part of the cultural code chechen society which went through 2 bloody wars is the tough it is closed and close knit at the same time and their experience of getting through this pandemic might be different from what people have in europe or the united states the rest of russia but it's hard to tell that it didn't work out at the end of the day so this is it were a flight out of change now back to moscow and what that means well for one thing that means that i have to put my mask back on. the absolutely come see rosko for the in-depth report there from chechnya life as you can see picking up again slowly and one part of russia for the rest of us we plough though for the time being opened by the time to come soon but that's it for this bulleted thanks check in with our international for me kevin though in the rest of the have a great day. when

we watch movies i think they typically make us worry about the wrong thing they make us worry about robots turning evil but the real threat of a past artificial intelligence is not that it turns evil but just that it turns very competent but has goals that are not aligned with our goals. well connected to alex salmond's who from scotland will. to turn our focus funds

more to the dominating issue of the day now professor human comrie of university college london appeared on our show a few weeks when had a tremendous response that's for sure to his mastery of the theory of coronavirus and the patco impact of covert 19 today professor mcgovern returns to the show to discuss with us the personal impact on the health care professionals involved in fighting the corporate 1000 pandemic we had a few asar because he. had to look at our loved ones being or see themselves with us increased workload which amounts to a collection of one once in a 1000000 plus hours of work week or the equipment running an extra $26.00 intensive care units ramp a clock well that's been a very very big on our people. in motion very hard we're now told. people as a result of placing some logical what if you were to stress it was over so yes it's

hard to get all of that coming up later on in the show but 1st your treats him as an messages in response to russia last week on the subject of long corporate fishing professor danny altman of imperial college london and dr natalie mcdermott of king's college london remarry joe says thanks for bringing up the elephant in the gym of long call that the british medical establishment whole approach and treatment of chronically ill disabled people with poor survival conditions such as a me over the decades has been nothing short of a medical scandal might he says on long call that coming have the 5 sisters please if one become seriously ill it can take weeks or months to reach full recovery post any disease and that is a fact maybe says no sponsor but it's only been around for over a year give science a chance to study it. norma says almost everyone i know has been vaccinated at least once no side effects of either astra zeneca or any other is slightly foggy

feeling the next day that soul bit of a sore arm but truthfully worth it christopher says loss of diseases have the potential to make you tired and sick for a decade or more corporate isn't anything special in that regard pat says remember that many of us were never tested in the beginning i contracted covered 1000 unfair between t 20 there were no tests and then when tests came you could have one unless you come back from china or italy were very much are known by that and finally few and else and says a good program long called it will be a problem in the future and not over to alex who's in conversation with professor human gunnery human drama to this is been a year like none other for just about everybody in the planet but for the killing services those in the national health service and particularly those in terms of clear pressures musta been extraordinary over the last year tell us a bit about what it's been like. so you actually right says we may yet know whether

in a course we have to remember that everyone is a terror year people lost loved ones lost jobs that business is gone they've had homes to name relationship problems and it's been difficult still few. comments but look down prevents you socialise and will go have people who are as nice that's been compounded when h.s. flipkens because they faced all of those stresses but also enormous pressure at work putting that in context in weight why we had 11000 intensive care patients coming in with cody needs with the disease we didn't actually get the ones on the stand still so called mustn't rush is almost saw a lot of tests a lot of difficult circumstances he was not able to come in and in this most recent way he would have needed 24000 people coming saree now we have she was soft because he met some price they had sold because not ones being sick themselves with passing

piece work load which amounts the equivalent of connection one month and 1000000 person hours of work week with equipment running an extra $126.00 intensive care units round the clock well that's been a very very big on a people. in motion very hard and we're now told in the surveys that $100.00 people as a result of that are facing some psychological morbidity would distress as a result so yes it's not hard to get so people in and tense of kale are obviously well trained professionals but even the best of training surely hard to cope for for was a huge disklabel largely unknown violinists and isn't that fear of an uncertainty which afflicts people as human beings even when the doing the job professionally. i think it did to many to start with i do wouldn't wish this under they can anyone i wouldn't want to have coronavirus i wish no one to die from it but many

intellectual ones i have said he wants it's not mom i watch it happen that's all because that's what i'm trained for being placed in the new challenges and difficulties not from the states that had to me some at least intellectual challenge but there are people who will nursing at the edge of the basics continuously but. how insect sickness disease might be. what they might darden's easel taking turns their families when there is early states the 1st lady berry said questions that was genuine my hat's off to those since not particularly for continuing to come to work day and day as in deeper volunteers we have people coming back to dental receptionists dental nurses and he actually was volunteering to but themselves not environment so. it's a credit. they get a fair up to the surface with which is showing that a 3rd of stuff

a recognizable psychological impact especially it'd condition i mean how does that manifesting itself know that the vaccine program is underway i'm in a people reaching the point at which the we can't go on of this still a fighting to to take us through this. well late smearing people are continuing we got so low at the moment the numbers on intensive care i'm quite steep in the last couple weeks i remember you know they were nurses and tears before the 2nd wave is new it was about saying i just don't know if i can do it again they date and how he would take real 3rd wave are great and unsettling where nationally that there are a lot of senior nursing stock reports saying that they're really considering moving that profession in intensive care moving to communities nursing jones but it's a catch all it's things that are quite as bashing frontline and you also carol

people present id never people nationally with a special group p.t.s.d. people who are constantly hearing repairing please keep them awake at nights things that you know it's that they haven't done the right thing that's not worrying as well this phenomena known as burnout which is more to do with no longer being able to feel so it's important that docs and nurses still can empathize with the patient we need to be able to be or for years and say your family and me have to have some barriers to that otherwise into stories. those barriers of being breached a great deal with this and that counselling people are labels when plausibly more i'm able to feel that patients and if they bring that into their relationships at home with their partners and children that could be very damaging to so that's what we're saying we want science it's a weekly yesterday and this moment. and before seen the picture of patients who've come through intensive care who come up to and get clapped out of

the off the wall of home and come inching as full of the teams work came intensive care for them when a patient perhaps one who was expected not to make that actually pulls the. it is fantastic actually and we had one just recently like grass at chapman and early on we really would make it through and of course sometimes they're still not mentally believe a couple its neighbors communicate when they turn and where but the model save themselves it may be a sun task of course it's so slightly sad thing for some intensive care people because of the much more ward with a truck lost in the end but we rarely get to tech massacre hospital because actually many many weeks later and it's on site there to say that a lot of patients who come through intensive care even though we mightn't talking to them in their conscious or wait for many weeks remember nothing of it so some of that will be the hospital thank goodness they've been places without any

recollection it's all about having been on the intensive care unit and that's sad a little bit because i think some of our stop at 60 would be medically are people come back with nothing to say thank you but say i remember the years war i was ever a micros and one of our patients has been very vocal in this i'm not getting late patient confidentiality and that's been a real bullets at the start because he's he's got the diary that they get messes they were getting and he's quoted them all and he knows their names he doesn't remember it he knows who they were and name checks an individual one that's a very positive thing. and for people watching the program as a something new that they can do tangibly to to help the people in the in the front lane have pulled through this as a something that we can contribute in terms of the of helping them the tunnelling some of the extraordinary efforts being made on the behalf of all of us. well if

they wish to have the intensive care societies the national charity that looks after the education training and wellbeing and sense of nurses doctors pharmacists visit paris everyone that's there and we do have an appeal anyone who wants what's in intensive care society 11 come up and be able and those monies go to charity there's significant overheads and the money is really a go into supporting mental health and well being we've got a full time a part time system of just now managing for them well set up support educations and go forwards that is so narrow that model is being that those stuck who are often as not well paid working incredibly hard have to pay for their own education in intensive care and we'd like to see that change too so any contributions of people wish no pressure it's all intensive care society appeal when you find it online and of course the people working in the tents of care from from all of the professions

that have got their own lives going on and know the you encountered the nearly stages of the pandemic a family tragedy can you can you tell us a bit about the loss of your your son or scope of how you managed to cope with earth in addition to all the other pressures that were going on bus a seance as advocates to weld with it for the reasons that we described i mean if something bad happens. that's thinking the people and 82627000 people we lost a loved one they would all be unable to get the support in the same way that i could guess might my son. was 3 months or one short of being 18. a fantastic intellect you know he just smashed as you see it seems great sportsman . so the national civil standard 7 drippy player or ram good guy are kinds of people friends to everyone no matter. what their intellect and what's in their past

never about anyone always smiling. so a remarkable young man with a love of the ocean wants to be wants to. be a marine biology and conservation and it'll be lived in the water he and i would still go summer months 789 hours a day in the was very strong. and desperate to get water but he'd broken his hand playing would be in november let the work in his hams and he couldn't slimmest chrysostom a lot that happens. he can swim again and the moment but damn lift it to him out of a day trip to the posts he was insistent that's what he wants they say went down to portland. on both accounts so that car crystal clear sailing with bright leaves and hot sun and hardly anyone there and. he went in another came

out and we found his body. 3 weeks later. and quickly what happened was that he pushed in so the guilty party he. was very good it was holding the can hold his breath 2 minutes easily 2 in all that as he was a climatologist but as a b. and so forth i'm not saying he will push his workload and. just. so. yeah it's a massive. maybe when the major weight is declining the clinical work is that you're. but as soon as i discard it. i don't know if anyone ever learns to cope with something like that i bashed one another does that there's been no way of gathering with you what you want.

and i say i can't cry that this is for myself because others have had it worse than . the last fathers and sisters and brothers as well i'm sure. i'm not alone. i think they say this but it's made i did. think it will take a break for the 2nd half of the show but that was that was beautiful express than. a cell in my heart and the heart of all people want to go to you. welcome 'd back alice continue says discussion with professor hume i got me

a few device to call this lenten on the long term impact of health service what kind of the pandemic professor have been going to the strength of commitment of the national health service and the people within it is that unrivaled anywhere in the world all of the other health services that have that degree of of commitment and care. i think it's all right old suburban and it's because we're integrated it's not to denigrate what any doctor or nurse anywhere that her sesame welcome assessment to everyone together like this bus the national health service here is a national health service we are going into greatly the organization that goes to war together and that's what we did here and that connection made of see huge difference i think so you the medical care and legal team member that no health care system is perfect that everyone listening to this may well know someone who's had a bad experience in the n.h.s. where things words aren't right but if you can cross the swedes we are the best in

class we're pretty much dead we single the main measured by the world health organization and we do it at our cost that is dramatically lower than that most health care services expands so it's a very good system as remember of course that not a single person this time she was ever asked to show that check local credit when they thought it was co-pays and nor are they being also paid we're not saying this is a pinnacle of human civilization in the n.h.s. and we should cherish it and recognise what states it's been wonderful for professor mcgovern i'm sure once a listen to by the various health sector is across these islands for from england scotland not allowed wales but just imagine for a 2nd that you buy a lease to get them in the room and was able to tell them the the biggest single lesson from an intensive care perspective that they should have leaven from the pandemic to prepare for the future what would that lesson be. well as my goods

norrish grandmother would have reminded them that an ounce of prevention is worth a pound of cure let's just look at who came in here. because 50 percent of our patients were morbidly obese or obese over 50 percent of patients with a notice to quit and also deprivation in the country we had to hear what a preventable disease this infection sees but the consequence which impacted the poorest of the sickest in our society and those sickest people had diseases that are very largely preventable now the way people approach the so far let's just think of the beast he is to single out people wrote a weights and tell them that they're lazy or their skin creates or they should just pull itself together and eat sensibly but the problem actually is systemic is we built a society where the cheapest food is often that which is the instigator president

obama is a single mother the father of 4 kids and i could buy that and they're not sure pound in my local supermarket you know well i'll put it so we're all sick of a chance the policy where. you can't walk or cycle your kids to school where the votes are congested and have you see it and so will say make it harder for people so you are i would say let's invest not in intensive care less invest in public health let's make it easier for people to be healthy and let's make the battlefields and safe war more expensive yes but let's use that money to make the hair with the needs change so that we're not taxing the poor let's make it easy for people to say can exercise for fun remember when i was still in you were out x. we didn't have exercise we had games because games was fun let's go back to those things the sense of community let's invest in public health so that when these diseases and strike we don't get so many hits in intensive care because their mind

set 2000. rounds per day per patients of the coughing intensive care patients and $41.00 of 42 percent of them it looks like in this way will die this is a very inefficient way of maintaining parents and those people who supply have a low ball after this too so i would soak about facts and i would talk about the more global issues about the way he treats our planet's we had over 5200 more coronaviruses that could jump across the humans we have lots of other diseases the yahoo choruses that native viruses and jungles for instance around the world all ready to jump from animals to humans and we've had a charity come and go he said a city in bars that's done that you had to jump into humans we've had a 3rd of the h one n one we've had one because we've now had 2 and the last several come from planetary degradation if we continue to parramatta ml's in the

way that we do if we continue to have a huge supply system such that we her continue to puts humans increasing numbers into loads areas of sourcing animals together to curtail each other that wouldn't normally do you say and humans and politics and then if you continue with $140000.00 people every single 2nd boarding injecting which is what was happening just 3 things we will get more of these part of the next hour we will spread them around the world until no one wants to go through this again we will almost without question we will this will happen again but we could limit the number of times that happens again or you can start behaving differently and we could limit the impacts if we. address the public character issues which of course are going to save the country moment they make people healthier they make people chappie or. these are downsides public health is not the software side of medicine and i.t. is the sangley and the public health is actually probably fiery evans' put the

money it's public. but let's look at one aspect of the jumping of viruses from human to animals and back again when we last spoke you told us of an analysis of the of the clone of virus variants in the mint population in denmark and france. saying no that that sort of husbandry of minks is a actual danger to human health because of viruses like corona virus. well i would say that yes it is and these issues of course are very poorly weighed by most people we don't separate risks and hazards so the risk is the chance of an event happening or has it is the consequence that it does let's look at the many farming risks maybe no other coronavirus jumping in changing being in states than jumping out but why would you take congress so that someone can wear an animal skin

is one of those things that and that christic we should just that's an industry that just needs to start there's a lot of animal husbandry that's like that too and i'm not saying kill joy now we all will do things that are bummed that probably aren't as good as they should be but if you think about the diet with. large meats based ice sunsets mistake western eats. i'm healthier what works and a less happy actually no expense and a nice things to eat as well in parts of the planet it's nice and my health is there a message. this is not a ways in which we may. make ourselves all miserable week it's been just as happy if not happier from europe i could demick analysis which is see the corona virus is one of the most dangerous viruses in the sense that it is

deadly to turn 6 causes not just a mild illness but a deadly illness on the one hand and is highly infectious in all of civilians but particularly some of the american ones how unusual is that as a combination for a virus of high infectivity with a relative or higher mortality rate. it's that big the problem with this starts is it's not right nuisance because it's hits aslant salt being highly infectious and just dangerous enough to really become a problem if it was possibly fatal killing once rating that the massive lockdowns of that to sense and i believe that now it's at but when a situation where it's incentive and not very intensely but with enough people look at the impact of that we have to say these actions that do appear to tony.

and i get that there's a big dollop now who isn't there about whether or not down his rights whether more people will suck than the economic consequences of knock downs and so forth but we could remember that you get the complete knowledge and sometimes conflated i've heard people say and they've since made clear it was not then of the economic hit for the sake of 126000 lives that of course the lockdown wasn't the savior bunging 26 hours of the lockdown is the state with the potential 6 or 800000 he might otherwise have died without facts look down situation now. is it worth the economic damage to say that many lives well that's an individual judgment the people make with me i think it's the mark of a civilization that we protect the minority population but it's not to say that there are people with no difference here these are conversations we need to need to have nationally because as i say i'd like to say this is the last time this will

happen i don't think it will be and i don't think rason would suggest that this far as the needs of the new variants as long as people are not in here because they're not there because they refuse and actually more potentially because they're not responding properly to the vaccine or because they get the vaccine there are people who get infected and if those people are infected in those people the virus mutates and if it meets 8 sick character come up with their ins that it's. less impacted states by the vaccine we have becomes a running program i think that's to some degree inevitable there's going to be a bit of good warfare race their way on the vaccine developers aren't catching up to the new variants but it's people have been commenting this wait now i'm getting food nearer to the nets of social distancing and moss i don't know that i would be surprised that that was one professor had been governing for sharing your personal

experience and of course for your lack of them it was them thank you so much for joining me again on the alec salmon chal thanks very much i'm alex when i last interviewed professor human government a discussion centered on has unique position as a and outstanding theoretical academic and consultant manning the intensive care ward sofa a busy london hospital over the last dramatic year. today i've discussed to other realities the reality of the pressure on the front line national health service staff of the extraordinary conditions of pandemic the reality that less humankind changes our ways than the events of the last year will not just be a bad dream but then a couple nightmare if this virus is allowed to retain a grip anywhere on the planet and that is the clear danger of it coming back an ever more volatile in form even more concerning unless we change the sucking

stances allowed coronavirus to shift the world and its axis then it will represent the shape of things to come and so for dismay number self and all is sure it's good bye for now stay safe we'll see you again next time. during the trump administration the u.s. agreed to leave afghanistan by me 1st the biden of ministration is wavering over this commitment they claim the conditions on the ground are not favorable for

withdrawal this begs the question what can be done now that has not been tried when you. headlines long term damage britain's pm warning brussels against voting thursday to block vaccine exports as the row at astra zeneca delivery delays his boiling point . a drag queen book called anti racist the washington post ridiculed for offering parents so-called wolk materials for toddlers we put it up for debate we have to make the. most of producing books for 3. talking about arm awoke baby each just absolute. with the u.s. facing an unprecedented migrant crisis right now the pentagon.