ENTITLED "TOUGH LOVE.
MY STORY OF THE THINGS WORTH
FIGHTING FOR".
SUSAN, THANK YOU SO MUCH.
>>> JOINING US NOW, FORMER FDA
COMMISSIONER, DR. SCOTT
GOTTLIEB, GREAT TO HAVE YOU ON.
THERE’S A LOT TO TALK ABOUT
DR. SCOTT GOTTLIEB.
I WANT TO ASK YOU ABOUT THE
COVID CASES NOT ONLY TOPPING 2
MILLION, THAT NUMBER, BUT THE A
ASSESSMENTS THAT WE MIGHT HAVE
UP TO 100,000 DEATHS IN THE NEXT
FEW MONTHS AND INSURGENCES AND
INCREASED HOSPITALIZATIONS.
HOW WOULD YOU ASSESS WHERE WE
STAND WITH THE VIRUS RIGHT NOW?
>> LOOK, WE HAVE CONTINUED
SPREAD.
WE HAVE NOT QUELLED THE EPIDEMIC
AND IT’S CONTINUING TO EXPAND,
BUT IT’S EXPANDING MORE SLOWLY
THAN IT WAS.
THE DOUBLING TIME RIGHT NOW IS
ABOUT EVERY 60 DAYS SO WE’LL
CONTINUE TO HAVE CASES.
I THINK THE OVERALL DEATH RATE
IS GOING TO COME DOWN, EVEN AS
THE CASES CONTINUE BECAUSE WE’RE
LEARNING HOW TO TREAT PEOPLE
MORE EFFECTIVELY SO WE’RE
PRESERVING LIFE MORE
EFFECTIVELY.
IF YOU LOOK AT THE DOUBLING TIME
OF 60 DAYS, BY THE END OF THE
SUMMER WE’LL HAVE AN EPIDEMIC
WHERE 10 TO 15% OF THE
POPULATION HAS BEEN EXPOSED AND
MANY MORE DEATHS FROM COVID-19.
THE STATES THAT RIGHT NOW HAVE
OUTBREAKS UNDER WAY, TEXAS,
ARIZONA, SOUTH CAROLINA, NORTH
CAROLINA, GEORGIA LOOKS HOT
RIGHT NOW, THESE AREN’T STATES
WHERE THEY QUELLED THE EPIDEMIC
AND THIS IS A SECOND WAVE, THEY
NEVER GOT THROUGH THE FIRST
WAVE.
THEY HAD THE SLOW BURN OF
INFECTION AND NOW THEY’RE HAVING
A RESURGENCE.
AND THE SEASONAL EFFECT MAY BE
WORKING IN REVERSE, IT’S 100 IN
PHOENIX RIGHT NOW, 95 IN
HOUSTON, SO PEOPLE ARE DRIVEN IB
INDOORS SO THAT COULD BE
CONTRIBUTING TO THE SPREAD.
>> DOCTOR, WHAT IMPACT ARE WE
LIKELY TO SEE FROM THE MASS
PROTESTS OVER THE PAST SEVERAL
WEEKS?
OBVIOUSLY, AS WILLIE SAID, IT’S
A RIGHTEOUS CAUSE, IT’S A CAUSE
FOR THE RIGHTS OF BLACK MEN AND
WOMEN ACROSS AMERICA.
AT THE SAME TIME, IT IS BLACK
PEOPLE WHO ARE
DISPROPORTIONATELY IMPACTED BY
COVID-19.
WHAT CONCERNS DO YOU HAVE AND DO
YOU BELIEVE THAT THOSE CONCERNS
COULD BE MITIGATED BY THE FACT
THAT THE PROTESTS WERE OUTSIDE,
WE SAW A LOT OF MASKS IN THE
CROWD, AND THERE WAS, AT SOME
POINT, AS WE SAW IN SOME OF
THESE SCENES, NOT HERE
NECESSARILY, SOME SOCIAL
DISTANCING TAKING PLACE.
WHAT ARE YOUR CONCERNS?
WHAT DO YOU THINK THE OVERALL
IMPACT OF THESE PROTESTS MAY BE
ON INFECTIONS AND DEATHS IN
AMERICA?
>> RIGHT.
THE PROTESTERS WERE DRIVEN TO
TAKE THE ACTS THEY DID, BASED ON
THE INJUSTICES PER SEVASIVE IN O
SOCIETY.
PEOPLE TOOK THE PROTESTS
RECOGNIZING THE RISKS.
YOU SAW A LOT OF MASKS IN THE
GROUP.
BUT THERE’S GOING TO BE
INFECTIONS COMING OUT OF THOSE
LARGE GATHERINGS PROBABLY LESS
THAN IF THEY WERE HELD INDOORS
BUT THINKING OF THE PREVALENCE
OF INFECTION, ONE IN 200 PEOPLE,
ROUGHLY HALF OF THEM ARE
ASYMPTOMATIC R
EFFICIENTLY, BUT CAPABLE OF
SPREADING THE INFECTION.
SO YOU CAN DO THE MATH ON HOW
MANY PEOPLE WERE WITHIN THOSE
CROWDS PROBABLY WITH COVID-19 AT
RISK OF SPREADING IT.
SO WE WILL SEE INFECTIONS COMING
OUT OF THOSE MASS GATHERINGS.
HOW MUCH, WE DON’T KNOW.
AND IT’S GOING TO BE HARD TO
FULLY ISOLATE THAT EFFECT
BECAUSE WE’RE SEEING CASES GO UP
ACROSS THE BOARD IN LARGE CITIES.
AND SO IT’S GOING TO BE HARD TO
TEASE OUT THE IMPACT OF THESE
PROTESTS.
>> AND OBVIOUSLY A LOT OF PEOPLE
WERE CONCERNED ABOUT AND
CONFUSED ABOUT WHAT THEY HEARD
FROM THE W.H.O. DOCTOR TALKING
ABOUT THE ASYMPTOMATIC SPREAD OF
THIS VIRUS.
CAN YOU CLARIFY FOR PEOPLE ABOUT
IF THEY SAW THE NEWS FROM THAT
PRESS CONFERENCE, ABOUT HOW
COVID-19 DOES SPREAD
ASYMPTOMATICALLY?
>> WELL, THERE’S CLEAR EVIDENCE
OF ASYMPTOMATIC SPREAD AND
PRESYMPTOMATIC SPREAD.
AND SO YOU HAVE TO DISTINGUISH
THE TWO.
ASYMPTOMATIC SPREAD IS PEOPLE
WHO NEVER DEVELOP SYMPTOMS.
PRESYMPTOMATIC ARE PEOPLE WHO
AREN’T YET SYMPTOMATIC BUT ARE
CAPABLE OF SPREADING IT.
THE STUDIES HAVE SHOWN THAT THE
TIME IN WHICH YOU ARE MOST
CONTAGIOUS ON AVERAGE IS .7 DAYS
BEFORE THE DEVELOP SYMPTOMS.
SO PEOPLE WHO ARE ASYMPTOMATIC
ARE ALSO HIGHLY CONTAGIOUS.
THERE IS PRETTY GOOD EVIDENCE
THAT THERE IS NOW ASYMPTOMATIC
SPREAD.
I THINK THE STATEMENT BY THE
W.H.O. IS PREMATURE AND THEY
WERE BASING IT ON CONTRACT
TRACING THEY WERE SEEN BEING
DONE IN CHINA.
I THINK IT’S GOING TO TAKE
BETTER DATA TO NAIL DOWN WHAT
THE PROPORTION OF ASYMPTOMATIC
SPREAD IS.
BUT WE’VE SEEN CASES OF SPREAD
IN HOMELESS SHELTERS OR SPREAD
ON THOSE AIRCRAFT CARRIERS WHERE
THERE WAS A LOT OF ASYMPTOMATIC
SPREAD TO DRAW THE COMMUNICATION
THAT THERE CERTAINLY IS A
CONTRIBUTION FROM PEOPLE WHO ARE
ASYMPTOMATIC NEVER GOING ON TO
SPREAD THIS VIRUS.
THAT IS WHAT IS SO CONCERNING
AND MAKES IT SO EFFICIENT IN
TERMS OF ITS ABILITY TO SPREAD
IN POPULATIONS.
>> IT’S GOOD TO HAVE YOU ON HERE
THIS MORNING.
AFTER THREE MONTHS OF
STAY-AT-HOME ORDERS, PEOPLE WHO
ARE NATURALLY SOCIAL BEINGS ARE
STARTING TO GO OUT AGAIN.
SOMETIMES RESPONSIBLY, SOMETIMES
NOT RESPONSIBLY, BUT THEY’VE
SAID ENOUGH, IT’S SUMMERTIME,
WE’RE GOING TO GO OUT AND START
EXPERIENCING LIFE AGAIN.
WHAT WOULD YOU SAY TO PEOPLE WHO
FEEL THAT WAY, PEOPLE WHO ARE
GOING BACK OUT INTO THE WORLD
AND RELAXING SOME OF THEIR
PERSONAL RESTRICTIONS THEY HAVE
ON THEMSELVES.
IT DID FEEL LIKE ONCE NEW YORK
CALMED DOWN A BIT FROM THOSE
DAYS OF CRISIS, THE EPICENTER OF
THIS CRISIS, THAT PEOPLE MAYBE
LET THEIR GUARD DOWN A LITTLE
BIT AND SAID THE WORST IS BEHIND
US.
WHAT IS YOUR BROAD VIEW OF WHERE
WE ARE ON THIS?
>> I THINK THIS IS GOING TO BE A
LONG HAUL.
I DON’T THINK WE’RE GOING TO GET
COVID-19 BEHIND US UNTIL WE HAVE
A VACCINE.
WE’RE GOING TO HAVE TO DEAL WITH
ONE MORE CYCLE OF THIS IN THE
FALL AND THE WINTER BEFORE WE
CAN GET TO MASS INOCULATION OF
THE POPULATION. THAT IS IN THE BEST CASE
THAT IS IN THE BEST CASE
SCENARIO WITH RESPECT TO THE
TECHNOLOGY.
UNIVERSAL MASK WEARING IS
EFFECTIVE.
PEOPLE NEED TO BE CONSCIOUS OF
THEIR HYGIENE, THEIR HAND
HYGIENE.
I THINK PEOPLE NEED TO TRY TO
TAKE FEWER TRIPS TO THE STORE,
ALL THE THINGS YOU CAN DO TO
LIMIT SOCIAL INTERACTIONS WHILE
STILL GOING OUT AND ABOUT AND
REENGAGING IN MORE NORMAL
ACTIVITY.
THOSE THINGS CAN REDUCE SPREAD
IF THEY’RE PRACTICED ON A
WIDESPREAD BASIS.
IN MANY RESPECTS, I THINK WE HAD
TO LIFT THE MITIGATION STEPS.
PEOPLE WERE DEMANDING IT.
I DON’T THINK WE COULD HAVE
IMPLEMENTED IT MUCH LONGER.
BUT MANY STATES, WHEN WE DID
THIS, MOST OF THE STATES THAT
DID IT DIDN’T MEET THE CRITERIA THAT WAS LAID OUT FOR WHEN WE
THAT WAS LAID OUT FOR WHEN WE
WOULD LIFT THOSE MITIGATION
STEPS.
PEOPLE SAY THAT THE PUBLIC
HEALTH OFFICIALS AND THE
POLITICAL OFFICIALS MADE THE
DECISION TO TAKE THOSE
POPULATION WIDE MITIGATION
STEPS.
IT WAS THE PEOPLE THAT DMAVENDED
IT.
THE WHITE HOUSE AND POLITICAL
LEADERS DIDN’T SHUT DOWN THE
NBA.
THE NBA DECIDED TO SHUT DOWN THE
NBA WHEN THEY SAW IT WAS
HAPPENING.
SO THE POLICY HAS FOLLOWED WHAT
PEOPLE ARE DEMANDING BASED ON
THEIR FEARS AND DESIRES IN THESE INSTANCES.
>> FORMER FDA COMMISSIONER DR.
SCOTT GOT LINE,TLEIB, THANK YOU
MUCH FOR COMING ON THE SHOW.
>>> COMING UP, WE HAVE MORE
CONCERNS THAT THE PROTESTS COULD
LEAD TO A SHARP SPIKE ON
CORONAVIRUS CASES.
>>> ALSO AHEAD, THE EMOTIONAL
TESTIMONY ON CAPITOL HILL FROM
THE BROTHER OF GEORGE EMPLOYED
URGING POLICE REFORM.
>>> PLUS, PRESIDENT TRUMP COMES
OUT AGAINST AN EFFORT TO DROP
CONFEDERATE NAMES FROM MILITARY