The virus is now present, confirmed to be present in 48 u. S. States and the district of columbia. 2158 americans confirmed infected with 48 deaths. Im officially declaring a National Emergency. To very big words. The action i am taking will open up access to up to 50 billion. The market surged after trumps announcement, which is a gad thing after days of terrible economic news. The president also said 5 million tests will be available within a month. Note that the dhhs says there would be 4 million available today. The big question tonight is will President Trump set an example for americans . Youre asking people who come back from europe, americans coming back from europe to selfquarantine a couple weeks. You were in a picture with somebody who now has coronavirus from brazil at maralago. How is that different . Well, ill tell you first of all im not coming back from someplace. But you were exposed. We there was somebody that they say has it. I have no idea who he is. I take pictures it lastings for literally seconds. I dont know the gentleman we are talking about. I havent seen the pictures. The president needs to send accurate and confident messages to americans. Its not relevant of course whether he knows the person with the virus. Its relevant that in close proximity to the person. By the way that person who happens to be the press secretary for the president of brazil didnt just take a picture with the president for a second or two. He spent a good deal of time with him and ied a dinnerer and party with him. And multiple times appear significant time. At least one other person who was with that press secretary was the mayor of miami. He was tested. He has the coronavirus. Hell be my guest later on this hour. As for the other point that trump made about not being tested because he hadnt quote come back from someplace, this is really important for people to know. The virus is spreading inside the United States. You can get this virus whether or not you have traveled or the person that happens to infect you has traveled. Travel not relevant at a point when you have Extensive Community spread. And americans across the country are changing the daily routines putting much much their lives on hold. Erika hill is outfront in new rochelle, new york, the site of the largest cluster in the United States. I know they did something important, started drive through testing at a location there. Who is getting the tests . Reporter yeah the test something key, erin, as you know. Those tests are available first and foremost, the priority is going to folks here in new rochelle who have been under quarantine and those in the containment zone. While you can drive up and drive through the testing it doesnt mean that anyone can show up. Like so many things there are changes. For this you need to to have an appointment and its a reminder of what is different on this day across the country. An unimaginable weekends with a nation on pause. Im just stock piling things because my health is important. As uncertainty grows, americans are stocking up for the long haul. Shelves across the country stripped bare of essentials, as lines wind through the stores and even outside. In New York New York city this bred distributor cant keep up with the demand. Every single supermarket is completely wiped out. Life changing by the minute. In louisiana, the states primary postponed until late june. In in boston one of the worlds most wellknown races will be run in september. Obviously postponing the marathon is an incredibly difficult thing to do. Its one of the most iconic and patriotic events for our commonwealth. Theyre trying to be cautious and obviously the mayor than attracts a lot of people. I saw it coming honestly. Reporter in los angeles the Second Largest School District will close two weeks starting monday. Across the country, at least 15 million kids home from school. The experts tell us look two weeks is too late. Another week is too late. You got to try slow this thing down early. We cant stop it. But we can slow it down. Reporter decisions with a massive impact for working parents and for all the children now spending the school day at home. Closing schools is always the last resort because of all the negative impacts. We feed kids every day for breakfast and lunch. Reporter in response districts are using school buses to deliver meals and setting up Food Distribution sites. While many schools are adding distance learning, that only works if every child has access. Not all 53,000 students have Online Access or a device. A computer. So if we cant provide that Online Learning for all of our students, then we cant. Reporter with all the closures and cancellations there are openings. In new rochelle, new york, drive through testing beginning friday morning. We have six lanes. We can do about 200 cars per day. That can ramp up. You drive off and we call with you the results. Colorado and washington also using that model in some areas. A way to increase testing while minimizing exposure. But its still not enough to meet the demand. Im running a fever and have chest congestion and nobody can test us here. Reporter erin, testering will be under way for 12 thundershowers a a day from 8 00 a. M. To 8 00 p. M. As you heard from the governor they are hoping to process about 200 cars a day with a goal of ramping that up. The upside to having everything here too as the mayor told me before when they would swab people for tested they had to extend it to albany. This this way they get results faster. Outfront now dr. A sanjay gupta. Dr. Vinson. And dr. Sharon wright the division of Infection Control and hospital ep deeming ohology. Thank you to all of you as the president says 50 billion because of the Emergency Declaration what does it change. The federal government is going to now support this. The states are going to administer this and the local governments are execute the plans. Some of it is going to be ventilators getting into hospitals. Making sure patients coming in needing care which is expected to happen is the get the care. But its the other thing, the unintended cost of things. Making sure the Food Supply Chain is adequate because people are told to go get enough supplies for the house. They talked about school loans forgiven. People getting enough medications during this time. Insure to cover costs of tests and medical care as well. All these Different Things coming up that they want to make sure they have money for. They were a little vague on that, you know, the president today during the conference. But those are the things that can be used for in the past. Dr. Wright what does it change in your month for people needing treatment for coronavirus. Or suspecting it needing treatment, what des it mean now . Calling it a National Emergency doesnt change too much from the face of things except that it does bring more resources as dr. Gupta said. We are hoping there will be an increase in test kits provided to states, the ability to test more patients and get a handle on how much this is spread in the community and perhaps opening up the National Stockpile so more protective equipment as we treat patients, more masks, respirators gowns and gloves in short supply. If we continue to have increase in number of patients we see i think Health Care Workers be at risk. Which is crucial. You cant have them put at risk. You cant expect it of people and when they get sick no one to do the care. So dr. Back knello. President trump said 5 million tests in a month. Here is how he said it. The fdas goal is to hopefully authorize the air application within 24 hours. Its going quickly. Which will bring additionally 1. 4 million tests onboard next week. And 5 million within a month. I doubt well need anywhere near that. Okay. Multiple questions from that. I doubt well need anywhere near that. Is that a fair thing to say. I dont think we can say that at this point at all. We have no idea how many infections we currently have. We dont know how they are going to increase. I think we can assume we are going to have many many more, not fewer. And last week, the Vice President pence said they would have 4 million bethe end of this week. When you compare that to what the president said. Thats only a million more. That doesnt sound like a a lot when i look at the numbers. Whats your sense of the ramp up we are seeing. Are these numbers to say good or not. Im not sure we have a ramp up yet. But we have the capability in this country there are Many Companies that can make the kits. There is no reason we cant have 5 million in a short period of time. Dr. Wright, i spoke to the president of dhs molecular he says they can make 300,000 tests a month once they get started but there is a shortage of material to interpret the tests. All the people making the tests need to go to suppliers to get a reagent i guess essentially, the thing the lay persons terms you dip it in to interpret, positive or negative. Can this be resolved in time . How serious of a problem do you think this is as you look from a hospital perspective . I think its a very serious problem. Thats whats limiting us right now. Its hard to tell if were still in a phase where we can have few enough cases that we can contain it or if it really is as most of us suspect spread through the community now and we need to to move to mitigation phase. I think quickly we need more tests available, more reagents so we have the ability to do so. Many Academic Medical Centers and independent laboratories are developing their own tests because the government hasnt pride it yet although they are working hard on providing more. I know our state massausetts received many more tests. We open hope it opens up. The question is will it be in time or will it be a phase where we dont test everyone because we assume many people have it and restrict to people who have other medical conditions or in places like Nursing Homes or universities where a case hasnt been diagnosed yet and we try to contain the spread there. So doctor the president made the point not everybody should take the test. He made it clear. Here he is. We dont want everybody taking the test. Its totally unnecessary. And this will pass. This will pass through. And were going to be Even Stronger for it. If you have the tests you need it who would get a test. First people tested are people ill with respiratory symptoms and then we want to make surveys throughout larger cities to see who else is infected. We have no idea right now how many other people besides the symptomatic ones are infected we need to know that to plan mitigation. We have no idea in rural areas. Like in south korea. Which they started in january. Thats why they were able to keep the numbers down. So how big of an issue is this reagent issue . When you look at south korea, you know, i dont understand the full supply chain here. But i can see in certain places in the world they appear to have the supply. Yeah. They have the reagent and able to interpret the test. Yes. Why dont we. Part of it initially the tests sent out to what they call the point of care spots was a flawed test. They didnt scale up that test. That was part of the problem initially. There is no reason why any shouldnt be able to create enough of the reagent. As you point out they have done it in other places around the world. The test used in many countries around the world was developed in germany, adopted by the World Health Organization and used in all the countries. We can do that as well. In fact take it from a manual process which takes a lot of time to a more automated process that high through put process which you kept hearing about today. All right. All of us please stay with me next one of the hardest hit countries italy. Italy has 17,000 cases and 1,200 deaths and the numbers have been jumping. What can we learn from what is happening there . And what is happening there . Plus a man who met with trump last weekend and tested positive for coronavirus had contact with the mayor of miami. Trump hasnt been tested. The mayor of miami has. He has the virus and he is outfront tonight to tell you his story. Breaking news of a second person who was at maralago while trump was there also testing positive for coronavirus. 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Ask your doctor if starting hiv treatment with dovato is right for you. Breaking news, the number of coronavirus cases in italy continues to soar. There are now 17660 cases in that country. Up more than 2500 reported cases in juft one day. The number of deaths hitting 1266. And that is up 250 in one day. Everyone is back with me. Dr. Wright, these are can be, you know frightening statistics when you a here them more than 2500 cases in a day. 250 deaths in a day. How concerning are the numbers as much as we know they dont tell us the full story. They are all we have. How concerning are they when you hear them . I think the numbers are concerning. We do need to put it in a little bit of perspective. We dont know when the tests were run, all from yesterday or a few days ago or last week. We dont have a great sense of cadence. But its concerning its rising. I think the death rate is also somewhat startling compared to what other countries have been reporting. And i think some of that may be due to the ages of the patients that the deaths are being reported in italy which have generally been in the 70s to 80s, different than some other countries have seen so far. But what has been reported where highest deaths rates and other illnesses are as well. Right, sanjay, you look at italy in terms of age one of the oldest countries in world outside japan. But, you know, we understand from dr. Fauci you talked to him so much that this. Yes. He cease says its ten times more dead lan than the seasonal flu which has a rate of 1 . That would put this at 1 . Italy, again, we dont know to dr. Wrights point how many cases there are reported all you can do is take the death rate vespers the numbers we have and know its perfect. The rate is 7 actually greater than 7 . Iran rate is 4. 5 . What do you think is happening. Well, these are concerning numbers. I dont want to be dismissive of them. Right. But as you point out it could be older population, other factors there may be a higher percentage of smokers for example. We dont know that for sure. Right. One thing thats an important point even if you go back and look at early china data, what was really driving the higher mortality rates. I think a lot of it had to do with the stress on the medical system. It was patients who may have otherwise survived had they been able to get care but because they had so many patients coming in the system so quickly they couldnt get care. Some of niece were preventible deaths. And thats a real concern. Thats why this is something we showed last night erin ill show it again, the flattening of the curve becomes so important we have the animation that shows the first red peak you dont want that the second peak is what you want underneath the pick peak and small peak is the same number of patients, the difference is they come in more sta staggered when you dont stress the medical system and you have the better survival rate with the flattening of the curve. Dr. Rackmano when i stoke to the testing ceo when he got the u. S. Contract was because they were doing testing in northern italy, doing a lot of testing there and been able to see what they get. I asked him what he learned about it what he sees from italy. What do you think of the numbers and here is what he said. Were seeing of an exponential gr