Here is the account of one physician working in alabama. The virus is now there. Its infiltrated the rural community. This is real. This is very nerve racking and scary for the staff we have limited staff in these rural areas. Most of the reassure hospitals do not have an icu, they do not have a ventilator. And if they do have a ventilator, which will breathe for the patient, we dont have the staff to man the ventilators or the icu to keep the slated patient in the icu. Well, the virus has spread across the country, the epicenter of it continues to be new york, which in the past 24 hours saw the highest singleday increase in deaths. Another 731 people have now died. That is the largest singleday increase. And we talk about numbers, but that 731 people that we lost. Behind every one of those numbers is an individual, is a family, is a mother, is a father, is a sister, is a brother. So a lot of pain again today for many new yorkers. New york governor is now turning towards new yorks long island as yet the latest hot spot. There are over 30,000 cases of the coronavirus there right now. Joining us now is nbc news correspondent ron allen, who is at stonybrook hospital on long island. Ron, are the hospitals ready for the influx . Theyre doing everything they can to get ready. And they are not taking their foot off the gas. Thats the thing that weve heard, every official that weve talked to today say. Because there are some numbers that are a plateauing in other parts of the state, and they dont want complacency. Across Suffolk County out in eastern long island, the numbers have been going up, the number of deaths and new cases. At this Testing Center that were at, they are testing about a thousand people a day who are driving up for appointments and theyre having a rate of about 40 to 50 positive. So the numbers we see going up right here. Here at this hospital, they have been trying to increase capacity. It started out as a 600 bed facility and have made it into about a thousand beds. There is an additional thousandbed Field Hospital thats still being erected. This is one of the Major Centers that they have set up like the Javits Center in manhattan. Earlier, we spoke to the ceo of the hospital, who says that hospital admissions are falling, but she doesnt want to see complacency. Heres what some of that conversation was like with her. The hospitalizations have leveled off and in some numbers around the state, the numbers seem to be leveling. Thats good news, but i imagine thats also something to be very leery of. Were very cautious. It is not a time to celebrate that were at the peak and were going to precipitously decrease over in terms of our surge. We are still gearing up for surge. And i think it would be a mistake to take our foot off the gas at this point in time so were continuing to focus on identifying Additional Resources and continuing our surge process as we increase the number of beds and increase our capacity at the hospital. Reporter and across long island, we hear from so many hospitals the same cry. They still need more protective equipment. They are doing everything they can to get it. They may have enough today, but are worried about next week, and they see the surge in cases coming this way from new york city. Pa real sense of urgency still here. A real concern about possible complacency, because they think that the worst is still yet to come here, possibly. Brian, katy . Ron allen at the converted triage parking lot in stony brooke which has been his post for the past few days. A note to our viewers. We realize that sometimes the words we are speaking dont match up to what is sadly the escalating death toll on the screen next to us, which i note is now 12,234, way over the last tally we just delivered. Onward. First it devastated new york city, and now this coronavirus has rapidly spread to its closest neighbor to the west. In new jersey, there are over 41,000 active cases of covid19 that we know of. They have suffered, as you see there, 1,232 deaths. Our own Stephanie Gosk visited one of the hardesthit hospitals in the garden state. Reporter in the short amount of time covid19 has brought the world to its knees, it also transformed holy name medical center. Originally with 19 icu beds, it will have five times as many by the end of the week. For michelle asito, the virus isnt just part of her job, its deeply personal. My motherinlaw wasnt feeling well. Living with her are my brotherinlaw and sisterinlaw. The test results came back positive, all three of them had to be hospitalized. Membership motherinlaw started to deteriorate and the family decided that putting her on a ventilator would not be a good idea. Reporter at 89, aceto said it would have been virtually impossible for edna to survive. She was put on comfort care. During that time, it was her birthday. Happy birthday to you on her birthday, they brought in a piece of cake, they sang to her. She knew they were there. The family got to see that and they were so happy. Reporter two days later, she passed away. Acetos brother and sistersinlaw are still fighting the coronavirus, only further fueling her mission as a nurse practitioner. The nursing staff have been amazing. Every time nay go into a patient room, they know that not only are they the caregiver, but they are the standin family member. Their strength gives me strength. Reporter she and her colleagues, like Critical Care nurse arlene van dyke, need that strength now more than after as the rough days stack up. Today was really rough. We had to move all of our patients out of the icu into what theyre calling the shell. Its about 50 beds, so that all of the covid19 patients that are on respirators were all going to be in one central area. Its safer, everybody is just exhauste exhausted. Masks, gloves, gown. Reporter but just 24 hours later, a sigh of relief. A covid19 patient successfully taken off a ventilator. We see the sickest of the sick, so this was huge thing for us to see this. Reporter and finally, a muchneeded good day. Stephanie gosk, nbc news, new york. Thank you, stephanie. Thats Stephanie Gosk from new jersey. Joining us now is university of illinois at chicago anesthesiologist, dr. Cory deber grave. Thank you so much for joining us. You do a lot of intubations to get people on ventilators. We hear about the time that people need to spend on ventilators from this virus. Its not days, it can be weeks. Thats part of the reason why theres such a shortage of ventilators, specifically in hot spots like new york. What is the likelihood of survival or whats the survival rate once somebody gets put on a ventilator . Well, thank you, katy, for having me on. Its not really certain at this point. The datd is still being accumulated as far as what the survival rate is. We know that its really patient dependent. It depends on age and chronic medical problems. Theres lots of things you can do to try to prolong survival. When a parvet itient is intubat increase the oxygen, you can flip the patient entirely upside down. That helps the lungs achieve enough oxygen nation. B but its hard to predict whos going to live and whos going to die, which makes this more challenging. Doctor, i first became cognizant of pictures showing us patients on their stomachs, which is just such an unusual position in american hospitals. When the pictures started coming in from italy, is this, in fact, if not standard operating procedure, something we are seeing more and more in american hospitals . Yes, its definitely something we have to do sometimes at my hospital, where we know that with ards or acute respiratory distress syndrome, the lungs become really enflamed and full of fluid, and thats a problem because we need the lungs to absorb oxygen. So as one of the lastditch effort is we flip the patient over, which is challenging because of the ivs and lines, and we flip the patients over and sometimes that does help with the oxygenation. Can you tell me what the how promising is it when you are spl splitting a ventilator in two. I know italy had done that. There is a New Invention that can potentially split a ventilator to four separate patients, if not more. Is that promising . Will we start seeing that here in the United States . You know, its something ive read about and heard of. To me, its a terrifying idea for kind of complicated, you know, physical and mechanical reasons. When you have two patients connected to the psalm ventilator, its difficult to control how much size of breath each patient gets. You can share different organisms. So if one patient develops another infection on top of it, which ive seen some patients with coronavirus or h1n1 or different types of flu, that virus could be spread to the other patient. So its one of those things that if you are absolutely in dire straits and run out of ventilators, possibly, but its a terrifying idea if you ask me. Doc, its been at least 16 hours since we last spoke. We so appreciate you making yourself available to us, given the hours i know you are work i ing, dr. Cory deburrgrave from chicago. Africanamericans make up 30 of chicagos total population, but heres the number. They account for nearly 70 of all the coronavirus deaths in that city. Well dig into why that is. But right after this break, the weight of civic duty during a pandemic. How the people of wisconsin are being forced to choose between staying safe and having their say at the polls. Etween staying safe a hndaving their say at the polls ears. And i dont count the wrinkles. But what i do count on is boost high protein. And now, introducing new boost women. With key nutrients to help support thyroid, bone, hair and skin health. All with great taste. New, boost women. Designed just for you. New, boost women. The calming scent of lavender by downy infusions calm. Laundry isnt done until its done with downy. Voting in wisconsins primary is right now underway, but thousands of poll across the state are afraid to work and they have refused to come in. In milwaukee, shortage of poll workers have reduced the number of voting locations from 180 to just 5 across the entire city. Joining us now from wisconsin is msnbc news political reporter, Shaquille Brewster. Also with us, m. I. T. Professor of political science, stewart. I was talking to a federal election source last night about why this is happening today and why the republicans didnt hold a vote on this, didnt debate it when the legislature was reopened for a special session. And they pointed squarely to the Supreme Court and the narrow conservative majority. In wisconsin, Supreme Court, the justices, thats an elected position, not an appointed position. Talk to me about why theyre looking there. Reporter well, if you look here in wisconsin, thats part of the driving of the turnout. We know this is the president ial primary and folks have the opportunity to support Vice President biden or senator Bernie Sanders, but what youre really hearing when youre talking to voters maintaining that social distance, but when youre having conversations with voters is its that state Supreme Court seat that is really driving the turnout. You have the democratic leaning. Its a nonpartisan race, but the more liberal candidate, jill curaski and daniel kelly. President trump tweeted about daniel kelly and wanted his supporters to go out and support daniel kelly earlier today. You heard Vice President biden, Bernie Sanders endorsing jill for that Supreme Court seat. Thats really driving the turnout and thats why so many of the people who came out today who said they really didnt want to be here. They dont want to be here. They wanted to vote absentee, but had problems voting absentee, theyre saying thats why theyre out here, because they realize how important that seat is. We got a view of what the impact that court can have just yesterday, when you had governors tony ooeevers, he sig an executive order to try to postpone this election, but along ideological lines, that state Supreme Court essentially struck down the majority of that captured. So thats what youre hearing from people. They dont want to be here, but they realize its important and they realize that court has an impact on their lives. Katy, brian . Hey, professor, a question for you, this is kind of like a bad joke, inperson voting during a pandemic, and youre tempted to say, but at least theyve reduced the number of polling locations to cause the opposite of social distancing. Address that, first of all, as perverse as that is, and if you can, with your current world view of our political system, where does this fit in political season and what were headed for in november . Yeah, i think well, i think wisconsin right now is showing what we dont want to be in november. And that is to say, we are in the middle of a pandemic. We are in the middle of an emergency. This is not normal times and we need to adopt practices that we normally would not adopt, in order to keep people safe, not only voters, but poll workers. And in fact, poll workers may be more at risk than the voters themselves. We need to do these things to make voting accessible to people, to keep democracy going. This is an emergency. Were not talking about things that we might do next year or the next time for this particular emergency. And i think were seeing in wisconsin what happens when partisanship trumps considerations for safety, for access to the polls, and its actually causing problems for both democratic and republican voters, as well. This is what we want to void in november. And i think the good news is that in most states, most states have extended out or delayed their primaries and in most states, democratic and republican Election Officials are working to interpret election absentee laws more generously, so that theyre getting in the hands of more voters. So thats a good thing. But the other thing that were seeing today that we have to keep in mind is that for a wide variety of reasons, even when we make mail ballots accessible to everybody who wants one, there will be people who want or need to vote in person, and so, you know, at a time when were shrinking the number of inperson voting places, we need to figure out ways to keep inperson voting going, both to deal with difficult cases, mobile voters, new voters, states like wisconsin, they have election day registration. So thats going to be key in those sorts of states. So we need to make as many options available to voters as possible in order to get through this emergency. So the people that would need to vote in person, im told they would be people with disabilities, people with language barriers that would need their ballot. There are Election Officials who say its not a good idea to wipe away inperson altogether, but it is a good idea to try to limit the number of people that have to go out to the polls. Looking ahead to november and what is possible in terms of mailin ballots, there are democrats that say they want a mailin ballot sent to everybody in the country. Election Officials Say thats not quite plausible, its not feasible, just because of the way the states are set up. What, in your estimation would be the best Case Scenario for how we pull off an election in november. Well, most states can ramp up their mail balloting with a lot of effort and planning, but its possible. So what ive been saying is that every state needs to expand their mail voting to the degree that they can carry it off with integrity, in which they can get the logistics right, in a way that feels comfortable within that environment. States out west that have allmail voting or merely allmail voting, they might be able to expand it to 100 in states like arizona. Other states, where its been more than in the 20 range, if you got it up to 50 , 60 , you would you would have fewer people on election day and in person. And that would be a really valuable thing. And so i think it would be unwise in every state to try to get a mail ballot to everybody. But if you were to get mail ballots to twice the number that would normally get it, that would have it make a significant difference in terms of the crowding in polling places. And if we can get it up even a little higher than that, all the better. And from what im seeing in talking to Election Officials and watching the email chatter, theres a lot of logistical planning going on right now, so im actually heartened that the type of logistical planning thats necessary between now and late summer early fall will be possible to do. Professor, thank you for taking the time and for your thoughtful answers on this day, of all days, as were watching these lines to vote in wisconsin. Our thanks to Shaquille Brewster reporting from the field. We have something of a breaking news story. A story we dealt with in the last hour, the acting secretary of the navy has, indeed, offered riz registration after the public criticism of the relieved captain of the uss Theodore Roosevelt. With us again from washington, our Nbc News National Security and pentagon correspondent, courtney kube. And courtney, here we are. Reporter yeah, so i was dancing around this a little bit last hour, but we had been hearing that the acting secretary, thomas modly, he spoke one on one with mark esper this morning, right we got back from guam, a long trip to guam, and he offered to resign. The big question, what we dont have an answer to yet is what was secretary espers response. Normally we would say, look, in a case like this where there has been so much back and forth and frankly bad media and bad coverage of this entire story, you would think that the secretary of defense would just accept the resignation and everyone could move on. But theres two critical factors here that give us a little pause in why we arent really sure whats happening quite yet. The first is President Trump got involved late yesterday he was asked about it by our own Kristen Welker about this whole situation and said that he might get involved and try to mediate some sort of a resolution here. The second is, just the fact that everything about this has been so public. What has not been really public is the fact that theres no real automatic successor to acting secretary modly. So who would move in and step in at a time where the navy really needs a lot of leadership. They have had a rough couple of days. There are a lot of sailors who are asking questions about their leadership, and they need to show some kind of a strong and united front right now. We dont know who could possibly even step to replace secretary modally, if in fact esperce accepts his resignation, brian. And what is the status of the sailors on the uss roosevelt. So we know that more than 200 theres just about over 4,900 total sailors assigned to the ship. More than 200 have tested positive, about 230 so far. About 2,000 of them have been moved off the ship to housing on guam. Many of those are in hotels, some are on base, still awaiting confirmation of their test results. They have tested about half of the crew, about 65 , i think, of the crew, but not all of those results have come back. Its a tough situation right now for the navy. Because they have to leave a certain number of sailors on the ship, just to keep it operational and safe. Its a nuclearpowered aircraft carrier. They have a number of very dangerous and complicated Weapons Systems on the ship. They cant just all leave the ship and then send a cleaning crew on to disinfect it. Somewhere around 10 , a minimum of 10 of the staff of the ship, so roughly 500 people, have got to stay on it just to keep it safe and operational. But theyre tight quarters, its very difficult to practice social distancing on one these ships, so the navy is in a tough position in between trying to keep their sailors safe and the ship safe at the same time, katy. And courtney, no one needs to remind you, because youve been on these vessels, youve touched on this, there are no spacious accommodations in the u. S. Navy, whether its submarines, surface ships, you know, the rack room, where the sleeping area is, where the cots are stacked, often youre getting into a warm cot, occupied by the person in the shift before you, which was occupied in the shift before them. This is these are tight quarters. The kind of thing that a virus thrives on, sadly. Mmhmm. Yeah, thats right, i mean, they call it hot bunking, where that tends to be seen more on the submarines, where they have such a theres so little space. On a carrier, you tend to have your own rack, but youre sharing it. They can have these rack rooms, as you know, brian, where they can have dozens and dozens, upwards of 80 or 90 sailors in one room together. And its always dark in there, because theres always someone whos sleeping. They work on shifts, a lot of them. Its not just that, we know now, as we learn more and more about this virus, it lives on metal. These ships are largely metal. And there are just so many surfaces. And the reality is, they can do their best to try to stay away from one another, but its not just even where theyre sleeping, its also where theyre working. Its where theyre eating. The largest dining facilities on these things are not enormous defacts or chow halls like you might see some place like iraq or afghanistan. Theyre smaller rooms, people are sitting at 12 to a table. There are only a handful of people on the Theodore Roosevelt who would have their own room. The co, the very senior leaders, even the midlevel and Junior Officers often share a room with someone else. So it is tough to keep the spread down. Thats really what caused this whole story in the first place. It was this plea from captain Brett Crozier to get the sailors off the ship. He was worried that only a small number of them, when he sent that letter, it was literally a handful, eight to a dozen that was taken off the ship. Everyone else was still on there, and he worried that the virus was throughout the ship on the surfaces, in asymptomatic sailors, and it was only going to donate multiply. He was begging the leadership to get the sailors off the ship, to try to do something to stop the outbreak. Courtney kube flanked by a terrific v22 osprey model, courtney, thanks. Well continue to come to you, as we continue to cover this breaking news. And a little bit of light news, something good before we go, christina pause was given an unforgettable sendoff as she was discharged on saturday. She received a round of applause from her doctors and nurses after a 15day battle with covid19. She is a mother of five and as you can see right here, even through that mask, she was fighting away tears as she was wheeled through the hallways that were lined with medical staff. But when she saw her husband, who was waiting outside the hospital doors, she couldnt hold it in any longer. Not all the scenes we have witnessed and covered have been as happy as that. Lets hope for more of that. That is our coverage for now. Thank you for being with us. Nicole wallace picks up our coverage after a quick break. Rak thousands of women with metastatic Breast Cancer, which is Breast Cancer that has spread to other parts of the body, are living in the moment and taking ibrance. Ibrance with an aromatase inhibitor is for postmenopausal women or for men with hr her2 metastatic Breast Cancer, as the first hormonal based therapy. Ibrance plus letrozole significantly delayed disease progression versus letrozole, and shrank tumors in over half of patients. Patients taking ibrance can develop low white blood cell counts, which may cause serious infections that can lead to death. Ibrance may cause severe inflammation of the lungs that can lead to death. 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In nearly 100 years serving the military community, weve seen you go through tough times and every time, youve shown us, youre much tougher your heart, courage and commitment has always inspired us and now its no different so, were here with financial strength, stability and experience you can depend on and the online tools you need because you have always set the highest standard and reaching that standard is what were made for hi, everyone. Im nicole wallace. So get this, today is world health day. Its a day for celebrating nurses and other key Health Professionals, the heroes who are on the front lines fighting the coronavirus pandemic that is raging across the United States and many other countries. World health day comes one day after a report released by the health and Human Services departments Inspector General said that hospitals dont have enough masks or ventilators and other equipment needed to treat coronavirus patients and protect the doctors and nurses saving them. The ig report is based on a random sample of hospital administrators across the country. It was conducted between march 23rd and march 27th, just before the worst of the pandemic hit the u. S. This report isnt sitting too well, though, with donald trump, who has kept praising his administrations and his own response to the crisis, despite abundant evidence to the contrary. In a tweet today, the president called that ig of hhs and his report a fake dossier and asked why the ig didnt want to talk with the Vice President and other people in charge of the federal response. The tweet came one day after this exchange with a reporter during his daily press briefing. Where did he come from, the Inspector General . Whats his name . It came from the Inspector Generals report whats his name . I dont know his name off the top of my head. Tell me his name. Let me know. If you tell me his name, i would appreciate it. But, sir, these are hospitals youre going to ask the admiral these are hospitals that say that theyre waiting a week or longer to get their test results speak to the admiral. Weve had more testing and more results than any country anywhere in the world. Theyre doing an incredible job. Now theyre all calling us, they want our testing, what are we doing . How do you do the fiveminute test, how do you do the 15minute test. So give me the name of the Inspector General. Could politics be entered into that . So of course, the headlines that weve seen over the past few weeks tell a very different story from the one donald trump is telling there. Shortages of personal protective equipment at hospitals across the country and still many, many issues with people getting tested. Just yesterday, a group of Health Care Workers protested outside of a new york city hospital, calling for officials to provide them with the equipment they need to do their job safely. One new york nurse wrote a piece in the New York Post in late march, telling us what its like to work on the front lines of the fight against coronavirus. He wrote this, quote. Given this contagions strength, we need swift action, the right gear, and the resources to stop this virus in its tracks. We would never want to get to the point of having to pick and choose people with the best survival rates to determine who gets a ventilator. Joining us now, registered nurse, anthony tiampa, the author of that piece. He works in a hospital in new york city and first Vice President of the new york state nurses association. How are you doing . As best as can be, thank you. How are how are your colleagues doing . I mean, we just at the end of my colleague katy tur and Brian Williams broadcast, we just watched the doctors and nurses who had treated a woman who was being discharged and reunited with her husband line the ha hallways and clap and it was so moving. It is clear that there is a war against coronavirus being waged inside hospitals that no one is seeing and no one knows anything about. Can you tell us and our viewers about it . Yes. It is a war, clearly, but unfortunately, its a war that were fighting without the right equipment. We dont have the proper ppe, despite whats being said out there. We if were lucky, we get one n95 mask and were told to protect it for the entire shift. I do remember speaking to a nurse last week who was wearing her n 95 for an entire week. Fortunately, i was able to get her another n95. But even though, even with the n95s and the goggles, we dont feel safe. We need a higher level of personal protective equipment, so that we can get as close to zero percent transmission as possible. With the gear that we have on now, its droplet precautions, and they tell us not to even use that n95, unless its for an aerosolizing procedure, like nebulizer treatment or a cpr or during the actual action of intubating a patient. This isnt right. The cdc had lowered its standards and they lowered the protocols and the hospitals are following these lowered protocols. And as a result, we dont feel safe. And you cant tell me that everything is going to be okay when my colleagues are getting sick. We have nurses intubated. Nurses have died an emergency room attending im aware of was in the icu and intubated. We need to raise the level of personal protective equipment so that we can do our jobs. And right now, we dont feel that its safe and we dont have the resources, the tools, the equipment, or the ventilators that we need in the days ahead. One thing that and im sure youve im sorry. Go ahead. No, just one thing that i think that we can do to provide us on the front line with the resources that we need is to unleash the defense production act. Im aware that the president had negotiated with 3m. Look, its time to put negotiating aside, commandeer have the factories pump out the equipment immediately, right now. You know, unleash the full potential. Have all the factories working and putting out the ventilators, the personal protective equipment that we need. Now is not a time to negotiate. Its not a political issue. Its a humanitarian issue. And every life is valuable. Every life is meaningful. And the more we do now, the more lives that we can save. But we need the tools, the equipment, and the resources to win this fight. You know, you talked about and ive read some news accounts in the New York Times, in City Hospitals and in new jersey of doctors and nurses treating their own their fellow doctors and nurses. And i wonder if you could just talk a little bit more about that. Its not even worth asking if you if you feel safe. Youve already answered that, you dont. But people dont, i think, appreciate that not only is it the exposure and the virus load that youre all taking in, but it is the trauma of treating someone just like yourself, a nurse or a doctor. Talk about that. You know, its terrifying. Its a terrible thing to see. I talk to colleagues way too many times that i would like to even think about that are sick, that are currently sick and were just not, you know, were not we werent prepared for this. And were not prepared. Its really disheartening to see, you know, my colleagues falling ill and while we while we dont feel safe. The level of anxiety is tremendous, but, you know, we still are willing, ready, and able to come into work, but, you know, but the doctors, the nurses, were all human beings, too. The elderly, the pregnant, you know, we have high risk factors, as well, and we come in and we just want to feel protected. And when we see one of our colleagues go down, its just its heartbreaking. Its heartbreaking. What explanation have you been given for the lack of, not just ventilators, but personal protective equipment for you and your colleagues . Were told that we werent ready for the pandemic and were told that we need to ration, that supplies are runni ning critically low. That were looking at things on a daytoday basis in terms of inventory. You know, its frustrating. You know, were just told to conserve as much as we can, to the point where its dangerous. And its not only unsafe for the medical staff, but its unsafe for everyone. Anthony, theres another piece of, i think, the experience of nurses that people dont appreciate, because of the precautions being taken in hospitals, family members in most cases are no longer allowed inside. So its Nurses Holding peoples hands, as they always do, but doing it almost exclusively in the absence of any family members. Can you just talk about, not just the extra risk to your health, but the extra patient care thats being done, that once again, no one will ever see. Its one of the things that i admire most about the medical professionals, be it nurses, doctor, medical staff, that were there to hold someones hand during the most difficult time. And to be at a point where family members are not able to visit, you know, which is the best thing to do at this point in time, its not ideal, but unfortunately, our patient loads are bursting beyond capacity. I have, you know, intensive care unit nurses that normally have a onetoone ratio taking care of four patients, nurses that take care of five patients taking care of ten patients. And when that happens, thats less time that we actually have to spend, you know, holding someones hand and shoemwing empathy and love, because were just trying to run around doing the best we can. Its you know, as it is, we dont forget about a lunch break, you know. Its its all hands on deck and we would like to see the nation respond accordingly, that it would be all hands on deck and lets get us the protective equipment we need. I cant overstate enough how much we need to unleash the full power of the defense protection act and pump out these supplies. We can do better as a nation and we should. We certainly should. It is the least that the country can do for everything that youre doing. Thank you so much for what youre doing. Thank you for spending some time with us. Please come back. Thank you. Now to the story that was breaking on our air 24 hours ago, almost exactly. News that british Prime Minister Boris Johnson, who is battling coronavirus, has been stable overnight after spending the night in an intensive care unit. The uks head of state has needed oxygen support, but he is not on a ventilator. Johnson was initially admitted to st. Thomas hospital in london on sunday night after experiencing persistent symptoms of covid19. Joining us now from london, nbc news chief global correspondent, bill neely, with the latest on british Prime Minister Boris Johnsons condition. Take us through what, if anything, has changed since 24 hours ago when we spoke. Reporter yeah, goomd afternoon, nicole, from a pretty fretful and anxious country. Anxious not just about the terrible death toll, more death, more than 700 today, but obviously about the condition of the Prime Minister who remains in the hospital behind me, st. S thomas. We were told that his condition was stable overnight, but to be honest, we havent been given a great deal of detail about his condition this afternoon and this evening. Its just before 9 00 in the evening here. But hes said to be in good spirits. As you say, hes not on a ventilator. He does not have pneumonia, but he does have oxygen by his bed should he need that. And obviously, a ventilator is available if his condition deteriorates. So all of that is very reassuring. But as nicole, as you will know, if youre in intensive care, you are in serious condition. And he does have breathing difficulties. And its also quite clear that his condition has shocked his colleagues. His effective deputy dominique rabe says they were all shocked because hes not just their boss and their colleague, but hes also their friend. But he said that johnson was a fighter and he thought he would be back in action in short order. Now, i think that was being a tad optimistic, because i think theres little chance of Boris Johnson leaving this hospital anytime soon, whatever about his condition in intensive care. Bill neely, have you learn anything new in the next hour or so, please come back and share it with us. Thank you so much for spending some time with us. You stay safe. When we come back, a troubling trend among victims of covid19, a disproportionate number of africanamericans have tested positive and are dying from the virus. Well talk to the mayor of chicago who says the numbers are, quote, among the most shocking things shes seen. Our interview with her is next. Our interview with her is next rg your vision to life and save in more ways than one. For small prices, you can build big dreams, spend less, get way more. Shop everything home at wayfair. Com [female vo] restaurants are our family. The cornerstone of our communities. And our family needs help. Right now theyre facing a crisis. And theyre counting on your takeout and delivery orders to help them through. Because if we dont treat restaurants like family today. They might not be around to treat us like family tomorrow. Grubhub. Together, we can help save the restaurants we love. We always take care of the ones we love, no matter what. At lincoln financial, we share that responsibility. Standing by your side, as we have for over 115 years. As the coronavirus death toll continues to rise, a troubling trend start to come to light, data that has been made available so far show that africanamericans are being inaffected at disturbing rates. Louisiana, a third of the population is africanamerican. Making up 70 of all covid19related deaths. Many michigan, africanamericans make up 14 of the population, they make up 40 of coronavirus deaths. In illinois, africanamericans make up 15 of the population, but account for 42 of all deaths and in chicago, where 30 of that citys population is africanamerican, africanamericans account for a staggering 70 of the coronavirus deaths so far. Joining our conversation, chicago mayor lori lightfoot. Mayor, i saw your comments on this topic in the New York Times when i read their report and again, this is very early data but it certainly points to alarming and terrifying trends and that was the spirit of your comments. Take us through what youre seeing and what we can do. Look, these numbers are absolutely shocking. When i saw them for the first time it was really hard for me to take them in, you know, as a black woman seeing that africanamericans in my city are dying at seventimes the rate of everyone else, thats a hard thing to come to terms with, but what i also knew we just couldnt drop this bombshell on people without a very specific rapid plan of action. These numbers arent entirely surprising because weve been talking about poverty in our city, healthcare disparities, particularly among older africanamericans which are really most at rick for the virus, the vulnerabilities that they face because of diabetes, heart conditions, respiratory problems, these are all the things that we know that are shortening Life Expectancy across black chicago and now we see that this virus is just attacking those underlying medical conditions in a disproportionate way. Do you feel like the line of communication between your city,s functional enough to put some sort of plan in action quick enough to bend this trend . Well, the reality is, we need to act now and we cant wait for it to filter through multiple levels. We have put together what were calling a Racial Equity response team. Theyre doing great work in breaking through some of these access to care issues, were going to deploy that on a citywide basis that pulls in Public Health professionals, other medical professionals the faith community, street outreach workers, this is an all hands on deck moment so were doing that as a strike force now in our city but this is not common to chicago as you indicated in the leadup, were seeing the same things in other cities across the country that have large concentrations of africanamericans and while we didnt talk a lot about the latin, community, were getting underreporting in that community as well. Thats also on our radar screen. Mayor, we just talked to a new york city nurse and obviously once a victim of coronavirus complications or disease is in the hospital, theyre getting the best care that the Health Profession malls can give them, i wonder if your interventions are targeted for before theyre sick and what role Public Information and basically, what can people do to help . I think they should follow the guidance we have been giving all along which is to stay inside, we do believe if you stay home youre going to be safer, they have to follow the sanitation guidance that weve been giving which is washing your hands frequently, using hand sanitizing equipment, but this has to be a really Massive Education Campaign to connect people with resources. What were seeing when we look at the testing data across the city is that people are getting tested but theyre getting tested because theyre getting sicker and theyre going to the doctor or the hospital where the testing is available. Fundamentally what we need is a lot more testing so we can really understand the magnitude of this virus across our city. The absence of more widespread testing is really inhibiting our ability to provide more assistance to these communities that are most in need. Mayor k you imagine sort of i went to school in chicago, its one of the most vibrant cities in the world, can you imagine kind of flipping the switch back on to on not knowing everybodys status . Can you imagine bringing your city back without widespread regular repeat tests available for all of your citys citizens. I think thats going to be very difficult for us to do and thats why we have been saying in every venue, myself and the governor testing, testing, testing. We in this state are really under where we should be given the magnitude of the problem given chicago and cook county. How do you in good faith say to people its safe to come out and resume some semblance of a normal life without having a widespread testing regime. You cant do it. Mayor lightfoot thank you. I agree with you. Mayor lightfoot, well keep this conversation going if youre willing. Yes, absolutely. Were grateful. Thank you. Come up, we have heard donald trump repeatedly say that no one could have predicted how devastating the coronavirus pandemic could be. Now we know one of his most senior aides did just that sounding the alarm in late january but it took weeks for the administration to heed the call. Thats next. Dont go anywhere. Where. Xarelto® is proven to treat and reduce the risk of dvt or pe blood clots from happening again. Almost 98 of people did not have another dvt or pe. Dont stop taking xarelto® without talking to your doctor, as this may increase your risk of blood clots. 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