Changed your life yet, it will. That is the message from the top doctor in the president s coronavirus team. As a nation, we cant be doing the kinds of things we were doing a few months ago. That it doesnt matter if youre in the state that has no cases or one case. You have to start taking seriously what you can do now that if and when the infections will come, and they will come, sorry to say, sad to say, they will. We have this crisis covered from coast to coast, want to begin with Brynn Gingras live in new rochelle, just outside this containment zone. Brynn . Yeah, john, the clock for the twoweek period of this containment period has started. We already have seen some schools closed. There are Public Places that are being shut down, like places of worship, the National Guard as you said is going to be coming in, helping disinfect some of the Public Places, also hand out some food. There is a testing facility that is going to be inside this containment zone. All in an effort to sort of contain this virus in this area of new rochelle, a community which the governor has said is likely the biggest cluster in the entire united states. Now, we are about a mile and a half outside the center of that containment zone, a temple where we know a 50yearold lawyer who tested positive who didnt know at the time, but did attend services at that temple and after that, it sort of snowballed. His family tested positive. His neighbors and more and more cases. Listen to how the governor characterizes the situation here. It just so happened that it started with one or two cases. They were then a number of convenings in that community that brought several hundred people together for celebrations. And it took off like fire through dry grass. This is a microcosm of what were going to be looking at. The numbers are going to go up consistently. Because our testing is way behind the reality of what the situation is. I have no doubt that the reality is a multiple of everything were seeing in the numbers. Reporter local and state Health Officials are trying to emphasize this now is a containment, it is not a lockdown, people will be able to move in and out of this whole one mile radius zone. However, still has people here that ive been talking to, alisyn, concerned. Ive been texting with someone who lives inside that zone. He says hes going to go about business as usual, but someone else has told me that they think more needs to be done, more schools maybe need to be closed because, remember, thousands of people are still under quarantine here. We can see people going in and out of that containment zone right behind you, the traffic has certainly slowed down this rush hour. Brynn, thank you very much. The number of coronavirus cases in massachusetts more than doubled yesterday. The total in that state is now 92. 70 of those cases are connected to a recent biotech conference. Cnns athena jones is live in boston with more. What do we know about the situation there . Reporter good morning, alisyn. Massachusetts Governor Charlie Baker declared a state of emergency on tuesday, easing the process for accessing federal aid. And also implementing new guidelines to try to prevent and mitigate the spread of this virus. Among those guidelines, canceling all conferences or holding them virtually. These moves coming after the state announced those 51 additional cases, bringing the state total to 92. As you mentioned, 70 of those 92 cases are linked to a meeting held here in boston at this hotel last month by biogen, a Biotech Company based in cambridge. The Boston Herald reporting that almost 200 managers from all around the world, including italy, attended that conference. Now, last week biogen announced that three people who were at that conference tested positive for the coronavirus. And so employees, an employee who was there, is being directed to work from home for the next two weeks. Now cases traced to that conference are being reported state wide and beyond. Heres what the Public Health commissioner had to say. We heard from outside of massachusetts of individuals being positive and that led us through cooperation with the employer to begin this process of contact tracing, a pretty standard Public Health process where we go and see who else might be symptomatic and who the contacts are and thats ongoing. Reporter now, biogen spokesperson tells the boston globe at the time of the meeting, we were absolutely following National Guidance on travel and in person meetings. But, guys, this is just another sign of the challenges communities face in trying to stop the spread of this virus. John . Athena jones in boston, where i know there is great concern this morning. Also breaking this morning, the Seattle Times reports the governor of Washington State is going to ban gatherings of more than 250 people. 24 people have died in washington. Cnns omar jimenez is live in seattle with the very latest. In combination with the containment zone outside new york city, this really would be the most restrictive move by a leader of this country. Reporter it would be, it would potentially be a sign of things to come in many places across the united states. The Seattle Times reporting that Washington Governor Jay Inslee would impose restrictions on gatherings of more than 250 people across at least three major counties, which, of course, includes seattle as well. This was specifically focused on concerts, sporting events, cultural events as well that would happen throughout the city. And when you talk about the measures that are going into place, it is among the latest precautions the leader is taking to slow down the spread of the coronavirus here in Washington State before it gets completely out of hand. When something doubles every day, it gets to a very large number, very quickly. So if there are a thousand people infected today, in seven or eight weeks, there could be 64,000 people infected in the state of washington if we dont somehow slow down this epidemic. Reporter now the governor also issued a directive on tuesday to nursing homes, limiting the number of visitors that could come in at any particular time, but also that employees would need to be screened after every shift. And part of that stems from the fact that we have at least ten longterm care facilities that have either an employee or a patient that have tested positive for the coronavirus. John . Omar jimenez in seattle, thank you very much for that. Joining us now, cnn chief medical correspondent dr. Sanjay gupta. Sanjay, omars whole report was terrific. The most important words he said, a sign of things to come. Yes. Some of this is jarring for people to wake up to this morning, hearing about conta Containment Zones and what is happening there. Certainly were getting an idea of how these local municipalities are going to respond to these clusters of cases. There is no federal absolute mandate to handle things one way or the other. It is going to be a question of the concern, some have higher concern than others, some based on real data. A lot of it is not because we havent been able to test in those places. Would it help to have a federal mandate or federal plan . It seems as though the federal response has not been consistent, we have many examples of that. It hasnt been clear to people. Would it help to have a federal mandate and what grade would you give the federal response to this . You lived through things like this before. Well, i mean, i think with regard to the first question it would help to have some sort of uniform guidelines on this because i think everyone is going to have a different trigger in terms of when to pull School Closings, when to do containment zone type policies. It is going to be all over the map. Unless it is uniform in some way, it may not have the same impact. You have to do these things early if youre going to do them at all. Thats going to be a mantra we hear more and more. If you wait too long, it might still have impact, but a lot less. I think gradewise, you any, hate to say this, i have so many friends who work in Public Health. So many are really good at what they do and have been working, but what has come out of it is probably a c minus, you know. Because we have been so late on some things. We have not been innovative in trying to figure out how widespread this is. That was one of the basic things that we have been talking about on this program for six weeks now. And even to this day, i mean, still getting calls from people saying, yes, you are reporting, the testing is available, thats not the reality. Were not being able to get it. These are physicians and nurses and others calling, not just patients. Thats still a concern this many weeks into this. We dont have eyes on this. I remember talking to dr. Redfield early on and he said we need to get eyes on this. Like a hunt. It is that sort of metaphor. And many weeks later we still dont have eyes on this thing. It is shocking. They finally came up with a number of the number of people tested yesterday, and it was between 4,000 and 6,000, changed over the course of the day. Thats shockingly low, give than south korea is testing 10,000 a day. We have not tested in two weeks the amount that south korea has tested every day. I know. And the reality is people may not realize the history here, but the World Health Organization there was a test, it was being used in china, being used in south korea, there was a test, we decided, the cdc decided to basically say were going to create our own test. And there is maybe many legitimate reasons for that, maybe they thought it would be a better test, whatever. But in the end, the test was too delayed. And sometimes there is a hubris, if it is not stamped in america, it doesnt have as much value n this case, we could have benefitted from a test that was widely being used around the world. Viewer questions are pouring in. I want to thread some into our conversation. Here is one from sarah in minneapolis. My son is being sent back home after his Study Abroad Program in italy was canceled. Should he selfquarantine and can i continue to go to work during his quarantine period . I think this one is fascinating because why isnt there a mandate about this one . And people are wondering if their family members they think might have been exposed somehow, what should they do . The cdc has given guidance with regard to his particular situation. So, you know, they can find this, and what they say for him, he should selfquarantine for 14 days after coming back. There was some question, are you from coming back from northern italy or southern, now theyre saying italy. If you come back from italy, 14 days selfquarantine and social distance within the home. As far as mom goes, no reason she cant go to work. If he develops symptoms or if he tests positive, it changes the equation. But for now, he selfquarantined, social distancing in the house, relegated to his room, or if hes a teenager may want to be there anyway, but mom can go to work. These colleges, that have closed around the country, think about students studying abroad here, seeing college after college, university after university shutting down or doing remote teaching. Youre paying 70 grand a year for remote teaching. Theyre not doing classes. At what point do you think it is too much . How can you tell it if it is too much . You have to get ahead of this. Dr. Anthony fauci said you need to do it before you see the cases. If the students arent the ones getting sick. There is two big issues here. One is that, you know, a lot of the benefit that they saw with School Closings was based on flu models, kids had flu and were transmitting it. Campuses can be these real hotbeds for viral transmission. Meningitis, things like that we have seen in the past. Thats different here. You can carry the virus if youre not sick. You can spread the virus if youre not sick. But that seems to be a low driver. The big driver is sick people, they say. The second thing is are they really so what is different specifically . Will they go back to their homes . Are they going to quarantine themselves there . Not going to be getting together in groups of young people . I doubt it. Especially after a few days. Maybe it worked for a few days. What is the reality of Something Like this . Thats weighed against the sort of social disruption. Even harvard is has this happening, you know, where theyre pulling kids out of the dorms and sending them home. Im not sure of the impact. As harvard goes, so goes i was the one who objected to singling out harvard earlier in the show. This is unfair. Where did you go to school . I objected when we singled out including harvard when we listed the fact that somehow it snuck in there. I dont know how. Sanjay, thank you very much. In half an hour youll be back to answer viewer questions. And hell join Anderson Cooper tonight for a second cnn town hall coronavirus facts and fears sorry, thats tomorrow night. It is tomorrow night, 10 00 p. M. For more answers, download sanjays new podcast coronavirus facts versus fiction. We have breaking news in the 2020 race. A projection on new day. Cnn now projects that cnn Bernie Sanders will win north dakotas democratic primary. Once again, Bernie Sanders, cnn projects, has won north dakota. You can see there heavily. Yes, 53 to 39 , a spread of less than 2,000 votes. It is not a caucus, not the same thing as a fully open primary, it is a partyrun primary. His only win so far of the night. The delegate spread there wont be that big and there arent that many delegates up for the state. For Washington State, theyre still counting votes at this moment. Sanders is ahead, but it is very, very close and there is still a lot of mailin ballots to be counted. What will Bernie Sanders do next . Well discuss that. E of a kind strong, brilliant, unbreakable you found the one, now find the ring visit zales, the diamond store. dad vo i saw them out of the corner of my eye. Just a blur when they jumped the median. There was nothing i could do. daughter daddy dad vo shes safe because of our first outback. And our new ones even safer. 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Usaa insurance is made just the way martins family needs it with hasslefree claims, he got paid before his neighbor even got started. Because doing right by our members, thats whats right. Usaa. What youre made of, were made for. Usaa well, joe biden is closing in on the democratic nomination. He extended his delegate lead. The former has 787, i think thats still the delegate count. The most current count we have, refreshes every minute here at cnn. Bernie sanders has 647. Just moments ago, cnn projected that Bernie Sanders is the winner in north dakota. The votes are still being counted in Washington State, where sanders and biden remain locked in a virtual tie there. Joining us now, we have mj lee, paul begala, and dr. Abdul al fayed, he has endorsed Bernie Sanders. Okay, paul, lets just start with the big news from last night. All of it is big news. Joe biden has won decisively, even in michigan. That was still a question yesterday at this hour. So what changed since 2016 . What happened . And in washington. 37 days ago he was a weak joe, a weak fourth in iowa, a pathetic fifth in new hampshire. Bernie beat him so badly in nevada, it was more than 21. He would have doubled joes vote in nevada and now look at him. Hes not running the table put hes coming awfully close. He had no money, he didnt have the organization that many of his opponents had, didnt have sanders money or organization. I think that momentum is driven by a message. And it always is. You have all the organization, all the money, dont have the message, his message is im the guy that can deliver you from trouble and thats what democrats are looking for. If you want a sense of the scope of the victories last night, michigan, missouri, mississippi, joe biden won every county. Every single county in those three states. Bernie sanders did just win north dakota, did just call that. But it was 212,000 people voting and the delegate map will be split. And mj, among africanamericans in mississippi, joe biden was up over 70 there. What decision does Bernie Sanders need to make or what do you think will factor in to the sanders decision today and over the next few days . Look, i thought it was obviously very telling he chose not to speak last night, that is very, very unusual, especially on an election night, in the past, Bernie Sanders has been sort of keenly aware of his opportunities to seize moments, to speak to his supporters, even if hes not having the best night that he wanted to have. He did communicate, you know, through our reporting that we had last night, but his intention is to participate in the cnn debate on sunday night, well see if he goes ahead and does that. The bad news for him, of course, is that if he does remain in the race, through next week, some of these big states that are coming up, florida is t