He served in the Obama White House and is the former new York City Health commissioner and currently president and c. E. O. Of an Organization Called resolve to save lives. Well talk about that in a moment. To begin, dr. Frieden, with the debate going on in states around the country. Your advice as they look to reopen their economies, many casebycase, gradual basis . Were all eager to get out as soon as possible. Go out too if we soon, we could have a resurgence cases,s, an explosion of which could overwhelm our Healthcare Facilities with the lives of Healthcare Workers and to having to go back in for a longer period of time so the challenge here really is to at six different factors. First is, is the virus coming down . Are we seeing fewer cases and least twohs for at weeks . Second, is our Healthcare System so that if there is another surge in cases, we can manage those cases, helping to survive and preventing Healthcare Workers from becoming infected. Third, is there a Public Health system ready to box in the virus. Boxitin the approach with testing, isolation, Contact Tracing and quarantine. The four corners of the box, if theyre right, you can control cases and clusters so they dont explode. Those are the three andacteristics of the virus our response to it but there are another three in society. Be ready tohave to shelter those who are medically vulnerable for longer. With people, people diabetes or serious lung disease or Heart Disease are going to longer stay in for because theyre very vulnerable to this. This component is a safer society. Its not going to be normal when back. Its going to be a new normal that may include, for example, no more handshakes indefinitely. Hand sanitizer at the entrance of every building before you go in. Ways to open doors and push Elevator Buttons without touching. Not going out if youre the least bit ill and if coronavirus is spreading in your community, wearing a mask to protect others and yourself. And six, recognizing we may have to go back to physical we may have to tighten the response again if cases begin to rise. Thats what we want to avoid and why its so important to have isolation, testing, Contact Tracing and quarantine. If we do those things, well be able to come out as soon and as safely as possible. Steve when you see plans in georgia and tennessee with plans earlypen the economy as as this friday, whats your reaction . Dr. Frieden it depends on the details. Have to look at whats happening with the virus in the community. If youre not seeing consistent its very risky. Its a risky experiment, its trial and error and thats the kind of error in loss ofresult life. But there are nuances. There are some approaches to that make a lot of sense. Package pickups at the stores rather than people going into a store where they might congregate. Bedoor spaces which will much safer than indoor spaces as long as you prevent crowding. Tough issues here. How do you get buses and subways going again, what do you do about Nursing Homes . March, groundarly zero for coronavirus in this country are Nursing Homes. There are 1. 5 Million People who live in Nursing Homes in the u. S. And you could see 100,000 or more of those individuals die in the coming months or Year Coronavirus infection if we dont get better at detecting. Steve and the c. D. C. Is based in atlanta. I mention that because your successor, dr. Robert redfield, today, in a story this morning in the washington post, that there is a possibility that the on our of the virus nation, his words, next winter, will be more difficult than what through right now. We know is, what that in most of the United States, its really been a small public who have haveinfected and we dont any Natural Immunity to this virus so if the virus doesnt the better and not harm us as much and if we dont develop a vaccine which is the next year, then were going to have to live with this virus and figure out how to control it as well as we can. We dont know what the future will hold. We learn more about this virus all the time but i want to the bad you a sense of just how things are here in new york city. I was born in this city. Training hereal at the height of the aids epidemic. Health degreec here, my medical residency here. I was at the Health DepartmentEpidemic Intelligence Service officer for the c. D. C. Programthe tuberculosis here and was Health Minister here for 18 years. I spent a lot of time in this city and ive never seen anything like this. No one alive has seen anything like this. Disaster this big was the 19181919 flu pandemic. Pandemic, 6. 7 million new yorkers, there were a over two30,000 deaths flu seasons and in less than two months there have been more than 15,000 deaths from covid19. All day and all night we hear going, ambulance sirens. Thats how were all going to remember this. The c. D. C. U. S. , identified more than 10,000 infected Healthcare Workers in two months and many probablyo were infected and not diagnosed so this is a really, really serious pandemic and anyone who underestimates it runs the risk fatal error. Steve your website, resolve to save lives, you mentioned this but i want to ask you about the practicality of the four steps to box it in. The website that you want to first make sure there able to test who has virus and then you want to isolate those individuals. And howou isolate them do you quarantine them . Meansieden isolation either in the home or in a cant beor if someone safely cared for in their home, are places around the u. S. Getting hotels or other facilities where people who are dont need hospitalization can be cared for. Usedher countries theyve some mass forms of care. It has to be appealing. Think it absolutely has to be voluntary. But if youre living with your a smallold mother in apartment, theres a very high risk that she could get the it so youand die from want to be offered the opportunity to relocate until no longer infectious. You also need to go through the process of Contact Tracing. A tried and true Public Health process. It happens every day all year the country. Und but its going to have to happen at much higher rates now to help control covid19. Its a process from getting to know a patient, talking with and walking them through hour by hour what happened, and who theyre went, had exposed, so those be warned they may be getting the infection and they need to quarantine stay separate from others so that if they do become infected, they dont spread it to others. How you stop the chain of transmission. I make an analogy to a hurricane warning. You expect the government and society to warn you if a hurricane is coming so you can yourct yourself and family. In the same way, if youve been yoused to covid19 and might develop the infection yourself and spread it, you need to be warned so that you can take steps to protect yourself and your family. Tove the website is resolve save lives. The president and c. E. O. Of that dr. Tom frieden joining us from brooklyn, new york. Lets get to your phone calls. California. Heim, good evening. Caller dr. Frieden, we have a of test kits in this country and the problem i see is that basically the world has had a test kit out there thats available. If were going to reopen up the why cant we get some of these test kits to some these governors and mayors in their state and use those on the testelying kits still under development . Thank you very much for your time. Steve thank you for the question. Dr. Frieden thats a great question. All the focus of attention is on testing. Be clear, theres testing for the virus and theres testing for antibodies its importantd to take those separately. The Antibody Testing is still under development. Kits one a lot of test the market. Some dont work well. We still dont know what it antibodies,e whether that will give you fornity or not and if so, how long. So focus on the testing for the p. C. R. ,hats called chain reaction, tiny fragments virus that are present and that test production is very problematic. Time and itsg not just a kit. Its the swabs to collect the and the liquid to transport the test in and chemical reagent that is you run the as the test well kits themselves and the equipment to run it with. In testen an increase kit availability around the u. S. Itsthe past few weeks but still very far from where it needs to be and let me make one clear. The c. D. C. Stumbled early on. There was a problem with their with themnd a problem addressing that problem and letting it be used when it was much needed in february. But the c. D. C. Test kit has been working fine for a couple of months now. Is that hospital laboratories and commercial laboratories need to ramp up the of tests and the federal government must coordinate that. Just take a bigpicture 30,000feet look, were doing between 120,000 and 150,000 tests a day in the u. S. Sounds like a lot but if you work out the highest priority anyps, anyone hospitalized, Healthcare Worker symptoms, anyone in a nursing home or congregate facility such as a jail or homeless shelter or project who has symptoms, and anyone in a disease that might be covid, youre talking about than what weore have. Three times more. So until we get to four or day, were going to have a shortage and if were people who arent in those priority groups, well have an even larger shortage so to get past the debate and say we dont have enough tests. While before be a we get them. Lets do everything we can to get as many tests as rapidly as possible. Hand, lets make the best use of the tests that we have today and make sure that the highestg priority people, were isolating people effectively in their theyre not ill and can be safely in their home. Home, iff their communities can come up with the resources to support patients to do that. Hospitals, with go the Infection Control so they dont nursingt there, in homes if theyre there. Out who trace to find has symptoms and quarantine the contacts. Harvard study said we may need between five and 20 million tests a day. You concur with that conclusion . Ourfrieden weve looked at estimates. It depends on the traces you make. Are you going to test people who at Nursing Homes at all, once a week, twice a week . Calculations indicated that if you tested everyone you want to test, it could be as 20 million tests a day. So yes, weve made that same calculation, but the more the bareone is minimum, to test the highest priority people, will be on the 400,000, 500,000 tests a day in the u. S. And were only a third of that now. That doesnt mean that its hopeless. Lot we can do even though we dont have enough tests. We can make sure we apply those tests to the highest priority patients who will benefit the most from it and to the situations that will reduce the spread the most. We can make sure were isolating people effectively. Findingake sure were contacts and warning them so they can isolate and quarantine themselves. Example,rk city, as an there arent nearly enough tests and for weeks we have been telling people, if youve got symptoms, cough and fever, dont come in for a test, stay home. If youre having trouble breathing, medical complications, call your provider and see about coming in but for most people with a cough and fever, well assume you have fewd and if you went in a things would happen. You might infect others on the way. In you might infect others getting care. You will use scarce resources, kits, the doctors and time, swabs, personal Protection Equipment and if youre positive youll be told been toldould have otherwise, stay home. If youre negative, going through that process might get you infected so the situation is different in different parts of the country, even in different states. You need to look at what the local situation is and how to you havethe resources to do the three things that must be our goals in this response number of people who get infected, reduce the number of people who die and reduce the our society and the economy. Steve dr. Tom frieden is joining us from new york, a of overland college. Earned his medical degree from columbia university. Includes internal medicine, Infectious Diseases and Public Health. Mary is joining us from selma, virginia. Good evening. Evening. Ood i have just a short question. If a person passes away with the virus, does the virus still live body . T steve thank you, mary. You,om frieden thank mary. The virus does live but not for very long but you do want to be it can spreade from one person to another so you have to be careful and undertakerhe profession knows how to do that safely. Americans too many are dying from this and sadly, many more will die in the coming thats but we need to keep number to the absolute minimum. Steve we were talking about the study and testing between five to 20 million per day. One of the authors of that study onl join us this friday cspans primetime edition of the washington journal. Michael is next in hopewell junction, new york. Withe on the area dr. Frieden. Caller my question is, through all the businesses being shut essential businesses that are deemed essential, which and uber grubfood hub, doordash delivering, one tracking any of the people delivering this food and contacting the food. The amount of crosscontamination brought to peoples homes from that is my first question. M. P. A. Ond one is why is and the subway system still open in new york . Michael. Ank you, dr. Frieden two great questions. Yout off, for delivery, really want to encourage everyone to wear a mask. It protects the people around in food, youu take want to wash your hands after you take in anything from the outside. Thats a Good Practice generally. In terms of the food itself, it that things like ware and plates can be contaminated so use silverware thats washed. We havent seen foodborne virus but youis can always heat something. Subway in newe york city, its for essential workers. Is down 90 top 95 in new york. A colleague of mine takes the work. To she described being the only subway car each day. But there was a nice sign the put up, it has an worker, getssential on board. Nonessential worker, why are you reading this sign, go home. So its there for the essential workers. Is joining us from gastonia, North Carolina. Good evening. Caller hi. Is about vaccine. I know its a ways away. But when should they start planning how to distribute the its available . And we were so far behind the thee on the virus, and protection and stayathome, i they planke sure enough ahead that when its available, i mean, for instance, but im in perfect health. My husbands 65 and he has a lot of health issues. Think he should get it before me but i think i should get it before like a 45yearold whos in good health. So, i mean, when and how are going to start planning for the vaccine . Steve thank you, robin. Dr. Frieden . Dr. Frieden what a great question, robin. This is really important. It may be a year, two years, maybe more, before we have a vaccine. One of the things thats so important is to be transparent decisions being made. There wont be enough for everyone and it will goesquestion about who first. In all likelihood healthcare are on the front line and its essential they get vaccinated. So they can protect themselves theyork safely and so dont spread it to other patients and other Healthcare Workers. Thats the kind of discussion to have over the coming months. Vaccine came, we were able to get that out availablece it was due to the vaccine for children americans. All there are public systems like vaccines for children that work with the private sector and are the usual patterns. What you dont want to have happen is that somebody gets it because their insurer or their doctor or their state has more pull with the manufacturer. Think we can all understand waiting, theres a fair way to decide who gets it first and thats an Important National discussion. Thatnt have to have discussion yet but its a great time to think about that. Follow up marys question and ask you about the different strains of the flu. Different there is a strain and vaccine to try to combat that. Would this vaccine combat covid19 and whatever strain of flu we might get in 2020, 2021 . Dr. Frieden no, in all likelihood there would be this wouldaccines so be a vaccine, if it comes, for covid and well also have a flu alsone because there will be a flu year. Interestingly, the physical distancing were doing and hand washing were doing to control covid is probably reducing the impact of influenza, as well. Steve diana is next in san antonio, texas. Caller good evening. Wanted to make a comment that i think that everyone work and going back to should be mandatory to wear a ank no matter if you work at office or restaurant for the remainder of the year at least. And, yeah, and i dont really believe theres going to be a wave of this covid19. Masks, its for the a really good idea. What weve learned about covid were learning more every day, is that people who dont have symptoms can spread it to others. One group that are going to have symptoms in a couple of days are called presymptomatic people and people who are completely asymptomatic and theyre shedding the virus. For those individuals, if theyre wearing the mask, less likely to spread it to others so its socially to wear a mask. In terms of what covid does in the future, no one can predict with certainty. We can predict, is if it spreads the way it has spread get explosiven outbreaks which kill a lot of endanger Healthcare Workers and can overwhelm our Healthcare System so its to havey important tracking systems to see where its spreading, to see where in peopleincreases with coughs and fever, going to orrgency departments responding to surveys like the one facebook does tracking people with cough and fever in communities. Thats the intelligence we need ahead of the virus because if it gets ahead of us, its very hard to stop. Widely, it takes weeks or a month or two to calm down. What you want to do is make sure doesnt get out of hand. But if its starting, be able to physically distance so you dont overwhelm the Health Health system. Steve what is resolve to save lives . Withrieden an initiative two goals we launched 2 1 2 thes ago with support from zuckerberg initiative, michael the bill and Melinda Gates foundation with two goals, one to partner with countries around the world to deaths frommillion heart attack and stroke and the other is to drive down the risk epidemic and pandemic. Now with covid19 weve scaled up our operations in africa and beginning work in the United States and what were seeing is that it is the moment for all of us to recognize that were all connected, that what happens to affect anyone else and its in our selfinterest to make sure that we have the systems in place, find problems stopthey first emerge, them wherever possible, and to implement prevention programs wherever that may work and by we can make ourselves safer and the worlds safer, as well. Hopkinshis is the johns map of coronavirus around the globe as we listen to carol from st. Louis, missouri. Good evening. Caller thank you for taking my call. I work in a dental office and im wondering what types of p. P. E. s we should be utilizing. Also, what should we do with hazardousmaterial, materials . Dr. Frieden the best place to for information and advice, recommendations is cdc. Gov, the centers for Disease Control website. There are well over a million hits on the website. In all Healthcare Facilities everyone should be wearing a bek because anyone could without symptoms and spreading it. Thats one thing everyone can do. Aredental practices, there a series of things that need to be done to ensure safety that not just masks but also and if there are mightures being done that air flood the virus or make it n95d widely, an respirator should be used but for the details you should look disposal, very important to clean. This is a virus that spreads as to sars virus did, contaminated surfaces so regular cleaning of any areas that are a door, whether its knob or chair or an arm rest is can important because that spread disease from one person to another and then disposal as recommendations, making sure you wash your hands regularly before and after and you dispose of product safely. Steve cdc. Gov or coronavirus. Gov, two websites to. Can go jack from upstate new york, good evening. Caller good evening. If this wouldg actually be considered a level biohazard situation that is not contained in the lab and as we open our country up and open up businesses, how are we going to train those to handle this situation and individuals how to it as they go home . Steve thank you, jack. Laboratory work is not a level four requirement. This is a virus thats widely distributed now throughout the world. Tore not going to be able contain it in a few laboratories. But Laboratory Work needs to be very carefully. This is a highly infectious virus. Things. On to its sticky, if you will, and surface andate a people who touch the surface can get ill from it. Patients and from during procedures done on patients and in terms of the businesses reopening, its going be a new normal. Its going to mean physically hand sanitizerng more,rly, teleworking Wearing Masks when its spreading in the community. Until theres a vaccine for this be in aere going to new normal. Theres going to be less travel. Theres going to be more quarantines. Theres a likelihood of more travel bans. Were seeing that all around the world. If you look at even canada and australia, there are travel bans or provincess where theyre not letting people go from one area to another. Likely to see is that if some parts of a community or country or state it and othered parts havent, the people in the places that are safer are not peopleo want the other to come in without being quarantined for 14 days. Its inconceivable that would happen within the United States but its also kind of that it wouldnt unless its controlled everywhere to a very high level. Chatham, new york, anthony, you are next with dr. Frieden joining us from brooklyn. Go ahead. Caller dr. Frieden, id like to ask you a quick question here. Difference, if this virus actually was made in a if it wasmpared to int picked up in a wet bar china . Is there a difference between if scientists were playing games, i call it, withd this virus, could they have actually done something to make serious and harder for other people . We know we deal with war and and that. If they were just by accident something and unfortunately this disease came out, howed, much harder does that make it on theseited states and countries without china letting us in to investigate what happened . That going to be if we find out that this wasnt actually just from a bat, you know, biting an animal and then people consuming it and it did from a mistake in a lab . Will it make it a lot harder if the actual ideas and knowledge to find out what thatwere exactly doing in lab to change this virus . Steve thank you, anthony. Dr. Frieden there are really two questions there. One is where did it come from, and two, if it were a manmade virus, would that make it harder to control. Where did it come from, theres a combination of things that can be done inspections of the laboratory there that some have been concerned about and the genetic epidemiology. Analyzing this virus and finding whats called the intermediate host. It likely came from the ancestral host of the bat through another animal and if you can find that smoking gun, if you will, of the intermediate makes it even more likely that it was through a exotic animals were sold. Thats how sars spread 17 years ago. Question isbigger why are exotic animals still being sold in live markets anywhere in the world because we know that the, normous risk and risk in africa, socalled bush meat, a risk in asia. Even live poultry markets, if not kept carefully, can be a influenza, bird flu. So we need to look at driving down that risk going forward. Yourhe second part of question, frankly, this is a really hard virus to control. It spread. Nd how we need to see how it continues changesd and whether it and mutates over time, becomes more or less spreadable, more or less deadly. Thats something well find out in weeks, months to come. Have the full genetic sequence of it and we have now really an unlimited number of samples of it from different parts of the world so it will be models into develop the laboratory for how to control it, for how it works to people, so that we can understand better how we can develop Counter Measures to ultimately find a vaccine. From newrie joining us haven, connecticut. Good evening. Evening. Ood im a senior and im scheduled for a blood test and he the bloodme to have drawn at home by a phlebotomist. Was, has sheo him virus,een tested for the and he couldnt answer my question. So my question is, should i just to a Community Lab . And how do i know that the are drawing blood are free of the virus . I have been quarantined since the end of march. I dont see my children or my grandchildren. Concern is my exposure. Marie. Thank you, dr. Frieden i sympathize with you. Its a difficult situation to be in. Mother has been alone for months now. Shes 90, she lives alone and goes to choir twice a week and book club three times andek and movies and shows to have this constriction of her reallyconnections is hard. In terms of getting blood drawn, lot safer having someone come to your home and do it rather than you going to a Health Center that may have the virus circulating and where exposed to more people. In terms of that individual, we dont have the availability to in test and rule out virus someone. If they were previously ill, they probably dont have it now. There are antibody tests but theyre not reliable yet. A lot of them on the market are not very accurate. But there are things we can do universally. Precautions. So when that person comes to see you, they should wear a mask. Mask or atwear a least some sort of cloth covering of your mouth and nose. Wear gloves. They should practice sterile technique. If you wanted to have them draw your blood on a porch or somewhere outside, if weather wouldnt have to worry about the possibility of contamination within your home. Thats done safely, the risk should be minimal to zero. Even if they were to have the if they really practiced safe sterile technique, wear a mask, use gloves, use alcohol, not touch you with their hands can wash afterwards. The risk should be close to zero but youre right to be concerned because healthcare is one of the main ways this is spreading and its very dangerous disease for older people. On cspanning us radio, our guest is dr. Tom director ofmer c. D. C. , based in atlanta. Next froms massachusetts. Caller hello, dr. Frieden. Thatlly simple question has been frustrating me for a while. Since so much of the testing has politicized around the world and particularly, i states, in the united we donterstand why have simple statistics on testing per capita. There are, from what i understand, governors in democratic states in this country that have been under attack for not opening up more quickly. Are questions about why theres a low death rate in germany. And i dont understand why we dont have better, simple statistics. I suppose we could all do the per capita so we better understand whats going can stop the politicization of this whole issue. Steve thank you. Thats a great question and we do need transparent data. To say moynihan used youre entitled to your own opinion but not to your own were lookingmore at the same facts together, the more we can understand the way forward. Is there arent enough tests currently. People are working hard to make tests and we hope in the next few weeks well see a big increase in the number of tests available. While there are not enough tests, we need to prioritize for risk ands at highest understand that testing is just one part of the challenge. Isolation, Contact Tracing, quarantine, physical distancing, mask wearing, staying home if youre sick all of those things are really important but yes, we should be looking at tests per state, tests for capita, positivity rates. Are countries around the world that are models of transparency and a well run National Operation and thats the kind of information that should be readily available. See it in some sites but often from the news media. Definitive site where everyone can see and understand. Not so easy because tests are done by different entities so getting accurate results is not the kind of thing we need to know and track. Id be interested in not just tests per capita but are you testing every yournt admitted to hospital . Are you testing every patient with suspected covid disease . Dont have enough tests for that in most of the country but parts of the country we may. You testing every Healthcare Worker symptoms . Are you testing everyone with orptoms in a nursing home other congregate facility . Are you testing people who are part of a cluster of disease that might be covid so you can find the cluster . Im more interested in are we testing right than are we testing a lot. Weneed many more tests than have now. Steve well be talking about that in a moment. Data from Johns Hopkins university. Final follow from you, dr. Frieden, assuming it comes you feeln would comfortable going to a broadway city restaurant or sporting event in the big apple . Dr. Frieden were going to have this one step at a time, coming out in phases. Gradual reopening, wait a month or two, make sure theres not an explosion of cases, reopen the next step. See if we have the box in place rapid testing, isolation, Contact Tracing and quarantine. So that when there are cases and there are clusters, we can stop them before they become outbreaks that force us back in home again. Thats why its so important we build our Public Health infrastructure not just in this globally because if we dont have that, we wont be safe. Health that has given us the longer, healthier spendthat we have yet we 140th the amount of health than on healthcare. We need to get back to the new normal as soon as and as safely as possible. Steve dr. Tom frieden is former director of the centers for control and now the c. E. O. Of resolve to save lives joining us from brooklyn. Much for being with us. Well introduce you to one of the individuals behind the numbers at Johns Hopkins university. This headline from bloomberg news, the president outlining to suspend Legal Immigration for the next two months. That came at todays white house briefing. Heres part of what the president said. Pres. Trump the noble fight against the invisible enemy has steep toll on the American Work force. Ensure a solemn duty to the unemployed jobs and so to protect American Workers i will issue a suspension of immigration into the United States. By pausing immigration, well help put unemployed Americans First in line for jobs as america reopens. So important. It would be wrong and unjust for americans laid off by the virus to be replaced with new immigrant labor flown in from abroad. We must first take care of the American Worker, take care of the American Worker. This pause will be in effect for 60 days, after which the need for any extension or modification will be evaluated by myself and a group of people, based on Economic Conditions at the time. This order will only apply to individuals seeking a permanent residency. In other words, those receiving green cards. Big factor, will not apply to those entering on a temporary basis. As we move forward, well examine what additional immigration related measures should be put in place to protect u. S. Workers. We want to protect our u. S. Workers and i think as we move forward, we will become more and more protective of them. This pause on new immigration will also help to conserve vital medical resources for american citizens. A short break from new immigration, depending on the time were talking about, will protect the solvency of our Healthcare System and provide relief to jobless americans. Steve from todays white house briefing, what did the president in that announcement all of the briefings and events were getting related to coronavirus is available on our website at cspan. Org coronavirus. We want to introduce you to beth blauer, executive director of civic impact at Johns Hopkins university. We thank you very much for being with us. Beth thanks for having me. Steve you have become a vital the numbersrms of related to coronavirus. We begin this Program Every day with the numbers, including 2. 5 confirmed cases around the world. Explain how this all began. Beth sure. Its actually quite a story. Gardner,gue, lauren dr. Lauren gardner who runs one of our Critical Centers in our school of engineering, had a earlyt who came to her in january and said im really interested and concerned about breaking outats in china and i think that you should think about building a tracker like we have in some of the other disease surveillance that weve built in the past so two of them started looking of thedata coming out Hubei Province that was available for tracking and building a very basic web map that allowed them to andk the Virus Outbreak they started looking at all the different sources of data being talk about confirmed cases, impact the virus was people. N and as more and more data started coming online, as the spread, theyed to started to create more and more mechanisms for getting that data into the map. And then started releasing that to the public. Dr. Gardners theory was that this would be a key resource for researchers who were thinking about modeling, who were thinking about what the to requireld be Decision Making around the spread of this virus but i think one of the watershed moments for us all was that it became an incredible public resource and individual people, who wanted to have good, solid virus andn about the the spread of the virus started flocking to the site and data, looking at the data and exploring it not because they were doing research wanted to makey decisions about their lives, so the disease spread, the Data Collection also expanded. This incredible public resource deserved at Johns Hopkins university with global perspective. And it is just an incredible that has been made viral, pun intended there, for many reasons. But really started out as just a for them to do the type of surveillance that they do on a theof other diseases and spread of those diseases and now millions ofon by people that come to the Global Resource and also billions of Different Computers that are hitting that data and pulling it as modelingsystems resourcesd as other are developed built around the data itself. Steve data that policymakers, and mayors are using. And youre drilling down even more beyond the numbers, beyond in states anding in countries but also in communities and neighborhoods. If you can explain that. Beth yes. Watchingbeen dr. Gardners work unfold and i run a center at hopkins thats focused on equipping Public Sector leaders with data use data,ill to influence Decision Making. And i was looking at the richness in the u. S. Data that was already being displayed in the Global Resource and i thought i could pull this same data and start really coming to ground on really local views of colleagues at civic impact and i started lightweight just Data Visualization and realized theres so much context we in. Ld be bringing we started with the u. S. Map and to show the be able u. S. Map not at a sort of thelity view but at community view. So if you look at the u. S. Version of the map, sort of organized by counties and you see the density of the disease both from a fatality confirmede but also a cases perspective, in the and the way you see the colors emerging on the map itself. Then when you zoom in and you can see all of the county layers, you can also start around in those counties. So if you click on, say, am, you canhere i see a much deeper level of information and what were someg to give way to are of the considerations that lots of policymakers are thinking thet as it relates to spread of the disease. If youre nockeds on focused in on baltimore and looking at our covid19 status baltimore, you can see were organizing the data in three key ways. Way is were looking deeply at the health infrastructure. How many, from a baseline perspective, beds, licensed beds state, how many Healthcare Workers are actually in that particular county, tory, and then we also want give a little bit of flavor for how people access healthcare. You can see broken down by age, the type of healthcare coverage that americans in those counties have. The second sort of middle part visualization is starting to look at populations really focused so were breaking down the ratio of ethnic by county but also looking at the age of residents and other key demographic issues like poverty and conditions of specific counties as we start tracking the disease and not onlyts some of preexisting conditions have on the spread of the disease but also some of our most vulnerable hardest hit by the spread and the third column in the drilldown not only allows your data against state data that you can see if your county is trending state data butth also introducing the concept of testing and being able to see testing is happening in a particular county and state and also looking at the specific around the cases that are being experienced in those counties. Was to givee everyone baseline information building upon the evidence base, to share information. Steve Governor Kemp of georgia saying hell look at this information as he begins to reopen georgia and will use the to make sure if there are hell shut them down immediately. That . U explain beth one of the major resources for this source is designed for they makers as difficult decisions around onpening and turning back economies that have been halted by the stayathome orders. I hope that the governor and others that are relying on this tool are looking at not just a way that the disease is manifesting in their local also inies but communities that look and feel like theirs that might be along that have seen a density of cases. So you can use these tools as a only to track the trajectory of your local alsonities, but you can start to compare the demographics in your community to other communities that have been harder hit. And as we are doing this type of coaching with more Public Sector work force, were really imploring them to take a total picture of not just the disease its progressing but also those Critical Infrastructure couldnges that they potentially be facing if they have limited access to i. C. U. Some of the critical medical assets or Public Health assets theyre going to need in safely reopen. Steve so covid19 will be with us for the next year to 18 a vaccine. Re so whats next in terms of the data that youll be looking for maybe developing further to this website at Johns Hopkins university . Constantlyre looking to figure out what is the most useful public data that share with everyone here on these resources. Coming weeks, youll see, well start to integrate the weeklyg of the unemployment data. One of the reasons that we started off with just a baseline of poverty metric at every county is we wanted to set the stage for bringing in more and of those Economic Indicators that are also going to be critical as we think about not only the spread of the disease but the recovery of those local economies. Also look deeper into j. H. U. Covid resource site, you see analysis that is budding. We have a critical trends like to use data and our teams, its a Multidisciplinary Team between Engineering Department at the university. Im working out of the centers impact, working with our colleagues at the applied physics lab and colleagues the university, to start putting context around the data so were tracking to see what it inks like to flatten curves other countries. Looking at the data trying to understand what are going to be emerging trends both from a policy perspective and also from a data perspective that are going to be critical to influence the decision to not only reopen but how to navigate ebbs and flows that were anticipating in the disease spread. Hase what began as an idea morphed into a Global Resource. Beth blauer, what has surprised you the most over the last two months about this project . Ath well, to be honest, im data nerd and i have been working my whole career trying to get people to care passionately about data, particularly public data. Me the most stunning part about this is that its not Just Researchers, its not just modelers, its not just Public Employees relying on this. But its individual people who are suddenly forced to make incredibly intimate decisions fortheir families, individuals. And they are relying on the data helping them is shape whether or not they go into a public space, whether theyre wearing p. P. E. Its the first time that its been such a huge illustration of why having public data is so vital and why public datant for to be a part of the Public Service so that not Just Research can access it but everyone can access it so we can making individual decisions about our lives. Steve the numbers on covid19 from Johns Hopkins university and beth blauer is the executive director of that Schools Centers for civic impact joining us from baltimore. Thank you very much for being with us. Beth thanks very having me. Steve protests going on in capitols around the country including demonstrations in North Carolina. The raleigh news and observer website and the governor to the protestors, what he says needs to happen next. Pandemic this global is an extraordinary situation swift, sureken steps in order to flatten the curve in North Carolina and keep our hospitals from being overwhelmed. Did that. Hat we i think that we have saved of lives. Numbers frustrated and anxious people are about wanting school and to wanting to get back to work and time i know how anxious families are to make are safe from this highly contagious virus can take lives. Easee working to restrictions in a responsible staged way. Forward thisging week more specifics on that plan what trends,rd and testing and tracing, that we are going to be looking at in order begin to process, to ease the restrictions. We understand that stayathome, we cant stay at home forever and this is not sustainable long term. But what we have to do is to ease back into it to make sure this virus does not spike, easily could do, overwhelming our hospitals. Steve that update from governor roy cooper from North Carolina, one of the many daily briefings are providing every day here on the cspan networks to give you a sense of how the story is here ing not only washington but in your own states and communities. Every evening we check in with joiningof congress and us from his district is republican congressman fred pennsylvanias 12th Congressional District. Thanks very much for being with us. Thank you for having me on the show. Steve the district is diverse, includes dairy farms as well as prisons. There are dairy farms, state energy, also a lot of production, natural gas in pennsylvania, 12th, and a lot of manufacturing. Of good hard working people that live in p. A. 12. Have you adjusted to the new norm of being at home, not being in washington . That weveg is learned new ways to communicate with constituents. And interviews like were having now, doing town halls, more of those, and also communicating and email and telephone. A lot of ways weve looked at being able to reach out and stay the community, the county commissioners, the mayors, the people that get done on the ground, business leaders. Steve pennsylvania has been in terms hardest hit of unemployment. What about your particular district . Theres been a lot of the governor put out a stayathome but early on when he started it there was a lot of uncertainty as far as who could work and who couldnt work. My point with that is we want to make sure everybodys safe but we also dont want to add anxiety on top of a serious with the virus and i think theres a lot of people in pennsylvania that can get back get backafely, want to to work safely and i think that thatn sort of move towards goal here very soon. Steve have you seen a spike in your of covid19 in Congressional District . Theres been some cases reported around the commonwealth. Casesnot seeing as many in the northeast and northcentral part of pennsylvania as theyre seeing jersey border, in the theeme Northeast Corner of state and down around philadelphia and i think thats probably some of the people that jersey,veled from new new york, into those parts of haveommonwealth but we great Healthcare System. We have been in contact with our hospitals and healthcare and outstanding people going to work every day taking care of the people of pennsylvania and doing a great job with it. Steve as you know, the senate unanimousroving by consent, a nearly 500 billion bill to provide money for the administration, paycheck protection program, also money for testing, about and an estimated 75 billion for hospitals. The house will take it up on thursday. Whats your view of this legislation . The thing that should have been done a lot sooner than it was now. Congress knewin this would be running out of money more than a week ago as as paycheck protection. Thats americas families and Small Businesses. When you look at how this was rolled out and administered, it was a huge success. Ofn you look at almost 75 wereare to businesses, less than 150,000. Thats Small Businesses talking about payroll for a couple of months. You look at the popularity of the program. We should have gotten this done than a week ago and unfortunately some people politics in this and the people that suffered are the ones that get the job done every was finallynk there enough pressure put on leader schumer and Speaker Pelosi to host they are calling for another cares act and looking in excess of 5 trillion in Additional Debt this year alone to battle covid19. When you hear that number, 5 trillion, what is your reaction . Guest we have programs like the paycheck that drives money out to Small Businesses. Before we start talk about another big massive program, we need to see how these programs are working just like some of the other things like money to hospitals. Lets see how that happens and gets put into the economy once things get rolling again and see what we need to do rather than just sitting here and saying we havent been working and dont know what we have done is going to jump start the economy and look at what we did thus far before we get ahead before talking more trillions of dollars and the house will be in thursday to vote on the legislation. I plan ongoing to washington, d. C. ,. And all the measures are in place so we can be safe due to social distancing, the masks and happened sanitizer. And we want to make sure we do it right. I think we should be down in d. C. We expect our health care workers, our farmers, retail clerks and grocery and the home centers that supply things to fix your homes, there are a lot of people that are going to work every day doing things we need to do to be safe. And everybody talks about the new normal. I want to get back to the old normal and thats the normal of the economy that was unleashed on january 20, 2017. Host what has your routine been like at home guest tonight from my home, im working. Our children are adults and they both are our daughter has a couple of small girls and two grand daughters and unforp we cant spend. Our youngest will drop her presents off and she will be get her birthday presents. It isnt about one person, but doing the right things and we shouldnt be doing anything anything differently than members of congress and making sure we are doing the business of the people and going to work nd getting these things on the paycheck protection. Host one of the great advantage is homes of members of congress. What is behind you. Cam paper buttons from past campaigns . Guest i always had an interest in politics sips i was in high school and Ronald Reagan was the first president for which i could vote and i collected over the past 35 years Many Campaign buttons. Oldest one i have is from president mckinley and president taft and just different buttons. Political things. It has been a hobby and my wife got the display case for me and we put all the pins in it it. Our republic is grit, but its the thing that reminds me every day is the people we work for, the hardworking people that live and maybe are retired and work their whole life and handed this republic from one generation to another and its a good reminder that our republic is strong because as elected officials, we work for the people and the eople in pennsylvania. Host republican from former house judiciary councilman joining us for that. Be sure to watch washington journal live at 7 00 eastern this morning. Join the discussion. The Senate Approved by voice vote in nearly 500 billion relief bill to provide additional funding to Small Business loans, hospital resources, and expanded covid19 testing. The measure now goes to the house, where a vote is expected on thursday. Roll call reports Top Democrats are calling the Small Business and Health Care Package that could be considered next month. The presiding officer the majority leader. Mr. Mcconnell i ask consent to be recognized notwithstanding the order for a pro forma session today. The presiding officer is there objection . Without objection. Mr. Mcconnell i ask unanimous consent that it be in order to receive h. R. 6322 from the house. The presiding officer without objection