Transcripts For CNNW New Day With Alisyn Camerota And John B

Some of this, and announcing that he is halting funding to the organization. So there is so much to get you this morning. Lets begin with dan simon, live in san francisco. So what does it look like there, dan . Well, hi, alisyn. Governor newsom trying to paint a picture of what things are going to be really looking like once these stay at home restrictions are over. And it is sort of a foreign land. He didnt put a timetable on this. But he suggested maybe come back to him in two or three weeks. Lets go over some of the things. And john alluded to them, no Mass Gatherings, 1100 people, thousands of people, tens of thousands of people. Dont expect those anytime soon. So no concerts, no sporting events, any set schools might have to be reimagined in the fall. Pe classes, School Assemblies and lunches, youre going to have to figure out how you have the right social distancing and start times and end times could be staggered. So you dont have everybody coming into the school once and leaving the school at once, face coverings are going to be continuing for some time. And then he had this to say about restaurants. Take a listen. You may be having dinner with a waiter, wearing gloves, maybe a face mask. Dinner where the menu is disposable. Where the tables, half the tables in that restaurant no longer appear. Where your temperature is checked before you walk into the establishment. These are likely scenarios. The prospect of Mass Gatherings is negligible at best until we get to herd immunity. Again, the governor did not, you know, set forth a date, but he did establish a few benchmarks, things youre going to need for when this stay at home is lifted. Just a couple of these things, of course, widespread testing, which you still do not have in california, and through a lot of the country doesnt have it yet. And he says the hospitals are going to have to remain vigilant, be prepared for another surge should that possibility exist. He says it does exist. So hospitals have to remain vigilant, make sure they have all the equipment going forward. John and alisyn . Such an important look. California, one sixth of the country and often a look to the future for the rest of us, the things that we will all be going through all over the country. Dan simon, thank you very much. Joining us, cnn chief medical correspondent dr. Sanjay gupta and dr. Yalotan grad at harvards th Chance School of Public Health. Sanjay, i want to start with you. We heard from california, and what were about to hear from the doctor here, about what restrictions might be in place, but from you i want to know why. Why will these be in place for some time, these types of measures as we begin to reopen, and how will they help . The thing to remember, i think, john, the constant in all of this is that there is a virus that is still circulating out there. We get these different pictures of what is happening in the country and sort of realize we have been doing these extraordinary things. Most of us staying at home, and it has had an impact on the transmission and the spread of this virus. The numbers that you point out still going up in some places, but maybe plateauing in others. I think everyone agrees at this point it could have been a lot worse at this point had we not put these stay at home orders in place. But, that hasnt changed the fact that the virus is still out there. At the time we start reentry, if you will, you know, incrementally even, there are people who are going to get infected again and there may be people who get sick enough to require hospitalization. Even die. That would be a very small percentage, but it could still happen. So the virus is still out there, i think thats whats driving all these decisions. Knowing the virus is still out there, how do we slowly incrementally reenter and some sort of sense of normalcy again. Were so excited to have you with us this morning because it is your study that has gotten so much attention this morning. And the headline of it, i think, is what has stunned people and that is that you and your colleagues predict that there could be some form of social distancing through the year 2022. That is so much farther out than we had been led to believe. This trajectory as we understand it that youre looking at is if there is no vaccine in the next 18 months, but wont there be a vaccine in the next 18 months and what if there is . Does that change the findings of your study . Yes, so i think picking up on dr. Guptas point that it is absolutely the case that we need to be very thoughtful and careful about what we do and how we reopen. If we rush head long into opening without a clear evidencebased plan, we may end up confronting many of the challenges that all this social distancing is meant to help us avoid. So returning to that idea that what were trying to do is get up to herd immunity, that can happen either through infection of the population with then after infection developing immunity or through a vaccine, which can again confer immunity on those who are vaccinated. If we do get a vaccine, that will certainly get us there more quickly. Our study looked at what how we can navigate both the goal of maintaining the healthcare infrastructure, this whole idea of flattening the curve is to help us to keep hospitals in tact. And not overwhelm them. But while we do that, the more successful we are, the more of the population remains susceptible so that when we stop social distancing, we will see a resurgence of the virus. So we thought about intermittent distancing, so periodic distancing and on off kind of approach that would allow us to maintain the healthcare infrastructure, so we dont exceed that Critical Care capacity, while then when we see thermostat kind of model, we get to some kind of peak, we can turn off the social distancing and go through several rounds of this, accruing that herd, trying to accrue that herd immunity while still maintaining our healthcare infrastructure. And then we predicted that in one scenario could take quite a while. It is interesting, one of the assumptions that continues to be made gets to one of the questions, it hasnt been 100 answered yet, which has been there from the beginning, which is are you immune from coronavirus and covid19 if you had it already and recovered. What do we know about that question and when and how well get a definitive answer . That is a pivotal question. And i think the presumably were going to have some immunity if youve been exposed to this and recovered. But i say presumably because, you know, were still early days into this, that has to be proven out with these studies, but the idea is that once youve been infected, your body develops as antibodies, those are cells that will recognize this virus again, if it is opposed to it again and will fight it. Thats the immunity were talking about it. I had an interesting conversation with dr. Corbett for nih and she made a really good point, look, theyre both the same in some ways. If you get exposed, you develop immunity. If you get the vaccine, thats designed obviously to give you immunity. One is far better than the other. If you get exposed, i mean, people are talking about, hey, look, maybe i should tough through this and go ahead and get exposed, you dont want to do that. First of all, this can make you really sick, even if you are a young, healthy person, number one. Number two, the point that youre raising, okay, now youve been exposed, you may have immunity, we dont know how long, we dont know how strong. A vaccine, the whole point of the vac secine is to give you a long and strong immunity as possible without making you sick. So both can accomplish the same thing, one is far better, i think, in terms of that. Dr. Grad what about your research on that, did you all look at whether or not people truly are immune after they contracted coronavirus . Our study does not look at that in particular, but we do say that that is quite clearly the as was just mentioned, the pivotal issue here. So it really will influence what we anticipate will happen if people develop robust long lasting immunity that would be great, that would be helpful. If immunity after infection is short lasting, for a week, that could spell many more challenges for us and how we try to deal with this covid19 challenge. What is intermittent distancing . What does that look like effectively going forward. Right now, there is 97 social distancing around the country, how do you turn it on and off . So testing, testing, totally critical to be able to monitor the population and track the trajectory of the epidemic. And this is going to require both viralogic testing and serolgic testing. One challenge we face is that because so many people we suspect in the population have been infected and we dont know it because we didnt have enough testing, we dont really have a good sense of what the population immunity is, and those factors will very much influence how we want to use the next round or rounds of social distancing. Whether, you know, we want to apply the same stringent measures we have seen in many places, or whether we can do more tailored interventions for a particular population. So i think, you know, there is a lot of work that needs to be done, looking across the country at how different Public Health institutions have and governments have put into place these mitigation efforts, how successful they have been and then learn from that what we need to do in the next round or rounds of distancing. Sanjay, in terms of herd immunity what percentage of the population needs to be vaccinated or, god willing, developed immunity if they have already suffered through coronavirus for people to feel safe. Thats another great question. And part of that depends on how long the immunity is, how strong it is f y. If you look at measles, youre talking well over somewhere between 70 to 90 you want people to have some sort of immunity in order to create that herd of protection. Thats a lot of people. And thats why a vaccine is the best way to sort of get there. One thing i want to build on what the doctor is saying, in terms of what the timeline is for this, you know, youre hearing about vaccine maybe a year, year and a half away, i had a chance to speak to dr. Corbett, i think we have that sound. I wonder if you want to listen to this. It was very encouraging actually the way she framed this. That would be for healthcare workers and people who may be in Constant Contact and risk of being exposed over and over. And then for the general population, our target goal is for next spring and that is if all things go well, and if the phase one, phase with and phase three Clinical Trials work simultaneously for the good. So, i mean, that is dr. Corbett, sort of spearheading the Vaccine Program there for the nih. By fall, she is saying, potentially an emergency use authorization for a vaccine. Thats the first time i had heard that. And then by spring of next year, for the general public. Of course, you know, there is a lot of ifs in there in terms of this vaccine trial has to go and show the safety, show the efficacy, all of that, but thats i thought that was really encouraging and would dramatically reduce the need for social distancing that long if this vaccine were effective and made available. It has to be made available to people as well. Lets hope that she can pull off phase one, phase two, phase three, all going exactly as planned. Sanjay and dr. Grad, thank you, both, very much for all of the information this morning. President trump says he will cut off funding for the World Health Organization. This, the American Medical Association calls that dangerous. So the leader of the ama will tell us why next. Cancer wont wait for hospitals to get back to normal again. And at ctca, we arent waiting either. Were still focused on providing worldclass cancer care. Because cancer isnt just what we do, its all we do. Call now. Weve worked to provide you with the financial strength, stability, and online tools you need. And now its no different. Because helping you through this crisis is what were made for. President trump says the u. S. Will cut off funding to the World Health Organization for what the president claimed is their, quote, role in severely mismanaging and covering up the spread of coronavirus. The head of the cdc moments ago reacted to that news. W. H. O. Has been a longterm and still is a great partner for us. Were going to continue to do all we can to try to limit this. Those decisions that are going to be made above related to some of the geopolitical issues i have to lead to those that really is that expertise. For me, for cdc, and the Public Health arena, were continuing to work side by side with w. H. O. To do the best that we can. So, again, the head of the cdc says the w. H. O. Is a great partner. The American Medical Association calls the move to defund w. H. O. Dangerous. Joining me now is dr. Patrice harris, the president of the ama. Dr. Harris, give me your reaction to the news yesterday, President Trump withholding funds to the w. H. O. Good to be with you. During the worst Public Health crisis in a century, halting funding to the w. H. O. Is a dangerous step in the wrong direction. Others, many others have said this virus knows no boundaries, this is a global pandemic, it certainly requires global cooperation, infections in other parts of the world could certainly impact us here in the united states. It has. And that, of course, ultimately means more infections and tragically more deaths. When the head of the cdc says the w. H. O. Has been and is a great partner to the u. S. , in doing what . In particular. As it relates to coronavirus. How is the w. H. O. Helping . I know that the w. H. O. Is in the past offers technical assistance, particularly to developing countries that dont have the infrastructure that the developed countries of the world do. I know they share information, do some coordination across the world in previous infectious outbreaks, so, yes, i think dr. Redfield is correct. You get down to the science part of this, which is what we should all be focusing on, yes, w. H. O. Has, to my knowledge, and certainly dr. Redfield knows this better than i do, has been a good partner on that level and so thats why it is very important, again, to continue the funding, certainly if there are any credible concerns, you can address that. Now in the middle of this pandemic is not the time to reduce funding. What about those credible concerns as you say, the w. H. O. Has been criticized in some cases for being too china centric. Took them a long time to declare this a pandemic. Do you agree with those criticisms . So those are those geopolitical concerns that dr. Redfield mentioned and certainly im not, of course, privy to the president s concerns, the specifics of those concerns. Those can be addressed, im sure. But here in, in the middle of this pandemic where the number of infections are going up every day, we still have folks dying and this slope continues to increase in some areas. Now is not the time. We need that global and International Cooperation if we really want to reduce the spread or totally eliminate it as countries Work Together on vaccines and treatments. We really do need to focus on the science piece of this and it is not a time to eliminate that funding. How does it affect your work on this the science of it, as someone in the medical community, when you have mixed messaging coming from the top, like we just had over the last few minutes. Dr. Redfield saying the w. H. O. Is a great partner, President Trump saying hes got such concerns hes cutting funding. Certainly the key and im a former Public Health official and any Health Crisis you need clear and consistent messaging. The public needs to trust that their leaders are being honest, and forth coming and really working cooperatively to do whatever they can on any again, infectious outbreak, so we really do need to have that clear and consistent messaging. But certainly from the folks who are working on the science side of this, i gave an address just last week, and urged everyone from elected officials to the public to rely on a science. Thats where we are, the ama. We had longstanding partnerships with the cdc and so our focus will continue to be on the science and the evidence, and encourage everyone to let that drive our decisions at this point. For more than a more or so into this, obviously, how are doctors, nurses, medical professionals, how do you feel like theyre being supported now in their efforts on the front lines of the pandemic . Certainly there are some areas where there is support. But, again, i continue, the ama continues to hear from our colleagues on the front lines, and there is still some areas where they dont have the equipment that they need. And now were not only running out of the ppe everyone has talked about and that is variable, but certainly now there are shortages in medications, and, of course, we do not have the test capacity that we need and this, you know, physicians feel like were going into this with one arm tied behind our back. And so we really need the administration to use all the levers of the government to get those on the front lines all the support they need and i also want to remind everyone that as, you know, there are medical needs unrelated to covid19 that still need to be met, and so we need to make sure that even physicians that are not exactly on the front lines, those practices need the support both financial and need the equipment that they need to take care of our patients. Dr. Patrice harris, thank you very much for being with us this morning. We appreciate your time. Thank you for having me. Former president barack obama, officially endorsed joe biden, but the way he did it very interesting. Seeming to take a swipe at President Trump in his handling of coronavirus. Thats next. Former president barack obama officially endorsing his former Vice President on tuesday, and using that opportunity to speak out about leadership during a time of crisis. The kind of leadership that is guided by knowledge and experience. Honesty and humility, empathy, and grace. That kind of leadership doesnt just belong in our state capitols and mayors offices, it belongs in the white house. Thats why im so proud to endorse joe biden for president of the united states. This crisis has reminded us that government matters. It reminded us that Mass Gatherings<\/a>, 1100 people, thousands of people, tens of thousands of people. Dont expect those anytime soon. So no concerts, no sporting events, any set schools might have to be reimagined in the fall. Pe classes, School Assemblies<\/a> and lunches, youre going to have to figure out how you have the right social distancing and start times and end times could be staggered. So you dont have everybody coming into the school once and leaving the school at once, face coverings are going to be continuing for some time. And then he had this to say about restaurants. Take a listen. You may be having dinner with a waiter, wearing gloves, maybe a face mask. Dinner where the menu is disposable. Where the tables, half the tables in that restaurant no longer appear. Where your temperature is checked before you walk into the establishment. These are likely scenarios. The prospect of Mass Gatherings<\/a> is negligible at best until we get to herd immunity. Again, the governor did not, you know, set forth a date, but he did establish a few benchmarks, things youre going to need for when this stay at home is lifted. Just a couple of these things, of course, widespread testing, which you still do not have in california, and through a lot of the country doesnt have it yet. And he says the hospitals are going to have to remain vigilant, be prepared for another surge should that possibility exist. He says it does exist. So hospitals have to remain vigilant, make sure they have all the equipment going forward. John and alisyn . Such an important look. California, one sixth of the country and often a look to the future for the rest of us, the things that we will all be going through all over the country. Dan simon, thank you very much. Joining us, cnn chief medical correspondent dr. Sanjay gupta and dr. Yalotan grad at harvards th Chance School<\/a> of Public Health<\/a>. Sanjay, i want to start with you. We heard from california, and what were about to hear from the doctor here, about what restrictions might be in place, but from you i want to know why. Why will these be in place for some time, these types of measures as we begin to reopen, and how will they help . The thing to remember, i think, john, the constant in all of this is that there is a virus that is still circulating out there. We get these different pictures of what is happening in the country and sort of realize we have been doing these extraordinary things. Most of us staying at home, and it has had an impact on the transmission and the spread of this virus. The numbers that you point out still going up in some places, but maybe plateauing in others. I think everyone agrees at this point it could have been a lot worse at this point had we not put these stay at home orders in place. But, that hasnt changed the fact that the virus is still out there. At the time we start reentry, if you will, you know, incrementally even, there are people who are going to get infected again and there may be people who get sick enough to require hospitalization. Even die. That would be a very small percentage, but it could still happen. So the virus is still out there, i think thats whats driving all these decisions. Knowing the virus is still out there, how do we slowly incrementally reenter and some sort of sense of normalcy again. Were so excited to have you with us this morning because it is your study that has gotten so much attention this morning. And the headline of it, i think, is what has stunned people and that is that you and your colleagues predict that there could be some form of social distancing through the year 2022. That is so much farther out than we had been led to believe. This trajectory as we understand it that youre looking at is if there is no vaccine in the next 18 months, but wont there be a vaccine in the next 18 months and what if there is . Does that change the findings of your study . Yes, so i think picking up on dr. Guptas point that it is absolutely the case that we need to be very thoughtful and careful about what we do and how we reopen. If we rush head long into opening without a clear evidencebased plan, we may end up confronting many of the challenges that all this social distancing is meant to help us avoid. So returning to that idea that what were trying to do is get up to herd immunity, that can happen either through infection of the population with then after infection developing immunity or through a vaccine, which can again confer immunity on those who are vaccinated. If we do get a vaccine, that will certainly get us there more quickly. Our study looked at what how we can navigate both the goal of maintaining the healthcare infrastructure, this whole idea of flattening the curve is to help us to keep hospitals in tact. And not overwhelm them. But while we do that, the more successful we are, the more of the population remains susceptible so that when we stop social distancing, we will see a resurgence of the virus. So we thought about intermittent distancing, so periodic distancing and on off kind of approach that would allow us to maintain the healthcare infrastructure, so we dont exceed that Critical Care<\/a> capacity, while then when we see thermostat kind of model, we get to some kind of peak, we can turn off the social distancing and go through several rounds of this, accruing that herd, trying to accrue that herd immunity while still maintaining our healthcare infrastructure. And then we predicted that in one scenario could take quite a while. It is interesting, one of the assumptions that continues to be made gets to one of the questions, it hasnt been 100 answered yet, which has been there from the beginning, which is are you immune from coronavirus and covid19 if you had it already and recovered. What do we know about that question and when and how well get a definitive answer . That is a pivotal question. And i think the presumably were going to have some immunity if youve been exposed to this and recovered. But i say presumably because, you know, were still early days into this, that has to be proven out with these studies, but the idea is that once youve been infected, your body develops as antibodies, those are cells that will recognize this virus again, if it is opposed to it again and will fight it. Thats the immunity were talking about it. I had an interesting conversation with dr. Corbett for nih and she made a really good point, look, theyre both the same in some ways. If you get exposed, you develop immunity. If you get the vaccine, thats designed obviously to give you immunity. One is far better than the other. If you get exposed, i mean, people are talking about, hey, look, maybe i should tough through this and go ahead and get exposed, you dont want to do that. First of all, this can make you really sick, even if you are a young, healthy person, number one. Number two, the point that youre raising, okay, now youve been exposed, you may have immunity, we dont know how long, we dont know how strong. A vaccine, the whole point of the vac secine is to give you a long and strong immunity as possible without making you sick. So both can accomplish the same thing, one is far better, i think, in terms of that. Dr. Grad what about your research on that, did you all look at whether or not people truly are immune after they contracted coronavirus . Our study does not look at that in particular, but we do say that that is quite clearly the as was just mentioned, the pivotal issue here. So it really will influence what we anticipate will happen if people develop robust long lasting immunity that would be great, that would be helpful. If immunity after infection is short lasting, for a week, that could spell many more challenges for us and how we try to deal with this covid19 challenge. What is intermittent distancing . What does that look like effectively going forward. Right now, there is 97 social distancing around the country, how do you turn it on and off . So testing, testing, totally critical to be able to monitor the population and track the trajectory of the epidemic. And this is going to require both viralogic testing and serolgic testing. One challenge we face is that because so many people we suspect in the population have been infected and we dont know it because we didnt have enough testing, we dont really have a good sense of what the population immunity is, and those factors will very much influence how we want to use the next round or rounds of social distancing. Whether, you know, we want to apply the same stringent measures we have seen in many places, or whether we can do more tailored interventions for a particular population. So i think, you know, there is a lot of work that needs to be done, looking across the country at how different Public Health<\/a> institutions have and governments have put into place these mitigation efforts, how successful they have been and then learn from that what we need to do in the next round or rounds of distancing. Sanjay, in terms of herd immunity what percentage of the population needs to be vaccinated or, god willing, developed immunity if they have already suffered through coronavirus for people to feel safe. Thats another great question. And part of that depends on how long the immunity is, how strong it is f y. If you look at measles, youre talking well over somewhere between 70 to 90 you want people to have some sort of immunity in order to create that herd of protection. Thats a lot of people. And thats why a vaccine is the best way to sort of get there. One thing i want to build on what the doctor is saying, in terms of what the timeline is for this, you know, youre hearing about vaccine maybe a year, year and a half away, i had a chance to speak to dr. Corbett, i think we have that sound. I wonder if you want to listen to this. It was very encouraging actually the way she framed this. That would be for healthcare workers and people who may be in Constant Contact<\/a> and risk of being exposed over and over. And then for the general population, our target goal is for next spring and that is if all things go well, and if the phase one, phase with and phase three Clinical Trials<\/a> work simultaneously for the good. So, i mean, that is dr. Corbett, sort of spearheading the Vaccine Program<\/a> there for the nih. By fall, she is saying, potentially an emergency use authorization for a vaccine. Thats the first time i had heard that. And then by spring of next year, for the general public. Of course, you know, there is a lot of ifs in there in terms of this vaccine trial has to go and show the safety, show the efficacy, all of that, but thats i thought that was really encouraging and would dramatically reduce the need for social distancing that long if this vaccine were effective and made available. It has to be made available to people as well. Lets hope that she can pull off phase one, phase two, phase three, all going exactly as planned. Sanjay and dr. Grad, thank you, both, very much for all of the information this morning. President trump says he will cut off funding for the World Health Organization<\/a>. This, the American Medical Association<\/a> calls that dangerous. So the leader of the ama will tell us why next. Cancer wont wait for hospitals to get back to normal again. And at ctca, we arent waiting either. Were still focused on providing worldclass cancer care. Because cancer isnt just what we do, its all we do. Call now. Weve worked to provide you with the financial strength, stability, and online tools you need. And now its no different. Because helping you through this crisis is what were made for. President trump says the u. S. Will cut off funding to the World Health Organization<\/a> for what the president claimed is their, quote, role in severely mismanaging and covering up the spread of coronavirus. The head of the cdc moments ago reacted to that news. W. H. O. Has been a longterm and still is a great partner for us. Were going to continue to do all we can to try to limit this. Those decisions that are going to be made above related to some of the geopolitical issues i have to lead to those that really is that expertise. For me, for cdc, and the Public Health<\/a> arena, were continuing to work side by side with w. H. O. To do the best that we can. So, again, the head of the cdc says the w. H. O. Is a great partner. The American Medical Association<\/a> calls the move to defund w. H. O. Dangerous. Joining me now is dr. Patrice harris, the president of the ama. Dr. Harris, give me your reaction to the news yesterday, President Trump<\/a> withholding funds to the w. H. O. Good to be with you. During the worst Public Health<\/a> crisis in a century, halting funding to the w. H. O. Is a dangerous step in the wrong direction. Others, many others have said this virus knows no boundaries, this is a global pandemic, it certainly requires global cooperation, infections in other parts of the world could certainly impact us here in the united states. It has. And that, of course, ultimately means more infections and tragically more deaths. When the head of the cdc says the w. H. O. Has been and is a great partner to the u. S. , in doing what . In particular. As it relates to coronavirus. How is the w. H. O. Helping . I know that the w. H. O. Is in the past offers technical assistance, particularly to developing countries that dont have the infrastructure that the developed countries of the world do. I know they share information, do some coordination across the world in previous infectious outbreaks, so, yes, i think dr. Redfield is correct. You get down to the science part of this, which is what we should all be focusing on, yes, w. H. O. Has, to my knowledge, and certainly dr. Redfield knows this better than i do, has been a good partner on that level and so thats why it is very important, again, to continue the funding, certainly if there are any credible concerns, you can address that. Now in the middle of this pandemic is not the time to reduce funding. What about those credible concerns as you say, the w. H. O. Has been criticized in some cases for being too china centric. Took them a long time to declare this a pandemic. Do you agree with those criticisms . So those are those geopolitical concerns that dr. Redfield mentioned and certainly im not, of course, privy to the president s concerns, the specifics of those concerns. Those can be addressed, im sure. But here in, in the middle of this pandemic where the number of infections are going up every day, we still have folks dying and this slope continues to increase in some areas. Now is not the time. We need that global and International Cooperation<\/a> if we really want to reduce the spread or totally eliminate it as countries Work Together<\/a> on vaccines and treatments. We really do need to focus on the science piece of this and it is not a time to eliminate that funding. How does it affect your work on this the science of it, as someone in the medical community, when you have mixed messaging coming from the top, like we just had over the last few minutes. Dr. Redfield saying the w. H. O. Is a great partner, President Trump<\/a> saying hes got such concerns hes cutting funding. Certainly the key and im a former Public Health<\/a> official and any Health Crisis<\/a> you need clear and consistent messaging. The public needs to trust that their leaders are being honest, and forth coming and really working cooperatively to do whatever they can on any again, infectious outbreak, so we really do need to have that clear and consistent messaging. But certainly from the folks who are working on the science side of this, i gave an address just last week, and urged everyone from elected officials to the public to rely on a science. Thats where we are, the ama. We had longstanding partnerships with the cdc and so our focus will continue to be on the science and the evidence, and encourage everyone to let that drive our decisions at this point. For more than a more or so into this, obviously, how are doctors, nurses, medical professionals, how do you feel like theyre being supported now in their efforts on the front lines of the pandemic . Certainly there are some areas where there is support. But, again, i continue, the ama continues to hear from our colleagues on the front lines, and there is still some areas where they dont have the equipment that they need. And now were not only running out of the ppe everyone has talked about and that is variable, but certainly now there are shortages in medications, and, of course, we do not have the test capacity that we need and this, you know, physicians feel like were going into this with one arm tied behind our back. And so we really need the administration to use all the levers of the government to get those on the front lines all the support they need and i also want to remind everyone that as, you know, there are medical needs unrelated to covid19 that still need to be met, and so we need to make sure that even physicians that are not exactly on the front lines, those practices need the support both financial and need the equipment that they need to take care of our patients. Dr. Patrice harris, thank you very much for being with us this morning. We appreciate your time. Thank you for having me. Former president barack obama, officially endorsed joe biden, but the way he did it very interesting. Seeming to take a swipe at President Trump<\/a> in his handling of coronavirus. Thats next. Former president barack obama officially endorsing his former Vice President<\/a> on tuesday, and using that opportunity to speak out about leadership during a time of crisis. The kind of leadership that is guided by knowledge and experience. Honesty and humility, empathy, and grace. That kind of leadership doesnt just belong in our state capitols and mayors offices, it belongs in the white house. Thats why im so proud to endorse joe biden for president of the united states. This crisis has reminded us that government matters. It reminded us that Good Government<\/a> matters. , th that facts and science matter, that the rule of law matters, that having leaders who are informed and honest and seek to bring people together rather than drive them apart, those kind of leaders matter. Joining us now is cnn senior political commentator david axelrod, former Senior Adviser<\/a> to president obama and strategist on both of obamas campaigns. Great to see you. Long time, no see. Good to see you guys, yeah. Great to have you. You look well. Thank you. It is hard not to read between the lines there of president obama speaking and sending a message. What did you hear him saying . Well, yeah, you would have to be trying not to get that message. He was drawing a direct contrast with donald trump and, you know, it is interesting, he said this is the president we need right now at this time. And he was making it very clear not just why he supported joe biden, but all the qualities that he listed, honesty, humility, empathy, these are qualities that critics of President Trump<\/a> have been pretty clear are missing in him and president obviously feels that way. And those are important qualities in the midst of a crisis. I want to play some sound from then president obama from i think this was five years ago and he was speaking at the National Institutes<\/a> of health about pandemics. So listen to this. There may and likely will come a time in which we have both an airborne disease that is deadly. And in order for us to deal with that effectively, we have to put in place an infrastructure, not just here at home, but globally that allows us to see it quickly, isolate it quickly, respond to it quickly, so that if and when a new strain of flu like the spanish flu crops up, five years from now, or a decade from now, we made the investment. That was 2014, interesting. A lot of people are looking at this election now saying, really, it will be run on the response to this pandemic. If that is in fact the case, what role do you see president obama playing in this election . Look, i think hes going to be active. Hes very, very passionate about where we are. I think that was reflected in the statement he made yesterday. It was obviously very, very thoroughly crafted, a lengthy statement. He has a lot of concerns that are pent up. I think hes going to play a, you know, public role in this campaign. Hes probably also going to play a private role in terms of offering counsel and encouragement to biden and bidens campaign. He had been waiting for this moment because he wanted the campaign to be over, he didnt want to put his thumb on the scale for biden or any candidate until voters had a chance to choose their nominee. But hes made it clear from the beginning he would be an active participant in a campaign. How that happens now given all the limitations of this covid19 era will remain to be seen. But obviously hes going to be, you know, on digital and in other ways a big presence in this campaign. In terms of his style, what does it look like . He notably didnt mention President Trump<\/a>s name. He didnt have to. Is he going to continue to do that . Is that by design . Yeah, i think his point was crystal clear. I dont think he needs to call him out and taunt him. I dont think hell do that. I dont think thats neither his style nor what he thinks is appropriate to a former president. But i think his critique will be tough because he feels passionately about it and you can see that yesterday. I dont think this is the last of that in this campaign and as we go down the track, youll see more and more of a critique from him. In the near term, my view is that the best thing he can do is also elevate biden and hes a great witness to who biden is, hes seen what hes done, he understands his experience, and he has very good personal insights into bidens humanity. People need to know more about biden as well known as he is, there is not a lot of depth of knowledge about him. Barack obama knows him as well as anyone and has credibility in presenting who biden is to the american people. What was your thought bubble when you were watching the video from president obama in 2014 talking about pandemics . Hes been obsessed by this since he was a senator, reading about the avian flu. He got money to study vaccines for the avian flu and he started a unit the white house just dedicated in the National Security<\/a> council to pandemics that the Trump Administration<\/a> disbanded. He left office saying this is one of his five biggest concerns for the future. So when the president the current president says no one saw this coming, everyone in the field saw it coming, Anthony Fauci<\/a> started talking about this decades ago that we were going to have a big pandemic and we needed to get ready for it. And so, you know, thats just that simply wasnt true. We got caught flat footed because this administration dismantled some of the Early Warning<\/a> systems put in place by the Obama Administration<\/a> and past administrations just for this kind of exgenesee. It seems eerily prescient now he said five years and you can set your calendar to five years to basically the day that he was talking about it. David axelrod, great to see you. Good to see you guys. Be well, stay safe. You too. Brandnew numbers in showing how crippling this pandemic has been for retail sales. Of course, you know that from your neighborhood, well tell you what the numbers are next. This is cnn breaking news. We do have breaking news right now. Brandnew numbers on how the coronavirus is crippling the u. S. Economy. We have just gotten retail Sales Numbers<\/a> and cnns julia chatterley joins us now with what youre seeing so what do they look like, julia . They are nothing like we have ever seen before. For the month of march, retail sales down 8. 7 . I mean, this is a huge number. What this tells you is that when the u. S. Economy effectively shuts down, so do consumers. Even within that, there are winners and losers you should expect. Liquor stores did relatively well, drugstores, food stores too as we were desperately stockpiling, particularly in the latter two months of march. On the downside, though, clothes, accessories, cars, as you would expect. A real wait on these numbers. There were two key observations, the first is that we were only in shutdown for the last two weeks of march. So as bad as this march number is, april is going to be worse. It is also going to capture all the people that are now out of work. What this also doesnt capture is the online sales that were making, we dont manage to get that in these numbers, so it is perhaps worse than it looks, but, hey, it is the worst we have on record. So thats just jaw dropping. But tie it to jobs for us. So if the retail sales are that bad, what do you expect the jobless claims this week . The predictions are pretty terrifying, another 5. 5 Million People<\/a> expected to ask for help, to claim for benefits this week. So that will then put us at around 22 to 23 Million People<\/a> in the last four weeks that have tried to go to their local states and say, look, i need support during this time. I mean, just to give you a sense of what were talking about here, were talking about one in eight workers over the last four weeks. It would completely wipe out all the job gains that we have seen since the financial crisis, just in this space of four weeks. And we keep talking about this in a weekly basis, we know people are still struggling to get through, so it is still not capturing where we stand at this moment today. Were talking one in ten people in this country potentially according to some estimates, which is saying we could see 37 Million People<\/a> out of jobs or furloughed by the end of may. There has been news that the airlines are going to get help, going to get assistance, so what do their bailouts or lack of a better word look like. Lets call it airline aid at this stage. The government is fighting for workers, were talking 750,000 direct jobs here. On the other hand, the airlines fighting for survival. These terms are tougher than you would expect, i think. 30 of the money that theyre going to get given here to support workers has to be paid back eventually. They cannot fire their workers. This is critical. The restrictions on the airlines involved, they cant buy their own stock back, there is also going to be limits on executive compensation. So we can call it a bailout in the shortterm, but what this ultimately was about, alisyn, was protecting hundreds and thousands of workers. One day when we start flying again and the airlines recover, well be ready to get back into their jobs and work. Okay, julia chatterley, thank you very much for helping us see the breaking new on the retail sales just astonishing historic numbers, thank you. So in terms of the medical story, what have doctors on the front lines learned . So far about treating coronavirus patients . What are they doing differently today than they did two months ago . Well, dr. Sanjay gupta shares what we now know, next. So many coronavirus patients are fighting for their lives. There is usually an unseen battle. But 33yearold janet mendez filmed herself just before getting discharged from the hospital on monday. Listen to janet telling her harrowing story. Today is the day youre going home. Congratulations. Thank you. Ive been in the hospital maybe almost a month, exactly the date i dont remember because it has been so long. But finally they are sending me home. It has been a long journey, especially not for me, but for my family because they were the one up, they were the one praying, they were the one going every single day to my journey and while i was sleeping, people were saying when i came in, i was blue. I remember that i looked at my face and i looked like a smurf. So i got scared. I am thankful to god i am able to say okay, im leaving the hospital and im okay, that the coronavirus did not take me away. When you came in the emergency room, on the 25th, last month, you came straight up to the intensive care unit and we put that breathing tube in for you. You had a lot of trouble with your lungs during those two weeks. Some air leaked out of the lungs and you got swollen up and then we got the air to not leak anymore. We did some special things, we put you in a facedown position and then faceup position and back and forth like this for a few days. And ultimately your lungs recovered. Is there anything you want to tell other people about covid . Take it seriously. Protect yourself, if you dont are to go outside, stay home. Because at the beginning, youre, like, yeah, yeah, yeah, it is just the media, but this is real. And it knocks you down, you think youre healthy and it knocks you down. Oh, my gosh, what a survival story. And how encouraging. John, what else have doctors learned, we want to know, about treating coronavirus patients. Cnn chief medical correspondent dr. Sanjay gupta joins us. One of the doctors there alluded to one of the things that has changed over these past months, doctors who have been in triage mode, as we know, have learned a lot and gleaned a lot about the trajectory of this disease and one of the things they have learned is that their Natural Inclination<\/a> is to intubate someone struggling to breathe right away. It sounds like over the course of the couple of months they figured out there might be less invasive things that are just as effective . Yeah, i think thats true. And, one thing i think that should go without saying again is that we are all learning together as you said, alisyn. This is a new disease. It is a virus, you know, so we know about viruses, but this is a new disease. And so, you know, even in my 25 years as a since i finished residency, this is something that i never had seen before, nobody had seen before. So were learning together. But youre right, i think there is something that struck doctors in the last several weeks and that is that the people were put on these breathing machines, these ventilators, there was only about 20 to 30 of these patients who were successfully then coming off the ventilators and some of these studies. Thats those are terrible rates obviously. You want to put people on a ventilator to get them through that course and hopefully get them off successfully. That wasnt happening. And so doctors started to look for other things. And they also noticed that even though parents were having low oxygenation, the amount of oxygen showing up on their test was very low, they werent sort of gasping for breath. Typically if you had low oxygenation like that, you would be very breathless, you know, just trying to catch your breath and yet they didnt have that. So what was going on, was this still primarily a lung problem, was there Something Else<\/a> going on . That is still being investigated. But it did start to prompt the doctors to say, lets try other strategies. Maybe not put a breathing tube in right away, and instead using a machine that is more like a cpap machine or as you heard, very good description there, maybe we have to allow more of the lungs to actually be recruited when youre lying flat on your back, especially if youre someone overweight or obese, it can be hard to recruit as much lung function, so simply rolling the patient over to a prone position and maybe even back and forth, very simple repositioning, could make a big difference. It sounds to have made with janet, who we just saw in that piece. It is interesting. We have spoken to people who have been on their bellies basically in the prone position for, you know, ten, 12 hours a day under this. This all seems to be stuff that has been learned over the last five weeks. Yeah, no question. You hear about these certain kind of tables that are now being crafted or tables that are used for other things to basically allow someone to stay in this belly down or prone position for long periods of time. And making a big difference. These cpap machines, the tendon ty sy is someone has low oxygenation, respiratory virus, put in a breathing tube. Thats where the calculations on how many ventilators are likely to be needed. I dont want to minimize the need for ventilators, it is still very much there. But for other patients it may not be the right answer, oftentimes has the doctors just taking an extra beat before they immediately put in the breathing tube and saying, lets just be sure that we cant get by with Something Else<\/a>. If we just give oxygen, let the person sit up, as opposed to lying on their back or in prone position, which is some oxygen could we accomplish the same thing a lot less invasively and the answer many times is coming back yes. Not always, many times, yes. Some other interesting developments in terms of what we have learned over the past few weeks, maybe it is not just a respiratory crisis and virus. So there have been symptoms reported, i think fairly regularly patients hallucinating, patients having seizures and a lot of patients losing their sense of taste and smell. What does that tell you . These are the neurological manifestations. This is my world of neuroscience, and about a third of patients have had these neurological impacts from the disease as well. Sometimes as the first symptom they have. So this is something everyone should Pay Attention<\/a> to. Unusual dizziness, loss of smell, loss of taste, you feel impaired in some other way. Whatever it may be could be an early sign. Thats not to alarm people to something to be mindful of. One thing that it suggests as you said is we think of this understandably as a respiratory disease, respiratory disease affects the lungs. But could Something Else<\/a> be happening here . My guess is yes. We dont know what it is yet. But is this causing inflammation elsewhere in the body, such as the base of the brain, causing these types of symptoms or is it causing a more generalized problem, for example, in the blood . So less oxygen natured blood to all the different organ systems causing these sorts of problems. We dont know the answer to that yet. But we need to. It is going to make a world of difference going to zble ing fo interesting stuff. Interesting developments, were learning so much along the way. Thank you for this. Yeah. Okay, guys, we have an extra special good stuff this morning. We want to welcome the newest member of our new day family this is georgia elle. This is a beautiful baby born to two cnn employees, our producer craig scholz and his wife caroline. So georgia came into the world monday morning weighing 8 pounds, 5 ounces, mom and baby are doing great and we just cant wait to put georgia to work here as part of the new day family. Control room within days, no question about that. Cour congratulations to them, clearly takes after the mother. We have breaking news, cnn has just learned that senator Elizabeth Warren<\/a> will endorse joe biden for president this morning. More on that and cnns coronavirus coverage continues next. This is my body of proof. Proof i can fight moderate to severe rheumatoid arthritis. Proof i can fight psoriatic arthritis. With humira. Proof of less joint pain. And clearer skin in psa. Humira targets and blocks a source of inflammation that contributes to joint pain and irreversible damage. Humira can lower your ability to fight infections. Serious and sometimes fatal infections, including tuberculosis, and cancers, including lymphoma, have happened, as have blood, liver, and nervous system problems, serious allergic reactions, and new or worsening heart failure. Tell your doctor if youve been to areas where certain fungal infections are common and if youve had tb, hepatitis b, are prone to infections, or have flulike symptoms or sores. Dont start humira if you have an infection. Humira is proven to help stop further joint damage,. And its the 1prescribed biologic for psa. Want more proof . Ask your rheumatologist about humira citratefree. Youre first. First to respond. First to put others lives before your own. And in an emergency, you need a network that puts you first. That connects you to technology and each other. Thats built with and for first responders. Firstnet. The only officially authorized Wireless Network<\/a> for first responders. Because putting you first is our job. Hey allergy muddlers. Achoo . Do your sneezes turn heads . Try zyrtec. It starts working hard at hour one. And works twice as hard when you take it again the next day. Zyrtec muddle no more. Very good wednesday morning to you. Im jim sciutto. And im poppy harlow. As most of the country continues to stay home and tries to imagine a return to normal, californias governor is now talking about and showing us what normal could look like. Things like routine temperature checks, when restaurants reopen, they could have fewer tables, servers wearing masks, handing out disposable menus. Classes could have staggered start times with reimagined pe classes, all of this at least, jim, until there is a vacc","publisher":{"@type":"Organization","name":"archive.org","logo":{"@type":"ImageObject","width":"800","height":"600","url":"\/\/ia902905.us.archive.org\/5\/items\/CNNW_20200415_120000_New_Day_With_Alisyn_Camerota_and_John_Berman\/CNNW_20200415_120000_New_Day_With_Alisyn_Camerota_and_John_Berman.thumbs\/CNNW_20200415_120000_New_Day_With_Alisyn_Camerota_and_John_Berman_000001.jpg"}},"autauthor":{"@type":"Organization"},"author":{"sameAs":"archive.org","name":"archive.org"}}],"coverageEndTime":"20240618T12:35:10+00:00"}