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  • arranges problem not acceptable to the American people when that vaccine is developed, must be adult.

  • Only is we can work with folks all over the world.

  • Obviously, it should be made free.

  • Every person in this country every first.

  • Right now, there are doctors here for discussion about this moment their doctors and hospitals that do not necessary testing kids 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 virus units off that thing.

  • Obviously, that is Let's focus on every hospital in America.

  • Pop up a number of you, Eunice.

  • Further, the federal government must make certain the doctors and nurses won't medical person have the knowledge and protective equipment they need in order reaping.

  • I want everyone.

  • What about front line fighters in destructive doctors and nurses?

  • Who's there to protect the American people?

  • So we have got working, make sure they're not yours.

  • You're pregnant.

  • They need to protect no united.

  • I was doing a better job.

  • Countries in every block of the world.

  • What It worked.

  • Okay.

  • Why?

  • Okay.

  • No, I work with what?

  • One?

  • Yeah.

  • No response and where wrong and what it would look like if they were right.

  • Uh, the first base is just there is something wrong.

  • Our country's focus on this has really been a friend around local health security.

  • I hope it will be a little bit more.

  • But that agenda was born was largely relative because of the year.

  • Was are health service in our cities and learning from that experience, they decided, You know what?

  • We need to make sure that we have bases worldwide 49 different countries where we can be constantly looking to survey for the past several years in a row.

  • Funding put on the chopping block.

  • 80% of that funding taking us from 49 countries.

  • It's not that funding actually went through, thankfully, the leadership of Congress.

  • But you can imagine working in an institution where every year you're told you're about how do you plan on?

  • What does that do to the work that you do day to day?

  • Keeping us safe up on?

  • The second point is that this emergent confident occurred in time national conflict, the United States and China, formal training, which you have to ask, how do you actually work with another sovereign nation when you're hearing in the medial day that these folks are trading jabs over trade, and so that might have curtail our ability to engage, thank you, then get to contain.

  • And containment means painstaking work of identifying everybody to the virus and then figuring out they may have exposed and either subjecting, warning of isolation, defending their.

  • But here's the problem.

  • In order to be able to do that well, it takes a whole lot of human.

  • What happens when you can't rule out a case on somebody?

  • What happens then?

  • Did you say three people were exposed offering people possibly the virus, which means that you have to trace all three of their contacts right, which then gets to nine if they all have 3 27 and keeps going.

  • So with limited resource is because public health funding and over and over and over again, you realize that you say that person is definitely not the case because we didn't testing kids and possibly do that.

  • What happened that off?

  • Folks, you have contact trace to be exploded.

  • Why quickly overwhelming our ability to do this basic work containing the last thing.

  • We're not at the cost of a number of communities where we go from containment.

  • We're focusing on every individual case to mitigation control.

  • That means large steals around reducing people, such that reducing the viruses.

  • The challenge with that, we all well know pulsating stock market telling is that it can be extremely challenging versus society because was, Oh, and we're at that point now with a number of these outbreaks Pacific Western staying where we are not from t get the question becomes for us now.

  • As this moves across the United States, sort of communities are going to be able.

  • What does it take for us to invest in that capacity?

  • You so so that it can wait more troubling, challenging mitigation measures that we might, and so post it about the dynamics of that.

  • What does it mean to have the resources you need to do and where funding and more importantly, potentially warehouse, state and local?

  • We've seen the stagnation declined since the great, and what will that mean for us?

  • Right where we're in a position, have a society where we've got to be investing kind of mitigation efforts that point a huge damper on our ability to be you.

  • You knew what the consequences like for for small businesses, entire sectors of the economy, we didn't have to be.

  • We should not have be invested in our international capacity on take on these emerging infectious diseases.

  • In the moments that they emerge, we would not be here as a society.

  • Our country has done that work in the past and under this administration, very much for Oh, go to Dr Allison over.

  • Great that and your talent during the is that suitable outbreak in West My team and I collaborated closely with Liberian Ministry What we have the initial heavy handed tree being trust with instrument family Nation of cases, which in turn made a fundamental role in curtailing similarly Vulcan Trust, is essential during this crisis.

  • As Senator Sanders highlighted, Copan, 19 is exposing this dedic frailties and are here with a 1,000,000 over uninsured or under the medical bills could be incurred maybe a very real deterrent from seeking help pounding families.

  • Living paycheck to picture will disproportionately be impacted by school.

  • We need to ensure that I mean to stay.

  • I feel we also do not quit ventilator and I see you capacity to handle.

  • Likely according to our technological simulations, it will only be a matter of weeks before critically ill 19 cases exceeds the number of available we annihilated.

  • A range of scenarios are crossed parameters despite an incurable uncertainties and stochastic factors for the vast majority of scenarios will need many more.

  • Thousands actually currently available.

  • A majority of infections are very much course that is good.

  • In a sense, mild infections can still transmit 90 people who may be vulnerable to fear to severe infection.

  • Since the this makes the outbreak challenge to roll diagnostic testing here go.

  • Dr Julie, you're English oils has to do with this well of this virus.

  • They're pretty big fever, shortness of breath.

  • You know, that's pretty much okay this time of year.

  • Indeed it is.

  • So what does that mean for me?

  • Well, that means for people with they don't want to go to the doctor and neither cold.

  • So to find out they have a virus they need to do is stay home and drink more fluid.

  • So they had obstacles and girls in my office because financially and people do make it to my office currently such strict guy.

  • I mean, where you have to have known exposure people have Right now Michigan only get tested if you have a severe illness.

  • And you're you you know that you have been exposed to I was supposed to know what this is.

  • So So there is a shortage of testing and that's going to work.

  • You're help me, so Yeah.

  • Oh, yeah.

  • We have X amount of tests on the way.

  • You're only testing people obviously have.

  • And so people world why people live with a lot of people cannot afford their insulin because we're now.

  • So you people were vulnerable.

  • Can't even afford to take care of people.

  • These are gonna be the most people.

  • Thank you.

  • It didn't work myself.

  • Take your patient.

  • And when doctors and nurses are exposed to my because of the test Really?

  • We're not mad people.

  • Then what happened?

  • You have no doctors and nurses take care.

  • So anything from this only one mission leave a few years ago.

  • And that's that I think your work way to this country.

  • No way.

  • Maybe forget the health department.

  • Other places making learned anything from this epidemic.

  • I hope our nation they all deserve health care.

  • We all need health care and three point for everyone here in this country.

  • Not just well here.

  • Continuity much, but never burger.

  • The National versus Union Afternoon, everyone.

  • I want to thank Senator Sanders for Come share our most importantly crisis.

  • My name is Deborah Burger.

  • Registered nurse.

  • 40 years.

  • The largest nurses are on the problem of our peers.

  • Yeah, we're all just to understand.

  • Well, how?

  • Right.

  • So we are uniquely recommend what we need to do at the grill, in our health care, right?

  • And as union nurses, we have free.

  • And our our goal is to protect and as well calling nurses are eager to take care of patients.

  • Yeah, make sure that our we're safe, but we need the right staffing I communication and trade to do this safely.

  • Put simply and we are not protect.

  • Are you our risk?

  • This here medical?

  • When what?

  • What?

  • One resulted in 24 hospital workers.

  • 30.

  • That means that burns you're you said yeah, is putting a burden on the remaining nurses and other workers in that system.

  • Nurses fall cost in our approach to midnight.

  • Which are you saying better safe than sorry.

  • It also means that you always take the same route where talk a stronger standard.

  • Even when you don't know for certain the there is injuries.

  • This is particulary Leah Ward when there is very much, we simply don't know.

  • SP Iris, the approach.

  • This is great.

  • Straight late.

  • A recent survey of nurse by us across the board shows that a majority of our health these are no where near prepared.

  • Thio Iris.

  • They quick have stockpiles.

  • They don't have the isolation room, they don't have the procedure.

  • And they aren't communicating with their staff.

  • They No, instead of relapsing efforts, which some age, we need to be national nurses united Oh, and many agencies in California the epicenter of the disease here that we look forward to helping them.

  • You are.

  • Thanks.

  • I understand.

  • I'm very all right.

  • Three.

  • You very Greg.

  • Written before.

  • Do your chemicals power.

  • Thank you so much, Senator Sanders.

  • So my name is Gregory Win and I certainly a lot of administration for seven years as the specials.

  • I'm here.

  • How are diplomatic effort through this disease?

  • How could Reid bridge well administration?

  • What?

  • Senator Sanders has been talking the Trump administration has paid us isolated from a lot of world specifically trained with China.

  • Be able to share in trance severe diseases like this SARS MERS.

  • This is one of them one of those diseases.

  • This isn't gonna be one of the last season's that's gonna come before war.

  • More virulent warn or abilities.

  • You need to be a part of sees community and the ability to work with the show work with our allies, but also worked with not nice to be able to.

  • I looked for today answering any question very much.

  • Oh, before I do so That's awful.

  • What?

  • It's ONIY base now in the city of Detroit.

  • Somebody in this one.

  • There are tens of thousands of homes where people cannot access that they want.

  • I'll show you then the 1 20 in the richest country in the world.

  • In a major American people have the water because I cannot afford to pay one.

  • Now we are told everybody here will not, you know, especially this moment.

  • Well, hard to wash your hands and keep clean.

  • If you don't have money to pull.

  • I want to say this missile crisis.

  • I understand that the city of Detroit today I stopped water shelves.

  • That's a step.

  • So I hope every city in America does, because people can't be cleaned up.

  • But that just gives you with how far we want you the rest of the world in dealing with basic human.

  • Oh, let me open the discussion here.

  • Horrible with a lot of other people.

  • Oh, I think given the fact that we're not getting good science from the Trump administration, like expert knowledge about weird things, things are gonna go in the future where we're gonna be away from them doing smell.

  • Two months, Nobody but Doctor, I want to start with you.

  • So just if you look at that polished wait, look at two numbers.

  • One is all they are are zero on that's the number of cases emerge from anyone.

  • Case And the 2nd 1 How long does it take for?

  • Before one case turns to turn before and you're looking at in time 23 You actually believe the cluster Washington State six.

  • That type of change based on four.

  • So we're looking at a double time double time right now.

  • The latest estimates suggest us that we're cases which, if you just follow by this time next week, we expect 1000.

  • Keep going there.

  • My whole is we're going to start seeing okay.

  • Passage for immunities had time too.

  • And also because we hopefully I needed to do will support it earlier.

  • But the challenge here, right?

  • If we know that this virus doesn't young disease, the probability of serious illnesses or among folks or so years or potentially have Nicholas that substantially Why cluster Washington State Picture that you never meant that you never want.

  • That's the picture where a a serious illness After acquiring the pathogen in one community space where on those kind of spaces marks on the consequences really gonna stress our healthcare system?

  • Where were you?

  • About what it means to ramp up early.

  • First here is fire ventilator capacity.

  • I see you with ideally negative pressure.

  • Is he the other thing?

  • I'll say just in front of that mitigation protocols Our food as we see in Washington state No mandated reduction limitations on trance reduced.

  • Interesting.

  • And that from me.

  • Morning.

  • This is showing I'm tired.

  • Cost That is going to be far worse, Patron, because you work.

  • Waiter, waitress at a restaurant.

  • Folks are going out to restaurants in this context.

  • And so we have to be thinking not just about mitigation to protect people, but also social consequences that will will really hurt people.

  • Because of this system we live under right now, you very much question treatments so way have a raise scenario.

  • You're late.

  • You just mentioned.

  • I know it's a self isolation.

  • A lot of people star mingling last, actually transmission.

  • So I do expect the transmission rays will be declining.

  • However, even said conservatives and our Washington state Yeah, only 5%.

  • 5% of cases to be hospitalized at 5%.

  • It's me intrigue denies you it also taking it states 13 days Wait.

  • Oh, 300.

  • I see.

  • And one our simulations people outbreak which weeks for according to that scenario, the next few months and maybe compare with we have I see about 60% of our to make this spatial distribution of those bets.

  • We need 300.