Deliver health care by the end of the first week in april. The less we continue a very rigorous distancing program in my state, this is going to continue to spread like wildfire. Were going to work to get you every conceivable supply you need and get it to you quick. Were running out of equipment in the hospital. Were getting completely overwhelmed. Announcer this is new day with Alisyn Camerota and john berman. Good morning, everyone. Welcome to our viewers in the United States and all around the world. This is new day. Its monday, march 30th, 8 00 in the east. The United States shut down through at least april. The president extended the social distancing guidelines through the end of next month, which is a change from his earlier suggestion or as he might suggest aspiration of easter. The president received a sobering presentation from his Top Health Officials and conceded that the u. S. Death toll could reach 100,000. This is what dr. Anthony fauci told us just moments ago on new day. And we felt if we prematurely pulled back, we would only form an acceleration or a rebound of something, which would have put you behind where you were before, and thats the reason why we argued strongly with the president that he not withdraw those guidelines after 15 days, but that he extend them, and he did listen. I would not be surprised i dont want to see it, id like to avoid it, but i wouldnt be surprised if we saw 100,000 deaths. The death toll in the United States is now nearly 2,500. Were told the peaknationwide b dr. Fauci warns that millions of americans could become infected. John, the death toll in new york alone is nearing 1,000 people. New york city mayor bill de blasio says hospitals could run out of supplies this week. They will run out of ventilators, he says, even sooner. Health care workers are reporting that Emergency Rooms resemble war zones, with shortages of protective gear, and overcrowding. Mayor bill de blasio will join us with a status report, just minutes from now. The Naval Hospital ship comfort arrives in new york today t will treat noncoronavirus patients to free up space in hospitals. Field hospitals have been set up in the huge Javits Convention center and in central park and governors across the country are now bracing for a similar crisis. Joining us now is dr. Sanjay gupta, cnn chief medical correspondent and dr. Lena nguyen, Emergency Room Physician and former Baltimore City health commissioner. Great to see both of you. Dr. Nguyen, give us a status report of whats happening in Emergency Rooms in baltimore right now. Well, here in baltimore in the d. C. virginia region, we are waiting for the storm. This is still the relative calm before the storm but we know that storm is not far away. We hear and see the reports of our colleagues in new york. Were seeing whats coming their way in michigan, louisiana and we know that our met poll tar area juice likes areas across the country are not that far behind and this is why. These are things that we were predicting for a while. We know we urgently need supplies. We need personal protective equipment and we need ventilators. We know what numbers we need and we really need the federal government to be pulling out all the stops now, because of now is not the time to be delivering us supplies we need. What are we waiting for . Are we really waiting for things to become so bad that they resemble new york and it becomes a true emergency or should we be heeding the words and following the preparation that is already happening here . Sanjay, at the moment, this morning, u. S. Deaths are close to 2,500, and President Trump said yesterday that he believes the peak of death rates is likely to hit two weeks from now. Does that comport with the models that youre seeing, too . Well, you know, the country is sort of hard to sort of describe in one fell swoop because so many different places around the country reacted to this differently. In new york, for example, if you look at some of the modeling and again this is modeling. Some would say this is conservative models, it is around the middle of april where youd see the peak and sadly, alisyn, around that time the projections in new york around 2,000 deaths a day around midapril, so obviously pretty significant, pretty sad. Florida they think the peak could be sort of middle of may, so in miami potentially being one of these hot spots as theyre being called. You obviously have new orleans, detroit, you have florida and georgia overall, which have been increasing significantly over the past several days, so its a little bit hard to project, but yes, thats around the time period, but i think alisyn, well see what happens over the month of april. These projections of 100,000 to 200,000 deaths dr. Fauci was given was if the plans stay in place, if we do everything that were still doing and dont pull back, we still keep the stayathome policies in place. Hopefully people are reminded of that. Theres a lot of people who have been at home the last two weeks and done a really good job. If they had no symptoms, because the incubation is typically two weeks, theyre starting to get around the point where they think im free and clear. Dont let the gas off the pedal yet. Theres still some work to be done to keep these death rates as low as possible. And sanjay, on all of that, just one more point, and that is dr. Fauci said when he showed the president this weekend the models that 200,000 people in america could die in the next month, that that was what really got the president s attention, and made him realize that easter was not a realistic date, and that the u. S. Has to be shut down through at least april. Thats right, alisyn, but one thing, alisyn, as we follow the story along now for close to three months, i think one thing has become clear is that people like dr. Fauci and others, they are continuously looking at the same data that were looking at, that we all have access to now and we have been able to see that not only have the numbers gone up, but the pace at which these numbers have gone up has also increased, and my point is that theyve known this for some time. I think theyve been telling this to the president for some time. I think he knew some of these numbers even before he talked about easter, and some ways i think this is sort of maybe trying to ease the country into accepting this, so instead of saying right at the beginning, were going to be shut down until the end of april, theyre saying lets do this every couple of weeks and sort of see how it goes. Now its going to be an additional month at the end of april. Could it be a little bit longer . Perhaps, alisyn, thats one thing obviously well have to wait and see. If you look at other countries around the world, it has been more of a tenweek, eight to tenweek sort of time frame and we started later, so it may be a little bit longer for us, because of that. We dont know. But its not surprising to me at all, and i think probably to dr. Wen and a lot of other people that this had to be extended. You knew this i think at least almost since the 15day pause sort of started. Dr. Wen, we just have a bit of a breaking headline here, dr. Deborah birx of course very visible on the president s task force gone on television said the u. S. Implemented social distancing too late. I know that wont come as a surprise to you but to hear her say it, what does that tell you . It tells us that she is following the science, following what Public Health experts have been saying all along. Ive certainly heard sanjay say this for weeks now, that social distancing, we know from the research to be the most effective has to be implemented early, and consistently. That its not something that we can do piecemeal. We know from past pandemics, past outbreaks that the earlier these restrictions could be put into place, the more effective that theyre going to be. And also that everybody has to take them seriously that, we cant treat this as, well, school is out but we can still see our friends or were not going to work but were still going to hang out. This has to be something that we really understand as our best way to reduce the transmission person to person, and im glad that dr. Birx is acknowledging it. Now we need the entire country to do even more than we have. So many people have made substantial sacrifices in this time to change their daily behavior at great risk to themselves, or great sacrifice to their families. We need to honor that sacrifice and continue to do our part and as sanjay says to do this early, consistently and honestly. Dr. Wen, one more question for you and what youre hearing from your fellow emergency room colleagues. President trump said yesterday that he felt there must be some sort of hoarding or worse, he actually said, because he couldnt understand the amount of equipment that is needed in hospitals in terms of its masks, in terms of the ventilators. Ive had doctor sources texting me this morning saying they found those statements bizarre. What do you believe is it possible that theres hoarding going on . No. We can look at the federal governments own projections about how much equipment is needed during a yearlong pandemic and they estimate something on the order of 3. 5 billion masks are needed. Were looking at the numbers of patients coming in, and question easily see how much equipment is needed, and not only that, but its not just the equipment that were using right now, we also have to be prepared for the equipment that were going to be needing in the months to come, because this is not a onetime event. Its not as if we get through today and were done. We need to be preparing for months or years, and frankly, its insulting to suggest that hospitals are somehow keeping equipment away from Health Care Workers, and jeopardizing their lives. Actually all of us should be doing everything we can to supply the basic equipment that Front Line Health Care workers need to protect themselves and protect all of us. Sanjay, youve been educating us on how many people need these masks. They are the people who draw the blood, the technicians, the nurses, the doctors, the respiratorier this piy er thith anesthesiologists. New york presbyterian goes through roughly 50,000, thats their estimate, a day. These numbers are hard to get your head around. I mean look, theres Hospital Systems that have gone through their entire sort of personnel protective equipment if stores for the season, theyve gone through this in a week. So you have to treat every patient that comes in, even if theyre not coming in with specific coronavirus covidlike symptoms. You have to treat them like they might have it especially in communities where theis circulatin circulating. Every time patients are seen by the doctors, medical students, residents, therapists, nurses, whatever, they need to wear protective gear. Youll go through a lot of protective gear as a result. I talk to my colleagues all the time, i know leana does as well. The idea theyre being told theyre hoarding this stuff is a little insulting. They are showing up to work not sure theyll have the personal protective gear, theyre risking their lives and im not exaggerating when i say that and then theyre going home and potentially exposing their families to this. I mean, we owe them a huge debt of gratitude and we have to take them at their word in terms of what theyre saying. To suggest theyre hoarding it, stealing it, taking out the back door, i think that was the rest of that quote, i think that is insulting to these workers who are risking their lives. Dr. Gupta, dr. Wen, thank you both very much for all of the information this morning. Louisiana governor warns that new orleans will run out of ventilators to keep patients alive by saturday. So well talk to a top doctor at a hospital there next. Boston light, americas oldest lighthouse, has stood strong through every dark hour and bright dawn our country has endured. It has seen the break in the clouds before anyone else. 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Louisianas governor says hospitals in new orleans could run out of ventilators by this week. That state has more than 3,500 coronavirus cases, and 151 deaths. Cnns ed lavandera is live in new orleans for us with more. Whats it like on the ground there, ed . Reporter good morning, alisyn. Here this is a significant week in the days ahead will be crucial, according to the governor and medical experts here who continue to see the cases of coronavirus here jumping by the hundreds every day. As you mentioned now 3,540 cases across the state, almost 1,400 of those are here in new orleans alone, and that is putting great strain on the medical system throughout the city and the state. There is a makeshift hospital that is being set up at the convention center, that should have, were told, a thousand beds by this coming weekend, and the governor says by this weekend, there will be an incredible lack of resources on the ventilator front. The governor requested some 12,000 ventilators to date so far. Theyve only received 192, and according to the governor, none of those have come from the national stockpile, and that the state continues to request those ventilators, but here, theres also a great deal of concern, just about how people in this state and new orleans in particular are behaving. They say state Officials Say that not enough social distancing is happening, in fact an arrest warrant had to be issued over the weekend for one man who led a second line parade. What is what the mayor had to say about all of this yesterday. We will have to enforce the laws every step of the way. We need law and order. And superintendent ferguson the eninjury new Orleans Department here will take action as were called to do if we find those who consistent ly violate the law. Reporter the message here is clear as this week continues, more social distancing and people here in the city and the state need to take it a lot more seriously. John . All right, ed, ed lavandera in new orleans. Thanks so much for that report. Joining us, dr. Robert hart, chief medical officer of oxnard health in new orleans. Dr. Hart, thank you for being with us. You heard eds report, you heard governor John Bell Edwards say the state could run out of ventilators by this weekend. What are you seeing . Well, it is concerning to hear that type of a discussion, and i know we have been struggling and working hard to get ventilators in. We have been working with our supply chain constantly, as weve continued to add icu beds. The state has been able to help us get several vents, which have been very useful to us. Were able to use those in different ways. Some of the vents are the full best type made that we normally use. Some are transport vents. They do Different Things. Different vents do Different Things for us, and so getting creative about how we use the vents on Different Levels of severity of illness for our patients. I think id like to talk about the patients, if we can. I think sometimes in something this big we lose sight of how theyre actually presenting and what they are suffering. So what are you seeing in terms of people . What types of people are showing up . What are the symptoms in what a are their needs . The symptoms center around respiratory illness. Keep in mind, we are probably admitting at least 50 patients a day with the covid or covid ruleout type symptoms. So you can imagine as you do this day after day, the capacit. We had to add over 100 icu beds, anticipate having to add more. Many of the patients that do seek care wind up having to be intubated once they come in. Some are lucky enough to come in and go home, but these patients get very sick and frequently get sick very quickly. One of the things that were increasingly concerned about around the country is its not just older people. Initially weve been told its people over 65 or people with underlying conditions. But a lot of hospitals are telling us around the country theyre seeing people in their 40s show up and not necessarily underlying conditions. What are you seeing there . Right, we actually here in new orleans have begun to see almost a bimodal type spike. We see it in the olders like you said but around 40 there seems to be a little bit of a spike as well. And so those patients come in. We have to be concerned about them getting just as sick as the others. So we are seeing all ages. Certainly the preponderance of those that are older but it is certainly affecting younger patients. The idea theyre safe is not true. And were trying to get that message out. Talk to me about your supplies, masks, gowns, everything you need. How well are you set up at this point for the peak, whenever that may come and when do you think it might come . So we certainly know we have probably another couple of weeks leading up to the peak. This has been a strain on all of our resources throughout the city, throughout the country, as youve mentioned several times. Right now, were fighting all the time to get the ppe we need, to get the testing we need, to get the beds, to get the staff. The biggest thing is the staff and ppe. Weve got to have, again, i said were adding 50 patients a day into our hospitals, and many of those are critical care, and we are trying every day to get more staff in here, to help us take care of these patients. They get very sick. One of the things weve heard from the front lines is, remember, its not just the equipment. Its the people wearing the equipment, that we have to be most concerned about, their wellbeing, and keeping them there and the numbers they need to be there. So again, what will you need over the next two weeks in terms of