FLU, Friedrich Trump, Stanford University discussed on Democracy Now! Audio


System does not is not really geared to what we need right now. What you are asking for that is a failing and it is a failing. Let's admit it. The fact is the way the system was set up. Is that the public health component. That doctor that doctor Redfield was talking about was a system where you put it out there in the public and a physician asks for it and you get the idea of anybody getting it easily. The way people in other countries are doing it. We're not set up for that. Do I think we should be yes? But we're not okay. That's really disturbing. And I appreciate the information. Dr Found she. Statement appeared to directly refute a claim president trump made just last week. Anybody that needs a desk. It's a test we there there they have the. Does anybody WANNA test gets test. That's what president trump said. This comes the trump administration's corona virus task forces gun 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. Justin Leslie is with us. He's associate professor at the Johns Hopkins Bloomberg School of Public Health Senior author and 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 close to students on campus. It's got 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. Oh and he's also my brother. He joins us from Stanford University. Yes they are continuing light Johns Hopkins to hold their classes online over concerns about Cova. 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 test 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 they were decisions that were made centrally about what test 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 deliver their own tests so the original decisions to use a US specific test not the one That was suggested by the. Who 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 test centralized at the CDs. Now 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 passed. Sent it out and it was faulty. That's right now. We're having to depend on the many labs around the country and commercial laboratories to develop and offer this test. We are 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 don't know what the capacity is but as Dr Fao. She said we are way way behind. Well let's bring Professor Justin Wrestler into 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 have situational awareness about what's going on with the virus where it is how to react. So the most extreme measures that we take to combat the virus essentially potentially closing whole cities down like they did in China Italy. We don't WanNa do those 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 those because then it's too late so we want to react in time and that has to that means we need testing and that means we need to be testing with the right intention. I think there is still some inertia towards trying to test people who've traveled etc with the idea that we're going to go around those people and contain and Tristar contacts and try to find those chains of transmission But I think we maybe need to rethink that with the idea that we really want is 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 in our public health measures in terms of people isolating themselves. Dr Steve Goodman 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 is just 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. That's personal decision has social and health consequences but without testing. We're flying blind. I WANNA go to the issue of Corona virus. And if you could talk about the different steve or what? The language is corona virus. Cova nine thousand nine hundred for people to understand. Explain that the lexicon there 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 knew the flu killed. It actually turns out that his grandfather. Friedrich trump died of the flu in 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 in comparison with the flow. Well Cova nineteen is the name of the disease not the virus specifically And what we're most concerned about is obviously The spread of the disease. Let me talk about The flu and the flu is a big killer and it doesn't affect many people. I think we have roughly in the range of fifteen to twenty million in this season alone in the United States with roughly one in two thousand death rates so in the in the range of fifteen to twenty thousand deaths from the flu so a flu is very very serious. But that represents roughly five to seven percent of the population and the We have and the reason it doesn't represent more is because both we have flu shots and we have years decades of of of of sort of cross reactive immunity built up over people who've been exposed to different Virus strains the difference in this 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 fatality rate Either for people who present to the medical care system sick.

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