episode, and while i always knew robert barnes was recognized and celebration worldwide, underestimated it. when i listen to billy case history or robbie burns and was fascinating. and then john's 5th in reference to that famous poor thomas chanter. i only find recently that cutty, sorry, was the name of the which i thought it was the horse. jordan. shirley says, i don't think that's been a program on burns covering the man and his global influence in such depth and with such v to content, congratulations on the issue. invited me when you talk in relation to alex and not me, says you're looking very smart to be no less than the average haggis would expect. of course, if be addressed. now dr. andrew could see show to international prominence. when in mid november last year, she alerted her countries authorities that in her deep practice in pretoria, she was taking patients with unusual cooper, 900 symptoms. quickly south african scientists identified new or more convenient and reported it to the world health organization. on the 24th of november,

alec speaks to doctor could see from her busy surgery in pretoria. and i was my great pleasure to be joined by doctor, i'm to elite, could see it from her sometime in patricia and south africa. and of course he welcome to the i'll examine, shall. thank you so much. it's a big honor for me to be on your show. and i really appreciate what was that like to become the end of last year. the, the doctor who the skull of the on the convenient and be propelled to national celebrity was cut like sterile. and i didn't discover the only current i discovered, or i merely saw the clinical symptoms and i reported on the clinical symptoms. and the scientist with their sequencing discovered that the d e's in the new variant and not the delta with all these new symptoms that i saw on that specific day. and

because i'm part of the ministerial advisory committee on vaccines, i am also in nursing. how do i way through that specific day that i and i since and this is something strange is happening. i'm seeing and clinical picture, outpatient, positive, not positive. i'm p c r testing and rep. it doesn't fit any pattern. it's not delta isn't it? you know, i think it's not beat up and that's how it started. we have a lot to start to close it. but nonetheless, it was a, a eureka moment is sort of the cost for how many patients will be talking about. you identify this a suffering from this new variant towards the end of last year. and for the new year 120 patients up until about 2 to 3 days ago. and we still pacing on a daily basis. patients coming in with infections. but he's not really in the

positive cases anymore. so i think within the next week or 2, we would be down to lisa, right? the seat and out of the way. so i know was a follow jude experience. and the tanya was concerned a or mclaren was a, a variant that swept through the population because of it's been in fact 70 and, but it was up like a rocket. the men don't like the stake a because presumably the population was gathering a, an immunity as a result of the infection. would that be your analysis? that's a difficult one. i know the scientist is not going to agree with me, but i think it's the nature of the hardest. i think this isa. it's like a heat in iran, you know, eat very high in september, you write it and it is a very, very steep m as in klein. and then just as quickly as it came, it went away. do you have of a theory or, or something from your practical experience, which will give you

a clue as to where the on the con, valiant has been? because it seems to have come down a different line of development from the original move harmon virus than for example, the delta valiant. so hasn't been developed in a patient with a compromised immune system or ought i said, been arrested elsewhere, unidentified? or even has it been in the, the animal kingdom of any, any feel as to where do you think omicron came from mackenzie, the new the nets. and, and we were lucky to, to pick it up. jenny kelly in south africa and own sequence you. but i think i'm, yes, most probably it will mutate in a person with inc compromised immune systems because the immune system would not be able to detect about that easily. and this is exactly the type of person that artist needs to do to mutate and why he and his leisure. so i think that's

really important. amolla the can't ago whether i was 1st minister of scotland, the had a display of for the light, use it with the swine flu almost. and then make a flat of that time where because we have identified number of affected patience. we were probably the 1st come to the world in scotland to be able to say with some reasonable certainty, this is a hypo, in fact, of infectious violence. but it doesn't seem to have a severe impact on most people. it that was similar, them wasn't to you'd experience with on the chrome because a very early stage, one of the rest of the world was still saying, well, good the says could be duty. you've been able to say lutely evidence we have from to toria. as yes, it's very infectious, but also it's rather milder than some of the other venues that the clinical experience and in the mean, if you have been through the delta away, delta is the scary, scary, scary variance. i never ever want to see that in my life. and if you then so that

the clinical picture of those patients and you can reach any picture on the cross. it's like chalk and cheese, different total, different picture and, and it's much more like the flu or to pose and with our temperature i without oxygen need and so ease it is really not this time than delta. and there was another frazier on me to say that you know that while disease. but if you look at the definition of the world health organization, what is the mom disease in terms of go with 90? they need it fixed their the criteria for from us of african point of view before we allow, you know, with the, at the level of vaccination. and what more do you think can be done in terms of the how provision in south africa to, to protect the population more? we have low vaccination numbers if you look at it in the price of europe. but you

know what, we just need to keep on much as i think our patients to guarantee themselves sex, united and it's a different in south africa, the, the motivation of the people to be vaccinated. all isn't the logistics of a vaccination supply. it is the logistics entities that and it will that's not always that happy to go and gave them. so maxie night it's, i think it's a shaped lot of people, a if south africa, which has perhaps the most developed health service in the whole of the african continent has been encountering these difficult, what message could you give to the international community about vaccinating the humanity as opposed to just bits of it. so what we need to teach, we need to get another form of vaccines and the am storage requirements. all these bonds are not conducive for africa. very difficult to long distance is that it needs to travel to lots of logistics, lots of edge or programs around

t. and they need to start looking at the book for tablets or attempts of the development of what's called a, a whole valleys vaccine. that is a vaccine that both for so it doesn't have to be stored and quietly in the conditions of the, of the current ones, but also as effective against the whole virus. where do you think we are in camps of medical breakthroughs? the science in terms of getting to a vaccine which will, which will defend against the virus as a whole, as opposed to just certain variance when i oh, pretty, we'll seen the next year that will start to happen. and the science is point to launch. so need see what happens, which watch the space and finally adopt code st and temp you'll experience a i u modest in terms of few identification of the of the valiant loved you. prepare, you've got your own and substantial wikipedia page, though i are interested in you personally, i will look that last 2 months as men for from being

a of this and distinguish physician and petunia. but to enter an international, a slight, the expense on the, on the, on the variance of this virus was not meant to you past lam in that. so almost a different what all does it. yeah, i'm lucky and you know, i am the active in your health and so for me, i'm very much outcomes based and i have noticed i'm already in the last few years that these are move away from practical clinical make sense to more impersonal makes and you know we treat the patient over the health case, our health platform, which is not acceptable to me. you can treat new patients like that. you can't go by and i don't mean you can't pick up groves it's, you know, we do it their own way. we are, we are moving away from good old mason and the more technical

environment which i don't think it's going to be conducive going forward for the majority of patients. we will see a lot of problems going forward course is that the human element is not there. and of course i, you've been contacted by general practitioners around the world to who, who are saying, you know, good on, you angelica demonstration of, of what hands on practical care of patients. they can tell us about the friends from, from viruses, assess the understanding. you've been the 2nd lots of emails from fellow gps. i'm the planet saying good on you. yes, yes, i have, i have got it and i got hate mail as well. so, but i didn't, i don't, i'm too old for that. i know what i just needed. now i know how to do that. well, i can tell you the code. so you have one very strong model from scotland and

myself. and i know the views of the alex, i'm a show, able appreciate your wisdom and thank you so much for joining me on the show. thank you so much. join us after the big well, we'll examine the impact of on the corner in the intensive care words at the u. k. with professor he went and army of university college london. we'll see you then. ah, we'll look forward to talking to you all. that technology should work for people. a robot must obey the orders given by human beings, except where such order that conflict with the 1st law show your identification. we should be very careful about our personal intelligence. the point obviously is to race trust rather than fear. i would like to take on various job

with artificial intelligence, real summoning with a robot must protect his own existence with as long as humans are at the end of the day, self interested you can pretty well predict which way bitcoin is going. and the fact that nations will make it legal tender, and there will be a hash bar going on in the house res. welcome back. the highly infectious on the convenience of novel corona virus, is ripping through western societies. but isn't proving to be a blessing in disguise. professor human company is both an outstanding academic pride thing in the intensive care wards of london. alex discuss it with him. the

impact of america, professor human godaddy, brilliant academic, but also hands on consultant in the busy intensive care wards of london. so what has been the situation over these last 2 omicron months in the intensive care was when it's been interesting am, as you, we well aware, mccomb is very, very highly transmissible, very highly transmissible. it had a really big competitive advantage over lots of other viruses and the other caveat variants and, but it wasn't as severe as it turned out. and we also had a large number of people. he were excited which really helped. so the numbers hitting our intensive care units for mechanical ventilation when we're, when near those that we saw in the 1st and 2nd waves. the really big challenge the all hospitals faced was the fact that of course, the american burn still made people sick. it still meant that they had to be at

home twice late. they were often laid up in bed feeling lousy 4 days, sometimes with long code, which we can talk about in a minute. but it took them away from hospitals where they would be working for instance, it also meant that family members of children were sick. they had been bold in child care and the epidemic did sweep through. you'll remember that in some areas it was one in 11 in 151 in 20, people infected. and that was a really perfect storm. are certainly in london during december. it was absolute. you savage, huge numbers of doctors, nurses off sick, huge numbers of ambulance crew off, sick ambulance waiting times very substantial to get to patients. and the ambulance couldn't offload into the hospital because they went the doctors and nurses to receive the patients in. and the system got very badly corked up. so i had personally probably the most sleep deprived run i've ever had in my consultant

career. and beating even waves one and 2 in december because of those sorts of issues. and it was large numbers of, of sick people, lot of people going off sick. and of course the usual winter search was there now that we get every year of our, the viruses, heart attacks, chest infections, et cetera. so is that intense pressure beginning to ease know at least the or mclauren in it's a cute impact on people? it seems to be markedly demonstrably less potent than previous videos. yes, not a huge impact is less am. we are seeing the numbers beginning to decline in hospitals and platter off. many hospitals that flipped their unix, i major areas have become coded and they restrict the numbers of non coded up intending to flip back certain me in, in the london situation. and we seem to be through the really big hit were swept through our staff very readily. there's still plenty people off sit with it,

but no in near what we had in december. so things are coming down. but of course, you know me, alex, we've spoken before i'm, i'm not in the law mess, but i'm also not complacent. and this is still a disease that lots of people haven't had. it does look as if there may be a signal to noon. oh, longevity of the mean response isn't quite so good, so that's more easy to get a version again more quickly and something we'll do still get burial with this, particularly people with suppressed immune systems can become very poorly with this as good reasons for everyone to be vaccinated and not to pass this to other people . and personally, a large number of people is still a significant proportion. get symptoms that go on a lot longer than just a week or so. feeling flurry m, you know, people, we all know people who are still saying, i'm still breathless. 2 months later, i've still got a car for a friend of mine talking to me this morning about a daughter who's as a national standard swimmer,

saying she's 2 months out and still can't perform properly. m. these are not minor issues and i personally would rather not have said so. i think the same sort of principles which you now spoken about a long time before. remain and without destroying one's life. meeting people outdoors in well ventilated areas wearing masks where one can on public transport and so forth. one of these things just makes sense and they don't tend to ruin your life. and if you could do the most of the time, i think. so the usa, a physician, having seen the impact of covered and so many patients do you detect among politicians not just in the u. k, but your denmark is relaxed, all social restrictions this week, didn't take all mr. complacency creeping in this all over bother shouting recovered . well, i do, and of course it could be right. i was wrong with the army comparing when it 1st asked, appearing before we had the south african dates that might be milder. when i saw it

infect everybody, i thought this could be very bad, and i always rather prepare for the worst and be pleasantly surprised than be caught on the hawk. now, at the trouble is, there is a general narrative, isn't there in the press and elsewhere, and in the body politic that we're now going from this pandemic phase where you get these waves of infection sweeping around the world. that we're now into an endemic phase. in other words, the varsity is embedded in society. it's going to grumble along at a low level, and they'll have the occasional swing upwards, downwards in the winter months as meeting with flu. and that combined to the, not the narrative that viruses get more infectious, but less severe. and this virus was part of its natural course end up being a bit like the common cold. now that speculation it can do, it may well be more likely to do that in the longer term, but we absolutely cannot be confident that's going to be the case right now. it

could be that we end up with a very, very much nasty baron cropping up. then we've got the moment we just don't know, and i'm not a puritan. i'm not suggesting we will go to live as bunks for the rest of our lives . that i do think we've got to be a little bit cautious now about the way we manage the future. and what is this b 2 very of amazon that we're no hitting a boat in the u. k. well, this is the, i mean i've not seen the sequence, i'm sure we'll sequences down not looked it up yet, but the, and it's just yet another variant, this time of the amok on bear. and it's a new variable, micron which seems have and gain a slightly greater competitive advantage in terms infection. so if we look at the genetic signature of our micron that we're getting from patients, what we're seeing is an increase in the out competing the original micron. just as the way the omicron totally swept the delta vary to side. the good news is we're not at the moment seeing any signal that this is in any way more severe as an

illness. but again, caveats go with all of that. and the thank heavens, an awful lot of that is because the vulnerable at the people who suffer most from an on a chron or a co infection are well vaccinated. huge numbers of people in great britain from 12 years old, upwards a vaccinated. i'd like to thank all of those people that have had their vaccines and their triple vaccines because they are preventing these things spreading as, say, potentially turning into nasty of and to potentially making other people's sake. so am, it's a good new story vaccination, even say, 1st one governor in the sugar been supreme to dr. angelica could see the inventory in the south, african, the g p, who a den to 5, the patients with what top note to be the on the con variant. she was slightly frustrated that that practical knowledge built up in south africa, hadn't managed to transfer the information as easily as she'd hoped to, to other companies despite her best efforts and broadcasting. or we have

a situation where people doing the practical work. seating cove at patients pass on to the colleagues of nationally, their experience, for example, with the former on very it's a very, very good point actually. and it's something i've learned from this process too because of course, when we got way one, we had no idea what this virus is like or what it was doing. pretty much everything was here. say, remember, the 1st few cases were cropping up really in china, in mid january, we weren't really getting too much of a signal from what was going on there. then it'll, he got it, and then it was us. we very quickly learned. we had to talk to each other my very 1st friday night on call, where we got absolutely sledge hammered. i was on the phone to friends that next day going, what are you seeing? does it look like this for you? are you seeing this as well? what are you doing for that? are you finding this works as well, or are you finding this is harmful to the very next week we expanded those knowledge shares as we called them nationally and had the calls in and then

disseminated information verbally. busy and on its social media, but we also moved means nationally. so we had calls within that 1st week with italy, germany, france, spain, united kingdom, but also china, iran, and many other countries around the world. and it was incredibly useful. and we kept those up actually during wave one and wave to and then i guess took her eye off the ball a little bit. and that were we seem to have got this one cracked. and now our politicians departments can do most of the heavy lifting and communicating. now we're not in the back foot and tell us what's going on. but actually i have learned from this that may be the thing i should have done when omicron appeared was to call up my colleagues in south africa. i've got plenty of friends he worked there and said, can we just all get on a call every day or 2 and just triangulate what we're actually seeing. because it's often from those direct conversations you continue to signal out. and from that

i've learned to pick the phone up again. next time i'll just try to keep those channels of communication. ok. i think it helps to be or crating at all levels. political and policy, but also his practitioner friendly human gum. the at this stage and the pandemic once your greatest hope and what's your worst fear about the development of this virus? well, it's nursing one i've got are, again, i'm not in the law, mr. i'm. i'm hoping that my greatest hopes play out. and i hope that people continue to maintain their vaccination status. so my hope is that people will continue to do that. my fears are that we might end up with abandon. people just going, well, i don't need these vaccines anymore. that's all gone. the new variance were mild, i don't care and i'm not going to worry about it any more. you know, it's end of term. all the work's gone. we can now party like it's 1999 to the next year or 2 and it will be fine. i think that might work out, but it would be

a big gamble. and my other concern is that we end up with a nasty mutation appearing. and then of course, my looking at the back of my mind is what comes next? because we've discussed this before, but in the last century, we probably only had a 3 spill over events as they're known from animals to humans. this last 21 years. we've had 17. we've had sales cove one source cove to we've had merz. we've had a stripped suicide, the bacteria, we've had zika from rhesus monkeys. we that mendez train these because of the way we're treating our planet in terms of deforestation, for instance, forcing predators and pray together, which wouldn't normally ever seek other wet meet markets and life meet markets, putting animals with feces for and feathers together, which shouldn't be seen either and then having these crazy international use of airlines where we had nearly a 150 people, a 2nd boarding,

an aeroplane in the days before it. so these viruses get spread around very quickly indeed. and as the old saying goes, if you will do what you've always done, you always get what you've always got. and if we had 17 spill over events in recent years, we will have more go gates warned about this one coming. he was right. and we will have others if we continue to behave of as we done before, and it be humorous for us to do that. we need to stop doing it because the next thing that helps us might be one have a lot worse than this one is professor human governor of the somber was thank you so much for joining me. once again on the i'll examine show thanks very much. i realize pandemic or scarcity, and new hyper infectious, vital radiance, really scaly. but it was understandable that many countries would react cautiously to the mountains of the alma convenient in december by moving to tighten their

social measures against the base of the virus. given the infectious nature of, on the con, this is not stopped the new venus sweeping through country after country from an early stage south africa provided empirically based information suggesting the article and although much more infectious, was significantly less potent. isis information was confirmed by western studies. official policy has gone into reverse in many countries with restrictions relaxed. i'm going to talk now of living alongside the vidas. natural selection dictates the final strains that tend to become more infectious, would infectious the agent. the more successful it becomes in competing with other screens. but there is no such absolute determination. the civilians are in themselves less potent. along the divide survives and significant numbers. the more opportunity there is for such a nightmare scenario to march. so far so good. although that still means they're

striving at $300.00 per day in the u. k. and 10000 a day worldwide. however, the real problem assess the extent of on the coin spread, added to the vaccination program, will confer some protection. however, it seems far too early to be putting the bunting out and taking the face masks. for ne, from alex myself and all at the shoe is good bye, stay safe. i'm hope to see you all again next week. ah ah, what else should seem wrong when all fries

just don't move to shape out? disdain becomes the attitude and engagement equals the trail. when so many find themselves worlds apart, we choose to look for common ground. it's an open secret, the private military companies have been playing a role in arm conflicts, world wide. u. s. government doesn't track the number of contractors and uses in places iraq or afghanistan, the united states army and the military and general. so reliance on the private sector. i would call that dependency. but we don't know who's the on the ground presence of these companies overseas. we just don't out west and private military companies can in their turn use so called sub contractors from countries with

trouble pass. oh, the chances are quite good that they had also been child diligence processes. i was it just as my job professional job is, is with the whole 141. the fact that that looked with no flow minimum own wall, which i mean to be merciless killing machines. now they fight and die in other people's was people carol, lot one or a dead soldier or dead marine shows up in this country and then we start asking ourselves, why did they die? why, what were they fighting for? nobody bothers down to about the contractors in demand. it always was the impossible. they 1st day 8 say to the government, police probably you government

b. they say similar to any is the oh please don't touch my my pride with my phone patch. my business don't touch my feet, and this is an impossible contradiction. ah, must go vows. retaliatory measures against german media credited in russia to berlin, slapped a broadcast battle ne tomatti. london police chief is under fire after report exposes how officers, some of whom are still in the job. joked about raping colleagues and killing children, and chief jeff soaker. quit. so for an affair with his coworker, he leaves plummeting ratings in his wake after tons of scandals. that the mediator .