Man in the world right now. So thank you so much for joining us today dr. Anthony fauci and look forward to seeing you again when we can all get together in person. Thank you very much. I hope so, steve. We will focus our energies on intersection of race and access to care. You will get underway a few housekeeping notes. You can tweet as at hashtag the home health. Broadcast live and we will be taking your questions throughout the program. If youre experienced trouble with the live stream please refresh the page. That should be a quick fix. I i dont believe in pachuca tractor the coronavirus does not discriminate we thought from royals to World Leaders are going is foldable yet as the numbers are scrutinized Racial Disparities come into focus. People of color who are at the lower end of the socioeconomic spectrum are uniquely positioned to worse outcomes. Questions of access and affordability of care are matters of life and death. Surrounding racial and social determinants of health have become more vital than ever before. My first guess this afternoon is cdc director Robert Redfield or dr. Redfield, great to see. Thank you for joining us can. I enjoyed our conversation and ive been telling people today several times in the last conversation i could feel you simmering when we talked before about the lack of investment over decades in our Public Health infrastructure and why that is so consequential today. Will you share with our audience what you have in mind . Thank you very much, steve. I think its really important for us to be honest and transparent about the fact that for really decades we have failed to invest in the Public Health infrastructure. I think weve seen the complexity that that is caused us as we have confronted the covid outbreak. I would argue now is the time to make that investment to get our nation a assistant pastor of te Public Health system that this nation not only needs but this nation deserves. There are several elements of that. One, daytoday modernization and the ability to do predictive data analysis. This is fundamentally critical. We need realtime actual data in order to have an effective Public Health. We need resilience in the laboratory. Some of the complexities we have seen an expanding testing, Public Health infrastructure of this nation will has a laboratorybased system based on a single low throughput platform. Any street much more resilient, much more capacity to surge. We need a Public Health workforce. We recently told the nation in january, there were 6000 6000 e states have less than 100. I predict this nation will need at least 100,000 just to do with the current covid outbreak this fall. We are currently up around 28,000 and growing, the still we havent invested in Public Health infrastructure. This is really fundamental. Widely, i believe its critical we have a Public Health infrastructure across the world, and in terms of the Global Health threats that we are seeing what we have the capacity to prevent, outbreaks at the source and have a strategic comprehensive Global Health capacity in strategic areas around the world. This investment is critical. Now is the time. I think many of your listeners may not know that cdc provides up to 70 of some jurisdictions of the health, Public Health funding. So funding that we get is really picking up in the states help them begin to build now was a time to correct this so future generations will have resilience. Ive said if theres one thing we need to do for Public Health, is when you do over prepare for when we need to use it, not under prepare. I dont know if im your unlucky chart or not, but the last time we spoke was a time to cdc was about to issue some guidelines on how to safely reopen the economy and you kind of shared with us that the process and kind of brought it in. We are now in the middle of another kind of storm about schools reopening and the cdc as i understand it is going to revisit the guidelines and come back with others. I want to cut down, are you worried that in the storm were seeing in certain parts of the country reopening of the schools dont have what they need to save for reopen . Were walking in the potential do calamity, particularly for children . And a port in question, first to clarify, we have put out a series of guidances for k12 and Higher Learning as far back as february, and weve updated the overtime. Most recently last week we added Additional Guidance for k12 and Higher Learning, particularly with the addition of trying to get guidance on the role of testing. Those guidelines are out there. I think its important the intent is that we have we are adding additional reference documents and consideration documents to help groups understand how to use those guidelines available. We have one coming out for parents and caregivers come for kids going back to school. We have one coming out for communities that will be opening k12. We have one coming out for schools to help them understand how to use and monitor their symptoms here we have one coming out to talk more about the use of face coverings. We believe is very important in the school setting. We have one coming out how to monitor and evaluate how effective your programs are. But i have tried to state the purpose of the cdc guidelines for some for most is their guidelines, not requirements. Obviously they are superseded by local, state, tribal territorl health departments. Secondly, i want people to know what their purpose is. Their purpose is to facilitate opening the school system. I am of the point of view as Public Health leader of this nation that having the schools actually close is a greater Public Health threat to the children and having this schools reopen. Im a grandfather of 11 children so far, nine of them are in school. Im a fairly committed to do this and work with local jurisdictions to do this safely, but i think really people underestimate Public Health consequences of closing schools on the kids. Im confident we can open the schools safely, work in partnership with the local jurisdictions. We provided as series of strategies, and local jurisdictions need to go through and look through those and figure which ones work, which ones are practical, how do they think they can best do this, we are prepared to work with them if they need more Technical Assistance as they try to navigate this. But i cannot overstate how important i think it is now to get our schools reopened. The reason i pushed it is because i truly believe its for the Public Health benefit for these kids. That said, we have to be vigilant in protecting the vulnerable, the teachers, the other individuals who work in the school, the student. I have a grandson with cystic fibrosis. We need to make sure were vigilant. Now was a time to work to get visa schools reopened. I want to get to the issues of vulnerable communities but one more segment here. Senator lamar alexander, congressman fred upton on todays show said hey, schools dont have come many schools dont have the money, the resources they need to do this. We need to revive him just as with other parts of the economy and other organizations support and help them do this and move that forward. Randi weingarten says we want to reopen but we need to care about Childrens Health as much as we care about Peoples Health in bars. Do you think we need to put more resources and money into schools, whether they are public are secretary devos evens at private schools to help them have the resources to safely reopen . State, i think where to see the plans that the different schools and jurisdictions come up with. Obviously if there are barriers to be able to open the schools that are really important to overcome, then we have to address that. When i say we, i mean we as a nation. But but i know a number of schos are working to develop their reopening plans. I dont think theres anything intrinsic to the guidance. The cdc has suggested people consider that is prohibited from a point of view of but again i think ultimately thats going to be decided as each of these different schools and districts decide what their exact plan is. I dont think we should go overboard and tried to develop a system that does not recognize the reality that this virus really is relatively benign to those under the age of 20. The greatest risk this virus causes is if there was an individual that was vulnerable in that group, like my grandson, or if there was an individual i was vulnerable like a teacher. This is why we need to get in the process protect the vulnerable. Im anxious to read the actual plans the different schools come up with district and work within. But as as i said our guidance was really meant to facilitate the opening of schools. It would obviously be disappointed me if some of it was used for rationale of the need to keep schools close because thats not the intended were prepared to work with each school or School District to open through how to get to the place they need to be to open their school safety. Doctor reptile, last time we spoke and an image it on todays show a number of times you shared with us that the challenge of this coronavirus is reaching people who may not have the resources that wealthy communities have, that they may be homeless, and we have to find them shelter and treatment and isolate them, treat them with respect and dignity. This very powerful comment you made after they were taught about the inequities in our system, talking about some of the communities that have been basically taking on a disproportionate share of mortality and infection rates. I do love to get your thoughts on how we move the needle on those i would love and create something that surely inclusive as an approach to solving the covid problem. In every crisis theres an opportunity and i think ms. Covid crisis is an opportunity. One opportunity would talk about is an opportunity for this nation to finally make the commitment and needs to make to open prepare its Public Health system in this nation. The other great opportunity is for this nation understand we need to have meaningful progress in our efforts to impact social Health Care Disparities in this nation. The covid virus has exploited it. When we see the increase in hospitalizations and deaths in native americans, alaskan natives, africanamericans, hispanic latina, its not anything intrinsic. Its actually a marker of the Health Disparities that existed in this nation for far too long. In health issues, diabetes, one disease, heart disease, to disease, obesity. Clearly its a wakeup call to say are we serious about trying to true and back Health Disparities so that theres equity in health in this nation. I have always believed one of the great social injustices in our world and even in our own nation is the lack of healthcare. This is really underscored. I know us just in the covid response, for the first time actually had in my leadership a response to achieve equity officer tried to look at how we are addressing it. You mentioned the homeless. When we talk about the risk of significant infection in the homeless population, in order for us to have a meaningful Public Health response we need to do isolation. Howd you isolate somebody who is homeless . This means we have to address that other issue of housing for the homeless. Maybe as i said maybe through this crisis theres an opportunity and certain jurisdictions will figure out how to address the growing challenges of homelessness. Its something we should commit ourselves to really not just talking about but we should start developing strategic approach to have meaningful progress in addressing the Health Equities in our nation. Many of those inequities are really centered around poverty as one of the big drivers of the Health Inequities in our nation. Covid has put a spotlight on it. It really has shown us that these inequities have really had an impact on whether people get hospitalized [inaudible] so im hopeful that it puts the spotlight. On. Im hopeful as a said before that from this crisis will come some really important opportunities come to rebuild our Public Health system so this nation finally gets the Public Health system not only that it needs but that it deserves. This nation becomes desensitized to the rally. We have to effectively address Health Disparities, the social determines of health so we can move our nation to a healthier nation as opposed to a nation that is still struggling with many, many chronic illnesses that this virus has exploited. Dr. Wakefield, thats a debris good frame to launch the rest of our discussion today that you and i never have enough time. Its a fascinating to get that i want to thank you for your time today, dr. Robert redfield. The 18th director of the centers for Disease Control and prevention. I get so much for joining us today. Thank you very much steeper glad to be here. God bless. Thank you. Hello and welcome back. Im steve clemons. The latter can be joining us for
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