March 25th, 2020

THE WORLD CONCERN CORONAVIRUS!
COVID-19 BREAKOUT AROUND THE WORD

STATEMENTS & RELEASES

President Donald J. Trump Approves
Texas Disaster Declaration

HEALTHCARE

Mar 25, 2020

STATEMENTS & RELEASES

President Donald J. Trump Approves
Louisiana Disaster Declaration

HEALTHCARE

Mar 24, 2020

STATEMENTS & RELEASES

President Donald J. Trump Approves
Iowa Disaster Declaration

HEALTHCARE

Mar 24, 2020

3/25/20:White House Members of the Coronavirus Task Force Hold a Press Briefing.

As of 25 March 2020, a total of 467,594 cases were confirmed with 332,643active cases and 21,18 deaths in 181 countries and territories, including five cruise ships.

Currently, Washington State confirmed cases 2,580 and death numbers are 132.  31,712 tested Negative and 2,580 have been tested positive as of March 25th, 2020.

 

 

 

March 22nd, 2020

THE WORLD CONCERN CORONAVIRUS!
COVID-19 BREAKOUT AROUND THE WORD

President Donald J. Trump Approves
Washington Disaster Declaration


 

Statements & Releases

President Donald J. Trump Approves
Washington Disaster Declaration

Healthcare

Issued on: March 22, 2020

Today, President Donald J. Trump declared that a major disaster exists in the State of Washington and ordered Federal assistance to supplement State, tribal, and local recovery efforts in the areas affected by the Coronavirus Disease 2019 (COVID-19) pandemic beginning on January 20, 2020, and continuing.

The President’s action makes Federal funding available for Crisis Counseling for affected individuals in all areas in the State of Washington.

Federal funding is also available to State, tribal, and eligible local governments and certain private nonprofit organizations for emergency protective measures, including direct Federal assistance, for all areas in the State of Washington impacted by COVID-19.

Pete Gaynor, Administrator, Federal Emergency Management Agency (FEMA), Department of Homeland Security, named Michael F. O’Hare as the Federal Coordinating Officer for Federal recovery operations in the affected areas.

Additional designations may be made at a later date if requested by the State and warranted by the results of further assessments.

FOR FURTHER INFORMATION MEDIA SHOULD CONTACT THE FEMA NEWS DESK AT (202) 646-3272 OR FEMA-NEWS-DESK@FEMA.DHS.GOV

 

Current Situation in Washington risk posed by a virus outbreak depends on factors including how well it spreads between people, the severity of the illness it causes, and the medical or other measures Washington State have to control the impact of the virus (for example, vaccine or treatment medications).

COVID-19 is spreading in several communities in Washington, the risk of exposure is increasing for people who live in our state.

Healthcare workers caring for patients with COVID-19 are at elevated risk of exposure.

Those who have had close contact with persons with COVID-19 are at elevated risk of exposure.

Travelers returning from affected international locations where community spread is occurring are at elevated risk of exposure.

Washington State report shows that COVID-19 is still rapidly evolving. The risk assessment will be updated as needed.  Meanwhile  Gov. Jay Inslee spoke directly to Washingtonians announced that  he will sign a statewide order that requires everyone in the state to stay home.

The order will last for two weeks and could be extended.

This Stay Home, Stay Healthy order is similar to orders that other governors, in places such as California and New York, issued last week.

This proclamation will:

Require every Washingtonian to stay home unless they need to pursue an essential activity.

Ban all gatherings for social, spiritual and recreational purposes.

Close all businesses except essential businesses.

“The less time we spend in public, the more lives we will save,” Governor Jay Inslee said.

 

 

The proclamation states it’s still safe for people to go outside as long as they remain at least six feet from each other. Grocery stores, doctor’s offices and other essential businesses will remain open. People can still participate in activities such as bike rides, gardening, and dog walking — as long as they follow social distancing rules.

This order builds on the early and unprecedented steps the state took in the past few weeks to protect Washingtonians. These included closing schools and restaurants, entertainment venues and other businesses where people congregate.

“We’ve been very clear on the need for everyone to stay home,” Inslee said. “And, while most Washingtonians are doing their part, some still don’t grasp the seriousness of this pandemic.”

Bans on gatherings and going out take effect immediately.

This order applies to private and public gatherings. These include some of the most deeply meaningful gatherings in communities, such as weddings and funerals.

Along with other public places, non-essential businesses with in-office personnel functions must be closed.

Inslee said it’s crucial to reduce social interactions where this highly contagious virus can spread.

Business closures must happen 48 hours after Inslee signs the order.

Many businesses can, and should, continue using telework.

All grocery stores, pharmacies, childcare facilities, gas stations, food supply chains and other things that offer people basic, crucial needs will remain open. Inslee expects businesses and residents to voluntarily comply. He will discuss possible enforcement mechanisms in the coming days if residents and businesses do not comply.

Industries that can argue they are essential can request a special designation as an essential business. Businesses and entities that provide essential services must implement rules that help facilitate social distancing of at least six feet.

“We know life will look different tomorrow in Washington,” Inslee said. “And we know tonight’s announcement affects millions of our livelihoods. But these necessary restrictions will protect us and our loved ones so that we have a livelihood to come back to. We will keep working until this is defeated.”

Food security

We want to remind people that the food supply operations — including hunger relief and nutritional support services — are essential services that will remain open and operational through this crisis; this order does not ban people getting access to food.

Remember:

Food banks and food pantries are essential services that will remain in operation through this restriction.

You can still go to a food pantry to pick up groceries but check the hours before you go. Hours of operation may vary and many hunger relief organizations are moving to new ways to distribute food, such as home delivery and drop-off sites.

Food bank volunteers may continue to go to work at food pantries.

 

Meanwhile Washington State for March 23rd shows with the following:

 

According to WHO (World Health Organization) have confirmed as of March 22nd, 

2020

WHO reported that 334,981 confirmed cases 14,652 deaths 189 countries, areas or territories with cases around the world.

State & Territorial Health Department Web sites provided by CDC

The resources below link to health departments in all 50 states, 8 US territories and freely associated states, and the District of Columbia.

States

                    Alabama Department of Public Health

                   Alaska Department of Health and Social Services

                   Arizona Department of Health Services external

                   Arkansas Department of Health

                   California Department of Public Health  

                   Colorado Department of Public Health and Environment

                   Connecticut State Department of Public Health  

                   Delaware Division of Public Health  

                   District of Columbia Department of Health  

                   Florida Department of Health  

                   Georgia Department of Public Health  

                   Hawaii State Department of Health  

                   Idaho Department of Health and Welfare  

                   Illinois Department of Public Health  

                   Indiana State Department of Health  

                   Iowa Department of Public Health  

                   Kansas Department of Health and Environment  

                   Kentucky Department for Public Health  

                   Louisiana Department of Health  

                   Maine Department of Health and Human Services  

                   Maryland Department of Health  

                   Massachusetts Department of Public Health  

                   Michigan Department of Health and Human Services  

                   Minnesota Department of Health  

                   Mississippi State Department of Health  

                   Missouri Department of Health and Senior Services  

                   Montana Department of Public Health and Human Services  

                   Nebraska Department of Health and Human Services  

                   Nevada Division of Public and Behavioral Health  

                   New Hampshire Department of Health and Human Services  

                   New Jersey Department of Health  

                   New Mexico Department of Health  

                   New York State Department of Health  

                   North Carolina Department of Health and Human Services  

                   North Dakota Department of Health  

                   Ohio Department of Health  

                   Oklahoma State Department of Health  

                   Oregon Health Authority, Public Health Division  

                   Pennsylvania Department of Health  

                   Rhode Island Department of Health  

                   South Carolina Department of Health and Environmental Control  

                   South Dakota Department of Health  

                   Tennessee Department of Health  

                   Texas Department of State Health Services  

                   Utah Department of Health  

                   Vermont Department of Health  

                   Virginia Department of Health  

                   Washington State Department of Health  

                   West Virginia Department of Health and Human Resources, Bureau for Public Health  

                   Wisconsin Department of Health Services  

           Wyoming Department of Health

 

On March 21st, WAR AGAINST CORONA VIRUS 
Members of the Corona virus Task Force Hold a Press Briefing

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Sources: White House, wikipedia,  youtube, yahoo,
 ,, State of Washington Governor site, CDC, WHO
catch4all.com, Sandra Englund, March 22nd, 2020,

March 15th, 2020

THE WORLD CONCERN CORONAVIRUS!
COVID-19 BREAKOUT AROUND THE WORD

As of 15 March 2020, a total of 156,478 cases were confirmed
with 75,844 active cases in 137 countries and territories
around the world, including five cruise ships

Remarks by President Trump, Vice President Pence, and
Members of the Coronavirus Task Force in Press Briefing

HEALTHCARE

Issued on: March 15, 2020.

 

 

Remarks by President Trump, Vice President Pence, and Members of the Coronavirus Task Force in Press Briefing

HEALTHCARE

Issued on: March 15, 2020

James S. Brady Press Briefing Room

5:15 P.M. EDT

THE PRESIDENT:  Beautiful day outside.  And I think we have some great things to talk about.  I’ll start by discussing the Federal Reserve.  As you know, it just happened minutes ago, but, to me, it makes me very happy.  And I want to congratulate the Federal Reserve.

For starters, they’ve lowered the Fed rate from what it was, which was 1 to 1.25.  And it’s been lowered down to zero, to 0.25 or .25.  So it’s 0 to .25.  That’s a big difference.  It’s quite a bit.  It’s about a point.

And, in addition, very importantly, the Federal Reserve is the — going to be purchasing $500 billion of treasuries and $200 billion of mortgage-backed securities.  And that number can increase.  But they’re going to start with that, and that’s really good news.  It’s really great for our country.  It’s something that we’re very happy.  I have to say this: I’m very happy.  And they did it in one step; they didn’t do it in four steps over a long period of time.  They did it in one step.

And I think that people in the market should be very thrilled.  And that brings us — we’re the strongest country in the world, by far, financially and every other way.  And that brings us in line with what other countries are.  They’re actually — they actually have negative rates.  But, look, we got it down to potentially zero.  So that’s a big step, and I’m very happy they did it.

And you will not hear anything bad about me unless it’s about a month or two from now.  So I congratulate the Federal Reserve.  I think it’s terrific.  It just came out, just as we spoke.  I wasn’t going to mention Federal Reserve or anything else, but this came out as we were walking up.

I want to thank the people at Google and Google Communications because, as you know, they substantiated what I said on Friday.  The head of Google, who’s a great gentleman, said — called us and he apologized.  I don’t know where the press got their fake news, but they got it someplace.  But as you know — this is from Google — they put out a release.  And you guys can figure it out yourselves.  And how that got out — and I’m sure you’ll apologize.  But it would be great if we could really give the news correctly.  It would be so, so wonderful.

I just had a phone call with very impressive people — the biggest in the world, in the world of stores and groceries and all.  And I’ll give you the names:

Dave Clark, Whole Foods.

Mark Clouse, CEO of Campbell Soup Company.

Brian Cornell, CEO of Target.

Randy Edeker, Chairman and CEO, President of Hy-Vee.

Jeff Harmening, CEO of General Mills.  A great company.

Kevin Hourican, President and CEO of Sysco.

Craig Jelinek, CEO of Costco.

Todd Jones, CEO of Publix Super Markets.

Donnie King, Tyson Foods.

David MacLennan, Chairman and CEO of Cargill.

Rodney McMullan, CEO, Chairman of Kroger — a big company.

Doug McMillon, CEO of Walmart.  He’s been fantastic.  Doug was here, as you know, on Friday.  And he watched the market go up 2,000 points.  On Friday, it went up 2,000 — almost 2,000 points.

Todd Vasos, CEO of Dollar General Corporation.

And Vivek Sankaran, President and CEO of Albertsons.

So these are all phenomenal companies.  These are great companies.  We had a long conversation with them.  And they’ve — they’re going to work 24 hours around the clock keeping their store stocked.

I would like to say that people shouldn’t go out and buy.  We’re going to all be great.  We’re going to be so good.  We’re going to do — what’s happened with the Fed is phenomenal news.  What’s happening with all of these incredible companies is phenomenal news.

But you don’t have to buy so much.  Take it easy.  Just relax.  People are going in and they’re buying more.  I remember — I guess, during the conversation, Doug of Walmart said that they’re buying more than they buy at Christmas.  Relax.  We’re doing great.  It all will pass.

The folks that we spoke to, they’ve done a fantastic job.  They’re going to meet the needs of the public.  They’re going around the clock, if they have to.  And they’re committed to the communities where they’re serving and which they serve so beautifully and have for a long time.  And they’re buying a lot of additional things to sell.

But again, they — they actually have asked me to say, “Could you buy a little bit less, please?”  I think — I thought I’d never hear that from a retailer.

All of them are working hand-in-hand with the federal government, as well as the state and local leaders, to ensure food and essentials are constantly available.  And they’ll do it.  There’s no shortages.  We have no shortages — other than people are buying anywhere from three to five times what they would normally buy.  It’s going to be there for a long time.

We’re doing numbers, and there’s a pent-up demand that’s incredible.  When this passes, when this goes through, you’re going to see numbers — I think, I predict; I guess I’m allowed to predict just like Wall Street people are allowed to predict, and they’re pretty much in agreement — you’re going to see there’s a pent-up demand like — like a lot of people, including me, haven’t seen before.  But this has to get through.

They know they’re getting through the crisis and will require an all-of-America approach, and that’s very important.  They’re committed to remaining open during this crisis.  Totally open.  They have to stay open.  Those stores have to stay open.  They supply our country.

Our supply chains in America are the most powerful in the world, and they’re all working very hard.  They’re working around the clock.  And the stores are stocking up at a level that’s beyond Christmastime.  And it’s — it’s great.  It was very reassuring speaking to these people.  They have it totally in hand.

There’s no need for anybody in the country to hoard essential food supplies.  They said to me, “Could you please tell them just go and buy, enjoy it.”  Have a nice dinner.  Relax.  Because there’s plenty. But you don’t have to the quantities because it’s hard to refill the stores on a basis as rapid as they’re refilling them.

And we’re using the full power of the federal government to defeat the coronavirus, and we will do whatever it takes.  And we’re doing, I think, really, really well.  A lot of good things are going to happen.

I want to thank all of the people standing behind me.  You know, these are phenomenal people, and we have some of them right over here.  But the people behind me have been working around the clock, and they’re doing an incredible job.

We see what’s happening.  We see what’s going on in other countries.  We’re looking at — we’re learning from watching other countries, frankly.  This is a very contagious — this is a very contagious virus.  It’s incredible.  But it’s something that we have tremendous control over.

I think, very important, the young people and people of good health, and groups of people, just are not strongly affected.  Elderly people that are not well, or not well in certain respects, are, really, a very dangerous group.  We have to watch them.  We have to protect them very much.  We have to really watch over them and protect them because they are very vulnerable.

And with that, if it’s okay, I’m just going to go and make some calls.  I’m talking about Federal Reserve.  I think it’s a tremendous thing that took place just now.  I didn’t know I’d be surprised on a Sunday.  I don’t know if that’s ever happened on a Sunday before.  But I would think there are a lot of people on Wall Street that are very happy.  And I can tell you that I’m very happy.  I didn’t expect this, and I like being surprised.

So our Vice President, who’s doing an incredible job, is going to take over.  And I will see you probably tomorrow.  Thank you very much.

THE VICE PRESIDENT:  Well, thank you, Mr. President.  And good afternoon.  With more than 2,900 cases of coronavirus in 49 states across the country, I want to assure the American people that this administration, all of our partners at the state level, and local health officials have no higher priority than the health and safety of the American public.

And at the President’s direction, we will continue not only a whole-of-government approach, but as we’ll discuss today, we’ll continue to build on a whole-of-America approach to confront the coronavirus across the country.

The health experts continue to confirm to us that based on the latest information, for the American people as a whole, the risk of serious illness remains low.  But because the risk is heavily weighted to the most vulnerable — to people with immunodeficiencies and to people who are elderly with serious underlying chronic health conditions — our administration and, I know, state administrations will continue to focus on the most vulnerable.  And we will continue to urge every American to be vigilant in practicing good hygiene and taking the advice of the CDC and local health experts to keep those most vulnerable safe.

I know I speak on behalf of the President and our entire team when I say how grateful we are for governors all across the country and the seamless partnership that we have forged with them and with state health officials, with our federal team.

I spoke today to Governor Pritzker of Illinois, and we are in continuous communication with governors a phone call away.  They know that they can contact us and address even the smallest need, because as a — as a former governor, I know firsthand that when it comes to health challenges in America, our states are on the ground in the lead, our local health organizations.  And we’ve built a great partnership.

We also want to express great appreciation to the American people.  Not surprisingly, it is inspiring to see the way tens of millions of Americans are responding with compassion, with common sense.  And we want to express particular gratitude to communities of faith that participated in today’s National Day of Prayer.  We’ve seen places of worship implementing policies to keep those most vulnerable safe.  And also, we’re seeing communities of faith already stepping forward to support and to encourage those most vulnerable.

I heard tell of a church back in Indiana that’s actually no longer having services until April 10th, but in the meantime they’ll be offering daycare to the children of healthcare workers in Central Indiana.  And churches all across the country are taking the opportunity to reach out and put feet on their faith, and it’s truly inspiring.

As the President mentioned today, he spoke today to leaders in the grocery store industry and where people buy our food.  And we heard, and we’re reminded, that America has the most efficient and effective supply chain in the world, and it’s working just fine.

As the President said, he received a commitment from those grocery store executives that stores will stay open throughout the days that lie ahead.  We were told that hours may be reduced to allow for cleaning and to resupply, but American families can be confident your local grocery store is going to be open; it’s going to be well supplied.  And they specifically asked us to encourage Americans: Just buy your weekly needs and grocery, because the grocery stores will remain open.

Also, very movingly, those same executives all reiterated their commitment to continue to support local food banks in the way that our grocers continue to do around America.

Tomorrow, the President and I will be briefing all the nation’s governors from states and territories, and the District of Columbia, to be speaking about the progress that we’re making.  And we’ll be speaking to them specifically about our widening partnership on expanding testing to the American people.

So allow me to speak to that issue, and then I’m going to recognize Admiral Brett Giroir, who will describe for us the excellent work the Public Health Service is doing.  Dr. Birx will describe the importance of the new national public-private partnership for diagnostic testing that is going to open the door to thousands of more tests in real time for the American people in the days ahead.

First, some fundamentals.  As the American people know, testing is now available in all 50 states.  Either state labs are either conducting the tests themselves, or the CDC is processing tests.  They’re using the traditional manner of a manual test that allows for 40 to 60 tests a day.

It is among the reasons why the President, several weeks ago, tasked this group at the White House to reach out to commercial labs around the country and forge that public-private partnership that would bring the high-speed — or more accurately, the high-throughput testing for coronavirus available in real time.

And based on the unprecedented speed of the FDA, which last week approved high-throughput coronavirus testings for Roche and Thermo Fisher, we will now have access in the days ahead to more than 2,000 labs across the country that have the equipment today to process coronavirus tests much more rapidly and a much higher volume for the American people.

In terms of delivering those services, more than 10 states — in addition to CDC labs, public health labs, and labs that states can now authorize in their states — more than 10 states have implemented their own drive-through testing sites.  And we want to commend New York, Colorado, Delaware, Washington State, Texas, and others that have implemented these on-site places where people can obtain tests.

Most are using the current CDC testing, the manual testing, but we are working closely with our governors, as you will hear momentarily, to make sure that the new testing regimen is available for their remote sites as well.

As I mentioned, as of Monday, we will have more than 2,000 labs coming online with the high-speed testing, and we are connecting states to those testing methods.

We’re also working with a number of retail partners to add to the work that states are doing around the country, working to set up parking lot testing centers outside of stores.  And Admiral Brett Giroir will detail the progress that we’ve made over the last 72 hours.

Following the President’s declaration of emergency, the Admiral and our Public Health Service have forged a partnership now with FEMA, made possible by that declaration.  And they’ve reached out to all 50 states to create a process that will enable all Americans who need to be tested to go to a community-based testing site outside of usual healthcare facilities.

The focus of these tests, as Dr. Birx will describe momentarily, will be on those most in need.  A priority will be placed on healthcare workers and first responders who are out there coming alongside people that are being impacted by the coronavirus.  We want to make sure they have access to the testing as a priority.

And then, Americans 65 or over with a cough or a fever or other symptoms will be prioritized over other tests that are extended.

As I mentioned, Admiral Giroir will describe the progress that we’ve made in just a few moments, but we’re going to continue to work very diligently — hour by hour, day by day — in the days ahead to expand testing around the country and access to this extraordinary and unprecedented national public-private partnership for diagnostic testing.

With regard to testing: As we expand testing, we’re so pleased that Congress joined with our administration to make sure that cost is never going to be a barrier to anyone getting a coronavirus test.

As you recall, several weeks ago, the President directed a change in our Medicare and Medicaid programs to ensure the coronavirus testing was included.  Health insurers were brought in; they all agreed to waive co-pays.  But because of the good bipartisan work done in the House of Representatives, now all coronavirus testing is free, and it’s free for every American, including uninsured Americans.  And we continue to urge passage of the legislation that will be considered by the Senate this week.

Let me say one final word about the testing issue, and that is that we — as the President often says, we’re all in this together.  And it’s absolutely important that as we expand testing resources across the country, beginning by prioritizing the areas that CDC and our state leadership tell us are most important, it’s important that the tests are available for people that are most in need and for our healthcare workers and first responders that are — that are helping them and supporting them.

As Dr. Birx will describe, the testing that is available should only be done if for any reason you think you may have the coronavirus.  We encourage people to consult their doctor.  And if you’re — if you’re symptom-free, we encourage you to work with us to make sure that testing is available for people that are experiencing symptoms.

It’s extremely important that we have the continuing cooperation of every American as we expand testing and make it available during this challenging time in the life of our nation.

With that, I’m going to ask Dr. Birx — oh, excuse me, I’m going to ask Admiral Brett Giroir of the Public Health Service and leader of this great Commissioned Corps behind me to come up and describe the extraordinary work that they have done over the last 72 hours and will be doing each and every day, in conjunction with our states, to expand testing to community-based testing across the country for the American people using this new public-private partnership diagnostic testing.

Admiral?

ADMIRAL GIROIR:  Thank you, Mr. Vice President.  And thank you for your personal interest in support of our team over the last 72 hours as we worked on this critically important project.

So as the Vice President said, over the past 72 hours, we have developed and are beginning to implement now a process and a program of testing that will enable Americans who are in need of coronavirus testing to be tested effectively and efficiently according to a few principles:

Number one, we want to assure that those most vulnerable and those impacted are able to be prioritized.

Number two, we don’t want to do testing that in any way threatens the acute care system.  In other words, we don’t want people going to hospitals and acute care clinics where, number one, they could infect other people or subject themselves to infections.

And number three, we want to balance the needs across the entire healthcare system among diagnosis but also treatment.  In other words, we want to balance the stress on the Strategic National Stockpile and all our commodities so that everyone gets all the materials they need.

So what do we do?  Because, as the Vice President said, last week’s historically fast approval of high-throughput testing, we are now in a new phase of testing.  And you’ve heard Dr. Fauci talk about the new phase.

So we’re going from somewhat manual, relatively slow phases, to a testing regimen that we can test many tens of thousands to hundreds of thousands of individuals per week and maybe even more.  We will have 1.9 million of these high-throughput tests available this week with numerous labs, up to 2,000, starting to turn the lights on beginning this week and rolling out over the week.  That is really a game-changer for us because the back-of-the-shop testing capability is there.

The front of the shop is what we’ve been really working on.  In order to get a test there, you’ve got to be able to swab individuals, get them into the system without completely paralyzing the entire healthcare system as we know.

So, with the emergency declaration, this was very, very important to us because it really enabled the historically effective processes of working and empowering states — federally supported, state-led efforts — through the normal FEMA mechanisms.

So for the last 72 hours, representatives of FEMA from across the government and our Commissioned Corps have been working on joining the unique and unprecedented public health mission with the historically successful mission of personal — of distribution centers, places for distribution — the pod system of FEMA.

Our Public Health Service — we’ve already deployed over a thousand officers in support of the coronavirus missions.  That includes to the Diamond Princess, to the borders, to the quarantine stations, to the acute care settings where we’re caring for nursing home residents in Seattle.  So we have a very experienced group, and we brought these together.

So what we’ve really designed in how we’re working with the states: We have contacted all 50 states through the FEMA system — every single region, every single state — to understand where they are.

As the Vice President said, some states are rolling out some of their own community-based testing.  They need to be augmented.  We believe we’ve created a model, based on the Public Health and the FEMA system, that is optimized, that can be used for drive-through or potentially walk-through.  Each of these pod-based units, we believe, can screen 2,000 to 4,000 individuals a day for testing, with all the appropriate personal protective gear, all the appropriate backend and linkage to the public health system, including testing.

We know that we have the logistics to do that.  We know we have the materials to do that.  And again, this is federally supported state-led efforts.  Many states need the full meal deal.  They want dozens of Public Health Service officers to work in protective gear to actually test.  They need supplies, like protective gear; they need swabs; they need the logistical supports.  Other states only need a fraction of that.  They may have all the personnel, but they really need the knowhow, the template, and some of the gear that we provide.

We are going to start implementing this system, this week, in a number of states, primarily those that are the hardest hit right now or are on the rise and the CDC advises us that that’s when they need the testing.

I want to emphasize, again, that we’re focusing on two very important groups — and you’ll hear this said three or four different ways — and the groups that really can be the most impacted or impactful in our outbreak.

Number one is healthcare workers and first responders.  This is very important for two reasons.  Number one, we have to take care of the healthcare workers and responders, because when America needs them, they need to be available and healthy to provide the care that we all deserve.  But it’s also important that if they feel they have a risk of having contacted [sic] coronavirus, that we test them so they cannot spread that, for example, in long-term care facilities where the elderly are.

And the second group would be the elderly.  And we are classifying that, according to risk, is those 65 years of age or older who have a respiratory symptom and a fever of 99.6.  That’s a lower number than you’ve seen before because those who are older do not spike high fevers, like children do — 104, 105.  So you set the bar just a little bit lower.

We do that because we know that they’re at high risk of bad consequences.  And if they test positive, they could engage with their practitioner, telehealth provider, or get in the system to make sure they have just an outstanding outcome.

So that is really where we are.  We’ve made really unprecedented progress.  You will see these sites rolling out progressively over the week.  This is not make-believe.  This is not fantasy.  We’ve developed the model.  We’ve talked to the states.  We’re focusing in on specific locations now.  We will start shipping gear, stuff, tomorrow.  We will start deploying officers tomorrow and Tuesday.  And we’ll begin seeing these sites, in addition to the ones that are springing up now, implemented during this week.

We will have the capability of testing tens of thousands of additional people through these sites every week, in addition to all the capability that’s now going to be distributed in the 2,000 laboratories and the major central, core laboratories.

And I know you have a number of questions that hopefully in the question-and-answer session we’ll be able to answer for you.

But I think this is just a great linkage.  I’m a pediatric ICU doctor.  I take care of sick people.  I know what happens when you get respiratory illness.  The Surgeon General is an anesthesiologist who takes care of people who have respiratory difficulties and manages that.

So we know how this — we know how this works.  We’ve been there.  The most important thing we’ve worked on right now is making testing accessible because of the advances of the FDA and private industry to make these high-throughput tests.  Now we can work on the front end.

With the emergency declaration, we have all the tools, and all of government has really come together with industry, not just government and states.  It’s really been private industry, the manufacturers, to bring the swabs, the personal protective gear, the laboratory testing, the shipping, the fronts with Walgreens and Walmarts working as potential sites.

This has been something, in my mind, that has been unprecedented, the entire society approach working so intensely over the past — certainly over the past weeks, but incredibly on this project over the past 72 hours.

THE VICE PRESIDENT:  Thank you, Admiral.  And let me say we are moving out, now that we have the public-private partnership with the major commercial labs.  And now you have our Public Health team as well as FEMA moving out, connecting to the states, to deploy these point-of-distribution community centers.

We’ll also be working closely with members of the media and individual jurisdictions, as well as we’re working with Google and other tech companies to make sure that there’s online resources where people will be able to readily access a questionnaire that will walk them through the symptoms and whether or not a test might be indicated.

And also, in the days ahead, we look forward to that same website being able to direct people to the nearest community center or drive-through center that’s available.

But let me — me let me introduce Dr. Deborah Birx to speak about that — that patient experience — and about the importance of the right people seeking the testing in the days ahead.

Doctor?

DR. BIRX:  Thank you.  Thank you, Mr. Vice President.  Let me just start by recognizing the men and women of the military who are serving us every day.  They are my brothers and sisters.  I was privileged to serve alongside them for quite a long time.

But, critically, I just want to recognize at this moment the Public Health Commissioned Corps behind me.  The Vice President — although he didn’t speak to this — actually went to see them yesterday at the place where they were working, so that we wouldn’t disturb them, because of their level of dedication and work through the last, really, 48 hours non-stop.

So, thank you.  Thank you for your work, and thank you for the work that you brought together.  And thank you, Admiral, for explaining it so quickly.

Let me just go back to the way laboratory work is done in the United States.  I think all of you know, when you go to your doctor, and you need a lab test, it is either done in your doctor’s office, or it’s done in the lab that they send you to.

When we started this emergency response to this virus, we started with what we knew, and that was the flu platform that we use for surveillance.  It wasn’t set up in your doctor’s office.  It wasn’t set up in our hospital laboratories.  It was set up in state and local labs and at the CDC.

Over the last two weeks, we’ve been working with the groups that have served you for decades — the commercial laboratories that you don’t see, but your specimen goes to — to ensure they had the full capacity to meet the needs of the American people. Because it wasn’t going to be 50 to 100 to 1,000 tests; it was going to be tens of thousands of tests that would be needed to be done.

And so, the last two weeks has been spent on really getting what you are used to: the full force of the clinical laboratories and service.

At the same time, what you heard described here is how do we serve the needs of the people in the community where they reside; where we know when we’re talking about people with vulnerable conditions, immunosuppression medical conditions, or the elderly, that we don’t want them having to sit for long times in doctor’s office and hospitals’ waiting rooms.

And you see what state and local governors have done to move past what we would normally do — a referral to your doctor’s office and to your hospital — but really providing community-led services to provide this testing.

What the federal government is doing is augmenting that — augmenting the innovation that existed in South Korea, brought here to the shores of the United States and brought in our own novel way, but utilizing our healthcare delivery system, which is different than South Korea, and adapting our work to our system

So, to the hospitals and to the laboratories: We know that there will be pent-up demand for this.  Make sure every hospital and every laboratory — I’m speaking to my — the people who work in labs, like I did myself.  Make sure you have enough pipette tips, pipettors, and all of the equipment that you need to run this laboratory.

You know what you need.  Make sure you have that and have that available for these tests — because we know with this increased sampling, this increased ability to have community access, additional samples will be going to these laboratories. They can manage the high throughput, but they need all of the supplies that they would normally need to run these tests.  Think of it — if you’re doing HIV viral load, same thing: just what you need.  You know what you need; make sure you have that.  That will be run.

And the most important thing, I know, for each and every one of you is how am I going to get my results.  And so we’re making sure also that the end of reporting is also there; that the reporting is available to you, to your doctor, and also to the state and local governments and the federal government, not with your personal identifiers, but to really understand where there are positives, where there are negatives, so we can ensure that healthcare providers have what they need to meet the demands of the American people and their health needs when they’re there.

Now, let me just say one bit about reporting.  So you will notice, as these tests roll out over this next week, we will have a spike in our curve.  For those of you who watched China and China reporting, remember when they changed their definition and all of a sudden there was a blip in their curve?  We are going to see that.  We are going to see a spike as more and more people have access.

And I want to finish by, again, reminding people how important it is.  I know everybody is going to want to go to these drive-throughs.  But if we could prioritize, like we have asked you to prioritize the care of every person with a preexisting condition and immunosuppression, and the elderly with existing conditions — we’ve asked you to prioritize them and we ask you to prioritize them in the lines, so that our first responders and our healthcare providers and everybody who has difficulty to get to doctors’ offices can utilize this system while we bring all the other traditional systems that you’re used to and have availability for you online over the next few days and weeks.

So, thank you.  Thank you for constantly reminding us how important.  It’s a response of all of America for Americans.  All of America for Americans.  It’s a privilege to be part of this solution and be part of this team.

And again, I want to close by recognizing the Commissioned Corps.  They have spent — I’m not sure they had anything but pizza to eat for the last two days, but we appreciate grat- —

ADMIRAL GIROIR:  Donuts.

SURGEON GENERAL ADAMS:  Apples and bananas.  Apples and bananas.

ADMIRAL GIROIR:  Donuts.

(Laughter.)

DR. BIRX:  All right, don’t follow their guidance.  (Laughter.)

THE VICE PRESIDENT:  Dr. Fauci?

DR. FAUCI:  Thank you, Mr. Vice President.  I’ll be very brief.  I just want to say, listening to the description of Admiral Giroir, I’m very pleased to see how things have evolved.  I think we could describe this as entering into a new phase in the testing space available here in the United States.

You’ve heard me, on many of these briefings, talk about the multifaceted armamentarium that we have to address the crisis of what the world is seeing and the challenge that we’re seeing right here in the United States.

I mean, obviously, the travel restrictions have been, in my mind, a very, very positive way that we have prevented more of the input from outside in that would seat us and make our job more difficult.

And then we have, as I mentioned, the containment and the mitigation from within.  You’re going to be hearing more about advanced guidelines about that, more precise instructions of how we can implement this mitigation within the community.

But now that we have a situation that is going to be rolled out — and remember, I want to emphasize what was just said: We’re not going to go from here to there overnight.  It’s going to be a gradual ratcheting up that I believe is going to happen quickly so that then we can start talking about things and put behind us the multiple understandable questions about testing and move on to see how we can make this multifaceted approach really work for us.  Because as I’ve said many times, and I’ll repeat it: The worst is, yes, ahead for us.  It is how we respond to that challenge that’s going to determine what the ultimate endpoint is going to be.

We have a very, very critical point now.  If you look at the curves that I’ve described multiple, multiple times, this window that we’re in is going to be very important for us to stay ahead of this curve.  Thank you.

THE VICE PRESIDENT:  Thank you, Doc.  Stay close.

Questions?

Q    Mr. Vice President, we’ve seen a number of communities across the country.  They’re starting to either close restaurants; some are even doing curfews.  Do you envision this happening, kind of, nationwide where you’ll see some rules come to effect saying, “You know, we don’t want people out at places that are not essentially a Walmart or a grocery store or some kind of a testing center”?

And then also, I would be curious to see — we’ve also heard so many — from travelers today that were coming back from these airports, people that were flying back; they were so concerned.  I’m sure the Secretary will address it.  But these folks that are wondering, now, did they catch it because they were stuck waiting in line for hours and hours in customs — your thoughts on that, sir?

THE VICE PRESIDENT:  Well, we will have updated guidelines tomorrow morning for you that are being vetted now with CDC and all of our top healthcare experts.  But what I would just recommend to the American people is to review those federal guidelines and know that we’ll also respect and defer to decisions that are made by governors, by state health departments about what’s best for that community.

What my healthcare team — some of the best people in the world — tell me very regularly is that it’s very important that you follow the data, you make decisions based on the circumstances that are taking place in that community.  And — but we’ll have more broad-based recommendations for the American public tomorrow.

And let me say, I’m going to ask the Secretary to come up and speak about the screening issue.  The President made a decision to suspend all travel from Europe.  That is underway now, and as of midnight Monday night, we will be suspending all travel from the UK and Ireland as well.  But Americans may come home, but out of an abundance of caution, we are engaging in healthcare screenings at 13 different airports around the country.  We’re working diligently in that regard to put the safety of the American public first.  And we’re asking returning Americans to self-quarantine for 14 days if they’ve been in those countries in Europe and, as of Monday, the UK and Ireland that are being impacted by the coronavirus.

But as the Secretary and I spoke this morning — I spoke with Governor Pritzker and Senator Richard Durbin of Illinois this morning about some challenges at O’Hare Airport, and I’m going to let the Secretary speak to how we are addressing those going forward.

Mr. Secretary?

ACTING SECRETARY WOLF:  Thank you.  Well, yesterday, we began processing, again, the travel restrictions from passengers from the Schengen area, which totaled more than 40,000 passengers yesterday.  So to give you an idea, in one day, we processed over half of the total number of individuals we have processed — medical screening — since February 2nd.  So that is an enormous challenge that we have placed on our officers and contract medical staff at airports.  And they are stepping up.

But to be clear, the lines, again, that we saw overnight at a limited number of airports, including Chicago, are unacceptable.  Acting Commissioner — CBP Commissioner Morgan also believes they’re unacceptable and has personally engaged leadership at all 13 funneling airports.

We did make the necessary adjustments at 12 of the funneling airports; however, again, at Chicago, those adjustments were not made quick enough, but we have course corrected.  We’ve adjusted our processes, we continue to surge personnel, and we are certainly glad to see certain airports and certain airlines step up, partner with us, and help address this unprecedented situation.

As I walked in here today — so far, today, at all of our funneling airports, to include Chicago, we have an average wait time of 30 minutes.  So we addressed the problem — we identified the problem, addressed it, and we have fixed it.  And we look forward to, again, accommodating passengers this evening as well.

Let me — I understand the frustration that some passengers who are returning to the U.S. might have with some of these procedures.  But I would just say, and rest assured, that we are continuing our strict protocols of looking at individuals as they come into the country, make sure that they are medically screened, make sure that we are capturing the information for the public health officials, the state and local officials.  And we’ll continue to do that. and we’ve done that specifically at the President’s request.

Thank you.

Q    Mr. Secretary, has there been any talk, sir, of any sort of shutdown of domestic air travel at all?

ACTING SECRETARY WOLF:  Well, we continue to look at all options, and all options remain on the table to address.  And we’ll certainly adjust as the medical professionals at CDC address the medical situation.

THE VICE PRESIDENT:  Very good.  Good job.

Q    Mr. Vice President, Dr. Fauci this morning said that the federal government should do whatever it takes to increase Americans’ social distancing and encourage that practice.  He didn’t rule out the possibility of a national lockdown.  If Americans don’t take those steps on their own, is that something that the federal government is prepared to do?

And secondly, I’d also like to know — you know, the President — we just heard him say, “Americans should relax.”  Why aren’t we hearing more from him about what Americans can do as they are seeing this huge impact on their daily lives, whether it’s at airports, or at restaurants, or other places around the country?

THE VICE PRESIDENT:  Well, everything that the White House Coronavirus Task Force does is at the direction of the President of the United States.  And all the efforts of all federal agencies, in cooperation with state governments and local health officials, is reflective of the decisive leadership the President has brought this early on.

It’s important to remember that the President, on January 31st, suspended all travel from China.  I said to Dr. Fauci — who I’ll call up to address your other question in a moment — I said to Dr. Fauci today, as we look at Europe now being the epicenter of the coronavirus, that — I asked him, if we had not suspended all travel from China, what our circumstance would be.  And he essentially said, “We’d be where Europe is today.”

And the President also took the actions with regard to Europe and recently expanded those.  So the American people can be confident that President Trump is going to continue to act without hesitation on the advice of our healthcare professionals to put the health and safety of the American people first.  But with regard to the statement that you made, I’m going to let Dr. Fauci address that as well.

DR. FAUCI:  Yeah, I meant everything I said this morning, on the shows: that, really, to protect the American people, we’ll consider anything and everything on the table.  You’re going to see some advanced and updated guidelines tomorrow.  They’re going to address some but not all of the questions and concerns.

But on a day-by-day basis, we look at this and, literally, we will do everything that we can to make sure we safeguard the health and the wellbeing of the American people.  And that means everything and anything we’ll consider.

Q    For Dr. Fauci, could you give us some examples?  You say “anything, everything.”  Like what?

DR. FAUCI:  Like — like — like —

Q    Like what Europe is doing?  No bars, no restaurants?

DR. FAUCI:  That could be.  Absolutely.  I mean, that could be.

Q    But if new guidance is coming tomorrow, can you give us a more concrete idea right now?  You must know what it is.

DR. FAUCI:  I don’t want — no, what I don’t want to do is I don’t want to, you know, jump ahead of the guidance.  I promise you: Let the guidance come out; we’ll be here every day.  I’ll answer the question after the guidance, I promise you.

Q    Mr. Vice President, what is your plan to build more hospital beds so tens of thousands of Americans don’t die?  And how many more ventilators are you looking at ordering so people don’t suffocate?

THE VICE PRESIDENT:  Well, let me let the Secretary step up.  I know that there’s long-term planning that takes place at HHS for those circumstances.  And when I traveled to HHS yesterday, we reviewed all the numbers about stockpiles, everything from masks to ventilators to gowns.

Mr. Secretary, you might just speak about capacity issues.  And let me say it’s — it’s a very good question on your part.

Right now, our focus, as the White House Coronavirus Task Force, is to have widespread testing across the country, using this new partnership with our commercial labs that the President has forged, and work with states to make those tests available.

We’re also going to continue to work every single day to promote best practices for mitigation, working closely with and supporting state governments for decisions that they’re making on mitigation to prevent the spread.  But the whole issue of personal protective equipment and supplies and the capacity of our healthcare system is in the forefront of what we’re talking about every day, and the Secretary can address it.

SECRETARY AZAR:  Thank you very much.  First, being here at the podium, I just want to especially talk about the people in blue behind me.  These are the leaders of the United States Public Health Service Commissioned Corps that I am incredibly privileged to lead — over 3,000 of them.  America’s public health warriors.

Whether it’s going into the Eastern Congo or Western Africa to fight Ebola, or if it’s staffing the nursing home in Kirkland, being on the World Health Organization team in China, or helping to facilitate community-based testing, these are America’s public health heroes.

And I just — they rarely — in fact, I doubt that there has ever been a time in American history where the leadership of the Public Health Service Commissioned Corps has had the privilege of standing here on this stage behind the President and Vice President of the United States.  I just wanted to — wanted to commend that.

In terms of our capacities in our healthcare system, any pandemic like this runs the risk of exceeding our healthcare system capacity, and we must acknowledge that.  That is precisely why the President and Vice President’s strategy is as Dr. Fauci has repeatedly spoke: to delay and flatten the curve.  The point of this is, instead of a spike of the curve, to delay and flatten that curve with the hope that you can keep the utilization of resources to be within the healthcare system’s capacities.

In addition to that, the entire point of our pandemic planning, over the last 15 years, has been to put extra flex into our healthcare system.  That’s why we have hospital preparedness grants that we fund every year through our preparedness program.  That’s why we have in our Strategic National Stockpile ventilators, field hospital units — like MASH units, if you’ll remember those — that have capacity for hundreds of individuals.

In terms of supplies, obviously this is an unprecedented challenge.  Unprecedented.  And so we will work to increase the supplies of personal protective equipment, of ventilators, of field medical unit hospitals that we can deploy.  We have tremendous supplies, but we want to acquire more.  And that’s thanks to the bipartisan work of Congress funding the emergency supplemental that gives us the money to scale up production here and abroad.  And we’re doing that.

We don’t disclose concrete numbers on particular items for national security purposes, but we have many ventilators — thousands and thousands of ventilators in our system.  We have received, so far, only, I think, one request for just several ventilators.

One of the things in terms of hospital capacity that’s going to be really important — it’s a really good learning from China that we got from the World Health Organization team that went there — is if we have communities where we have enough capacity where we can put people who are positive with COVID-19 and have them be exclusively reserved for individuals who are positive for COVID-19, this reduces our need to try to protect our patients from other patients, because they’re all positive already.

We need to protect our healthcare workers and our service workers in those facilities.  This gives us reduced burden on personal protective equipment, but it also can give us greater capacity as we put field medical shelters up, as we consolidate into single facilities, as we don’t need individual rooms, negative airflow, isolation, et cetera.  A vastly more efficient utilization of our healthcare system.  This is all part of the planning work that we’ve done and are promulgating throughout our healthcare system.  So that’s our strategy.  We’re going to keep building that capacity, though.

THE VICE PRESIDENT:  Very good.  Thank you, Mr. Secretary.

Go ahead.

Q    Mr. Vice President, you talked briefly about trying to make information more accessible online.  So can you give us a timetable for when you think a website will be available based on your conversations with Google?

And secondly — and this might be to the broader team — can you also talk specifically about how many of these tests have been sent out to states and how many you still have to send out?

THE VICE PRESIDENT:  Well, let me — let me say that we’re working — we’re working with Google, but we’re working with many other tech companies.  And we’re truly grateful for the efforts of tech companies in disseminating best practices and guidance for citizens online, all over the country.  And today, those resources are available and it — we’ve literally heard not only from Google, but from Facebook and Amazon.  And the public spiritedness that’s been reflected there is a credit to those great companies and a credit to all the dedicated Americans who work there.

Our best estimate — and, literally, the team has been working around the clock since Friday — is that at some point, early in the week, that we will have a website that goes up, the purpose of which will be for people to go and first fill out a questionnaire so that they can identify whether they fall in the category that Dr. Birx described would indicate the need to have a test.

And then, once they go through that questionnaire, then our objective is: As more and more of these sites come online — run by state governments, working in cooperation with our team, our Public Health Service team, and FEMA, and also working in cooperation with local businesses and retailers — that people will know how to not only find it, but also the objective would be for them to literally be given a time that they can go and report for the test.

But let me — let me let the Admiral speak to the timing on the testing and unpack that for you.

ADMIRAL GIROIR:  So in our design, I just want to emphasize, we talk about testing and we talk about so many things, but we’re really talking about people.  And we’re trying to make this a very person-centric experience to easily access the system, to give clear guidance about how to go, when to go — information that, even if you’re not really indicated for testing, information you need to help protect yourself and your family.  And then on the back end, very customized reporting, and we’re talking, literally, about having telephonic services to call individuals who’ve been tested, let them know “yes,” “no,” and what the next steps are.  So we’ve tried to really envision this through a patient experience.

Now, let me talk about the testing.  Progressively over this week, there will be rollout to different laboratories of approximately 1.9 million tests.  There are many centralized laboratories, the behind the curtain that you never see after you give your blood.  And you saw some of the CEOs in the Rose Garden last week, like Quest and LabCorp, that are fully able, ready to run — they have been testing already — but fully able, ready to run, within the first part of this week, the very high-throughput testing.

The 2,000 laboratories that are around the country that have a different platform, one that’s amenable to so many labs — not the big, hugest, highest output, but very high-throughput laboratories — are progressing.  They have to adapt the test slightly to their — to the machines and get used to this.  They will start lighting up Monday, Tuesday, Wednesday, Thursday.  I can’t give you the precise timeline, except it has been an absolute priority of the laboratory associations, of Thermo Fisher, the company that made this test.  You heard the President predict that it might be approved within 24 hours, on Friday.  I think it was five hours after that, in the middle of the night, that the FDA approved that.  And that’s the one that’s going to be widely disseminated — a high throughput that’s going to be available.

So I know you want a specific time when.  These will light up progressively over the week.  When that happens, there will be a centralized opportunity, like in the Quest and the LabCorp.  There will also be distributed opportunities, like in all the major hospital systems and labs that are in your area.  And then that number of 1.9 million goes up dramatically in the weeks coming forward.

I’m not going to say that the lab testing issue is over because it’s not.  It’s entering the next phase.  But the much higher priority now is now that we have the testing available, how do we get people into the system to be tested in the appropriate prioritized way.  And that’s what we’ve really been focused on: information; website; points-of-distribution model that are tried and true; enabling the state, providing them with equipment, supplies, know-how and Commissioned Corps officers as needed to help man these or staff these as we move forward.  So you’ll see this rapidly developing over the week.

Q    Mr. Vice President, market futures are down despite the dramatic move from the Fed that the President applauded, which suggests that there’s still concern about — that we haven’t done enough to respond to the economic impact of this deal — or of the coronavirus.

I’m wondering when specifically we’re going to hear from the White House about how you’re going to impact — or help impacted industries, from the airlines to the cruise ships.

And then, secondly, I wanted to talk about the legislation that came out.  The White House fought to exclude workers at larger corporations from paid sick leave.  And so I’m wondering what you say to, you know, somebody who flips burgers at McDonald’s or works at one of these large chains that’s worried about staying home and potentially missing a paycheck.

THE VICE PRESIDENT:  Well, first, let me say we strongly support the house legislation, which while it gives some flexibility to small businesses — which will be reflected in the regulations going forward — no American workers should worry about missing a paycheck if they’re feeling ill.

And if we can’t say often enough to our fellow Americans: If you’re sick with a respiratory ailment, stay home.

And as you’ve heard here today, over the course of this next week we’re going to see testing become much more widely available, beginning in the areas the CDC will focus us as the highest priority.

But working with members of Congress, we’ve made sure that not only is testing free, but we have every confidence that the extension of paid and family leave to Americans will be extended in a way that it’ll — it should give every American that confidence.

And let me say — let me say with regard to the economy as a whole: I think the Treasury Secretary has been working very diligently on the President’s behalf.  We had the supplemental — $8.3 billion bill.  The House has now acted on important legislation that we fully support, and we hope the Senate takes it up this week.

But whether it be the airline industry or the cruise line industry or the hotel industry, as the Secretary said recently, we are in just the first few innings of this effort.  And the President has directed us to bring the full weight of the federal government to bear to confront this crisis, first and foremost, on behalf of the health and safety of the American public.

But strengthening our economy, ensuring that those vital industries will be able to find their way through and grow strongly once this coronavirus has passed will be a priority.  And we’re already in discussions with members of Congress in both parties about that next phase of the support.

But let me say, as I close, we will be back in the morning tomorrow for a briefing.  And also, we’ll have a health briefing in the afternoon.

But again, I know I speak on behalf of the President when I say how grateful we are for all the governors in the country, for all the local health officials — everyone that’s coming alongside Americans.  We encourage every American to continue to use best practices and common sense.  Even if you’re not in a high-risk category, as the vast majority of Americans are, remember those people around you who may well be.  Remember those seniors with underlying health conditions.  That’s the reason why you need to keep washing your hands, you need to keep practicing good hygiene, cleaning those counters and surfaces to make sure that we don’t convey the coronavirus to them.

And finally, let me also just — let me add to all the wonderful accolades of the Public Health Service personnel behind me.  These are all heroes.  And I have to tell you, having been over at HHS yesterday, having seen the way these people drop everything and are rolling into this effort to expand testing across the country, it’ll be these people in these blue uniforms that you see at an awful lot of these points of distribution, these community centers around the country.

And for all they’re doing today and for all each one of them have done throughout their career, I know they have the thanks of this President, his Vice President and the American people.

Thank you.

END

6:14 P.M. EDT

Interim Guidance for Coronavirus Disease 2019 (COVID-19)

Guidance as of 3/15/2020

Large events and mass gatherings can contribute to the spread of COVID-19 in the United States via travelers who attend these events and introduce the virus to new communities. Examples of large events and mass gatherings include conferences, festivals, parades, concerts, sporting events, weddings, and other types of assemblies. These events can be planned not only by organizations and communities but also by individuals.

Therefore, CDC, in accordance with its guidance for large events and mass gatherings, recommends that for the next 8 weeks, organizers (whether groups or individuals) cancel or postpone in-person events that consist of 50 people or more throughout the United States.

Events of any size should only be continued if they can be carried out with adherence to guidelines for protecting vulnerable populations, hand hygiene, and social distancing.  When feasible, organizers could modify events to be virtual.

This recommendation does not apply to the day to day operation of organizations such as schools, institutes of higher learning, or businesses. This recommendation is made in an attempt to reduce introduction of the virus into new communities and to slow the spread of infection in communities already affected by the virus.  This recommendation is not intended to supersede the advice of local public health officials.

 

HRSA (DATA Warehouse) provided Health (You can type your  zipcode and find your health care service) centers where you can fine for all.  Health centers are an important component of the national response to the COVID-19 virus. Call your nearest health center to find out the availability of COVID-19 screening and testing.

Health Centers can assess whether a patient needs further testing, which may be done over the phone or using telehealth. Individuals may also receive primary health care services at their local health center at a reduced cost or free of charge depending on their economic status.

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March 13th, 2020

THE WORLD CONCERN CORONAVIRUS!
COVID-19 BREAKOUT AROUND THE WORD!

Remarks by President Trump, Vice President Pence, and
Members of the Coronavirus Task Force in Press Conference

HEALTHCARE

Issued on: March 13, 2020

Rose Garden

3:30 P.M. EDT

THE PRESIDENT:  Thank you very much, everyone.  Thank you.  Thank you.

A beautiful day in the Rose Garden.  Appreciate everybody being here.  Today, I’d like to provide an update to the American people on several decisive new actions we’re taking in our very vigilant effort to combat and ultimately defeat the coronavirus.

We’ve been working very hard on this.  We’ve made tremendous progress.  When you compare what we’ve done to other areas of the world, it’s pretty incredible.  A lot of that had to do with the early designation and the closing of the borders.

And, as you know, Europe was just designated as the hotspot right now, and we closed that border a while ago.  So that was lucky or through talent or through luck.  Call it whatever you want.  But through a very collective action and shared sacrifice and national determination, we will overcome the threat of the virus.

I also announced Wednesday night, following the advice of our medical professionals who are doing a tremendous job — and we appreciate it very much — that we’re suspending the entry of foreign nationals who have been to Europe in the last 14 days from entering the United States.  Citizens, permanent residents, and our families — and even the families returning from Europe, will be subject to extra screening as well self-isolation for a period of 14 days.

As the World Health Organization confirmed today, many of the things that — what we said were 100 percent correct, including our designation, before them, of Europe.  Like our earlier, very aggressive actions with China, this measure will save countless lives.  I appreciate a number of the folks behind me.  A number of the people behind me said that that saved a lot of lives, that early designation.

But it is only the beginning of what we’re really doing, and now we’re in a different phase.  We had some very old and obsolete rules that we had to live with.  It worked under certain circumstances but not under mass circumstances.  They were there for a long time; they were in place for a long time.  And we’re breaking them down now.  And they’re very usable for certain instances, but not for this.

To unleash the full power of the federal government in this effort, today I am officially declaring a national emergency.  Two very big words.  The action I am taking will open up access to up to $50 billion of very importantly — very important and a large amount of money for states and territories and localities in our shared fight against this disease.

In furtherance of the order, I’m urging every state to set up emergency operation centers effective immediately.  You’re going to be hearing from some of the largest companies and greatest retailers and medical companies in the world.  They’re standing right behind me and to the side of me.

I’m also asking every hospital in this country to activate its emergency preparedness plan so that they can meet the needs of Americans everywhere.  The hospitals are very engaged.  New York and various other places are also various engaged.  I just spoke with Governor Cuomo; we had a very good conversation.  And we’re working very strongly with many states, including New York.

The emergency orders I am issuing today will also confer broad new authority to the Secretary of Health and Human Services.  The Secretary of HHS will be able to immediately waive provisions of applicable laws and regulations to give doctors, hospital — all hospitals — and healthcare providers maximum flexibility to respond to the virus and care for patients.

This includes the following critical authorities:

             The ability to waive laws to enable telehealth, a fairly new and incredible thing that’s happened in the — in the not-so-distant past.  I tell you, what they’ve done with telehealth is incredible.  It gives remote doctors’ visits and hospital check-ins.

            The power to waive certain federal license requirements so that doctors from other states can provide services and states with the greatest need.  Number two.

            The ability to waive requirements that critical-access hospitals limit the number of beds to 25 and the length of stay to 96 hours.

            The ability to waive the requirements of a three-day hospital stay prior to admission to a nursing home.  Big thing.

            The authority to waive rules that hinder hospitals’ ability to bring additional physicians on board or obtain needed office space.  They can do as they want.  They can do what they have to do.  They know what they have to do.  Now they don’t have any problem getting it done.

            The authority to waive rules that severely restrict where hospitals can care for patients within the hospital itself, ensuring that the emergency capacity can be quickly established.

We’ll remove or eliminate every obstacle necessary to deliver our people the care that they need and that they’re entitled to.  No resource will be spared.  Nothing whatsoever.

Ten days ago, I brought together the CEOs of commercial labs at the White House and directed them to immediately begin working on a solution to dramatically increase the availability of tests.  Other countries have called us and worked with us, and they’re doing similar things or will be doing similar things.

As a result of that action, today we’re announcing a new partnership with private sector to vastly increase and accelerate our capacity to test for the coronavirus.  We want to make sure that those who need a test can get a test very safely, quickly, and conveniently.  But we don’t want people to take a test if — if we feel that they shouldn’t be doing it.  And we don’t want everyone running out and taking.  Only if you have certain symptoms.

Using federal emergency authorities, the FDA approved a new test for the virus.  We did this within hours after receiving the application from Roche — a process that would normally take weeks.  We therefore expect up to a half a million additional tests will be available early next week.  We’ll be announcing locations probably on Sunday night.

I want to thank Roche, a great company, for their incredible work.  I’d also like to thank Thermo Fisher.  The FDA’s goal is to hopefully authorize their application within 24 hours — it’ll go very quickly; it’s going very quickly — which will bring, additionally, 1.4 million tests on board next week and 5 million within a month.  I doubt we’ll need anywhere near that.

At the same time, we’ve been in discussions with pharmacies and retailers to make drive-thru tests available in the critical locations identified by public health professionals.  The goal is for individuals to be able to drive up and be swabbed without having to leave your car.

I want to thank Google.  Google is helping to develop a website.  It’s going to be very quickly done, unlike websites of the past, to determine whether a test is warranted and to facilitate testing at a nearby convenient location.

We have many, many locations behind us, by the way.  We cover the — this country in large part.  So the world, by the way — we’re not going to be talking about the world right now.  But we cover very, very strongly our country.  Stores in virtually every location.

Google has 1,700 engineers working on this right now.  They’ve made tremendous progress.  Our overriding goal is to stop the spread of the virus and to help all Americans who have been impacted by this.

Again, we don’t want everybody taking this test; it’s totally unnecessary.  And this will pass.  This will pass through, and we’re going to be even stronger for it.  We’ve learned a lot.  A tremendous amount has been learned.

I want to thank Deborah Birx, and I want to ask her maybe to come up and say a few words as to what’s happening.  Dr. Birx is a highly respected person.  I’ve gotten to know her very well over the last six days.  And what we’ve done is rebuild something that was very old, very old-fashioned, somewhat obsolete.  Certainly obsolete when it comes to the kind of numbers that we’re talking about.

Dr. Birx, please.  Thank you, Deborah.

DR. BIRX:  Thank you, Mr. President.  It’s a pleasure to be here with all of you.

I think you know — at the beginning of this epidemic, HHS, through CDC, proactively developed an assay built on the existing flu surveillance system.  That surveillance system was then converted to diagnostic system.

But last Tuesday, seeing the spread of the virus around the globe, the President realized that our current approach to testing was inadequate to need — to meet the needs of the American public.  He asked for an entire overhaul of the testing approach.  He immediately called the private sector laboratories to the White House, as noted, and charged them with developing a high-throughput quality platform that can meet the needs of the American public.

We are grateful to LabCorp and Quest for taking up the charge immediately after the meeting and within 72 hours bringing additional testing access, particularly to the outbreak areas of Washington State and California, and now across the country.

We are also very grateful to the universities and large hospital systems that took up the charge to develop their own quality tests made available by new FDA guidance.  This has resulted in expanded testing across New York, California, Washington, Colorado, and you see sometimes those drive-thru options that have been made available through these high-throughput options.

Following the meeting last week, major commercial laboratory equipment and diagnostic companies took immediate action to adopt and develop new testing systems.  Last night, the initial company, Roche, received FDA approval, moving from request to development to approval in record time.

This innovative approach centered fully on unleashing the power of the private sector, focusing on providing convenient testing to hundreds of thousands of Americans within short turnaround times.  In less than two weeks together, we have developed a solution that we believe will meet the future needs — testing needs of Americans.

I understand how difficult this has been.  I was part of the HIV/AIDS response in the ‘80s.  We knew, from diag- — from first finding cases in 1981, it took us to almost 1985 to have a test.  It took us another 11 years to have effective therapy.  It is because of the lessons learned from that that we were able to mobilize and bring those individuals that were key to the HIV response to this response.

I understand that a lot of this behind-the-scenes action over the last couple of weeks was invisible to the press and the American people.  But this intense effort has not only resulted in innovative solutions, but an automated high-throughput system, bringing the availability of these quality coronaviral testing to the American people at unprecedented speed.

Finally, I want you to know: In South Korea, they did have large number of tests available over the last several weeks.  Their positivity rate is between 3 and 4 percent.  With LabCorp and Quest expanded testing, their positivity rate is between 1 and 2 percent.

So we want to also announce this new approach to testing, which will start in the screening website up here, facilitated by Google, where clients and patients and people that have interest can go, fill out a screening questionnaire — move down for symptoms or risk factors, yes.  They would move down this and be told where the drive-thru options would be for them to receive this test.  The labs will then move to the high-throughput automated machines to be able to provide results in 24 to 36 hours.

That is the intent of this approach.  We have seen it work just in our own United States, and we want to bring this across the continent.

Thank you very much.

THE PRESIDENT:  Thank you very much, Deborah.  Great.

I’d like to maybe have Tony — do you want to come up?  You’ve become a — I think everybody out here knows you pretty well.  But Tony has been doing a tremendous job working long, long hours.  And you’ve seen a lot happen, but this has been — it’s been a great experience, and working with you has been terrific.

Tony, please.

DR. FAUCI:  Thank you very much, Mr. President.  This is an example of — another example of what I’ve been referring to in my discussions with many of you in the audience as a proactive, leaning-forward, aggressive, trying to stay ahead of the curve.

And what you’re seeing now with this order is that we’re going to be able to remove the constraints so that people at the state and the local level — the individual physician all the way up through the federal government — will have as many constraints as possible removed for them to do everything they possibly can so that we can implement the things that we’ve been talking about — the containment, the mitigation — so that, as I’ve said many times, that curve that I referred to that goes up, we don’t want to have that curve.  We want to suppress it down to that small mound.

And I think what we’ve done today is something that is going to be a very important element in having us be successful in doing that.

We still have a long way to go.  There will be many more cases, but we’ll take care of that.  And ultimately, as the President said, this will end.  But what’s going on here today is going to help it to end sooner than it would have.

Thank you.

THE PRESIDENT:  Thank you very much, Tony.

If I could, some of these folks we know; they’re celebrities in their own right.  They’re the biggest business people, the greatest retailers anywhere in the world.  And one of them is Doug McMillon from Walmart.  And I’d like to have Doug, if you would, say a few words, wherever you may be.

Doug, please.

MR. MCMILLON:  When we got the call yesterday from the White House, we were eager to do our part to help serve the country.  And given what we’re facing, that’s certainly important to do.  We should all be doing that.

So we’ve been asked to make portions of our parking lot available in select locations in the beginning, and scaling over time as supply increases, so that people can experience the drive-thru experience that the President described.

We’ll stay involved and do everything we can from a supply-chain point of view to be of assistance.

Thank you, sir.

THE PRESIDENT:  Thank you very much, Doug.  Appreciate it very much.

I’ll just stay right over here.  And, Richard, if you could come up, please.  Richard, please.  Walgreens.  Thank you.

MR. ASHWORTH:  Thank you, Mr. President.  And similar to Doug and Walmart, we’re happy to stand in here and help in communities all across America.  Because a lot of times, when we have natural disasters, our stores are a beacon in the community, and this situation is no different.

So we look forward to partnering with the CDC, the administration, HHS, and the task force, and specifically to the Vice President, who’s doing such a fantastic job.  We’re ready to engage and help.

Thank you.

THE PRESIDENT:  Thank you very much.  Great job.  Thank you very much.

Brian Cornell, Target.  Thank you, Brian.  Thank you.  Please.

MR. CORNELL:  Well, Mr. President, thank you for inviting us here today, along with our colleagues from Walmart and Walgreens and our partners at CVS.  Normally, you’d view us as competitors, but today we’re focused on a common competitor, and that’s defeating the spread of the coronavirus.  And we look forward to working with the administration to do our fair share to alleviate this growing threat.

So, thank you for including us today.  In the near term, we’re all committed to making sure we’re keeping our stores open to serve the American consumer who is rapidly stocking up on household essentials, key food and beverage items that they need during this time; making sure we run safe stores; and creating an environment that’s safe for our team members, making sure that they feel supported during this very critical time.

So thank you for including us.

THE PRESIDENT:  Thank you very much.  Great job.

Is Tom here?  Tom Polen.  Tom?  Tom Polen.  Please.

MR. POLEN:  Thank you, Mr. President.  As CEO of Becton Dickinson, we’re one of the leading providers of medical devices as well as collection products for testing of coronavirus.  We’re ramping up our manufacturing capacity to ensure that the right collection devices and testing equipment are ready to address this issue.  Thank you, Mr. President.

THE PRESIDENT:  Thank you very much, Tom.  Great job you’ve done.

Stephen Rusckowski, Quest Diagnostics.  Please.  Great job.  Thank you very much.

MR. RUSCKOWKI:  Thank you very much.  Thank you, Mr. President.

So, as mentioned, we were called, with the leadership of the Vice President, last week to come together as an industry.  And we took advantage of that opportunity to work with the FDA, to work with the Center for Disease Control.  And we are up and running with tests in a number of our facilities.

As the President mentioned, we now have capabilities from Roche diagnostics that we will bring into our facilities this weekend.  And I know myself and also my colleague at LabCorp will be doing the same, so the capacity available to the American public to support this action with consumers will be considerably increased in the next few weeks.

Thank you, Mr. President.

THE PRESIDENT:  Thank you very much.  I appreciate it.

And Matt Sause, please, of Roche.  Matt?  Thank you, Matt.

MR. SAUSE:  Thank you, Mr. President.  So, from Roche, we want to thank the FDA for their rapid approval of our coronavirus test.  We really appreciate the partnership with the CDC and the FDA to get that to market as fast as possible because it’s critical for us to make that available to help patients in need, and working with laboratories to get it up and going in the near future, which will bring hundreds of thousands of tests available to patients in need in the United States.  So, thank you.

THE PRESIDENT:  And you can do it.  You can do it.  A great company.

David Pierre of Signify — Signify Health.  Please.  Thanks, David.

MR. PIERRE:  Thank you, Mr. President.  We are the largest housecall provider in the U.S., and we go to the homes of the most vulnerable elderly.  And through our network and our logistics engine, we stand ready to help and provide our clinicians to be where they’re needed, whether they’re in retail clinics or in the home.  And we’re here to assist.

Thank you very much.

THE PRESIDENT:  Thank you very much.  And we’ll be changing a lot of the rules, regulations for future, should this happen in the future, which we hope it never does.  But it will, I guess — somewhere out there.  There are some bad ones over the years, and I guess that’ll continue to an extent, but we hope it never happens.  But we’re going to be changing a lot of the old rules and specifications and regulations.

Adam Schechter, who has really been of tremendous help.  LabCorp.  Please.   Adam?

MR. SCHECHTER:  Thank you, Mr. President.  At LabCorp, we’re working every second of every day to increase the number of tests that we can run.  We’re working with academic medical centers, with our colleagues at Quest, with other hospital and other laboratories to ensure that we do everything we can to increase the testing as we move forward.

And I can tell you we understand how important the testing is, and we are committed to doing everything possible.

THE PRESIDENT:  Thank you very much.  Great job.  Thank you.

Thomas Moriarty, CVS.  We all know CVS.  Thank you.

MR. MORIARTY:  Thank you, sir.

THE PRESIDENT:  Thank you, Thomas.

MR. MORIARTY:  Thank you, Mr. President.  We have been focused, since the start, of making sure our patients and the customers we serve have the information they need and the safety they need as well.  We are committed to working with the administration and local public health officials to make this work as well.  And thank you, sir, for the honor.

THE PRESIDENT:  Thank you very much.  Thank you, Thomas.  Thanks.  Great job.

And Bruce Greenstein, LHC Group.  Tremendously talented people.  Thank you very much.

MR. GREENSTEIN:  Mr. President, thank you for the honor of being here.  And the home health industry has been treating patients and seniors in the safety and comfort of their own home for decades.  We’re very proud to be part of the equation for testing in their own home.  For Americans that can’t get to a test site or live in rural areas far away from a retail establishment,  we’re here to help and to partner with our hospitals and physicians, as well as the people we have here today that will be doing testing around the country.  Thank you.

THE PRESIDENT:  Thank you very much.  Fantastic.

(Mr. Greenstein gives the President an elbow bump.)

MR. GREENSTEIN:  Oh, we’ll practice that.

THE PRESIDENT:  Okay, I like that.  That’s good.

We’re also announcing the following emergency executive actions today:

To help our students and their families, I’ve waived interest on all student loans held by federal government agencies, and that will be until further notice.  That’s a big thing for a lot of students that are left in the middle right now.  Many of those schools have been closed.

Based on the price of oil, I’ve also instructed the Secretary of Energy to purchase, at a very good price, large quantities of crude oil for storage in the U.S. Strategic Reserve.  We’re going to fill it right up to the top, saving the American taxpayer billions and billions of dollars, helping our oil industry and making us even further toward that wonderful goal — which we’ve achieved, which nobody thought was possible — of energy independence.  It puts us in a position that’s very strong, and we’re buying it at the right price.  And that’s something that would have not even been possible a week ago.  The price of oil went down quite a bit, so we’re going to fill it up.  This is a good time to fill it up.

I’d like to ask Mike Pence to say a few words, please.  VP.

THE VICE PRESIDENT:  Thank you, Mr. President.  It is — this day should be an inspiration to every American, because thanks to your leadership from early on, not only are we bringing a whole-of-government approach to confronting the coronavirus, we’re bringing an all-of-America approach.

Mr. President, from early on, you took decisive action.  You suspended all travel from China.  You created travel advisories — South Korea and Italy.  We screened all travelers from all airports in both of those countries.  And on the unanimous recommendation of your health experts, you, at midnight tonight, will effectively suspend all travel from Europe.  And Americans that are returning will be screened and asked to voluntarily participate in a 14-day quarantine.

Throughout this process, Mr. President, you’ve put the health of America first, but you brought the best of America to address it.  And it’s not just at the federal level.  As you said, Mr. President, we’ve been working with states across the country.  We issued broad guidelines from CDC for every American.  But this week, at your direction, we tailored specific recommendations from CDC for New York, Washington State, California, Massachusetts, and Florida.

And we’ve been in continuous contact, as you said, with governors around the country.  And, Mr. President, you have forged a seamless partnership with every state and every territory in this country to put the health of our nation first.

But today, I trust that people around the country that are looking on at this extraordinary public and private partnership to address the issue of testing with particular inspiration.  After you tapped me to lead the White House Corona Task Force, Mr. President, you said this is all hands on deck, and you directed us to immediately reach out to the American business sector commercial labs to meet what we knew then would be the need for testing across the spectrum.  And today, with this historic public-private partnership, we have laid the foundation to meet that need.

And for Americans looking on, by this Sunday evening, we’ll be able to give specific guidance on a — on when the website will be available.  You can go to the website, as the President said.  You’ll type in your symptoms and be given direction whether or not a test is indicated.

And then, at the same website, you’ll be directed to one of these incredible companies that are going to give a little bit of their parking lot so that people can come by and do a drive-by test.

Mr. President, I want to join you in thanking Walmart and CVS and Target and Walgreen.  These are companies that are synonymous with communities large and small, where people come together.  And now they’re going to come together to meet the needs of the American public.

These commercial laboratories — LabCorp and Quest and Roche — have just done an incredible job stepping forward and are going to literally make — literally make hundreds and thousands of tests available and being processed with results to patients in the very near future.  But it’s all a result of you tasking us with bringing together not just government resources — which all state labs can now test across the country; CDC is testing — but you said, Mr. President, that we wanted to bring all the resources of the country together, and that’s what this partnership really means.

You know, the truth is that we have coronavirus cases now in 46 American states.  And while the risk of serious illness of the coronavirus remains low, we want to encourage every American to practice common sense, practice good hygiene, go to the CDC’s website to see what the guidance is for your community or for the American people broadly.

And as the President has said, it’s especially important now that we look at senior citizens with chronic underlying health conditions.  Last week, the President directed the Center for Medicaid and Medicare Services to raise the standards at our nursing homes, increase inspections at our nursing homes.  And today, we’re offering very specific guidance, which Seema Verma will articulate, about visitations at nursing homes.

It’s important to remember that they were there for us when we were growing up, Mr. President.  They helped us with our homework.  They tucked us in at night.  They cheered us on as we pursued educations, cheered us on in our careers.  And now it’s time for us to be there with them and to recognize that seniors with chronic health conditions are the most vulnerable, and Americans can make a difference.  So wash your hands, use common sense, look after the most vulnerable.

And, Mr. President, I know I join you in saying that every American should be proud of this incredible public-private partnership that’s going to speeding access of testing to millions of Americans in the weeks ahead.

And together, as you’ve said many times, together we’ll get through this.  Together, we’ll put the health of America first.

THE PRESIDENT:  Thank you, Mike.  Thank you very much.

Seema.  Where is Seema?  I’d like you to maybe take that a step further, please, on nursing homes.  Thanks.

ADMINISTRATOR VERMA:  Thank you.  Well, thank you to the President for the declaration.  It allows my agency, CMS — that runs Medicare and Medicaid and has oversight of all of the nation’s healthcare facilities — to suspend regulations that can get in the way of treating patients during this time.

These temporary national blanket waivers are reserved for the rarest of circumstances, and they represent a massive mobilization of our country’s resources to combat this terrible virus.  And the flexibilities we are offering will be a God-send to the providers, clinicians, and facilities on the frontlines of this fight.

And later, CMS is going to be issuing guidance directing nursing homes to temporarily restrict all visitors and non-essential personnel, with a few exceptions such as end-of-life situations.

We fully appreciate that this measure represents a severe trial for residents of nursing homes and those who love them.  But we are doing what we must to protect our vulnerable elderly.  Thank you.

THE PRESIDENT:  Thank you very much, Seema.

As I said in my address to the nation the other night, all Americans have a role to play in defeating this virus.  Our most effective weapon right now is to limit the damage to our people and our country, and slow the spread of the virus itself.

The choice we make, the precautions we put into place are critical to overcoming the virus, reducing its spread and shortening the duration of the pandemic — which is what it is.

The CDC has published guidelines on the Coronavirus.gov to enable — it’s Coronavirus.gov, and it’s very — very heavily used right now, I will say — to enable every American to respond to this epidemic and to protect themselves, their families, and their communities, while the risks to young and healthy Americans remains very low.  We’ve learned a lot about this over the last two weeks.  Anyone can be a carrier for the virus and risk transmission to older Americans and those with underlying health conditions and those who are most at risk.  They have not done very well.  Older Americans who are — especially, if they have a health problem, they have not done well.

We must take all precautions and be responsible for the actions that we take and that we see other people take.  We want to prevent the spread and transmission of the disease.

It’s incredible what’s — sports — what’s happening with the sporting world, where so many of the great sports that we’ve gotten so used to at this time of the year, they’re not going to be meeting.  And they’ve done a great service actually.  But that — would be another way that it could be — problems could be caused.

But this is why I outlined on Wednesday night my admiss- — administration’s — the fact that we’ve issued a requirement suspending all medically unnecessary visits to various places, but in particular, nursing homes.  We should all be working off the same playbook when it comes to protecting Americans.  We have to.

We need to be consistent in adopting measures to limit the spread of the virus.  The virus is the same, whether it’s spreading in cities, towns, or rural communities.  The tools and tactics for attacking it are similar no matter where you go.  No matter where you go.  You have some hotspots throughout the world right now that people would have never thought possible, and they’re being very seriously affected.

Key among these efforts are breaking chains of transmission between people.  These measures have been adopted by many companies, universities, and schools.  And we want to protect the safety and the health of their employees and their students.  I encourage everyone to follow the guidelines we’ve issued by CDC and these commonsense measures.  A lot of it is common sense.

For the areas where the virus is spreading, the CDC is advising communities to postpone large gatherings, postpone assemblies, social functions, and sporting events; stagger recess and lunch for schools that aren’t canceled; limit in-person meetings; increase scheduled cleanings; and cancel work-sponsored travel — among numerous other steps that can be taken.

Americans are the strongest and most resilient people on Earth, and in the coming weeks, we will all have to make changes and sacrifices, but these short-term sacrifices will produce long-term gain.

And again, I’ve said we’re learning a lot for the future and future problems like this, or worse.  Or worse.  It could get worse.  The next eight weeks are critical.  We can learn — and we will turn a corner on this virus.

Some of the doctors say it will wash through, it will flow through.  Interesting terms and very accurate.  I think you’re going to find in a number of weeks it’s going to be a very accurate term.

In times of hardship, the true character of America always shines through.  We live in the company of the greatest heroes and the most inspiring citizens anywhere in the world.  We want to take care of our people.  We want to draw on the strength of our history, draw on the strength of our people, and we will get through this all together.  We will just get through it.  So much progress has already been made.

And, frankly, the numbers — because of steps that have been taken — are at a level that a lot of people are surprised, especially when you compare them with other places with far smaller populations.

The spirit and the will of our nation is unbreakable.  We will defeat this threat.  When America is tested, America rises to the occasion.

And to those families and citizens who are worried and concerned for themselves and their loved ones, I want you to know that your federal government will unleash every authority, resource, and tool at its disposal to safeguard the lives and health of our people.

So we’re with you every step of the way.  No nation is more prepared or more equipped to face down this crisis.  As you know, we are rated number one in the world.

We’re also helping other nations — many other nations; we’re helping them a lot.  And they’re doing okay, in some cases.  In some cases, they’re not doing well at all.  But we’re working with a lot of groups of people and a lot of other nations.

With faith and heart and hope and love and determination, we will succeed.  We will prevail.  We will be very, very successful.  And we’ll learn for the future.

Thank you all very much.  If you have any questions, we can take some.

Go ahead, John.  Please.  And if you’d like to ask some of the folks up here, it would be fine.  Please.

Q    Sure.  Mr. President, where are you with the House bill?  Yesterday, we talked to you in the Oval Office; you were opposed to it.  What has happened since then?  And what’s the holdup on that?

THE PRESIDENT:  Well, we just don’t think they’re giving enough.  We don’t think the Democrats are giving enough.  We’re negotiating.  We thought we had something, but all of a sudden they didn’t agree to certain things that they agreed to.  So we could have something, but we don’t think they’re giving enough.  They’re not — they’re not doing what’s right for the country.

Q    And if I could ask Dr. Fauci —

Q    (Inaudible.)

THE PRESIDENT:  Go ahead, please.

Q    Thank you, Mr. President.  You just mentioned waiving interest for student loans.

THE PRESIDENT:  Yeah.

Q    You talked about buying oil from the — from the SPR, or adding to the SPR.  What other specific targeted measures is your administration thinking about taking?  The Treasury Secretary, Steve Mnuchin, said today that you’re just in the “second inning” of things that you might be undergoing.

THE PRESIDENT:  Yeah, well, that’s true.  And we are looking at many different things, as you know.  You know some of them — they’ve been written about very widely.  But we’re going to be releasing a paper in about two hours stating quite a few other steps.  Very important ones.

Q    Mr. President —

Please, go ahead.

Q    Like what, sir, if you wouldn’t mind?

THE PRESIDENT:  Please, go ahead.

Q    Thank you so much, Mr. President.  I want to — I want to know if you are in contact with the Brazilian President, Bolsonaro, after a member of his delegation who was with you Saturday was tested positive.

And also Senat- — I want to ask another question, if you’ll let me.  Senator Lindsey Graham and also Senator Scott — Rick Scott — are self-isolating.  Are you planning to take any kind of precautionary measure to protect you and also your staff who was there with him?

THE PRESIDENT:  No, we have no symptoms whatsoever.  And we have — we had a great meeting with the President of Brazil, Bolsonaro.  Great guy.  Very — a very tremendous — he’s done — he’s doing a fantastic job for Brazil.

And, as you know, he tested negative — meaning, nothing wrong — this morning.  And we got that word, too.  Because we did have dinner with him; we were sitting next to each other for a long period of time.

Q    But are you in contact with him over the coronavirus crisis?

THE PRESIDENT:  No, we — we have.  We’re talking about it, country to country, but we did discuss if he had a problem.  It was reported that he may have it, and he doesn’t, fortunately.

Q    Thank you so much, Mr. President.  Dr. Fauci said earlier this week that the lag in testing was, in fact, “a failing.”  Do you take responsibility for that?

And when can you guarantee that every single American who needs a test will be able to have a test?  What’s the date of that?

THE PRESIDENT:  Yeah, no, I don’t take responsibility at all, because we were given a — a set of circumstances and we were given rules, regulations, and specifications from a different time.  It wasn’t meant for this kind of an event with the kind of numbers that we’re talking about.  And what we’ve done is redesigned it very quickly with the help of the people behind me.  And we’re now in very, very strong shape.

I think we’ll be announcing, as I said, Sunday night, and this will start very quickly.  And we — we’ll have — we’ll have the ability to do in the millions over a very, very quick period of time.  So, no.

And what we have done — and we are going to be leaving a very indelible print for the future, in case something like this happens again.  But it was a — and that’s not the fault of anybody.  And, frankly, the old system worked very well for smaller numbers — much smaller numbers — but not for these kind of numbers.

Tony, maybe you’d like to say something?

Q    By Sunday night, will you have —

THE PRESIDENT:  Tony, please.

Q    Yes, please.  By Sunday night, will every American be able to get a test?

DR. FAUCI:  So, just to reiterate what I said to many of you multiple times: It’s (inaudible) of a system.  This system was not designed — for what it was designed for, it worked very well.  The CDC designed a good system.

If you want to get the kind of blanket testing and availability that anybody can get it or you could even do surveillance to find out what the penetrance is, you have to embrace the private sector.  And this is exactly what you’re seeing, because you can’t do it without it.

So when I said that, I meant the system was not designed for what we need.  Now, looking forward, the system will take care of it.

Q    And, Mr. President, with respect, you’ve been —

THE PRESIDENT:  And, interestingly, if you go back — please — if you go back to the swine flu, it was nothing like this.  They didn’t do testing like this.  And actually, they lost approximately 14,000 people.  And they didn’t do the testing.  They started thinking about testing when it was far too late.

What we’ve done — and one of the reasons I think people are respecting what we’ve done: We’ve done it very early.  We’ve gotten it very early.  And we’ve also kept a lot of people out.

Q    Mr. President —

THE PRESIDENT:  Yes, please.  Go ahead.  Please.

Q    Mr. President, the last administration said that they had tested a million people at this point.  You’ve been —

THE PRESIDENT:  Well, ask them how they —

Q    — President for three years.

THE PRESIDENT:  — did with the swine flu.  It was a disaster.

Q    But with respect, you’ve been President for three years —

THE PRESIDENT:  Next, please.  Next, please.

Q    — and Wuhan was suffering —

THE PRESIDENT:  They had a very big failure with swine flu.  A very big failure.

Q    Thank you, Mr. President.  I want to ask you about the European travel ban that goes into effect at —

THE PRESIDENT:  Yeah.

Q    — midnight tonight and the exemption that you’ve offered to the UK.  There are 17 countries that are in the so-called “Schengen zone” that have fewer coronavirus cases than the UK.  And just in the past 24 hours, the UK has added 208 coronavirus cases to their total.  Why do they, Mr. President, deserve an exemption?  And would you consider adding them to this travel ban list?

THE PRESIDENT:  Well, that was recommended to me by a group of professionals, and we are looking at it based on the new numbers that are coming out.  And we may have to include them in the list of countries that we will, you could say, ban — or whatever — it is during this period of time.

But, yeah, their numbers have gone up fairly precipitously over the last 24 hours, so we may be adding that, and we may be adding a couple of others.  And we may, frankly, start thinking about taking some off.

Go ahead.

Q    Thank you, Mr. President.  I’m a correspondent with Hong Kong Phoenix TV.  You have been mentioned — you have mentioned that the number in China has been decreasing and China has made tremendous progress in the past two weeks.

THE PRESIDENT:  It’s true.

Q    I’m wondering how much confidence does this give you to control the virus in the United States.  And do you see the data China has been sharing with the United States has been helpful?

THE PRESIDENT:  I think it has been helpful.  We’ve been working very much with China.  I’ve spoken, as you know, with President Xi.  They went through hell, and their numbers are starting to look very good.  They’re really — they’re really looking very good.  We’re very happy about that.  We are sharing data, yes.  In fact, we’re sharing quite a bit of data, including the fact that some of our pharmaceutical companies are working over there right now with large groups of people.

Yeah, go ahead.  Please.

Q    Thank you, Mr. President.  You spoke with Canadian Prime Minister Trudeau yesterday.

THE PRESIDENT:  Yes, I did.

Q    Did you discuss the potential closing of the border between Canada and the U.S.?  And, by extension, are you considering ways to salvage the $2 billion daily trade between the two countries?

THE PRESIDENT:  So we didn’t discuss the border.  We’ve had a very good relationship.  Just about finished with the USMCA, as you know.  He called — actually, he called me to tell me that.  I think that was the primary reason for the call.

At the time, his wife had not been diagnosed.  And she’s a lovely lady — wonderful lady, great lady.  And since then, I’ve heard — read that the result was that she has it.  And I was a little surprised.  I think he was surprised also.  We did discuss it prior to.  She’s going to be fine, but he thought that she would not, most likely, have the virus.  Unfortunately, she does.

But we didn’t discuss the border yesterday, no.

Go ahead, please.

If you have any questions for these great geniuses up here, you should — even a business question related to what we’re talking about.

Q    Mr. President, Ross Palombo from ABC News Miami.  As a relatively new Floridian, what is your message today to the cruise line industry and the travel industry that Florida depends upon?  And since Senator Rick Scott and Miami-Dade Mayor Carlos Giménez have the same exposure as you and they are self-isolating, what’s your message to them?  That they shouldn’t be?

THE PRESIDENT:  Well, I don’t know that I had exposure, but I don’t have any of the symptoms.  And we do have a White House doctor and, I should say, many White House doctors, frankly.  And I asked them that same question, and they said, “You don’t have any symptoms whatsoever.”  And we don’t want people without symptoms to go and do the test.  The test is not insignificant.

As far as the cruise line business, we’re with them all the way.  It’s a great business.  It’s a great U.S. business, frankly.  And I know how important they are to the country.  That includes airlines.  But the cruise line business, obviously, was hit very hard.

We had a tremendous success out in Oakland where we moved it.  Vice President Pence did a fantastic job with that.  We worked with UK.  We worked with Canada.  They took their people back.  And Canada has approximately 600 people; UK, likewise, took a large number of people back to the United Kingdom.

And we have people quarantined.  It was a big operation, and it worked out really — you don’t hear about it anymore.  It worked out really well.

Mike, you may even want to say something about that because that was really done properly.

THE VICE PRESIDENT:  Well, thank you, Mr. President.  And that program with the Grand Princess, the ship, is continuing to be administered in the highest standards, orderly way, as the President directed.  And Americans that needed treatment have received them.

I spoke to the governor of Iowa today, and some of those who now have been cleared are able, in proper supervision, to be returning to Iowa, where they’re making arrangements for them to do that.  Others in Texas, others in Georgia.  Again, it’s another example of the extraordinary cooperation of Governor Abbott, Governor Gavin Newsom, Governor Brian Kemp of Georgia.

But to add to that, the President directed me last Saturday to travel down to Miami.  We met with all the leaders of the cruise line industry.  Several cruise lines have announced a 60-day pause in operations.  Our Department of Homeland Security has praised them for doing that because of the unique health challenges particularly presented to seniors with underlying conditions.

We have a proposal from the cruise line industry, but they’re currently considering what other steps that they might take, perhaps even similar to what those other lines have taken.  We’re anticipating some response on that in the next 24 hours.

But as the President said, the American people cherish our cruise line industry, the men and women who work on the ships, the men and women who work on the shore, all the economies that are so benefitted by a vibrant cruise line industry.

And what the President has directed us to do is, whether there — whether there is a pause in the moment, as some cruise lines are doing, and as we all continue to discuss, we want to work with the cruise line industry to ensure that when we come through this, that cruise lines and the medical services that are available, and for the passengers and all of the crew, that cruise lines are safer than ever before and can prosper for many years to come.

THE PRESIDENT:  Go ahead, please.

Q    This question is for Drs. Fauci and Birk [sic] — Birx.  Dr. Fauci, based on what you currently know, what is the trajectory for when this outbreak will peak?  How long will the American people have to remain on this emergency footing?

And for Dr. Birx, as the administration tries to get its arms around this test kit shortage issue, the next glaring need could be respirators and related hospital equipment.  So what is the administration doing right now to ramp up production of respirators and that kind of equipment should this outbreak persist?

DR. FAUCI:  So, when you have an outbreak like this, particularly if you’re trying to interfere with it, it’s really impossible to predict the time element of when it’s going to peak and when it’s naturally going to go down.

So if you look at the situation where countries really did not get to the point of trying to contain and mitigate very well, you see a peak over several weeks and then down again over other several weeks.  What we’re trying to do with the efforts that we’re doing is to blunt that peak.

And I mentioned it many times, and I think it’s important and appropriate for me to mention it again because it answers your question: When you talk about preventing infections from without in — which is the kind of travel restrictions we’re talking about — then how do you handle what you already have in your country?  You continue some sort of containment, but you also do mitigation and you try to proportion it to the areas where there are the most infections.

The success of that and how much you make this turn into this is going to give you the amount of time.  If we’re successful, it’ll be less.  If we’re not successful, it’s going to be more.  But these kind of things generally run out in a few months.  Hopefully, we’ll make it several weeks — eight, nine, whatever weeks.  But I can’t give you a number because it depends on how successful we are.

DR. BIRX:  Great, thank you.  It’s a great question, and Dr. Fauci and I have worked together a very long time and continue.  It’s a privilege to work with him every day.

So I think you can learn very — and I appreciate there were some graphics done by some of the reporting over the last several days.  If you align the data from China with the data with South Korea, you can start to see almost a complete overlay of that data.  And so that’s what we’re tracking very closely, as well as Italy.  But you have an excellent question.

I just want to make one note: In South Korea, I want to repeat, only 4 percent of the tests were positive.  That means 96 percent of the people had a different respiratory disease because we’re in the middle of flu season, cold season, and all of the other respiratory diseases that we get every day.

In LabCorp and Quest’s early data, they’re running about 1 to 2 percent positive.  That means that we have a lot more other respiratory disease out there besides the coronavirus.  And that’s why the screening is critical.  But even with the screening, we’re going to low — run what we think are very low rates.

Needless to say, though, we’re taking it extraordinarily seriously to plan for what could come.  Not what Dr. Fauci talked about — blunting the curve — that makes it much less high need at that peak of the curve that we’re all planning for.

So we’re in full inventory of all of our assets by the President unlocking and this emergency order, and the Secretary of HHS’s ability — it unlocks all of those stockpiles, those needs: what the VA has, what the DOD has, what the National Guard has, and what every hospital has.

And the hospital emergency preparedness plan allows them to defer elective issues to keep those hospital beds open for those who might need it.  So we’re in full planning mode for each of those things.

THE PRESIDENT:  And I might add that we’re in the process — and, in some cases, have already done it — ordered a large number of respirators, just in case.  We hope we don’t need them, but we’ve ordered a large number.

Yeah.  Go ahead, please.

Q    Thank you very much, Mr. President.  In your speech to the nation, you mentioned the situation in China and South Korea have improved, and you’re thinking about remove the restrictions, also the warning —

THE PRESIDENT:  Right.

Q    — in place right now.  When can we expect that announcement?  And how do you see the overall progress that Asian countries made?

THE PRESIDENT:  Well, some are making progress; some are not, as you know.  But some are making progress.  And as they make progress, as they get down to the number that we all think is right — that they know is right, we know is right — we’ll be opening it up.  And some are really moving along rapidly.  We hope to be able to open things up as quickly as possible.

Go ahead, please.  Go ahead.

Q    Thank you, Mr. President.  I’d like to ask Secretary Azar and Dr. Fauzi [sic] just how —

THE PRESIDENT:  That was (inaudible).  (Laughs.)

Q    Dr. Fauci.  Okay?

THE PRESIDENT:  Right.  Better.

Q    All right.

THE PRESIDENT:   Better.  Not 100 percent, but 90 percent.

Q    Right.

THE PRESIDENT:  Go ahead.

Q    This affects the elderly, primarily.  And in that sense, it’s an unusual disease.  Is any specific research being done as to why it affects our senior citizens more than others?

DR. FAUCI:  So, I don’t mean to diminish your question, but we already know why it would affect senior citizens more, because when you talk about anything that requires a robust immune system — as you get older, your immune system is not as potent as it is when you were young.  And that’s the reason why, when you talk about even influenza, which we have extraordinary experience with over decades and decades, the people who are very vulnerable are the elderly and those with underlying conditions.

The same thing holds true for a variety of other disease. Why cancer is more prevalent in some — in mostly in older individuals — because the immune system that screens for it is less robust.  So it really is something that is kind of well-known over a lot of studies.

THE PRESIDENT:  Okay.  OAN, please.  OAN.

Q    Mr. President, the Chinese officials are expressing some tones of discontent with how — where the source of this virus has come from, and they’re spinning some odd narratives.  What are your response to the Chinese officials who are doing that?  And have they signaled any kind of resistance to upcoming trade talks in response to how we’re handling this virus?

THE PRESIDENT:  No, we have our deal with China.  They’re going to be buying $250 billion worth of goods and $50 billion from our farmers.  And that’s a great deal for our country; it’s about time somebody did that.  And, frankly, phase two, we’ll start negotiating.

I did read one article, but I don’t think that article was representative — certainly not of my conversations with President Xi — and they know where it came from.  We all know where it came from.

Q    Thank you, Mr. President.  Yamiche Alcindor from PBS NewsHour.

THE PRESIDENT:  Yes.

Q    My first question is: You said that you don’t take responsibility, but you did disband the White House pandemic office, and the officials that were working in that office left this administration abruptly.  So what responsibility do you take to that?  And the officials that worked in that office said that you — that the White House lost valuable time because that office was disbanded.  What do you make of that?

THE PRESIDENT:  Well, I just think it’s a nasty question because what we’ve done is — and Tony has said numerous times that we’ve saved thousands of lives because of the quick closing.  And when you say “me,” I didn’t do it.  We have a group of people I could —

Q    It’s your administration.

THE PRESIDENT:  I could ask perhaps — my administration — but I could perhaps ask Tony about that because I don’t know anything about it.  I mean, you say — you say we did that.  I don’t know anything about it.

Q    You don’t know about the —

THE PRESIDENT:  We’re spending — I don’t know.  It’s the —

Q    — about the reorganization that happened at the National Security Council?

THE PRESIDENT:  It’s the — it’s the administration.  Perhaps they do that.  You know, people let people go.  You used to be with a different newspaper than you are now.  You know, things like that happen.

Q    But this was a — this was an org- —

THE PRESIDENT:  Okay.  Please go ahead.

Q    This was an organization at the National Security Council.

THE PRESIDENT:  We’re doing a great job.  Let me tell you, these professionals behind me and the — these great, incredible doctors and business people — the best in the world.  And I can say that.  Whether it’s retailers or labs, or anything you want to say, these are the best of the world.  We’re doing a great job.

We have 40 people right now.  Forty.  Compare that with other countries that have many, many times that amount.  And one of the reasons we have 40 and others have — and, again, that number is going up, just so you understand.  And a number of cases, which are very small, relatively speaking — it’s going up.  But we’ve done a great job because we acted quickly.  We acted early.  And there’s nothing we could have done that was better than closing our borders to highly infected areas.

Please, go ahead.

Q    Thank you, Mr. President.  Vanessa Jaklitsch for NTN24 for Latin America countries —

THE PRESIDENT:  Yes, sure.

Q    — and also for Spain, La Razón and Antena 3.  I would like to ask you two very brief questions.  One: For how long we’re going to have the emergency — I mean, the national emergency?  And —

THE PRESIDENT:  I hope not long, but it’s there now and it gives tremendous powers for things that we need.  Tremendous power, actually.  And the Stafford Act and various other things that we’re involved with and have studied and memorized in so many different ways and forms, it gives the kind of power that we need to get rid of this virus.

And we’re going to do it very quickly.  And I hope we won’t need it very long, but whatever it takes.

Q    So, for now, we still don’t know for how long?  And I — something very important I wanted to ask you is like, how do you think — do you really think it’s essential coordinating with other countries, and learning from the lessons that — they already suffer the same situation — countries —

THE PRESIDENT:  Yeah.

Q    — of course, like China and South Korea, but now recently —

THE PRESIDENT:  Sure.

Q    — Italy and Spain.  And how —

THE PRESIDENT:  Well, Italy is having a —

Q    — is that coordination done?  Thank you so much, Mr. President.

THE PRESIDENT:  Italy is having a very — yeah — we’re in touch with Italy and, you know, it’s a — it’s a country that we love.  We have tremendous — millions and millions of people, originally — origins from Italy.  And we’re working with them.  They’re in a very — they’re in, probably, relatively speaking, the toughest position of all.

We’re in touch with everybody.  We’re in touch with — when I say “everybody,” we’re in touch with many of the countries that you know about, that you’re writing about.  And they’re calling us asking for advice.  They’re asking for the advice of the people behind me.

Italy has got a tough situation, but they’re — they’re really — they have really clamped down and I think they’re going to see some very good results.  It’s tough.  What they did — they really took their medicine, but they’re going to see some much better results.

Yeah, Jeff.

Q    Thank you, sir.  With regard to domestic travel: Should Americans feel safe or should Americans at all be traveling to states such as Washington State, New York, and other hotspots within this country?

And a follow-up on Brazil: You’re asking people who come back from America — from Europe — Americans who are coming back from Europe to self-quarantine for a couple weeks.  You were in a picture with somebody who now has coronavirus from Brazil, at Mar-a-Lago.  How is that different?

THE PRESIDENT:  Well, I’ll tell you, first of all, I’m not coming back from someplace.

Q    But you were exposed.

THE PRESIDENT:  We — and there was somebody that they say has it.  I have no idea who he is, but I take pictures and it lasts for, literally, seconds.  I don’t know the gentleman that we’re talking about.  I have no idea who he is.  I haven’t seen the picture.  I said, “There’s a picture of somebody,” but I take sometimes hundreds of pictures a day.  And that night I was taking hundreds of pictures.  So I just don’t know.

Now I did sit with the President for probably two hours, but he has tested negative.  So that’s good.

Q    It’s just a matter of —

THE PRESIDENT:  Please, go ahead.

Q    And the domestic travel, sir?

THE PRESIDENT:  Go ahead, please.

Q    The travel?  The first part of the question was domestic travel.

THE PRESIDENT:  I would say, if you stay home, it’s not bad.  It’s not bad.  Now, there are certain parts of the country that are — essentially, have no — have zero problem.  Washington has been very tough — in particular, a nursing home.  And, but Washington — the State of Washington has been very tough.  It’s been a big percentage of — when you talk about the 40 deaths, that’s been has been a big percentage of the deaths, as you know very well.  And they all came from a very certain area, unfortunately.

Please, go ahead.

Q    Mr. President —

THE PRESIDENT:  Go ahead.  Okay.

Q    Thank you very much, Mr. President.

THE PRESIDENT: Yes.

Q    Cordelia Lynch, Sky News.  You talked this week about the UK doing a good job in tackling coronavirus.  In light of the rising cases, are you changing your mind about that?  You also just spoke about possible travel restrictions.  Have you discussed when they might be put in place?

THE PRESIDENT:  Well, in light of the results, as we discussed before — in light of the results, we’re going to be looking at it.  And I know the task force is looking at it very strongly — the Vice President, everybody.  It was looking good, but they’ve –the results have been building up pretty rapidly.  So we’ll — we’ll be taking another look at that.  Yes, absolutely.

Go ahead, please.

Q    Mr. President, thank you.  I want to first follow up on Jeff’s question, because the person you were standing next to, whether you know who he is or not, tested positive for coronavirus.   Dr. Fauci said this morning, “If you stand next to somebody who tested positive, you should self-isolate and get a test.”  You say your White House doctor is telling you something different.  Who should Americans listen to?

And my second question is —

THE PRESIDENT:  I think they have to listen to their doctors, and I think they shouldn’t be jumping to get the test unless it’s necessary.  But I think they have to listen to their doctors.  And I mean, I don’t know the — I haven’t seen the picture.  Somebody said there’s a picture with somebody taking a picture with me, but I haven’t seen it.  But I can tell you —

Q    Well, doctors have said you might have it even if you don’t have symptoms.

THE PRESIDENT:  Well —

Q    Are you being selfish by not getting tested and potentially exposing —

THE PRESIDENT:  Well, I didn’t say I wasn’t going to be tested.

Q    Are you going to be?

THE PRESIDENT:  Most likely, yeah.  Most likely.

Q    When do you think that will happen?

THE PRESIDENT:  Not for that reason, but because I think I will do it any way.  Fairly soon.

Q    Will you let us know the results?

THE PRESIDENT:  We’re working on that.  We’re working out a schedule.

Q    My second question, Mr. President —

THE PRESIDENT:  You go ahead, please.

Q    That was a follow-up.

THE PRESIDENT: Go ahead.

Q    (Inaudible.)  (Off-mic.)

THE PRESIDENT:  Yeah.

Q    I know there’s been a lot of talk about testing.  I just want to make sure we’re clear though, because we’ve been hearing from doctors who say, as of today, they still can’t get patients tested who need a test.  So, as of today, can everyone who a doctor wants to have tested get tested?  And if not, when?  When will doctors —

THE PRESIDENT:  Well, that’s been true for a while.  But I’ll let Mike — why don’t you answer that, Mike, please?

THE VICE PRESIDENT:  Well, as the President said and Dr. Fauci has articulated, the nature of our current system — where the CDC has sample sent and tests are performed or state labs perform tests or, in some cases, university and hospital labs perform tests — is generally adequate for an infectious disease or for people getting diagnostic work done.  But given the sheer scale of this, the President tasked us with bringing together this extraordinary public and private partnership.

Today, by some estimates, when you add all the labs together — and, today, the President made it possible for every state in the country and their state labs to authorize labs across their state to do coronavirus testing.

We — we’re estimating somewhere between 15- and 20,000 tests a day are able to be performed.  But very soon, with the program that was announced today, Americans will be able to visit one of the sites closest to them, as described on the website, if they’re symptomatic — if the questionnaire indicates it — to be able to have a test there.  And these incredible companies will process the test and they’ll receive that information.

But, for now, the best advice that we can give for people is to speak to their doctor, as the President just said.  And if the doctor indicates, that physician — if it’s not a university hospital or otherwise authorized lab — can contact the state lab.  And, again, every state lab in the country can perform tests today.

But what the President charged us with, when I was tasked to take over the White House Coronavirus Task Force, was: Open up tests all across the country.  And the President said, a few days ago, that we made it clear that any American that wanted to get a test would be able, clinically, to get a test.  Because I literally heard from the Governor of Washington State, who said the doctors in Washington State were saying that if you were only mildly symptomatic, they would not order a test.  And fortunately, the President directed CDC to clarify that.

Now anyone in consultation with their physician, regardless of their symptoms can request a test and their doctors will contact those agencies, those labs in their state.  But very soon, Americans will be able to go to these — these drive-in sites and be able to obtain and participate in a test.

Dr. Birx, is there more to amplify that?

DR. BIRX:  No, I think — I think that’s perfectly said.  I think, just to review one more time about the testing: With LabCorp and Quest — I think many of you have been to a doctor’s office and seen the little boxes outside — what they do is they deliver both the specimen collection piece — because, remember, it’s a nasal swab; it’s not a tube of blood.  So they’ve delivered that to doctors’ offices and hospitals, and then they will arrange to pick that up.

The important piece in this all is they’ve gone from a machine that may have a lower throughput, to the potential to have automated extraction.  I know you don’t want all of these details, but it’s really key for the laboratory people.  It’s an automated extraction of the RNA that then runs in an automated way on the machine, with no one touching it, and the result comes out at the other end.

So, sample to machine to results.  That cuts out a lot of the manual pieces that were happening that were delaying the test results.

Q    And so, with that, what’s the timeline — like from when you’re tested to when you get results?  Like, next week, what should people expect?

DR. BIRX:  Well, with the prior testing, it was taking several days because the test is slower.  We believe with this test, because of its throughput, that the testing can be from start — remember, it has to transport — to the laboratory that will run it.  And then we’re hoping that all can be finished within 24 hours, which is very similar to other tests that you receive today.

These are not point-of-care tests.  We are working on point-of-care tests, but we have to realize point-of-care tests take six months or more to develop.  So we’re not waiting for those.  We’re still diagnosing this on nucleic acid, so as an antibody.   This is actually the antigen — the actual virus in your nose that we’re amplifying.

THE PRESIDENT:  I think you have to remember, though: We’re working very closely with states, and you have a smaller form and more targeted form of government going in and doing it — like, in New York, where the relationship is very good; like Gavin Newsom, where he made some very complimentary — because that’s California — he made some really complimentary comments the other day about how we’re working together.  We worked on the ship together, but we worked on a lot of other things together, having to do with this.

And we’re — well, really, the relationship that we have — I can’t think of a bad relationship.  We’re helping them.  We’re funding them, in some cases, depending on what it is you’re talking about.  And we’re all working together very closely.  So we’ve done, really, I think a tremendous job of teamwork with the different states.

All right.  One or two more.  And if you have — if you have questions for these folks — does anybody have a question for the folks up here?  Who has a question up here?  You have?  Okay, go ahead.  If you have a question, go ahead.

Q    Thank you.  I have one for you as well.

THE PRESIDENT:  Okay.  I thought — I knew you would.

Q    (Laughs.)  No, but I do have one for them, because I haven’t heard this yet.

THE PRESIDENT:  I was waiting for that.  Go ahead.

Q    Because I haven’t heard this yet.

THE PRESIDENT:  Ask them first, please.

Q    Yes, I will.  Okay.  With regards to the CEOs, can you please tell us when you expect to see items like hand sanitizer that have been going out of stock very quickly back on the shelves?  There have been a lot of reports about that.

And, for you, Mr. President, could you talk about a potential bailout for the cruise industry?  You had suggested that could happen.  Is that something you’re still looking at?  And how much would that be?

THE PRESIDENT:  Well, I didn’t suggest that it could happen, but I can tell you it’s an industry that was very badly impacted by what’s going on with the virus.  And it’s a great industry.  It’s a very important industry and we will be helping them.  And we will be helping the airline industry, if we have to — assuming we have to.

So far, people haven’t been asking.  But if they should be asking, we’ll — we want to make sure our airlines are very strong.  And then, one day — and one day, all of a sudden, it wasn’t looking so good.

Interestingly, we were just talking — I was talking to Doug, and the numbers they’re doing from the retailing standpoint — I guess, because of this, your business is like the opposite.  All of you have done — you’ve been selling a lot of — a lot of stuff.  Do you want to answer the question, as to the hand sanitizers?

MR. MCMILLON:  Sure.  Yeah, specifically the areas where we’re seeing pressure in the supply chain are surface cleaners, cleaning supplies, paper goods, in particular.  Hand sanitizer is going to be very difficult to have 100 percent in stock on for some time.  We’re still replenishing it and shipping it, but as soon as it hits the stores, it’s going.  The same thing is true for the categories I just mentioned.  So all of the retailers will be working hand-in-hand with the suppliers to bring that to the market as fast as we can.

Q    What is your advice though for Americans who are seeking those items?  What is your advice?  They’re selling out online.  They’re selling out in the stores.  What —

MR. MCMILLON:  I think — I think this team has given you other examples of what people can do to fight back against this virus, and you should look at the entire list.

THE PRESIDENT:  Please.

DR. FAUCI:  Please.  I mean, obviously, it sounds very simplistic, but wash your hands as often as you possibly can.  And I know you’re not always in a position to be able to wash your hands, but wash them as much as you can.  If you don’t have the alcohol wipes, try and get them.  If you can’t get them, just try as best as possible to do it.  I mean you got to do the best you can.

THE PRESIDENT:  Alex, please.

SECRETARY AZAR:  Well, just general preparedness.  You know, you want to wash your hands.  You want to keep distance from people.  And if you’re around someone sick, keep away from them.  Just basic, basic public health.

No, these guys are selling a lot of toilet paper.  I don’t know, there seems — Tony, do you need to give some guidance that toilet paper is not an effective protection against getting the coronavirus?  (Laughs.)  They’re selling out.  But the — soap and water.  Hot water, soap, 20 seconds.  That’s how you do it.

THE PRESIDENT:  Okay.  One more.  Go ahead.  Go ahead.  No.  Over here.  Behind you.  Behind you.

Q    Thank you very much, Mr. President.  You have a great team, of course.

THE PRESIDENT:  That’s true.  Thank you.

Q    My question is to Mr. President: Are you happy from the Chinese response?  What correctly really told you — what really happened those days?

And second, Prime Minister Modi, or India, have closed borders until April 15th.  If you have spoken with the Prime Minister of India, and if they have needed any help?

And finally, sir, any message for the small businesses?  Because they are losing some businesses because of this.  Thank you, sir.

THE PRESIDENT:  Well, on small businesses, the Small Business Administration is now stacked with money to help them, and we’re going to make the money readily available if they need it — small businesses.

We had a great time in India.  It was an incredible two days, and he’s a great friend of mine.  And he’s a friend of his people, because he was greeted incredibly warmly, as was I.  And that stadium — that was an incredible event.  And I loved being with him, so just say hello to him.  But we — we talked about everything.  We talked about far more than just borders.

And as far as President Xi —  likewise, he’s a friend of mine.  I believe that we are dealing in good faith.  And we just worked to, as you know, and as I just said — we just worked an incredible deal.  A big deal.  One of the biggest deals ever made of any kind.  Big even by the standards of some of the people here — the deal with China.  But I think that they want to get to the bottom of things also.

We’re working — our drug companies, our pharmaceutical companies are working very closely with China and with India, as you know, and with — all over the world.  And they’re all over the world.  These are magnificent companies that are very, very knowledgeable.

And it’s — we’re very lucky to have them, because I think you’re going to come up with — whether it’s therapeutic or whether it’s just help — helping getting better. And then ultimately, a vaccine, which takes a little bit longer because of the test periods and a couple of other reasons. You’re going to have it very quickly because of the great knowledge.  And they’ll have it very quickly.  They’ve made a tremendous amount of progress.

Thank you all very much.  We appreciate it.  Thank you.  Thank you very much.

END

4:42 P.M. EDT

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March 12th, 2020

THE WORLD CONCERN CORONAVIRUS!
COVID-19 BREAKOUT AROUND THE WORD!

Washington State Governor Inslee issues emergency proclamation that
 large events to minimize public health risk during COVID-19

 

Gov. Jay Inslee announced new community strategies and social distancing plans Wednesday at a news conference in Seattle to minimize COVID-19 exposure, particularly in counties hit hardest by the virus.

 

Inslee issues emergency proclamation that
limits large events to minimize public health risk during COVID-19

 

Governor Jay Inslee

Follow

Mar 11 • 3 min read

 

Gov. Jay Inslee announced new community strategies and social distancing plans Wednesday at a news conference in Seattle to minimize COVID-19 exposure, particularly in counties hit hardest by the virus.

Starting today, events that take place in King, Snohomish, and Pierce counties with more than 250 people are prohibited by the state. This order applies to gatherings for social, spiritual and recreational activities. These include but are not limited to: community, civic, public, leisure, faith-based, or sporting events; parades; concerts; festivals; conventions; fundraisers and similar activities.

Gov. Jay Inslee announced new community strategies and social distancing plans Wednesday at a news conference in Seattle to minimize COVID-19 exposure, particularly in counties hit hardest by the virus. (Office of the Governor photo)

“This is an unprecedented public health situation and we can’t wait until we’re in the middle of it to slow it down,” Inslee said. “We’ve got to get ahead of the curve. One main defense is to reduce the interaction of people in our lives.”

County executives and mayors from impacted communities joined the governor for the announcement, including:

            Dow Constantine, King County executive

            Dave Somers, Snohomish County executive

            Bruce Dammeier, Pierce County executive

            Jenny Durkan, mayor of Seattle

            Victoria Woodards, mayor of Tacoma

            Cassie Franklin, mayor of Everett

            Dr. Kathy Lofy, Washington State Department of Health

            Dr. Jeff Duchin, Public Health Seattle King County

“We recognize this new limitation will impact thousands of people, their plans, and their investments in these events,” Inslee said. “However, this is one of the most prudent choices we can make to keep people safe in this rapidly evolving health crisis. We want to do all we can to protect Washingtonians.”

So far, the virus has hit King County the hardest, with 24 deaths and 267 people with confirmed cases of COVID-19 as of Wednesday morning.

The governor also strongly encouraged state residents to practice social distancing, which means individuals should try to stay six feet or at least an arm’s length from each other.

In recent days, Inslee has encouraged older and vulnerable individuals not to attend large events. The governor is also asking for workplaces to look into telework options for employees, for people to sanitize and clean surfaces as they use them, and for people to bump elbows as a greeting instead of shaking hands.

Today’s announcement follows weeks of agencies and medical providers working long hours to get emergency communications and strategies to the public after the virus began to spread in Washington.

“We support the governor’s actions to slow the spread of this virus so the health care system has time to respond,” said Cassie Sauer, president of the Washington Hospital Association.

Scenario for the possible cumulative burden of COVID-19 infection in King and Snohomish counties. Based on data from China and other countries, deaths occur in approximately 1 percent of the infected population (averaged across all ages) with an average three week delay relative to infection. (Graphic courtesy of Institute for Disease Modeling, Bill & Melinda Gates Foundation and Fred Hutchinson Cancer Research Institute)

Additional recommendations

In addition to the mandatory social distancing strategy, Inslee also made strong recommendations such as:

            Ask high-risk populations to avoid social and recreational contact with others, including attendance at large events.

            Implement changes to the workplace such as maximizing telecommuting options for as many employees as possible, and implementing social distancing in the workplace within reason.

            Make considerations for public transit such as additional cleaning and sanitizing.

Schools

The governor is currently not planning to call for widespread school closures.

However, he is asking school districts to make contingency plans around how they could provide services to families in need if schools closed for several weeks. Potential issues to address include free and reduced-price breakfast and lunch, students completing school work at home, and child care options.

“Washingtonians have stepped up in a big way and come together to face this public health crisis,” Inslee said. “I know these community strategies and distancing plans might pose challenges, but they are necessary to slow the spread of COVID-19.”

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Re: https://www.governor.wa.gov/

 

 

March 11th, 2020

THE WORLD CONCERN CORONAVIRUS!
COVID-19 BREAKOUT AROUND THE WORD!

Total 115 countries and territories around the world, have been exposed with COVID-19 and Confirmed cases as of 11 March 2020, a total of 118,903 cases including on
three cruise ships:
(the Grand Princess, the MS River Anuket and the Diamond Princess).

REMARKS

Remarks by President Trump in Address to the Nation

HEALTHCARE

Issued on: March 11, 2020

FACT SHEETS

President Donald J. Trump Has Taken Unprecedented Steps To Respond To The Coronavirus And Protect The Health And Safety Of Americans

HEALTHCARE

Issued on: March 11, 2020

 

Together we are putting into policy a plan to prevent, detect, treat and create a vaccine against coronavirus to save lives in America and the world. America will get it done!

President Donald J. Trump

RESTRICTING TRAVEL FROM IMPACTED AREAS: President Donald J. Trump is taking further action to curb the spread of the coronavirus to the United States from other countries.

            President Trump is issuing a proclamation under section 212(f) of the Immigration and Nationality Act (INA) to restrict travel to the United States from foreign nationals who have recently been in certain European countries.

            Section 212(f) of the INA only applies to the movement of human beings, not goods or cargo.

            The restriction applies to foreign nationals who have been in the Schengen Area, 26 countries in Europe with open borders agreements, in the last 14 days.

            Those who are exempt from these restrictions, such as American citizens, will be directed to a limited number of airports where screening can take place.

            There is extensive travel back and forth between Europe that heightens the risk here in the United States.

LOOKING OUT FOR AMERICAN BUSINESSES AND WORKERS: President Donald J. Trump is committed to protecting American businesses and workers from the impacts of coronavirus.

            The President is announcing an economic assistance package to help support businesses and workers who have been harmed by this outbreak.

            President Trump has instructed the Small Business Administration (SBA) to exercise available authority to provide loans to businesses affected by the coronavirus.

            These loans will help overcome disruptions caused by the coronavirus.

            The President is calling on Congress to increase funding for this program by an additional $50 billion.

            The President will be instructing the Department of the Treasury to defer tax payments for certain individuals and businesses negatively impacted by the coronavirus.

            This action will provide more than $200 billion of additional liquidity to the economy.

            President Trump is calling on Congress to immediately pass payroll tax relief.

            The President announced that he will soon be taking emergency action to provide financial relief for workers who are ill, quarantined, or caring for others due to the coronavirus.

            The President also called on Congress to take action to extend this relief for workers.

LEADING AN AGGRESSIVE, WHOLE-OF-GOVERNMENT APPROACH: President Trump has taken unprecedented steps to protect the health of Americans in response to the coronavirus.

            The President is leveraging all of our resources to respond to the coronavirus, bringing together government and private industry in a collaborative response.

            The Trump Administration declared a public health emergency in January to bolster response efforts.

            President Trump took early action to help curb the spread of the virus from other countries to the United States, providing important time for response and preparations.

            In January, President Trump acted quickly to restrict travel from foreign nationals traveling from China.

            In February, the President restricted travel for individuals recently traveling from Iran.

            The Administration put into place mandatory screening for all travelers coming into the country from Italy and South Korea.

            Travel advisories for severely impacted areas like Italy and South Korea have been raised to their highest level.

            Today, the President directed his Administration to make general-use face masks available to our healthcare workers.

            The Administration’s actions will help make millions of general-use respirators available to keep healthcare workers safe and mitigate transmission of the virus.

            President Trump signed into law more than $8 billion to fund response efforts.

            The Administration has taken bold steps to incentivize the development of therapeutics and vaccines to treat and prevent the spread of the coronavirus.

            Working across the public and private sectors, the Trump Administration continues to drastically expand testing capacity.

            More than 1 million tests have been distributed nationwide, with another 4 million tests being shipped out by the end of the week.

            Testing is now available in every State lab in the country and commercial labs are now deploying tests, which will help generate a dramatic increase in availability.

            The Trump Administration has released guidance on how to keep businesses, schools, community gathering places, and families safe.

            From the start, President Trump has made keeping the public informed a top priority.

        The Administration has announced that health plans with health savings accounts will be able to cover coronavirus testing and treatment without co-payments.

 

REMARKS

Remarks by President Trump in Address to the Nation

HEALTHCARE

Issued on: March 11, 2020

 

Oval Office

9:02 P.M. EDT

THE PRESIDENT:  My fellow Americans: Tonight, I want to speak with you about our nation’s unprecedented response to the

coronavirus outbreak that started in China and is now spreading throughout the world.

Today, the World Health Organization officially announced that this is a global pandemic.

We have been in frequent contact with our allies, and we are marshalling the full power of the federal government and the private sector to protect the American people.

This is the most aggressive and comprehensive effort to confront a foreign virus in modern history.  I am confident that by counting and continuing to take these tough measures, we will significantly reduce the threat to our citizens, and we will ultimately and expeditiously defeat this virus.

From the beginning of time, nations and people have faced unforeseen challenges, including large-scale and very dangerous health threats.  This is the way it always was and always will be.  It only matters how you respond, and we are responding with great speed and professionalism.

Our team is the best anywhere in the world.  At the very start of the outbreak, we instituted sweeping travel restrictions on China and put in place the first federally mandated quarantine in over 50 years.  We declared a public health emergency and issued the highest level of travel warning on other countries as the virus spread its horrible infection.

And taking early intense action, we have seen dramatically fewer cases of the virus in the United States than are now present in Europe.

The European Union failed to take the same precautions and restrict travel from China and other hotspots.  As a result, a large number of new clusters in the United States were seeded by travelers from Europe.

After consulting with our top government health professionals, I have decided to take several strong but necessary actions to protect the health and wellbeing of all Americans.

To keep new cases from entering our shores, we will be suspending all travel from Europe to the United States for the next 30 days.  The new rules will go into effect Friday at midnight.  These restrictions will be adjusted subject to conditions on the ground.

There will be exemptions for Americans who have undergone appropriate screenings, and these prohibitions will not only apply to the tremendous amount of trade and cargo, but various other things as we get approval.  Anything coming from Europe to the United States is what we are discussing.  These restrictions will also not apply to the United Kingdom.

At the same time, we are monitoring the situation in China and in South Korea.  And, as their situation improves, we will reevaluate the restrictions and warnings that are currently in place for a possible early opening.

Earlier this week, I met with the leaders of health insurance industry who have agreed to waive all copayments for coronavirus treatments, extend insurance coverage to these treatments, and to prevent surprise medical billing.

We are cutting massive amounts of red tape to make antiviral therapies available in record time.  These treatments will significantly reduce the impact and reach of the virus.

Additionally, last week, I signed into law an $8.3 billion funding bill to help CDC and other government agencies fight the virus and support vaccines, treatments, and distribution of medical supplies.  Testing and testing capabilities are expanding rapidly, day by day.  We are moving very quickly.

The vast majority of Americans: The risk is very, very low.  Young and healthy people can expect to recover fully and quickly if they should get the virus.  The highest risk is for elderly population with underlying health conditions.  The elderly population must be very, very careful.

In particular, we are strongly advising that nursing homes for the elderly suspend all medically unnecessary visits.  In general, older Americans should also avoid nonessential travel in crowded areas.

My administration is coordinating directly with communities with the largest outbreaks, and we have issued guidance on school closures, social distancing, and reducing large gatherings.

Smart action today will prevent the spread of the virus tomorrow.

Every community faces different risks and it is critical for you to follow the guidelines of your local officials who are working closely with our federal health experts — and they are the best.

For all Americans, it is essential that everyone take extra precautions and practice good hygiene.  Each of us has a role to play in defeating this virus.  Wash your hands, clean often-used surfaces, cover your face and mouth if you sneeze or cough, and most of all, if you are sick or not feeling well, stay home.

To ensure that working Americans impacted by the virus can stay home without fear of financial hardship, I will soon be taking emergency action, which is unprecedented, to provide financial relief.  This will be targeted for workers who are ill, quarantined, or caring for others due to coronavirus.

I will be asking Congress to take legislative action to extend this relief.

Because of the economic policies that we have put into place over the last three years, we have the greatest economy anywhere in the world, by far.

Our banks and financial institutions are fully capitalized and incredibly strong.  Our unemployment is at a historic low.  This vast economic prosperity gives us flexibility, reserves, and resources to handle any threat that comes our way.

This is not a financial crisis, this is just a temporary moment of time that we will overcome together as a nation and as a world.

However, to provide extra support for American workers, families, and businesses, tonight I am announcing the following additional actions:  I am instructing the Small Business Administration to exercise available authority to provide capital and liquidity to firms affected by the coronavirus.

Effective immediately, the SBA will begin providing economic loans in affected states and territories.  These low-interest loans will help small businesses overcome temporary economic disruptions caused by the virus.  To this end, I am asking Congress to increase funding for this program by an additional $50 billion.

Using emergency authority, I will be instructing the Treasury Department to defer tax payments, without interest or penalties, for certain individuals and businesses negatively impacted.  This action will provide more than $200 billion of additional liquidity to the economy.

Finally, I am calling on Congress to provide Americans with immediate payroll tax relief.  Hopefully they will consider this very strongly.

We are at a critical time in the fight against the virus.  We made a life-saving move with early action on China.  Now we must take the same action with Europe.  We will not delay.  I will never hesitate to take any necessary steps to protect the lives, health, and safety of the American people.  I will always put the wellbeing of America first.

If we are vigilant — and we can reduce the chance of infection, which we will — we will significantly impede the transmission of the virus.  The virus will not have a chance against us.

No nation is more prepared or more resilient than the United States.  We have the best economy, the most advanced healthcare, and the most talented doctors, scientists, and researchers anywhere in the world.

We are all in this together.  We must put politics aside, stop the partisanship, and unify together as one nation and one family.

As history has proven time and time again, Americans always rise to the challenge and overcome adversity.

Our future remains brighter than anyone can imagine.  Acting with compassion and love, we will heal the sick, care for those in need, help our fellow citizens, and emerge from this challenge stronger and more unified than ever before.

God bless you, and God bless America.  Thank you.

END

9:12 P.M. EDT

PROCLAMATIONS

Proclamation—Suspension of Entry as Immigrants and Nonimmigrants of Certain Additional Persons Who Pose a Risk of Transmitting 2019 Novel Coronavirus

HEALTHCARE

Issued on: March 11, 2020

 

    On January 31, 2020, I issued Proclamation 9984 (Suspension of Entry as Immigrants and Nonimmigrants of Persons Who Pose a Risk of Transmitting 2019 Novel Coronavirus and Other Appropriate Measures To Address This Risk).  I found that the potential for widespread transmission of a novel (new) coronavirus (which has since been renamed “SARS-CoV-2” and causes the disease COVID-19) (“SARS-CoV-2” or “the virus”) by infected individuals seeking to enter the United States threatens the security of our transportation system and infrastructure and the national security.  Because the outbreak of the virus was at the time centered in the People’s Republic of China, I suspended and limited the entry of all aliens who were physically present within the People’s Republic of China, excluding the Special Administrative Regions of Hong Kong and Macau, during the 14-day period preceding their entry or attempted entry into the United States, subject to certain exceptions.  On February 29, 2020, in recognition of the sustained person-to-person transmission of SARS-CoV-2 in the Islamic Republic of Iran, I issued Proclamation 9992 (Suspension of Entry as Immigrants and Nonimmigrants of Certain Additional Persons Who Pose a Risk of Transmitting 2019 Novel Coronavirus), suspending and limiting the entry of all aliens who were physically present within the Islamic Republic of Iran during the 14-day period preceding their entry or attempted entry into the United States, subject to certain exceptions.

    The Centers for Disease Control and Prevention (CDC), a component of the Department of Health and Human Services, has determined that the virus presents a serious public health threat, and CDC continues to take steps to prevent its spread.  But CDC, along with State and local health departments, has limited resources, and the public health system could be overwhelmed if sustained human-to-human transmission of the virus occurred in the United States on a large scale.  Sustained human-to-human transmission has the potential to cause cascading public health, economic, national security, and societal consequences.

    The World Health Organization has determined that multiple countries within the Schengen Area are experiencing sustained person-to-person transmission of SARS-CoV-2.  For purposes of this proclamation, the Schengen Area comprises 26 European states: Austria, Belgium, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Slovakia, Slovenia, Spain, Sweden, and Switzerland.  The Schengen Area currently has the largest number of confirmed COVID-19 cases outside of the People’s Republic of China.  As of March 11, 2020, the number of cases in the 26 Schengen Area countries is 17,442, with 711 deaths, and shows high continuous growth in infection rates.  In total, as of March 9, 2020, the Schengen Area has exported 201 COVID-19 cases to 53 countries.  Moreover, the free flow of people between the Schengen Area countries makes the task of managing the spread of the virus difficult.

    The United States Government is unable to effectively evaluate and monitor all of the travelers continuing to arrive from the Schengen Area.  The potential for undetected transmission of the virus by infected individuals seeking to enter the United States from the Schengen Area threatens the security of our transportation system and infrastructure and the national security.  Given the importance of protecting persons within the United States from the threat of this harmful communicable disease, I have determined that it is in the interests of the United States to take action to restrict and suspend the entry into the United States, as immigrants or nonimmigrants, of all aliens who were physically present within the Schengen Area during the 14-day period preceding their entry or attempted entry into the United States.  The free flow of commerce between the United States and the Schengen Area countries remains an economic priority for the United States, and I remain committed to facilitating trade between our nations.

    NOW, THEREFORE, I, DONALD J. TRUMP, President of the United States, by the authority vested in me by the Constitution and the laws of the United States of America, including sections 212(f) and 215(a) of the Immigration and Nationality Act, 8 U.S.C. 1182(f) and 1185(a), and section 301 of title 3, United States Code, hereby find that the unrestricted entry into the United States of persons described in section 1 of this proclamation would, except as provided for in section 2 of this proclamation, be detrimental to the interests of the United States, and that their entry should be subject to certain restrictions, limitations, and exceptions.  I therefore hereby proclaim the following:

Section1.  Suspension and Limitation on Entry.  The entry into the United States, as immigrants or nonimmigrants, of all aliens who were physically present within the Schengen Area during the 14-day period preceding their entry or attempted entry into the United States is hereby suspended and limited subject to section 2 of this proclamation.

Sec. 2.  Scope of Suspension and Limitation on Entry.

(a)  Section 1 of this proclamation shall not apply to:

(i)     any lawful permanent resident of the United States;

(ii)    any alien who is the spouse of a U.S. citizen or lawful permanent resident;

(iii)   any alien who is the parent or legal guardian of a U.S. citizen or lawful permanent resident, provided that the U.S. citizen or lawful permanent resident is unmarried and under the age of 21;

(iv)    any alien who is the sibling of a U.S. citizen or lawful permanent resident, provided that both are unmarried and under the age of 21;

(v)     any alien who is the child, foster child, or ward of a U.S. citizen or lawful permanent resident, or who is a prospective adoptee seeking to enter the United States pursuant to the IR-4 or IH-4 visa classifications;

(vi)    any alien traveling at the invitation of the United States Government for a purpose related to containment or mitigation of the virus;

(vii)   any alien traveling as a nonimmigrant pursuant to a C-1, D, or C-1/D nonimmigrant visa as a crewmember or any alien otherwise traveling to the United States as air or sea crew;

(viii)  any alien

(A)  seeking entry into or transiting the United States pursuant to one of the following visas:  A-1, A-2, C-2, C-3 (as a foreign government official or immediate family member of an official), E-1 (as an employee of TECRO or TECO or the employee’s immediate family members), G-1, G-2, G-3, G-4, NATO-1 through NATO-4, or NATO-6 (or seeking to enter as a nonimmigrant in one of those NATO categories); or

(B)  whose travel falls within the scope of section 11 of the United Nations Headquarters Agreement;

(ix)    any alien whose entry would not pose a significant risk of introducing, transmitting, or spreading the virus, as determined by the Secretary of Health and Human Services, through the CDC Director or his designee;

(x)     any alien whose entry would further important United States law enforcement objectives, as determined by the Secretary of State, the Secretary of Homeland Security, or their respective designees, based on a recommendation of the Attorney General or his designee;

(xi)    any alien whose entry would be in the national interest, as determined by the Secretary of State, the Secretary of Homeland Security, or their designees; or

(xii)   members of the U.S. Armed Forces and spouses and children of members of the U.S. Armed Forces.

(b)  Nothing in this proclamation shall be construed to affect any individual’s eligibility for asylum, withholding of removal, or protection under the regulations issued pursuant to the legislation implementing the Convention Against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment, consistent with the laws and regulations of the United States.

Sec. 3.  Implementation and Enforcement.  (a)  The Secretary of State shall implement this proclamation as it applies to visas pursuant to such procedures as the Secretary of State, in consultation with the Secretary of Homeland Security, may establish.  The Secretary of Homeland Security shall implement this proclamation as it applies to the entry of aliens pursuant to such procedures as the Secretary of Homeland Security, in consultation with the Secretary of State, may establish.

(b)  Consistent with applicable law, the Secretary of State, the Secretary of Transportation, and the Secretary of Homeland Security shall ensure that any alien subject to this proclamation does not board an aircraft traveling to the United States.

(c)  The Secretary of Homeland Security may establish standards and procedures to ensure the application of this proclamation at and between all United States ports of entry.

(d)  An alien who circumvents the application of this proclamation through fraud, willful misrepresentation of a material fact, or illegal entry shall be a priority for removal by the Department of Homeland Security.

Sec. 4.  Termination.  This proclamation shall remain in effect until terminated by the President.  The Secretary of Health and Human Services shall recommend that the President continue, modify, or terminate this proclamation as described in section 5 of Proclamation 9984, as amended.

Sec. 5.  Effective Date.  This proclamation is effective at 11:59 p.m. eastern daylight time on March 13, 2020.  This proclamation does not apply to persons aboard a flight scheduled to arrive in the United States that departed prior to 11:59 p.m. eastern daylight time on March 13, 2020.

Sec. 6.  Severability.  It is the policy of the United States to enforce this proclamation to the maximum extent possible to advance the national security, public safety, and foreign policy interests of the United States.  Accordingly:

(a)  if any provision of this proclamation, or the application of any provision to any person or circumstance, is held to be invalid, the remainder of this proclamation and the application of its provisions to any other persons or circumstances shall not be affected thereby; and

(b)  if any provision of this proclamation, or the application of any provision to any person or circumstance, is held to be invalid because of the lack of certain procedural requirements, the relevant executive branch officials shall implement those procedural requirements to conform with existing law and with any applicable court orders.

Sec. 7.  General Provisions.  (a)  Nothing in this proclamation shall be construed to impair or otherwise affect:

(i)   the authority granted by law to an executive department or agency, or the head thereof; or

(ii)  the functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.

(b)  This proclamation shall be implemented consistent with applicable law and subject to the availability of appropriations.

(c)  This proclamation is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.

IN WITNESS WHEREOF, I have hereunto set my hand this eleventh day of March, in the year of our Lord two thousand twenty, and of the Independence of the United States of America the two hundred and forty-fourth.

DONALD J. TRUMP’’

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Sources: White House, wikipedia,  youtube, yahoo,
 , Global News, State of Washington Governor site
catch4all.com, Sandra Englund, March 11th, 2020,
Rev March 12th, 2020,

 

March 9, 2020

Members of the Coronavirus Task Force
Hold a Press Briefing at

The White House

 

Remarks by President Trump, Vice President Pence, and
Members of the White House Coronavirus Task Force in Press Briefing

HEALTHCARE

Issued on: March 9, 2020

James S. Brady Press Briefing Room

 

6:34 P.M. EDTE
THE PRESIDENT:  Thank you very much.  We just attended a very important task force meeting on the virus that everybody is talking about all over the world.  No matter where you go, that’s what’s on people’s minds.  And we are going to take care of, and have been taking care of, the American public and the American economy.

We are going to be asking tomorrow — we’re seeing the Senate.  We’re going to be meeting with House Republicans — Mitch McConnell, everybody — and discussing a possible payroll tax cut or relief, substantial relief — very substantial relief.  That’s a big — that’s a big number.

We’re also going to be talking about hourly wage earners getting help so that they can be in a position where they’re not going to ever miss a paycheck.  We’re going to be working with companies and small companies, large companies — a lot of companies — so that they don’t get penalized for something that’s not their fault.  It’s not their fault, it’s not our country’s fault.

This was something that we were thrown into and we’re going to handle it, and we have been handling it very well.  The big decision was early when we shut down our borders.  We’re the first ones ever to do that.  We’ve never done that in our country before.  Or we’d have a situation that would be a lot more dire.

Also, we’re going to be seeing Small Business Administration and creating loans for small businesses.  We’re also working with the industries, including the airline industry, the cruise ship industry — which, obviously, will be hit.  We’re working with them very, very strongly.  We want them to travel.  We want people to travel to certain locations and not to other locations at this moment.  And hopefully that will straighten out sooner rather than later.  But we’re working with the industries, and in particular those two industries.

We’re also talking to the hotel industry.  And some places, actually, will do well, and some places probably won’t do well at all.  But we’re working also with the hotel industry.

But the main thing is that we’re taking care of the American public, and we will be taking care of the American public.

And I really appreciate the professionals behind me and the professionals actually behind them, in a different room.  We have a tremendous team, and it’s headed up by our great Vice President, Mike Pence.  And I want to thank Mike because he’s been working 24 hours a day, just about.  He has been working very, very hard, very diligently, and very professionally.  And I want to thank him, and I want to thank the team.  And I’ll have Mike say a few words.

Thank you very much.  Thank you.  Mike?  Please.

THE VICE PRESIDENT:  Thank you, Mr. President.  We just completed the day’s meeting of the White House Coronavirus Task Force.  We had the opportunity to brief the President today on a broad range of issues.

And once again, because of the unprecedented action that President Trump took in January — suspending all travel from China; establishing travel advisories for portions of South Korea and Italy; establishing screening of all direct flights, all passengers from all airports from Italy and South Korea — we have — we have bought a considerable amount of time, according to all the health experts, to deal with the coronavirus here in the United States.

In fact, as I stand before you today, the risk of contracting the coronavirus to the American public remains low, and the risk of serious disease among the American public also remains low.

With that being said, the President did deploy not just a whole-of-government approach, but also a whole-of-America approach.  And last week, at the President’s direction, we met with leaders in industries, from nursing homes to airlines, pharmaceutical companies, commercial labs, and it’s had great, great impact.

Pharmaceutical companies are already working, literally around the clock, on the development of therapeutics; that will be medicines that can bring relief to people that contract the coronavirus.  And I know how pleased the President was to learn that the commercial labs in this country, led by companies like LabCorp and Quest, have already brought a test forward and are taking that to market effective today.

This week, at the President’s direction, we’ll be meeting with hospital CEOs, health insurance CEOs, and all — building on top of what the President will be announcing tomorrow with regard to economic relief for working Americans.

We also met today in a conference call with 47 of America’s governors.  We were able to brief them on the latest — the progress that we’ve made.  We were able to confirm with them that testing is now available in all state labs in every state in the country.  Over a million tests have been distributed.  Before the end of this week, another 4 million tests will be distributed.  But as I said before, with the deployment of the commercial labs, we literally — we literally are going to see a dramatic increase in the available — availability of testing, and that’s all a direct result of the President’s leadership.

Today, in a few moments, we will — we will outline community guidance that Dr. Birx and Dr. Fauci will be publishing.  At President’s direction, we’re going to be providing guidance about how to keep your home safe, how to keep your business safe, how to keep safe and healthy at your school.  And we’ll be publishing that information and speaking about that.

A brief word about the Grand Princess: The Grand Princess has docked this afternoon in Oakland, California, at a commercial dock.  Twenty-five children, we were happy to learn through the screening over the last two days — the 25 children on the ship are all healthy.  Of the people that have contracted the coronavirus — 21 in all — they’re being dealt with in proper isolation.

Working with health authorities in California, we hope before the end of today to begin to disembark California residents to Travis Air Force Base in Miramar.  We’ve made arrangements with Canada and the UK to take their passengers back.  They’ll be transported directly to the tarmac, charter flights home.

And tomorrow, the remaining passengers will be transported, again, through very, very carefully controlled environments — buses out to the tarmac and flown to military bases in Georgia and Texas.

All the passengers will be tested, isolated as appropriate, quarantined as appropriate.  And I want to express appreciation to the Governor of California and his administration, the Governor of Georgia, the Governor of Texas, for their strong cooperation with us in resolving the issues around the Grand Princess.

It has been a — it has been a partnership which the President directed us from the very beginning.  And the process that Bob Kadlec will detail, and any questions in a few moments, continues to work and move forward.

The remaining people on the ship — the crew itself will push off from the dock, and they will be quarantined and observed and treated shipboard.  But the President made the priority to get — to get the Americans ashore, and we’re in the process of doing that, as well as returning the foreign nationals.

Let me just say one other point: As the President has spoken today to congressional leadership, one of the things that I informed the President that I’ve been hearing from governors is the concern about hourly wage earners in this country feeling that they had to go to work, even if they were ill.  And the President has tasked this economic team, and is working already with leaders in the Congress, to make sure that anyone is not — feels that they’re at risk of losing their job or losing a paycheck because they may contract the coronavirus.

When we tell people, “If you’re sick, stay home,” the President has tasked the team with developing economic policies that will make it very, very clear that we’re going to stand by those hardworking Americans, stand by those businesses large and small, and make it possible for us, as the President said from the very beginning, to put the health of America first.

We’ll be available to take any questions on any of these topics, but, Mr. President, I didn’t know if you wanted to speak a few more, in closing.

THE PRESIDENT:  Well, I think what we will be doing is having a news conference tomorrow to talk about various things that we’re doing economically — there’ll be very major — including, obviously, the payroll tax cut.

And so we’ll be meeting again tomorrow afternoon.  We’ll be coming back from the Senate, and we have a lot of very important meetings set up.  And we’ll have a press conference sometime after that, and we’ll explain what we’re doing on an economic standpoint and from an economic standpoint.  But they will be very — very dramatic.  And we have a great economy, we have a very strong economy, but this came — this blindsided the world.  And I think we’ve handled it very, very well.  I think they’ve done a great job.  The people behind me have done a great job.

So I will be here tomorrow afternoon to let you know about some of the economic steps we’re taking, which will be major.  Thank you very much.

Q    Mr. President have you been tested?

Q    Have you been tested, sir?

THE VICE PRESIDENT:  Thank you, Mr. President.

Q    Has he been tested?

Q    Has he been tested?

Q    Have you been tested?

THE VICE PRESIDENT:  I have not been tested for the coronavirus.

Q    Has the President?  Has the President been tested?

Q    Sir, he’s been in contact with people who were in proximity to somebody who had the virus.

THE VICE PRESIDENT:  Let me be sure to get you an answer to that.  I honestly don’t know the answer to the question, but we’ll refer that question, and we will get you an answer from the White House physician very quickly.

Let me — let me ask Dr. Fauci and Dr. Birx to come to the podium.  You all, and the American public, will have at their fingertips, very quickly, guidance that this is for every American.

We’re working with communities, like the Seattle area, like portions of California, New York, and Florida, that have what we call “community spread,” a concentration of coronavirus cases.  But we directed our team to come up with helpful recommendations for every American, every American family, every American business and school.

And if Dr. Birx and Dr. Fauci step forward, they can outline that for you.

DR. BIRX:  Great.  Thank you.  Good evening.  We’ve been — it was good getting out last week, meeting with communities.  We know that the real solutions to this is every American has a role in stopping the spread of the virus, and so we wanted to really put out guidance for every American and every community that was practical and common sense, but detailed in a way that everyone would know precisely what to do.

The guidance will be around how to keep workplaces safe, how to keep school safe, how to keep the home safe, and how to keep commercial businesses safe, where people would eat or be present.

The importance about this is we believe that communities are at the center of this.  I came from a field where it was the communities that really solved our issues around HIV prevention.  And so we’re very much speaking to the communities and the American people about what can be done.

All of this information came from a paper that Dr. Fauci provided from the Australians — first, author Dalton.  So you can actually look up the scientific evidence that informed each of these guidelines.  But we will be providing that this evening in great detail so that every mother, father, child, son, daughter, caregiver will know precisely what to do and what to ask for.

THE VICE PRESIDENT:  Dr. Fauci?

DR. FAUCI:  Yeah.  Just to reiterate what Dr. Birx said, it was as simple as that: We have been speaking about the kinds of things that would keep our citizens safe in a variety of environments.

We’ve been speaking about on telephone calls.  We’ve been speaking about at conferences.  The CDC has been talking about this for a long time, as has Dr. Birx and I.  So we thought we would put it together in a neat-form way that would be available to the general public.

What Dr. Birx had mentioned is that, just the other day, I got one of many, many emails where some of my colleagues that I know from Australia actually decided they were going to write a paper on it and make a number of boxes, which was exactly saying what we had been talking about.  So we came up with the idea — it would be very good for clarity, so why don’t we just put it together, edit it a little, and put it in a way that people can look: “What about the home?  What about the school?  What about the workplace?”

These are really simple, low-tech things.  There’s nothing in there that’s complicated.  But it’s just stated in a way that’s clear, that people can understand.

THE VICE PRESIDENT:  I might ask the Surgeon General — is there anything about the guidance you want to reflect on?

SURGEON GENERAL ADAMS:  Well, one thing I want folks to know is that we have been looking at the data from around the world, and we now know more than we ever have about who is at risk.  Who is at risk — and I hope you will help us communicate this to the American people — are people over the age of 60; they’re much more likely to develop complications from the coronavirus and to be hospitalized from the coronavirus.  The average age of death is age 80.

Now, what we also want communities to know is that if you are a child or young adult, you are much more — you’re more likely to die from the flu, if you get it, than you are to die from coronavirus.  So there’s something about being young that is protective.  We want people to be reassured by that.

We want people to know that we are really focusing in on those groups that are at highest risk for complications, and helping them understand how to be safe.  And this new advice that’s going to be coming out tomorrow is designed to keep our community safe, to help keep the most vulnerable safe.  And it’s important to understand that even though young people aren’t at risk for dying from coronavirus, they can potentially spread that to older people in the communities and people with chronic diseases.

So it’s important we all take precautions: washing our hands, covering our cough, keeping our distance from people who are sick, and taking the steps that will be coming out in this new guidance to help make sure we’re doing everything we know possible to keep our most vulnerable protected.

THE VICE PRESIDENT:  Great.  Well done.  Thank you.

And I’m going to — I think the Surgeon General raises a very important point.  You know, my mother is 88 years young.  My stepfather is about the same age.  This is just a really good time — what Dr. Fauci tells us, what the experts tell us is to look after — look after family members, loved ones who are senior citizens, and particularly those who have serious underlying health conditions.  All the data, Dr. Birx confirms to us, that they — they’re the most vulnerable to serious consequences if they contract the coronavirus.

But the guidance that we would — we would ask members of the media and the American public looking on: You can go to Coronavirus.gov.  This information will be posted tonight.  And hopefully it will be useful, helpful, common sense for families, for schools, for businesses, and for commercial establishments that welcome the public in, just to — just to create the kind of practices that we believe will mitigate the spread of the coronavirus across the country as a whole.

But with regard to seniors, I might just ask Seema Verma to step up and speak about — last week, at the President’s direction, we raised the standards for every nursing home in America with regard to infectious disease.  And we are deploying all 8,000 of our inspectors in every state, as we told the governors today, to focus exclusively on infectious disease compliance at our nursing homes.

Our hearts break for the families at the Kirkland nursing home in Seattle.  The loss of life has been grievous.  But we are — we are sending the message out, working with our governors to make sure our nursing homes and long-term care facilities have the additional layer of protection against the spread of the coronavirus.

And maybe you can give us —

ADMINISTRATOR VERMA:  Thank you.  Thank you, Mr. Vice President.

As he said, that’s exactly where our focus is: It’s around infection control.  And we’re working with the entire healthcare industry.  Today, we issued more guidance to nursing homes about really upping their screening of people that are coming into the nursing home and making sure that, you know, they’re gloved and they have masks so that they — so that we can protect people that are in the nursing homes.

The other thing that we’re doing is, because we know that many of our senior citizens are vulnerable, we want to make sure that they know that the Medicare program is behind them and we’re here to support them.  We’re letting our patients know that they can get a coronavirus test and that there is no cost-sharing associated with that for our seniors on the Medicare program.

And we’re also letting them know that, because of the President’s leadership, over a year and a half ago, he took action to actually extend more telehealth benefits to our nation’s seniors.  And this is a very historic change that we made under the President’s leadership.

And so, if they’re sick and they’re ill, they can call their doctor, they can Skype with their doctor, and Medicare will reimburse for those services.  And we’ve also, in our conversations with governors today, we’ve talked about having telehealth services also available in the Medicaid program.

THE VICE PRESIDENT:  Great.  Let me — let me invite Bob Kadlec, who is Deputy Secretary of HHS, to come forward as well to fill us in on the latest on the progress on the Grand Princess —

DR. KADLEC:  Thank you, Mr. Vice President.

THE VICE PRESIDENT:  — that is dockside now and is going through a very careful process of having Americans and foreign nationals come off, and everyone will be tested.

DR. KADLEC:  Thank you very much, sir.  And, yes, we began our medical operation to basically disembark those passengers.  On Saturday, we placed the medical crew on that boat to augment the physicians and nurses that were already on the ship.  We basically ensured that the quarantine on the boat and isolation were being enforced, and then evaluated first the children and those who are ill, identifying anyone who is severely ill, if possible.

When the boat arrived on dockside today, additional medical personnel came on board and began an orderly disembarkation.  Our intent is to basically disembark about half of the passengers on the boat today and the other half tomorrow.  And everyone will be medically screened before they get off.  If there’s any question about their physical or health, they’ll be screened again more additionally.  And then they’ll be transferred to one of the four quarantine sites in the United States: Travis Air Force Base, Miramar Naval Air Station, Lackland Air Force Base, and Dobbins Air Force Base in Georgia.

The foreign passengers will be transferred to — the Canadians will be taken back to Canada, and we’re working with the United Kingdom to return their passengers back to the United Kingdom.

But we’re doing this all in cooperation with the great support of the State of California, the City of Oakland, and with the support of the Department of Defense, Department of Homeland Security, and the U.S. Coast Guard.

Thank you.

THE VICE PRESIDENT:  Okay.  Great.  And on the subject of testing, we had a very good discussion today, as I mentioned, with 47 governors.  And I outlined for them all of the different testing methods that are available.  We have tests now in every state lab in America, but we’re rapidly expanding that.

And let me ask the Secretary of HHS to give us the latest on the availability of testing to the American public and at the states.

SECRETARY AZAR:  Great.  Thank you, Mr. Vice President.  So we continue with our strategic plan at HHS, across all of the components represented by many of the leaders here, which is to diagnose, to treat, to contain, to mitigate, to research, and communicate.  It’s what we do in a healthcare crisis situation.

One element of that is the test, which, of course, CDC developed in record time after getting the genetic sequence posted from China.  That then was available at CDC, and from that point on, there was no individual that a public health official needed to get tested that CDC didn’t have surplus capacity to test.  But we’ve been moving progressively to bring that test closer and closer and closer to the patient and to the bedside, and to make it as easy as possible for us to use testing, very much in line with our peer countries facing similar epidemiological circumstances.

At this point, we — as many of you who were here on Saturday for the briefing know — we have over 1 million tests that have shipped from CDC and to private contractors that are the CDC type of test.  Those are now out.  And as the Vice President mentioned, every state public health lab has validated in operating those tests.  In addition, hundreds of thousands of those tests are in hospitals, in private labs, in commercial labs.  We now have a total of 2.1 million tests that are available, either shipped or waiting to be shipped or waiting to be ordered.

We, by the end of this week, expect to be able to be producing up to 4 million tests per week in the United States.  And that is on top of what the private commercial entities — the companies you know of, like LabCorp or Quest — using their technology, the test that they’re getting out — which is an even better experience for the patient because those were –- they are able to actually collect samples directly in doctors’ offices, have a very sophisticated collection system to their labs, again, making it a very much more seamless patient experience.  They’re now validated and getting up and running.  And that, you’ll see even more of that.

So as I said, over the next week or so, you’re just going to see a progressively better patient and physician and provider experience connected to diagnostic testing here in the United States.  Thank you.

Q    So how many of the tests so far?  Do you have that number?

THE VICE PRESIDENT:  Well, let me — questions in just a moment.

SECRETARY AZAR:  Yeah.

THE VICE PRESIDENT:  We’ll come back.  We’ll come back.

Q    Thank you.

THE VICE PRESIDENT:  With that, I want to — I want to invite the Director of CDC to come forward just to give you an overview of where we are in the country with regard to cases.  And then we’ll take questions on any of the topics.

DR. REDFIELD:  Thank you, Mr. Vice President.  We do continue to see an increased number in cases, again, as we said we would.  As time passes, we currently have over 500 cases now in the United States, outside of the repatriation cases and the cases on the Diamond Princess.  We now have cases in 35 states that have been reported and the District of Columbia.

I want to reiterate what the Vice President said, despite what I just said here, is that, at the present time, the risk to the American public does remain low.  We do have several community outbreaks, which we’re focusing on in the Seattle area; in the Santa Clara, California area; in Westminster, in New York; and in Florida.

And these are areas that we’re investigating heavily to try to understand the transmission mechanisms there and begin to help these jurisdictions begin to operationalize a series of mitigation strategies to help, again, to slow and contain the outbreak.  Thank you.

THE VICE PRESIDENT:  And let me say just before we go to questions: Coronavirus.gov.  For the American public, for healthcare professionals, it is a comprehensive website.  We’re adding to it every day.  And also, Dr. Birx — we’re working very diligently to establish a single website where we — where people can go to track all of the cases and where they’re emerging.

Questions?  Please.

Q    Mr. Vice President, could I ask you and Secretary Mnuchin, if I could, the stock market –-

THE VICE PRESIDENT:  Yeah, please.

Q    — a huge slide today.  And people on Wall Street now talking about the possibility of a recession.  Some people saying it’s better than a 50/50 chance that that will happen.  How worried are you that that will happen?

SECRETARY MNUCHIN:  Well, let me just first say, today was an unprecedented move in the oil market.  So, you know, we saw a overnight reaction of over down 20 percent.  And that’s obviously what had a major component today on the stock market.

But let me just make a couple of comments, more broadly, about the economy.

First of all, we couldn’t be more pleased that coming into the situation with the coronavirus, the U.S. has the most resilient economy in the world.  You saw a very large economic jobs number last month, and we couldn’t be more pleased that the President’s economic programs of tax cuts, regulatory relief, and trade have put the economy in a very good position.

I would also just say that I am in daily conversations with Chair Powell.  We are committed, and we just had a meeting with the President and the economic team.  The President is committed that whatever support we need to provide to the U.S. economy, we will use all our tools, working very closely with the regulators.  The President has the bank CEOs coming in this week.  We’ll be talking to them about what they can do to help small businesses and companies that are impacted.

So let me just again emphasize: Our primary focus is there are parts of the economy that are going to be impacted, especially workers that need to be at home — hardworking people who are at home under quarantine or taking care of their family.  We’ll be working on a program to address that.

We will also be working with small businesses who need liquidity through SBA programs.  We’re looking at alternatives at the IRS.  We have large tax payments coming up of providing certain relief to companies and individuals for liquidity.

So the President is 100 percent committed that we will provide whatever tools we need, that the economy will be in very good shape a year from now.  This is not like the financial crisis where we don’t know the end in sight.  This is about providing proper tools and liquidity to get through the next few months.

Q    (Inaudible) the tax credit you’re looking at, sir?  What are you going to propose tomorrow on Capitol Hill?

THE VICE PRESIDENT:  Yeah, a follow-up.

SECRETARY MNUCHIN:  Well, let me just say there are certain authorities that the President has that we can do on our own, and we’ve already catalogued those tools.  We have a large group — a sub-task force of Treasury and NEC working on this.  We are also working with bipartisan leadership on a whole range of alternatives that we’ll be discussing with them tomorrow.  And, as you know, we had bipartisan agreement on the spending deal.  We will use the same approach to work with the leadership on the House and the Senate on this.

Q    Mr. Vice President, you just said that you have not been tested.

THE VICE PRESIDENT:  No, I haven’t.

Q    You said you don’t know if the President has been tested.  But today we learned that the President has interacted with two lawmakers who have interacted with someone who is positive for coronavirus.  So why not get tested?

THE VICE PRESIDENT:  Well, I just simply don’t know what the White House physician has recommended to the President.  But I promise you we’ll get you that information.

Q    About when do you think you can let us know if the President has been tested?

THE VICE PRESIDENT:  We’ll let you know tonight.  Right away.

Yeah, but look, this is a — obviously, the White House physician is — their directive is to see to the health and wellbeing of the President of the United States, and we’ll get you a very direct answer on that.

Q    Do you think you should be tested?

THE VICE PRESIDENT:  I’ve had no — I’ve had no recommendation that I would be tested.  And — but let me — let me just say to everyone: I really do believe that the guidance that we put out today would be very helpful and very encouraging to Americans.  It was fashioned by Dr. Birx, Dr. Fauci, some of the leading experts in infectious disease in the world.

And for families that are looking on tonight, to go to Coronavirus.gov. You can find information about how you can just make your home safer, your family safer, your school safer, your business safer.  And we recommend that to your attention.

Yes, please.

Q    Mr. Vice President, do you believe, and does the President believe, that what happened in the stock market today and what we’re seeing among American industry — some of which the President named today as being affected and in trouble here — are in any way a result of this White House’s reaction to the coronavirus crisis?  Is this the markets and American businesses saying that you guys are not enough in charge and didn’t think enough ahead?

THE VICE PRESIDENT:  Well, I have to tell you, I’m about a week and a half into being asked to lead the President’s White House Coronavirus Task Force, and the men and women standing behind me, and all the men and women standing behind them, have done a remarkable job responding to this.

The President’s decision to suspend all travel from China — Dr. Fauci, I think, reflected just last night, on national television, about the time that that bought us.  The decisive action in declaring a public health emergency.

I really do believe that the American people can see that this President is putting the health of the American people first.  But make no mistake about it: As we go forward, and particularly as we have more testing available, and we have these communities that have community spread, there will be more cases.

And — but we simply ask — we ask today for the American public to join with us in the commonsense practices that will mitigate the spread of the coronavirus, and also particularly, we’re asking every American to look after our seniors who have serious underlying health issues.  They are clearly the most vulnerable, and that’s where the focus of our energy is today, even as we do everything that we can working with governors at every level, and state and the local public health officials to limit the spread of the virus.

Q    Mr. Vice President, if I could ask a question of Dr. Fauci.

THE VICE PRESIDENT:  Of course.

Q    Thank you, Mr. Vice President.

THE VICE PRESIDENT:  Dr. Fauci.

Q    You’re up, Tony.  (Laughter.)

More and more organizations, charities, are canceling fundraising events, other events.  Is that prudent?  Is that an overreaction?  Do you think the President should continue with campaign rallies?  And do you believe that people, even if they’re healthy, should get onboard a cruise ship?

DR. FAUCI:  Okay, so there’s multiple different questions, John.

So the idea about individual entities — governors, mayors, or whatever — canceling activities that are not coming from a direct recommendation from the federal government, I think that they have the — I don’t “think”; I know they have the authority to do that.  But what they’re probably acting on is what they would consider, for their citizens, an abundance of caution.

Most of the time when that happens, it usually is in an area where there is already documented community spread.  And Dr. Redfield mentioned the four areas right now that are having community spread that’s documented.  But you know there may be — as we know, it’s a rea- — it’s a possibility that there’s community spread going on in areas in which we’re not detecting it yet.  And I think that’s the response of the individuals, be they mayors or governors, who have you, who are doing that.  So I wouldn’t criticize them for that.  They’re using their own individual judgment.  And to me, I think that that would be prudent.

Q    Campaign rallies?

DR. FAUCI:  You know, I can’t comment on campaign rallies.  It really depends.  We are having — as we’ve all said, this is something in motion.  This is an evolving thing.

So, not sure what we’re going to be able to say at the time where you have a campaign rally.  If you’re talking about a campaign rally tomorrow, in a place where there is no community spread, I think the judgment to have it might be a good judgment.  If you want to talk about large gatherings in a place where you have community spread, I think that’s a judgment call.  And if someone decides they want to cancel it, I wouldn’t publicly criticize them.

THE VICE PRESIDENT:  All right.  Let’s move on.  Let’s move on.

Go ahead, sir.

Q    I asked one last one about cruise ships because a lot of people are planning cruises over the spring break.

THE VICE PRESIDENT:  Oh, that’s — yeah.

Q    Would you recommend that anybody, even a healthy person, get onboard a cruise ship?

DR. FAUCI:  Yeah.  Yeah.  Yeah.  I think if you’re a healthy, young person, that there is no reason, if you want to go on a cruise ship, to go on a cruise ship.  Personally, I would never go on a cruise ship because I don’t like cruises — (laughter) — but that’s another story.

But the fact — the fact is that if you have — if you have the conditions that I’ve been speaking about over and over again to this group, namely an individual who has an underlying condition, particularly an elderly person that has an underlying condition, I would recommend strongly that they do not go on a cruise ship.

THE VICE PRESIDENT:  And let me also say, John, I think you raise a good point.  We’re expecting a proposal tomorrow that DHS, the Coast Guard, all of our health officials are currently discussing with the cruise line industry.

I was in Miami on Saturday.  We made it very clear that we needed cruise lines to be safer; to establish and to embrace new protocols; screening onboard, screening off; new medical protocols; shipboard processes for evacuating people that may contract coronavirus or a serious illness.

And I know the President was grateful that our cruise line leadership all stepped up to the table.  They said they’re ready to go to the next level.  And so we’ll — we’ll be reviewing that proposal tomorrow with the objective that apart — apart from the Americans that Dr. Fauci just described, seniors with serious underlying conditions, we’re going to work with the cruise line industry to improve the safety, improve the health environment on cruise lines, in the short term and in the long term.

Yes, please.

Q    Last time President Trump was in this room, he told us that the number of U.S. cases was 15 and would soon go down to zero.  You guys are saying today that the number is going up and it’s more than 500.  What is the discrepancy?  And how was he so wrong on that number?

THE VICE PRESIDENT:  Oh, I — look, I think what the President was referring to is that we will have people that test positive, and then they get better.

President Trump wants the American people to know — and I’m going to ask Dr. Birx to reflect on this for a moment — the vast majority of people who contract the coronavirus will get better.  And the President has just challenged our task force, as the numbers grow — and they will — we’ll continue to test more and more Americans.  We are, as I’m standing here.  That it’s also important to remember that people — the vast majority get better, completely.  Some — some large percentage have mild flu symptoms, some have serious flu symptoms.

But then, of course, for the — for the Americans you heard the Surgeon General referred to, and seniors with underlying serious health conditions Dr. Fauci referred to, we’re committed to lean in and to make sure they have the support they need.

But the President’s focus here is just making sure people understand that, while the numbers grow, there are people that come off the list because they get better.

And, Dr. Birx, did you want to reflect on what we know about the cycle of the coronavirus?

DR. BIRX:  Yeah, thank you.  So we know the coronavirus reacts a lot like the flu in the way it spreads and in the way we prevent it.  And so when we put out the guidelines to the American people, they will reinforce the guidelines, and we hope the number of flu cases go down too, because people will really be situat- — what we call “situational awareness.”

I did want to add one piece to our cautions about people with preexisting conditions.  We also know that there are children with preexisting conditions, and we know that there are individuals that are undergoing chemotherapy for their treatment of cancer.  For those individuals, if they have what we call a “decreased number of white cells” — and they will have that discussions with the doctors — they are given often a sheet of paper that really describes how they need to protect themselves and how their family needs to protect them.

So I want to make sure that we understand: Yes, we’re concerned about the elderly, we’re concerned about others with preexisting condition, but we’re also concerned about anybody who may be in an immuno- — what we call an immunodeficiency state, having less white cells and less able to combat any virus.  We want to protect all of them from the flu, and we want to protect all of them from coronavirus.  And that’s why these guidelines are particularly important.

THE VICE PRESIDENT:  It really is — it really is important, I think — and I want to ask all of the journalists in the room: Do what you can to distribute this information — Coronavirus.gov — because of exactly the reason that Dr. Birx just said so well: that we want to make sure that families have the tools, businesses have the tools, even in areas where we don’t have a significant outbreak of the coronavirus — we want to make sure that the American people have the tools to prevent the spread of the coronavirus, particularly with regard to the most vulnerable.

Q    Yes, Mr. Vice President, earlier, you said you’d tell us how many Americans have already been tested.  And as a follow-up to a question that was asked earlier, are the President’s tweets hurting your efforts at all?  Because he’s accused the Democrats and some of the members of the press of making more of this than he says it is.  He’s made lighter of it than you all have here.

So, has his tweets hurt you?  And you please tell us how many Americans have been tested?

THE VICE PRESIDENT:  I’m happy to do that.  Well, the President’s leadership has made the difference here.  I heard it again today from 47 governors.  Governor Larry Hogan joined me in the Situation Room.  He’s the chairman of the National Governors Association.

I think every American would be inspired if you could see the way, under the President’s leadership and in cooperation with governors in every state and every territory, we literally are working seamlessly on behalf of the health of the American people.

I’m going to invite the Secretary of HHS to come up and speak about how the number of tests that have been done, and where we are — the tests that are available he’s addressed, but in terms of those that have been conducted.

SECRETARY AZAR:  So we’ve told you we’ll tell you what we know and what we don’t know.  Okay?

Q    That’ll work.

SECRETARY AZAR:  So there are different types of tests that get sent out.  The CDC’s tests that CDC is sending out — that’s that 70- — enough to test 75,000 people that was sent out last week — those go to public health labs, about 80 labs in the United States — one in each state, at least.

Those report results back in to the CDC, because they’re part of the public health network.  The larger quantity of tests that shipped — about 900,000 of the tests that shipped by this weekend, and then so many of the remainder of that two-point- — total 2.1 million tests, those go to hospitals, private labs, others for testing.  They don’t currently have to report to us that they’ve conducted a test or what the result of that test is.

The CDC is actively working right now to build that IT connectivity with them so we can gather that information.  So, right now, I could not give you a number of how many Americans have received a test because many will have received a test through hospitals or non-public health labs.

And so, let’s — let’s work — we’re getting the system — the IT system up through CDC.  We want to give you accurate information as we go.

Dr. Redfield, is that fair?

THE VICE PRESIDENT:  Let me, if I may — if I may on one: Thank you all for being here.  We will be back here tomorrow, and we’ll continue to bring the latest information forward to the American people.

Again, let me encourage all of you here, and everyone looking on around the country, to go to Coronavirus.gov.  You get really useful, practical, commonsense recommendations about how to make your home safer, how to make your school safer, how to make your business and any enterprise out there safer.  These are — these are practical recommendations from the best experts in America, and we commend them to your attention.

But let me also just have a word of encouragement to everyone.  I want to say, again: All of our medical experts, apart from the areas where we have community spread and we’re focusing resource, the risk of contracting the coronavirus, for the average American, remains low.  It will remain that way more so if all of us continue to practice commonsense habits in our home, in our businesses, in our schools, and our public institutions.

And so it’s important to remember what President Trump said: “We’re all in this together.”  It’s not just going to be a whole-of-government approach.  It’s a whole-of-America approach.  And, together, we’ll get through the coronavirus.

Again, details on all the latest information: Coronavirus.gov.  Thank you.

END

7:17 P.M. EDT

 

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Sources: White House, wikipedia,  youtube, yahoo,
 MBC News,  CDC, Global News
catch4all.com, Sandra Englund, March 9th, 2020,
Rev March 10th, 2020,

 

 

March 6th, 2020

THE WORLD CONCERN CORONAVIRUS!
COVID-19 BREAKOUT AROUND THE WORD!

STATEMENTS & RELEASES

Bill Announcement

HEALTHCARE

Issued on: March 6, 2020

    On Friday, March 6, 2020, the President signed into law:

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H.R. 6074, the “Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020,” which provides additional fiscal year 2020 emergency supplemental funding for combatting the spread of the coronavirus at the local, State, national, and international levels and to prepare for the impacts that it may have on the Nation.

"It's an unforeseen problem." - Trump signs $8.3B bill after senate passes measure.


Vice President Mike Pence and health officials speak about
response in Washington state.
Governor Jay Inslee appreciates for Federal and State's united
and working together for COVID-19 outbreak.

Global News: Coronavirus outbreak: Vice President Mike Pence and health officials speak about response in Washington state.

US Vice President Mike Pence, Washington state Governor Jay Inslee and officials on the coronavirus task force spoke about the response to the outbreak in Washington state and the measures being taken to contain the virus across the U.S.

Pence discussed the $8 billion emergency funding from Congress to address needed to address this situation and help states like Washington which is on the front line of the outbreak.

Pence says the CDC has prioritized supplying testing kits to Washington and California and hopes a vaccine could be developed in a year and a half.

Eleven people have died as of Wednesday from the virus in the U.S. and many states including Washington and California have declared a state of emergency.

Governor Jay Inslee stated that the Federal, state, and local leaders are united in our efforts to keep Washingtonians safe. He appreciates for Vice President Mike Pence and WA leaders at every level for stepping up to the COVID-19 outbreak.

America is ready for safety and prevent COVID-19 :
CDC and Health Department, Federal and States are
all ready to support for COVID-19.

On March 5–6, 2020, while the ship was near the coast of California, the California National Guard's 129th Rescue Wing dropped off and retrieved coronavirus tests.   As of March 6, 45 people on the ship had been tested, and 21 tested positive, including 19 crew and 2 passengers. Among the other 29, one test was inconclusive and the others tests were negative.  The Grand Princess will be allowed to dock at a non-commercial port in California on March 7 or 8, 2020, and all disembarking passengers will be tested for the coronavirus.

 

Further information: 2019–20 coronavirus outbreak and 2020 coronavirus outbreak on cruise ships § Grand Princess:  In March 2020, it was reported that two passengers of the ship's cruise to Mexico of 11–21 February 2020, had contracted the COVID-19 coronavirus disease and one of them had died. The announcement came as the ship approached San Francisco with 2,500 passengers aboard, some of whom were reporting symptoms consistent with the disease, and the ship was held offshore by authorities for quarantine and testing of some of the passengers and crew. Another Princess-owned Grand-class ship, Diamond Princess, also had experienced an outbreak of the disease in February 2020, and had been quarantined for nearly a month in Yokohama, Japan; at least 696 out of the 3,711 passengers and crew had contracted the virus, and six of them had died. You can see the differences between yesterday and today's development of recoveries and cases and deaths numbers.

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Sources: White House, wikipedia,  youtube, yahoo,
Fox News, Fox News Now, ABC News,  CDC, NC, Global News, KOMO 4
catch4all.com, Sandra Englund, March 6th, 2020,
Rev March 7th, 2020,

March 2nd, 2020

THE WORLD CONCERN CORONAVIRUS!
COVID-19 BREAKOUT AROUND THE WORD!

Coronavirus deaths in Washington rise to 9 as state ups outbreak response.

The number of deaths from the coronavirus reported in the U.S. jumped from six to nine in a matter of hours Tuesday — all in Washington state.

The State Health Department confirmed that eight of the deaths were in King County and that one was in Snohomish County. Washington is the only state where people have died so far.

Full coverage of the coronavirus outbreak

"This is a very fluid, fast-moving situation as we aggressively respond to this outbreak," Dr. Jeff Duchin, health officer for Seattle and King County Public Health, said in a news release.

The pressure on countries to respond forcefully to the spread of the coronavirus grew on Tuesday, with the United States announcing an emergency interest rate cut — signaling concern that business across the globe will slow as the number of cases and deaths increase.

Around 40 people have been reported dead in the last 24 hours due to coronavirusin countries outside of China, more than the 31 new deaths reported in mainland China in the same period. This is the first time since the virus started spreading that deaths in China didn't outnumber those in the rest of the world. In total, at least 3,100 people have died, including nine in Washington state.

Coronavirus outbreak: Washington governor  Jay Inslee
addresses virus outbreak in state  

The Federal Reserve on Tuesday announced the biggest interest-rate cut in over a decade to stave off any disruption to the American economy. And President Donald Trump has asked Congress for $2.5 billion to combat the virus — a figure that could triple.

President Trump and Members of the Coronavirus Task Force Meet with Pharmaceutical Executives

Published on Mar 2, 2020

Soon to be possible vaccine for the novel corona virus depending on evaluate the data.....

 

 

According to ABC news, On March 3rd, President Trump, visited NIH vaccine research center as novel corona virus spreads, President Trump visited NIH as continues to strike an optimistic tone in speaking about the pace of vaccine development. Earlier in the day, president Trump stated that the vaccine developers to “speed it up” – and added “they will.  

According to White House, Remarks by President Trump After Marine One Arrival stated that SECRETARY AZAR:  Well, we just had an incredible visit up at NIH at the National Institute of Allergy and Infectious Disease that Dr. Fauci leads.  And the President got to hear from the actual bench scientists who, within three days — within three days — developed a potential vaccine for the novel corona virus.

DR. FAUCI responded:  To accumulate enough patients, when they get to 400 patients in each trial.  That may take three months.  That may take five months.  I don’t know.

When the trial is over and they evaluate the data, if the drug works, then you’ll be able to apply it.

 

Wikipedia described DA2PPC vaccine

DA2PP is a multivalent vaccine for dogs that protects against the viruses indicated by the alphanumeric characters forming the acronym: D for canine distemper , A2 for canine adenovirus type 2, which offers cross-protection to canine adenovirus type 1 (the more pathogenic of the two strains) (see Canine adenovirus),  the first P for canine parvovirus,  and the second P for parainfluenza. Because infectious canine hepatitis is another name for canine adenovirus type 1, an H is sometimes used instead of A. In DA2PPC, the C indicates canine coronavirus. This is not considered a core vaccination and is therefore often excluded from the abbreviation.

 

This vaccine is usually given to puppies at 6-8 weeks of age, followed by 10-12 weeks of age, and then 14-16 weeks of age. This vaccine is given again at 1 year of age and then annually, or every 3 years depending on local and national laws. Some veterinarians' recommended vaccine schedules may differ from this.

DA2PPC does not include vaccination against Bordetella, but the combination of Bordetella with DA2PPC significantly reduces kennel cough infection through prevention of adenovirus, distemper, and parainfluenza.

DHPP, DAPP, DA2PP, and DAPPC are not the same. The names are often used interchangeably but they are different. Distemper, adenovirus type 1 (thus hepatitis), parainfluenza, and parvovirus are covered by all 4, but only DAPPC covers coronavirus.

 

Symptoms, diagnosis, treatment, and control

See also: DA2PPC vaccine

The incubation period is one to three days.  The disease is highly contagious and is spread through the feces of infected dogs, who usually shed the virus for six to nine days, but sometimes for six months following infection.[6] Symptoms include diarrhea, vomiting, and anorexia. Diagnosis is through detection of virus particles in the feces. Treatment usually only requires medication for diarrhea, but more severely affected dogs may require intravenous fluids for dehydration. Fatalities are rare. The virus is destroyed by most available disinfectants. There is a vaccine available (ATCvet code: QI07AD11 (WHO)), and it is usually given to puppies, who are more susceptible to canine coronavirus, and to dogs that have a high risk of exposure, such as show dogs.

 

ATCvet code QI07

Canine coronavirus (CCoV) is an enveloped, positive-sense, single-strandedRNA virus which is a member of the species Alphacoronavirus 1. It causes a highly contagious intestinal disease worldwide in dogs. The infecting virus enters its host cell by binding to the APN receptor.  It was discovered in 1971 in Germany during an outbreak in sentry dogs. The virus is a member of the genus Alphacoronavirus and subgenus Tegacovirus.

 

National issues of the ATC classification may include additional codes not present in this list, which follows the WHO version.

QI07AD Live viral vaccines

QI07AD11 Canine coronavirus

QI07AD12 Canine coronavirus + canine parvovirus

 

QI07AH Live and inactivated viral vaccines

QI07AH04 Live canine distemper virus + live canine parvovirus + inactivated canine coronavirus

 

QI07AH05 Live canine distemper virus + live canine adenovirus + live canine parvovirus + live canine parainfluenza virus + inactivated feline coronavirus

 

QI07AH06 Live canine parainfluenza virus + inactivated feline coronavirus

 

 

Confirmed cases

As of 3 March 2020, a total of 92,845 cases were confirmed in 80 countries and territories, including 12,694 cases outside of mainland China.

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March 2nd, 2020

THE WORLD CONCERN CORONAVIRUS!
COVID-19 BREAKOUT AROUND THE WORD!

STATEMENTS & RELEASES

Readout from the White House Coronavrius Task Force Meeting

HEALTHCARE

Issued on: March 1, 2020

 

Vice President Mike Pence today convened a regularly scheduled White House Coronavirus Task Force meeting via phone at 4:00 pm EST.

 

U.S. Department of Health and Human Services (HHS) Secretary Alex Azar and Centers for Disease Control (CDC) and Prevention Director Dr. Robert Redfield provided the latest update on the Coronavirus including the actions taken to implement the announcement yesterday from President Donald Trump. Deputy Secretary of State Stephen Biegun discussed the measures taken for screening of outbound passengers from Italy, South Korea, Iran, and China in addition to the assistance provided to State and local communities by the CDC.

 

Dr. Stephen Hahn, Commissioner of Food and Drugs, also announced that—based on the expansive, proactive, and comprehensive outreach to manufacturers—there are no additional drug shortages beyond the one reported last.

_________________________________

 

Confirmed cases

As of 2 March 2020, a total of 89,769edit cases were confirmed in 69 countries and territories, including 9,054 cases outside of mainland China.

 

The 2019–20 coronavirus outbreak was first manifested by a cluster of mysterious pneumonia in Wuhan, the capital of Hubei in Mainland China from where it spread to other provinces in China  Afterwards, many Asian countries started to report cases, with some of the most affected countries being China, South Korea, Japan, and Iran, which has the highest number of deaths of any country outside of Mainland China.

 

February 28th, 2020

THE WORLD CONCERN CORONAVIRUS!
COVID-19 BREAKOUT AROUND THE WORD!

President Trump and Members of the Coronavirus
Task Force Hold a News Conference

 

President Trump had  PRESS BRIEFINGS with Vice President Pence, and Members of the Coronavirus Task Force in Press Conference for HEALTHCARE in February 27, 2020:  President Trump is ready to take care COVID-19 breakouts whatever it takes.

Global news reported that U.S. President Donald Trump declared Wednesday that the U.S. is “very, very ready” for whatever the coronavirus threat brings, and he put his vice president in charge of overseeing the nation’s response.

Trump sought to minimize fears of the virus spreading widely across the U.S. But he said he was ready to spend “whatever’s appropriate,” even if that meant the extra billions of dollars that Democrats have said is necessary to beef up the U.S. response.

“We’re very, very ready for this, for anything,” even if it’s “a breakout of larger proportions,” Trump told a news conference.

As President Trump is ready to take care of  COVID-19, CDC will be reporting to Vice President Pence for COVID-19 status.  Meanwhile, CDC has issued the following travel guidance related to COVID-19:

China — Level 3, Avoid Nonessential Travel — updated February 22;

South Korea — Level 3, Avoid Nonessential Travel — updated February 24;

Japan — Level 2, Practice Enhanced Precautions — updated February 22;

Iran — Level 2, Practice Enhanced Precautions — issued February 23;

Italy — Level 2, Practice Enhanced Precautions — issued February 23;

Hong Kong — Level 1, Practice Usual Precautions — issued February 19.

CDC also recommends that all travelers reconsider cruise ship voyages into or within Asia at this time.

CDC is issuing clinical guidance, including:

An interim Health Alert Network (HAN) Update to inform state and local health departments and healthcare professionals about this outbreak on February 1.

On January 30, CDC published guidance for healthcare professionals on the clinical care of  COVID-19 patients.

On February 3, CDC posted guidance for assessing the potential risk for various exposures to COVID-19 and managing those people appropriately.

On February 27, CDC updated its criteria to guide evaluation of persons under investigation for COVID-19..

 

 

 
 
 

 

BBC reported on Feb 25, 2020 that Fears are growing that the coronavirus outbreak could become a pandemic as new cases are reported around the world. The virus, which emerged in China, has spread to at least 29 countries. The World Health Organization has said the world should do more to prepare for a possible coronavirus pandemic.  on February 28th, BBC reports Coronavirus: Worst-hit countries boost containment efforts.

As of today February 28th, it is spread for 56 countries source: wikipedia.  China is progressing more recoveries and discharged cases, as of February 28th, 2020,  36,187 COVID-19 patients have recovered out of 78,824. However, South Korea  has increased to 2,337 on Febraury 28th from 1,595 on February 27th, 2020.

 

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What to Do If You Are Sick With Coronavirus Disease 2019 (COVID-19))

If you develop a fever1 and symptoms of respiratory illness, such as cough or shortness of breath, within 14 days after travel from China, you should call ahead to a healthcare professional and mention your recent travel or close contact. If you have had close contact2 with someone showing these symptoms who has recently traveled from this area, you should call ahead to a healthcare professional and mention your close contact and their recent travel. Your healthcare professional will work with your state’s public health department and CDC to determine if you need to be tested for COVID-19.

 

Information for Travelers from China Arriving in the United States

Information for household members, intimate partners, and caregivers of a person with COVID-19

 

Steps to help prevent the spread of COVID-19 if you are sick

If you are sick with COVID-19 or suspect you are infected with the virus that causes COVID-19, follow the steps below to help prevent the disease from spreading to people in your home and community.

Stay home except to get medical care

You should restrict activities outside your home, except for getting medical care. Do not go to work, school, or public areas. Avoid using public transportation, ride-sharing, or taxis.

Separate yourself from other people and animals in your home

People: As much as possible, you should stay in a specific room and away from other people in your home. Also, you should use a separate bathroom, if available.

Animals: You should restrict contact with pets and other animals while you are sick with COVID-19, just like you would around other people. Although there have not been reports of pets or other animals becoming sick with COVID-19, it is still recommended that people sick with COVID-19 limit contact with animals until more information is known about the virus. When possible, have another member of your household care for your animals while you are sick. If you are sick with COVID-19, avoid contact with your pet, including petting, snuggling, being kissed or licked, and sharing food. If you must care for your pet or be around animals while you are sick, wash your hands before and after you interact with pets and wear a facemask. See COVID-19 and Animals for more information.

Call ahead before visiting your doctor

If you have a medical appointment, call the healthcare provider and tell them that you have or may have COVID-19. This will help the healthcare provider’s office take steps to keep other people from getting infected or exposed.

Wear a facemask

You should wear a facemask when you are around other people (e.g., sharing a room or vehicle) or pets and before you enter a healthcare provider’s office. If you are not able to wear a facemask (for example, because it causes trouble breathing), then people who live with you should not stay in the same room with you, or they should wear a facemask if they enter your room.

Cover your coughs and sneezes

Cover your mouth and nose with a tissue when you cough or sneeze. Throw used tissues in a lined trash can; immediately wash your hands with soap and water for at least 20 seconds or clean your hands with an alcohol-based hand sanitizer that contains 60 to 95% alcohol, covering all surfaces of your hands and rubbing them together until they feel dry. Soap and water should be used preferentially if hands are visibly dirty.

Clean your hands often

Wash your hands often with soap and water for at least 20 seconds or clean your hands with an alcohol-based hand sanitizer that contains 60 to 95% alcohol, covering all surfaces of your hands and rubbing them together until they feel dry. Soap and water should be used preferentially if hands are visibly dirty. Avoid touching your eyes, nose, and mouth with unwashed hands.

Avoid sharing personal household items

You should not share dishes, drinking glasses, cups, eating utensils, towels, or bedding with other people or pets in your home. After using these items, they should be washed thoroughly with soap and water.

Clean all “high-touch” surfaces everyday

High touch surfaces include counters, tabletops, doorknobs, bathroom fixtures, toilets, phones, keyboards, tablets, and bedside tables. Also, clean any surfaces that may have blood, stool, or body fluids on them. Use a household cleaning spray or wipe, according to the label instructions. Labels contain instructions for safe and effective use of the cleaning product including precautions you should take when applying the product, such as wearing gloves and making sure you have good ventilation during use of the product.

Monitor your symptoms

Seek prompt medical attention if your illness is worsening (e.g., difficulty breathing). Before seeking care, call your healthcare provider and tell them that you have, or are being evaluated for, COVID-19. Put on a facemask before you enter the facility. These steps will help the healthcare provider’s office to keep other people in the office or waiting room from getting infected or exposed. Ask your healthcare provider to call the local or state health department. Persons who are placed under active monitoring or facilitated self-monitoring should follow instructions provided by their local health department or occupational health professionals, as appropriate.

If you have a medical emergency and need to call 911, notify the dispatch personnel that you have, or are being evaluated for COVID-19. If possible, put on a facemask before emergency medical services arrive.

Discontinuing home isolation

Patients with confirmed COVID-19 should remain under home isolation precautions until the risk of secondary transmission to others is thought to be low. The decision to discontinue home isolation precautions should be made on a case-by-case basis, in consultation with healthcare providers and state and local health departments.

 

Sources: White House, wikipedia, wikiHow, youtube, yahoo,

CDC, NC, BBC, Global News
catch4all.com, Sandra Englund, February 27,
Rev February 28th, 2020,

 

 

 

February 21st, 2020

THE WORLD CONCERN CORONAVIRUS !

THE CHINA WORKS HARD TO PROVIDING RESOURCES
TO PREVENTING VIRUSES AND TO RECOVER

 



After 16 days of treatment, a 5-year-old COVID-19 patient has recovered and was discharged from hospital. Since the girl's parents are still in quarantine, members of her community will take care of her until the family is reunited.  Meanwhile, China urges recovered patients to donate plasma as Covid-19 death toll rises above 2,000.  

China’s National Health Committee reported 1,749 new confirmed infections of the novel coronavirus and additional 136 deaths on February 18, 2020, as the global total death toll from Covid-19 reached 2,010. Patients who have recovered from the disease are being asked to donate blood so that plasma can be extracted to treat others who are critically ill.

Meanwhile, the United Nations secretary general has described the outbreak that started in China as a “very dangerous situation”, though not yet out of control.

On February 4th Statements & Releases

President Trump Announced during his union statement  "Protecting Americans’ health also means fighting infectious diseases.  We are coordinating with the Chinese government and working closely together on the coronavirus outbreak in China.  My administration will take all necessary steps to safeguard our citizens from this threat.  
Remarks by President Trump Before Air Force One Departure | Joint Base Andrews, MD

Issued on: February 18, 2020  Joint Base Andrews, Maryland 1:41 P.M. EST

"Mr. President, are you still satisfied with how President Xi is handling the corona virus?"

THE PRESIDENT:  I think President Xi is working very hard.  As you know, I spoke with him recently.  He’s working really hard.  It’s a tough problem.  I think he’s going to do — look, I’ve seen them build hospitals in a short period of time.  I really believe he wants to get that done, and he wants to get it done fast.  Yes, I think he’s doing it very professionally.

 

TRACKING CORONAVIRUS: 14 more Americans are confirmed to be infected. They were part of the evacuation U.S. passengers from the quarantined Diamond Princess cruise ship in Japan. The infected evacuees were kept in isolation on the flights home. Other passengers are now in two-week quarantine at Travis Air Force Base in Fairfield and Lackland Air Force Base in Texas.

 


 

Coronavirus outbreak: U.S. to repatriate cruise ship passengers; Europe records first COVID-19 death

Global News.

 

The 2019–20 coronavirus outbreak is an ongoing outbreak of coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2, which started in December 2019. It was first identified in Wuhan, capital of Hubei province China, after 41 people presented with pneumonia of no clear cause. The virus can spread between people, with the time from exposure to onset of symptoms generally between 2 and 14 days. Symptoms of the disease may include fever, cough, and shortness of breath. Complications may include pneumonia and acute respiratory distress syndrome. There is no vaccine or specific antiviral treatment, with efforts typically to management symptoms and support functioning. Hand washing is recommended to prevent spread of the disease.  Anyone who is suspected of carrying the virus is advised to monitor their health for two weeks, wear a mask, and seek medical advice by calling a doctor rather than directly visiting a clinic.

 

As of 19 February 2020, 77,976 cases have been confirmed around the world from out of 32 countries, including in all provinces of China and more than two dozen other countries.  Of these, 12,056 cases are serious. The actual number of infected cases is thought to be much higher than the officially confirmed number. The disease has killed more than 2,000 people, including six outside mainland China (in the Philippines, Hong Kong, Japan, France, and Taiwan).  This exceeds the 776 who died in the 2003 SARS outbreak,  which was caused by a related virus.

 

The outbreak has been declared a Public Health Emergency of International Concern (PHEIC) by the World Health Organization (WHO). Health authorities have been working to contain the spread of the disease since its discovery.  China has introduced travel restrictions, quarantines, and outdoor restrictions—requiring families to stay at home—affecting over 780 million people. A number of countries have issued warnings against travel to Wuhan, Hubei, or China generally.  Airports and train stations have implemented body temperature checks, health declarations, and information signage in an attempt to identify carriers of the virus.  The epidemic has led to further consequences beyond quarantine measures and its impact on health, including concerns over potential economic instability and cancellation of several events expected to be attended by people travelling from areas with high risk of contagion. Political consequences have included a number of local leaders of the Chinese Communist Party being fired due to their response to the outbreak.  Reports of xenophobia and racism against people of Chinese and East Asian descent have arisen as a result of the outbreak, with fear and hostility occurring in several countries. Misinformation has spread about the coronavirus, primarily online, which the WHO described as an "infodemic".

 

 

Co-authored by Erik Kramer, DO, MPH provides how to prevent coronavirus 
(Source: wikiHow to do anything ) shows How to prevent coronavirus which there are very basic step to follow even for everyday life habit.

Wash your hands with soap and water to minimize your infection risk.

Keep your hands away from your eyes, nose, and mouth.  

Stay away from people who are coughing or sneezing.

Disinfect high-touch surfaces daily using a product that kills viruses.

Try not to worry too much if you're not truly at risk.

 

Updated: February 15, 2020  With recent outbreaks of a new strain of coronavirus (SARS-CoV-2 [1], formerly called 2019-nCoV) reported globally, you may be worried about contracting this illness. Coronavirus is a potentially lifethreatening family of viruses that cause conditions like the common cold, MERS, SARS, and other respiratory conditions. While coronavirus can be serious, taking preventative measures can help you protect your health in public, at home, and while caring for a sick person. If you suspect you have the virus, contact your doctor immediately. You can view more detail via this web.

 

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Sources: White House, wikipedia, wikiHow, youtube, yahoo, CCTV,Fox News, CNN, China News, Chanel 4, AP, Reuters,UN and WHO AND BBC
catch4all.com, Sandra Englund, February 14th, 2020 Rev. February 20th, 2020,

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