Coronavirus: Impacts of COVID-19 pandemic “go far beyond health,” WHO argues | FULL

published on July 17, 2020

Hi girls hi Mike can you Amy I think that we can hear you much okay hello everybody and welcome this is Margaret Harris at the w-h-o headquarters in Geneva and welcome to our Cove it 19 press briefing today this Friday July 17 today among other things

We want to discuss the impact Koval is having on humanitarian work and all those we strive to help so along with our usual speaker our director-general dr Ted Rose you will also hear from mr Marc local the un

Under-secretary-general for Humanitarian Affairs and emergency relief coordinator as usual we'll be providing sim your teamily Gnaeus translation in all six UN languages plus Portuguese and you may also listen in Hindi no two owing to the

Way zoom setup you will need to go to the button core it marked Korean to access Arabic and now I will hand over to dr Ted Ross dr Ted Ross you have the floor thank you Thank You Margaret good morning good

Afternoon and good evening yesterday I had the honor of being in Madrid to join King Felipe the sixth and Prime Minister Pedro Sanchez of Spain's memorial for Spain's memorial for those who have lost their lives to covet 19 and for the

Health workers fighting the pandemic earlier in the week I was also honored to be with president macro in Paris for the Bastille Day celebrations which were also a celebration of France's heroic health workers both countries are good

Examples of the four essential pillars of the response strong and humble leadership community engagement suppressing transmission and saving lives and both countries are rightly recognizing the incredible contribution

Of health workers whu-oh welcomes the pay rise for French health workers announced on Monday the pandemic has shown us that there is no health without health workers I was specially touched in Madrid

Yesterday by a speech given by a nurse called Aurora Lopez I want to read you some of what she said I caught we have given it our all we have worked to the brink of exhaustion and once again we have understood maybe

Better than ever why we chose this profession to care for people and to save lives we have been the messengers of the last goodbye to older people who died alone hearing their children's voices on the

Telephone we have made video calls we have held their hand and we have had to fight back the tears when someone said don't let me die alone miss Lopez finished her remarks with this appeal I want to ask the authorities to defend

Everyone's healthcare to remember that there is no better tribute to those who are no longer with us than to protect our health and ensure the dignity of our professions and of course we all all health workers are

Enormous that not just because they have cared for the sick but because they have risked their own lives in the line of duty so far about 10 percent of all cases globally are among health workers many health workers are also suffering

Physical and psychological exhaustion after months of working in extremely stressful environments to support health workers WH er has published guidance and training packages on how they can protect themselves

We're also driving research to better understand the extent of infection among hel workers and the risk factors for infection we are also shipping millions of items of protective gear around the

World and ensuring health facilities are properly equipped also copied 19 has rightly captured the world's attention we must also remember it's not the only crisis the world is facing many countries especially in Africa and the

Middle East are still reeling from years of conflict and other humanitarian crisis covered 19 threatens to exacerbate many of these crises the pandemic and the restrictions put in place to suppress it are taking a heavy

Toll on 220 million people in protracted emergencies while it's too early to assess the full impact of so-called lockdowns and other containment measures up to 132 million more people may go hungry in 2020 in addition to the 690

Million who went hungry last year deep budget cuts to education and rising poverty caused by the pandemic could force at least nine point seven million children out of school forever by the end of this year with millions more

Falling behind in learning the economic impact of the pandemic in humanitarian settings can aggravate already dire living conditions more displacement food shortages risk of malnutrition decrease in access to essential services mental

Health problems and so on wh ER is working through our 150 country offices to support the response to covet 19 to support the continuity of essential health services and to engage communities to ensure demand for the

Services is maintained it's also by tell that as an international community we use this opportunity not only to respond to the pandemic but to build health systems that are more resilient and more able to withstand the impact of

Health emergencies the pandemic is teaching us that health is not a luxury item it is the foundation of social economic and political stability three months ago wh-wha launched its updated strategic

Preparedness and response plan which estimates the resources needed to support wh-whose work on the pandemic but we all know that the impacts of the pandemic go far beyond health and so do the needs especially for the poorest and

Most vulnerable countries that's why the UN launched the global humanitarian response plan for kovat 19 in March today I am honored to welcome mark Lowe Koch my friend the United Nations under secretary-general for Humanitarian

Affairs and emergency relief coordinator to present the global humanitarian response plan update the global humanitarian response plan addresses the immediate humanitarian needs caused or exacerbated by kovat 19 in 63 priority

Countries with existing humanitarian crisis if we fail to address the wider impact of the pandemic we risk an even greater crisis than the one brought about by the virus itself mark thank you for joining us today over to

You well Tedros thank you thank you very much indeed it's great to see you great to see Mike with you also by the way I don't think I've seen Mike since the day day before yesterday so it's I'm very

Pleased to to be with you and I'm I'm very glad also to have this opportunity to say thank you to everyone in the professional media who's been covering the endemic I think that by and large the world has benefited from

Professional coverage of a pandemic and I'm grateful to responsible journalists for their role in that so as Ted also said today we publish the third version of the UN Kovac 19 global humanitarian response plan for the first plan in

March we sought two billion dollars the may update was costed at 67 billion dollars and funding the plan we're releasing today will cost ten point three billion dollars and you can see there in a way as a metaphor for the

Explosive impact of the virus so I will run through the key elements of the plan itself but first and perhaps even more importantly I want to talk a bit about our estimates of the cost of doing nothing in these poor and fragile

Countries because carbon 19 and the associated global recession are about to wreak havoc in fragile and low-income countries and my message today especially in the run-up to the g20 finance ministers meeting to them and to

Other nations is that unless we act now we should be prepared for a series of human tragedies more brutal and more destructive than any of the direct impacts of the virus itself in action as tariffs and others have been stating

Very clearly in recent months will leave the virus free to circle the globe it will undo decades of development and it will create a generations worth of tragic and exportable problems but it doesn't have to be like that this can be

Fixed money and leadership from the world's wealthier nations and some fresh thinking we estimate that the cost of protecting the poor is ten percent of the global population from the worst

Effects of the pandemic and the global recession is about 90 billion dollars that's a less than 1% of the stimulus package wealthy countries have put in place to protect the global economy today's plan is an important part of

That solution for ten point three billion dollars it will help 63 vulnerable countries and cover the global transport system necessary to deliver the relief so why should wealthier countries fund this well my

Office working with the University of Oxford has produced the first comprehensive and detailed assessment of the costs of inaction and I want to highlight three of its conclusions first the human and economic costs of

Increased poverty and hunger the pandemic risks inducing the first rise in global poverty since 1990 at least seventy to a hundred million people could be pushed back into the extreme poverty category in addition an extra

130 million people could be pushed to the brink of starvation by the end of this year bringing the total to 265 million people a doubling of people facing starvation secondly there's the economic costs of protracted containment

Measures on education a protracted school shutdown of five months could generate learning losses that have a present value of 10 trillion dollars globally the average student losing out on five

Months of education could face a reduction of sixteen thousand dollars in lifetime earnings in present value terms school closures threatened not only education but also nutrition and they make girls more vulnerable for example

During the 2014 260 nebula epidemic in West Africa school closures led to an increase in teenage pregnancies of 11 percentage points in Sierra Leonean communities and thirdly there's the cost of increased global instability and

Conflict an additional 13 countries are projected to experience new conflicts between 2020 in 2022 relative to pre-pandemic forecasts if that materializes global instability would reach a new 30 year peak conflict is

Expensive the minimum cost incurred during an average civil war to both host and neighboring countries has been estimated at approximately 60 billion dollars refugee outflows would likely increase

The World Food Program calculates the for each percentage point increase in acute hunger refugee outflows increased by two percentage points so let me come on now to the plan we're releasing today let me take the opportunity to thank

Hundreds probably thousands of colleagues across humanitarian agencies across the World Health Organization the World Food Programme UNICEF hundreds of NGOs who've contributed to the update of the plan for their work the main

Components making up the ten point three billion dollars our eight point four billion for country level responses 18 billion for global requirements including more than a billion dollars for humanitarian air transport getting

Aid workers in they're now getting supplies in and out and for our medical evacuation system for medical workers and aid workers working for international organizations who get sick there's 300 million dollars in

Supplemental funding for NGOs in addition to what we've got for NGOs in the country plans NGOs in fact benefit from something like 30 to 40% of all the resources directly and indirectly we have in the plan but we need an

Additional allocation for them to account for the fact that many of them face acute funding problems now and we have to keep these crucial NGOs in business because they play such an important role in the frontline response

There's also five hundred million dollars for famine prevention there's a serious risk of multiple famines later this year in early next year and we need to invest now to prevent that the plan obviously is only as effective as the

Funding it receives so far we've raised 17 billion dollars I appreciate every country is hurt by this pandemic but I do have to say that the response of wealthy nations who have rightly thrown out the fiscal

And monetary Rule books to present to protect their people and their economies their response has been grossly inadequate when it comes to helping the poorer countries and that is dangerously short-sighted the massive problem the

World faces can be addressed with relatively little money with a modicum of imagination and if we park the old rules to reflect today's unique circumstances thank you very much indeed thank you so much mr Lacock and thank

You w thank you mark apologies would you like to go say some more words dr hood no sorry my apologies for being too quick now we will move on to the question-and-answer session as I mentioned both speakers and

Already it's most because you've heard are now ready to answer your questions but they are also joined by dr Mike Ryan and dr maria von Kerr cough our regular experts now remember you can ask your question in any of the UN languages

As well as Portuguese please state your name and your agency and who your question is for however as I said we have so much expertise in the room someone else may answer now the first person I have on my list is Sophie from

The South African Broadcasting Commission Sophie could you please unmute yourself and go ahead thank you my question is directed to their second to the whu-oh director dr Tetris dr Childress tomorrow is

National elegy I just want to find out your message to get low for the word during this time where we are dealing with the problem of pulpit language and on the issue of the impact of this pandemic I just want to find out the

Speaker just pointed out that the wealthy nations must come on board are you getting a sense that there is political commitment to assist foreign nations in a true might be bar spirit Sophie that question is a bit garbled

But I think you were asking dr Ted rose and mr Laycock if there is now political commitment to help the nations that the less wealthy nations is that correct I really want to I've just got

Sophie we'll get back to you and we'll go to my next question I think you III got the first one I can say I can start the first one the second one was to mark I think about wealthy nations

What they should do so on the first one on its muddy bath day tomorrow as you say it Sophie and you know something that we can learn from his legacy especially being in this situation is what he had said which I would like to

Quote it always seems impossible until it is done that's very important I think considering what we are confronting with now it gives hope that we can defeat this pandemic so I repeat again the quote it always seems impossible until

It's done and as we said before it's never too late anything can be turned around but we have to push on with the courage and commitment that we have learned from

Madiba that's one and the second one is it you know something that I am reminded when I think about my diba is his commitment to health he was a very very strong believer of health for all of course it comes from his belief about

Equality so that also is very important I think when we build back our world it should be with real commitment to health for all to universal health coverage so these are the two things I remember which are very relevant to where we are

Now in our situation from Mandela from Madiba and thank you so much OB Sophie for that question and the second I'm not sure if Mark had had listened but it's in relation to marks statement mark are you

There thank you what you just said as well I completely agree with what you've or you just said so

I want to draw a contrast if I may between the global response for the 2008 nine financial crisis where there was good coordination a real stepping up by the better off countries through the g20 particularly in reinforcing the

International Monetary Fund and the World Bank to help the poorer countries I think there's an unfortunate contrast between that more we're seeing now this is a much bigger crisis and every country's affected by it but

Unfortunately we don't yet have a commensurate response from the wealthier countries in support of the poorer countries and our advice is that that's that needs to change if the whole world in two or three years time at multiple

Cascading crises and wonder why we didn't address them better because we can prevent the worst still there's no need for the world to see multiple famines stalking the planet in the next six or nine months but we won't prevent

It unless we act differently and I think it's timely to flag these issues ahead of the beauty of g20 finance ministers to encourage them to think about what more they can do in the way they acted in 2008/9 so thank you for your question

And for the chance to make those points thank you very much just just one cotton on the great day tomorrow I remember one great quote from from from the great man who said do not judge

Me by my successes but judge me by how many times I fell down and got back up again and I think that's where we are now with with Co with 19 and so many places thank you we all agree with that I now

Hand the question to Stephanie from Reuters Stephanie could you unmute yourself and go ahead yes thank you for taking my question yeah it's regarding an update please on the w-h-o advanced mission

That's been in China for a week now the two experts in quarantine but negotiating terms of access and a plan for the wider mission do you expect them to return to Geneva anytime soon and you expect a wider w-h-o that international

Mission to still get to China say in July or any other details on its composition as well thank you we're working towards towards all of those goals our advance team continues to engage with various scientific and

Health groups and Science and Technology groups in in China and we're also reaching out now to experts around the world trying to build in advance a team that can be proposed to go and carry out a later mission to implement research

Studies and with with colleagues in China it is going to take some time we're obviously with the arrival and quarantine of individuals and working remotely is not the ideal way to work but we fully respect the the risk

Management procedures that in place they're in there for for everybody's safety and for everyone's health and I think at this point it's unrealistic giving the timelines and given the logistics that we would expect a full

Mission to be going to the field in in July we could just in terms of the timing and in terms of pulling that team together this is going to be a multi team with many experts from a number of different countries with a number of

Different expertise errs bringing that team together and then bringing that team into into China to work with Chinese colleagues is going to take just from purely logistics and health risk management perspective weeks not days so

I would not like to put a time of arrival for the team but we are very pleased with the collaboration and on the ground and we would obviously like to see a concrete plan of action with the remaining gaps and the remaining

Areas that require further study in elaboration to be clearly elucidated and and to be pursued by that team with our colleagues in China in due course thank you very much dr Ryan the next person on the line is Costas from the Greek

Television station ERT Costas could you unmute yourself and go ahead please very clearly please go ahead my question in recent weeks about how the corona virus is transmitted through droplets and maybe the air I would like to ask you if

The transmission of the corona virus can happen in the auto fatal way and under what conditions and what is your opinion on the use of face shields and no masks that we see in restaurants and cafes thank you so I can I can start with that

Question but I'm sorry I'm gonna go back to Stephanie's question very quickly because I was just thinking of how she asked the question where she said if we are negotiating terms of access and I just wanted to touch upon that to say

That what's happening right now is a discussion between our w-h-o colleagues and our Chinese counterparts in terms of learning about what studies have been done what studies need to be done in that collaborative fashion so I just

Wanted to touch about touch upon that going to cost us this question about routes of transmission or transmission thank you for bringing this question up we get a lot of questions about transmission and people focus on either

Droplets or they focus on aera cells or they focus on fecal oral or they focus on lots of different modes but I think what we really need to be thinking about and Mike you may want to touch upon this we need to think about not only how the

Virus transmits in terms of whether it's these respiratory droplets or aerosols or fecal-oral but when it transmits in terms of the course of the infection from an individual and where transmission occurs

And that means the setting in which the virus has an opportunity to pass from an infected person to another individual and that we need to take into consideration the context the intensity of that contact and the duration of that

Contact and I think we need to start thinking of it in that way because there are so many different ways in which we can minimize our risk and in many situations prevent transmission from moving from one infected individual to

Another with regard specifically to the fecal-oral there are some studies that are looking at sampling stool in infected patients and many of those have found RNA fragments through PCR testing not viable virus or infectious virus but

Fragments of the material of the the genetic material of the virus itself and there are a lot of people that are looking at the possibility of a fecal oral transmission we haven't seen that demonstrated but it is something that it

That is that scientists are looking at but again just to reiterate that there even though we find RNA in stool samples it doesn't mean that that is infectious and it doesn't mean that that someone can transmit between the infected stool

To another individual thank you very much doctor thank you dr Ryan Scott something double no just again back to the the general message from Maria which i think is important again it is really important that we continue to pursue all

Of the knowledge regarding the various potential modes of transmission of this virus so that we can continue to adapt the various control measures we also almost need to ask ourselves what does this mean in our daily lives what does

This mean for our day today ability to protect ourselves and protect our families and I think within this we need to continually reflect on the settings that we put ourselves in the situations in the context their

Danger is all about context it's all situational and being situationally aware having situational awareness where am i what group am i in is this a safe environment for me for my children for my family can I reduce the risk of this

Environment so it's all about the setting it is about the duration you spend on that setting and it's about the intensity of the activities that you participate in in that setting and with you get into a particular setting a very

Overcrowded situation with in an indoor environment and and effectively all bets are off because so many of the modes of transmission come into play the the aerosol route the airborne routes the for might or contamination routes so so

The more in close you are to other people the more you are inside the more the activity is intense or involves very close social contact the more that multiple modes of transmission come into play so in that sense it is about you

Understanding your risk it is about you managing that risk and being aware of the situation that you find yourself in personally and reducing that risk for you for your family for your children or for your community it is important as

I've said previously that governments communicate those risks very very carefully and it is also important that providers authorities and others ensure that those environments are as safe as possible and that the risks are also

Managed and we don't know what the perfect combination is of interventions but what we do know is if individuals and communities are very aware of those risk very aware of the virus transmission in the area if the

Authorities are taking action to ensure that people are safe safe in schools safe and restaurants safe and buildings and if all of that comes together in an organized and an understandable way for communities in the Maine those countries

Those areas control this virus so it's not one thing it's not just about the the the issue of masks or it's not just about the issue of hand-washing it's not just about the issue of lockdowns or stay-at-home orders or

Anything it is a combination of measures in which the community in partnership with each other and in partnership with the authorities come to a sustainable way of controlling and suppressing the transmission of the virus and living

With the virus in a way that normal human activity can resume in a successful way and I think it's it's very important then that science continues to further understand the dynamics of human transmission to see if

Any adjustments need to be made to those measures thank you very much dr Ryan so we now have a question from Antonio from the Spanish news agency FA Antonio please go ahead and mute yourself and please go ahead

Antonio are you there I think we have you're there okay please go ahead sorry okay I will make my questioning in Spanish maiya module attenzione and el discurso de senior loco que I mean Fiona dokie

Trespassers Andrea's got a conflict Oh Estados mil Bandidos in a settlement Mary does know gustaría severe koalas on a so stress hype is SE que tipo de conflict owes a frontal conflict those poor poor source a cDNA M masking for

Matthew Burke Mary Mother Latin American concrete Oh so that was a question for mr Laycock mr Lukic did you get that the question was there are certain countries are you got it all okay over to you I got it thank you so much

Yeah well what we will do is we will send you there's got a lot of detail about this so we'll send you some detail in paper following on but the basic point to understand is they're these huge economic and social pressures that

People are facing and the decline in availability of basic services health services and so on and to the fragility and the stresses and they drive as a conflict what we've seen unfortunately really over the last ten years on the

Planet is lots of pressures accumulating in different parts the world obviously in the Middle East across the Sahel in other parts of Africa increasingly in other parts of the world as well which are unleashing very hard to control

Forces opening up the space for conflict and in some case cases opening up the space for extremists to operate conflicts all have causes they have origins and often those origins are in part economic or resource-based

What we know about conflict also is that when they start they're very hard to stop and they have consequences way beyond the places where they start and you know one of the big messages we're trying to convey through this cost of

Inaction report that we released alongside the update of the humanitarian response plan for Kobe 19 is we are seeing all those drivers build up and pile up and we know that that has consequences thank you and maybe I could

Supplement mark because our team's work together every day when we look at countries in in humanitarian context and those countries deeply fragile and vulnerable through the processes that Mac refers to historically over the last

Number of years seventy percent of the high impact epidemics around the world occur in those settings and that's where we end out end up operating a lot of the time like we have teams in Congo today four teams in the field for one and a

Half years being for all over the world so in that sense the health security of the world is threatened by the fact that there are not strong surveillance and response systems in place in these fragile settings that's a threat to the

People in those areas and that's a threat to the world so as the cost of doing nothing and the cost of non-intervention is not just in the areas it is a global consequence of inaction and we really need to look at

That secondly when we look at our collective goals in terms of reaching the sustainable development goals and bringing better health and social justice to the world the fact is that's there's the highest rates of maternal

And child mortality are occurring in these same countries we will not reach our goals on childhood mortality on maternal mortality we will not reach our goals and immunization for the world unless we learn to do better in

Supporting these countries in conflict in deep fragility so therefore it is there is a massive cost of inaction both on Kovac but on so many other things in these countries so we stand with mark and the interagency

Standing Committee and our UN partners and really highlighting that the issues are rising the long-term issues arising in conflict are not only impacting the people in those areas but have a major implication for the rest of the planet

And it is in our enlightened self-interest to address this this is not just the right thing to do it is the smart thing to do thank you very much mr Laycock and dr Ryan we now have Byram from Angelou the Turkish agency

Byron please unmute yourself and go ahead different reports about whether or not people can be infected with co19 after getting device and then being cured what is the W chose current thank you so

Much thank you for the question yes this is this is an important question that we've been asked quite a lot lately in terms of if someone can be reinfected with Cova 19 so what we understand this is a this is an area of

Active research by scientists all over the world clinicians all over the world what we understand from people who are infected with the SARS Co v2 virus the virus that causes kovat 19 is that they will develop an immune response they

Will develop antibodies neutralizing antibodies and an immune response that will provide some protection against reinfection what we don't know right now is how strong that protection is and for how long that protection will last and

We need answers to those questions to be able to determine if someone can be reinfected after that immunity wears off so this is an area of active active research for the specific SARS Coby – virus we do have some answers for other

Corona viruses the MERS coronavirus and the SARS one corona of Caceres Co v1 corona virus which emerged in 2003 indicating that people have an immunity that lasts over twelve months or so and maybe even

Longer and we have some results from the human coronaviruses the common cold corona viruses that circulate the globe regularly and your protection lasts a lot shorter than that so we don't have a complete answer but it is an area of

Active research and I should say an active collaborative research all over the world you very much dr Vanko and dr Ryan now we have a question from Bianco from Globo in Brazil Bianca please go ahead

Unmute yourself and please go ahead hi Margaret can you hear me very well Bianca please go ahead many thanks for your attention for taking my question so journalist from global news in Globo TV Brazil I I know that Brazil's between

The 63 countries that mark LOCOG mentioned where people need monetary assistance so I would like to hear from mark how concerned are you mark with the situation there in Brazil and from dr Ted Rose or dr Rai and if they can give

Us an updated general view of the challenge Brazil is facing now with more than 2 million cases thanks a lot ok this one's for mr Laycock so we'll go to mr LOCOG first and then we've got

Some things to say in the room too well thank you very much the main activity of the humanitarian agencies which I coordinate in Brazil relates to support for Brazil in the way they are helping people who've left

Venezuela and Brazil like Colombia Peru Ecuador a range of other countries is taking a large burden of supporting helping support millions of Venezuelans who for reasons everyone's familiar with have in recent years left

Their country now it's probably important for me also to say that we recognize that Brazil itself has a very substantial problem and I know that Ted Lawson might we'll talk about wh OS perspective on their and their support

And so on but what the humanitarian agencies do is focus their efforts countries so Brazil country obviously which has developed a lot over recent decades as typically not needed assistance from humanitarian

Agencies in the way say some African countries or some countries caught up in conflict have done so we did not at the moment and we hope we never need to have a strong engagement of the humanitarian agencies in dealing with a crisis in

Brazil because Brazil has built up a lot of capability of its own through the process of development so I think that's probably what I can say on this topic but I know that Ted Wilson might will have other things to add

You know I can make some some general points again the the number of daily cases has stabilized between between 40 and and about 45,000 so we're not seeing the the daily increases that we've seen possibly through the month of April and

May we saw a very high rate of increase and coming then into to mid-june and into July we see that plateau occurring but what's not happening yet is that that disease has not turned and is not heading down the mountain so from that

Perspective the numbers are stabilized with what they haven't done it started to fall in a systematic day-by-day way so Brazil is still in the middle of this still very much in the middle of this fight last 24 hours I think over 45,000

Cases with 1322 deaths overall about 11 percent of cases one in more than one in ten cases in Brazil as a health care worker which is in itself a traffic tragedy and dr Chad was referred to that similar as situation in in in in

Spain so our health workers are paying the heaviest price the health system the reproductive number overall in in April and May the reproductive number was quite high it was over 15 and in many cases over – in other words each case

Was generating two or more other cases that in general across all of the regions are stabilized now and it's somewhere between 05 and 154 across the different states so the the virus is not in the sense doubling itself in the

Community as quickly as it was before so the rise and Brazil is no longer exponential it has plateaued but that cases and debts continue to occur and there is absolutely no guarantee that that will go down by

Itself we've seen this in other countries there is a plateau there is an opportunity here in a for Brazil to push the disease down to suppress the transmission of the virus to take control up to now in many

Countries including Brazil the virus is being in charge the virus sets the rules we need to set the rules for the virus and there is an opportunity once those numbers are stabilized to drive transmission

Downwards and I think that opportunity exists now for Brazil to do that but it is going to take a very sustained concerted action in order for that to occur and we wish the authorities in Brazil we wish the frontline health

Workers every success in doing that and whu-oh and Powell will be with them every step of the way in doing that thank you very much the next question comes from Dina RB Saab who represents who writes for a number of outlets in

The Gulf states Dina please go ahead with your question Dina can you unmute yourself please and ask your question we can't hear you okay Dina we'll come back to you and we'll go to our next person the next

Reporter is Katherine from Katrine from France and Cara please go ahead Katrine yes Thank You Margaret for taking my question in fact this is a very precise questions regarding some research made apparently in Israel

Regarding medicine powder that could block some of the infection but through the nose it is apparently a powder based on intra nasal product it's an intranasal product that could block the droplets to enter through the nose so do

You think that it is an interesting research is it efficient is it part of the different treatments that you are looking into thank you I think we need when I'm not personally aware of such a product in Israel and we certainly need

A lot more information before we could make any comment but what have been developed in the past and there are a number of the the nasal pathway and many of us use nasal products in the winter one where people have colds or flus and

We can inhale certain products to relieve symptoms so there's a difference here between symptom relief and treatment of a case or prevention of a case and there are lots of products out there that are intranasal that allow

People to achieve relief when they have colds and flus and I'm sure many people are using them during the era of kovat there are various other therapeutic products that can be developed delivered through the

Intranasal route and i know some companies for example i know that company Gilead is currently trying to develop an intranasal or an inhaled version of its of its drug and i know also on the vaccine development front

That there are vaccines currently being under development that may also be delivered through the nasal root so there are potentially promising intranasal solutions but in a sense we have to decide if drugs or vaccines are

Best delivered by oral by injection or by inhalation or by intranasal routes but certainly i'm not aware of any particular powder or any particular medicine from Israel and we would need more information before making a

Specific comment on that thank you very much dr Ryan we now have Michael from CNN Michael please unmute yourself and go ahead good morning from British Columbia can you hear me very well welcome to Geneva

Thank you for taking my question question for Marquis cannon Markham I have to salute the work about you and your colleagues I've watched a network up closely as a UN worker and as a journalist so you have some of the best

In emergencies my question is the following and I think it overlaps with an earlier one a bit but it seems to a lot of us tracking this that complex are not only lasting longer there are more lethal and I know today for example is

The sixth anniversary of the downing of mh17 in eastern Ukraine and that conflict has lasted six years killed more than 14,000 displaced million millions but why is that danger factor that lethal factor much much

Bigger these days than before thank you very much if mr look please go ahead yes yeah thank you very much so you're right in terms of what's happened I mean you you use the example

Of eastern Ukraine the conflict in Syria is nearly ten years old now longer than the first and second world wars combined the Yemen conflict is more than five years old the internal conflicts in and around the

Lake Chad basin have been going on for many years why is this happening well it's I think it's largely a commentary on the state of geopolitics frankly that the world was much better more capable ten fifteen years ago in dealing with

These kind of problems both preventing them and then when they did occur resolving them then it is in the current era we see that particularly also in the Libya crisis where what we've got as we have with some of the others I've

Referred to is not just an issue inside the country we have multiple external partners taking sides and engaging themselves and this is the biggest driver of the huge increase we've seen in humanitarian suffering most

Humanitarian suffering these days arises not from earthquakes or typhoons or floods natural events it arises from human actions and the world needs to get better resolving these problems now of course as I said earlier there are

Underlying drivers political economic environmental and one of the things that we're also seeing is more conflict related problems which are driven in an underlying well made worse an underlying way by resource pressures now the only

Way out of this set of challenges is firstly to contain immediate problem that's where humanitarian systems comes in and the world has a very good humanitarian system which reaches more than a hundred million

People a year and certainly saves in as allies a year and prevents Dom conflicts spreading even further and they go public vans being exported even further but beyond that what the world needs to get better at again is peacemaking and

Peace building and crucially development it's evident that it's much less common these days and it used to be in previous human history for there to be conflicts affecting the better off countries so the path out of this little period

Wherein unhappily globey at the moment is very fundamentally related to development and especially the achievement of the sustainable development goals in the meantime the humanitarian agencies need to be

Supported to relieve the suffering of those people who through no fault of their own accord up in crises and avoid them spreading further thank you thank you very much mr loekle do we have anyone in the room who wants to add so

Our next question comes from Peter from European news agency Peter can you unmute yourself and go ahead can you hear me now hear you very well Peter please go ahead my question is addressed it more in general because several

Studies have already indicated that antibodies become inactive there are studies in in Belgium and in sustain that have already indicated that the antibodies leave the bust bloodstream within a matter of months so that also

It would imply that the herd immunity and the T cell immunity is unlikely to work that's a bit scary so why shouldn't we not address our narrative a bit more towards informing public that this pandemic is going to take us at least

Two to three years down the road and what would the WHL could do in order to bridge this period from now until there is a vaccine which is unlikely going to be there before 2023 thank you so thank you for the question

I'll start and I'm sure others would like to add here so you you have a number of questions in your and your question that you posed to us and in your statement here we there are a number of studies right now that are

Looking at the antibody response whether this is a neutralizing antibody or whether it's a t-cell response that's not the same type of antibody response the data that we have is very preliminary we mentioned the other day

That there's three studies that are available there are many studies in preprint which means they have not gone through peer-reviewed publication and there are hundreds literally hundreds of other studies that are underway that are

Looking at the antibody response whether it's neutralizing antibodies or t-cell response a cellular response among different individuals people who have had mild infection people who have had severe disease people who have developed

No disease at all are these asymptomatic cases and what that actually means we do have as you say we do have some preliminary data that suggests that the neutralizing response may not last for a long period of time but we do need to be

Careful about drawing too many conclusions from some preliminary information what we really need is to do these longitudinal studies where we follow the same individuals over time and we actually measure the neutralizing

Antibody response and ideally a t-cell response which is actually a much more difficult study to conduct and can only be conducted in a few countries in the world right now and we're supporting countries to be able to do these types

Of studies follow these individuals over time and collect samples over many many months and actually look at what that that protection looks like but as you say there are things that we need to do right now to be able to first of all

Prevent those infections and we have outlined since since the beginning of this pandemic a number of different ways in which people as individuals can prevent themselves from getting infected prevent themselves

Infecting others you know who may be of a more vulnerable population and developed severe disease what governments can do to outline this all of government all of society comprehensive approach and these are

Steps these are tools that we have right now we must use these tools right now while there is this development accelerated development of therapeutics and safe and effective vaccines which will definitely take some time but what

What I want to just caution is to draw too many firm conclusions from preliminary results I think we do need to prepare ourselves as you say with the information that we have and ensure that we have a comprehensive system in place

To find cases test cases isolate cases carry out contact tracing ensure that contacts are quarantined make sure that we have appropriate and adequate care facilities for individuals who need care for kovat and for other diseases so that

We empower our community so that everyone knows what they can do to prevent themselves from getting infected focusing on public health measures with the hand hygiene the physical distancing wearing a mask where appropriate all of

These measures need to be put in place now thank you very much doctor thank echoes so we're coming up to the hour we've got a lot of questions and I apologize for all those who didn't to all those who didn't get their question

Asked but I think we'll have to make this the last question and it goes to Musa from the Geneva press corps Musa please unmute yourself and go ahead IBM XT – on a stick Seeley pay event the g20 the CPAP a ye o

Ke become one the SCADA Monday Cancer Association on say PE PE PE on development instructor on a fake own evil economic social Aid Society merci I think that's a question for mr Laycock thank you very much indeed let

Me start by saying a few things about the set of problems and challenges that countries in the continent face as a result of the Kovach pandemic the first is economic they're affected by the global economic contraction and some of

The measures around lock down and so on have affected them as well so there are large numbers of people now in the continent for whom it's harder to make a living than it was before the Christ's sake and Lee they're affected by what we

Observe as enormous pressures on the health system immunization rates they're probably the best investment to save a life is to vaccinate a child against the killer disease immunization is under pressure is not being sustained in lots

Of countries malaria prevention control is under pressure it's harder to sustain basic services for pregnant women and for new newborn children HIV prevention treatment it's is getting harder to sustain as well in addition we're seeing

A plague of gender-based violence a global plague actually not just in developing countries but in other places but women and girls in poorer countries are suffering from that as as they are in other places now what we want to see

Is support to African countries who don't have the same resource base as some other countries elsewhere around the world we want we want to see more support for them as an act of human empathy and generosity but also in the

Interest of the wealthier countries and we have seen some generous funding for our humanitarian response plan for Cobie 19 as I said early we've raised 17 billion dollars so far but we need to raise a lot more and the basic problem

We have at the moment on the humanitarian side is needs growing very dramatically yeah I think there'll be a need for 40 billion dollars worth of assistance to protect 250 million people from humanitarian

Crisis this year the needs are growing very dramatically and although the funding is growing too the funding is growing very slowly so the gap between the need and the funding is growing but we're also seeing another compounding

Problem which is that more countries are coming under economic stress and are being dragged down into the category of that countries which has humanitarian caseloads and people who can't survive without help and that's where I really

Think the g20 need to step up to resource the international financial institutions the IMF and the World Bank and other institutions better to help more countries come in to these acute levels of crisis and the rules get

Changed on the basis of which the international grants institutions support those countries so the money moves faster more efficiently but crucially most of all to the countries with the biggest problem thank you

Thank you very much mr Lukic and dr Ryan Scott let me go back now just to support what Marcus said and and in the particular context of cope with nineteen many countries are really taking a huge impact on the humanitarian front on the

Development front on the Health Systems front and this causing huge strain on overseas aid Oda and and donors who would traditionally be supporting development of health systems are strained by that because governments are

Also trying to take care of crisis at home so equally humanitarian donors in the same situation and I think while trying to sustain overseas development assistance and aid and humanitarian intervention I think we also need to

Accept that supporting countries in for : 19 in humanitarian settings or in fragility or supporting humanitarian response in general in those settings it's not just a humanitarian issue it's not just an inter

Development issue it is now globally about continued economic prosperity on this planet because unless and until Corbett 19 is controlled everywhere it is a risk everywhere and it will continue to threaten the world

Economically it will continue to threaten the world politically until we get rid of this virus or bring it under sustained control therefore we cannot ignore the fact that over two billion people live in context of poverty

Exclusion fragility and extreme vulnerability it is not purely a development or humanitarian issue and neither is a purely an economic issue it is an issue of global security it is about global health security but

Ultimately if not managed and if these contexts are not stabilized and managed they themselves will worsen conflict and will drive further instability and I think it's time and markers laid this out very very clearly in the documents

That he is and his teams have produced this is much more than a development and humanitarian issue and the world needs to wake up to that reality if we want to effectively deal with covert 19 going forward thank you very much

Dr Ryan okay I will now close proceedings but dr dr Ted Rose has something to say I will first apologize for some of the problems with the sound and with this live streaming on social media but we'll make sure that we get

They we will post it all on the web and we'll send you the links and we'll also provide the transcript now hand over to dr dr Ted Rose to close proceedings thank you Thank You Margaret at the beginning of

Today's briefing I caught the remarks made yesterday by the Spanish nurse Aurora Lopez one of the other speakers at yesterday's memorial was fernando hernandez callahan who lost his brother to covet 19 i want

To finish by quoting him this is what he said more than kindness more than love compassion is the emotion that most makes us human compassion allows us to understand the pain of others they're thwarted aspirations

Their sadness that's why I'm asking today for your compassion I want to eco Fernando's call to the whole world more than anything we're asking for your compassion this pandemic can only be defeated when we unite and

Through compassion thank you and have a nice weekend and thanks mark also for joining us today thank you and all those online for joining thank you so much have a nice weekend

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