Ken roski, the president and ceo of the Greater New York hospital association. To my left, michael dowling. To his left, larry schwartz, former secretary to the governor who has been volunteering to help us here. Michael israel, president and ceo of westchester medical center, and dan cresswell, commissioner new york city Emergency Management department. Let me thank them all very much for being here. We had a great meeting. I will refer to it in a moment. Let me wish everyone happy National Doctors day. This is a day that doctors are truly busy and truly stepping up to their oath and passion and literally saving lives. We honor all of the doctors in the state of new york today. Let me also thank the people from the Javits Center. He Javits Center has done many magnificent exhibitions and transformations and they never cease to amaze me. This is a transformation i dont think anyone could ever anticipate. 2500 beds as an emergency hospital. It is a partnership between state and federal government. I want to thank the federal government very much for what they have done. The army corps of engineers did a fantastic job moving in here and getting things set up as quickly as possible. It will become operational today. Receiving the first few patients. We will start to run the facility and we will take it from there. Let me go through a couple of facts. To give you an update on where we are today. And then we will take your questions. In terms of the number of cases, the curve continues to go up. 7195. The number of people tested continues to go up. This state is testing more people than anyone in the united states. More per capita than china and south korea, that is a good thing. We want to test. We want to find the positives. And we want to find the positives to isolate them and stop the transmission. The number of cases continues to go up. Total number of cases, 66,000 cases. Those numbers are daunting, to be sure. It is continuing to move across the state of new york. There is only one county now that does not have a covid case. Anyone who says the situation is in new york city only is a state is an a state of denial. You see this virus move across the state. You see it move across the nation. There is no american who is immune to this virus. I dont care if you live in kansas, texas. There is no american that is immune to it. What is happening in new york is ot an anomaly. There is nothing about a new yorkers immune system that is any different than any other americans immune system. In many ways, new york is just a canary in the coal mine. What you see us going through here, you will see happening all across this country. Part of what we are doing here is not only serving new yorkers but we believe we are dealing with this pandemic at a level intensity and density that no one has seen before and hopefully we will learn lessons here that we can share with people across this nation. In terms of the overall numbers, 66,000 tested positive. 9500 people are currently hospitalized. 2000 icu patients. 4000 are discharged that is an increase of 632. Ou dont often focus on this line when you have these conversations. People go into the hospital and they leave the hospital and that s important to remember. We have dealt with some really deadly viruses before. We have dealt with the ebola virus and that is not what this is. Some will stay home with symptoms. 20 will get sick and need hospitalization. They will feel better and they ill leave. It tends to be those who are acutely ill have an underlying illness who have the most problems. The most impacted states, new york is at 66,000, new jersey is next at 13, california is 000. So we have 10 times the problem that california is dealing with. 2739. 2739 deaths in the state of ew york. A total of 148,000 cases. 2739 deaths. That is a lot of loss. That is a lot of pain, tears, a lot of grief. That people all across the state are feeling. 1200 is up from 965 deaths. Yesterday, what you are seeing is people who have been on ventilators for a long period of time, the longer you are on, the less likely you will ever come ff of that ventilator. And as we have now some period f time when people first entered the hospital and were first intubated, we are seeing that number go up as the length of time on the ventilator increases. To keep it in perspective, the Johns Hopkins numbers are still instructive. We have been studying this since china. So 732 deaths, 34,000 worldwide. Total hospitalized, we are still looking for a pattern on these cases that are coming in and looking for a pattern in the data. The number goes up and down. There is no doubt that the number is still increasing. There is no doubt that the rate has slowed. We had a doubling of cases every two days. Than a doubling every three days and then a doubling every four days and five days. We now have a doubling of cases every six days. So while the overall number is going up, the rate of doubling is actually down. The daily intubation rate is way up. Again, sometimes it is just an anomaly. There is no clear pattern as you can see from the past several nights. Discharge rate, again that by and large is going up. People come into the hospital stay for a period of time, number of days, and then they move on. But the big picture is the situation is painfully clear now. There is no question what we are dealing with. There is no question as to the consequences and as to the grief and lossoflife. There is no question about what e must do. There are only two missions. There are only two operations we need to perform. First, the public has to be responsible. Day at stay at home. When i issued the order, it wasnt it would be nice if you did. It is a mandate. It stayathome. If you are a nonessential worker, stay at home. F you leave the house, you are exposing yourself to danger. If you leave the house, you are exposing others to danger. You could get infected, go home and in fact whoever is at home. So, stay at home. I know the isolation can be boring and oppressive. It is better than the alternative. Life has options, right . Stay at home. That is the best option. If you are out, no proximity, six feet distancing. You dont want proximity to other people and you want to stay away from places that are dense. Still, in new york city, you have too many places with too much density. I dont know how many different ways to make the same point. New york city parks, we made the point there is too much density. If you want to go to the park, go to the park, but not in a ense area. Not in playgrounds where you are playing basketball with other people. And i have said that new york city is trying to reduce the density on those playgrounds. Thus far, they have not been uccessful. If that continues, we will take a mandatory action to close down playgrounds, as harsh as that sounds, but it can save lives. That is mission one. Mission two, and this will be more and more clear as we go n. The frontline battle is in the Health Care System. The frontline battle is gone to be hospitals across the city, state, and across this nation. That is where this battle is fought. It is that simple. You know exactly where it is coming and exactly where the enemy is going to attack. They are going to infect a large number of people. That number of people descend on the Health Care System and the Health Care System cant deal with that number of people. You overwhelm the Health Care System. That is what is happening. So the first step was flatten the curve, reduce the density, keep people at home. We have done everything we can possibly do there. The second step is, dont let the Hospital System get overwhelmed. The soldiers in this fight are our Health Care Professionals. It is the doctors, nurses, the people who are working in the hospitals. It is the aides. They are the soldiers battling this fight for us. You hear the expression save our troops. In this battle, the Health Care Professionals are the troops who are fighting this battle for us. We need to recruit more health care workers, we need to share Health Care Professionals. Within this state and this country, as governor of new york, i am asking Health Care Professionals across the country, if you dont have a Health Care Crisis in your community, please come and help us in new york now. E need relief. We need relief for nurses who are working 12 hour shifts, one after the other after the other. We need relief for doctors, we need relief for attendants. If you are not busy, come and help us, please. We will return the favor. We will return the favor. New york, yes, we have it now intensely. There will be a curve. New york at one point will be on the other side of the curve, and then there would be an intense issue somewhere else in the nation. The new york way is to be helpful. So help new york. We are the ones who are hit now. That is today. But tomorrow it is going to be somewhere else, whether it is detroit, new orleans. It will work its way across the country. This is the time for us to help one another. We need supplies desperately. And we are working on back. We just had a very good meeting when we discussed supplies. I want to thank Michael Evans from alibaba with us here today. Want to thank Elizabeth Jennings from the asia society who is with us today. They are helping us source supplies. We have 50 states all competing for supplies. The federal government is now also competing for supplies. Private hospitals are competing for supplies. We have created a situation where you literally have hundreds of entities looking to buy the same, exact materials basically from the same place which is china. Ironically enough. And we are fighting amongst ourselves. We are competing amongst ourselves. We are driving the prices up. When we started biting ventilators, they were under 20,000. They are now over 50,000 if you can find them. The ventilators did not change that much in two weeks. The prices went up because literally we are driving the prices up. But we need to give our frontline, our Health Care Professionals the supplies they need and we need to do it now. Our rule here in new york has been plan forward to get ahead of the problem. The old expression is do not fight the last battle. This virus has been ahead of us from day one. We have been playing catchup from day one. You never win playing catchup. Et ahead of the problem. Dont fight todays fight. Planned for two weeks, three weeks, four weeks from now when you will have the apex and make sure that we are in position to win the battle when the battle is truly drawn which will be at the apex. That is why we are preparing stockpiles now. We are building a stockpile. The word stockpile by definition means not for immediate use. It means you are preparing for a battle to come. And, you have to have the equipment and you have to have it now. I have done Disaster Work all across the nation. I can tell you this if you wait to prepare for the storm to hit, it is too late, my friends. You have to prepare before the torm hits. And in this case, the storm is when you hit the high point, the apex. How do you know when you were going to get there . You dont know. There is no crystal ball. But there is science and data and there are Health Professionals that have studied this virus and its progress since china. We now have months of data. Listen to the scientists. Listen to the Health Care Professionals. And follow the data. That is what we are doing here in new york. We just had a great meeting where we brought the health care ystem from across the state of new york together to come up with one coordinated plan. Not private hospitals and Public Hospitals. Not new york City Hospitals and long island hospitals and westchester hospitals and of state hospitals. Not big hospitals and small hospitals. The entire Health Care System convened, coordinated, working as one for the first time in decades. No one can ever remember the way we have deployed and coordinated like this. Why . Because this is a statewide battle. And we want to make sure that we re all coordinated and all working together. And that is exactly what we have accomplished at this meeting. No politics. No partisanship. No division. There is no time for that. Not in this date. Not not in this stage. Not in this nation. This is a deadly serious situation and frankly, it is more important than politics and partisanship. And if there is division at this time, the virus will defeat s. If there was ever a moment for unity, this, my friends, is the moment. In this situation, there are no red states and there are no blue states and there are no red casualties and there are no blue casualties. It is red, white, and blue. This virus does not discriminate. It attacks everyone. And it attacks everywhere. The president said this is a war. I agree with that. This is a war. Then, let us act that way and let us act that way now. And what other show a commonality and a mutuality and a unity that this country has not seen in decades. Because the lord knows we need it. Today more than ever before. Questions, comments. Reporter [indiscernible] new york is not keeping track of he equipment and it might be going out the backdoor or not being used in the proper fashion. Can you reply to that directly . Gov, cuomo the question is the president suggested that ppe equipment may be going out the back door. That is in new jersey. It is the new york city warehouse. We are creating a stockpile. For someone to say, well, the warehouse has equipment in it and you should be using that equipment today that defies the basic concept of planning and the basic operation that we have to have working, not just in the statement but across the country. If you are not prepared for the apex and for the high point, you are missing the entire point of the operation. It is a fundamental blunder to only prepare for today. That is why, in some ways, we are where we are. We have been behind this virus from day one. You have the scientists and data projections showing you a curve. The curve goes like this you are over here. Prepare for the high point of the curve, and do it now. When are you going to do it . The night before . What am i going to tell hospitals when they call up and say we just had an influx of 50 more people and we need more equipment and we need more ventilators . Sorry . So the stockpile concept is to repare for the future. In terms of the suggestion that the ppe equipment is not going to a correct place, i dont know what that means, dont know what he is trying to say. If he wants to make an accusation, then let him make an accusation. But i do not know what he is trying to say by inference. [inaudible] gov. Cuomo we just had a conversation about exactly that. In new york city, there are basically two systems. There is what is called the Greater New York hospital association. Ken raske represents it. It is basically the private voluntary hospitals, mount sinai, columbia, etc. Then there is the health and hospitals corporation, which are the Public Hospitals. You have those two systems. We just discussed that those two systems have to, in this situation, undertake a balancing that they probably have never had to do before. In other words, you have 11 Public Hospitals. One hospital starts to get overrun, there is a high load in ne hospital. Before that happens, transfer people to one of the hospitals that has more vacancies and less load. Istribute the load among those Public Hospitals. And do it immediately. Do it on a daily basis. One hospital is starting to overload, distribute, transfer. Same thing with the Greater New York hospital association. And then we should take it a step further. Once one system is near capacity, then the two systems will Work Together to share the load. And we just discussed that, and e all agreed to do it. There are no legal barriers. If a hospital lets stay with the public system the public system i think is going to face the greatest stress. If a Public Hospital starts to get overloaded, transfer to another hospital with less of a load. I do not believe there are any estrictions. I would ask ken, the expert, to chime in. Ken thank you. We are going to work as one cohesive family system throughout new york, and new york is beyond the city itself, ncluding the downstate area, both the island and westchester. And i think what we are going to see is that balancing that the governor is talking about, balance within the system, balance without the system, beyond it as we go forward as we encounter more and more stress. The dead that goes on, the stress points will increase. As a result, that balancing is absolutely essential. And because of the leadership of the governor, it is clear to everybody that we are going to be one cohesive family in tackling this. [inaudible] gov. Cuomo yeah, we just spent a couple hours doing it and it is complicated. Let me give you the top line. Right now, basically the hostile Hospital Systems operate as basically separate systems, the Public Hospitals, the Greater New York hospitals, westchester hospitals, long island hospitals, and then state hospitals. They have their own trade associations and publics are public and privates are private. We said we have to work as one system. So share staff, share resources. F one hospital does not have enough masks, rather than that hospital have to scramble, the other hospitals help. More mutual kens word is a good 1 a healthcare family, as opposed to these distinct operations era and we worked hat through. To add on top of the state system, you then have now javits, this facility which one a 500 beds, and the comfort, the ship that the president sent, 1000 beds. The 2500 ends at javits and the 1000 beds on the ship are noncomfort beds. I asked them to make the facilities covid facilities. They want to handle noncovid people at javits and comforts, which means their function will be basically an overflow valve for existing hospitals. They cannot take covid patients, but they can take noncovid atients. When we talk about a hospital getting near capacity, they could then download, if you will, to javits and the comfort. [inaudible] [inaudible] gov. Cuomo yeah. How many years have you known me . The question is, am i willing to tangle with the president . How many years have you known me . Alright, 20 years have you ever known a time in the 20 years that i am unwilling to tangle . Im a tangler. Look, i understand what the president said first, i think the president because i take his comment as a compliment. The president commented on a poll that said people were leased with my leadership. And i thank him for that. That was a compliment. As far as the president s comment about having a political contest with me, i am not engaging the president in olitics. My only goal is to engage the president in partnership. This is no time for olitics. And, you know, lead by example. I am not going to get into a political dispute with the president. I am not going to rise to the bait of a political challenge. I am not running for president. I was never running for president. I said from day one i was not running for president. And i am not running for president now. I am not playing politics. I just want partnership to deal with this. And i said to the president quite clearly, look, when you do good things for mike state and you are a good partner, i will be the first one to say youre a good partner and i have. I went to the ship, comfort, today, and i said, thank you mama mr. President we opened up the Javits Center and i said thank you to the army. When you help my state, i will say thank you. If i believe that new york is not being served, the federal legislation that they passed, i will say that, too, you know . Sometimes it is simple. Just tell the truth. Right . And that is where we are. Ell the truth. If youre doing the right thing y new york, i will say it. If he is doing the wrong thing by new york or the rest of the country, i will say it. But i am not going to engage in politics. Not because i am unwilling to tangle but because i think it is inappropriate. I think it is counterproductive, and i think it is antiamerican. Forget the politics. Forget the politics. We have a National Crisis appeared we are at war. Here is no politics. There is no red and blue. It is red, white, and blue. So get over it. Again, lead by example. [inaudible] gov. Cuomo we have said that no one can get evicted for nonpayment of rent. That, to me, is the fundamental answer, right . That solves all of the above. Cannot pay the rent a lot of people are not working and there is no income, cannot pay the rent. Landlord technically come illegally had a right to say, ok, you are evicted. I said, by executive order, there can be no evictions, period. If you pay secure deposit, dont pay security deposit, pay rent, none of the rent, you cannot be evicted for a threemonth period. [inaudible] gov. Cuomo yeah, if they want to pay, they can pay, yeah. [inaudible] gov. Cuomo again, i think our policy answers it. You cannot be evicted for nonpayment of rent. Not that you wont owe rent at one time, because you signed a ontract. Even the people to whom you pay the rent have to pay the rent, right . And they have expenses. So no inventions for nonpayment of rent, and then we will see where we are and how long this goes on. [inaudible] gov. Cuomo but we spoke about hat today. Lmhurst hospital is a new york city Public Hospital. We talked about the health and hospital corporation, one of the new york city Public Hospitals. T is struggling. That is clear to everyone. And we spoke about it directly in this meeting, and i have asked other hospitals to pitch in and help elmhurst, and they have agreed. And to also anticipate other Public Hospitals that may struggle as the numbers continue to increase and be ready to help them also. [inaudible] gov. Cuomo you know, 100,000 to 200 200 thousand, white house estimates 100,000 to 200,000 as the death toll. We do not have projections in this state as to numbers of deaths. We are studying models, which, by the way, is done by very professional companies. I do not come up with these models. We have cornell, mckinsey, the ates foundation working on it, bill gates foundation, working on it. Starting projections to see how we best deploy to make sure we are ready for the next battle, make sure we are ready for the apex. Is it 100,000 . 200,000 . Look, whatever the number is, it is going to be staggering. The number is already staggering. A human life is a human life. We have lost over 1000 new yorkers. To me, we are beyond staggering already. We have reached staggering. And the only point now is do everything you can to save every life possible. That is what this is all about. [inaudible] gov. Cuomo right now, a hospital this is my opinion the hospital is basically an isolated entity. One hospital has its own employees, has its own logo, has its own finances, does its own purchasing, has its staff. You are going to have associations of hospitals, and then you have the public, new york city Public Hospitals, which are one system but still individual hospitals. That does not work in this environment. It just does not work. No one hospital has the resources to handle this. No one hospital can do its own procurement. No one hospital has enough staff. No one hospital can deal with the capacity. There has to be a totally different operating paradigm were all those different hospitals operate as one system. O when i run out of masks, i can call brother ken at the other hospital, can say im out of masks, can you send me some masks, and when i refill, i will send them back. We have to get to a point where i can say that i have too many people walking in the door and i cannot handle it, and were going to set a load threshold so that when you get near that load threshold, you can send people to other hospitals that have a lower vacancy rate. Purchase together, staff together, download patients together, balance the load, and do it all across the state. We have hospitals in upstate new york that are experiencing none of this. They have staff capacity and have bed capacity. We need you now here in this fight and engaged. And that is a totally different concept appeared that is what were doing today. Ken . Ken to the question, what were going to do is work very cohesively with the state government, department of health particularly, in putting together a command center that will receive all this information on an instantaneous basis and then begin feeding out that information and instructions as to what to do. For example, just simply in discharging patients to this facility, this huge facility that has been built by our colleagues here, this will create a way of decanting the pressure on our institutions. And that information go to a Central Place and transfers will be made, and that is part of this cohesiveness we are talking about. The same thing applies to supplies, ventilators, and all the other stuff that goes into making a hospital work. This is going to be done, and we are now in the process of pulling it off on a complete basis. [inaudible] gov. Cuomo tomorrow. Ken it is in the works right now. Gov. Cuomo central purchasing, central stockpile, rather than everyone have their own stockpile, and then distributed by need. We will take one more, all the way in the back. [inaudible] gov. Cuomo the doctors are exactly right. The message is, god bless you and thank you. We all applaud you. We are in awe of you. E are all inspired by you. We all wonder secretly, would we have the courage to really step up at a time of challenge . And they are doing it. Theyre doing it every day. And we are all in their debt, and we respect them and love them for what they are doing. And they should have every piece of equipment that they need to do their job. That is the least that we can o. And we are all doing everything we can to make that a reality. Thank you. Ets go to work. If you misany of our live coverage, wash any time at cspan. Org very coronavirus. Daily briefings from the president and the task force. Use the charts and maps to track the virus global spread and confirm cases in the u. S. , county by county. It is your fast and easy way to watch cspans unfiltered coverage of this pandemic. My husband and i are staying at home. Are we just postponing the inevitable and so really the only they think we can do is try as you suggested to keep ourselves positive and eat well and try to be ready for when it finally finds us. Is there any studies going on or trying to come up with something to track as far as how far the disease is through blood, saliva, other ways . Do we have to be worried about animals carrying the disease . Come mosquito season, have to worry about this all over again . Put mosquitoes aside. Coronavirus is not transmitted by mosquitoes. We can take a deep breath about natural share your experiences dealing with the coronavirus pandemic and ask experts your questions. Join our live conversation every morning on washington journal which starts at 7 00 a. M. Eastern and more lye conversation weeknights at 8 00 p. M. 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