welcome to the attic, salmon. sure, were we look once again at the corbett crisis and examine why the virus is continuing to read in so many countries, and still at pandemic labels. in the usa, russia, germany, ukraine, and turkey. infections arriving at 30000 a day or more. hospital admission departments are buckling under the pressure and weakly dest. it's out into the thousands. across the world, the death tor, from cupboard 19 is no beyond 5000000. and in the northern hemisphere, winter is coming to day with time to the expertise of professor montgomery of university calling to london to tell us what is actually happening in the intensive care awards and where the new treatments i helping to bring the infection under control. then dr. bite uncanny of x university examines the policy mistake, which have led to the continuing hind fiction. it's despite the high level of vaccination, but for us to teach the most,

i measured system response to actual lactic between het cds. succession stock, brian corks also known as logan roy. some lovely personal stories. your 1st man taught, he said, i've shared a list with brian cox. i went to your event where brian was into it for an audience in edinburgh. and he gave a really interesting account of his life in scotland, his career and his experience of hollywood. i got his autograph lead as he stayed behind, to share wine and nipples with various people, including our students. very down to earth. very intelligent guy who can see through all the hollywood superficiality and as a genuinely kidding person, here in our brain says billions on another level. the decency of brian cox is a great motor for the entire alex salmon. shaw, including every member of the team, thanks to yona, i need to get his book and i'm reminded that there are others on my list too. thanks to brian cox and all that. al, examine sure, you keep me seen and hopeful for positive news to scottish independence. madden mason says this was so interesting. we went to brian's talk this week in the taint

church. in san antonio. the church was packed full of walketh and the cock was amazing. there was not a mention of independence would even be if i can confirm there was an excellent turn it into supporters and he audience. and finally, carla mclean, smith, but another lovely story. my son was an extra in one of brian cox, his films. and when it started to dean, richard tech to stand, aten it to with nor cover brain invited to mentors taylor a, made him a cup of tea that serve you human. indeed matters, brain cooks. now the vaccines are deployed, but a virus is still ripping through society. professor human gun rate is bought an outstanding academic and practicing in intensive care wards of lending, hideous in discussion with alex it. professor here. when governor, welcome back to the alex. i'm unsure. let me see again, what are the sub waiver of cova didn't the across to come to the united kingdom?

how much pressure a are the intensive care was under endless thought wave as we approach the a christmas? well, it's interesting it's, it's geographically quite variable. so some of my colleagues are here in the north of england, in the midlands, under a great deal, more pressure than some of us are in london. we do have plenty of caving patients in intensive care, but nothing like the level of the waves we had previous state. and, but of course, what we've got to hope is that people continue to take the vaccine. get that boosters keep the social distance where they're masks, because this could still catch up. and indeed, there are always, as you know, huge wind to pressures on the n h s. even if there were no cobit at all. we was about, remember, we're trying our very best in hospitals in the united kingdom, to catch up with the treatment of patients whose treatment being delayed by cave. it's that might be hip replacements or where it might be cancer care. and we do have to make sure that prioritized deal things. remember, of course,

is that if you are trying to run a health service for peak without david, even a few caving patients rather messed is not up. because you can't put a code patient that might be infectious next to a person who might be vulnerable, such as an elderly person or someone coming in becomes the care. so you end up having to runs of 2 parallel systems. so the numbers perhaps belie the strip best is put upon the system and it's a good reason why we should still advocate very strongly, but wants to do their level bass not to contract or spread this disease. so human company does not mean that although the vaccination program clearly hasn't been successful as yet stopping the spread of the virus, it has interrupted and mitigated the effect of catching the virus and ending up in hospital and was still an intensive care. very much say so it, it greatly reduces your chance of contracting the virus. if you do contract the virus whilst you produce a number of viruses at peek when you're breathing out that falls off much more quickly. so you're much less likely to transmit it to someone else. and furthermore,

if you do get the disease you're varied. so again, a very good reason as all to get our vaccination and to get our boost is, as i have, that the booster likes there's, we're both in the fortunate position of having had the, the boost, the vaccination. how confident can we be having got the booster then protection gets up to, well, nearly a 100 percent. well, it is certainly highly protective. the issue, of course, we not quite sure is how long after boost as the protection still last fall. so whether we're going to be into an, a cycle of continuous, recurrent vaccination or his little unclear that does seem some evidence that for people who get vaccinated and then get mild kobe disease, their immune response is very, very much better and perhaps even more prolonged. so oddly enough, as this virus circulates at low level producing asymptomatic amount disease in vaccinated people, that may be even better protection to come,

which would be good. why is it the better when you're getting vaccinated? does it where mix your drinks and i was, you start with astrazeneca, you'll then get pfizer for your booster. what is that about the, the vaccinations that make it better to have different ones as you go through the the program? well, i wish i knew the onset because i probably get some medical prize for it. it's not widely understood. this is a phenomenon known as immuno mentation. the vaccine of course, pokes your body to recognise one specific barrow protein. and you thought that if you've got kobe to whatever you would only respond to that particular protein. but in fact that the, getting the virus and the vaccine interact to augment a much broader range of immune responses. so that to phenomena say nodes immuno mentation. and how it works isn't fully understood, operate to say, but it does work. so and mixing and matching does seem to be valuable. less come to your work, profess montgomery, as a, an intensive care,

a physician on the walls. you're on money of treatments as no being greatly of meant it. we 1st had the satellite treatments last year, then those the antibody treatment seth was the beginning of this year. and now we hear that those going to be that what looks like successful anti vidal treatments, that would, so that kind of free ranges of, of treatments in your army. if somebody is unfortunate enough to end up an intensive care. yes. so, and we do have a raft of different ways of treating people. so we've perhaps you and i discussed the some of these things before we done very early on that patient for much greater risk of clotting. and that was killing people. so we were able to deal with that. we were using this non invasive fence lately supports these tight fitting masks to see if we could actually get away without putting some people on bend late as we know now that that works. and i guess it said that one in 5 people would otherwise need to go into reading the she said, we know that works. we know that steroids,

if you get a cute on while and remitted to hospital, eaten it oxygen or reduce your risk, they don't in the community. this isn't something for a you and i if we're at home with this is the hospitals that also works. there are some anti inflammatory agents such as uncle rem desert here, and others that damp down this rather exuberant inflammatory response that you can get. and we now know that those sorts of drugs, the anti inflammatory types of drugs, can also help. and now you said you to 2 other very new and sorts of treatment. one that was announced by merc is still waiting for assessment by nice on national sort of organization which abandon the weight medications that value it said to have that risk of death for patients that come to hospital or indeed risk and hospitalized ation. and it does this rather cleverly by and messing up the code that the virus use is to replicate itself. sip introduces lots of errors into the

code. lots of mutations essentially into the code which stops the virus replicating but. and this is only one study and the data are perhaps not representative of what we'd see now. over 50 percent, the patients i think were from guatemala, a loss. nothing had to be in the very early stages of the pend fennic. hospitalization was defined as only 24 hours or more admission which isn't very much. and the hospitalization of mortality rate was over 17 percent. and we've never seen any such figures in this country. so last as, as an optimism there, i think a lot of us are waiting for, for the data. and then you also mentioned antibodies. now this is quite interesting . so when you are contract the virus, your immune system makes these proteins called anti bodies. and they stick to proteins on the virus. and that marx, those virus cells, is ones to be killed off for instance. so it helps you attack them,

and it can also neutralize or block the spikes on the surface of b, i have the virus. and by touching and blocking them, can stop those mice being able to attach to cells to get into your cells. now, of course, that's great if you get the vaccine, that's one of the things that does produces antibodies to the spike. it works if you've had cove it, you make antibodies at the same sort, but if you haven't activated or the maxine and you get ill, then the question is could you give some on the antibody? you mentioned that donald trump had this sort of treatment. and we now know that some of these treatments do seem to work, and these are cunningly engineered antibodies that manmade based on human proteins. and some of them are modified to make the last a really long time. so half life, the time it takes for the quantity to drop by half of an anti bodies normally about $26.00 days. and some of these being pushed out for very,

very much longer. and we have some evidence, for instance, from a trunk hold tackle in dumb astrazeneca that if you are at haven't had the infection before you get these antibodies early. that are your risk of death or hospitalization is greatly reduced, but actually also value these antibodies act like a vaccine. they, they give you the anti bodies directly and that protection might last for up to a year. now you might say, well, why do we need that? and we've got vaccines when the problem is, if you've got cancer, if you having chemotherapy, if you got on other immune a suppressing drugs, if you thought they had an organ transplant, you perhaps can't rely on being able to make those antibodies for yourself. and whilst vaccinations great in lifting lockdown for you and me for some other people that becomes a prison sentence because they can't get asked about any more because there are lots of people. and they haven't managed a good enough noun response. so this is these new treatments, a very,

very good news. i think the people such as that because it releases them from their own or self imposed, locked down and off as them. yet another prevention, something putting in the round. if we all, babe sent to play, keep distance is where most of the sensible things wash our hands, the alcohol gel, etc, ghetto back scenes gets all and boosters if we can't have those get the antibodies when they become available. then with that and the armory of treatments, if you are unlucky enough still to get sick will make it hospital when a very, very much better place than when you and i 1st spoke over a year ago. so does that lead in a professional government that with the armory of treatments with the vaccination program you getting to, to work with. although we're still losing hundreds of people a week in the united kingdom. but you know, to put people in your position, treating in the intensive care was the good to work of a spring in your step knowing that you've got more ammunition and you look,

it certainly much if you're going to fight to war, you certainly won't be armed and we much, much happy with that, but i would reiterate that and we aren't out of the woods yet. we've got to remember that perhaps 12 percent and adults in this country still haven't been vaccinated at all. and they're probably not going to, these are probably people who decided not to get vaccinated. so we still got a lot of people who could become ill. that the last people who could spread it. and whilst the risks reduced greatly by vaccination that say by 90 p. and it still means that every 10 cases you would have got, you're still going to get one that ends up an intensive care or dies. and as we mentioned before, just at the moment, those small numbers can be grit in the machine. they can really mess up a health care system. and just i'd like that one just to remember how stressed the health services normally is in an average winter. you go back a couple of years, we were hearing ambulance clues out, sarcuse outside the mercy storms and so forth. so, less all is trying to be sensible and keep the heat off the health services still

where to provide the care not just became patients, but for the people whose treatment, for instance, has been so badly delayed in the last 20 months or so. professor human governor, thank you so much for joining me once again on me, alex allen. sure. not legit to speech act. coming up after the break, alex turns to dr. pad. it been kind of extra university for an explanation as to why the fi this is not yet under control. will see then ah oh, they're starting to say things like, we're gonna do exactly what we've done here at the u. s. government by blowing trillions of dollars on white elephants on billing da goals, and somehow that's going to cure inflation, which of course,

is just going to exacerbate inflation there. this is a recipe for, for more inflation. so it's financial literacy mixed with state sponsored propaganda over there at the major american networks with welcome back to japan can. yesterday, the crisis had provided an informed critique of the policy measures which have thus far failed to control the vidas across the u. k. he speaks nigh to alex, don't marin county, and we're both 18 months or more added to the answer, the phone, a virus, the cobra, the infection, but still a huge number of cases in the united kingdom every day and 50000. the new

infections regulate a you surprised by the apartment and ability of the vaccination program to get to grips with these sorta numbers of infections. i'm not surprised, i'm disappointed. and my disappointment is that we have mismanaged it in the united kingdom. without a doubt, if we look at comparable countries in our neighbor, neighboring europe, germany, france, spain, italy, their case numbers their best, their management is better. and the reason we need to learn from them is simple precautions. simple, easy measures actually help. and the helps of brass case numbers. could you put your finger on clear these weaknesses as stand up in what is a boat, the management across the 4 countries of the united kingdom which, which is seen in the, the infection still spreading at such a, such

a high rate. so the premise that we have to always remember is this is a person disposing spread of infection. we try to find all sorts of complicated roofs is to keep the case numbers down. the key point is this is person to person scratch. that means wearing masks in public places where there are other human beings in close proximity. where would that be buses, trains tubes, crowded, shopping centers, et cetera. second point is that while our immunization program has been good, unfortunately, some of that immunity is now starting to drop off. but that's not the bigger concern. the bigger concern is we have not, not fully immunized the younger age groups and we have failed to grasp it and address it and accept that children do get infected children do. in fact,

others and children are sources of propagating infections into older age groups. so when we last spoke in the show document, kind of you warned the dangers of taking children back to school before the vaccination program for teenagers. have these, sir, wanting to come to pass. unfortunately, so, and it is extremely disappointing. because at that point, i was saying the united states, canada, israel, european union, all very good countries with very good scientists, with whom we often work together. and for the united kingdom, to be a stand alone stand alone from all the other scientists in all these countries where the have really good scientists made me wonder for them all. it was even more disappointing, really hurtful that we finally saw the joint committee for vaccines and

immunization minutes, 5 months later, 5 months later, it is extremely painful to see that. and the reasons given for making the decision not to immunize the teenagers in those minutes was extremely disappointing. it was based on very flimsy premises, that it was marginally beneficial and therefore we're not going to go down destroyed. they got it wrong. not only did they get it wrong, they published the minutes 5 months later. well, i can say is a decision taker and previous examples of threatening violence is not a serious as far as coven, but the swine flu, that what you wanted? what you needed as a decision taker was, was clear above all timely advice from your experts so that he made a decision. it would have an effect. are you saying that both in terms of the sage committee, with a lack of expertise and people who would be on the ground infectious disease

control? i know in the vaccination committee with the endless delay before they make decisions that these key institutions approve not fit for purpose in this most severely open democrats. yes, and it is very disappointing because i like infectious disease management is not super rocket science. it is pretty straightforward, if only we would do the basics, the fundamentals and the fundamentals are. we need to suppress infections university from all age groups, and he can suppress those infections. you create fuel cases. it's as straightforward as that for them all. another example, finally, a year later today i hear that you, the government is finally finally addressing the issues of ventilation. people like myself and i am a lightweight, have been talking about went elation for at least a year. and it finally today being addressed that ventilation is a big issue,

and we got to do something about it. the case numbers in scotland, not as serious as the case numbers in england, in the last month for it. and on the way to the infection rating. a very high level . i'm the fontas and nautilus international vital conference. they talk 26 and glasgow, sent me the on the easy, having 50000 delegates on their own to rogers with maybe a 100000 demonstrators into a country of scotland that a city where infections are running a high level. how uneasy does that make you as a public health expert? yes, and whilst i'm 101 percent, if that is such a thing, subscribe to global warming and sustainability as an imminent danger. the idea in the middle of a pandemic into a small country of having, as you say, a $100000.00 plus delegates. of course, there is an introduction of risk,

of course there is. and it will be interesting to watch the case numbers in scotland, farther to comp $26.00 taking place. of course it is a risk and we know the signs, and it's only a matter of time when we see case numbers rising. the good thing is not to cost dark shadows on this event because very important is at least most people are immunized with 2 axes. and therefore, even if they were to get infected, hopefully most of them will not be seriously ill and very few will end up being admitted to hospital and being put on a ventilator, etc. so, so the pluses are that close case numbers will go up, but i hope that there is a disconnect between case numbers and being admitted to hospital due to them being fully immunized. that was to situational has some hundreds of people of dying every

week in the united kingdom, across the 4 administrations. but the mob like to publicity about that seems very low. i mean, i'll be, become not the mutant to the violence for almost immune to the impact of hundreds of people dying every week when what, what is it that gets people in newland too dangerous via circulating at such a level and killing so many people. yes. so there is that clear fatigue and people just say, you know, 40 people died today and it's almost water over a ducks, back. it is unacceptable. we have what we need is a comparison because people have become fatigue. but we need a comparison, a clear indicator in germany in france, in spain. the daily death is x in the united kingdom, the daily death numbers are x plus plus. and we need to constantly constantly feed

this back to the public that the u. k is not doing as well as the european union. why and what can we do about it to become as good as we can because we are not as good as we can be. and don't open can if you were a d, e, and of government, which many of us wish who had what would be the one measure you would say to the, the, the lead those across the scotland, wales, non island and england. what was been one measure you see, for goodness sake do that now, at this stage in this fund them it, you're always hungry, early, early, early reactions, early control measures result in better control, most fixing control more in charge of the outbreak. so early extensive actions is the best course of action. delayed actions, delayed minimal interventions, equals you never get into control with the outbreak and in the u. k. unfortunately,

we have been delayed limited actions, and as a result, we've never caught up. if we had early extensive interventions, we would be in a better place today. so it talks about kind of our conference. can we be that if you're lucky enough to have had the booster vaccination that you know, 100 percent protected, but you're not far off our conference that we can. can we be that once you get the booster you're safe from this virus? no, we cannot say that, i mean mustn't stay back and forth, sexual stage for house and social case id. johnny meal to lay a lot of singular singular emphasis on boosters. boost is boosters, is a smokescreen. the important way of managing case numbers will be as follows. it is multi layer, it has to be multi layer. so you have to immunize people who have not yet been immunized. you have to give the boosters to the wonderful people. and furthermore,

you have to also address other issues. the other issues are equally important. the other issues being where your mouth very properly, where it in crowded places where it, on buses, tubes trains and crowded supermarkets. furthermore, the big elephant in the room that we're not addressing. and this is extremely serious is the seasonal influenza vaccines because it is already circulating in europe. and we need, we need the schools, seasonal influenza program to gather pace and momentum because they will in fact other age groups. and we know that the strain that is in circulation makes for immunity amongst elder people. so we need to suppress influenza very much so this year. so it's a multi pronged approach multiple layers, as well as please attend to seasonal influenza immunization urgently. so have i thought about carrier, let's hope a central america and thank you so much for joining me. once again on the alex

arnold. sure. thank you. in recent weeks, many northern hemisphere countess had been registering epidemic levels of krona virus infection. even in new zealand, the exemplar of liberal democracies, and by this control cases are on the rise in the summer, all be still at tiny levels compared to other countries. the vaccines have, we can the link between infection and hospitalizations and death, but worldwide 50000 deaths to being recorded each and every week and even have access to countries have failed to crack the epidemic. meanwhile, the logistics of the role i to the vaccine to the developing world looks painfully and irresponsibly slow in the ford administration that the u. k. it is clear that the decision to resume the school timetable before the start of the teenage vaccination program has been the key driver in the continuing high levels of

infections. better news come from the success of new therapies which adds to the armory of hard pressed intensive care medical staff. but the combination of intense pressure from corvette and normal winter illness make hospital a difficult and dangerous place to be best. all points to a health crisis at christmas. no doubt, it will still be merry, but will it be safe? but for no, from alex, myself and all the sure is good bye. stay safe. i'm hope to see you all again. next, hulu. ah

a financial survival guide, stacy, let's learn about be allowed. let's say i'm a true i can hear it from grief on banks of the site. 9 wall street broad, thank you for helping with joy. that's right. fill out if you're a desk slavery, if we can now look into people's minds read, therefore, the question then is, what kind of consequence we, we could take from this. i think you take the example flying. it would prevent us from lying. we wouldn't be able to lie anymore if everything becomes transparent. but what we're thinking that owns is our food and medical aid. insure supplier size and to my grants campus

border between bell rings to poland for 3rd night in a row. correspondent is the sing. evidently this girl a branch. now she's bleeding and she needs help. but the problem is that there are no medics around. there are no dockers around and i was really, nobody knows what and how to deal with that. also to come the developer of the medicaid, we job dismisses the s's government's role in making the vaccine even though received public funding as they battle over the lucrative rights to the drug. and with the probe in for discredited from russia dossier underway, we look at had the mainstream media and the democrats refusing to face the facts.