Julian Sheather

We're not there at the moment.

We're hoping we don't get there.

But that is a brutal shift.

And that's what the guidance, for example, that we've been working on is designed to address.

But it it means having to make potentially having to make some pretty wrenching decisions, heart wrenching decisions.

I look at it with enormous trepidation.

I've got to be honest with you.

If you think of NGOs, organisations going into incredibly resource-poor settings, sub-Saharan Africa, the Central African Republic, countries that are just emerging from Ebola crisis, countries that have appalling shortages of even basic services,

kind of health services.

And then over that you roll, or this tsunami of COVID-19 simply rolls across that.

I find it terrifying, to be honest with you.

But I'm hearing stories from...

all over the world in resource-poor settings, saying clinicians are simply going to have no PPE.

The supply lines are almost entirely shut off.

They may have to withdraw from even providing the health

services that they've struggled to provide over recent decades.

So I am profoundly concerned about it.

And I don't think there's a single person with an eye on health services in resourceful settings that isn't looking at this with considerable alarm.