LIVE: Pence leads White Home Coronavirus Job Pressure briefing | NTD

published on July 2, 2020

well good afternoon and to our our

fellow Americans out west good morning

we just completed today's meeting of the

White House coronavirus task force and

I'm pleased to be joined by many members

of the task force with us for this

briefing I want to thank Secretary azar

dr Burks

and dr Fauci dr Redfield at the CDC as

well as our Attorney General dr Gerard

of the US Public Health Service dr Hahn

and Seema Verma will make a series of

presentations to update the American

people on the status of the corona virus

pandemic in the country and then be

available to take questions but we very

much appreciate the attendance of all

who are here and all of you who have

made time to tune in as we reported

today we have now more than two million

500,000 Americans that have contracted

the corona virus and sadly we've lost

more than 126 thousand of our countrymen

to this disease and I know I speak for

the President and for every American

when we express our sympathies and our

deepest condolences to all the families

who have lost loved ones despite those

losses since the end of our 45 days to

slow the spread and the beginning of

efforts to open up America thanks to the

cooperation of the American people the

efforts of governors and state health

officials efforts I want to proudly say

of the entire federal team under the

leadership of President Trump we have

made a truly remarkable progress in

moving our nation forward we've all seen

the encouraging news as we open up

America again more than three million

jobs created in the last job report

retail sales are rolling and of course

the extraordinary progress

New York New Jersey Connecticut and New

Orleans areas that just a matter of of a

month ago we're struggling under the

weight of this pandemic and and now have

arrived at a very very different place

as we stand here today all 50 states and

territories across this country are are

opening up safely and responsibly but

with cases rising particularly over the

past week throughout the south

president Trump directed our task force

to brief the American people on several

topics first we we want to share with

you as dr Burks will what we're seeing

in the rise of new cases that today

surmounted 40,000 new cases in a single

day secondly we want to speak about what

we've done and what we are doing at the

federal level to support state efforts

particularly in the states where we see

rising cases we'll talk today about

about how this moment in the corona

virus pandemic is different than what we

saw two months ago to better equip the

American people to respond and

ultimately we will speak about what

every American can do to play their part

in in reducing the spread and the

impacts of the corona virus of pandemic

for our part also I've spoken to

governors in Arizona and in Florida and

Texas in the last 12 hours and dr Burks

and I will be traveling on Sunday to

Texas on Tuesday to Arizona and I'll be

traveling to Florida on on Thursday of

next week to get a ground report and of

course on on Monday we will conduct what

will be our 26th weekly call with the

entire White House coronavirus task

force and all of the nation's governor's

as we as we meet this moment as I

mentioned

it's important gathering gathering today

I think that we take take a step back

and think about how far we've come as a

country where the president tapped me to

lead the White House coronavirus task

force he said we had one mission and

that was to save lives president Trump's

decision to suspend all travel from

China in January to stand up the White

House coronavirus task force in February

to declare a national emergency to halt

travel from Europe and amend travel from

other places around the country all

contributed to giving our nation time to

stand up a broad-based response the

whole-of-government response that we

spoke about so many times at the podium

throughout this pandemic we at the State

Department also coordinated the

repatriation of 95,000 Americans and

then came the moment when we brought

this chart to the President of the

United States on the Council of our very

best scientists the president was

presented with a decision that if we did

nothing no intervention the possibility

existed at that moment in time that we

could lose between 15 million and 22

million Americans but with intervention

and with mitigation by calling on the

American people to embrace the

mitigation efforts social distancing

that were called upon first in the 15

days to slow the spread that would

become 45 days to slow the spread our

best scientists believed that we could

we could reduce the number of American

fatalities to a number ranging between

100,000 and 240,000 the president made

that decision and we unveiled the 15

days that became the 45 days to slow the

spread and in arguably as we see where

we are today as a nation because of what

the American people have

because of the incredible work of our

health care workers because of a

partnership with governor's in every

state we did just that we slowed the

spread we flattened the curve we saved

lives in the midst of that we

exponentially scaled testing capacity

partnering with private sector

commercial laboratories we we've now

reached some 30 million tests across the

country conducting some 500,000 tests a

day in that partnership with governor's

also the president directed us to make

sure that states had what they needed

when they needed it and at this point

I'm pleased to report that the that the

federal government both delivered and

facilitated the delivery of billions of

supplies of face shields and gowns and

gloves and masks and we continue to be

on track to to construct more than a

hundred thousand ventilators in a

hundred days and as as I spoke to

governors last night they confirmed to

me again what FEMA's reported we have no

outstanding requests from any state at

this time for personal protective

equipment or medical supplies let me say

that again in the affected areas

particularly the states down south that

are seeing rising cases we have no

outstanding requests but as I told the

governor's we are ready at a moment's

notice to search personnel to search

supplies to expand capacity and to

support their health care response in

the midst of all of that I think it

always bears saying that because of the

great work of our health care workers

and because of American manufacturing no

American who required a ventilator has

ever been denied a ventilator in the

United States and I consider that

nothing short of a national

accomplishment we also surged hospital

capacity in areas of the greatest

anticipated need we send military and

National Guard personnel and these

charts showing the progress that we've

made in New York and New Jersey

and New Orleans all demonstrate the the

efforts of the people of those states in

cooperation with federal government and

all the great health care workers to

show the progress that we made in areas

that were once deeply impacted and we

extend our thanks we extend our thanks

to the people of each of those states

for the sacrifices that they made during

those great and challenging times but at

the close of that 45 days to slow the

spread we unveiled a plan to safely

reopen America again and now all 50

states and territories are moving

forward and as I said we're seeing

America go back to work and in much of

the country where we're seeing jobs

expanding and economic activity

expanding but our focus today is very

much on on the advent of a rising series

of new cases across the American South

and but we're our first mission was to

save lives once we came out of the 45

days to slow the spread what our task

force has been focused on over the

course of the past two months is to

partner with States to save lives and

safely reopen in fact we've we've had

some 17 meetings of the White House

coronavirus Task Force in the

intervening days since we began the

process of opening up America again and

we've been working very closely with

States to move that agenda forward but

as the president's made clear we we want

to open our economy up we want to move

America forward even while we take and

continue to take the steps necessary to

protect lives and the health of the

American people we stand here today

because with the with the rising cases

among southern states President Trump

asked us to brief the American people to

give details on what we're seeing what

we're doing and how it's different from

the two months ago as you may recall

after seeing overall cases

drop from a 30,000 a day average in

April to 25,000 a day of our average in

May the first few weeks of June actually

saw cases averaging roughly 20,000 new

cases a day we now have seen cases begin

to rise precipitously across the South

in fact 34 states 34 let me make sure

I've got my numbers exactly right here

as we reported early on 34 states across

the country though are experiencing a

measure of stability that is a credit to

all of the people of those states now

when we speak about a stability we're

talking about not necessarily states

where there are no new cases but these

would be states where they're either no

new cases and no rising percentage or no

combination of those two things there

may be states across the country that

are seeing a modest increase in cases

but their percentage of positive rates

is remaining very stable and but

nevertheless there are 16 states with

rising cases and rising percentages and

we'll be focusing on those states today

the first thing we'd share with the

American people is that while there is a

a penchant in the national debate to use

a broad brush and to to paint an entire

state of one color if they're arising

cases in a portion of the state this is

actually a better picture of the data

that we literally analyze every single

day dr Burks will take a few moments to

unpack the specific outbreaks in Texas

Florida Arizona and California but the

first thing we would convey to the

American people is that from this new

positive results in the last three days

you can see the the concentration of new

cases in specific parts of states and of

course very specifically in parts of

countries or parts of the country

secondly

we want the American people to

understand it's almost in arguable that

more testing is generating more cases to

one extent or another the volume of new

cases coming in is a reflection of a

great success in expanding testing

across the country as I said at the top

we're testing more than ever before some

five hundred thousand people a day and

perhaps we could go to that testing

chart if it's there just to show you the

acceleration of testing that's taken

place over the course of this pandemic

in the United States it's truly been

remarkable and it's been a public and

private partnership from from the very

outset one of the things that we're

seeing among the cases we hear this in

Florida we hear this in Texas and

elsewhere is that roughly half of the

new cases are Americans under the age of

35 which which is at a certain level

very encouraging news as the experts

tell us because as we know so far in

this pandemic that younger Americans are

less susceptible to serious outcomes of

the corona virus and the fact that we

are finding more younger Americans

who've contracted the corona virus is a

good thing and so will will speak about

the testing and Admiral Brett Gerar is

here and can detail any questions that

you might have about testing going

forward thirdly we'll we'll talk about

what these what these new numbers mean

and how we can address them a doctor

fowey will speak about that in just a

moment particularly in the affected

areas and the other area that we spend a

great deal time thinking about is is

hospitalization not only do we track new

cases every day on a county-by-county

basis but we also track a

hospitalization and the the map on the

left of your screen represents how many

in the national discussion characterized

States with regard to impatiens

virus cases over the last 14 days the

map on the right shows you how we look

at it and how we ensure that that

hospitals and health care workers have

the resources and support they need

again as in the as in the matter of new

cases you can also see with

hospitalization its highly focused a

highly detailed and highly specific

secretary a czar will speak about

hospitalization the work of HHS to make

sure that our hospitals around the

country have the capacity to meet this

moment but as dr Burks may well reflect

as well we are encouraged that we're two

months ago we were seeing some 15% of

new cases being hospitalized now that

numbers averaging roughly 5% around the

country which is also encouraging news

to say the least and so the while we

while we have 16 states that we're

focusing on again I would just reiterate

the American people the most useful

thing to know is where it's happening so

that you can take the steps necessary to

do your part

but rest assured in our conversations

with governor's in all of the most

impacted States we continue to be

assured that hospital capacity remains

strong and they know the federal

government stands ready to provide them

with the personal protective equipment

or supplies or even expanded capacity

and personnel to meet any moment but at

this point in time we are told that that

in all of the state's most deeply

impacted that hospitalization remains

very very broadly available finally I

want to speak about the progress that

we've made as a country on the most

difficult aspect of this I said at the

beginning that our hearts and our

prayers go out to the families who've

lost loved ones in the course of the

corona virus pandemic man I I know I

speak on behalf of

of everyone in this country when I

extend our sympathies to the more than

hundred and twenty-six thousand families

that have lost loved ones as the

president has said many times one life

loss is too many but but nevertheless we

I believe at this point in the course of

the pandemic we can still take some

comfort in the fact that fatalities are

declining all across the country there

literally was a day two months ago this

week where we lost 2,500 Americans in a

single day this week because of the

extraordinary work of our health care

workers because of the availability of

new medicines like REM des aveer new

treatments like steroids and because of

the cooperation of the American people

heating the guidance that we gave at the

federal level and state and local

officials gave this week there were two

days where we lost less than 300

Americans and you can see from this

chart what has been a precipitous

decline from some of the worst moments

of this pandemic as it impacted areas of

New York and New Jersey and the

Northeast again I have a heavy heart any

time I recite these numbers but but the

fact that we are making progress

reducing the number of Americans that we

have lost and are losing I hope is an

encouragement because as we see new

cases rising and we're tracking them

very carefully there may be a tendency

among the American people to think that

we are we are back to that place that we

were two months ago that that we're in a

time of great losses and great hardship

on the American people the reality is

we're in a much better place with the

with the efforts president Trump

mobilized at the federal level with the

efforts of this team this whole of

government approach the efforts of

governors across the country are

incredible health care workers and the

cooperation of the American

we're at a much stronger place the truth

is we did slow the spread we flattened

the curve we were able to stand up the

resources and the capacities in our

healthcare system to be able to meet

this coronavirus in a way that would put

the health of all of our country first

we've also we also cared for the most

vulnerable and continue to focus

resources and testing and supplies on

the most vulnerable seniors with serious

underlying conditions and I do believe

with all my heart that we've continued

to save lives we created a solid

foundation for whatever challenges come

either in the days ahead or in the

months ahead and that's a credit that's

a credit I believe to our president to

our federal team to our state partners

mostly it's a credit to the American

people and our health care workers and

so we stand here today we believe we've

made progress but as we are reminded as

we see cases rising across the South

that we still I work to do and so we say

to every American particularly those in

counties and in states that are being

impacted by rising cases that now it's a

time for everybody to continue to do

their part and I think you'll hear from

this podium today a particular message

to younger Americans younger Americans

across the Sunbelt and the role that you

can play in protecting the vulnerable

making sure that while the coronavirus

doesn't represent as significant a

threat for a serious outcome to a

younger American none of us would want

to bring the disease back to our parents

or grandparents moms and dads an elderly

friend or a friend who has a an

immunodeficiency and cause a serious

outcome as well and so we leave you just

with the guidelines for all of the

phases when we put out the guidelines to

open up America again

we laid out and

at the outset guidance for Responsible

reopening and states across the country

as I mentioned are doing just that 34

states are reopening safely and

responsibly and seeing low and steady

cases and not seeing a rise in the

percentage of positives and in the 16

states that are being impacted

particularly those that we'll focus on

here today we would just encourage every

American to follow the guidelines for

all the phases continue to practice good

hygiene wash your hands

avoid touching your face disinfect

frequently people who feel sick should

stay home and when it comes to

businesses social distancing protective

equipment temperature checks testing and

isolation these are the guidelines for

all of the phases and they are good

practices too to implement if you're in

a community that's affected or even if

you are not because we're all in this

together and the progress that we made

that you saw illustrated in those charts

and places like New York and New Jersey

Connecticut and New Orleans was was a

result of the of the American people

stepping forward heeding the guidance of

federal state and local authorities and

we encourage you to continue to do just

that everyone everywhere can can

implement these guidelines for all

phases at home and at work

and in your community but for those in

the area's most affected we just want to

encourage you to listen to and respect

the guidance of your state and local

authorities recognize that this is

different than two months ago both in

our ability to respond and in the nature

of those that are being affected and

that younger Americans have a particular

responsibility to make sure that they're

not carrying the coronavirus

in two settings where they would expose

the most vulnerable and and lastly as I

prepare to bring dr Burks at the podium

I just encourage every American to

continue to pray pray for all the

families that have lost loved ones pray

for our health care workers on the front

lines and just continue to pray that by

God's grace every single day will each

of us do our part to heal our land with

that I'll introduce the coordinator of

the White House effort on the

coronavirus dr deborah birx Thank You

mr vice president thank you for that

great introduction just to remind

everybody where we have come from in the

last four months we have a great deal of

understanding now about the differential

disease differential infections no we

believe everybody is susceptible to

infection but we know infection leads to

a spectrum of disease and we have much

better details about who is vulnerable

and why they are vulnerable and as the

vice president said at one time we were

diagnosing people in the ICU after they

came into the emergency room and thanks

to the Millennials who have been heating

our guidance they have been coming

forward and getting testing and so

whereas before we told them to stay home

now we are telling them to be tested and

this is a great change for us because it

allows us now to find the asymptomatic

and the mild diseases that we couldn't

find before as dr Redfield talked about

yesterday

from the serology tests we have a great

understanding of what was happening in

March and the number of asymptomatic and

mild conditions that led to individuals

to have antibody but never come forward

with significant disease we now know

who's at risk for significant disease

and we now know it's particularly the

elderly individuals over 80 and

individuals with comorbidities and

remember those comorbidities stand the

entire age group we do know that we have

people in the younger age groups with

significant type 1

diabetes and may also have individuals

with significant obesity we know that

those are risk factors and so risk

factors go with your comorbidity not

necessarily with your age and so as we

call on individuals to protect one

another by passing someone on the street

you don't know what comorbidities they

have and this is why we've been focused

on trying to protect one another we also

know who is at risk for the highest

mortality and because of that we've been

able to the clinical care has

dramatically improved and I want to

thank NIH who has been working

constantly to update the clinical

guidelines so physicians around the

United States and frankly around the

world who are using those have the most

updated information about how to

actually improve disease courses of

those of you that are in the hospital

we of course have improved treatment in

the hospital that we didn't have in

March and April with improved methods of

oxygenation which is really quite

important improve treatment of acute

respiratory distress that's that the

individuals on the ventilator we know

now will respond quite well to steroids

and then research that as ongoing on

what we call the acute cytokine storm

not as when on often in that later stage

when people are on ventilators this

seriously ill may need steroids and

other items and that's being researched

and the work that's being done on

clotting research by the NIH we also

have new therapeutics that have been

used both as compassionate use like

convalescent plasma and now render

severe that we just reallocated and

ensured it was available to these states

that are facing the increased

hospitalization as well as that monthly

allocations that we have been sending

out if we can go to the first slide

please and start where the vice

president laughs left off a really this

disease is tackled community by

community testing at the community level

and working with community groups to

understand the spread in those

communities and so we've spent the time

to really map this epidemic and new

positives down to the level of

communities to understand where spread

is occurring so that we can match our

prevention interventions to those areas

next slide please

as we discussed and it's difficult for

you to see on this graphic because the

top line is New York and we should

remember where we were and that slope

that early slope that you can see in the

case of the New York cases that rapid

acceleration on the same slide you can

see California that is the blue line

that is just passing the orange line and

also on the slide is Texas and green

Florida and orange and Arizona at the

bottom as dramatic as these slopes are

they are not equivalent to the original

acceleration that we saw in New York

that doesn't mean that we aren't

absolutely focused on working with the

governors and those communities to stop

the spread of the virus in those four

states next slide please

this shows you through the entire

country that we're tracking state by

state now obviously this axis is vastly

different than the one on the prior

slide because that slide included all of

the cases in New York City but you can

see on this slide that we've been

tracking very closely North Carolina a

team's been in with North Carolina

working with the state and local public

health authorities to really respond to

the changes there as well as the South

Carolina at the bottom next slide I'll

just go quickly through these so you can

see Oklahoma's at the bottom of this

slide and next slide you can see on this

slide Idaho and Oregon those are the

ones in the light blue and the dark

green where you see an inflection in

their slopes these inflection points and

understanding when they occur and why

they occur are critical for

understanding how to prevent the spread

next slide now what the vice president

talked about is we've created an alert

system that brings together what we just

talked about rising cases with an

understanding of test positivity and so

this really this chart which is

difficult for you to see those states on

that far side to have the highest test

positive that you can see at the higher

level of the graph those are the states

that we have concerns about because the

rising number

cases and the rising test positive this

in this explains the extent of community

spread in states that have increasing

cases but falling test positives it

tells us that they're getting into the

communities to find the asymptomatic

cases and so these are the things we put

together to understand the full picture

next slide please

so this really puts on one slide the

states that we have that we've been

talking about across the south where we

have our greatest concerns the two top

states with the largest increase in test

positives are Texas and Arizona followed

by Florida Mississippi South Carolina

Alabama Georgia Louisiana Nevada and

Utah those last views in few states are

under still 10% but we're tracking them

closely as we look at that individually

finally next slide you can see on this

slide we are tracking and this is when

you hear about we have a certain two

percent or three percent of the counties

under specific alerts so it doesn't

matter the size of the County we're

tracking the increase in the rate of

increase at new cases at the county

level we currently have about a hundred

and thirty counties out of the 3,000 and

100 in the United States in that

category next slide again we track at

the metro level this shows you the case

positivity by the metros and the number

of tests that have been done next slide

and then this shows you so silly the

change over time of test positivity in

the largest metros where we have

concerns and this is Austin

Phoenix Houston Dallas San Antonio Tampa

Orlando Miami Riverside California and

Atlanta at the bottom and so this is how

we continue to integrate data on cases

data on testing and data on

hospitalizations so that we can work

with the states for a comprehensive

integrated response next slide I know

you many of you would be interested in

seeing how high the test positivity rate

became in April and May well March and

April so that top

New York City Metro and you can see it

reached over 50% on a series of days for

almost two weeks

50% of the tests were positive for kovat

19 underneath that you see New Jersey

and Minnesota and a whole series of

individuals Detroit is a second the

second large mountain next slide so

quickly to show you how we look at this

at the state level and work with the

governors and the local health

authorities so this is Florida we track

testing it's done the number of test

positives that are in the blue line the

total number of cases seen in the black

bar and what we call this syndromic

presentations of early respiratory

diseases and pneumonias next slide this

then we look at the county level to look

for changes in the slope of the number

of new cases so you can see that top

county that has the largest increase in

slope in cases is Miami Miami Dade

followed by Broward and Palm Beach all

the other counties are much lower in

their daily case increases this allows

us to focus resources and testing along

with the state into these specific sites

next slide that all comes together to

keep the to create this graphic so that

individuals can understand and we can

understand precisely what the rate of

growth is and where the rate of growth

is occurring by the shading of the boxes

now I'm going to quickly take you

through Texas because it's the same

story

next slide so this shows you the exact

same graphics now shown for Texas

showing a continued rise in the daily

tests performed but also a rise in the

test positivity the blue line you can

see throughout May after opening their

test positivity continued to decline as

their testing increased it was in the

last two to half weeks that we saw this

inflection of rising test positivity

along with rising testing but it was the

increase in test positivity that alerted

us along with the increased cases

that this was becoming an alert you can

see in the red boxes everything is heat

mapped so at a glance you can tell those

two boxes that are in the middle that

are red that's the heat map che c'è

showing that this has rising cases and

rising test positivity next slide but

even in Texas next slide please

and this gives you a map of Texas or

shows where the cases are and where

they're rising the most rapidly and

finally I'm just gonna go through

Arizona very quickly along with

California so next line same situation

that we're showing here with Arizona

rising number of tests being performed

but also rising test positivity rising

cases next slide Arizona is unique and

they have essentially one County that is

primarily represented by the depth of

the new cases and this is in the Phoenix

area

next slide then next slide so this is

California and so you can see California

over the last week has had that increase

in test positivity you can see that

dramatic increase at the end of that bar

in the blue line along with still

increasing test positive testing that

has been done and we just want to thank

all of the governor's and all of the

work at all the laboratories that has

allowed us along with HHS and Brett

tirar who ensured that the supplies were

there to really increase these orange

lines you could see in each of these

cases these orange lines have

dramatically gone up over the last four

weeks next slide and like New Mexico the

primary infections right now in

California at the highest level are in

the LA area but because la is a large

metropolitan area next slide you really

need this kind of more specific and

local graphic to really show that it's

also increasing in the Central Valley

and this gives us the ability to focus

resources among agricultural workers to

improve testing and isolation for those

who to become positive I just wanted to

take you through how we've been looking

at data how we consolidate that day

and then Monday reported out to the

governor's we hope over the next week to

be able to really have this data

available in real time on the White

House website so that everybody across

the country can see where the cases are

because in the end we really want to

call to the action when we started

talking about what can be done we said

the most important thing that would

change the spread and I'm gonna turn

that over because I know Tony's going to

talk about it is really individual

behavior and our respect for one another

through social distancing wearing a mask

and ensuring that we're protecting the

most vulnerable that may be in

multi-generational households and I just

want to end by thanking again the

Millennials who have come forward and I

know during the protests we asked a lot

of them to go forward to get testing and

we see those testing rates really

improving in the under 40 age group that

is going to be important to continue to

accelerate testing among the under 40

age group because that's the age group

most likely to have a symptomatic spread

and be spreading the virus unbeknownst

to them and I want to really make it

clear no one is intentionally spreading

the virus but they don't know that

they're positive they don't have

symptoms and need to be tested in order

to have that awareness and so we really

want to thank them again for coming

forward and really enriching the amount

of testing that has been done in the

under 40 under 40 year old age group and

to our older population you know if you

have comorbidities you know if you're

over 80 we ask you if in the hot spots

in these states that are having

expansion in cases to continue to

shelter as much as you can and use your

grandchildren to go and do your shopping

thank you very much dr Bergson and

Thank You mr vice president so I want

to extend just for a couple of minutes

some of the comments that were made both

by the vice president and by dr Burks

and it has to do with the situation that

we're we find ourselves facing right now

it's very clear from the maps that you

saw that there are certain areas in the

country states towns cities regions that

are doing very well that'll follow the

guideline

and are opening up in a prudent way

that's been effective however as you can

see we are facing a serious problem in

certain areas now when you look at the

map it's very interesting because you

see some dark parts of the map and some

light parts of the map we have a very

heterogeneous country but heterogeneity

does not mean that we are not intimately

interconnected with each other so it

goes on in one area of the country

ultimately could have an effect on the

other areas of the country so let's take

a look at this problem that we're facing

now this resurgence of cases I don't

think there's time enough now all day to

try and analyze and figure out the

multi-faceted elements that went into

that you know everything from maybe

opening a little bit too early on some

to opening it at the right time but not

actually following the steps in an

orderly fashion to actually trying to

follow the steps in an orderly fashion

but the citizen tree did not feel that

they wanted to do that for a number of

reasons likely because everyone feels

the common feeling of being pent up for

such a long period of time so we're not

going to say blame we're not gonna try

and analyze it but there is something

that's very important about it that I'd

like to get a message to the country in

general when you have an outbreak of an

infectious disease it's a dynamic

process that is global so remember what

happened in China affected us what

happened in Europe affected us what's

happening here is affecting others we

can't get away from that

it's interconnected so therefore if we

are an interconnected society we've got

to look at the fact of what our role is

in trying to put an end to this course

everybody wants to end it everybody

wants to get back to normal and

everybody wants the economy to recover I

think we all are pretty common in that

that's a given so what can we do what I

think upon talking to a lot of people

and reflecting on it we have such an

unusual situation because of all of the

decades that I've been involved in

chasing infectious diseases I've never

seen any

that is so protein in its ability to

make Sikh people sick or not there's no

other infectious disease that goes from

40% of the people having no symptoms to

some having mild symptoms to some having

severe some requiring staying at home

for weeks some going to the hospital

some getting intensive care some getting

intubated some getting ventilated in

some dying so that depending on where

you are in that spectrum you have a

different attitude to this particular

thing but anyone who gets infected or is

it risk of and getting affected to a

greater or less degree is part of the

dynamic process of the outbreak and I

know because I can understand when I was

at a stage in my life when I said well

I'm invulnerable so I'm gonna take a

risk I think what we're missing in this

is something that we've never faced

before is that a risk for you is not

just isolated to you because if you get

infected you are part innocently or

inadvertently of propagating the dynamic

process of a pandemic because the

chances are that if you get infected

that you're going to infect someone else

and although you may feel well and

because we know if you look at the

numbers that you're probably care later

on the overwhelming majority now if

people are getting infected are young

people

likely the people that you see in the

clips and in the paper or out in crowds

enjoying themselves understandably no

blame there understandably but the thing

that you really need to realize that

when you do that you are part of a

process so if you get infected you will

infect someone else who clearly will

infect someone else we know that happens

because the reproduction element of the

virus is not less than one so people are

infecting other people and then

ultimately you will infect someone who's

vulnerable now that may be somebody's

grandmother grandfather uncle who's on

chemotherapy and who's on radiation or

chemotherapy or a child who has leukemia

so there is what I call

and again I just want to bring this out

without making it seem that anybody's at

fault you have an individual

responsibility to yourself but you have

a societal responsibility because if we

want to end this outbreak really ended

and then hopefully when a vaccine comes

and puts the nail in the coffin we've

got to realize that we are part of the

process so when the Vice President went

back pulling back a couple of months ago

when we showed about the guidelines to

safely reopen the country we've got to

make sure we drop back a few yards and

think about that that this is part of a

process that we can be either part of

the solution or part of the problem so I

just want to make a plea with people

when they understand the stress that

they're under as we try to tackle not

only those states but the light-coloured

part of the country even though they've

done well they may have gotten hit badly

like New York and then came down or they

may not have gotten hit badly at all

they are vulnerable

if we don't extinguish the outbreak

sooner or later even ones that are doing

well are going to be vulnerable to the

spread so we need to take that into

account because we are all in it

together and the only way we're going to

end it is by ending it together thank

you well first thank you all for joining

us here at HHS to update the American

people I want to begin by thanking

everyone around the country working to

defeat this virus all of the health care

providers on the frontlines those

working to reopen our economy safely the

American people who have sacrificed so

much in this fight and the incredible

numbers of our HHS team who've been

working tirelessly to protect the health

and well-being of all Americans before

covering today's topic I want to mention

a major milestone for global health

yesterday the end of the second largest

Ebola outbreak in history in the eastern

Democratic

of the Congo we congratulate the

Congolese government and all of the

health care workers and community

members involved some of whom I had the

chance to meet and thanked in the DRC

last fall under President Trump the

United States was proud to play a bigger

role in this major public health victory

than any other single nation and now

thanks to the President and

vice-presidents leadership and the hard

work of our team America has never been

ready or to combat Cova 219 we've built

up our readiness under the strategy we

developed to address surges save lives

and in time defeat the virus we're in a

much stronger position to support States

hospitals and individuals as they fight

back there are six parts to the strategy

surveillance testing containment health

care capacity therapeutics and vaccines

first we've been strengthening

surveillance so that we can be aware of

and respond to surges that means for

instance being able to track more cases

among younger Americans that we never

would have caught earlier in the

pandemic second we have the world's

greatest testing capabilities enabling

us to confirm the presence of the virus

when it crops up and we're confident

that capacity will continue to rise in

the coming months third states are

building the capacity to track and

contain outbreaks of the virus with

federal help many states have

substantially expanded their own

capabilities and we're deploying

knowledgeable experienced CDC and HHS

public health teams to the area's now

seeing increases with a focus on

community testing and community based

interventions fourth were helping health

care systems secure sufficient capacity

and supplies we've dramatically expanded

American manufacturing of PPE and the

FDA has authorized new technologies to

sterilize equipment for reuse we spoken

with hospitals and states that are

building up their own PPE reserves many

of them getting up to 60 or 90 days of

supplies through the strategic national

stockpile we have far more visibility

into the supply needs across the country

including centralized coordination

capabilities that we lacked just a few

short months ago visiting health care

providers around the country I've seen

how their adapt

ding to bring patients back while taking

appropriate precautions America's

hospitals are ready to get back to

business while maintaining their

readiness for covin 19 the 5th and 6th

elements of the strategy are thanks to

the president's operation warp speed

we now have promising therapeutics that

are benefiting tens of thousands of

American patients and in all likelihood

have already saved thousands of lives

we've identified two very promising

pharmaceutical treatments remedy severe

and dexamethasone as of today we've

allocated more than 120 thousand courses

of remedy severe to all of the 50 states

we've added dexamethasone a very low

cost steroid to our treatment guidelines

and we believe it's reasonable to assume

that other corticosteroids which may be

more readily accessible in some places

would have similar amine illogical

effects another promising therapeutic

convalescent plasma has been used to

treat more than 25,000 Americans in

nearly 3,000 sites across the country

there are no certainties in science but

with more than 140 clinical trials

underway in the us it's a pretty safe

bet that more good news on therapeutics

is on the way and on the way soon

finally we've announced large

investments to support 3 different

manufacturing can de de taüll the way

through to manufacturing these

candidates are now in human clinical

trials some with the potential to start

delivering safe and effective doses

before the end of the year and we'll be

adding support for several more

candidates we're expanding manufacturing

capacity and already making the vials

needles and syringes that we may need

our capabilities have grown

exponentially in the time allowed by the

patriotic sacrifices of the American

people we have a much better grasp of

the virus as dr Burke said and much

more data with which to model it with

that data as you've heard today we can

focus on local trends we have some very

concerning hotspots and we can track

when other hotspots emerge as we expect

they may we're focused on the states and

the counties within those states just 3%

of counties that represent hotspots it's

important for the American people to be

aware of this variability in variation

across

country Americans need to understand

their local trends because we want to

help people make the right decisions for

themselves making decisions for yourself

has to be based on three axes of risk as

our Surgeon General taught us in March

you want to assess where you are who you

are and whom you live with and what

activity you're thinking about doing

there there are gradations of risk

within each of these axes going to an

outdoor restaurant in Montana is a great

deal different from a crowded indoor bar

in Houston when you interact with fewer

people in an activity when you interact

with them for a shorter period of time

your risk is reduced and individuals can

balance these kinds of factors what I've

laid out today is remarkable progress by

the president's administration and a

particular credit to the team here at

HHS we've got a lot of work ahead of us

but Americans can be confident that we

have a rock-solid foundation to help us

get safely back to work back to school

back to worship and back to health care

well we tackle surges of the virus where

they occur thanks to president Trump's

leadership we've got the capabilities

the knowledge and the strategy to

protect Americans lives of their

livelihoods at the same time and every

American should feel proud of that thank

you

Thank You mr vice president I wanted to

add some comments once again I want to

stress and thank all Americans to

embrace the importance of social

distancing recommendations to slow the

spread of Kovan as I've said before

we're not defenseless these are in fact

very powerful weapons and it's our

collective responsibility to recommit

ourselves to put them into routine

practice again to stay six feet apart

from each other as much as possible to

wear face coverings when we're in public

and to practice vigorous hand hygiene

and to commit to do so as we've heard

today to do our part to protect the

vulnerable I also want to appeal to the

Millennials and those that are under 40

it's really important that this group

really commit themselves to these

practices to protect those at risk and

it's not just the elderly that at risk

many of us may have friends and

colleagues that are younger that may not

advertise their underlying comorbidities

as the case would be with say type 1

diabetes or an underlying immune

deficiency so again asking this team

Millennials and younger people in this

country to come and commit themselves I

agree with ambassador birx we're very

thankful that the group is now coming

forward to get tested but I also want

this group to put into vigilant practice

the importance of our social distancing

the ones thing that I wanted to stress

though is that there are differences in

what we're experiencing today then what

we all experienced in March in April and

May and one of the things I want us to

focus on is not the cases per se but the

consequences the impact of those case

it wasn't long ago probably within two

months ago it's hard to believe I don't

think many people realize that 27

percent of all deaths that occurred in

the United States actually died of a

pneumonia that was a pneumonia could

have been influenza could have been

Kovan 27 percent one in four of all the

deaths in the United States just two

months ago was caused by pneumonia I'm

happy to say today the destin'd ammonia

in this nation's back to baseline it's

about seven percent it's a big

difference a lot of those pneumonias

that were dying were actually kovat

infected individuals that were the

elderly nursing homes and individuals

with comorbidities we are seen despite

these increased cases we have seen a

progressive decline in deaths the last

say two week a verge deaths in the

United States now is around six 650 and

as you heard the vice president it

wasn't long ago that sadly we were

losing 25,000 individuals a day so I

think it's critical that we continue to

focus on on on that the consequences and

it's part of that why it's important

that we continue also to look forward to

how we deal with and contain and control

the COBIT infection but as we also

change the consequences of the impact

its had on education in this country or

as an economy in business so again as I

close I want to just re re re re

emphasize how important for now for

individuals to really think seriously as

Tony said about the responsibility to

others that we have because this

infection pathogen really does have the

capacity to cause quite serious illness

in individuals at high risk and in brief

embrace our nation's recommendations

that the vice president put up again

that we have for all phases of reopen

America again I also want to thank the

younger groups for stepping forward and

getting tested clearly what we're seeing

now is this a

group is much more likely to be

asymptomatic and and again to make that

commitment to do their part to protect

those of us that whether we're young or

old have a comorbidity and would be more

vulnerable to serious illness from this

virus thank you very much

questions yes please well the freedom of

speech the right to peaceably assemble

is enshrined in the Constitution of the

United States and we have an election

coming up this fall and President Trump

and I believe that taking proper steps

as we created screening at recent events

and and giving people the very best

counsel that we have we still want to

give people the freedom to participate

in the political process and we respect

that I was I was pleased to see that now

the better part of a week since we were

in Oklahoma I think their positivity

rate is actually declined as of today

and that's a great testament to the fact

that people are using common sense

they're being responsible they know and

understand what's happening in the

community in which they live and our

emphasis today is really to say that we

think it's it's most helpful if if the

American people understand that what

we're seeing across the South today is

really outbreaks they're outbreaks that

are in specific counties in some cases

they're outbreaks that are in specific

communities and

we've surged CDC personnel HHS personnel

I didn't mention before but three weeks

ago when we were seeing similar activity

in North Carolina and Alabama

we sent personnel into those states and

we've actually seen declining numbers

beginning in both of those states so the

important thing is that not not one size

fits all the overall guidance to every

American to practice good hygiene to

practice the measures that we

recommended at home and at work stand

but but our focus today is to make sure

that in those areas of the country where

we're seeing a significant not only

increase in cases but an increase in

positivity level that the American

people know just how important it is to

listen to what their state and local

health officials are directing them to

do please decision not to wear a mask

are you concerned about that and is

there a message that you would like to

send to people about the importance of

wearing masks well we we think that

we're the first principle is that people

ought to listen to their state and local

authorities I mean III have to tell you

President Trump and I couldn't be more

grateful for the partnership we forged

with governor's around the country I

spoke to the governor of Florida of

Arizona of Texas just within the last 12

hours and I told them that from this

podium today we would remind their

citizens to to heed the guidance in the

direction of state and local officials

in some cases there's statewide guidance

with regard to facial coverings and with

regard to events and gatherings in other

cases there are specific county wide or

city wide directives and we just believe

that what's most important here is that

people listen to the leadership in their

state and the leadership in their local

community and adhere to that guidance

whether that have to do with facial

coverings whether it have to do with the

size of gatherings

and we'll continue to reinforce that

message please what is the correlation

between the spike in cases that we're

seeing in states like Texas and Florida

and the way those states handled to read

their reopening was it too much too soon

and secondly I wanted to ask dr pouchy

you said in an interview that quote

something is not working what isn't

working and did you all in your meeting

today come up with a plan to fix

whatever isn't working well let me

respond first and then I'll let dr

Falchi address it as well and dr Burks

me as well I think there will be a

temptation for people to look at these

Sunbelt states that have been reopening

and putting people back to work and and

suggest that the reopening has to do

with what we're seeing in the last week

or so but frankly in the case of each of

these states they reopened in some cases

almost two months ago and and their test

cases their new cases that from testing

was low and steady their positivity rate

was low what we're observing today and

I've heard this from Florida I've heard

this from Texas and some other states

along the Sun Belt is that we're seeing

more and more young people under the age

of 35 who are testing positive in many

cases they have no symptoms but they're

coming forward and confirming that they

that they have contracted the corona

virus we're working with the states and

you speak about our plan we've got we've

got CDC personnel embedded in every

state in the Union

we're surging more CDC personnel as

requested to each of these states to

help them unpack what the data is

suggesting I know the governor of Texas

announced some new measures this morning

which we fully support but what we're

going to continue to do is give

our state leadership the very best

information the very best counsel that

we have and and and if there's one

message that comes through today I hope

it is it is saying to younger Americans

in these states and in these counties in

particular that they are a big part of

the numbers that we are seeing in new

cases and while there may not be a

significant threat of a serious health

outcome to them

I know of no young person and I got I

got three 20-somethings in my immediate

family no young person would ever want

to inadvertently expose a mom a dad a

grandmother grandfather or someone who's

vulnerable to a serious result and so

alerting them that there's been spread

among that age group urging them to take

countermeasures and heed with their

governors and and local officials are

directing will be our continued strategy

dr Fauci did you want to be so what I

meant by what is not working and this is

not anybody's fault or any institutions

fault is that what we're dealing with

right now is community spread in the

context of a substantial proportion of

the people who are getting infected do

not know they're infected they're not

symptomatic they're asymptomatic

individuals the classic paradigm of

identification isolation and contact

tracing to actually contain that is very

difficult to make that work under those

circumstances you superimpose upon that

the fact that even with identification

isolation and contact tracing often the

dots are not connected if you get on the

phone and talk to people who are in some

of these communities you find that a lot

of it is done by phone and when it's

done by phone maybe half of the people

don't even want to talk to one who they

think is a government representative if

you live in a community that is mostly

brown or black

you're in a different situation that may

be 70% of them don't really want to talk

to you you can identify a contact but

you don't isolate them because you don't

have the facility to isolate them that

is what

working so what we're gonna do and we

are doing and you're gonna be hearing

about this you know flooding the sitting

the area of a community to get a feel

for what's out there particularly among

the asymptomatic s' so in other words

it's a paradigm shift because we're

dealing with young people people who are

going to be asymptomatic and people who

are getting infected in a community

setting not an outbreak setting well you

know who to identify isolate and contact

trace that's what I meant

good night and I just want to finish it

thought for just a second um about three

months ago we talked about how important

it was to have community at the center

and I think when you talk about what's

going to be different and part of the

reason why the president vice president

have asked me to go out to Texas New

Mexico and Arizona is to not only meet

with the state and local health

officials but to meet with the community

groups so that the community groups can

help us support community specific

messaging public health messaging when

you just keep saying the same thing over

and over again and the people get

tone-deaf to it it's because it's not

tailored to their specific circumstances

and they don't see that message

resonating in their lives we've had to

do this across the world I've done this

over and over again for HIV TB and

malaria at the center of this has to be

the community and the community will

help us identify who needs to be tested

that help us identify which households

have the most vulnerability in them and

how we can really go into those

communities and support that response at

a very local and ground level when we

started this we're a very much facility

based and we know facilities carry us a

long way but if we want to change the

transmission rates in these metros in

specific communities and in civic parts

of those metros we've gotta walk

side-by-side with our community leaders

and our community groups that know how

to translate our scientific dogma and

information down to a lever level where

people will understand

to hear it and act on it I know when

they hear it and understand it they will

act on it and so that's how when you ask

what's gonna be different that has

already started and it's already going

to be different that's exactly what we

did with HIV 30 years ago we got the

community involved in helping us to

outreach and I think that's very

important to underscore what dr Burke

said and that's exactly what's being

planned to do to get people who know the

community who live in the community who

the community trusts rate to go up in

the next three or four weeks just like

we're seeing the rate of infection go up

now well our hope and our prayers is not

the case we've seen as you as you noted

we've seen a precipitous decline in

fatalities and again I one is too many

we grieve the loss of every American

life but the fact that two months ago we

had lost 2500 Americans in a single day

in two days this week we lost less than

300 Americans it is a testament to our

health care workers – all of the

medicines that secretary a czar just

described being being available in all

50 states it's a testament to the

efforts of the American people and we

hope as we continue to engage that we'll

continue to see those numbers decline

the other reason we're encouraged is

because at this point when we look at

our losses roughly two point five

percent of all of our losses took place

in people under the age of 25 I mean

younger Americans and in each case or at

least 90 percent of the cases they were

people with with pre-existing conditions

underlying conditions that contributed

to the sad outcome so as we see that in

Florida and in Texas they've reported to

us that

or even more than half of the new cases

that are showing up every day are people

under the age of 35 or younger Americans

in most cases asymptomatic our hope is

is that those younger healthy Americans

like most have already will continue to

go through the coronavirus will recover

but our message today as we've spent so

much energy in the last four months

protecting the most vulnerable

I mean we've deployed testing resources

we've supported States efforts states

across the country in the last month

have answered our call to test all the

residents of their nursing homes to set

up a plan to test all of the staff on a

regular basis we need to protect the

most vulnerable and we want a message

going out to younger Americans

particularly those along the Sunbelt in

these counties where we see new cases on

the rise positivity on the rise to know

that we we need them to do their part to

make sure and protect and the most

vulnerable so that we can so that we

don't see those losses rise but it's

it's in the hands of the American people

and particularly young people in this

country

right there like you're saying do as we

say not as we do you're telling people

to listen to local officials but in

Tulsa you defied local health officials

to have an event that even though you

say it didn't result in a spike dozens

of Secret Service agents dozens of

campaign staffers are now quarantined

after positive tests and then in Arizona

when the hardest hit States you packed a

church with young people who weren't

wearing masks so how can you say that

the campaign is not part of the problem

that doctor thought you laid out well I

want to remind you again that the

freedom of speech and the right to

peaceably assemble is enshrined in the

Constitution of the United States and

even in a health crisis the American

people don't forfeit our constitutional

rights and working with state officials

as we did in Oklahoma and as as we did

in Arizona we're creating settings where

people can choose to participate in the

political process

and and we'll continue to do that it I

think it's I think it's really important

that we recognize how important how

important freedom and personal

responsibility are to this entire

equation and but allowing allowing

younger Americans allowing American

Americans to understand particularly in

the counties that are most impacted the

unique challenges that we're facing in

their age group we think is important

but look it's it's it's so important

that we recognize that as we issued

guidance to reopen America now two

months ago and now as all 50 states are

opening up our country again people are

going back to work

American everyday life is being restored

kind of one step one day at a time I

think it's important that we remind

ourselves this is not a choice between

the health of the American people

and a strong economy there are profound

health implications to the lockdowns

through which we just passed I heard it

I heard a statistic not long ago at a at

a at a task force briefing that in one

jurisdiction there'd been a 50% increase

in the number of people presenting at

emergency rooms having attempted suicide

I mean there are profound mental health

issues there are profound economic

issues people needing to be back to work

and and so we're we're our objective

here today is just to make sure the

American people know in 34 states the

cases are largely stable and there's no

combination of rising cases and rising

positivity rates that's a tribute to the

American people and in the in the 16

states were focused on today we simply

want to we want to equip particularly

young people with the knowledge of the

part that they can play in stemming the

rising tide of new cases not because the

corona virus represents a significant

threat to them in most cases it doesn't

if you're a younger American but because

we don't know younger American would

ever want to spread the corona virus to

someone who would have a serious outcome

but I'm I'm grateful for the time today

we hope this has been helpful

and we'll be back more information this

time goes on thank you

[Music]

you

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investors drove the s p 500 and nasdaq to new highs tuesday apple and zoom led the rally the nasdaq shot up 1.4 the dow and s p gained three-quarters percent D...
Viola's drive for trash dominance is worth the money the french water and waste company is finally pouncing on arch rival swears it has offered 50.5 euros a...
Warren buffett is going big in japan the question is why america's most famous investor and the chairman of berkshire hathaway said on monday that he's ...
In the early days of world war ii franklin roosevelt told the country and i quote the news is going to get worse and worse before it gets better and better and ...
Today we commemorate the march on washington to jobs and freedom in 1963 where my father declared his dream but we must never forget the american nightmare of r...
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