Through the topics and a weekly radio show is called spectrum if you would like any information on the crawler or any other science topic you should really check out our podcast so you can get your podcast you can also find us at. Corinth slash science. Coronavirus endemic is expected to cause a surge in deaths from another anti virus hiv. There are fears that there could be an extra half a 1000000 aids deaths this year alone. Is deeply concerned the impact of 19 on the Global Response will be. More than 70 countries see there of risk of running out of the antiretroviral drugs needed for the daily management of the condition. Whats more hiv patients who arent on a. R. V. s are thought to have an increased risk from covert 19. So how can we protect people with hiv during the coronavirus. Condemning. This is your cover 19 special on d w im chris cuomo in berlin it is good to have you with us the corona Virus Outbreak is endangering the fight against hiv and thats becoming a growing problem particularly in african countries where many lives depend on antiretroviral drugs the very ones now becoming scarce because of the pandemic the airing krishna reports from south africa. Tempi would have preferred not to come to the clinic today because of the corona virus and to avoid questions from neighbors temby is not her real name she prefers to remain anonymous i knew she is a charity causative and wants to make sure her one year old daughter does not become infected. So my family knows that you. Know. Because they like to call from a little bit build they judge you or own the sin of pride because they dont know your future would have been to you after all. So you dont need to charge for. One in 5 mothers in khayelitsha township is age i be positive a few years ago 2 out of every 5 children also had the virus but now the chances of h. I. V. Being passed on the birth are less than 5 percent south africa has made significant progress of the fight against hiv the government pays for the medicines and aid agencies like Doctors Without Borders with Education Programs in normal times a group of mothers with h i. V. Meteo once a month at the pool when a crisis means the meetings have been cancelled. To gain from the groups a chance discussing with p. Is giving time to discuss the difference in t. Doesnt the internet that the group happening anymore if it is be afraid to post natal clubs the medics know how are the mothers on a one to one basis hiv is still a serious problem here. The hospital is much emptier than usual because of 19 many patients void hospitals and therefore dont have access to their medication experts believe this could have a Strong Negative impact on hiv aids but also with tuberculosis patients in the future. Simply knows her medication significantly increases her own life expectancy. But in the future age i. V. In corona will no longer be a danger to her daughter. Earlier i spoke to dr Shannon Hader shes the deputy executive director of u. N. Aids the joint United Nations program on h i v and its just this week her organization along with more than 70 other countries warned that the coronavirus pandemic could lead to a dangerous shortage in lifesaving anti retroviral drugs i asked dr hater why. Yeah you know we have sort of these colliding epidemics right now of hiv encoded and we have to make sure we respond to both and so number one on a really practical level weve started to see some really good in creative approaches to making sure Services Continue but on a larger scale we are absolutely seeing the risks for drug treatment shortage shortages there are barriers in some cases to Raw Materials getting into country so that production can happen there are barriers to produce drugs getting out of countries and into the countries that need them because of covert restrictions and so its its a really important dance to be monitoring where shortages might beat and problem solving to make sure they dont interrupt treatment now what would these shortages mean for People Living with hiv in many developing countries. Well you know weve made tremendous progress in the hiv fight since the beginning and we just put out new numbers that showed over 25400000 people worldwide are now in hiv treatment but we really. Decided to say well how bad could it get with kogan what happens for example if there were a 6 month interruption in Treatment Services in Subsaharan Africa now we dont plan on that happening but we have to look at that sort of bad Case Scenario and doing some modeling along with debbie h. O. And the Modeling Consortium we found that a 6 month interruption in Treatment Services would lead to an additional an additional 500000 deaths from aids in this year alone that would double the number of deaths in Subsaharan Africa and actually set us back to 2008 response levels so wed lose a decade of progress in just one year shannon are people with hiv more likely to suffer from a severe covert 19 infection you know were learning as we go on that there is some new data south africa which is one of the 1st countries affected by co that also has a very large hiv epidemic and they are seeing that there is some additional severity in People Living with hiv who get code that its not as bad is for people who have diabetes or existing lung disease but of course People Living with hiv are aging and have those things too so it is particularly important that People Living with hiv. Take their conscience to try to avoid getting infected to begin with and that we hope to learn more as you know treatments evolve vaccines evolve except tra now speaking of precautions there are hiv patients that are avoiding hospitals out of fear of contracting the coronavirus how big of a problem is that. Well its a. Big problem if were not offering other solutions so one thing about hiv care is for a number of years now treatment guidelines have really promoted this idea of differentiated Service Delivery or Community Based deliberate so that someone living with hiv doesnt have to go to the clinic every month or every 3 months just for routine care the idea that someone living on stage i. V. Has their h. M. P. Under control could get 3 months of their medications in one visit and then not have to go back and for. A lot of countries before coated were really slow in implementing those kind of practices fortunately we have seen a major scale up in a number of countries putting those practices into place. Dispensing Community BasedDelivery Community based care Long Distance telephone consultations and those kind of engagements for questions so in countries that are moving to put those alternatives into place were seeing a lot less interruption of People Services but in countries that are not moving to that Community LeftCommunity Based models its a problem Shannon Hader deputy executive director of u. N. Aids thank you for speaking to double. And now it is time for your questions about coven 9 team and our science correspondent very girly arms as usual doing his best to answer them. Ive Heard Research just talk about trying to mute the immune response but also saying that a young stronger immune system is more successful in fighting off covered 19 is not a contradiction. To understand the apparent contradiction here you have to understand that there are are different stages of covert 19 that patients can go through the 1st is usually an initial infection in the upper respiratory tract and thats usually where it stays with most people thats where having a strong fast acting immune system is really great its able to keep the disease in check and eventually wipe it out in some cases it keeps it so effectively unchecked that you might not even notice that you had it but in more severe forms of the disease if the virus eventually makes it to the lungs or to other organs it can kick in a severe immune response and when that happens the immune system can start attacking not just diseased tissue but but healthy tissue as well thats when doctors have to step in the and try to mute the immune response with drugs because if it spirals out of control it can kill you but striking a balance between letting the immune system do its job and reining it in if it spins out of control this is pretty tricky. Can you tell us more about ticks and methods. Decks and methods zone is one of the drugs that doctors now prescribe at that critical stage of covert 19 that i just mentioned when the immune system has gone into overdrive and starts attacking healthy tissue and the body. A major study in britain thats still in peer review discovered that in critically ill patients who need respiratory support the compounds lowers mortality by between a 5th and and a 3rd which is actually pretty huge thats a methods known as whats known as a corticosteroid and its widely used to treat many different conditions that cause painful or dangerous inflammation its also and immuno suppressant so it can help calm down the immune system when its running a mock but that also makes doctors wary about about giving patients the drug too early when the immune system needs to be active its not a new drug but one thats been approved for use for well over 50 years now so so its cheap its widely available and perhaps most importantly production of it can be can be ramped up quickly. And of course you can post your questions to derek on our you tube channel and if youd like to keep up with the latest developments on the coronavirus pandemic do subscribe to our newsletter just log on to w dot com slash corona dash newsletter. And that wraps up our show if you want more go ahead and visit the coronavirus section of the v. W. Website for now thanks for watching see you tomorrow stay safe in the meantime. Enter the conflict zone come from the powerful the 4 months to go chill the president ial elections in america so no trump is sinking in the polls and those full of a National Security advisor says he isnt fit to be president what job also has my guest this week from washington how much damage trumped broken bones to america and the rest of the. Conflicts of. The bush. Justice for the victims of the stripper and the genocide thats catherine bond because michelle. The human rights advocate wants to identify each of the towns and the ones. This huge undertaking is still underway 25 years after the infamous massacre in Bosnia Herzegovina some cases. In 60 minutes on t. W. Im not laughing at the germans because sometimes i am but most are laughing with the. Many think deep into the jamma culture of the new ridiculous drama they all believe because its all about who they know im right theyll join me for me to get the fundies up. To go beyond the obvious. Solution of marine live. As we take on the world the place where all of the stories that matter to you come true what ever is. Running out of touch. D. W. Made for mines. I dont think he understood what he was doing and why talking to big guys you know the guys get together and they do big things but you did accept it for 17 months didnt you why so little principle when you were president is byelection not bind ph 4 months to go to the president ial elections in America Donald trump is sinking in the polls and now his former National Security adviser says he isnt fit to be president anyway in a new book john bolton a long serving big beast of the Republican Party accuses mr trump of a litany of things