese medicine for chronic illnesses and to relieve my symptoms and i know a pot only ya. one of one's been symptoms was

a fever and he helped himself using traditional chinese medicine. the traditional herbal remedy called taiwan ching, one yeo was developed by the national research institute. it was approved by the authorities in april when taiwan was confronted with a new wave of infections you tend to ethylene do. on the taiwan has been doing research into the effect of chinese medicine corona viruses for a long time is good. now, it's also doing clinical research and not only are you didn't thought it was found that chinese medicine can be effective, your thought. and this attracted world wide interest i, you know, i'm the enduring, i can already find a lot of articles about chinese medicine in prestigious journals like the new england journal of medicine or the lance. it didn't count ohio's only other the good ones. they saw me patients in taiwan need, a prescription from a doctor of chinese medicine to get ching one he how and the cost is covered by state health insurance chance you see, a local epidemiologist sees the integration of western and traditional chinese

medicine as a positive development i think this tom, the calmer memory, alternate medicines help so much. i'm particular they can div simkins and they can booster immunizations. so during the t t. m, an activity from taiwan, the spheres a they already become allah, national die to hell. the people are facility or recovery in combination with the and i read a saw a piece ah, from that also those medicine more than 60 percent of time when these people believe that traditional chinese medicine helps to boost immunity and reduces the likelihood of contracting covered 19 according to one survey, however, herbal medicine has only been used in taiwan for mild covered 19th symptoms, and doctors continue to use modern medicine to treat severe cases. one way

appreciates the ways traditional chinese medicine has helped to alleviate his symptoms. the pandemic, he says, has fundamentally changed his mind about traditional therapies. ah, ah, in that so for this week and thanks for tuning in and see you next time. a with

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