Filed for Unemployment Benefits this week. American businesses say theyre not done laying off yet. 1. 7 million coronavirus cases worldwide, and its still barely touched some of the leastprepared nations. And 95 of americans are under stayathome orders, orders many of them simply cannot afford. Velshi starts now. Good morning. It is april 11th. Im ali velshi. The world reached a new milestone surpassing 100,000 deaths from covid19. Here in the United States there are now more than 496,000 confirmed cases of coronavirus, and 18,651 deaths. New york is now the covid19 capital of the world. New york state has more confirmed cases of the virus than all countries reporting positive test results. And new yorks death toll stands at 7,844. In the past two weeks ive probably seen as much death as ive seen in the past three years. Its bad. Its really sad. I feel at this point everybody we intubate, its terminal. I dont it almost feels futile. Almost feels futile. As you can see from this map, there are many more hot spots kindling at various degrees across the country. One of those places is now philadelphia. A city that the white house is calling a hot spot of particular concern. It has almost 5,800 confirmed cases of covid19 and has had 137 deaths. Joining me now from outside the university of Pennsylvania Medical Center in philadelphia, mara barrett. Philadelphia officials are pushing back against the white houses characterization of their concern about the city becoming one of the next hot spots, but the numbers theyre painting might be a different picture. Thats right. Here in philadelphia they saw the highest death toll in one day with 33 deaths here in the city. Of course were about 90 miles south of new york city and weeks behind that city when it comes to the positive coronavirus cases and deaths. The mayor here is cautiously optimistic because over the past couple of days theyve seen a stable uptick in positive cases, about 500 per day, but its important to note that as weve seen in our reporting that this virus disproportionately affects africanamericans, and in philadelphia thats about 45 of the population. So we need to watch that as the apex may be the next upcoming week or the week after that. The mayor is in adamant that hes in extra need of ppe, masks, gloves, gowns in hospitals as well as rapid testing. This comes as the department of health and Human Services shut down two testing sites in philadelphia. One right in the city at the phillies stadium and one out in montgomery county. Montgomery county was an early testing site, each of those sites were seeing 250 patients a day. Just yesterday Pennsylvania Health department asked for a reversal of that decision because they need the help here when it comes to testing. Just behind me at the university of pennsylvanias medical center, researchers are working on a trial for that drug, hydroxychloroquine, that the president has touted as a potential solution after weve seen success in rheumatoid arthritis, malaria and other diseases like that. Researchers tell me as they conduct this trial that time and patience is important and that nobody should be taking the drug yet, even though theyre optimistic that it could be a solution, they need the time to make sure its scientifically something safe for patients to work on. In the meantime, they tell me that people really need to work on prevention and that social distancing, because that proves successful here in philadelphia. The mayor adding that the social distancing could be a new normal until the summer and through the summer. You are standing in front of one of the finest hospitals in a city that has some of the finest hospitals in the country, yet you are in west philadelphia, very close to those high africanamerican populations in which we are seeing these spikes in major cities like detroit, like chicago, like milwaukee, like philadelphia, where it is hitting, as you said, minority populations harder than it is the general population. Thank you. On the economic front, the Federal Reserve has drastically increased its efforts to save the american economy, announcing yesterday 2. 3 trillion more dollars aimed at small business, that might not be enough reassurance for the 6. 6 million new americans who filed for Unemployment Insurance last week or the 6. 6 million from two weeks ago, or the 3. 3 million from the week before that. This graphic, this is an interesting graphic, the thing that the right line you see the right side is not part of the graphic. Thats the spike. This goes back to 1970. Look at where initial claims have been from 1970 to 2020. Look at the right side of that. We have never seen numbers like this. It shows how severe and unprecedented those numbers are in modern times. I want to tell you about what speaker of the house nancy pelosi has been saying in public. Shes been saying what more and more people are saying behind the scenes. We had the depression because so many people are out of work. Thats why we have to get the system energized and working. Lets get out those unemployment checks. Lets get out those direct payments. The Novel Coronavirus pandemic has left our nations medical stockpile nearly depleted, despite his own widely criticized response, President Trump is threatening to withhold funding from the World Health Organization saying the organization has gotten every aspect of it wrong. Now, its worth noting right now that the World Health Organization, whatever you think of it, whatever criticisms exist, declared a global emergency one month before President Trump proclaimed that the disease was very much under control, and six weeks before trump declared his own national emergency. The World Health Organization responded to trump saying now is not the time. President trump has no Public Events scheduled for today, and as of now there is not a Coronavirus Task force briefing scheduled either. Joining me now is internal medicine doctor lippi roy and chair of the department of africanamerican studies, eddie gloud jr. Both of them are msnbc contributors. Where are we in the arc of this thing. Youve been talking about fatigue and stress from those on the front lines. Its been over a month that people are working several shifts in a row, seven days a week, sometimes without the necessary protective equipment. The white house continues to tell us theres enough of it going around and you and other doctors continue to tell us there isnt. Good morning. Its good to be with you. Yeah, theres so many concerns on so many different levels. Yeah. Here on msnbc weve had a string of Health Care Professionals on saying the same theme, inadequate protection for the front line doctors and nurses and respiratory therapists. This is key, its these Frontline Health care workers that are exposed to the most highly infectious men and women and theyre in close contact. Theres no such thing as physical disinstanctancing in t hospitals, in icu settings, you have to be very close to take care of patients, thats why its critically important to have the protective the appropriate protective equipment. Thats on that side as far as the Health Care Workers and we have already talked about the rising rates of burnout and how burnout was a problem before this epidemic. It is an epidemic amongst Health Care Workers, clinicians, doctors, it will only skyrocket as this pandemic progresses in this country. And remember dr. Fauci said yesterday or the day before, when the projection of deaths decreased from 100,000, 200,000 to 60,000, which is an egregiously high number, he said those projections change because the model is hypothetical but the data is real. So we have to constantly readjust, readjust, day by day if not hour by hour. That 60,000 number is contingent upon all of us practicing physical distancing, the hand washing, covering or faces, all of these preventive measures are critical to keep the numbers at a plateau and hopefully at a downturn. Eddie, you wrote in the Washington Post on april 6th that these numbers are uncertain but mass deaths are at our doorstep. If we do everything right and shelter in place we may still between 100,000 and 240,000 dead. These are staggering numbers, more importantly they are real people. Mothers and fathers, uncles and aunts, daughters and sons, friends, people whose death will disrupt the lives of families and runs the fabric of communities across the nation. Those who survive this madness will have to figure out how to live together in the company of grief. Even if the new numbers suggest 60,000, were at 18,000 right now, thats triple. Theres nobody we know, dr. Roy, eddie, you, me, theres nobody who doesnt know somebody who has now lost somebody to this illness. And, eddie, this is our new normal. So when we talk about getting back to normal, were not just talking about the economy, were talking about a postdisaster world. You know, first of all, good morning. I think youre absolutely right. When donald trump talks about opening up the economy and emphasizing thats who we are, it reflects who he values and what he values. What we do know now is this, when we see this kind of mass death, people are grieving. Theyre grieving in particular sorts of ways. Their loved ones many times are dying alone. They cant be there with them. They cant tell them that i love you. They cant run their fingers through their hair. They cant hold their hand. So theres the grief surrounding ordinary death, but then theres the regret, the debilitating regret that often surrounds death. That is that i wasnt able to be there. I wasnt able to resolve that argument. So moving forward, who we are will fundamentally change because were experiencing death in this way. Its not an individual private matter. This is happening on a collective level. Particularly when we see these mass burial trenches, when we see these morgues, these makeshift morgues. This is happening in the publics eye. So we have to address this, i think, directly because how we grieve now will impact how we heal. We need to understand that. You talk about mass burial trenches. Theres one here at hart island in the bronx. Its truly unbelievable to see coffins being put into trenches to make space for the newly dead. Dr. Roy, for people who do know someone who has become ill with this, can you explain to me whether covid19 causes viral pneumonia or acute respiratory distress syndrome . Whats the process here that we v. To heal that causes people to be in icu or need ventilators. Were talking about terminology that most of my profession were used to talk about, but the general public it may be new to them. The vast majority of people who will get covid19 experience mild symptoms, theyll get better, resolve on their own. But for those who require hospitalization, theyre developing symptoms, respiratory symptoms that require a higher level of care. Symptoms might start off with a fever, cough, difficulty breathing. The vast majority who then go on to, say, require ventilation or icu level care theyre developing viral pneumonia most often. Pneumonia is when the air sacks of our lungs fill up with air, sometimes even puss if its a bacteria pneumonia. This is a viral pneumonia. When the air sacks fill up with fluid, it becomes very difficult and painful for a person to breathe. Now, ards, however, as you astutely point out, its acute respiratory distress syndrome, thats a life threatening lung disease, respiratory disease. Its not an infection, but the leading causes of ards are infection or trauma. These are people usually so sick theyre already in the hospital. And we dont have treatment or any type of a cure for ards. The management for ards is supportive. In other words, we give medications like diuretics to remove the fluid from the lungs, when required mechanical vent la ventilation to support their breathing. Ards is associated with a high mortality rate, as high as 30 . Weve been seeing people come off of the ventilator and get better, but those are the clarifications to be made. Dr. Lipi roy, thank you for joining us. Eddie glaude, please stick around. Still ahead, two tech giants coming together to curb the spread of coronavirus, but are there major privacy concerns that will get in the way . Plus with so many people at home, new york city is unrecognizable. But dont be fooled, the big apple is alive and well and supporting its own. Its up to you, new york, new york its tough to quit smoking cold turkey. So chantix can help you quit slow turkey. Along with support, chantix is proven to help you quit. With chantix you can keep smoking at first and ease into quitting so when the day arrives, youll be more ready to kiss cigarettes goodbye. When you try to quit smoking, with or without chantix, you may have nicotine withdrawal symptoms. Stop chantix and get help right away if you have changes in behavior or thinking, aggression, hostility, depressed mood, suicidal thoughts or actions, seizures, new or worse heart or blood vessel problems, sleepwalking, or lifethreatening allergic and skin reactions. Decrease alcohol use. Use caution driving or operating machinery. Tell your doctor if youve had Mental Health problems. The most common side effect is nausea. Talk to your doctor about chantix. The most common side effect is nausea. If we werent able to stream anything, i think theyd be lost. vo we are all home right now. Thats why verizon is giving you more of the entertainment you want. Dayley is usually watching a tv show, and mckenna is almost always listening to music. We love verizon. I get the shows i need when i need them. vo now unlimited plans come with your favorite artists on apple music, shows and movies on disney , and over 70 top channels of live tv with youtube tv. Music plays a huge role in our family. Thats how we connect. vo plans start as just 35 so your family can mix, match, and save. Shop online today. Only at verizon. New tide power pods one up the can it one up spaghetti night . It sure can. Really . Can it one up breakfast in bed . Yeah, for sure. Thanks, boys. What about that . Uhh, yep it can . Yeah, even that i would very much like to see that. Me too. Introducing new tide power pods. One up the toughest stains with 50 more cleaning power than liquid detergent. Any further questions . Uh uh nope one up the power of liquid with new tide power pods. Yeah. This moving thing never gets any easier. Well, xfinity makes moving super easy. I can transfer my internet and tv service in about a minute. Wow, that is easy. Almost as easy as having those guys help you move. We are those guys. Thats you . The truck adds 10 pounds. In the arms. Okay. Transfer your Service Online in a few easy steps. Now thats simple, easy, awesome. Transfer your service in minutes, making moving with xfinity a breeze. Visit xfinity. Com moving today. As technologists propose Contact Tracing plans as a more innovative way to contain the coronavirus, google and apple, competitors, are now announcing an Unlikely Partnership to do that. The Companies Say a bluetooth based Contact Tracing app is expected in may and it would work for all ios and android phones by tracking those who crossed paths with a newly diagnosed patient. Numbers from bloomberg reveal the system would have the potential to monitor about a third of the worlds population, something that the president says could concern many people. We know theyve done that. Its highly its very new, new technology. Its interesting, but a lot of people worry about it in terms of a persons freedom. Well look at that, a strong look at that. So what does this mean for your privacy and are we ready to give up that Digital Freedom as a possible solution to this massive crisis . Joining me now is jacob ward. We think back to 9 11 in that moment we were ready to do anything to keep us safe. We thought the terrorists were going to destroy life as we know it, and if we had to impose on our privacy a little bit to do that, a lot of people thought that was fine. Most people thought that was fine. Some people said this is not fine, its not the time to think about this, panic shouldnt allow you to give up your privacy. The same conversation is happening now. If my phone can save me from getting coronavirus, im thinking thats a good thing, except now my privacy is being traded away for that again. Its a really complicated question, right . Up until now the rules for life under pandemic have been pretty straightforward. Stay in your house, six feet apart, wear a mask, wear gloves, all of that, everyone can get and it applies to everybody equally. Now were looking at this next phase of life and its going to be what everyone is telling me is going to be infinitely more complicated. Who is allowed to come out of their homes . Countries across the world are grappling with this. In italy theyre sampling the blood of about 100,000 Health Care Workers to figure out who has the antibodies that suggest you already had covid19, and may, in fact, have some immunity. The regional president of that region is basically saying at that point we could issue licenses to people that would allow them to come out of their homes and work. How is that going to work in the United States . This Apple Google Partnership is one of the proposed solutions. You would, in fact, have a system whereby your phone uses its bluetooth connectivity to determine how close you have been to other people. Because once you come within six feet, bluetooth can tell. It would connect that to the testing history of all of those people and make it such that when one person in your Contact Chain has tested positive and your phone shows that you have been in close contact with them for enough time, it will notify you and you perhaps go under quarantine. This is echoes of the kind of system theyre talking about in italy, the kind of system used in china. You have to show a green logo on your app in order to get on the subway or go out to work. Thats the kind of system were talking about. But thats right, we have never thought about this really b