Latest Breaking News On - Nicole wagner - Page 1 : vimarsana.com
or spike again in the united states. this is a gamble as no state has reached the key benchmark the cdc has set forward to meet before reopening, that 14-day decline in new cases. but for now it's full speed ahead as more states begin easing restrictions today. you can see them right there on your screen. by the end of this week, more than 40 states will be at least partially reopening. with that in mind, here is where the numbers stand. the u.s. death toll is now approaching 70,000. more than 1.1 million confirmed cases of coronavirus in the united states. and even president trump is now being forced to acknowledge the total number of deaths here is going to be higher than previously estimated. >> we're going to lose anywhere from 75, 80 to 100,000 people. that's a horrible thing. i used to say 65,000, and now i'm saying 80 or 90 and it goes up and it goes up rapidly. >> rosa flores is in miami. one of the few places that is not reopening. what are you seeing? >> reporter: we're already seeing people are not following the rules in one city in florida. i'll get to that in just a moment, but about florida in general, today is the kickoff for phase 1 for reopening of most of the state, but that excludes the counties of miami-dade, broward and palm beach. this is one of the biggest states in the union, and 30% of the state's population are in these three counties, but they account for 60% of the cases and the deaths. that's why the mayors of these three counties got together and decided to reopen simultaneously. they're excluded from phase 1, but they did reopen parks, waterways, golf courses and other green spaces starting on wednesday, but not everyone is following the rules. we learned from miami beach police today that they tallied up all of the warnings issued friday, saturday and sunday, just this past weekend, and they say that they issued about 8,000 warnings to individuals for not social distancing, for not wearing their masks. another 1300 people were not leaving the parks once they were closed, so they had to ask those people to leave. now, when it comes to the rest of the state, phase 1 involves allowing restaurants and retail stores to reopen at 25% capacity. restaurants will also be able to have outdoor seating, but the seating will have to be six feet apart. elective surgeries will be allowed, and governor ron desantis announced the opening of 80 state parks. but this is only phase 1, so schools are still closed, bars, gyms, hair salons are also closed. as the state looks forward at a possible phase 2 -- we're only launching phase 1 today, but as they look forward, governor ron desantis is mentioning that testing, kate, is going to be key. there are multiple efforts going on to try to expand that here in the state of florida. kate? >> it's so important to roll through what phase 1 looks like where you are, because it is different everywhere, in every state. everyone is different. rosa, thank you so much. i really appreciate it. with the vast majority of states reopening in part this week, in states where stay-at-home orders remain in place, things are getting heated. in california, large crowds gathered in huntington beach and other orange county towns over the weekend to protest the governor's decision to shut down the beaches once again. two other counties in california are defying the statewide restrictions by making moves to allow some businesses to reopen. cnn's stephanie elam is in los angeles. she's been tracking all machinations of this as it's progressed. stephanie, what is going on there? >> reporter: a lot of different things, and it's sort of the tale of two different californias, one of the most popular states in the nation, kate. you have northern california counties, three of them so far, one in the far northeastern county, monmouth county, which has a population of about 9,000 people. on friday they decided to go ahead and open up some businesses, churches, schools as well. they're telling people who are 65 or older or anyone with underlying conditions, they should still stay at home, should follow those guidelines as well, but they're saying, listen, we are different as a rural community in this part of the state. then you have two other california counties, yuba county and sutter county, which i should add these two counties do have cases of the coronavirus, so they're saying salons, gyms, restaurants, tattoo parlors can open up. they're saying social distancing still needs to be followed, and they're saying any of these personal care businesses, after 30 minutes, you have to get up and move on and get out of there. but it is interesting to note that these are counties that have thousands of people in them, so very different north of sacramento. what's not clear at this point is whether or not the governor is going to go after these counties to make them follow the order of the state which obviously is supposed to cover the entire state. and that's an issue here. the other issue, though, is that in the beach communities in orange county, they feel targeted because of the fact that the governor said their beaches need to be closed over the week, and we saw newport beach file litigation that will be in huntington beach as well, because they're trying to force getting their beaches opened up despite what the governor said. you saw big protests there over the weekend. people are very mad. i was there on friday, kate, and i can tell you there is a lot of anger about the fact their beaches are closed sor, so they fighting to get that changed. you can see we've been at the stay-at-home order longer than any other state in the nation, and the fatigue is there. and now that the weather is getting nicer, it's really beautiful now, people want to get back outside and you're seeing that fight now. >> thank you, stephanie. there is a stark warning coming from the federal commissioner saying despite the data and what any reporter is reporting, social distancing to date has not worked as well as expected. an adviser who served under president obama is advising the white house. >> we've seen a rising number of cases, illinois, texas, indiana, virginia, tennessee, have a lot of new cases on a daily basis. while mitigation didn't fail, i think it's fair to say it didn't work as well as we expected. we expected we would start seeing a more significant decline in new cases and deaths around the nation at this point, and we're just not seeing that. we may be facing the prospect that 20,000, 30,000 new cases a day diagnosed becomes a new normal, and a thousand or more deaths becomes a new normal as well. >> dr. leana wen, we've gotten to a point that makes your eyes glaze over. but if 30,0,000 new cases a dayd 30,000 deaths a day becomes the new normal, what should people be watching? >> kate, these are sobering numbers to say we've reached a plateau. at least we're not increasing exponentially as we were, but that plateau is terrifying. i think what it reflects is there are different outbreak curves happening around the country. in the new york area, those are leveling off and decreasing, but we're seeing hot spots in other parts of the country, including rural areas that don't have a good health care infrastructure in the best of times. and i worry about what happens when we lift these social distancing measures? even with that aggressive mitigation, we're at best seeing a plateau, which means this virus hasn't changed. we still don't have a vaccine, we still don't have a cure, and what happens when these measures are lifted is that we are going to see an explosive spread. and that, at this point, seems inevitable. >> and smart folks like yourself continue to point out that a virus is happy to wait you out if you don't have new measures put in place. president trump, in talking about the numbers and the projections, president trump is now revising his projection of the death toll back up to something like 100,000 people. these estimates, they were far lower weeks ago. now even donald trump is saying the projection is getting worse. what do you think this change reflects? >> i mean, i think it reflects reality, because president trump had previously said we're looking at 60,000 deaths and now we've surpassed that number. but here's what i'm most concerned about, is that there are actually things we can do to change the trajectory of where we will be. we can rapidly ramp up our testing, our tracing capabilities, we can do a lot more to strengthen our health care system. so if we know that this is where the numbers are going, let's at least look at what we can do to prevent them from getting even higher. i think that requires this national effort that we're just, unfortunately, not seeing to date. >> and to be clear, this projection, as we've been talking about these projections, this is the death toll just through august. this is not the total death toll of this crisis before there is a vaccine. i think that's an important aspect that needs to be pointed out over again and again. then you have, as you talked about, as folks are opening up, clear evidence over the weekend that even states with stay-at-home orders in place, people are not doing that. if that's what's happening in may as other states start experimenting with reopening, what do you fear that means for june? as i said at the top of the show, mark your calendars for memorial day. >> that's right, and i'm glad you mentioned this lag in time because i think that's the problem, that people are not seeing that the impact of their actions are not immediately reflected. it's not like you go out today and we're going to see a spike tomorrow, but rather because there is a lag of time between when you get infected and when you start showing symptoms. another lag of time between that and when people become very ill or succumb to the illness. i think that's the problem, that we're not seeing what's going to happen until weeks or even months later. but i think everybody should keep on doing their part. if you don't have to go out, please stay away, please keep on practicing these good public health hygiene practices. don't congregate, don't gather. we can at least do our part in keeping ourselves and others around us healthy, too. >> i almost think it's the instant gratification society running up against science, the kind of collision happening. there is a huge drug company roche that says they just got approval for release of a new antibody test. they say it's more accurate than most on the market. puck, translate in english for the rest of us. they say their test captures 90% of those who have been infected and detects 100% of those who are not. a specificity of 100%. can you translate that for me? >> sure. roche in this test are saying they are very effective in identifying both individuals who test positive, meaning that if they test positive, they actually have the antibody and that they are very effective at finding those who are negative. so a true negative result reflects that they have not had this exposure. i think the problem, though, we still don't know what the antibody test really means even we have an accurate measure of the test result. we don't know if having the antibody means that you're actually immune from getting the virus. it may be a better measure of exposure than actually whether you're protected, and i think we should be very careful until we know what that really means. >> that's such an important point. it should frame how we talk about these antibody tests as there is now more moves towards using more of them. thanks so much, doctor. appreciate it. coming up for us, president trump says he's very confident there will be a vaccine by the end of the year. is that realistic? i'm going to talk to the head of the army's covid-19 vaccine project. and later, missouri begins reopening today, but not everyone is ready. why the mayor of st. louis says she's keeping her city closed. adversity came to town and said, "show me what you're made of." so we showed it our people, sourcing and distributing more fresh food than anyone... our drivers helping grocers restock their shelves. how we're helping restaurants open pop-up markets. and encouraging all americans to take out to give back. adversity came to town. so we looked it in the eye. and it won't be us... that blinks first. you know when your dog is itching for an outing... or itching for some cuddle time. but you may not know when he's itching for help... licking for help... or rubbing for help. if your dog does these frequently. they may be signs of an allergic skin condition that needs treatment. don't wait. talk to your veterinarian and learn more at itchingforhelp.com. woke-up-like-this migraine medicine. the 3:40 mid-shift migraine medicine. introducing ubrelvy™. it's the migraine medicine for anytime, anywhere a migraine attacks without worrying if it's too late or where you happen to be. one dose of ubrelvy™ can quickly stop a migraine in its tracks within two hours. many had pain relief in one hour. do not take with strong cyp3a4 inhibitors. few people had side effects, most common were nausea and tiredness. ask your provider about ubrelvy™ or access doctors from home with telemedicine. migraines can strike anytime, anywhere. ubrelvy™. the anytime, anywhere migraine medicine. and your medicine, abbvie may be able to help. myabbvie assist has been providing free abbvie medicines to qualifying patients for nearly 30 years. and in today's difficult times, making sure patients have access to our medicines matters more than ever. find out if you're eligible at abbvie.com/myabbvieassist this morning president trump is projecting optimism about a test for the coronavirus vaccine and the seemingly ridiculous timeline the administration has set. >> we think we'll have a vaccine by the end of this year, and we're pushing very hard. we're building supply lines now, we don't even have the final vaccine. johnson a& johnson, they are doing it, and many companies are, i think, close. i meet with the heads of them and i find it a very interesting subject because it's so important. >> according to sources, right now the white house has identified 14 potential vaccines to focus in on for development. let's talk to one of the researchers working on a potential vaccine right now. joining me is dr. cavon. he's director of research. thank you for joining me. i'm very curious, everybody is. they're talking about a timeline to get an urgent vaccine to market safely and today, right? where are you all in terms of your vaccine? >> i think the important thing for people to understand is our institute is one of the oldest research institutes in the entire u.s. government. walter reed army research institute has been working on vaccines for 125 years. we actually have developed half of the vaccines that are licensed today. and so we're building on a lot of that experience, and particularly we were working on coronaviruses for the past several years as well. so we were able to pivot that on the day that the sequences of this new virus were published to start working on a vaccine, and ever since we've been working 24/7 around the clock. >> absolutely. where are you in terms of that project, in terms of trials? >> our vaccine study is in animals right now, so we have a whole landscape of many different approaches. you mentioned 14 that are being prioritized but there are about 100 vaccine candidates out there. our role is not to recognize our own approaches but to work with academia, ministry and other vaccine partners to be able to use one of our approaches to advance their vaccine candidates. so we've been in discussions this whole time with all those different partners to see where we can insert and help them go much faster as well. >> that is fascinating. as you mentioned, the institute and you as well have worked on vaccines of many types. i've seen you talk about your efforts with the zika virus. you called the timeline even for that unprecedented at the time, bringing the vaccine to clinical trials in nine months, and then you look at a timeline of getting a vaccine through trials in 12 months is even faster. what does that mean or look like for someone who is in the thick of it? >> every single time we have dealt with one of these crises, we have gone faster and faster. each time it's unprecedented, and so what we've seen, i think, is because of the sheer volume of different groups coming in, all the political will, the efforts on this project, we've seen timelines i never could have imagined getting a vaccine from sequence to clinical trials. the moderna group was able to do it in 14 days. so it's not inconceivable that we could go much, much faster than we have before. >> how do you make sure that you're not moving too fast, that safety isn't being compromised for speed? >> that is a critical point. and i'm glad that you brought that up. there are areas where we can compress the timeline, but the key point that people should understand is there is no shortcut that we're going to take that compromises safety. i'm a physician and our first principle in medicine is first, do no harm. so we're going to focus on safety first and make sure that we have a safe vaccine and then an effective vaccine. >> what do you think the chances are that -- i've seen some talk about this -- that more than one vaccine is actually going to be needed. for example, one for older people as their immune systems have reacted to the virus differently than younger people. >> we call that product tracking profiles, and as you said, there are different populations with different levels of vulnerability to the disease. some vaccines we might need that might be good with preventing transmission. some vaccines might be better at preventing severe disease, as in the elderly population. some vaccines might be better for health care workers and first line responders. it gets the immunity faster. some vaccines might be able to provide immunity for a longer period of time. so that's why it's important that we invest in multiple approaches. >> that's amazing, the undertaking that is underway. thank you for your good effort. good luck. thank you. >> thank you very much. still ahead for us, i'm going to talk to the mayor of st. louis about why she is keeping her city closed, even though missouri's governor is opening the rest of the state today. we'll be back. [anthony] hey mama, what's up? [mama] i'm confused. confused about what, everything ok? yeah, i only see one price on my phone bill. that doesn't sound confusing mama. you're on t-mobile, taxes and fees are included. oh come on, there's always extra fees! not on t-mobile mama. why can't all my bills be like this? i don't know mama. bye mama, love you. anthony? umph! at t-mobile, taxes and fees are included. and right now, when you switch your family, get 4 lines of unlimited for just $35 a line. theand we want to thank times, the extraordinary people in the healthcare community, working to care for all of us. at novartis, we promise to do our part. as always, we're doing everything we can to help keep cosentyx accessible and affordable. if you have any questions at all, call us, email us, visit us online. we're here to help support you when you need us. take care, and be well. to learn more, call one eight four four cosentyx or visit cosentyx.com wayfair has way more ways to renovate your home, from inspiration to installation. like way more vanities perfect for you. nice. way more unique fixtures and tiles. pairing. ♪ nice. way more top brands in sinks and faucets. way more ways to rule your renovation. nice! on any budget, with free shipping. wayfair. way more than furniture. the biggest week in television is almost here. starting may 11, enjoy free access to the best shows and movies from favorites like hbo, showtime, starz and, for the first time ever, hulu and peacock! catch the show someone on twitter says is "omg cray," exclamation mark. don't look at me. or the one with the character with the eccentric name. (whispers to himself) oh, so that's who offred is. hi. even the one that's inspired all those memes. there they are! everyone's got a show to recommend. get ready to watch the best for free during watchathon week. adad missouri now to the growing list of states beginning to reopen this week. but not everyone in the state is ready. the two biggest cities in the state have announced stay-at-home orders will extend through at least mid-may. look at the numbers in st. louis, the city reporting its largest increases in cases just yesterday. let's go there. joining me now is the mayor of st. louis, lida cruson. thank you for your time. the governor is reopening the state. what are you seeing that troubles you or that doesn't have you there yet? >> well, the city of st. louis in our region here has two-thirds of the cases in the state of missouri. there are other counties in missouri who only have a few cases. so what we have here is a situation where one size does not fit all. in our city we are leaving the stay-at-home order in place for another week or two weeks, we haven't determined the exact date, but we think somewhere around mid-may. we're going to continue to look at the data and have that inform us. we know everyone wants to get back to work, but we are very concerned that we continue to see a decrease in the number of hospitalizations before we are able to go back to work. >> i know one of the things you have also flagged is testing capacity. how short do you think you are on testing capacity right now for what you need? >> we're extremely short, as i think many other places in the country are as well. but we are extremely short. part of the reason that we may be seeing a bit of an uptick in the number of cases is that we have begun being able to do a little bit more testing in the last week or so. so these cases may have always been present in our community and we just weren't able to test them to find them. but having 154 cases reported over the last two days, saturday and sunday, is very concerning to us, and, of course, the number of hospitalizations, number of people in icu beds, the number of people on ventilators is also concerning to us, as well as trying to get back to work. >> absolutely. how much more pressure, if you do feel more pressure, how much more pressure do you feel now that the governor is saying the stay-at-home orders are going away, and they are not yet in the city? what is the impact of that? >> there is some pressure to that because businesses have been devastated by the stay-at-home order. when businesses are devastated, that means workers are devastated. we have 300,000 people who have filed for unemployment in the united states. we know folks have to continue to practice social distancing. we have to all wear our masks. i have mine right here. and we have to continue to wash our hands. if we don't continue to take those precautions as we open up our economy a bit, then we're going to see a big second spike, and that, of course, is something no one wants. the stay -at-home orders have been painful. they've been painful for people staying at home, but they're also painful for people going to work every day, policemen, firemen, water department, refuse workers, hospital workers, grocery store clerks. hard on them, too. >> that's absolutely right. it's not just missouri, it's other states i'm talking to as well. what is impact of the different strategies from city to city, county to county, state to state? as you're positioned right there between missouri and illinois, illinois is discussing stay-at-home orders through the end of may. what's the impact as it's been well described as this patchwork? >> i think the most challenging thing is the communication aspect of that. i thank you for doing this story. but we have to have a clear communication strategy to people. there is enough confusion as there is out there that people know that in the city of st. louis and the st. louis immediate region here, the stay-at-home order is still in place. there's not just an illinois stay-at-home order, but in other rural areas of our state, the stay-at-home order has been lifted with conditions. the other thing we know, though, is we are also interdependent. many, many of the hospital beds that folks rely on if they do get sick are located in the st. louis region here. so we don't want to see a big uptick anywhere in our state because that affects all of us. >> it does. and across city, county and state borders as well because this virus knows no border at this point. mayor, thank you very much. good luck. i appreciate your time. coming up for us, still. why is chinese media calling the united states evil over the coronavirus? that's next. the delicious taste of glucerna gives you the sweetness you crave while helping you manage your blood sugar. with nutrients to help support immune health. withis what's mosthelp becaimportant to all of us. at bayer, this is why we science. my time is thin, but so is my lawn. now there's scotts thick'r lawn 3-in-1 solution. with a soil improver! seed! and fertilizer to feed! now yard time is our time. this is a scotts yard. to my right is garrett rhodes who works with the department of financial services but he's been working with us in albany during this coronavirus pandemic. to my left, melissa rendoza. to her left, robert mojica. he doesn't smile much these days because the budget is not in great shape, but when the federal government does the right thing and gives us funding, we expect he'll smile that big smile again. it's a pleasure to be in rochester with so many of my friends who have done such great work with the state. former lieutenant governor bob duffey, who worked with me when we first got started, and has done great work for the entire state of new york. danny wegman, pleasure to be with you. wegman is a great new york corporation. danny is a great civic leader and they've been very helpful through this situation. also thank you for allowing us to do the antibody testing at wegman's. that's been very, very helpful and we thank you for everything you've done. nicole wagner, thank you for being on our new york forward advisory board to help us going forward and find our way through this. let's give you an update on where we are today. the total number of hospitalizations is down. you see that curve coming down, you see that mountain that we went up. now we're on the other side of the mountain. you start to see the shape of the mountain. unfortunately, the decline from the mountain is not as steep as the incline, right? and the big question for us in new york and every state across the nation has been how fast and how low does that decline go, right? how fast does the decline actually happen, and what is the lowest level that the decline will reach? unfortunately, you see that we were hoping for a quick up, plateau at the top, which is what they talked about, but a fast decline. you see the decline is, again, not as steep as the incline. but it is a decline, and that's good news. the net change in total hospitalizations is down, net change in intubations is down, and that's always good news. when a person is intubated, roughly 80% of the times there is not a good outcome. so the fact that the intubations is down is good news. and then the other end is how many new cases are coming in the door every day. how many new diagnoses in covid cases? and that number is also declining. so not only are the number of people in hospitals coming down, but the number of new cases coming in the door is down. and that's good news because it had plateaued at about 900 statewide for a few days, but this number is down at 700, and that's a good number. i would take this with a grain of salt, as they say, because this is reporting from yesterday which was a sunday, and sometimes we get different results on the weekend. remember this whole reporting system has just been put in place. this never happened before. this is now every hospital in the state reporting every day for the first time. so it's a plus or minus across the board. this is the number that haunts me every day, and this number is not declining anywhere nearly as fast as we would like to see it decline. still 226 new yorkers who passed away, and so we don't become immune, we talk about these numbers. that's 226 families, right? that's 226 wives, brothers, sisters or children that are now suffering the loss of a loved one. so we remember them in our thoughts and our prayers. people are all talking about reopening, which we should be talking about. this is not a sustainable situation, close down everything, close down the economy, lock yourself in the home. you can do for a short period of time, but you can't do it forever. but reopening is more difficult than the closedown. the closedown was relatively simple, right? you go to the basement and throw the big power switch and everything just goes down. close the businesses, stay at home. it was a blunt operation. and that was done all across the country, just stop everything now. when you go to restart the reopening, now knowing what we know, it's more nuanced, you have to be more careful. and, again, no one has done this before, no one has been here before. so first, start by learning the lessons that we did learn through this experience. and second, let's be smart about what we do. and i get the emotion, and i get the kbasimpatience, i get the anxiety, i feel it. it's unsustainable on many levels. it's unsustainable economically, it's unsustainable personally. anxiety is through all of our community. we see it in alcoholism, through substance abuse, through domestic violence. this is a very, very difficult period and people want to move on, yes, but let's be smart about what we do and let's learn the lessons. one of the lessons is we have never been here before, and we didn't really know what was going on. cdc releases a report end of last week that says the virus was actually coming to the east coast from europe. everybody was looking at china for all those months. china, china, china, china. china was last november-december. the virus migrated from china while we were all staring at china and went to europe. and the strain that came to the united states came from europe. we had people in the airports stopping people from china, testing people from china, the federal government did a lot of testing, a lot of screening, people getting off planes from china. yeah. but meanwhile the people from europe were walking right past them, and that's where the strain came from that was infecting this area. and that's what the cdc just learned last week. and this is going back to february, right? one of the most studied topics ever. again, learn the lessons of what happened. now that piece of information on the europe trips, then you see the number of flights that came from europe during that time, where they landed, and now it explains why you've seen the outbreak in chicago that you've seen, why you've seen the number of cases in new york, because yes, the flights were landing here, people were coming from italy and u.k. and from european countries and nobody thought to screen them, nobody was on guard. and you add that to the density of new york, especially in new york city, and that virus just took off. okay. we didn't know. we didn't know. now we do. we also can look back in history, you look at that 1918 flu pandemic that they talk about, the places that opened too soon saw that flu come right back. and by the way, that flu was not one wave, that was three waves. first wave, second wave, third wave. second wave was worse than the first wave. and you see -- watch the other countries that went through this before us, right? we're not the first one down this chute, there were other countries that went down before us. you see they wanted to reopen also. they were feeling the pressure on reopening. and you study those cases and you see if you reopen too soon, or you reopen unintelligently and you can then have an immediate backlash. and that's not speculation, that is looking at other countries and looking at what has happened around the world. then you talk to the experts who know. listen to what they're saying. dr. fouauci, who i think is onef the best voices and minds on this, dr. fauci has been through this in different iterations. he was one of the pioneers on the hiv virus and aids. and he says, we could be in for a bad fall and a bad winter. could be. why? because he doesn't know. he's not sure, but could be in for a bad fall or a bad winter. so put all of this in the equation. and then also acknowledge and actualize that the truth is that nobody knows what happens next and when it happens. how can that be, that nobody knows? we're so sophisticated. we have so much intelligence, we have so many experts. this is the united states of america. how can it be that no one knows? because no one knows. i speak to the best experts globally. globally. and nobody can tell you for sure. now, experts, we look to experts and we expect them to know, so we push them to know. answer the question. tell me when. what's going to happen in september? what's going to happen in december? sometimes the answer is, i don't know. sometimes that's the honest answer. i was talking to my daughters last night and they said, you know, you say at your briefings, i don't know. how can you say that? first, i'm not really sure they watch my briefings, but they're right. sometimes i say, i don't know. why? because i don't know. and if you don't know, say you don't know. and i speak again to the best minds in this country, the best minds around the globe, and they don't know. so if you don't know, say you don't know. it doesn't mean you're not smart, no reason to get defensive. i don't know. when you know what you don't know and admit it, it will actually keep you safe. my daughters don't quite agree with this yet but i haven't given up on the concept. say you don't know. know when you don't know what the future holds, you can be safe because then you can prepare for different possibilities. and that's why we are. we don't know. but we will be prepared for all possibilities. so reopening. chart a course with the best information you have, learning from the lessons you have, but be able to correct that course depending on what happens. which means don't act emotionally, don't act because i feel this, i feel that, because someone said, well, other states are opening so you must be able to open if other states are opening. forget the anecdotal, forget the atmospheric, forget the environmental, forget the emotional. look at the data, look at the measurements, look at the science, follow the facts. that's what we've done here from day one. this is no gut instinct. this is look at the data, look at the science, look at the metrics. move forward, measuring what you can and what you know, and then be prepared to adjust. well, i want spes specificity and i want to know for sure, you don't. let's do this intelligently based on metrics and we'll see what happens and we'll adjust to whatever happens. what does it mean orrn metrics? you can measure this. you look at percentages and rates of hospitalizations. you want that hospitalization rate. do your diagnostic testings so you know how many people are testing positive and you can watch that rate go up or down or flat. do the contact tracing and you will reduce the infection spread by isolating the positives. if you do those things, you will control the rate of the virus. nobody can eliminate the virus during a short time but you can control the rate of transmission. if you can control the rate of transmission, you can control the transmission becoming an outbreak or overwhelming your public health system. that's the best you can do. control the rate of transmission to 1.1 or less. 1.1 is every person infects more than one other person. if you are doing that, that's an outbreak. it is going to increase exponentially and it is going to be out of control. as long as your rate of transmission is manageable and low then reopen your businesses. reopen your businesses in phases so you are increasing that level while you are watching the rate of transmission. rate of transmission goes up, stop and close the valves right away. watch the wait of transmission. if it getss over 1.1, stop everything immediately. that's where every country wound up. they started reopening and they see the 1.1, it became the outbreak again, they have to slow down. you want a control start so you don't have to stop, that's what we should learn from other countr country. you reopen too fast and you have to stop. nobody want to go through all of this and then start just to stop again. this state has different regions which are much different situations than other regions in the state. rather than wait for the whole state to be ready, reopen on a regional bases. so analyze the situation on a regional basis, okay? and you look at a region on four measures, the number of new infections, your healthcare capacity if infection goes too high, you overwhelm your health system and now italy with people in the hallways because your hospital system can't handle it. do your diagnosticing so you see how your infection is increasing or decreasing and do contact tracing. when you test, you find the positives, you trace the contacts from the positive person and you are isolating them to bring down the rate. you do that on a regional basis. that system has to be in place for a regional basis. # how do you start reopening? we look at guidelines from the cdc which says a region must have 14-day of decline in total hospitalization in deaths on a three-day rolling average. you take the three-day average, you have 14 days. you can't have more than 15 total cases or five new deaths on a three day rolling average. this is telling you you are at a plateau level that you can actually start to reopen. then you are watching the rate of infection and the spread of the infection. the benchmark there is fewer than two covid patients for 100,000 residents. it is based on your population to account for the various in the different sizes of regions across the state. anticipate, protect yourself from all possibilities. well, what if we have a surge again? never fill your hospital to more than 40% capacity. leave 30% in case you have a surge. this virus is tricky. a person gets infected today shows up to the hospital ten days from today or two weeks from today. that infection rate goes up, you don't feel it for two weeks. there is a lag to it. you want to make sure you have 30% of the hospital beds available in case you have that surge. every hospital has to have 90-day of ppe for that hospital at the rate they are using. we can't have another mad scramble where nurses and doctors don't have gowns and masks and etcetera because hospitals don't have the necessary stockpile. make sure every hospital has a stockpi stockpile. on the testing, we have been tested believe it or not. the cdc coronavirus task force recommends that for a region to be opened, you have 30 tests for every 1,000 residents ready to go. what testing capacity do you need? you have to prepare to do 30 tests for every 1,000 residents. new york is doing more tests than any country in the state by far. new yorkers are doing more tests than any country on the globe per capita. we are way ahead in testing but does not matter what we do statewide. that region has to have the capacity of 30 for 10,000. the national guard is doing a great job by putting together testing kits and distributing testing kits. we want to thank you ththem ver. we have to have those tests and contact tracers in place. mayor bloomberg has been very helpful, the former mayor of new york in putting together this tracing system. this never existed before on the scale. a group of people literally trace contact of a person that's positive. who may you have been in contact with and then contacting those people to say do you have any symptoms and if you do, you should know you are with john smith, john smith tested positive. he said he went to dinner with you, you should be on alert. that tracing system have never been done, not only in this state but in this country. that all has to be set up. it has to be done. once that's all done then you can talk about reopening businesses. which business do you open first? you open business first that's most essential and oppose the lowest risk. most essential and the lowest risk. phase one we are talking about construction and manufacturing and select retail with curb side pick up. they are the most essential with the lowest risk. second phase, retail, and real estate and third phase, restaurants and communications. remember density is not your friend and large gatherings is not your friend. that's where the virus tend to spread. that's why those situations would be down at the end. we need businesses to also reimagine how they're going to do business and get ready to protect their work force, to change their physical environment to the extent they need to and change their proc
MiamiFloridaUnited-statesNew-yorkMissouriTexasChinaIllinoisCaliforniaIndianaVirginiaTogoFinSMEs is the financial news site dedicated to covering venture capital, private equity, and merger and acquisition deals in real time!
Nicole-wagnerAurelia-foundry-fund