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  • the drastic locked on sent thousands rushing for trains out of Milan.

  • 16 million people are not quarantined.

  • 1/4 of Italy's population No one can leave or enter hospitals, air being overwhelmed by the virus, said the prime minister.

  • It's an emergency.

  • Milan look deserted Italy, now the worst hit country in the world.

  • 133 new deaths in just one day.

  • 366 now in all, on more than 1400 new infections.

  • 133 deaths in one day.

  • In Italy, That is NBC's Bill Neely.

  • Last night in Italy, the global fight against the Corona virus reached unprecedented levels over the weekend, with Italy's government placing more than 16 million people.

  • Ah quarter of their entire population under lock down, as more than 109,000 cases of the virus has been confirmed across at least 104 countries.

  • Yet here in the U.

  • S, the response has been dramatically slower, but from all accounts, it doesn't have to be.

  • In a recent interview with The New York Times, Dr Bruce Award, a leader of the W H O team that recently visited China, saw firsthand how China rapidly suppressed the Corona virus outbreak that had engulfed Wuhan and was threatening the rest of the country.

  • This past weekend, Chinese officials reported only 99 new cases on Saturday, down from around 2000 per day just weeks earlier.

  • Dr.

  • Aylward notes China's counter attack can be replicated, but it will require speed, money, imagination and political courage for countries that act quickly.

  • Containment is still possible because we don't have a global pandemic.

  • We have outbreaks occurring globally.

  • Morning Joe's chief medical correspondent, Dr Dave Campbell, went to our nation's capital this weekend to investigate the Trump administration's slow response.

  • They're spread of misinformation and what it will take for this deadly virus to be contained here in the U.

  • S.

  • Anybody that needs a test, it's a test week.

  • They're there.

  • They have the test and the test So beautiful.

  • I came to Washington D.

  • C.

  • To check on the status of the Corona virus outbreak response.

  • Local hospital surrounding the White House told me that they still rely on the CDC for their Corona virus testing, and it takes a few days to get the test results back.

  • Can you please help me understand where we're heading, both locally and perhaps internationally.

  • With the Corona virus outbreak.

  • The cases are going down in China.

  • That's a good thing.

  • But they're going up everywhere in the world because if you look at some hospitals, nursing homes, prisons, cruise ships, whenever people are congregated together, it's got this amplification, and I call it a slingshot event.

  • When we started doing it our way with the CDC testing guidelines, we aimed for the stars and we missed, and that's gotten us behind the eight ball.

  • How can we catch up now?

  • We've really made some missteps.

  • There's obviously been a lot of transmission going on silent transmission.

  • We've done almost no testing, no epidemiological research.

  • We catch up by rapidly getting out the test kits.

  • We catch up by funding our public health agencies.

  • We need to fund research and development, but we also need toe plan for the future because our hospitals could easily be overrun.

  • That could be overrun not just with people who have the disease but also the worried well on DSO.

  • Most people won't die of the Corona virus.

  • They'll die of cancer, heart disease, diabetes or even shot unsafe childbirth.

  • because they won't get care.

  • We've got a shortage of ventilators, medical equipment, protection equipment for doctors, and so we have a lot to catch up on.

  • We've recently passed the point, at which case we're now with more cases outside China than inside China on a daily basis, which I think is a pretty critical shift in this in this situation.

  • Lauren Gardner at Johns Hopkins created the Corona tracking map and is finding that the number of cases in China is dropping as the number of cases out of China increases.

  • She thinks this is a critical shift.

  • Your thoughts.

  • I agree.

  • I think that this is a critical shift.

  • This is speaking to the global nature of a disease like this.

  • I think there's a lot of lessons to learn from the Chinese response, and governments around the world right now are starting to respond to this disaster.

  • We don't have enough tests today.

  • Anybody that needs a test, it's a test week.

  • They're there, it is being contained, and do you not think it's being contained?

  • It's not a doctor more, you said.

  • You said it's not being contained.

  • So are you a doctor?

  • A lawyer when you say it's not being contained regarding the containment issue, I will still argue to you that this is contained, but it can't be airtight.

  • Public health hinges on public trust.

  • When public trust is broken and confidence is gone, it's very hard to regain.

  • I think that there's some leaders, including President Trump, who want to paint a rosy picture.

  • But as a result he ends up saying words that are misleading and frankly untrue.

  • And that gets very confusing because you don't want a muddled message to be coming out.

  • You don't want the president to be saying something and his top public health leaders to be sitting something because then who did the American people trust?

  • We're in the middle of a novel outbreak of a new disease, and so it makes sense that there is so much that we don't know.

  • What's so critical is for people to understand what's happening, and we in America, you to practice what we preach because we talk about other countries needing to have transparent, honest communication, not suppressing information, being open with the public, and we need to do that right here, and that needs to come from every level of government.

  • What do you think we should be telling our friends and neighbors and patients?

  • This week?

  • As we get more testing, we're going to find a lot more people who have colonel virus and may not know that they've had it.

  • We're going to find more clusters, Maur cases of community transmission, and it's easy to understand how this will breed fear.

  • And there will be a lot of changes in our daily life disruptions to our everyday life, for example, schools potentially being closed and travel being canceled and and work patterns being changed.

  • And I would say for everyone to be prepared for that, we're coming to you from Scarsdale Middle School, where a faculty member tested positive for the Corona virus.

  • And as a result, every school in the district will be closed for the rest of the week, and Stanford University, starting Monday, will be holding classes online for the next two weeks.

  • When you're on public transportation, find the least dense car or bus available.

  • Amtrak today announcing its canceling nonstop service from New York to Washington.

  • We're going to see in the United States in a few weeks where you're gonna have maybe tens of thousands of people who are quarantined in their own home.

  • How are we going to get them?

  • Food?

  • Medicines?

  • If you know if you're rich or your upper middle class professional, you can telecommute.

  • But what about people who are living paycheck to paycheck?

  • We're coming on the political season now.

  • This is, you know, presidential campaign When we're going to do about political rallies.

  • There are so many things that are gonna change in our life.

  • We're gonna have a Nen enormous social and economic upheaval.

  • We need to have clear messaging from the White House and from the public health agencies to be able to do that.

  • We're not getting that every time we have a crisis, whether it's SARS or influenza H one and one or murders or Ebola were surprised.

  • How about in future we say we don't know what the next Big one is, but it is coming.

  • We don't know when, and we don't know what exact virus it's gonna be, but it will be here.

  • So rather than play catch up, why don't we prepare?

  • We have the best and brightest scientists, health care and public health people in the world who just let them do their job and don't get them and give them this political and social and economic support they need.

  • They'll bring this.

  • They'll bring us through it.

  • You know, you don't make its ZX another part of this.

  • That that actually, we all need to be concerned about all of us with loved ones who not may not be completely healthy.

  • The doctor was talking about the possibility of people who have diabetes, people who have cancer, people have heart heart problems.

  • People who are are having childbirth or may not get the type of care and treatment they need because health care facilities air so overrun.

  • And I'm thinking about in four Rockaways this weekend, one person walks into an emergency room and suddenly 40 healthcare providers have to self quarantine themselves some things radically wrong with that idea.

  • And we're not even thinking ahead about how one person walking in just one person can shut down an entire emergency room.

  • Doctor Dave Campbell joins us now and Dr Dave, we have a 1,000,000 questions for you, and let's start with that one.

  • We'll go.

  • We'll get to the testing and the lack thereof across the country in just a moment.

  • But I just have to ask basic common sense.

  • You heard Dr Gustin.

  • They're talking about people staying away from hospitals, nursing homes and anywhere where there are a lot of people who could be at risk not to have them exposed.

  • So you walk into an E R.

  • And chances are there's gonna be 20 people over the age of 60 and 70 sitting in the yard trying to get care.

  • Why air?

  • They're not Corona virus testing and treatment centers being set up in localities across the country.

  • So you don't have people walking into ers and infecting the health care workers and the at risk people sitting in the your Mika.

  • That is a great question, and the answer is unknown.

  • The public health officials haven't gotten us to the point today Monday where if you walk into an emergency room, you will be segregated from other patients.

  • You know, think about a pediatrician's office.

  • Over the years when the sick kids go in, there's a sick room.

  • When there's ah well room, the other kids go in the war room.

  • We haven't prepared for that on the local level if you go in a local hospital where I am in Palm Beach County, I called this morning to find out you cannot have the test done for Corona virus today, and there's nothing in place to segregate patients that are sick.

  • It's unbelievable.

  • And again, you can't get this test right now, whether it's in Washington, D.

  • C or Palm Beach are in most parts of the United States.

  • And yet Ed Luce on Friday, the president, United States, said, If you want to test, you can get a test that was just a lie and actually a very dangerous like indeed.

  • So when he said that only 1856 Americans had been tested, only 1856 has been a few more since then.

  • I believe 5000 tests with samples have been taken.

  • You're getting 10,000 day in South Korea, you're getting tens of thousands in Italy, you're getting thousands a day in tiny countries like the Netherlands.

  • The fact that the United States is ill prepared for this situation on that the CDC still doesn't have a fully approved, fully distributed to test ready is I think testament toe the negligence that we've seen from the top of this administration from day one.

  • The move along.

  • Nothing to see here.

  • There's been a global test available, approved by the World Health Organization since late January, which came from Germany, which the W.

  • H.

  • O said, This is the global standard.

  • We could have been importing that into the United States instead of attempting to reinvent the wheel.

  • And then, of course, on top of all of this, the CDC and the FDA have been having some bureaucratic infighting.

  • So what is needed is a president who understands the urgency of providing tests rather than claiming those tests already available, which is just a flat out mistress.

  • It's just untrue.

  • It's highly misleading and potentially extremely dangerous to the lives of many, many Americans.

  • So Dr Day, if the president said I wanted once the test can get a test, how close are we to that becoming a reality maker, you can get a test.

  • Perhaps if you go into an emergency room, you cannot get that test in Palm Beach County in the northern part.

  • If you go into one of the hospitals around the White House, two of the three hospitals I talked to will perhaps give you the test and they'll have to send it out to the C.

  • D.

  • C.

  • That was as of over the weekend.

  • So ideally, this week, we will see the test kits spoken off, spread out across the country.

  • Locally, it has not happened today.

  • If you go in the emergency room today, you are most likely going to be told that you cannot be tested on site for the Corona virus.

  • So, Dr Dave, but you're telling us, is that where Donald Trump resides most of the time in in Washington, D.

  • C.

  • That you contacted the three hospitals closest to that White House and even the president in the president's own neighborhood.

  • You can't get that test.

  • And you're telling us this morning that you know, he golfed at Mar a Lago this weekend that in Palm Beach County, where the president spends the rest of his time, there are still no test available, right?

  • But that is correct.

  • Today will be the day where everyone wakes up in the United States across all 50 states and starts to decide and be told what to do next.

  • Physicians Dr Surgeons will have to decide today whether to perform elective surgery this week.

  • People will have to decide if they're going to go to the doctor's office.

  • For routine healthcare.

  • Service is today is the Day Joe where everything changes across the country.

  • All right, Dr Dave Campbell, Thank you so much for being with us.

  • We'll see you tomorrow on Dhe.

  • Keep getting updates.

  • We really appreciate it.

  • Thanks for checking out MSNBC on YouTube and make sure you subscribe to stay up to date on the day's biggest stories, and you can click on any of the videos around us.

  • Tow watch more for Morning Joe and MSNBC Thanks so much for watching.

the drastic locked on sent thousands rushing for trains out of Milan.

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