Good news. We just heard for the 10 Million People here in los angeles county, it will start reopening on friday. Were told that among the first things to open are going to be some trails, some golf courses, some nonessential businesses including florists and car dealerships. But we are being warned that it will be slow, and not all the news out of california this afternoon is good. Weve also heard from the governor who says that across this country, we are going to be seeing depressionera unemployment numbers. He says that over the past three days alone, california has paid out more than 2 billion in unemployment benefits. Whatever we do, however we do it, we are going to be feeling some pain for sometime to come. The new york city subway closed overnight, first time in over 100 years, to clean the cars. We have turned the corner, and were on the decline. You take new york out of the national numbers, the numbers for the rest of the nation are going up. What were doing here shows results. Reporter across the country as a whole, the new case count is not falling. Hovering somewhere over 20,000 every single day. I think that we need to understand this may be the new normal. We may not be able to get transmission down much more. I hope we can. Reporter but many places reopening anyway. Hot spots now growing in cities like dallas, some more rural flareups, too, like nebraska and minnesota. Better testing might just play into all this. I dont think there is anyone that didnt know there were more cases out there. They just werent known because the testing was so low. Reporter a former cdc director told lawmakers today that the u. S. Death toll will exceed 100,000. As bad as this has been, its just the beginning. Reporter airlines now hoping well get back in the air. Average passengers per plane is up to 23 from 17 last week. All but seven states are now taking steps to get back in business. On monday, restaurants could open in florida. On tuesday cops in jacksonville had to break up a Tailgate Party at a taco stand. The risk of the coronavirus is a scam. Reporter one Company Working on creating therapeutics using blood from the recovered now says it might have something on the market by the end of the summer. We can clone out the best of antibodies from recovered humans. We selected the best ones to create a antibody cocktail as we called. Reporter and who is this coronavirus infecting . Well, around 90 of positives in San Franciscos Mission district are people unable to work from home, according to a new study. 95 of them latin. Another new study finds black americans are 13. 4 of the population, but counties with higher black populations are home to nearly 60 of all covid19 deaths. Were still seeing a disproportionate number of black chicago as people who are dying as a result of covid19. Reporter when it comes to travel, anderson, they have announced new cleaning procedures. Thats right, we heard from Marriott Hotels today and southwest. They are both using whats called electro static misting. It basically adds a charge to the disinfectant as its being sprayed out, and that helps the disinfectant sort of coat and stick to whatever surface youre spraying it on. Listen, these Companies Realize that they can reopen, but unless consumers are confident, then theyre not going to come back. Anderson . Nick watt, appreciate it. My next guest testified on capitol hill today about whether any of the states are actually meeting the very guidelines that the white house itself put out, even though President Trump is now encouraging many of these states to reopen, insisting that they reopen according to my next guest, none of these states have fully met the guidelines that the White House Coronavirus task force actually set out for reopening. Here, i want to have you listen to what my next guest said today on capitol hill. This is what kaitlan rivers said. To the best of your knowledge, is there a single state that has met the necessary parameters to ease restrictions . There are four criteria that states should meet in order to safely reopen, and not all states have adopted these criteria, but ill review them just as a starting point. The first is to see the number of new cases decline for at least two weeks. And some states have met that criteria, but there are three other aye tier i cant and we suggest they should all be met. The other is enough Public Health capacity to conduct Contact Tracing on all new cases. Enough diagnostic testing to test everybody with covidlike symptoms, not just people with severe illness. And enough Health Care System capacity to treat everyone safely. To my knowledge, there are no states that meet all four of those cries tier i cant. Joining me now is kaitlan rivers, the Senior Associates of Johns Hospital kinzler for security and assistant professor at the Universitys Department of health and engineering. Also joining us is dr. Sanjay gupta. Professor rivers, no state has met all the criteria at this stage . Its true that all states are in different places of their epidemic. There are some states that have begun to see a decline. We heard from Governor Cuomo in the opening clip that new york has really turned the corner which is great news. But there are other places that are still really seeing an acceleration of their outbreak. Weve also seen that some states dont have enough Testing Capacity to treat test everyone with covidlike symptoms and states are still working on expanding their Contact Tracing capability in order to be able to manage cases and their close contacts, which is quite a labor intensive process. The good news in addition to some states turning the corner is that Health Care Capacity has really been one of the leading indicators. Weve had more success treating everybody who needs treatment with covidlike symptoms than the other three criteria. Sanjay, the map that we showed earlier that cnn compiled where you see all the states are, it is surprising the number of states which still have either kind of the same numbers of cases or actually cases going up. And yet those are some of the very states looking at reopening. Yea, i mean, theres no question. We just looked at the data again just over the last couple of hours, and many of these states, even some of the ones that have been going down, if you look carefully, even they have had some upticks recently. So if you sort of compile that data, its not even clear they meet the most basic criteria, which is to have this 14day downward trend. And keep in mind, anderson, as weve talked about, as States Reopen between the time people might get exposed as a result of this reopening and the time they may then subsequently be tested for the virus, you know, a couple weeks could go by. So we may not see the impact of this for sometime. I think there will be a period of time people say, look, we reopened. Everything is fine or it hasnt changed much. Were good. But you have to sort of wait because we know how the trend sort of the time lag there. Yeah. I mean, professor rivers, you can look at georgia which as we all know the governor there reopened on a friday. It was certain businesses, beauty salons and the like. Monday was restaurants and movie theaters. And yet their numbers seem just about the same. Do you read anything does that tell you anything . Or is it also just theres, as sanjay said, there is this couple week lag . There will be a couple week lag. I dont think well be able to fully assess the impact of reopening on the order of more than three to four weeks, if not months. For states that are looking to reopen, i think its important to lead with Public Health risk assessments. So we have suggested that it should be lowrisk activities that are the first to reintroduce into the community. Things that are outside are a great place to start. We know being outdoors is great for mental health. Its great to get fresh air especially after weve all been inside several weeks now. Starting with the lowrisk, reopening activities is preferred over diving into high contact settings. So that would be opening up parks and are i mean other outdoor spaces or creating more outdoor spaces . Thats right. Some states have chosen to close their outdoor areas, their parks, their play grounds and so on. Those would be good options to reopen. You do want to be careful about high contact surfaces and outdoor spaces that are shared like rest rooms at beaches, for example. Those might be more risky than being out of doors. As we do start to think about reopening, its the outdoor spaces i think would be a great first step. Professor rivers, the White House Press secretary said today that its simply nonsensical to suggest that every american needs to be tested in order for the country to reopen. Again, no one is suggesting every single american has to be tested in order to reopen. Thats sort of a false premise. But im wondering what is your perspective on testing . You spoke about the need for more testing today at the hearing. Thats right. Last week the United States ran about 1. 6 million tests which is a huge improvement over what we saw in march and even in early april. But its still not to the level that many experts recommend. Recommendations start at 3. 5 million tests per week and go up from there. So there is a gap to close. And i think our First Priority should be putting together a plan and identifying how we will get from here to there. I think understanding what the time line is and what our expected future capacities will be is really important for helping to guide our next moves. So thats one of the recommendations i made at the hearing today. Sanjay, is the federal government still, you know, are they still doing anything about what are they doing about testing . The president obviously was talking about and the Vice President was talking about doing away with the Coronavirus Task force. Now it seems to have kind of backtracked on that because he says he discovered how popular it is, which is an odd thing thats the thing that might save the Coronavirus Task force. But are they still trying to raise the amount of testing in the u. S. . Well, i think they are. You know, its interesting because we do hear different things. At some point President Trump said im not sure its that important anyway, testing. It clearly is important. The specific numbers of tests that need to be done. I mean, theres all sorts of proposals on that. Some say its not really about the number of tests. Its when you start to get a certain amount of negatives, when you start getting 10 of the tests coming back as positive you get a sense youre testing enough. Its also the idea of point of location testing. When we interviewed bill gates the other day, he was talking about kiosks and athome testing. Were not there yet. Other countries have had kiosk testing. Its just feeling comfortable. I think ultimately as people start to go back to work, can they feel comfortable that they can get tested, show that theyre negative, have some confidence the people around them are not harboring the virus in their bodies as well. How do you get to that point i think is the real question. Clearly its more testing. Exactly how much more we dont know. But its a lot more than were doing now. And professor, kelly said today if we tested every single american in the country, wed have to retest them an hour later and an hour later after that because theoretically any moment you could contract the virus. Is that a fair point . The argument is whats the point of testing people if an hour later they could suddenly get exposed. Its true that the molecular test you would get at the Doctors Office to see if you have an active infection are really only valid right now. Its true you could go on to be infected or you could be incubating the virus and you dont have enough of it yet for the test to pickup. That doesnt mean testing doesnt matter. It means you have a result for today. The strategies that require universal testing should take that into consideration. Testing everybody once is not going to get us there. You would need to design a more comprehensive strategy for how you would use that beyond transmission. This is why we talk so much about Contact Tracing. With Contact Tracing once someone gets a positive diagnosis, the people they have been in 0 close contact with are alerted to their exposure and asked to stay home. Its actually the staying home that is the intervention. Its not the testing. Its staying away from other people. Those two things really need to be linked. Its a really interesting point, sanjay. You referenced bill gates. The other thing he was talking about on our town hall was the white house 200,000 tests are available, he was saying thats a bogus number because the wait time on a number of those tests is so long that its kind of irrelevant by the time you get it. Youve already you get the results, youve exposed yourself potentially to any number of other people. So sort of just a General Number of tests, it may look good on paper but it doesnt really work in real life. Yeah, no, i think its a really fair point. Unless people sort of protectively or prophylactically isolate themselves while awaiting their results, they could go on to potentially expose other people. And we also know that, you know, you can still be contagious even before you would develop any symptoms. Maybe even more contagious before you develop symptoms, some of the studies have shown. Thats a big issue. Another issue that came up is some of these tests have a significant falsenegative rate. Up to 15 falsenegative. People think they are negative for the virus, im good, im clear, ill do whatever. But, in fact, in some of these tests 15 of the time, thats not an accurate result. So these are problems that have to be fixed. They have to be quick tested, they have to be accurate tests and widely available. Professor rivers, the former cdc director tom freidman who testified alongside you just today said that were just at the beginning of the pandemic. And i spoke to Laurie Garrett last night in the program, a journalist. Shes been warning about a pandemic like this for decades. She said her best Case Scenario is 36 months, and that was a bestCase Scenario involving a lot of things going right in terms of the search for a vaccine and social distancing. How long a time frame are you looking at . Weve heard from dr. Fauci about 12 to 18 months is the time frame that the administration is considering for a vaccine. That is faster than you would normally expect a vaccine, but weve never had so much motivation before. And by that i mean weve never faced such a crisis that required us to call on all of our resources. So i think 12 to 18 months is the number that we should keep in mind. That being said, i dont think were all going to have to stay home for 12 to 18 months. I think there will be a period where we are able to shift from everyone having to stay home to slow the spread into these case based intervention, Contact Tracing and quarantine intervention youve heard about. How our lives look 12 to 18 months will change. Well introduce more activity into the community. But were not going to have until we have a vaccine, our lives will look different than they did before. 12 to 18 months, according to Laurie Garrett, also, doesnt that mean you may have a vaccine by then, but are you able to produce it in the billions of amounts that will be necessary . And also does the company that makes that vaccine does the patent do they not care about a patent and they just give this out to the world and lose all the money that theyve potentially invested in it . Its true that identifying a safe and effective vaccine is really the first step. You also need to look at manufacturing, distribution. The good news is these are things that we can be planning for and investing in now. We dont know which final product, which vaccine is going to be the winner and that makes it a little bit more difficult to plan around. But we can start to identify what are those opportunities to shorten that time line, to scale up our capacities so that when there is a product available, we have what we need in order to get it to people as quickly as possible. Professor rivers, i appreciate it. Sanjay, thank you so much. Just a reminder tomorrow is our tenth consecutive coronavirus town hall. Sanjay and i are gathering together for the town hall facts and fears, the latest on the virus, the science, answering your questions. Joining us will be awardwinning journalist, Laurie Garrett. Spike lee who is preparing a short film about new york, calls it a valentine to new york city. Thats tomorrow night starting at 8 00 p. M. Eastern. Still to come tonight, a lot more. A live report from the white house on the president s decision to backtrack on getting rid of the White House Task force. His reason for doing so perhaps more surprising than the reversal itself as i referenced earlier. 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