A surge which flooded streets of syria same casilla reports from istanbul. This was a very strong one it was felt by it was felt in the nearby thirtys even in istanbul also greek island somewhere. It was one of the places that was affected by the earthquake there was a partial tsunami even in the citys Fire District of israel there was a partial tsunami and the Governors Office about it was contained one 3rd of the citizen was injured of course since its a course the city the harbor city there is the risk for flood and tsunami or always thats but according to the offices it was a it was a small risk and it is out of question right now 2 men have been sentenced to 18 years in prison for their role in the Westgate Shopping Center attack in kenya as capital nairobi at least 67 people were killed in the 4 day siege and 2013 but 2 were convicted earlier this month for helping al shabaab fighters vigils support held across france to honor 3 People Killed in an attack in may some say the suspect is in custody investigators say hes from tunisia arrived in europe last month tens of thousands of rallied in several nations against the french president s remarks on islam rallies continued in pakistan bangladesh and palestine as about jobs army is said to be closing in on the key town of sure so going back separatist leaders that are very troops of advanced to within 5 kilometers that is urging people to help resist the attack Health Ministers from across the e. U. Have stressed the importance of a coordinated response to covert 19 theyve agreed to fund the transfer of covert patients across borders theres the headlines more news from here on out is erupt after inside story next. Back to lock down more countries impose news shutdowns as. Warnings things may get even with these. This is inside story. Hello welcome to the program. Europe is once again of the epicenter of the Global Pandemic that so far more than 44000000 infections and over a 1000000 deaths well why the region is struggling with rising numbers of infections while deaths from cova 19 rose by 32 percent last week. Well france has imposed a month long lockdown that went into effect at midnight on thursday for the 2nd time this year people are living under tough restrictions president eman well mark ron says the measures will help reduce infections from about 58000 today to 5000 according to the John Hopkins University friends has reported more than a 1000000 cases and over 36000 deaths across the border people in germany are also preparing for a bomb for restrictions from monday chancellor Angela Merkel was once praised for her handling of the pandemic but she is now warning that Health Authorities have lost control of skyrocketing new infections despite a Contact Tracing program and men data required on teens Authorities Say they are unable to identify where 75 percent of new infections are coming from the 2nd wave in europe is rapidly outpacing the original outbreak earlier this year this time the region looks better prepared vanderlei in the e. U. Chief has unveiled plans to transfer covert patients from hard hit Member States to neighbors with spare hospital beds the commission announced tonight that we are making 220000000 euros a vailable to finance a safe cross border transfer of patients where it is need it and for that their good use of the money requires good information in exchange. Britain has once again decided to go its own way in how it handles the pandemic Prime Minister boys johnson is resisting following germany and france in ordering a 2nd lockdown its a decision thats led to criticism of the government especially since the u. K. Has the largest number of corn about its debts in europe thats more than 46000 instead its imposed local lockdowns despite any new studies showing cases in england are doubling every 9 days the u. S. Would just heard nearly 90 a 1000 you know infections on thursday is the highest number of daily cases since the start of the pandemic the virus is spreading rapidly in the western half of the country affecting every swing state crucial to the next weeks president ial election at least 228000 deaths have been linked to the virus President Donald Trump who was hospitalized earlier this month with covert 19 continues to play down the threat in asia india is struggling with the largest number of infections more than 8000000 cases and over 121000 deaths have been recorded Health Authorities believe the actual numbers may be higher some experts estimate at least 130000000 people may be impacted. Joining me now our guest in milan dr. Chikane president elect of the European Society of intensive Care Medicine and head of intensive Care Medicine at Humanities Research hospital in boston matthew fox Infectious Disease it biddy we are just and professor of geology at Boston University school of Public Health and in robert as a dealer brahimi director of the medical Biotechnology Laboratory med biotech and director of the bio on of our Research Center a warm welcome to you or mauricio german chancellor Angela Merkel said that this winter will be hard for long difficult months are you bracing for a surge in the cases of the people that will be a better to the intensive care units in the coming weeks. And yes i think we are and actually weve been bracing for a while because many of the 1st wave there was a curing the fairest months of the day year before dishonor and imagery to work on trees in europe experience there and accumulate quite somber work around virus cases we were actually never able to or every single transmission of cases in the community so indeed the beige and they arrived leaving the summary for not even if not weve the numbers are going to say now. Unfortunately now the number that were seeing in your very high tick and india the arche that are big asian of the virus as reached explanation. Yet in many countries or i would say that we already see this say or do not in the recent weeks that some of the countries the live experience and the 1st wave that weve seen any surely a lot of patients coming to the office the door wave and mind and severe symptoms and then a few days or weeks later we started to see their eyes or skin intensive care cases and you know i would say that our colleagues in intensive care or us europe in many countries are already seeing the serger and where at least you know cuban see rates at and sometimes in the range of 50 percent like in belgium or in france now so i would say the surgery is already here all right and we have to try to control the spread all the virus as much as possible in the community that to avoid it and any and bigger difficulty not one of their systems Matthew Matthew at the same pattern in the u. S. To new highs a daily basis plus more than 1000000. 00 infections is the start of the pun demick but still you get the impression of that the government is not related and moving forward 2 words more restrictions like the ones we are seeing in europe. This exactly right the patterns that were seeing here in the United States are very similar to the patterns that youre seeing in europe except with the difference that theyre quite regional so in parts of the country weve already seen the spike already intensify where is in the northeast where i am its just starting to begin but absolutely we are we are not taking the actions that we need to be taking in order to stave this increase in the spread and so were going to youre seeing some states starting to go to more intensive mitigation measures measures but were not going towards the full lock downs that we saw in april so we really do need to be starting to take more concrete action to to stave off a really terrible winter as the into things happening simultaneously in morocco infection is increasing and mortality rate is also spiking we expect in the government to reinstate the same measures taken about a few months ago. Well i dont know if the government would be taken this decision but i think the station of morocco is in between your open the us in morocco we see whats happening in morocco and compare it to whats happening in europe but i think came to us the decision to do something its political decision but in morocco we are thinking what to do and i think thats that may think thats what everybody is thinking about but we are almost like 2 weeks behind europe so i think if there is something to be taken as a decision it has to be right now i think is the right time to do it because we are seargent the number of infected people are certain and the 2nd thing is basically we are having more and more death and when we see the projection of for Washington University to see that in morocco if we dont do anything by december 1st i think thats going to be exponentially increasing and we might have a big problem a lot of our resources the start of the pandemic the debate has been or divided self should we listen more to experts or more to politicians now ultimately is politicians will have the upper hand and they are now bracing for tougher restrictions do you think that the lock down is the efficient way given what is happening in iowa in terms of infections. An important thing could during the fairest way that these things in europe count trees that there were foster in there d reacting to the advice of scientists think the missions where those countries that minimize their eyes of sick patients and he surely and they were also able to receive mcdavid these areas i think this community has and scientists and i can speak for d many colleagues across europe weve been demanding and its true there are measures when we saw the cases started to increase and that the bias of the degrees a bit more explanation does virus as a unique characteristic in the same stent that its not a problem although we want to see more sick patient the days when a number of patients start to more to buy and that to give an example of the r. T. As a tool we know that in 57 days we would see them and that the whole of patients and their bikes and those they dont that that will again these numbers can really put any earth care system on their knees importantly were not curing just patients we want to care for or care patients in our off beat or as in our insecure systems if we will roll up our care system and just with patients we start to compete for resources and some of it is to care for other patients or to be grossing compared to to care for coheed so our advice to government is to be fast and to think strange and measures i dont think there is a fixed recipe and clearly we cannot just leave bare mckay with people down there at the beauty but certainly strange and measures career fuels lockdowns that probably become necessary at some point in different forms when the spread of the bias in the community is out of control and we see that this plane actually it could bring that all of brought us to our roles but there was also remember that by the nature of think a bishop would be or then when you start to get symptoms everything that you do today is about record of measure leavening bucklin or if your system but d at least 2 weeks ago when the situation. Hes already out of control we can see this is significant now theyre ok something to our eyes he was looking into me taking out matthew the optics are quite different in the United States of america because we are in the midst of an unprecedented bitter president ial race dominated by a polarizing issue and you have a president who continues to discredit the expert. The medical community im lucky to see the handling of the 900. 11 but the 2nd well i think we dont yet know that obviously partly thats going to depend on who wins the election but i think it you know we know what clearly what it is that we need to do we have the tools available to us to both mitigate the spread of reduce the amount of mortality without needing to necessarily go to a full lockdown im hopeful that we dont end up in that kind of situation but that is social distancing Wearing Masks keeping away from each other as much as possible and if we can move towards that as a country regardless of who is in charge we have an opportunity to really bring down the Community Spread and then hopefully not overwhelm the hospitals and continue to see progress but obviously that takes takes will of the people and that takes leadership and i am hopeful that we continue to move in that direction but as you point out were not there yet as dean in morocco is a country that does not have the same resources the u. S. Or europe and have do you have any concerns that if the pattern continues were likely to see intensive care units overwhelmed in the coming weeks in morocco. Wow im talking to my colleagues from europe and the usa i think for africa it was a really big big big thing to see this pandemic because we dont have in year our models or benchmarking to do because usually in africa we look up to the north to see whats happening but i think whats happening has whats happening in the europe is not something that is very helpful and they feel really set for whats happening in the u. S. And that would say thats matthew because i think the last life he knew were is a lost life and i think its not a question of numbers but a question of families of work jobs and lots of think that hes done and i think when you compare whats happening in africa with as you said her sources that are really limited and that we see we try to compare to whats happening in europe and whats happening to us its very difficult transparent with the 1300000000 zain africa we have 3035000. Death and you see whats happening to us with 22025000 death and they think we really dont assimilate whats happening in iran and were thats i think coming back to morocco i agree with you completely i think we are reaching the capacity of our i. C. U. Is and i think will be we have to make tough decision i think without a lacking and that really strange and decision and very courageous decision and i think by the 1st of december it will be very difficult to catch up to the band factions and to raise our identity moral murray certainly has been traumatized a few months ago by the increasing cases and the infection and with c. Of those bushes from intensive care units in in parts of italy the protocol so far has been steroids along with other medication and ventilation for cases for severe cases is this likely to continue to be the same protocol for the upcoming. Months with all the learning that we have managed to accumulate about and understanding about the disease itself its a very good question and i think it goes back again to the fact that prevention is the best strategy and thats why we need the help of individual citizens very to speak to d mosque saying handwashing and these tensing because actually wanting port a message that we have to buy us into the community is that and then when we dont have a specific therapy for kobe 94 patients that can be managed it almost we can give symptomatic therapies like a spirit to seek a more d and supportive therapies is very important that those patients these to receive i think when attrition migration them about i think right if they admitted to the arctic we have now the evidence that spirits for those patients that are quite a pocket change can be when you will do need these es and that are associated with a decreasing want to allocate so that was why i hold it because that by aspect of mating research over the last few months weve realised when to use your eggs and these are really a great advancement however we dont have are there specific therapies for this virus and d indeed whats left is a supportive therapy again something that we can do in the article and intensive care unit if patients would benefit from mechanical ventilation thats what we do to basically give time to the body to heave to rest that well i mean take care of their organs weve got our techniques we protect your gas and we will do the chemical over matthew the trumpet mr mason has been saying that a vaccine will be will be available before the end of this year now if when you listen to experts over the last 48 hours particularly. And tony far is basically saying that we have maybe well have to wait longer what does it mean for the americans than. So it means that things are going to continue roughly as they are over the next few months were heading into winter here that means more people inside that means schools have reopened and thats going to be even more transmission and until we have both a safe and effective vaccine were not going to be able to completely control the spread so there are all those measures for prevention that we know already were going to were going to need to double down on those but i am still hopeful that we do get a vaccine that is reasonably effective by early next year and then we can start to scale that up and rule that out once that happens then we can start to see a real dent in the amount of transmission that are that is occurring thats not going to bring things completely back to normal right away but over time things should start to get better. As the well hes waiting to see which company is going to be able to manufacture the fast that scene were talking about that if you trust to the companies basically in europe and the United States of america so give me an idea about the debate that youre having with your colleague of the act of a medical Biotechnology Laboratory what are you thinking about today tomorrow how to get a vaccine what would be the potential for a country like morocco countries neighboring youll in north africa. Well i think the vaccine would be a solution to think as matthew said i think its going to take a little bit of time because its here and there want dont want to give force hopes its not going to be for tomorrow because even if we get different the vaccine and gets accepted there prove that by this sober we have to go through what we call