Donald Trump, World Health Organization, President Trump discussed on Casual Times


There to have the test anybody wants to test gets a test that's what president trump said this comes as the trump administration's coronavirus task force has gone two days with no press briefings and the World Health Organization has officially classified the corona virus outbreak as a pandemic for the rest of the hour we're joined by two guests and Baltimore trust and Leslie is with us he's associate professor at the Johns Hopkins Bloomberg school of public health senior author and a new study that suggests the median incubation period for the new corona viruses about five days and joining us from Stanford University which is now closed to students on campus it Scott online learning Dr Steven Goodman is with us associate dean at Stanford medical school where he's also a professor of epidemiology and population health and medicine and he's also my brother he joins us from Stanford University yes they are continuing like Johns Hopkins to hold their classes online over concerns about cove it nineteen we welcome you both to democracy now Steve let's begin with you I consider you my lifeline on issues like this and that's why we called you why don't we start by this issue of testing it is absolutely astounding that in countries like North like in countries like South Korea where we hear the tests or something like twenty thousand a day in this country it is believed that there have only been eleven thousand tests over the entire period of this outbreak how is this possible what happened well I don't know all the details of what happened but it is clear that there were decisions that were made centrally about what tests to use and restrictions on who could do the test that has been changed and finally other laboratories including one at Stanford have finally been authorized to develop and now delivered their own tests so the original decisions to use a U. S. specific test not the one that was suggested by the W. H. O. which has been used in many many other countries in retrospect obviously was a big mistake and we had trouble manufacturing and distributing a valid task centralized at the CDC I mean this is now have this is a critical issue right I mean there was a test available it was the World Health Organization tests the one that countries all over the world are using now but the CDC made a decision not to accept that test they made their own test send it out and it was faulty that's right so now we're having to depend on the many labs around the country and commercial laboratories to develop and offer this test we're really just gearing up now for that the Stanford test which is the one that's being used regionally also for a variety of medical institutions I think they this week they were offering between two and three hundred a day they say that next week they'll be up to about a thousand a day that obviously is not remotely enough to track the where the epidemic is going but that's what we have right now regionally nationally I I don't know what the capacity is but as Dr Fauci said we are way way behind well let's bring professor Justin less learn to this conversation from Hopkins from Johns Hopkins let's talk about why testing is so important why is it so important that we know in this country where the disease is where the outbreak is why is it important to know the number I mean this is our ability to get have situational awareness about what's going on with the virus where it is how to react so you know the most extreme measures that we take to combat the virus you know essentially potentially closing whole cities down like they did in China or Italy we don't want to do those in places where there isn't a lot of you know there isn't actually a lot of disease and we don't want to wait till the hospitals are filling up with dead people to do this because then it's sort of too late so we want to you know react in time and that has to do that means we need testing and that means we need to be testing with the right intention I think there is still some a nurse towards trying to test people who've traveled Xcerra with the idea that we're going to go around those people and contain and you know trace their contacts and try to find those chains of transmission but I think we maybe need to rethink that with the idea that what we really want to situational awareness about what's going on in the community and what's our silent out you know what silent outbreaks might be happening so that we can respond accordingly and our public health measures and in terms of people isolating themselves Dr Steve Goodman on if you can talk about what it means not to have a test so you don't know even if you've been exposed to someone who has tested positive and also isn't that true that these tests at this point in most cases take days to get results although there are some that are now being developed that simply take hours but what it means for people protecting the community well as Justin said people don't actually know what the threat is they don't know how many people around them have the disease and they don't know obviously whether they themselves have the disease if if they have been exposed so it's very very difficult for either public health authorities to calibrate the response properly is Justin just described or individuals to calibrate their own actions and and I also want to point out that when we talk about self isolation or anything that an individual can do the paradigm really has to be not just what can I do to protect myself but what can we each do to protect each other and the act of self isolation is not just individual protection is protecting everybody you're in contact with but to know how extreme the behavior should be whether you should not go to a park whether you should not go to the store is very much driven by your awareness as Justin describe it situational awareness of how many cases there are often silent cases in your own community in your own neighborhood going to your own stores so this decision this personal decision has social and health consequences but without testing we're flying blind I want to go to the issue of coronavirus and if you could talk about the different Steve or what the language is coronavirus cove it nineteen for people to understand explain that the lexicon the error of this disease and also how it compares to the flu president trump has repeatedly tried to say that the flu kills tens of thousands of people he said who know the flu killed it actually turns out that his grandfather Friedrich trump died of the flu and this country at a young age but he tried to use it to show you know corona virus doesn't even compare so talk about both the language we use and what it means and comparison with the flow well covered nineteen is the name of the disease not the virus specifically and and what we're most concerned about is obviously the spread of the disease let me talk about the flu and the the flu is a big killer and it doesn't affect many people I think we have roughly in the in the range of fifteen to twenty million and this season alone in the United States with a roughly one thousand death rate so in the in the range of fifteen to twenty thousand deaths from the flu so that fluids very very serious but that represents roughly five to seven percent of the U. S. population and the we have and the reason it it doesn't represent more is because both we have flu shots and we have years decades of of of of the of sort of cross reactive immunity built up over people been exposed to different virus strains the difference in this but with this virus is to first of all no one is immune so in theory a hundred percent of the population is susceptible to this virus or very close to it the second part is the the finality right either for people who present to the medical care system sick enough to go to a doctor or per infection which is something different because not everybody who is infected naturally goes to a doctor looks to be a fair bit higher than the flu maybe on the order of five times maybe even ten times higher than the flu so we have a maybe a much much larger reservoirs susceptible people on the order of ten to twenty times larger and we have a fatality rate that is between five and ten times larger so that's why the potential for this even though we have a tiny fraction of the cases and deaths right now why we're taking the extreme measures that we are taking all that said a lot of the finality rate can be affected by what we do and that's why we're doing it now because of the tally rate as a function both of the age of the people were infected but also of the capability of the medical care system to take care of them so if we can protect the medical care system that is keep the number of patients coming in at a rate that they can be cared with before with adequate ICU beds and ventilators et cetera and also healthy medical care folks we can keep the that we can keep the fatality rate low or at least lower than it would have been without that we're gonna break thank come back to this discussion I we're gonna talk about strategies to keep yourself and your family healthy what to say to children both of you doctor good men and doctor less slur have children how you're talking to them about what could be to say the least extremely frightening for them as it is for the whole population and I want to ask doctor less slur about the study he did in China comparing whoa Han and how it dealt with the corona virus with a community right next door we're talking to doctor Steven Goodman he is associate dean of the Stanford medical school and Justin less slur Johns Hopkins Bloomberg school of public health associate professor this is democracy now we'll be back with them in a minute his is she the long days over by Norah Jones this is democracy now the warring peace report.

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