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They take the test the kids back the time that it takes to take the test is actually faster than we thought doesn't normally happen in government we allotted fifteen minutes per car it's actually running ahead of that schedule we want to replicate that because it's just smart the worst thing is a person walking into an emergency room if you are positive you infect other people if you're negative you may get infected by walking into the emergency room so this is the best way to test someone we said we were going to open one on Long Island after the positive new Rochelle experience we're also going to open one on Staten Island Staten Island does not have an abundance of hospitals Staten Island is a community where people drive and Staten Island I believe is an appropriate location for this I also think that Staten Island feels that they have not gotten the level of attention of health services that they need and I've spoken to Max rose I spoke to senator Andrew Lanza and I believe this is going to make a difference we're also open one in Rockland county on the same fears we're going to a new phase in this entire process we talked about early detection we've talked about testing we talked about containment you see those numbers are going up that means you're moving towards a mitigation phase and you're moving to a phase where you must expect a significant inflow into the hospital healthcare system right now again this is the great courage they talk about plus or minus flatten the curve flattening curve flatten the curve that's what'll you here that's when you hear every day on TV you see this curve we must flatten the curve the concept is right flatten the curve slow the spread so the health care system can handle when they say this I don't think of a curve I think of a way and the way he is going to break in the wave is going to break on the hospital system we're doing everything we can to flatten the Kerr I believe taking more dramatic actions than any state in the United States I believe we've had the most effective response of any state in the United States I don't believe we're going to be able to flatten the courage enough to me the capacity of the healthcare system so in this business when I had planned forward into separate what's coming down the road and get ready for expanding the capacity with the health care system for a state is virtually impossible building a hospital is a very elaborate expensive expensive undertaking again we need the federal government to play its role the federal government has tremendous capacity I was in the federal government I was a cabinet secretary I worked with the military I worked with the army corps of engineers they have tremendous capacity this is what they do this is what they do they build airports they build bridges they build hospitals this is exactly what they do deployed in the army corps of engineers to come work with states to build temporary medical facilities get us back up bids so when the hospital is overwhelmed we can have some of the people who are in the hospital beds go to a backup medical facility it makes all the sense in the world and if you don't do it you know what is going to happen you're going to overwhelm hospitals you only have fifty three thousand hospital beds you only have three thousand I see you back why because our health system is basically a private system they don't build capacity that they don't need they don't build extra I see you beds just in case an intensive care bed is very expensive they don't bill the warning of ICU beds that sit vacant for ten years on the off chance that there's going to be a public health emergency and you'll need the bets they don't it's not economics it's not their business model so we don't have them we have the capacity that people use day in and day out and that's not just new Yorkers every state in the United States you now have this influx you can't handle you overwhelm hospitals you have people on gurneys in hallways that is what is going to happen now if we do nothing that is what is going to happen now if we do nothing and that my friends will be a tragedy we know what lies ahead look at the numbers from China South Korea and Italy you don't have to guess you just have to project the numbers are on a chart our numbers are on a chart just extend the current trajectory just go dot dot dot dot and you'll see the numbers rise and you compare those numbers to our hospital capacity and it's still math at the end of the day and it doesn't work the federal government must do this I assume the federal government doesn't do what the federal government is supposed to do which would not be while the sun shone as it hasn't happened today more than as a full back the states have to do whatever they have to do and the state has to mobilize to create backup medical facilities and that is what we are going to do we're going to organize the National Guard the work with the building unions and work with private developers to find existing facilities that could most easily be adapted to medical facilities meaning one meaning dormitories meaning former nursing homes facilities that have that basic configuration that could be retrofitted even that is not easy because of the construction element and you also have the equipment Alan it is very very hard to get medical equipment now because everybody on the gold is trying to buy the same medical equipment everybody wants to buy a ventilator everybody wants to buy oxygen everybody is trying to buy the same equipment and it's terribly scares that's why I go back again to the capacity of the federal government which operates and maintains a medical emergency stock where they have stocked medical equipment for domestic issues or for wartime right when you go to war and they set up a wartime hospital they have appointments they have a stockpile that's why they uniquely suited to do this but in any event we're going to do the best we can I need first and foremost to find available facilities that can be converted and I'm asking local governments especially in the most dense area to immediately identify a number of beds in facilities that are available frankly I hope this surplus and because we don't have this is very expensive and I don't want to pay money for acquisition of property and real estate but we need the communities that are most effective to begin finding available beds New York City we estimate conservatively we at this point should identify thousand five thousand additional beds NASA one thousand additional beds Suffolk one thousand additional beds Westchester two thousand additional beds why more for Westchester Westchester has the new Rochelle cluster which as you know has a significant number of people who tested positive we will do everything we can by we need federal assets and we need federal assistance I am very proud of the state government and what it can do and we have done things that no state government has done before we build bridges we build airports we responded to emergencies but know what you can't do we don't have the billions of dollars that you would need to implement them a media emergency hospital construction program this state can't do it no state can do it to increase hospital capacity of the existing hospitals in the meantime the which is going to be suspending its regulations to allow existing hospitals to increase their space and capacity D. O. H. as regulations about how many beds per room how much space between beds at cetera how wide the whole way has to be those are going to be suspended so hospitals can actually use their physical space with more efficiency we're leaving it up to the hospitals for their discretion and prudence in making these decisions but we do have to get very aggressive about them better using their existing space I want the private hospitals to be on notice that we may soon be canceling elective surgery we are not doing it now elective surgery is between twenty five and thirty five percent of the beds some of the elective surgery is critical some is not critical the non critical elective surgery may be canceled on a mandatory basis I'm asking them now as a precaution to start the plan to cancel elective surgery that is not necessary we will need that capacity in the hospitals when those numbers P. Michael Dowling who was the former health commissioner for the state of New York phenomenal fellow he worked with my father and was in my father's administration was health commissioners deputy secretary he's just a joule of human being and he's one of the best health care professionals in the United States of America he runs north well now which is a magnificent organization but Michael and Ken Raskin raspy runs greater New York hospital association they coordinate all the hospitals I asked them to convene all the hospitals and now start developing the maximum surge capacity so far hospitals capacity is five hundred okay what if we bring in more beds how many more beds can you hold what if we brought in more staff at cetera we also have a number of efforts going on on finding more staff more doctors etcetera not just for the surge capacity but also for the additional facilities we may open these are the new number of tests were up to seven thousand tests so too dramatic increase sixteen hundred new tests what happens when the testing capacity increases the number of positives increase by definition so the number of new cases going up two hundred twenty one to nine hundred and fifty cases and you can see New York City is increasing Westchester's still disproportionate to the population of Westchester that still represents the new Rochelle cluster Nassau one hundred nine suffix sixty three Rockland sixteen Albany twelve aren't eleven doctors ten mon row nine Ulster seven number of new cases New York City and Westchester some in now so some in Suffolk but you'll see the cases rise in the most dense areas because that's where people are transferring the virus among themselves Jody's with new cases today Allegheny Onondaga Ontario and Wyoming so you see the spread continues most impacted states in the United States we are nine nine hundred and fifty number one in the country six hundred and seventy six for Washington state again these cases are more a an example of how many tests you are doing and who your testing rather than a wrong number of cases in that area our deaths have increased to seven Washington is the next highest at forty two total deaths in United States sixty seven hospitalizations a hundred fifty eight out of nine fifty that seventeen eighteen percent of the cases when we talk about hospital capacity just take that seventeen percent and it's always if you notice fourteen percent fifteen percent sixteen percent seventeen percent wrong that seventeen percent against whatever you think the total infected population will be and then compare that to our hospital capacity and that will keep you up at night it's hence the situation that doctors are Kerr and myself and my colleagues are in again perspective perspective perspective I went through the numbers in Italy I went through the numbers in South Korea and China last night you look at all these numbers to the same story you look at that the deaths in New York it's the same story people who are underlying illnesses if they got the flu in a normal season they would be in grave trouble he said they got the corona virus and they had existing illnesses and they passed away remember before any of this somebody would pass away in a hospital an older person he would say how did they die and they would say no Monia it's a memo here will have to catch pneumonia but it wasn't really an ammonia it was they had heart disease they had emphysema they was struggling with cancer and then then the moan you're becomes the accelerated to a bad situation and that's what's happening here are you my colleagues additional points one to mark Melissa Robert questions.

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