What would your role or what has been your role during this pandemic . Its been very involved in this pandemic and how the frontline response so the organization i work for works closely with them supporting response and on researching issues for them and also on communicating to other stakeholders like the centers for Disease Control in congress and the administration. What are your thoughts on rent headlines about the spike . In covid cases . Wall street journal describ it as everywhere. It is very concerning and it is something that we knew there would be the likelihood can happen as we move into the fall months but you kw, as everyone knows we are seen levels of infecon weve not seen before in this country and when you look at whatappened on the east coast back in t spring and how quickly we got to the situations where we almost went over t capacity of the hospitals and now is across the nation and its concerning. For that reason, we cant let ourselves get to a poi where you dont have the ability to take care ofeople who get sick and acquire hospitalizatis. We are getting news reports this morning about vaccines getting to a successful levels, the hill newspaper had this headline. Maternal says Coronavirus Vaccine is 94. 5 effective and then matth dalton who writes for the wall street journ treats out, not only does madonnas vaccine work but is stable at normal fridge temperature r 30 days compared to previous estimat of seven days and that would be a big advantage over the visor vaccine which must be stored a negative 70 celsius what you know about this news this morning. This is good news. The big concern or to concerns that we want to make sure we have a safe vcine and i think we are still following that but need an effective vaccine. Ccines are effective in the 90 and thats very, ver good. I think that is the kind of thing that will encourage people re to get vaccine as well so when something works well peoe are more likely to participate in if the effectiveness is lower. We pleased at such high levels. [inaudle] there will be more to com on this but it is iscertainly good information front and were optimistic. What role would your Organization Play in the distribution of any vaccine and how does it work . The vaccine will be distribution of the vaccine will be led by the public all department and the actual providing the vaccine in a different setting wl be done through cdc and cdc will have or has aa contractor who wil deliver that vaccine directly to where it needs to go but what the state will do is look out ahead of time in the position to provide the vacci enemy doses so the state will figure out who will get the vcine and how many doseso to each place soan were lking at that information for the federal governmt and when the vacci will be provided to them. Mymy organizions role is to just help with that and research and helping troubleshoot problems but beyond the oundwork will be done by each of the states. Do you need a federal position to oversee all of this, Something Like what youve seen people putting in that role to respond to hurricanes in certain areas. Do you think that that or that that would be more efficient . Yet, having federal oversight, thats useful as far as trying to make sure that the response is consistent across the nation. Generally, the medicine [inaudible] when it comes to distribution thats their expertise. That is what we are hoping to see more of an them getting a chance to take on that role and all of the state just submitted vaccine plans, initial plans of how they are intending to put this back and cities are doing that now. That will help some of these issues o equality. [inaudible] righ on november 10 the problem with waiting for details on the vaccine to be revealed is that mass immunization is a multilayer process involving Public Education campaigns, ordering of equipment, hiring of staff, training of vaccine providers and the added complexity in this pandemic of making sure all vaccine sites are safe and will contribute to the spread. Operation warp speed haser set goals to ship the day the vaccine is given the green light by the fda. States need to be ready at any moment. Are they . I think they are in a good place andt the first part of yr statement is correct. T the more we know about vaccine the better and unfortunately there are some things we wont know about this vaccine as we finish out the trials and is the vaccine effective in people over the age of 65 and people under but we want to figure out how to prioritize who gets the vaccine annexed. [inaudible] states know they are preparing for that particular rollout in they will learn is that rollout goes forward and wherever we decide the next priority is. Their plan will be flexible in making changes but they do have a plan and this is the first time weve had in the pandemic to get out in front plan for and get ready for it. It makes a big difference. Your group wrote a letter to congress saying the states will need more than 8 billion in funding for vaccines distribution. Why . Huge scale to vaccinate hundreds of millions of people and that is the scope of that is enormous but also the speed. We need to do this as quickly as the vaccine is ready quickly as the manufacturers can get it to us. We need to get that out and administer it to people and we dont have the capacity to do that we dont have people sitting around in hospitals and doctors offices and with nothing to do but we will have to gear up, bring more people in, have people work overtime and all of that will cost money and we also need to upgrade our systems and to make sure that profits carefully and mitigation plans and as you mentioned earlier its very important that this is not a vaccine that, you know, makes the disparities wee. Seen worse. We need to find ways to reach out and communicate and build trust among some of the populations that have historically been more [inaudible] i think it will also require resources. What will cost a billion dollars . A range of things. A lot of the cross will be having the personnel in the capacity to administer the vaccine and People Communications campaign and expenses involved in the data prstems ande are the process of developing those so these are the big ticket items in the 8 billiondollar budget. I want t run this by you from greg sargent who tweets out this is gting worse with door Anthony Fauci a member of toms own administratio set on nbc this morning that hes worried that the transition could mess up the prospects for a quick vaccine distribution. Marcus, your thoughts . Well, i think we are in a good place. States have laid out plans and you know, i think that it will be challenging in the midst of rolling outst a vaccine and at e speed and there is no question about that but the people in the administration who are ultimately the ones who have the expertise to do this and a lot of them will stay on the transition in our Civil Servants who move through various political administrations and even some of the people higher up on the leadership. I know these people and the very committed to make sure its done and its i done right. There will be challenges with this and most will be communication challenges but were anticipating that and as we move into situation where its the state who are taking the lead on getting the vaccine out to the people in the state so is much more of a localized transition issue. We want to know what its like where you live and covid19 response if you have questions about that and also vaccine distribution. We delighted the lines regionally if you leave in the Eastern Central part y, 202 7488000, mountain pacific area, 202 7488001, medical professionals we want to get your thoughts on the medical vaccine, 2,027,488,002 laura, good morning. Good morning. God bless america and god bless cspan. First of all, everyone has serious concerns about allowing a president who has lost an election to hold an entire nation in danger and that is one thing. Lyas a totally ordained pastor i yewalked with the lord for 72 years andnd im not a young lady but im familiar with the bible and i a poor everything about the florida of our pre born and we know it as it orson. Host gloria, lets stick to the topic. Caller hello, inner regions down here in florida of course our governor is an unfortunately full denial along with president so when we consider things like rolling out the vaccines and things it assumes concern and theres talk about the International Courts coming after both our governor and others because her to immunity is basically genocide and promoting nets. Were specifically to your doctor there his outfit does research in support and because of the history theyve denied aerosols and it is aerosol so there is a questionable history there so they minimized tracing, masks, distancing, testing and im concerned that they are minimizing air filtering because the cdc has come out and said that its safe to tral in airlines which is a confined environment for a couple of hours which is similar to classrooms and they say its only safe if you do roughly 2030 times air filtering and there is probably a belief you cant do that in the classroom or a home but you could if we werent keeping things on the download and we put it out there that this is needed so solutions appear in one of the solutions would be to have air filters and i used to work with them and make them into a box and put them on one end of the other of the fan and you can get really high air filters with you could use stem kids and it kicks out 15 minutes with duct tape into box fans so there are solutions out there. My concern is this is the time of maximum effect. If we focus solely on vaccines people will downplay other solutions and if you got to solutions that address them from different ends independently they put onn but you have 100 o same thing here, if we were to implement masking air filtering, tracing, testing, masks and distancing in addition to the wonderful thing which is almost a panacea of having the vaccines that is the maxim and in utrticular impornt if there is a slow rollout of a vaccine. Host michael, lets let the doctor jump in. Ul guest i couldnt agree more with what michael was saying particularly towards the end. We cant see the vaccine as the cure all in the sole way out of this pandemic we will have to use the vaccine together with many of these other interventions that michael went through. Its very important that people continue to wear masks even if we rollout the vaccine until we get to place where they have a lot of the spread and community. Its important that people continue to be careful about keeping their distance is an important that they have more Testing Capacity and we figure out how to use that and use it appropriately. Its important we continue to test out some of these other things that are emerging. Air filtration that we spoke to. Were still learning about that and hes right, there is some real potential promise there but we dont have to put a definitive answer on that. We all want firm definitive answers and sometimes weve been slow to come back and say yes, we know masks work now but early on needed to make sure that was true. Same thing with whether the virus was aero but that is science. With science you have to keep testing things until you come out with a more firm recommendation on what works and what doesnt work. I think we are getting there but its been very challenging given the scale and the timeline of the pandemic but i think the important thing here is the vaccine is certainly encouraging and we have to have the strong tools but we got to make sure use Everything Else that weve got to help us get through the pandemic and togh more those who are vulnerable and have severe reactions and are infected with covid. Host doctor, cnn is reporting on this matnal vaccine and as you noted 94 effective and on the testing that they did they gave 15000 people in the test the vaccine and only five got sick. What you make of that . Guest well, i think the more people tha have been infected with covid durin the trial the better because it gives or allows most people getting affected who did not get the vaccine and so if i heard you right there only five they got sick in the vaccine or onlyive overall. Host five got sick who received the vaccine but they did another 15000 and gave them a placebo and more of them got sick. Guest that is what we are looking for. Familiar with the pfizer trial that came out a week ago. The smallummers are pfizer and almost00 people got sick but very few people got sick will onto got the vaccine. That came up with this number that theaccine is looking at infective. Its good to have two different ccines in case we find there are glitches in one or the other. Again, i would cauon everybody that press releases and those will see the real data coming out of the trial and looking at exactly how what youre looking at there safety that will be equally important and ts is a very good place to be with the vaccine that appears to be effective and to vaccines and thats encouraging. Lets go to luis and fredericksburg, virginia. Your next. Caller hello. From what i could understand pfizer has invented a box that could store this at the right to mature to ship it to the drugstores and the doctors offices and then they will give them just like they do a normal pneumonia shot and then i understand that the effective rate is, it doesnt mean is doctor Anthony Faucija said on jake tapper yesterday that he said that that means five out of 100, he didnt say but he agreed that five out of 100 would get it but that is not what this means. This means that everyone who gets the vaccine is 95 effective in each person and that is how that works and from what i can understand the distribution problem is already fixed and they are going to the drugstores and to the doctors offices and they will prioritize the vulnerable first and then it will be given to us and well go to your local drugstore, go in and get a shot. If it is two shots its like my pneumonia shot i get two shots or pneumonia shot so i dont know what all the fuss is. Host louise, ls let the doctor what you think of what she outlined their . Guest i areciate her optimism and i think there is reason to be optimistic. Ninety, 95 of effectiveness is accurate and again we need to see some of the data before we get behind that but for the vast majority of people who get this vaccine they will be protected from covid and they [inaudible] they will need a second dose and there have been concerns about the logistics of moving the vaccine around and the pfizer has almost 100 degrees below zero celsius and thats a really, really cold and not your average, your average will not do the trick for that but the vaccine is shifting in the box where its shipped in dry ice in the box will keep it at that temperature for days and i do think that we will ultimately make this work and we may not be able to get the Pfizer Vaccine out into really rural remote areas as easily as we can get the maternal vaccine that doesnt have cold storage mechanisms but now that we have a way around that but there will be some challenges around the temperature there will be other challenges that we dont know about now and thats the nature but already with the cold temperature thing i think pfizer came up with a very ingenious solution for that and that is what we will be doing Going Forward with troubleshooting but i think there is a lot of reason for optimism and a light at the end of the terminal but the problem is that the tunnel is a dark. We are in a bedtime getting very, very high end with some communities whereig we are gettg to the place where hospital beds are getting tight and we dont want to get to a place where if youre sick and theres nowhere to go. Thats maybe where it needs to take medication intervention in the past. Host would you like to see a National Mask mandate or a lockdown for six weeks . Guest i dont know that its possible to hav a natural mask mandat but theres a back and forth about whether they have the ability to do that. Id like to see more and more states move toward mandating the masks. That is the thing that helps people see this is serious and something we have to commit to. And particularlyyith states where cases are going out. The mass thing is theirst step makes the most sense. I know its become controversial but it doesnt effect the economy the way somethings do but its a thing we can do to help eachther get through this and wish there was more cooperation around that and i do thin that having a mandate i serious and its something we will want to have done. I hope we will not have to move to these shutdowns like w had inhe spring for six weeks. We wanto see is states that have not alreadyegin to do some of the measures and you ow, limit the size in states wher were having the huge outbreaks b we cant have 50, 75 people coming for various gatherings and in some of these ples we need to drive home to people that getting together with the large families liberation for thankiving is a risky thing to do and do you really want to do that . By next thanksgiving i thinke will be in a different place but this will be a disappointing thanksgiving but tt is just the sacrifice w need to make. Its those things and there may be some differences where the businesses uncertainly restaurants and bars have been harmed by this and i love restaurants but these may be some pces where we have to makentervention and hopefully by making tse kinds of interventions we can keep from the more approach back in the spring were most everybody and so you have to think it doesnt have to be all or nothing. I think we could start doing things that we are most effective that will help and see some of these things begin to get back things under control. T host what is your reaction to some governors saying when it comes to your thanksgiving gathering no more than three different households getting together . Guest while, younow, i would urge the public to be careful around thanksgiving. Inks giving is t time traditionally where families come together and that maybe eight Multigenerational Families me together which we g people here who are the age rang over 50, 60, 70 or 80 and if they contract covid it could be very serious a severe for them. Also, you often all know the ople in your family may have ongoing medical conditions and the puts you at a greater risk. We are urging the public to d a more qui state home kind of thing and that isisconcerting. I love getting together wh my family at thanksgiving. Im starting to not be able to do that butut we will really lit that and they need to look forward invite next the things ging will be in a different place. By next summer will be in a different place and able to get back to the weight we want to live our lives. Right now it makes sense to be ca