outrageous profits not acceptable to the
American people when that vaccine is
developed and must be developed as
quickly as we can working the folks all
over the world obviously it should be
made free to every person in this
country in fact every person in the
world
a further world right now they are
doctors and here for the discussion
about this in a moment their documents
of hospitals that do not have the
necessary testing kits that they need in
order to determine whether or not people
have the corona virus and there are
hospitals all across this country today
even before the corner virus do not have
the necessary I see you later
units that they need and obviously that
is an issue that we must focus on every
hospital in America must have to prop up
a number of icing you units and every
doctor's office in America must have
investigated further I think the federal
government must make certain the doctors
and nurses and all medical personnel
have the knowledge and protective
equipment they need in order to remain
healthy now we want everybody to remain
healthy but about frontline fighters
indestructible doctors and nurses
who is there to protect the American
people so we have got to be working
overtime to make sure that we not if
they nurse every medical professional in
this country has the equipment they need
to protect themselves and the knowledge
the United States government we must do
a better job working with other
governments around the world this is a
global issue affecting countries in
every part of the world
response the first base is just our
country's focus on this has believed in
framed around the global health security
agenda will speak more but that agenda
was born out of the Ebola crisis that
thankfully was largely relegated to West
Africa because of the heroism of our US
Public Health Service and our CDC and
learning from that experience they
decide if you know what we need to make
sure that we have
worldwide 49 different countries where
we can be constantly looking to surveil
for the past several fiscal years in a
row that funding has been put on the
chopping block 80 percent of that
funding taking us from 49 different
countries to ten and it's not that that
funding actually went through thankfully
the the leadership of Congress stopped
that from happening
but you can imagine working in an
institution where every year you're told
you're about to get cut how do you plan
long term what does that do to the work
that you do day to day keeping us safe
rod the second point is that this is the
emergent cottages occurred at a time of
inter national conflict between the
United States and China perform about a
trade war which you have to ask how do
you actually work with another sovereign
nation when you're hearing in the media
all day that these folks are trading
jabs over over trade and so that might
have curtailed our ability to engage in
that in that context then you get to
containment and containment means
painstaking work of identifying
everybody who's been exposed to the
virus and then figuring out what they
may have exposed and either subjecting
them to quarantine or isolation
defending wanted their exposure steps
but here's the problem
in order to be able to do that new well
it takes a whole lot of human health
what happens when you can't rule out a
case among somebody who's been exposed
what happens that as you say three
people were exposed all three people you
have to assume possibly have the virus
which means that you then have to trace
all three of their contacts right which
then gets the deny if they all have free
and
he's going so with limited resources
because public health funding had been
cut over and over and over again you
realize that without the ability to say
that person's definitely not a case
because we didn't have the testing kits
and the capacity to do that what
happened is that that level of folks you
had a contact trace two weeks floated
quite quickly overwhelming our ability
to do this basic work of continuing and
then lastly we're now at the cusp in a
number of communities where we go from
containment we're focusing on every
individual case to mitigation and
control that means large-scale societal
interventions around reducing the amount
of admixture between people such that
you're reducing the viruses spoken to
eat people the challenge with that
though as we all well know what we're
all saying is it's not marketer telling
us is that these can be extremely
challenging versus society and for the
economy because stopping the flow of
people is basically stopping from
Washington State where we are now moved
from the question becomes for us now is
as this moves across the United States
certain communities are going to be able
to contain what does it take for us to
invest in their capacity to do so so
that we can avoid some of the more
troubling or challenging mitigation
measures that we might need to see
you basic public health work and where
has the CDC's funding of a time and more
importantly potentially where a state
and local public health funding that
we've seen in a stagnation is not a
decline since the Great Recession and
what will it mean for us right where
we're in the position as a society where
we've got to be investing in the kind of
mitigation efforts that put a huge
damper on our ability to be in us
usually being new and what the
consequences will look like foreign
working people for small businesses and
entire sectors of the economy we didn't
have to be we should not have been here
had we invested in public health we
totally had me invested in our
international capacity to ascertain and
take on these emerging infectious
diseases in the moments that they emerge
we would not be here
during the unprecedented Ebola outbreak
in West Africa my team and I
collaborated closely with Liberian
Ministry of Health what we observed was
that the initial heavy-handed approach
exacerbated transmission because people
were too fearful to seek diagnosis and
treatment gaining trust was instrumental
to the timely hospitalization of cases
which in turn lead a fundamental role in
curtailing the epidemic
similarly accurate honest communication
that people can trust is essential
during this crisis as senator Sanders
highlighted hope in nineteen is exposing
the systemic frailties and our pandemic
preparedness for the millions of people
who are uninsured or underinsured the
medical bills that could be incurred may
be a very real deterrent from seeking
health care compounding the problem
families living paycheck-to-paycheck
will disproportionately be impacted by
control measures such as school closures
we need to ensure that people have the
means to stay at home if they or their
children feel unwell we also do not have
adequate ventilator and ICU capacity to
handle the likely growth of the pandemic
according to our ideological simulations
it will only be a matter of weeks before
critically ill coded 19 cases exceed the
number of available ICU beds we
evaluated a range of scenarios across
different level
keep parameters despite and here
uncertainties and stochastic factors for
the vast majority of scenarios at the
peak of the epidemic we will need many
more thousands of ICU beds the majority
of infections are very mild of course
that is good in a sentence however the
problem is that mild infections can
still transmit this makes a and that's
pretty much what I see all day
especially at this time of the year so
what does that mean for me my patients
well that means for people without
symptoms they don't want to go to the
doctor and either cohan's that are
comfortable to find out they have a
virus and all they need to do is stay
home and drink more fluids so they have
obstacles and
in my office because of financial
reasons and the people who do make it to
my office currently we have struck such
strict guidelines we can be tested
meaning where you got to have unknown
exposure for us we just discussed people
who have mild illness so right now in
Michigan you can get tested if you have
you know so we are
to pick up like this and then you have
problems with stupid masks at my office
I can type or to the masses that I need
to production by itself
take care my patients and when doctors
and nurses are exposed to my occasions
because we are not texting appropriately
we're not max testing people then what
happens and then we deserve health care
in this country not just
good afternoon everyone
I want to thank senator Sanders for
inviting us to come share our expertise
on the vote of 19 and most importantly
for showing leadership in this health
crisis my name is Debra Berger and I've
been a registered nurse for over 40
years and I'm president of National
Nurses United the largest union and
professional association nurses are on
the front lines of our health care
system and at the same time we're also
scientists to understand well how
infectious diseases spread so we are
uniquely positioned to recommend what we
need to do at the ground level in our
healthcare facilities to contain and as
Union nurses we have the freedom and
protection to speak up on behalf of
ourselves and our patients our goal is
to protect the health of our patients
and the public as well as our nurses and
our colleagues nurses are eager to take
care of patients and make sure that our
communities are safe but we need the
right
equipment supplies communication and
training to do this safely put simply if
we are not protected our patients are at
risk this became clear at UC Davis
Medical Center in Sacramento when one
one one coma patient
resulted in the quarantine of a hundred
and twenty fourth hospital workers
including 36 registered nurses that
means that the burden of taking care of
all other patients in the hospital is
putting a burden on the remaining nurses
and other workers in that system
nurses follow the precautionary
principle in our approach to toted 19
which is another way of saying you know
better safe than sorry
it also means that you always take the
safer route where the higher level of
protection adopt a stronger standard
even when you don't know for certain
that there is something dangerous or not
this is particularly important when
there is very much we simply don't know
about this virus but this is not the
approach of the Trump administration the
federal state and local agencies have
taken a recent survey
conducted by us across the board shows
that a majority of our health facilities
are no where near prepared to handle
this virus safely they don't have the
equipment they don't have the stockpiles
they don't have the isolation rooms they
don't have the procedures and they
aren't communicating with their staff
they instead of relaxing standards and
efforts which some agencies have urged
we need to be stepping it up National
Nurses United has petitioned OSHA and
the CDC and many agencies in California
that at the center of the disease here
in the United States to do just that we
look forward to helping them implement
our regulations and again thank you
senator Sanders to this important event
I'm very
thank you so much senator Sanders so my
name is Gregory Witten and I certainly
do Obama administration for political
programs I'm here today to talk about
how our diplomatic efforts through this
disease and this pandemic and how we can
breathe bridge what we did in the Obama
administration and what senator Sanders
has been talking about for a very long
time
the Trump administration has made us
isolated from a lot of the world and
specifically the trade battle and
everything with China has caused us not
to be able to share and transmit data
about severe diseases like this SARS
MERS this is one of them that having one
of those diseases but this isn't going
to be one of the last diseases that's
going to come before and they're going
to get more more virulent they're going
to get more and more ability to spread
we need to be a part of the global but
also work with not our allies to be able
to transmit data so that we can all be
safer I look forward to day not
answering any questions
now in the city of Detroit somebody
correctly of ammonia in this one city
there are tens of thousands of homes
with people can you believe that in 2020
in the richest country in the world in a
major American city people have no water
because they cannot afford to pay their
water bills now we are told everybody up
here well the doctors will tell you you
know especially this woman wash your
hands right well a little bit hard to
wash your hands and keep clean if you
don't have running water cause you're
too poor to pay an operation to be high
water but I'm glad I want to say this
that in the midst of the crisis I
understand that the city of Detroit
today has stopped the water shops that's
a step though
and I hope every city in America does
the same because people can't be cleaned
up they don't have running water but
that just gives you an example of how
far we are behind the rest of the world
in dealing with basic human needs let me
open the discussion
control biting I think given the fact
that we're not getting good science from
the Trump administration in Washington
right now the latest estimates suggest
that were
my hope is that our public health
infrastructure is strong and that we're
going to start seeing a capacity for
containment in some of the communities
that have not been hard hit or do not
have a case because they've had the time
to and also because we hopefully now
have more testing kids that are needed
to be able to support the containment
efforts that I discussed earlier but the
challenge here right is if we know that
this virus doesn't affect everyone
equally for your folks or folks without
chronic disease the probability of
serious illness is relatively low
probably the ability of deafness even
lower but among folks or seniors or
potentially have chronic illness that
probability is substantially higher and
that's why unfortunately if you look at
the outbreak cluster in Washington State
that's the picture that it's the never
event that you never want but that's the
picture we're have a group of
particularly vulnerable to both a
serious illness after acquiring the
pathogen and to death in one community
space where it may pass and those are
the kinds of patients that are going to
be hit the hardest the consequences as
dr. DeBakey talked about is that this is
really going to suppress our health care
system
early to anticipate with the
so we have a range of scenarios that
we've simulated just mentioned and also
under different assumptions
self-isolation a lot of people will
start immediately left socially I do
expect the transmission rates will be
declining however even said that for
relatively conservative scenario taking
into account that only 5% 5% of cases
will need to be hospitalized to ICU we
have in this country a cluster of
and family practitioners all over this
country we are tasks that we need the
availability we need up the right s
positions to determine who needs to be
tested versus these very strict
stringent criteria that are risk and
those are going to rinse don't watch you
have to wash your hands in between your
fingers so we need the ability to tasks
more people we need masks and again we
need those hospital beds for what I
think
employers which is go and get the dirty
hold your breath I mean
that took care of a colon patient worked
80 hours in one week
thus obscene and then also make sure
that nurses and other health care
workers that get put out quarantine get
paid and that they actually put those
patients those health care workers in
quarantine
there was the nurse that was exposed and
they said she could work because she
wasn't symptomatic the cruise ship gets
better
quarantine than health care workers that
are actually working with the virus then
for the highest protection we
enforcement is mandatory all of those
recommendations are guidelines
actually so they're merely suggestions
which don't care for us and we need more
funding in an emergency spending package
public health systems what this
underscores is our reliance on China so
talking to large group purchasing
organizations with CEOs of healthcare
networks a lot of these supplies come
from China I talked about generic drugs
you talked about the most basic thing
rubber comes from China which is rubber
gloves that all doctors have to use so
as these pandemics start to grow and in
the future we need to be able to start
looking at our infrastructure within the
United States and how we can look at
making these things either here or with
countries that are under free trade
agreements that we agree with that were
not so reliant on another country
because as these pandemic spread borders
start shutting down and that will be
less prepared
sports team
properly
well
[Music]
because
the global economy is really right now
supply trains chains by being threatened
workers I'm not going to work but would
certainly help if the world and the
people of our own country had confidence
that our government was making decisions
based on science and I do not mean to be
disrespectful all the time you know a
president is a pathological liar that's
one thing when you got to deal with that
it's another thing what is he saying
that it's true what is he saying that
it's another life people don't have I
apologize
thank you all very very much
we'll provide an update in a few moments
on these four cases and the seven that
were previously announced over the last
five weeks today I would like to discuss
our broader response to the corona virus
in Illinois in every step that we take
our priority is getting ahead and
staying ahead in our response and doing
so with the safety of our most
vulnerable residents at the core of our
preparedness that is why today in the
next phase of our continued effort to
stay ahead of these changing
circumstances I am formally announcing a
disaster proclamation for Illinois our
version of a state of emergency