Twice. Report from theyre going to care about capital as rockets rain down knocking out power and driving residents of the disputed region underground. Police in baton rouge to use water cannon to disperse tens of thousands of protesters demanding the release of Political Prisoners. And the London Marathon defies the pandemic and throws up a surprise winner. 48 hours after the u. S. President was taken to hospital with code 19 its still not clear how sick he actually is doctors treating donald trump say theyve given him dexamethasone a steroid the World Health Organization only recommends for severe cases this after his oxygen levels dropped briefly on friday and saturday but they also insist hes doing well and could be discharged from hospital as early as monday mike hanna reports from bethesda where trump is being treated. The team of doctors of urge for another update and the president s personal physician 1st explain the reason for the particularly rosy prognosis that was given 24 hours ago saying he was trying to reflect the upbeat attitude of medical team and president. Didnt want to give any information that might steer the course of illness in another direction and in doing so you know it came off that were trying to hide something it was initially true i feel much better now in an overnight video tweet to President Trump said he was feeling well a sentiment supported by his doctors who are now saying he may return to the white house residence as soon as monday but dr Sean Connelly confirmed what he would not in the 1st public briefing that the president received supplementary oxygen on at least 2 occasions the 1st on friday he was not sure to breath he was tired had the fever and that was about it and after about a minute on only 2 leaders his situation levels were back over 40 over 95 percent. Stayed on that for about an hour maybe it was off and gone another critical piece of information that the president is now receiving the steroids dexamethasone which is recommended only for Critical Care the deck cement the zone use again is extremely extremely worrying sign their veto it says its only used for critical and severe patients it actually recommends against people who are not serious and i age also so its only for serious patients who are i dont ventilators or supplemental oxygen which trump does barely 54 so hes on a really bad trajectory i dont know if tomorrow tomorrow is a little premature discharge. Questions continue about Contact Tracing in the wake of President Trumps movements the white house says its directing this in cooperation with the centers for Disease Control team. But many who were at this crowded rose garden last saturday say they have not been contacted. Authorities in minnesota where President Trump visited on wednesday say theyve launched their own Contact Tracing program in the absence of any white house direction this apparent lack of any central direction reflects the limited federal response to the pandemic as a whole during the months in which more than 200000. 00 americans have died there has been no federal tracing program established. 100 joins us live from outside walter reed Military Hospital in bethesda john this has been an ongoing uncertainty as a his health. Thats right the information we have been getting here at Walter Reed Military Medical Center has been at best. Less than transparent yesterday that dr John Connally was asked directly whether the president had been at any time on oxygen the doctor repeatedly said he was not on oxygen now well today weve learned that he has twice had supplemental oxygen and that suggests that he has had some problems breathing the doctor said that his his his oxygen level in his blood went down to 93 percent 95 percent is considered the bottom of the normal levels so there is still a possibility that the president is struggling with this disease we know that because of that powerful steroids on its really only given if you heard in my candid story to people who have a severe case so were still waiting to hear 2 more candid information what we have right now is is contradictory the evidence suggests the president has really been struggling with this disease hes a man of 74 hes also technically obese thats a comorbidity that makes this case a little more complicated so youve got that on the one hand and now in the other hand you have the doctors saying that its possible the president will return to work at the white house on monday now its true that the white house has a full medical unit there and they would be able to take care of the president but you would want to hear if he were in severe need of things like oxygen and immediate treatment so were really waiting to hear some more transparent information and it seems like what the white house is giving us is pretty much the same kind of rosy scenario its given us on coronavirus all of these months so were waiting to hear. A little more information to be honest and tell us bit more about the efforts to do Contact Tracing for those who might have crossed the president s path while he was potentially contagious. Thats right in other countries there can be a robust Contract Tracing regiment in this case people who are very close to the president say they havent been contacted at all Rudy Giuliani is the president s personal lawyer he says hes doing a do it yourself Contact TracingChris Christie the former governor of new jersey he helped coach the president for the debate last week he says he hasnt been contacted by anybody either so that suggests a kind of standoffish approach to a Contract Tracing that has been really the trademark of this white house on coronavirus in the same way they did did not establish a National Plan a National Mask plan a National Lockdown when it left all of that to the states and it seems that the white house is doing the same with that Contract Tracing program 200 thank you very much indeed as to choose an emergency physician and professor at Oregon Health and Science University she joins us now via skype from portland thanks very much indeed for being with us so what do you make of the fact that we now know that the president need oxygen a couple of times and is now being treated with the text message. Every single time we get a clinical update about the president over the past 3 days it is more serious so 1st he had mild disease and he was being transferred out of an abundance of caution and then he had received this upgraded medical therapy rem does appear which is for patients who you know are not have more than mild disease then he had transience oxygen supplementation needs than he had ones that were more serious it sounds like multiple times and now hes on dex about his own which is really reserved for patients who have at least moderate but usually severe coated disease involving the lungs and and in patients who have had hypoxia so it certainly seems like his course is dynamic and it is headed in the wrong direction to me what about what the potential side effects are of this with cocktail of drugs that hes being given at the moment. Well we dont know actually because. We dont know as far as this whole cocktail because no one that ive probably in the world has received the combination of the Monoclonal Antibody does appear plus steroids and and so he actually is unique person and unique case study in seeing the impact of that particular combination of medications so he he you know what we learned from him will be fairly unique you know we do have some increasing experience of rem does appear and steroids the big study that supported the use of steroids in patients with severe cove it did demonstrate that for patients with mild theres that disease there could be some negative outcomes and you know steroids in impact the inflammatory cascade thats one reason that if you have lung disease and theres a lot of inflammation and might actually help you in your oxygen you know in your ability to do Oxygen Exchange but on the other hand your body your relies on a robust immune system to beat the disease so i think thats hypothetically why patients with mild or just these downsides are probably not worth the upsides of steroids so i think its tricky from what the white house positions tell us with this fluctuating oxygen level he may not have been very clearly in one category of disease or another and im sure it was a pretty complicated conversation about whether to start him on steroids at all knowing the potential downsides but im sure that was made a decision that was made in consultation with the president and his own personal wishes about how aggressive to be with treatments knowing that there is a potential harm and given all that how likely is it that he will be discharged to a more a monday a which is one of the suggestions of the doctors made. It is very hard for me to understand a scenario in which he should go home i mean if he was being admitted for an abundance of caution there is nothing over the past 24 hours that has led us to believe that hes so out of the words that we can now abandon caution. If we are simply looking at clinical trajectory it seems to be getting worse and you never doubt you never discharge a patient home whos so dynamic everythings changing you really want to see people stabilize out so you feel like im really confident that their course is just going to continue to improve and see that kind of trajectory so the only scenario i can imagine in which he goes home tomorrow while all of this stuff is still so dynamic is if the patient signs and self out against medical advice if you so determine to go home of course we give patients autonomy to decide and if they still feel like he is despite his oxygen levels and all and and the potential medical mental side effects of the steroids they still feel like hes competent to make that decision and he decides to go home you could do that but i cant imagine physicians who would take responsibility for actually discharging him out when hes been this sick doctor so she thank you very much indeed for your thoughts thank you my pleasure. Poll says 65 percent of americans are still deeply worried about the corona virus and many from Donald Trumps own party think the president could have avoided getting himself infected 5 in 10 registered republicans said trump wouldnt have tested positive if youd taken the virus more seriously of those surveyed 55 percent of people think trump isnt telling the truth about the disease and 57 percent disapprove of the president s response to the coded 19 pandemic overall thats up about 3 points from a poll late last week. Joining us now is allan showed it hes a professor at Northeastern University and author of president ial debates Risky Business on the campaign trail he joins us live from albuquerque thank you very much for being with us so a critical juncture on the campaign trail how damaging is it politically to be in hospital coronavirus which was a subject he was hoping to avoid talking about well you know were really in Uncharted Waters here this is never happened in American History especially toward the end of a Campaign Like this and so trump was coming off of a bad debate at the beginning of the week and now has said weighed into this hospitalization whether that engender some sympathy for him or just underlines the fact that the pandemic was not handled very well i think that remains to be seen i mean the doctors being very upbeat to the members of the possibility might even come out on on monday but we had just enough from the physician were talking to that that may be unlikely if he does though do you think the big debate the next debate will still go ahead and given that hell be quarantining. Well the next debate is actually the Vice President ial debate on wednesday of this coming week and then the thursday after is when the next time biden and trouble are supposed to to meet to me that seems like a very quick turnaround in of course there are considerations about truck traveling trump being in a studio with other people given that he has his history you know with the disease so i think a lot of these questions are still being heard out again mention that the v. P. Debate how important does it become in this context. I think it becomes much more important than a normal Vice President ial debate usually the Vice President ial debates have a much smaller audience in the president ial debates but this time given this whole question about president ial succession thinking about what would happen if a president couldnt fulfill his duties this role of the number 2 has just really increased in importance so i think theres a real appetite for their bait and i think that we will see a much higher number of people watching than normally what i dont want to read so far into the short term effect in the polls from from President Trump being ill with kevin 19 what do you think it will spell for this campaign. You know it it really could cut 2 ways i think the danger is that it just reinforces how badly the white house handled the response to coronavirus if the president himself can get it so it sort of undermines all the efforts that theyve been making from the white house to try to minimize the problem on the other hand in particularly with the people who are to your lineage were trying to support him i think that there could be a response of sympathy and maybe a you know some some people who decide that that they they would like to vote for him on that basis but its still early days to really know why we are doing is now we are showing the pictures of the day the message that john put out when he was trying to take control of the of the message and well it was a confusion between what the white house was saying about how ill he was and what the doctors were saying how important is it for him to have control of the narrative and now that he may not be able to if he does get any more what will that mean do you think. Yeah thats a great question and of course i think part of the confusion right now is we dont know whos in control of the narrative you know things are being tweeted out under his name but is that him or is that somebody else and who is this somebody else and so the completing messages that were hearing from various representatives of the white house or the medical folks i think just adds to the confusion and so at some point it needs to be made clear to the public who is speaking to the president and you know a clear sort of line about threats here which has been lacking up to this point professor thank you very much indeed for talking to thank you thank you meanwhile 9 states in the u. S. Are reported record numbers of kevin 1000 cases over the past week the country reported an increase of nearly 49000 new infections on saturday alone Health Experts have warned increasingly colder temperatures are driving people indoors aiding the spread of the virus in wisconsin an average of almost one in 4 tests coming back positive. The u. K. Has reported more than 22000 new covered 19 cases on sunday up from almost 13000 a day before thats its highest number of daily cases since the pandemic began but both numbers include infections that werent reported in previous days due to a technical error brings the u. K. s total to around half a 1000000 confirmed cases of a massive rise was announced hours after british Prime Minister forest johnson warned living through the pandemic will be bumpy through christmas and possibly further the government says more than 42000 people have died of code 19 in the u. K. France has put paris on maximum alert after a big surge in corona virus cases theyre all bars in the french capital will have to shut down for 2 weeks from tuesday and restaurants will have to put in new protocols to stay open more than 12 and a half 1000 cases were recorded nationally in the past 24 hours harrison must say of the worst hit cities in the country more than 32000 people have died all together across france. One of them is the iconic franco japanese Fashion Designer kenzer takada who died of carbon 19 at the age of 81. 00 kenzo was the 1st japanese designer to break into the paris fashion scene his death in a suburb outside the french capital comes 50 years after he launched his 1st collection in the city cannes or sold his brand in 1903 and later went into semi retirement to remain one of the most respected people in part parisian high fashion the companys most recent collection was shown earlier this year. Coming up on this news hour from london the u. N. Turns schools into Food Distribution centers in gaza where the growth of our spending mic is pushing thousands to the brink of extreme poverty. And we report from one of central asia as poorest countries where allegations of vote buying have dominated parliamentary elections. As a rush on and on mean youre accusing each other of targeting civilians in their conflict over the disputed region of nagornokarabakh as about john says 2 of its cities have been attacked this after the regions capital step on a cat came under sustained bombardment which killed at least 10 people the remote mountainous region is officially part of as a version but its ethnically armenian and has been an officially run by Armenian Forces since the end of a 6 year war in 1904 the ongoing fighting threatens to drag in turkey which is backing azerbaijan and russia which has