White House task force cites surge in coronavirus cases, urges mask wearing
As infections spike in the South, the White House holds a coronavirus task force briefing for the first time in almost two months.
West. Good morning. We just completed today's meeting of the White House Corona Virus Task Force. And I'm pleased to be joined by many members of the task force with us for this briefing. I want to thank Secretary a Czar, Dr Berks on Dr Fauci. Dr Redfield with C. D. C, as well as our attorney general, the Doctor of Dirar of the U. S. Public Health Service. Dr Hahn and Seema Verma. We'll make a series of presentations to update the American people on the status of the Corona virus pandemic in the country and then be available to take questions. But we very much appreciate it. The attendance of all who are here and all of you who have made time to tune in. As we were reported today, we have now more than 2,500,000 Americans that contract of the Corona virus. And sadly, we've lost more than 126,000 of our countrymen to this disease. And I know I speak for the president and for every American when we express our sympathies and our deepest condolences to all the families who have lost loved ones despite those losses since the end of our 45 days to slow the spread and the beginning of efforts to open up America, thanks to the cooperation of the American people, the efforts of governors and state health officials efforts, I want, probably, say, of the entire federal team. Under the leadership of President Trump, we have made truly remarkable progress in moving our nation forward. We've all seen the encouraging news as we open up America again. More than three million jobs created in the last job report retail sales are rolling. And, of course, the extraordinary progress in New York, New Jersey, Connecticut and New Orleans. Areas that just a matter of of, ah, a month ago were struggling under the weight of this pandemic and and now have arrived at a very, very different place. As we stand here today, all 50 states and territories across this country are are opening up safely and responsibly. But with cases rising particularly over the past week throughout the South, President Trump directed our task force to brief the American people on several topics. First, we want to share with you as Dr Berks will what we're seeing in the rise of new cases that today surmounted 40,000 new cases in a single day. Secondly, we want to speak about what we've done and what we are doing at the federal level to support the state efforts, particularly in the states for received rising cases. But we'll talk today about about how this moment in the Corona virus pandemic is different than what we saw two months ago to better equip the American people to respond. And ultimately we will speak about what every American could do to play their part in, uh in reducing the spread and the impacts of the Corona virus a pandemic for our part. Also, I've spoken to governors in Arizona, in Florida and Texas in the last 12 hours, and Dr Berks and I will be traveling on Sunday to Texas of on Tuesday to Arizona, and I'll be traveling to Florida on on Thursday of next week to get a ground report. And, of course, on on Monday we will conduct what will be our 26th weekly call with the entire White House Corona virus task force on all of the nation's governors. As we as we meet this moment, as I mentioned It's important gathering gathering today. I think that we take, take a step back and think about how far we've come a za country, um with the president have me to lead the White House Corona Virus Task Force, he said. We had one mission and that was to save lives. President Trump's decision to suspend all travel from China in January to stand up the White House Corona Virus Task Force February to declare a national emergency to halt travel from Europe and a men travel from other places around the country all contributed to giving our nation time to stand up a broad based response. The whole of government response that we spoke about so many times A to the podium throughout this pandemic with State Department also coordinated the repatriation of 95,000 Americans. And then came the moment when we brought this chart to the president of the United States on the Council of our very Best scientists. The president was presented with a decision that if we did nothing, no intervention possibility existed at that moment in time that we could lose between 1.5 million and 2.2 1,000,000 Americans. But with intervention and with mitigation calling on the American people to embrace the the mitigation efforts social distancing that we're called upon first in the 15 days to slow the spread that would become 45 days to slow the spread. Our best scientists believe that we could we could reduce the number of American fatalities to a number ranging between 100,000 and 240,000. The president made that decision on, uh, we unveiled the 15 days that became the 45 days to slow the spread and, um, in arguably, as we see where we are today as a nation because of what the American people have done because of the incredible work of our health care workers, because of a partnership with governors in every state, we did just that. We slowed the spread, we flatten the curve. We saved lives. In the midst of that, we exponentially scaled testing capacity. Partnering with private sector commercial laboratories. We've now reached a some 30 million tests across the country, conducting some 500,000 tests a day. In that partnership with governors. Also, the president directed us to make sure that states had what they needed when they needed it. And at this point, please report that the federal government both delivered and facilitated the delivery of billions of supplies of face shields and gowns and gloves and masks, and we continue to be on track. Teoh construct Mawr than 100,000 ventilators in 100 days on end A Zai spoke to governors last night. They confirmed to me again what FEMA's reported. We have no outstanding requests from any state at this time for personal protective equipment or medical supplies. Let me say that again. In the affected areas, particularly the state's down south, that are seeing rising cases, we have no outstanding requests. But I told the governors were ready at a moments notice, to search personnel, to search supplies, to expand capacity and to support their healthcare response. In the midst of all of that, I think it always bears saying that because of the great work of our health care workers and because of American manufacturing, no American who required a ventilator has ever been denied a ventilator in the United States, and I consider that nothing short of a national accomplishment. We also surged hospital capacity in areas of the greatest anticipated need. We send military and National Guard A personnel. And these charts showing the progress that we've made in New York and New Jersey and, uh, New Orleans all demonstrate the the efforts of the people of those states named cooperation with federal government, all the great health care workers to show the progress that we made in areas that were once deeply impacted on we extend our thanks. We extend our thanks to the people of each of those states for the sacrifices that they made during those great and challenging times. But at the close of that 45 days to slow the spread, we unveiled a plan. Teoh safely reopened America again, and now all 50 states and territories are moving forward. And as I said, we're seeing America go back to work and in much of the country where we're seeing jobs expanding and economic activity expanding. But our focus today is very much on on the advent of ah rising Siris of new cases across the American South. Um, and but where our first mission was to save lives once we came out of the 45 days to slow the spread. What our task force has been focused on over the course of the past two months is to partner with states to save lives and safely reopened. In fact, we've We've had some 17 meetings of the White House Corona Virus Task Force in the intervening days since we began the process of opening up America again, and we've been working very closely with states to move that agenda forward. But that's the president's made clear. We we want to open our economy up. We want to move America forward even while we take and continue to take steps necessary to protect lives and the health of the American people. We stand here today because with the with the rising cases among Southern states, President Trump asked us to brief the American people to give details on what we're seeing, what we're doing and how it's different from two months ago. As you may recall, after seeing overall cases dropped from a 30,000 a day average in April toe 25,000 the day of the average in May 1st few weeks of June, I actually saw cases averaging roughly 20,000 new cases a day. We now have seen cases begin to rise precipitously across the south. Um, in fact, 34 states, 30 fours. Let me make sure I've got my numbers exactly right here. As we reported early on, 34 states across the country, though, are experiencing a measure of stability. That is a credit to all of the people of those states. When we speak about a stability we're talking about, not necessarily states where there are no new cases. But these would be states where they're either no new cases and no rising percentage or no combination of those two things. There may be states across the country that are seeing a modest increase in cases, but their percentage of positive races remaining very stable. And but nevertheless, there are 16 states with rising cases and rising percentages, and we'll be focusing on those states today. First thing would share with the American people is that while there is a a pension, um, in the national debate, to use a broad brush and to to paint an entire state one color if there are rising cases in a portion of the state, this is actually a better picture of the data that we literally analyze every single day. Dr. Berks will take a few moments to unpack the specific outbreaks in Texas, Florida, Arizona and California. But the first thing we would convey to the American people is that from this new positive results in the last three days, you can see the concentration of new cases in specific parts of states and, of course, very specifically in parts of countries of parts of the country. Secondly, we want the American people understand. It's almost inarguable that more testing is generating more cases to one extent or another. The volume of new cases coming in is a reflection of ah, of a great success in expanding testing across the country. As I said at the top were testing more than ever before. Some 500,000 of people a day, and perhaps we could go to that testing chart if it's there just to show you the acceleration of testing that's taken place over the course of this pandemic in the United States. It's truly been a remarkable and it's been a public and private partnership from from the very outset one of the things that we're seeing. Among the cases and we hear this in Florida. We hear this in Texas and elsewhere is that roughly half of the new cases are Americans under the age of 35 which, which is, at a certain level, very encouraging. News is, the experts tell us, because, as we know so far in this pandemic that younger Americans are less susceptible to Siri's outcomes of the Corona virus and the fact that we're finding Mawr younger Americans who've contract ID the Corona virus is a good thing. And so we'll we'll speak about the testing. And Admiral Bret Gerard is here on can detail any questions that you might have about testing going forward? Um, thirdly, we'll talk about what these, what these new numbers mean and how we can address them. Dr. Fauci will speak about that in just a moment, particularly in the affected areas and the other area that we spend a great deal time thinking about. Is this hospitalization? Not only do we track new cases every day on a county by county basis, but we also track ah hospitalization, and the map on the left of your screen represents how and health care workers have the resources and support they need again, as in the as in the matter of new cases, uh, that our hearts and our prayers go out onto the families who lost loved ones in the course of the Corona virus pandemic. Man, I know I speak on behalf of of everyone in this country when I extend our sympathies to the more than 126,000 families that have lost loved ones. This president has said many times, one life lost is too many. Um, but nevertheless, we I believe at this point in the course of the pandemic, um, we can still take some comfort in the fact that fatalities are declining all across the country. There literally was a day two months ago this week where we lost 2500 Americans in a single day this week because of the extraordinary work of our health care workers. Because of the availability of new medicines like rendez severe new treatments like steroids, and because of the cooperation of the American people heating the guidance that we gave at the federal level state and local officials gave this week. There were two days we lost less than 300 Americans. And you can see from this chart what has been a precipitous decline from some of the worst moments of this pandemic as it impacted areas of New York and New Jersey and the Northeast. Again, I have a heavy heart any time I recite these numbers, but but the fact that we are making progress reducing the number of Americans that we have lost and are losing, I hope, is an encouragement because as we see new cases rising and we're tracking them very carefully, there may be a tendency among the American people to think that we are. We are back to that place that we were two months ago that were, in a time of of great losses and great hardship on the American people. The reality is we're in a much better place with the With the efforts President Trump mobilized at the federal level with the efforts of this team, this whole of government approach, the efforts of governors across the country are incredible health care workers and the cooperation of the American people. Um, we're in a much stronger place. The truth is, we did slow the spread, we flatten the curve we were able to stand up the resource is and the capacities in our health care system to be able to meet this Corona virus in a way that would put the health of all of our country first. We've also we also cared for the most vulnerable and continue to focus resource is and testing and supplies on the most vulnerable seniors with serious underlying conditions. And I, too, believe with all my heart that we continued to save lives. We created a solid foundation for whatever challenges come either in the days ahead or in the months ahead. And that's a credit. That's a credit, I believe, to our president, to our federal team, to our state partners. Mostly, it's a credit to the American people and our health care workers. And so we stand here today. We believe we've made progress. But as we were reminded as we see cases rising across the South, that we still have work to do and so we say Teoh every American, particularly those in counties and in states that are being impacted by rising cases, that now is the time for everybody to continue to do their part and I think you'll hear from this podium today a particular message to younger Americans, younger Americans across the Sun Belt and the role that you can play and protecting the vulnerable, making sure that while the Corona virus doesn't represent as significant a threat for a serious outcome for two ah, younger American none of us would want to bring the disease back to our parents or grandparents, moms and dads and an elderly friend or a friend who has ah on immunodeficiency cause a serious outcome as well. And so we leave you just with the guidelines for all of the phases. When we put out the guidelines to open up America again, we laid out, uh, at the outset, guidance for responsible reopening and states across the country, as I mentioned, are doing just that. 34 states are reopening safely and responsibly and seeing low and steady cases and not seeing a rise in the percentage of positives. And in the 16 states that are being impacted, particularly those that will focus on here today, we would just encourage every American to follow the guidelines for all the faces. Continue to practice good hygiene, wash your hands, avoid touching your face. Disinfect frequently. Um, people who feel sick should stay home. And when it comes to businesses of social distancing protective equipment, temperature checks, testing in isolation Um, these are the guidelines for all of the faces on their good practices to to implement if you're in a community that's affected or even if you are not because we're all in this together and the progress that we made that you saw illustrated in those charts in places like New York and New Jersey, Connecticut and New Orleans WAAS was a result of the of the American people stepping forward, heating the guidance of a federal, state and local authorities. And we encourage you to continue to do just that. But for those in the areas most affected, we just want to encourage you to listen to and respect the guidance of your state on local authorities. I recognize that this is different than two months ago, both in our ability to respond and in the nature of those that are being infected, and that younger Americans have a particular responsibility to make sure that they're not carrying the Corona virus into settings where they would expose the most vulnerable. And, uh, and lastly, as I prepared to bring Dr Burke said the podium, I just encourage every American to continue to pray. I pray for all the families that have lost loved ones. Pray for our health care. Workers on the front lines just continue to pray by God's grace, every single day. Well, each of us do our part to heal our land. That I'll introduce the coordinator of the White House effort on the Corona virus, Dr. Deborah Birds. Thank you, Mr Vice President. Thank you for a great introduction just to remind everybody where we have come from in the last four months. We have a great deal of understanding now about the differential disease differential infections? No, we believe everybody is susceptible to infection, but we know infection leads to a spectrum of disease, and we have much better details about who is vulnerable and why they're vulnerable. And as the vice president said at one time, we were diagnosing people in the I c U. After they came into the emergency room. And thanks to the millennials who have been heating our guidance, they have been coming forward and getting testing and so, whereas before we told him to stay home. Now we are telling them to be tested, and this is a great change for us because it allows us now to find the asymptomatic and the mild diseases that we couldn't find before. As Dr Redfield talked about yesterday from the serology test, we have, ah, great understanding of what was happening in March and the number of asymptomatic and mild conditions that lead to individuals tohave an a body but never come forward with significant disease. We now know who is at risk for significant disease, and we now know it's particularly the elderly individuals over 80 and individuals with co morbidity ease. And remember those co morbidity stand the entire age group. We do know that we have people in the younger age groups with significant type one diabetes and may also have individuals with significant obesity. We know that those air risk factors and so risk factors go with your co morbidity, not necessarily with your age. And so as we call on individuals to protect one another by passing someone on the street, you don't know what co morbidity is. They have, and this is why we've been focused on trying to protect one another. We also know who's at risk for the highest mortality, and because of that, we've been able to. The clinical care has dramatically improved, and I want to thank and I h who has been working constantly to update the clinical guidelines. So physicians around the United States and frankly around the world who were using those have the most updated information about how toe actually improve disease. Courses of those that are in the hospital, of course, have improved treatment in the hospital that we didn't have in March and April with improved methods of oxygenation, which is really quite important. Improved treatment of acute respiratory distress that's the individuals on the ventilator we know now will respond quite well to steroids and then research that is ongoing on what we call the cute side a kind storm, Not as when often in that later stage, when people are on ventilators, a suit this seriously ill may need steroids and other items, and that's being researched and the work that's being done on clotting research by the N. I. H. We also have new therapeutics that have been used both as a compassionate use, like convalescent plasma on now, rendez severe that we just re allocated and insured. It was available to these states that are facing the increased hospitalization as well as the monthly allocations that we have been sending out. We can go to the first slide, please, and start where the vice president laughed. Left off, Really, this disease is tackled community by community testing at the community level and working with community groups to understand the spread in those communities. And so we've spent the time to really map this epidemic and new positives down to the level of communities to understand where spread is occurring so that we can match our prevention interventions to those areas. Next light, please. As we discussed in its difficulty for you to see on this graphic because the top line is New York and we should remember where we were. And that slope, that early slope that you can see in the case of the New York cases, that rapid acceleration on the same slide you can see California, that is the blue line that is just passing the Orange line. And also on the slide is Texas and green, Florida and orange in Arizona at the bottom. As dramatic as these slopes are there not equivalent to the original acceleration that we saw in New York, that doesn't mean that we aren't absolutely focused on working with the governors in those communities to stop the spread of the virus in those core states. Next light, please. This shows you through the entire country, that we're tracking state by state now. Obviously, this accident is vastly different than the one on the prior slide, because that side included all of the cases in New York City. But you can see on this slide that we've been tracking very closely North Carolina A team's been in with North Carolina, working with the state and local public health authorities to really respond to the changes there, as well as the South Carolina at the bottom. Next light, I'll just go quickly through these so you can see um, Oklahoma's at the bottom of this slide and next slide. You can see on this slide Idaho and Oregon on those air, the ones in the light blue and the dark green where you see an inflection in their slopes. Thes inflection points and understanding when they occur and why they occur are critical for understanding how to prevent the spread next light. Now, what the vice president talked about as we've created an alert system that brings together what we just talked about rising cases with an understanding of test positivity. And so this really this chart, which is difficult for you to see those states on that far side toe have the highest test positive that you can see at the higher level of the graph. Those are the states that we have concerns about because the rising number of cases and the rising test positive. This this explains extent of community spread in states that have increasing cases but falling test positive. It tells us that they're getting into the communities, defined the asymptomatic cases. And so these are the things we put together to understand the full picture. Next slide, please. So this really puts on one slide the states that we have that we've been talking about across the South, where we have our greatest concerns. The two top states with the largest increase in test positive R Texas in Arizona, followed by Florida, Mississippi, South Carolina, Alabama, Georgia, Louisiana, Nevada and Utah. Those last views interviews states are under still 10% but we're tracking them closely as we look at that individually, finally next slide. You can see on this slide we air tracking, and this is when you hear about we have a certain 2% or 3% of the counties under specific alerts, so it doesn't matter the size of the county. We're tracking the increase in the rate of increase in new cases at the county level. We currently have about 100 and 30 counties out of the 3000 and 100 in the United States in that category. Next slide again, we track at the metro level. That shows you the case positivity by the Metro's in the number of tests that have been done Next light. And then this shows you specifically the change over time of test positivity in the largest Metro's, where we have concerns. And this is Austin, Phoenix, Houston, Dallas, San Antonio, Tampa, Orlando, Miami, Riverside, California and Atlanta at the bottom. And so this is how we continue to integrate data on cases data on testing and data on hospitalizations so that we can work with the states for a comprehensive, integrated response. Next slide. I know you. Many of you would be interested in seeing how high the cut test positivity rate became in April and while March and April so that top line is New York City Metro and you can see it reached over 50% on a series of days for almost two weeks. Every 50% of the tests were positive for Cove in 19. Underneath that, you see New Jersey on Minnesota and a whole series of individuals. Detroit is a second, the second large mountain next, like so quickly to show you how we look at this at the state level on and work with the governors in the local health authorities. So this is Florida. We track testing. It's done the number of tests, positives that are in the blue line, the total number of cases seen in the black bar and what we call this syndrome AKC presentations of early respiratory diseases and pneumonias. Next site this. Then we look at the county level to look for changes in the slope of the number of new cases, so you can see that top county that has the largest increase in slope in cases is Miami Miami Dade, followed by Broward and Palm Beach. All the other counties are much lower in their daily case increases. This allows us to focus, Resource is and testing along with the state, into these specific sites. Next life that all comes together to keep to create this graphic so that individuals can understand. And we can understand precisely with the rate of growth is and where the rate of growth is occurring by the shading of the boxes. And I'm gonna quickly take you through Texas cause it's the same story next. Like so this shows you the exact same graphics now shown for Texas, showing a continue rise in the daily tests performed but also a rise in the test positivity. The blue line you can see throughout May after opening their test, positivity continued to decline as they're testing increased. It was in the last two to half weeks that we saw this inflection of rising test positivity along with rising testing. But it was the increase in test positivity that alerted us along with the increased cases that this was becoming an alert. You can see in the red boxes, everything is heat mapped. So at a glance you can tell those two boxes that are in the middle that are red, that the heat map shades say, showing that this has rising cases and rising test positivity next slide. But even in Texas, next slide, please. And this gives you a map of Texas that shows where the cases are and where they're rising the most rapidly. And finally, I'm just gonna go through Arizona very quickly along with California. So next line. Same situation that we're showing here with Arizona. Rising number of tests being performed, but also rising test positivity, rising cases. Next life. Arizona is unique, and they have essentially one county that is primarily represented by the depth of the new cases. And this is in the Phoenix area. Next line, then next life. So this is California, and so you can see California over the last week has had that increase in test positivity. You can see that dramatic increase at the end of that bar in the blue line, along with still increasing test positive testing that has been done, and we just want to thank all of the governors and all of the work at all the laboratories that has allowed us, along with HHS and Brett Gerard, who ensure that the supplies were there to really increase these orange lines. You could see in each of these cases. These orange lines have dramatically gone up over the last four weeks. Next slide. And like New Mexico, the primary infections right now in California at the highest level are in the L A area. But because L. A. Is a large metropolitan area, next lied. You really need this kind of more specific and local graphic to really show that it's also increasing in the Central Valley, and this gives us the ability to focus. Resource is among agricultural workers to improve testing an isolation for those who become positive. So I just wanted to take you through how we've been looking at data, how we consolidate that data and then Monday reported out to the governors. We hope over the next week to be able to really have this data available in real time on the White House website so that everybody across the country conceal where the cases are because in the end we really want to call to the action. When we started talking about what can be done, we said the most important thing that would change the spread. And I'm going to turn that over cause I know Tony's gonna talk about it is really individual behavior and our respect for one another through social distancing, wearing a mask and ensuring that we're protecting the most vulnerable, that maybe in multigenerational households. And I just want to end by thanking again the millennials who have come forward. And I know during the protests we asked a lot of them to go forward to get testing, and we see those testing rates really improving in the under 40 age group that is going to be important to continue to accelerate testing among the under 40 age group because that's the age group most likely tohave a symptomatic spread and be spreading the virus. Unbeknownst to them that I want to really make it clear, no one is intentionally spreading the virus, but they don't know that they're positive they don't have symptoms and need to be tested in orderto have that awareness and so we really want to thank them again for coming forward and really enriching the amount of testing that has been done in the under 40 under 40 year old age group into our older population. You know, if you have co morbidity, ease. You know, if you are over 80 we ask you if in the hot spots in the states that are having expansion in cases, to continue to shelter as much as you can and use your grandchildren to go and do your shop. Thank you very much, Doctor Berkson and thank you, Mr Vice President. So I want to extend just for a couple of minutes some of the comments that were made both by the vice president and by Dr Burke's. And it has to do with the situation that we're we find ourselves facing right now. It's very clear from the maps that you saw that there are certain areas in the country, states, town cities, regions that are doing very well. That'll followed the guidelines and are opening up in a prudent way that's been effective. However, you can see we have facing a serious problem in certain areas. Now, when you look at the map, it's very interesting because you see some dark parts of the map in some light parts of the map. We have a very heterogeneous country. Butthead originate E does not mean that we are not intimately into connected with each other. So what goes on in one area of the country ultimately could have an effect on the other areas of the country. So let's take a look at this problem that we're facing now. This resurgence of cases I don't think there's time enough now all day to try and analyze and figure out the multifaceted elements that went into that. You know, everything from maybe opening a little bit too early on some toe opening at the right time, but not actually following the steps in an orderly fashion to actually trying to follow the steps in an orderly fashion. But the citizen tree did not feel that they wanted to do that for a number of reasons, likely because everyone feels the common feeling of being pent up for such a long period of time. So we're not going to say blame. We're not gonna try and analyze it, But there is something that's very important about it that I like to get a message to the country. In general, when you have an outbreak of an infectious disease, it's a dynamic process that is global. So remember what happened in China affected us. What happened in Europe affected us. What's happening here is affecting others. We can't get away from that. It's interconnected. So therefore, if we are an interconnected society, we've got a look at the fact of what our role is in trying to put an end to this was Everybody wants to end it. Everybody wants to get back to normal and everybody wants the economy to recover. I think we will a pretty common in that that's a given. So what can we do? What I think upon talking to a lot of people and reflecting on it. We have such an unusual situation because of all of the decades that I've been involved in chasing infectious diseases. I've never seen anything that is so protean in its ability to make sick people sick or not. There's no other infectious disease that goes from 40% of the people having no symptoms. To some having mild symptoms to some, having severe some requiring staying at home for weeks, some going to the hospital, some getting intensive care, some getting intubated, some getting ventilated in some dying so that depending on where you are in that spectrum, you have a different attitude to this particular thing. But anyone who gets infected or is at risk of them getting affected to a greater or less degree is part of the dynamic process of the outbreak. And I know because I can understand when I was at a stage in my life when I said, Well, I'm invulnerable, so I'm gonna take a risk. I think what we're missing in this is something that we've never faced before is that a risk for you? Is not just isolated to you, because if you get infected, you're part innocently or inadvertently of propagating the dynamic process of a pandemic, because the chances are that if you get infected that you're going to infect someone else. And although you may feel well and because we know if you look at the numbers that you're probably here later on, the overwhelming majority now of people getting infected or young people likely the people that you see in the clips and in the paper were out in crowds enjoying themselves. Understandably, no blame their understandably. But the thing that you really need to realize that when you do that, you upon of a process. So if you get infected, you will infect someone else who clearly will infect someone else. We know that happens because the reproduction element of the virus is not less than one. So people are infecting other people, and then ultimately you will infect someone who's vulnerable now that maybe somebody's grandmother, grandfather, uncle who's on chemotherapy and who's on radiation or chemotherapy or a child who has leukemia. So there is what I call and again, I just want to bring this out without making it seem that anybody's at fault. You have an individual responsibility to yourself, but you have a societal responsibility because if we want to end this outbreak really ended, and then hopefully, when a vaccine comes and puts the nail in the coffin, we've got to realize that we are part of the process. So when the vice president went back pulling back a couple of months ago, when we showed about the guidelines to safely reopen the country, we've got to make sure we drop back a few yards and think about that that this is part of a process that we can be either part of the solution or part of the problem. So I just want to make a plea with people when they understand the stress that they're under as we try to tackle not only those states, but the light colored part of the country, even though they've done well, they may have gotten hit badly like New York and then came down. Well, they may not have got hit badly at all. They are vulnerable. If we don't extinguish the outbreak sooner or later, even ones that of doing well are gonna be vulnerable to the spread. So we need to take that into account, because we are all in it together. And the only way we're gonna end it is by ending it together. Thank you, sugar. Well, first, thank you all for joining us here at HHS Toe update. The American people, I want to begin by thanking everyone around the country working to defeat this virus. All of the health care providers on the front lines, those working to reopen our economy safely, the American people who have sacrificed so much in this fight and the incredible members of Rhhs team have been working tirelessly to protect the health and well being of all Americans. Before covering today's topic, I want to mention a major milestone for global health yesterday, the end of the second largest Ebola outbreak in history in the Eastern Democratic Republic of the Congo. We congratulate the Congolese government and all of the health care workers and community members involved, some of whom I had the chance to meet and thank in the DRC last fall. Under President Trump, the United States was proud to play a bigger role in this major public health victory than any other single nation. And now, thanks to the president, the vice president's leadership and the hard work of our team, America has never been readier to Combat Cove. In 19 we build up our readiness under the strategy we developed to address surges, save lives and in time defeat the virus. We're in a much stronger position to support states, hospitals and individuals. As they fight back. They're six parts to the strategy, surveillance, testing, containment, healthcare, capacity, therapeutics and vaccines. First, we've been strengthening surveillance so that we can be aware of and respond to surges. That means, for instance, being able to track more cases among younger Americans that we never would have caught earlier in the pandemic. Second, we have the world's greatest testing capabilities, enabling us to confirm the presence of the virus when it crops up, and we're confident that capacity will continue to rise in the coming months. Third states are building the capacity to track and contain outbreaks of the virus. With federal help, many states have substantially expanded their own capabilities, and we're deploying knowledgeable, experienced CDC and HHS public health teams to the area is now seeing increases with a focus on community testing and community based interventions. Fourth, we're helping healthcare system secure sufficient capacity and supplies with dramatic, dramatically expanded American manufacturing of PPE. And the FDA has authorized new technologies to sterilize equipment for reuse. We've spoken with hospitals and states that are building up their own PPE reserves, many of them getting up to 60 or 90 days of supplies through the strategic national stockpile. We have far more visibility into the supply needs across the country, including centralized coordination capabilities that we lacked just a few short months ago visiting healthcare providers around the country. I've seen how they're adapting to bring patients back while taking appropriate precautions. America's hospitals are ready to get back to business while maintaining the readiness for Cove in 19 the fifth and sixth elements of the strategy. Or thanks to the president's operation warp speed, we now have promising therapeutics that are benefiting tens of thousands of American patients and in all likelihood, have already saved thousands of lives. We've identified two very promising pharmaceutical treatments. Rendez severe and decks with dexamethasone. As of today, we've allocated more than 100 20,000 courses of rum, decimated all of the 50 states. We've added decks. Amethysts own a very low cost steroid to our treatment guidelines. And we believe it's reasonable to assume that other cortical steroids, which may be more readily accessible in some places, would have similar immunological effects. Another promising therapeutic convalescent plasma has been used to treat more than 25,000 Americans and nearly 3000 sites across the country. There are no certainties in science, but with more than 140 clinical trials underway in the US, it's a pretty safe bet that more good news on therapeutics is on the way and on the way. Soon, finally, we've announced large investments to support three different manual for vaccine candidates all the way through to manufacturing. These candidates are now in human clinical trials, some with the potential to start delivering safe and effective doses before the end of the year, and will be adding support for several more. Candidates were expanding manufacturing capacity and already making the vials, needles and syringes that we may need. Our capabilities have grown exponentially in the time allowed by the patriotic sacrifices of the American people. We have a much better grasp of the virus is, Dr Burke said. And much were data with which to model it. With that doubt. As you've heard today, we can focus on local trends. We have some very concerning hot spots, and we contract when other hot spots emerge as we expect they may were focused on the states in the counties within those states, just 3% of counties that represent hot spots. It's important for the American people to be aware of this variability and variation across the country. Americans need to understand their local trends because we want to help people make the right decisions for themselves. Making decisions for yourself has to be based on three axes of risk. Is our surgeon general taught us in March? You want to assess where you are, who you are, in whom you live with and what activity you're thinking about doing there. There are gradations of risk within each of these axes. Going to an outdoor restaurant in Montana is a great deal different from a crowded indoor bar in Houston. When you interact with fewer people in an activity, when you interact with them for a shorter period of time, your risk is reduced and individuals come balance these kinds of factors. What I've laid out today is remarkable progress by the president's administration and a particular credit to the team here at HHS. We've got a lot of work ahead of us, but Americans can be confident that we have a rock solid foundation to help us get safely back to work back to school, back to worship and back to health care while we tackle surges of the virus where they occur. Thanks to President Trump's leadership, we've got the capabilities, the knowledge and the strategy to protect Americans lives of their lively hoods at the same time. And every American should feel proud of that. Thank you, Right. Thank you, Mr Vice President. I wanted to add some comments. Once again, I wanted stress and thank all Americans to embrace the importance of social distancing recommendations to slow the spread of Koven. As I've said before, we're not defenseless. These are, in fact, very powerful weapons, and it's our collective responsibility to recommit ourselves, to put them into routine practice again, to stay six feet apart from each other as much as possible. The wear face coverings when we're in public and to practice vigorous hand hygiene and to commit to do so as we've heard today to do our part to protect the vulnerable. I also want to appeal to the millennials and those that are under 40. It's really important that this group really commit themselves to these practices to protect those at risk. And it's not just the elderly that at risk. Many of us may have friends and colleagues that air younger that may not advertise their underlying co morbidity ease. So as the case would be with, say, Type one diabetes for another lying immune deficiency. So again, asking this team, millennials and youngers people in this country to come and commit themselves. I agree with the ambassador. Burkes were very thankful that the group is now coming forward to get tested. But I also want this group toe put individual in practice three importance of our social distancing. The one thing that I wanted to stress, though, is that there are differences in what we're experiencing today than what we all experienced in March and April in May. And one of the things I want us to focus on is not. The case is per se, but the consequences. The impact of those cases. It wasn't long ago, probably within two months ago. It's hard to believe. I don't think many people realize that 27% of all deaths that occurred in the United States actually died of pneumonia. That was a pneumonia could have been influenza could have been Koven 27% 1 in four of all the deaths in the United States just two months ago was caused by pneumonia. I'm happy to say today the destined ammonia in this nation's back to baseline, it's about 7%. It's a big difference. A lot of those pneumonias that were dying were actually covert infected individuals that were the elderly, nursing homes and individuals with co morbidity ease we are seeing. Despite thes increased cases, we have seen a progressive decline in deaths of the last say, two week average deaths in the United States now is around 6 650 And as you heard the vice president, it wasn't long ago that, sadly, we were losing 25 1000 individuals a day. So I think it's critical that we continue to focus on on on that the consequences. And it's part of that why it's important that we continue also to look forward to how we deal with and contain and control the covert infection. But as we also change the consequences of the impact it's had on education in this country or as an economy in business, so again, as I close, I want to just read, re re re emphasize how important, um, for now for individuals to really think seriously, as Tony said about the responsibility to others that we have because this infection. Pathogens really does have the capacity to cause quite serious illness in individuals at higher risk in and brute embrace our nation's recommendations that the vice president put up again that we have for all faces of Rio be in America again. I also want to thank the younger groups were stepping forward and getting tested. Clearly, what we're seeing now is this age group is much more likely to be asymptomatic and again to make that commitment to do their part to protect those of us that whether we're young or old have a co morbidity and would be more vulnerable to serious illness from this fire's. Thank you very much. Thank you, Dr Redfield. Questions. Yes, please. All of the read of crowds, you tell me. Well, the the freedom of speech the right to peaceably assemble is in trying to the Constitution of the United States. Onda, we have an election coming up this fall. Onda President Trump and I believe that taking proper steps as we created screening at recent events and, um and, uh giving people the very best council that we have. We still want to get people to freedom, to participate in the political process, and we respect that. I was, uh, I was pleased to see that now the better part of a week since we were in Oklahoma. I think they're positivity. Rate is actually declined as of today, and that's a great testament to the fact that people are using common sense. They're being responsible. They know and understand what's happening in the community in which they live. And our emphasis today is really to say that, Um, we think it's it's most helpful if if the American people understand that what we're seeing across the South today is really outbreaks there outbreaks that air in specific counties in some cases, their outbreaks that Aaron specific communities onda We've surge CDC personnel, HHS personnel I didn't mention before, But three weeks ago, when we were seeing similar activity in North Carolina and Alabama, we sent personnel into those states, and we've actually seen declining numbers beginning in both of those states. So, um, the important thing is it not? Not one size fits all the overall guidance to every American to practice good hygiene practice the measures that we recommended at home and at work stand, but but our focus today is to make sure that in those areas of the country where we're seeing a significant not only increase in cases but an increase in positivity level, that the American people know just how important it is to listen to what their state and local health officials are directing them to do, Please, like the wearing of Mass has kind of become a political statement, or, I guess, the decision not to wear a mask. Are you concerned about that, Um, and is there a message that you would like to send the people about the importance of wearing masks? Well, we we think that where the first principle is that people ought to listen to their state and local authorities, I have to tell you, President Trump and I couldn't be more grateful for the partnership we forge with governors around the country. I spoke to the governor of Florida of Arizona, Texas, just within the last 12 hours, and I told them that from this podium today, we would remind their citizens toe to heed the guidance in the direction of state and local officials. In some cases, there's a statewide guidance with regard to facial coverings and with regard, Teoh events and gatherings in other cases, their specific a Countywide or citywide directives on. We just believe that what's most important here is that people listen to the leadership in their state leadership in their local community and adhere to that guidance, whether that have to do with facial coverings, whether have to do with the size of gatherings, and we'll continue to reinforce that message, please. Local authorities. What is the correlation between the spiking cases that we're seeing in states like Texas and Florida? And the way those states handled? They're reopening? Was it too much, too soon? And secondly, I wanted to ask Dr Fauci, you said in an interview that quote something is not working, what isn't working? And did you all in your meeting today, come up with a plan to fix whatever isn't working? Well, let me respond first. Then all that Dr Fauci address it as well. And Dr Burke's may as well. Um, I think there will be a temptation for people to look at of the Sun Belt states that have been reopening and putting people back to work, um Onda, and suggests that the reopening has to do with what we're seeing in the last week or so. But frankly, in the case of each of these states, they reopened in some cases almost two months ago. And and they're test cases. Their new cases, that from testing was low and steady. There positivity rate was low. Um, what what we're observing today and I've heard this from Florida. I've heard this from Texas and some other states along the Sun Belt is that we're seeing more and more young people under the age of 35 who are testing positive. In many cases, they have no symptoms, but they're coming forward, Uh, and confirming that they that they have contract ID the Corona virus. We're working with the states that you speak about our plan we've got We've got CDC personnel embedded in every state in the union were surging more CDC personnel as requested to each of these states to help them unpack what the data is suggesting. I know the governor of Texas announced some new measures this morning, which we fully a support. But what we're going to continue to do is give give our state leadership the very best information the very best council that we have and and if there's one message that comes through today, I hope it is. It is saying to younger Americans in these states, and in these counties in particular that they are are a big part of the numbers that we're seeing in new cases. And while there may not be a significant threat of a serious health outcome to them, I know of no young person and I got I got three twentysomethings in my immediate family. Uh, no young person would ever want to inadvertently expose a Mama Dada, grandmother, grandfather or someone who's vulnerable to a serious result, and so alerting them that there's been spread among that age group urging them to take countermeasures and he'd, with their governors and and local officials are directing will be our continued strategy. Dr. Fauci, did you want so what I meant by what is not working and this is not anybody's fault or any institutions fault is that what we're dealing with right now is community spread in the context of a substantial proportion of the people who are getting infected, do not know their infected. They're not symptomatic. They're asymptomatic individuals. The classic paradigm of identification, isolation in contact tracing to actually contain that is very difficult to make that work. Under those circumstances, you superimpose upon that the fact that even with identification, isolation in contact tracing often the dots are not connected. If you get on the phone and talk to people who are in some of these communities, you find that a lot of it is done by phone. And when it's done by phone, maybe half of the people don't even want to talk to one who they think is a government representative. If you live in a community that is mostly brown or black, you're in a different situation that maybe 70% of them don't really want to talk to you. You can identify a contact, but you don't isolate them because you don't have the facility to isolate them. That is what's not working. So what we're going to do and we are doing and you're gonna be hearing about this, you know, flooding the sitch, flooding the area of a community to get a feel for what's out there, particularly among the asymptomatic. So in other words, it's a paradigm shift because We're dealing with young people, people who are going to be a symptomatic and people who are getting infected in a community setting, not an outbreak setting. Will you know who toe identify? Isolating contact trays. That's what I meant. Good ideas, and I just want to finish it. Expand his thought for just a second. About three months ago, we talked about how important it waas tohave community at the center. And I think when you talk about what's going to be different and part of the reason why the president vice president have asked me to go out to Texas, New Mexico and Arizona is to not only meet with the state and local health officials, but to meet with the community groups so that the community groups can help us support community specific messaging. Public health messaging. When you just keep saying the same thing over and over again and the people get tone deaf to it, it's because it's not tailored to their specific circumstances, and they don't see that message resonating in their lives. We've had to do this across the world. I've done this over and over. Gun for HIV, T B and malaria at the center of this has to be the community, and the community will help us identify who needs to be tested. The help us identify which households have the most vulnerability in them and how we can really go into those communities and support that response at a very local and ground level. When we started, this were very much facility based, and we know facilities carry us a long way. But if we want to change the transmission rates in these Metro's in specific communities and Pacific parts of those Metro's, we've gotta what, walk side by side with our community leaders in our community, groups that know how to translate our scientific dogma and information down to a lever level where people will understand it here it and act on it. I know when they hear it and understand it, they will act on it. And so that's how when you ask what's gonna be different, that has already started and it's already going to be different. Just just let me add to that. That's exactly what we did with HIV 30 years ago. We got the community involved in helping us to outreach, and I think That's very important to underscore what Dr Burke said, and that's exactly what's being planned to do to get people who know the community who live in the community, who the community trusts. How about right here? You expect the death rate to go up in the next three or four weeks, just like we're seeing the rate of infection go up now? Well, our hope in our prayers it is not the case. Um, we've seen Aziz you. As you noted, we've seen a precipitous decline in fatalities, and again, I one is too many. Um, we grieve the loss of every American life. But the fact that two months ago we had lost 2500 Americans in a single day and two days this week we lost less than 300 Americans is a testament to our health care workers to all of the medicines that Secretary A's are just described being being available in all 50 states. It's a testament to the efforts of the American people, and we hope is we continue to engage that will continue to see those numbers decline. The other reason we're encouraged is because at this point, when we look at our losses. Um, roughly 2.5% of all of our losses took place in people under the age of 25. I mean, younger Americans, and in each case, or at least 90% of the cases they were people with with pre existing conditions, underlying conditions that contributed to the sad outcome. So as we see that in Florida and in Texas, they've reported to us that half or even more than half of the new cases that are showing up, uh, every day are people under the age of 35 or younger Americans in most cases. A symptomatic, Our hope is, is that that those younger, healthy Americans, like most, have already will continue Teoh go through the Corona virus will recover. But our message today as we've spent so much energy in the last four months protecting the most vulnerable we've deployed testing resource is we've supported state's efforts. States across the country in the last month have answered our call to test all the residents of their nursing homes to set up a plan to test all of the staff on a regular basis. We need to protect the most vulnerable and We want a message going out to younger Americans, particularly those along the sun Belt in these counties where we see new cases on the rise positivity on the rise to know that we we need them to do their part to make sure and protect the most vulnerable so that weaken so that we don't see those losses rise. But it's it's in the hands of the American people, particularly young people in this country right there. Thank you. You sure like you're saying, Do is we say not as we do. You're telling people to listen to local officials. But in Tulsa, you defined local health officials toe have an event that even though you say it didn't result in a spike Dozens of Secret Service agents dozens of campaign staffers are now quarantine after positive tests and then in Arizona, when the hardest hit states, you packed a church with young people who weren't wearing masks. So how can you say that the campaign is not part of the problem that Dr Fauci laid out? Well, I want to remind you again that freedom of speech and the right to peaceably assembles in trying to the Constitution the United States. And even in a health crisis, the American people don't forfeit our constitutional rights and working with state officials. Um, Aziz, we did in Oklahoma and as, uh, Aziz, we did in Arizona were creating settings where people can choose to participate in the political process. And and we'll continue to do that if I think it's. I think it's really important that we recognize how important, how important freedom and personal responsibility, art of this entire equation, and but allowing allowing younger Americans, allowing America younger Americans to understand, particularly in the counties that are most impacted. The unique challenges that we're facing in their age group, we think, is important. But look, it's it's It's so important that we recognize that as we issued guidance to reopen America now two months ago and now is all 50 states air opening up our country again, people are going back to work American everyday life is being restored kind of one step one day at a time. I think it's important that we remind ourselves this is not a choice between the health of the American people and a strong economy. There are profound health implications to the lockdowns through which we just passed. I heard it. I heard a statistic not long ago at a at a task force briefing that in one jurisdiction there'd been a 50% increase in the number of people presenting an emergency rooms having attempted suicide. I mean their profound mental health issues. There are profound economic issues, people needing to be back to work. And, uh and so we're we're ah, our objective here today is just to make sure the American people know in 34 states, the case is air largely stable, and there's no combination of rising cases and rising positivity rates. That's a tribute to the American people, and in the 16 states were focused on today, we simply want we want to equip particularly young people with the knowledge of the part that they can play in stemming the rising tide of new cases. Not because the Corona virus represents a significant threat to them. In most cases, it doesn't if you're younger American, but because we don't know younger American would ever want to spread the Corona virus to someone who would have a serious outcome. Um, but I'm I'm grateful for the time today way. Hope this has been helpful And, uh, we'll be back. More information this time goes on. Thank you. Rallies. Okay. Are these massive?