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tv   The Stream 2020 Ep 101  Al Jazeera  June 30, 2020 7:33am-8:01am +03

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they with us as countries begin easy coronavirus restrictionist scientists warn of a 2nd wave of infection in the last few. neighborhoods and many feel the economy is be prioritised about human life. people come here to the public and they are here because i can cut like you think we bring you the latest developments from across the globe coronavirus content special coverage on al-jazeera. can you watching this train today we're going to be looking at coronavirus and children a mother to see seems to impact children in a different life in the way that it impacts adults packing about 19 and kids oh yeah i spoke to tell me and today even my 6 and 7 year old nephews in london i
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asked them what would you like to ask our expert panel is have a listen. why don't we i would play for our friends again. why do i do not get no one tonight that's a question that big kids who i know would like to get it what it does i want to know when i can play what friends again. we're getting what made well thank you amy i am sure you have questions as well if you're watching on you should jump into the chat and you can be part of today's conversation. i am going to say hello to the guest the guests will say hello to you and up to the he me it is great to have you back on the stream introduce yourselves to our international audience. my pleasure for me thank you for having me my name is dr
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yunus of defections disease physician but 20 years working in the cool of the frontlines good to have a double to angelenos lovely to see you tell everybody who you are. thanks for having me here today sammi i may actually rasmussen i am a viral objects to columbia university i study the host response to viral diseases including sars coronavirus to work overnight and today i'm here to talk about biology and susceptibility great to have your expertise in our conversation and dr neuron and welcome back to the strain remind everybody who you are. thanks for having me for me i'm a general peterson in a small town in washington state for the last 20 years and obviously i'm seeing kids that either have disease or whose parents have disease and so i think that's more what i'm here to talk about plus probably answer your niece and nephews question so. many many many questions this is. what is and this is this is an entire showed
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a question that he asked and i'm going to start if he doesn't ranch i'm a little with the covert 1000 cases all around the well it seems like children immune to the disease why a lot makes them some different that they can get a common flu but no sign of the kovac 19 fire risk what if you see with the kids the you can treat. well i will say they are getting sick and they are getting symptoms the hard part is they're not testing positive so you soon when 2 parents test positive for kovan 1900 if i have a family for example with 8 children and even though all 8 children don't have symptoms it's assumed when one of them is 103103 degree fever that they most likely have disease. and again we just can't get the testing to be maybe as accurate as we hoped so in a nutshell kids are getting it but i think what is probably happening is they're not getting a sick you know up to about 10 to 15 percent or asymptomatic and the question is
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whether other spreading the disease and in reality i don't really think they're as likely to spread it as the adults and we think that you know there's something different about the fact they have been exposed to coronaviruses recently and so they have some cross immunity where there's something different about those specific receptors you're going to hear a lot about a stew or suckers which is the receptor that the virus gets in and then makes copies and sends copies out into the body of the virus and there's got to be something different about their receptors and surely that is not making them immune but making them maybe protected from getting as many complicated. to feed the the loss of ideas out that will want to use settling on to any sections disease specialists so cate's uncovered 19 and not seem to be as sick as adults why. number one nobody is immune i think that we need to be very clear that that's a very dangerous a.v. this is a novel minus everybody's susceptible and whether you're one day order 100 years
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old the outcomes could be very different because everyone is susceptible so i think there are there's a lot of confusion but still there is a lot that we have understood and discovered about this virus in the past 6 months we know that this virus is primarily respiratory we understand that some of these symptoms can be. in other body systems we also know that about 80 to 85 percent of the patients will heal by themselves at home so that statistic has been validated over and over again in holland and it in the new york we know that about 5 to 8 percent of the people will end up in hospital and nobody really knows the mortality but there is a broad consensus now there is going to fall some get around one percent we also know that the vaccine is on the horizon so i think there's a lot of good news the top and we are discussing today unfortunately we don't know a whole lot about with this is aware there are a lot of questions but once again i must say good stuff is less than 5 percent of
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children are getting hospitalized to give you some data points 22 percent of u.s. population is under the defeat but if you go and ask any large hospital today about 457 percent of all their covert admissions or under the age of 15 so we know that they're not getting as sick we know that the death rate so far again it's all evolving it's but. we know that the is symptomatic really is so i look at them as the beautiful innocent population they are i think we adults have to get our act together and kids will be fine. and include this 2 year and this is from zanny who is watching right now. is it true that children are at a low risk of turning into. a great mixing supply or ties adults for the vaccine when it comes out. i think that's an excellent question it kind of gets right about
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what we were just talking about and that children do appear to be less susceptible to severe disease adults are much more at risk of coming down with severe disease and we don't know why that is it may be that children have a different pattern of the receptor receptors that doctor and sense maybe that children are responding to infection differently so one thing we know when adults is that. severe disease is associated with out of control inflammation something we call a cytokine storm which means basically that the body is responding to the virus in an exaggerated and i'm controlled fashion and that response itself is what's harmful children are not as likely to have that type of response so it does make sense that we might prioritize higher risk individuals such as adults for a vaccine when it comes out but that's not to say that children should not be prioritized because some children do become very sick it's more rare however
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children are not completely immune to this virus and they are susceptible to contracting the virus as well as to developing severe disease from it so we do need to be careful on once a vaccine is available how it is rolled 'd out but it may make sense to prioritize adults and households before children to stop the spread and protect the people who are most at risk doesn't i'm just wondering who would you even he have a child a vaccine in the early days we can't be a risk associated with that i'm just wondering how many of the chinese have in them even. so far i haven't seen any trials that have chips in them i'm not i don't think we in general really research we don't start out with children and you know it's an interesting question because to compare it to the flu for a 2nd the flu vaccination is decreases mortality in children from the flu so there's a really good reason to give it even if it's not the most effective vaccine at preventing disease. it's really effective about reducing child mortality or death
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from the flu and in a disease where we don't have a lot of hybrid salary right as the other doctors on here are talking about where we have a really much lower risk of severe disease to be honest with you i think we should be cautious obviously i don't have the answers to this exactly but i certainly would be reticent to lean with vaccinating children only because they their mortality rate is much much lower than the popular than the older population who's really at risk. teens i want to put this one to you this question from. how does occur and if i was affected malnourished children in the developing well it's because children will overwhelm us acceptable as you say no one is immune so if you maybe are not getting all of the new. if the hatch you come from a part of the wild where even basic facilities
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a quite hot basic infrastructure have you seen any i read any details about how that may well affect its. yeah i think if you broaden the question a little bit and include all the vulnerable populations whether they're refugees home this children malnourished of course so then to be at much higher risk we don't have specific studies looking at it but we have enough data that this is like the co-morbidity o's earlier thinking that children are going to likely to do well because they have less risk of diabetes cancer heart disease all of the co-morbidities that to me is going to be a co-morbidity and yes you will see. a lot of this the problem once again is going to be all of those kids going to have access to testing and hospitalization and all the other support systems so that worries me. and let me share this headline with you guests in an audience as well ran multisystem inflammatory syndrome in children 1000 coronavirus we saw this headline
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a little while ago when everybody was so shocked because up until that point we were told well it doesn't really impact children not much and and they seem to be quite resilient and and we've had lots about children and not about them being impacted by coping 1001 what more can you tell us that's. so this is really what i raised out so this is really what i was just speaking about is that oftentimes a severe disease is associated with is out of control 'd and you're an inflammatory response says and we don't understand the basis of this at all but some children do appear to be susceptible 'd to experiencing this type of response to being infected so we don't really know what what makes one child more likely than another to develop that type of rare. system and slam a tory situation like. a disease like states but that is something that we're going
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to have to look into more carefully i'm so that we can better identify and potentially preemptively treat children who are at risk of developing that condition doesn't know and i'm you know 100 girl or cocoa go ahead i'm about what i can hear you. look like what are the symptoms that they are presenting so i was just to piggyback a little bit on dr angela's answer to peterson's are well trained to look for callous sakis disease i always say i never let the sun set on 5 days of a fever higher than 101 without working up now sakis because it's it's always in the back of our mind as a possible complication of illness and so the good news is at least for families that are listening out there most board certified pediatricians across the country are already aware of misc which is the multi system inflammatory disease and watching for it and then were well used to watching for signs of callous archy's
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disease anyway and i know there are different entities but it's something that we're familiar with and we're keeping a close eye on and so anyway just to get you back that and then what was your question just wondering what to keep shooting for the 19. right so well there's not really any treatment per se other than reassurance but in a nutshell they look like they look similar to the adults in that i'm seeing fevers i'm seeing some of the older teenagers more are reporting short of shortness of breath the younger generally aren't they have runny nose coffee or some g.i. symptoms. but as you get closer to adulthood say from 15 to 18 the kids that i've seen that i'm pretty convinced you have disease and have significant exposure history those kids are short of breath ears and cough and they don't look well you know i mean they look like they don't feel well and then obviously there are some that are asymptomatic but again that's kind of not necessarily the norm. i want to
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go back to. tell me who's 7 years old and hasn't been to school for a couple of months now he's in london and they had no down messages and tammy was really concerned about schooling and he had a couple of ideas so let's go back to tammy and have a listen to the still to that's when when they try and. i can school and why anything i get it and and all the same that why are they going to prince to look easy and be not she says she does will be pleased to have using without any honor making gag. this is a big question no it doesn't mean that you get other with the well when do we send the kids back doesn't have a nice thing to pick up. this is probably honestly the most important question right now at least as a pediatrician in my mind it's something that i spend a lot of time thinking about and i think is critically important for the youth in
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america the american academy of pediatrics 2 days ago came out with a statement that we absolutely must per ties getting children physically back in school and i actually i completely agree with them i think they were losing out on interacting with each other social i'm missing out on academics going back into being taught people who have been trained to teach i've done my best but i'm not a teacher and so i highly respect that profession and we need their help. so in a nutshell i think we need to head back to school and i think what we need to concentrate on is the fact that we need to minimize adult to adult interaction that's probably the most important part so minimizing staff meetings minimizing staff interaction where we can minimizing or staggering drop off pick up times for children their parents are standing with each other waiting for kids and talking in spreading disease and often on each other and maybe go back to some traditional schooling so so what's called cohort ing children in the classroom meaning if this
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1st grade classroom they eat lunch in their classroom they have schooling in their classroom their desks need should be roughly 3 to 6 feet apart the american academy is more concentrating on what's practical so maybe that 6 feet barrier isn't practical obviously where it's appropriate universal face coverings or face shields and in on children their disabilities if they need to see faces or read lips and so really you know working with some common sense solutions and that way if one classrooms in fact did that classroom is going to be interacting with each other yes that's not ideal but then they won't necessarily spread it to the entire school so cutting out assemblies maybe having chance take a. recess in the so according to their group meaning the 1st grade gets out then they go in the 2nd grade you know and i mean sort of taking each classroom and having them on their own schedule to avoid interaction with other classrooms and it's not in her fit but again i really based on what i'm seeing on the ground it's adults it's adults who need to have 1050 that are spreading disease more than
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anyone else and we're seen those numbers go up even double in some places since memorial day and i think children are far less likely to spread disease and the reason i say that is i have been testing children's noses for years for various diseases are as the flu exciter i've never had problems getting positive tests i really haven't had a positive just yet and i know these kids have disease so if they don't have it growing in their nose and they sneeze i think that sneeze is less. dangerous than an adult that doesn't even you have such a glamorous job of testing children's noses i'm almost tennis to i'm sure that there aren't religionist and. how big 19 should schools be opening with kits. so i think this is a really difficult question to answer because i completely agree with that turnaround assessment that we do need to get kids back in school we need to be able to safely open our entire communities actually it's not just schools we need to be
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able to figure out how to move forward reopening businesses making it safe for people to resume their normal lives one thing though that that's not clear to me is actually the risk for spreading of between children specifically so there are a lot of conflicting data about this study last week suggesting that children are not able to spread or they are having susceptible as adults to contracting the disease which suggests that perhaps children may have the opportunity to interact with each other more however there's also data suggesting that children do. have comparable ranges of viral loads meaning the amount of virus that is detectable in their noses compared to other categories of adults so including the highest risk adults ages 8 class so there's really a lot of data that we still need to gather about how capable children are of all contracting this virus as well as spreading it's other people in their households
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and my thoughts in general about schools is that they really need they are not a bubble they are not separate from the rest of society so we really need to think about ways to reopen our entire communities and not just our schools making it safe for all children and adults to be going back to business and interacting with each other in a safe. as low risk as possible way i want to bring in wolf sort of before i go back to delta he says this is delta poonam christian she is a g.p. in the national health service in the united kingdom she brings up so it we haven't talked about. yet so far if your children have been impacted from the city's complications of coronavirus in comparison to adults however moving forward the biggest crisis i fear in the open to face is that on children's social and mental wellbeing they've been taken to prolong periods of time from school away from their
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friends from extended members of family and potentially been living in very stressful environment and this is going to take a long time for the impact of this to unfold so really the governments charities need to work together to provide more support for children when they get back to school but also we need increased funding to be able to support the mental health services that are going to be looking after the aftermath all of this will bring. dr yunus is an infectious disease specialist i'm just wondering if you ever seen anything quite like this where we've asked at kids to stay away from each other stay away from school for such a long period of time what wisdom can you give to parents to teach us to families who are looking at the children who are missing the france. sure 1st of all let me make a statement that we doctors make completely but. this is a very fluid very difficult situation at the same time this is a group that cannot all of us advocate for themselves so i think we have to be
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really much more sensitive about making sure we're making the right decision for all of our children in terms of their mental health i agree once again that children don't live in a bottle 1st of all they need to forest make sure what our children know or have conversations or listen to them video games are one thing but parenting is a little bit more than every time i've had a conversation with my little ones i've been surprised more than what i expected number one number 2 once you listen to them let's just be very careful not to insert our biases into them we are let's accept a very polarized society right now and even agree on science and i think it would be a real disservice if you stored it into treating our children but those that ringback we have to make sure that they respect science that we keep our own biases out of that number 3 x. some perspective give them good information i think that a lot of silver lining i'll just give you one data point. multisystem inflammatory
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disease the 1st patient who died with that disease was in baltimore where i practice 15 year old in mid may and at that time 80000 u.s. deaths so i understand 80000 deaths and we had the 1st kid dying of that state so there's a lot of lightning and i don't like the comparison but but still influenza as field of 150 to 200 children every year or so based on what we know also for this may change so far things are looking pretty good and what we need to do is create some healthy atmosphere for our children so we should prevent. mental one more point out like to make is immunizations who trained immunizations let's make sure that we do not lose sight of measles mumps rubella because if you look at best effort that during ebola outbreaks the measle death rate or the number of measles cases go up because parents tend to mist routine that sedation so there is
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a lot of good work that we and do we should focus on what we can and do and spend less time on the unknown is there even we doctors. give some time for science to catch up. and question right mine is a teacher so ron has been watching and listening to you very kathleen my school is trying to do distance learning but not all students can do it due to the lack of tools like laptops cell phones etc dickerson herman's also worries and the loss of jobs and another question thought from. ryan and that it is about who should be careful and cautious about sending kids back to school before there is a vaccine and before that they ins why spike treatment action is that they're all they just in the conversation what are your thoughts here. i mean i think that's definitely something to consider given that that children again are not going to
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school and existing in some bubble where they're separated from their families and other people in their households so even though children themselves might not be at high risk teachers staff at the school and people within their families are potentially at high risk and sending them in without any type of countermeasures or intervention for somebody who may end up developing severe disease whether that be a child or more likely somebody in their home and this is especially apartment for people who are living in multigenerational households where there may be grandparents or or people who need full time care in their homes and would be at a very high risk. of a severe complicated. disease if they were exposed to it from a child so if there's no vaccine no therapy at bailable 'd to treat those people are protect those people it is a significant risk to send children back to school 'd even though they themselves
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might not be that the ones who are at at the highest risk i wish we had another half an hour because i have so many questions a new chief lawyer is out and spreading in a student's matching flat that's as much time as we have i'm keeping your questions . to eunice started as missing and up to that i'll add to that we really appreciate you being on the center and friends who will be stamping and sending only to know about 19 children that's watching everybody see you next and this is. an image change the way we see the womb if we had not seen the years we quickly tell about it it could spark mass action or serve the interests of the powerful he created that money for taking. oh opportunity if that can obscure the truth this is a legitimate news story but this is it and the talking points are pretty intense if
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it can forge narratives or rewrite the listening post gives you the full picture of . the latest news as it breaks this crowd of hundreds of people didn't come with invitations they came to pay their respects to george floyd with details coverage the government needs to balance the needs of the economy with a trace of the virus returning. from around the world organized crime is now beginning to try to play the role of robbing and like giving away food to win over the wild team of people in desperate. short films of hope. and inspiration. a series of short stories that highlight the human triumph against the odds.
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there are a select. be the hero the world needs right. washington . chinese politicians approve a national security law for hong kong which pro-democracy campaigners say will crush political freedoms. alonzo mom and you watching al-jazeera live from doha coming up in the next 30 minutes. the pandemic is actually speeding up but i warning by the world health
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organization she 1st coronavirus cases rise in many parts of the world with easing lockdowns. also the white house says it will brief democratic politicians.


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