19 Burst results for "Dr Celine Gounder"
"dr celine gounder" Discussed on KQED Radio
"White House describes it as a six pronged strategy that will involve both the government and the private sector. There aren't a lot of details yet. But a source familiar with the announcement tells NPR so involved new steps aimed at vaccinating the unvaccinated and further protection for people who are vaccinated. The president will also address ways to keep schools open safely. Increased testing and require masks as well as protect the economy and improve care for people with Covid 19. I've practiced some public health experts who hope the administration will finally take some more aggressive actions, like you know, mandating vaccines for travel and get behind some kind of uniform national vaccination verification system. Is this a reset Rob? As we watch cases rise and deaths rise. Yeah, I've been hearing a growing sense of disappointment and frustration over some of the ways he administrations handle the pandemic. The administration gets really high marks for a lot, especially for the first six months, you know, quickly ramping up the massive vaccination campaign and getting Tens of millions of people vaccinated. But then the vaccination campaign count lost steam. And the administration's response started to stumble like in May, when the CBC abruptly dropped the recommendation of that everyone keeps asking. That kind of sent a message that the pandemic was over in the country pretty much cut loose. I talked about this with Dr Lena Win a public health professor at George Washington University. It is directly as a result of the citizens actions back in name and by the administration's lack of leadership that we have the search that we're seeing now. What Let Delta gain a foothold. It was because of people's actions that were directly enabled by the Biden administration's response. And now we're seeing hospitals being overwhelmed around the country. And the guidance on boosters has been incoherent to Yeah, yeah, you know, first, no need for boosters than everyone's going to get a booster on September 20th. Then maybe you won't have to wait eight months after your second shot. Fear booster now. Well, maybe only people who got the Pfizer vaccine will get boosters to start so You know, there's a lot of concern that the administration is sending head spinning messages that are raising doubts about the vaccines and whether the White House is really letting the FDA and CDC lead the way like they promised. I talked about this with Dr Celine Gounder at New York University. She advised the administration during the transition. It should not be a political decision. It should be coming down through the scientific and regulatory agencies to assume that they would agree or rubber stamp. Such a plan, I think is just wrong. And there are other concerns. You know, why is testing so so hard to get? Why is the US relying on Israeli and British data to make crucial decisions? Why isn't the CDC tracking and analyzing all vaccinated people with breakthrough infections in this country way more closely? Here's Dr Ezekiel Emanuel at the University of Pennsylvania. He's another former Biden adviser..
"dr celine gounder" Discussed on KCRW
"Morning edition from NPR News. I'm Noel King, and I'm Rachel Martin. Good morning, a greedy villain. That's how prosecutors described Elizabeth Holmes at the beginning of her trial yesterday. Holmes is the founder of Fairness, a biotech company that promised a blood test that would transform the industry. She stands accused of defrauding investors of millions of dollars and of deceiving patients. Homes, maintains her innocence, however. NPR's Bobby Allyn was in the courtroom and he joins us now, Bobby. Thanks for being here. You got it. Tell us about Elizabeth Holmes's defense. Yeah, Opening statements, her defense team said. Basically being a startup CEO is a tough job. You know, Homes is working 12 hours a day, seven days a week, she thought of herself as this big visionary and she founded. This company when she was 19 As a Stanford dropout. She knows she hustled for 15 years to grow it into a $9 billion company than it imploded. When it comes to the frog she's accused of her defense lawyers did some wide ranging finger pointing, they said the number two at the company, this guy Sonny Ball. Wani, who is her ex boyfriend had more oversight than she did over some of the more dubious parts of the company and that laboratory managers, not her. We're ultimately responsible for the company's blood testing, which was exposed to be flawed and sometimes downright inaccurate. One of her defense lawyers, Lance Waves, said quote Miss Holmes made mistakes, but mistakes are not crimes of failed business does not make a CEO of criminal Okay, so that's the framework for the defense. How did prosecutors described their case? Yeah, they zeroed in on a moment when Theranos was burning cash and on the verge of bankruptcy prosecutor said Holmes got really desperate. They said she forged a document from Pfizer that made it look like the drug company was approving of their nose written even on fighter letterhead, when in fact fights her head not said those things and actually said the opposite homes use this document nonetheless, to raise millions of dollars in Thailand, all sorts of Glowing media coverage, including landing on the cover of Fortune magazine. Meanwhile, prosecutors say homes technology was a total myth. Prosecutor Robert Leech told the jury that Holmes lied and cheated to get money and quote it's a crime on Main Street, and it's a crime in Silicon Valley. So I mean, the home story has been everywhere, right? I mean, intense media scrutiny. Bestselling book about all this. But what is Bobby? The larger significance of this trial? Do you think Yeah, Look, millionaires are are minted all the time in Silicon Valley and many who are chasing that kind of money. Do it by telling a story you know about themselves about their products that they hope will change the world for the better, And sometimes that puts them at odds with regulators and the law. There's a sense out here that it's okay to push against boundaries, and Elizabeth Holmes was very much doing that. But prosecutors say the key difference here is she broke the law in the process. Traditionally, the norm in Silicon Valley has been move fast and break things, but, you know, maybe this trial depending on the verdict will temper some of that behavior. So Rachel. There's a debate raging out here in Silicon Valley. Now as people watch this trial, and it's when does the startups exaggerated claims potentially veer into the land of being illegal? Any idea how long the trial supposed to last? Yeah. The judge is expecting this to go for three months. So now we're going to see a parade of witnesses, whistleblowers, experts, patients and even homes herself taking the stand at about you know, around the end of the year, the jury will start deliberating over homes, guilt or innocence, And if convicted, she faces up to two decades behind bars. NPR's Bobby on Thank you. Thanks, Rachel. Back Mhm. President Biden will unveil a new strategy to fight Covid. Today. NPR's health correspondent Rob Stein has been following this one. Rob, What do you know about the president's new plan? The White House describes it as a six pronged strategy that we're involved both the government and the private sector. There aren't a lot of details yet. But a source familiar with the announcement tells NPR involved new steps aimed at vaccinating the unvaccinated and further protection for people who are vaccinated. The president will also address ways to keep schools open safely. Increased testing and require masks as well as protect the economy and improve care for people with Covid 19. I've talked to some public health experts who hope the administration will finally take some more aggressive actions, like you know, mandating vaccines for travel and get behind some kind of uniform national vaccination verification system. Is this a reset Rob? As we watch cases rise and deaths rise. Yeah, I've been hearing a growing sense of disappointment and frustration over some of the ways he administrations handle the pandemic. The administration gets really high marks for a lot, especially for the first six months, you know, quickly ramping up the massive vaccination campaign and getting Tens of millions of people vaccinated. But then the vaccination campaign kind of lost steam. And the administration's response started to stumble like in May, when the CDC abruptly dropped the recommendation of that everyone keeps asking. That kind of sent a message that the pandemic was over in the country pretty much cut loose. I talked about this with Dr Lena Win a public health professor at George Washington University. It is directly as a result of the city's these actions back in Maine and abiding administration's lack of leadership that we have the search that we're seeing now. What Let Delta gain a foothold. It was because of people's actions that were directly enabled by the Biden administration's response, and now we're seeing hospitals being overwhelmed around the country, and the guidance on boosters has been incoherent to Yeah, yeah, you know, first, no need for boosters. Then everyone's going to get a booster on September 20th. Then maybe you won't have to wait eight months after your second shot for your booster now, Well, maybe only people who got the Pfizer vaccine will get boosters to start. So you know, there's a lot of concern that the administration is sending head spinning messages that are raising doubts about the vaccines and Whether the White House is really letting the FDA and CDC lead the way like they promised. I talked about this with Dr Celine Gounder at New York University. She advised the administration during the transition..
"dr celine gounder" Discussed on KQED Radio
"That we felt that something similar like this has a much higher likelihood. No one knows not even I 100% at this point, which is the reason why We are in favor of further investigation. We've got Dr Celine Gounder with us on the line. She's an infectious disease expert in New York City and recently served on the Biden Harris transition team on their covert 19 advisory board. Dr Gounder Thanks for being here Great to be here. Why do you think the Biden administration and the scientific community are are now willing to take the lab league theory seriously where they weren't before? Well, I think Stephen Morris raised an important point, which is that some of this khat completed with conspiracy theories, theories and China bashing. But there was another. Another point to make here, which is there was also conflation confusion between this idea of a lab accident. And intentionally engineering something in the lab. And then that being accidentally or intentionally released, So you know, I think what we've realizes that, you know, maybe a lab accident. It's certainly possible and the other thing that raised that concern is that We now know that back in November, there were three researchers at the Wuhan Institute of Neurology who were working on coronaviruses and who are hospitalized with symptoms that could have been from Cove It could have been from the flu could have been from something else, but we don't have enough information on those three cases on that is something that needs to be investigated. So, speaking of which I mean that information about their history, But what other data would scientists need to assess the likelihood of a lab league? Well, you would really want to be going through the safety protocols in the lab. You would want to be going through their lab records. What? Exactly where the experiments that they were doing? You know, every scientist keeps very careful. Tell logs of their work, you know, And then were there any other illnesses among amongst the group. We have no knowledge of what testing was done on those three SEC researchers. We don't know what laboratory testing What radiology. You know, Scans were done where any specimens saved that you could go back and see. Was this cove it or was it something else, So there's really a lot that would need to be done toe further suss this out, so can any of that be known without China's cooperation. Well, that's the challenge right? So they have to either cooperate, then we'd have to achieve that through diplomatic means, or, you know, our intelligence community may have other means of trying to get to that information. But we really Cannot get to a definitive answer without that information. So why is the theory that covered 19 likely came from a natural transmission from animals to humans? Why is it still the dominant one? Well, this is really 99% of the time the source of emerging infectious diseases Whether you talk about HIV or Zika, Ebola theory, journals, SARS MERS. I mean, you keep going and going, But all of these have been the result of zoonotic spillover, so spill over viruses from animals into humans and You know, this is what we've seen with the prior coronaviruses. So probably realistically, it's far more likely that this would be a spillover event as well. Do you think it was a mistake not to take the take the lab leak theory seriously. I think we need to investigate every single possibility that is plausible, even if it's less likely. This needs more investigation and saying that this needs more investigation doesn't mean the virus leak from the lab. But we need to investigate that and figure that out because it really does have implications for how will prevent the next pandemic. The president wants urgency on this. But how does putting a 90 day deadline for the intelligence community to get an answer to this potentially affect the result?.
"dr celine gounder" Discussed on Bloomberg Radio New York
"Without doing mask, testing or providing vaccination, the basics of masking social distancing ventilation. All of that could be done in schools and can work. Well, I do think there are other trade off here a play. You know, especially in school district where some of the kids are returning to the classroom. Some are remaining virtual. That's very hard on educators to juggle both. So I can understand that there are certainly valid concerns around that. We had a report that the W H O investigation of the origins of this virus actually are indicating it came from an animal. It did not come from a lab in China. Eyes that significant for us as we unfold, how this developing therefore what we can do about it. This is exactly how new emerging viruses emerge is that they jumped from animals into humans. The reason we're seeing that's happening more and more is because people are coming into contact with these animal reservoirs more. This is a reflection of changing wildlife habitat. Driven by climate change before station and the like. And so as those other processes unfold and worsen, you're going to see more and more of this virus jumping into humans. Take us out if you can, and it may be speculation next year, the year after the year after that, we're looking at a world in which we get annual inoculations. Is this something? Somebody said it could be like measles, where you get one when your youngster and and it serves you through your life. What do you expect the ultimately this will play out as Yeah, I've actually been one of the people comparing this to measles. I don't think it's going to mutate as quickly as the influenza virus where you do have to update the vaccine every year. I think this is more likely to be a situation where we may need a one time update of the vaccine in the fall. I think more likely it will eventually be more like the measles. Where, um Once we have everybody pretty much covered with the vaccine, then you're really only playing catch up with people who are entering the population, which is people being born Esso. At that point, this would become a childhood vaccinations. Thank you so much doctor for being with us. Dr. Celine Gounder, infectious disease specialists and epidemiologist at Bellevue Hospital Coming up carrier's.
"dr celine gounder" Discussed on KCRW
"Dr Celine Gounder, a practicing infectious disease specialist and epidemiologists. At the end, why you Grossman School of Medicine and Bellevue Hospital. She also served on the Biden Harris Transition Covert 19 Advisory board during the transition period. Welcome Dr Gounder. It's great to be here, Fry. I'm gonna just jump straight into this. I was pleasantly surprised Close to pleasantly shocked that I got a vaccine appointment with all of my stats. I'm 51 a half I'm black. I'm overweight. All of those. May or may not have played into it for you know, later this winter, and I do wonder how I was prioritized. And if it was correct, I can't help. But think about all of the reports. I've been reading about how wealthier and wider groups of Americans are going to lower income neighborhoods with black people and other people of color. Undermining efforts to reach people who have been hardest hit by Cove it so what is the scope of the problem and what can be done? I think one aspect of this that people have underestimated is how complicated it is to figure out who is quote unquote higher priority than another. For example, that New York Times just ran unedited Auriol about We should prioritize giving vaccines to people in a zip code for people from that zip code. And while that sounds like that makes a lot of sense you have to then look at what are the systems in place to actually allow for that? And one of the Big disasters. Frankly of this past year and even longer term is how little has been invested in public health bioinformatics. So this is the tech systems that allows you to register people to call people for an appointment to schedule people. And if you don't have a system that allows you to have people register according to Zip code. How are you then going to be able to prioritize people based on that? So what we have to understand is we are Working with very archaic. Rudimentary systems. This is why in Florida, for example, people were resorting to using Eventbrite and surveymonkey to schedule appointments. This speaks to how bad the tech systems are in public health. Given the infra Matics issues you mentioned what's what are the solutions available now? Because we're still at the beginning of the rollout, So you know, I think this is where we do have to have some measures in place. For example, having community health workers who would reach out to the community register people in the system, um, go door to door Go toe the workplaces where they're at Um, in a sense what I'm proposing is ah, bit of Ah, hybrid between what Baltimore is doing where they have hired up a Baltimore health corps of people. Um, T do contact tracing, but also now to help with with some of the vaccination registration and roll out and then also what? Harris County so Houston. Has proposed, which is getting people registered. But then you are randomized, um, sort of in tears based on your priority as to when you'll actually get an appointment when you get scheduled. S O. There are attempts like that being made to try to be more equitable. I do think this is a situation where we need to step back and also say Gosh, you know, we have allowed our public health systems to languish for decades. Now, I've even seen some public health departments that have DOS based systems. If you can believe it for their tech, you have some dogs being an early computer programming system like very early. Yes, exactly like for people who weren't born yet exactly. You know, and you have some health jurisdictions that have one public health nurse, So it really means that we need to invest in public health and not just health care, Um, understanding that that is how you achieve more equitable health outcomes for everyone. Um, this is not a medical question, but how do we keep our hope up? I mean, I'm not gonna lie to you. I am bored out of my mind. I'm staying the course to try to stay healthy. But this is the time where especially if you're really a bit skeptical of, um, the preventative work that you could do yourself in washing your hands and Wearing a mask and distancing from people that it's kind of hard to keep up the resolve. Yeah, that's a that's a tough one. Um, you know, I think for those of us who work in the hospital who work in other settings where we see this every day where we saw the surge after Thanksgiving, where we saw the surge after Christmas and New Year's, You know, I think we're tearing her hair out. Frustrated with the situation and for people who are sort of At home in Bubbles ice insulated from what is happening inside the hospital. What is happening in other settings like that? I think there's this bizarre disconnect. You could say as to what reality is. Um, And I'm not really sure how to bridge that. You know, I might say, Well, go volunteer in the hospital and see it firsthand, but that's obviously dangerous, You know? So I think that's a difficult one. Um, it's a It's a question of privilege. You know, I mean, and I am speaking from my privilege as a stay at home worker for whom boredom is even possible. No. Yeah, yeah, I wish I could be bored. You know, I wish I could be bored. I think that's more than fair. And so what is the status of trust building between the public and health care and science professionals? And how do we rebuild some of this trust? Yeah, I think Unfortunately, this past year, there's been tremendous damage done, And I think that is going to take time to rebuild. I do think some important steps have been taken Theknot cation from the U. S government is now being led by scientists and experts. It's not going to be led by politicians by people with a political ax to grind or agenda. You do need to have people who are trusted in the community, be the ones communicating to that community. But I do think what we are seeing in many instances is a lot of fear and lack of trust in the system. And you can't bulldoze through that lack of trust, you know, no matter how many he trusted messengers, you enlist. You actually need to change the system. And this goes back to what I was saying earlier about under investment in public health. You need to make those investments. Well, Dr Gounder, Thank you So much for your wisdom. It's great to be here. Dr. Gounder is also the host. Producer of American Diagnosis. Ah, podcast on Health and Social justice. It's awards season. So I brought back Casey Mendoza, our business of.
"dr celine gounder" Discussed on Newsradio 1200 WOAI
"Made. So I know that someone or someone out there or someone inside was creating a parallel set of data and graphics that were shown to the president. I know what I sent up and I know that what was in his hands was different from that. Covered 19 has now infected more than 25 million Americans. Just over a year after we first arrived in the U. S, a top medical expert, meantime, says it will probably be mid to late summer before healthy young Americans get covert 19 vaccinations. Dr Celine Gounder was on President Biden's transition covered 19 advisory board. She gave that timeline after CDC director Dr Rochelle Wolinsky told Fox News No one exactly knows how much vaccine the U. S actually has. Vaccinations are currently averaging nearly a million doses per day. And starting this week, travelers who have flights into the U. S will need a negative covert test before they board the plane. The new CDC rules come on top of a mandatory mask mandate, which is something that flight attendant unions have been pushing for as a way to keep people safe know that when they get on any airline across the industry, there is a uniformed the policy. They have clear expectations of What those rules are. Paul Heart shorn with the Texas based Association of Professional Flight Attendants says the lack of a mask mandate has created confusion on flights and lead to mid flight arguments. The testing requirements starts January 26. U. S citizens are required to pay for their own auntie gin tests. Well. The city of Indianapolis is in shock over a mass shooting that happened early Sunday morning that left six dead. What happened this morning was a mass murder anger coming from Indianapolis Mayor Jo Hogg said as he and police chief Randall Taylor updated people about the deadly shooting. A child was also found shot at the scene in the overnight hours and was taken to the hospital in critical condition. He's expected to survive what we saw this morning. Was a different kind of evil. What occurred this morning based on the evidence has been gathered so far. Was a master of the chief, Taylor says. Among the dead are a pregnant woman and her unborn child. Investigators say This wasn't a random act. Well tax filing season is right around the corner H and R Block, chief tax expert Kathy Pickering says. You can expect things to be different this year, unemployment stimulus payments and even that sign hustle will impact what taxes you owe. And any refund you are owed unemployment income is taxable. And so that may have a little bit of an impact on your tax return. And while the official start of tax filing season isn't until February, 12th Iris free file is already up and running. W away I news time, a 37 traffic and weather together in a minute. But first a check of your money and the world of business.
"dr celine gounder" Discussed on Newsradio 1200 WOAI
"I'm Ryan Gorman, and we have some great conversations lined up for you. First up with the new administration, in charge of dealing with the pandemic will check in with a member of President Biden's covert 19 task force. Then I'll talk to an expert on the Copa 19 vaccines. Who's gonna help answer some of the most common questions most Americans have about them. And finally, historian Kenneth C. Davis will join me to talk about the 1st 100 days of presidential terms and how that became a marker for success. So all of that, um or is on the way to get things started. I'm joined by Dr Celine Gounder and infectious diseases expert and member of President Biden's Cove in 19 Task force, Dr Gounder. Thank you so much for taking a few minutes to talk to us. The Biden administration is faced with two significant challenges right now mitigating the spread of the virus, including the new variants, making their way through the United States. And expanding the distribution of covert 19 vaccines. Tell us about the plans to deal with those issues, So it's not just one variant. It's multiple. You have Ah, variant out of the United Kingdom, the U. K out of South Africa out of Brazil and actually more than one here in the U. S, at least one in Ohio and one in California, and this is what happens when you let the virus run rampant. We have given it free reign. It's run wild and we have allowed it to have the opportunity to mutate. In a way that is not normal. And so now we're contending with the fall out of that and the on leeway to control that is to rein it back in with the measures that we have at hand. And so that includes many of the things we've been advocating for for a while, which is the masking the social distancing keeping your household bubble as much as possible. If you're going to be around other people to do so outdoors versus indoors or in well ventilated setting. Those things all still work against the variant virus, but That said the vaccination rollout is going to be another important tool to reduce spread of the disease. So we're going to be very focused on that as well. What do we know about the covert 19 vaccines and how effective day? Maybe in combating these new variants way don't have full information on that, yet. They're still testing that's being done to a stuff that so what we're looking at is Whether you have had natural infection or vaccination against coronavirus does that immune response still protect you against these variants with respect to the UK variant? We think so, With the respect to the others. We just don't have the full information yet..
"dr celine gounder" Discussed on WNYC 93.9 FM
"Learn more at sea three dot ai It's morning edition from NPR News. I'm Noel King, and I'm Steve Inskeep. The night before their inauguration, Joe Biden and Camilla Harris stood near the Lincoln Memorial and marked more than 400,000 people killed by Corona virus. And for many months we have grieved by ourselves. Tonight. We grieve and begin healing. Together today, the Biden administration takes responsibility for fighting the pandemic. We've called Dr Celine Gounder, who was a member of the President elect's covert advisory board and also a clinical assistant professor. At New York University. Good morning. Good morning. What changes in the approach to the pandemic? Will the public see right away? I think one important key word. Here is partnership partnership between the federal government, state, local, territorial and tribal governments and public health departments, as well as primary care providers on the ground and pharmacies. Unfortunately, The federal government has been largely AWOL on much of the response. The operation works. We plan was really just a a plan to address market failures in vaccine research and development. But once those faxing doses were manufactured, are manufactured, there hasn't been much of a federal plan and so partnership is gonna be what we're going to see. Changing in a big way. We'll let me follow up on the notion of partnership when it comes to masks. We are aware that the president elect soon after taking office today is going to take executive action to require masks and social distancing and all federal buildings. And by federal employees and contractors. That's a lot of buildings and a lot of places. But of course, not nearly the whole country. Do you think this administration is going to be any more successful in getting states and cities to agree on some kind of standard for masking? I don't know if it necessarily even needs to be mandated. Steve, I think the president elect soon to be president has said he is asking Americans. To where masks for the 1st 100 days of his office. It's sort of how Americans are being asked to pitch in while we focus on getting 100 million doses of vaccines into arms in those 1st 100 days, Do you think that just being directly asked by a president who clearly believes in masks is going to make a significant difference? I think it depends on how the president elect brings people together. I think if he makes people if he helps people feel like, Look, we're all in this together where he's Bridging divides has conciliatory tone in the way he is speaking to Americans instead of driving a wedge into our divides. I do think that there is the potential for more people to adopt this. Have you had discussions about how do we approach? How do you approach? How do you talk to communicate with People who find the masks and in position or buy into conspiracy theories or find it creeping socialism there. Clearly millions of people who are buying into this sort of thing and you as an administration need to communicate with them. How much discussion of you had about that? Yeah, I mean, it's almost become a cliche, this idea of trusted messengers, but it's really ineffective one where sometimes it's not us. Sometimes. It's not Dr Fauci or the director of the CDC. Who will soon be Dr Michelle Wolinsky, who will be the most effective meant messenger. I think you really need to draw Upon people at the local level. It might be peoples family doctors, or it could be the local police chief for the school superintendent or faith leader. But really working with people who are embedded in communities where trusted giving them the information, bringing them on board and having them be the ones messaging about these things. Dr. Counter if you could get us a little bit into the distribution of vaccines as well, you were you were critical just now of Operation Warp speed, which was the effort to develop vaccines. Now some vaccines are available, and the president elect has promised 100 million shots in 100 days. How can you improve distribution of the vaccine so that that happens? Well, we've got to massively increase the number of places where people can access vaccine. So that means working with local pharmacies where many of us pick up our prescription drugs or do our shopping That means standing up huge mass vaccination centers, and that's not just the Dodger Stadium and Fenway Park's. But that's also looking at community vaccination centers, especially in the hardest hit. Hardest to reach communities. It means working with local primary care doctors, including federal federally qualified health centers that do work with underserved and vulnerable populations. And finally Mobile vaccine units to rural parts of the country. When you look at this daunting challenge, do you look at that 100 million shots in 100 days and say to yourself as a professional? I hope this happens or this is gonna happen. Look, it's It's a big task that's before us. But with 4000 Americans dying per day from Corona virus, currently it's simply we simply have no other choice. Dr Gounder. Thank you very much for the time really appreciated my pleasure. Dr. Celine Gounder is among the advisers to President elect Joe Biden on covert and is also at New York University..
"dr celine gounder" Discussed on WTOP
"New look home design right now, say 50% on all roofing materials. That's a 22, Maryland governor Larry Hogan and his wife You, Me and Lieutenant Governor Boyd Rutherford will get their first doses of the Corona virus vaccine at 9 30 this morning at the Statehouse in Annapolis. Last week, the governor said the state of speed up its distribution of the cove in 19 vaccine residents who are 75 older can get vaccinated. Beginning today, as can teachers and school staff childcare providers, residents of assisted living facilities and others in high risk groups. Next week, the list of those eligible for a vaccine will grow even more. Have you told your family how long you want treatment to continue? If you become very sick, If you haven't you might think about having that conversation. Now it's happened. Health care workers in hospitals being left to make decisions like whether or not someone should be put on a ventilator. That's according to Dr Celine Gounder, a member of President elect Joe Bynes Covert advisory board. These are conversations we should be having with family even outside of a pandemic, But it has created a huge amount of stress on health care providers, speaking during a webinar for the Johns Hopkins Bloomberg School of Public Well, she says hospitals are rationing with covert case is spiking. Also, she says, there needs to be more guidance for health care workers from a national, state and local level on what should be done. If someone hasn't made their wishes known where you feel like you have the backing of your institution and your colleagues in your community. Mike Murillo w T o P. News the National Aquarium in Baltimore's Inner Harbor is working on reopening after the city Health Department closed it down. Yesterday Inspector said that the aquarium was violating social distancing guidelines. Department tells the Baltimore Sun that the closure is temporary and the facility wasn't sighted or find. It said the closure was ordered after the aquarium ignored repeated warnings about overcrowding and a lack of social distancing. The aquarium says it'll reopen shortly. Coming up here in money News, the longtime rivals who will not be competing during this year's Super Bowl..
"dr celine gounder" Discussed on WTOP
"Walked by there's more in those on the Seeker can see why. When the future looks uncertain times look rough seekers They see those little moments are more than enough. Here's to the seekers. Seek you. Credit union find banking for all that you seek it CQ seekers that work insured by and see way. 7 35. Now it's inoculation Day for Maryland's top executives, Governor Larry Hogan and Lieutenant Governor Boyd Rutherford will receive their first doses of a Corona virus vaccine this morning in Annapolis. Governor Hogan is working to increase the number of Maryland residents who get the shot. Last week, he announced that people 75 older can get vaccinated beginning today, along with teachers, childcare providers, residents of assisted living facilities and others in high risk groups. Next week, the window opens for other state residents to get their shots. It's tough enough for health care workers during the battle against Corona virus. But the failure by some who contracted covert 19 to make import important treatment decisions before they get sick. Has added a new layer of stress for hospital workers were rationing. That is the reality right now. Dr Celine Gounder is a member of President elect Joe Bynes Covert advisory board. And, she says, in some places, failure to have important talks with family members has led to healthcare providers making life or death decisions for patients impact hospitals. Do we intimate or not put somebody on a ventilator or not? That sort of thing during a webinar for the Johns Hopkins Bloomberg School of Public Health, she says to remove that added stress from health care workers family should have those tough discussions now and So should state and local governments What our crisis standards of care so that you're not having to make the stuff on the fly like Morello..
"dr celine gounder" Discussed on WTOP
"The new vaccines will be available soon. Very soon. I would imagine within a period of a week or so or the most. A couple of weeks. They're gonna be getting their data together and showing it to the FDA on dwell. Well, obviously, they're gonna have to get their data and safety monitoring board. Look at it to see if it is appropriate to start, you know, essentially putting the package together to get an emergency use organization. But we're we're weeks away, not months away for sure. Health experts urge the public to continue wearing masks, washing hands frequently and practice social distancing even after being vaccinated. It's tough enough for health care workers on the front line of the coronavirus fight. But failure by some covert 19 sufferers to make important treatment decisions before they get sick, as added a new layer of stress for workers in hospitals around the nation. We're rationing that is the reality right now. Dr Celine Gounder is a member of President elect Joe Bynes Covert advisory board. And, she says, in some places, failure to have important talks with family members. Has led to healthcare providers making life or death decisions for patients impact hospitals. Do we intimate or not put somebody on a ventilator or not? That sort of thing during a webinar for the Johns Hopkins Bloomberg School of Public Health, she says, to remove that added stress from health care workers family should have those tough discussions now and so should state and local governments. What our crisis standards of care so that you're not having to make this up on the fly like Morello w T o P News Maryland lawmakers get back to work in Annapolis with hopes they finished the session without interruptions due to the coronavirus. Lawmaking gets personal from the hallway lobbying to the in person testimony that can move a committee to change positions. But that's not how it will go in Annapolis this session. Senate President Bill Ferguson legislatures are about convening people to solve the state's problems. It is very difficult to do that in a remote In a virtual and even in a protected session. Cove in 19 will be a major issue for lawmakers. House Majority Leader Eric Lukey says number one.
"dr celine gounder" Discussed on WTOP
"The county would like to get more vaccine doses from the state. We have more capacity and can give out more back to see the state's interest in marriages are aligned, which is to get people vaccinate L. Rich agreed, but noted the state doesn't control the number of doses Eek receives from the federal government. Still, L Rich said the county is not sitting on any unused covert 19 vaccines. Hate Ryan w. T. O P News President elect Biden has pledged to get 100 million doses of covert vaccine out in his 1st 100 days, so he'll be ordering the release of nearly all the nations available. Vaccine and advisers say that people who are skeptical about the plan should not worry about supplies. We've had a lot of conversations over the last few months with various stakeholders. Dr Celine Gounder is a member of the Biden Covert 19 Advisory board on a Johns Hopkins University Webcast, she says. Drug company timelines For vaccine production, promised the release of more and more doses over time. Barring some major manufacturing snafu. We're really not worried about second dose is being delivered on time or almost on times calendar says more vaccinations must happen if we allow the same death toll to continue over the next 100 days. Our overall death toll will more than double Christi King. W T o P NEWS 9 42 on w T O P ah man convicted of triple murder in Prince George's County and another Found guilty of drug related murders in Virginia are scheduled for execution today and tomorrow they could be among the last federal inmates put to death before the Trump administration ends. But last minute appeals are underway to stop that from happening. 52 year old Kory Johnson was set to die tonight. We have not received any updates. 48 year old Dustin Higgs. Execution is set for tomorrow. President elect Joe Biden has pledged to abolish the federal death penalty. Justice Department leaders air out with a new report about the fall out from the 2018 0 tolerance border policy, which resulted in family separations. CBS News Immigration reporter Camillo Montoya Galvez has details. Former Attorney General Jeff Sessions and his top aides were the driving force behind the separation of thousands of migrant families and 2017 and 20. 18 pushing for the policies implementation even as federal prosecutors raised concerns about the young age of some of the Children. The report found that leadership failed to prepare to implement the policy or managed to fall out, which resulted in more than 3000 family separations and caused lasting emotional damage to kids who were taken from their parents at the border. 9 44 Way make us a insurance for veterans like James, a former drill instructor made of high expectations when he got into a fender bender and called his old insurance company. He got the run around. That's when his Marine buddy told James about Yusa. They have my back, James realized.
"dr celine gounder" Discussed on C-SPAN Radio
"And of course, he's been continues to track of the speeches by governors in their state of the state. That was Georgia Governor Brian Camp earlier today. The Atlanta Journal Constitution reporting that statewide nine out of 10 ICU beds are full and nearly half of those patients in intensive care. They're suffering from Kobe, 19 and out West in Utah Governor Spencer Cox outlining his plans to prioritize Utah's vaccination program. Last week I stood here and told you that we were going to significantly change the way we were administering vaccines the and increasing the speed at which we were doing that. I want to think all of our partners who stepped up and and took the call to heart last week today we have way have administered 133,202 doses. Now that that is really significant, because if you compared to where we were one week ago, we were at 68,030. So in the course of one week, we basically doubled the amount of vaccines that we had that we have administered over 60,000 vaccines administered in one week. So we Aziz, you know, we started letting teachers get the vaccine this week. Tens of thousands of teachers have already received. The vaccine were so great Full four for them and what they're doing to help us keep our our schools open we now we do recognize that we recognize that there were some changes or potential changes some advice given by the federal government yesterday, potentially recommending, starting to vaccinate those who are 65. We announced last week that on Monday those 70 years of age And up would be eligible for the vaccination. We're going to continue with those 70 years of age and older for for a couple reasons that I will explain shortly on DNO not open that up to 65 over yet, and the main reason for that is that we have so many people, 70 and all over who want the vaccine that we were adding 65 to the mix would would not change that There will be no availability because we don't have enough facts. Being assigned to the state of Utah right now to even cover those who are 70 years of age and over over the next several weeks that update from Utah's governor, Spencer Cox, earlier today in Salt Lake City. Meanwhile, the Bite administration is planning to release nearly every available dose of fighters and modern is Corona virus vaccine to the states. The advisory team has had a number of conversations with vaccine makers about the supply issue. Dr Celine Gounder is on the Biden Coronavirus panel. She's Also an infectious disease specialist at N. Y U's School of Medicine in During a conversation sponsored by Johns Hopkins University, she outlined what to expect once the new administration is sworn in next week. Think it's important understand that the fight in brand so to speak is to follow the science. And so I think, from vaccines to therapeutics to diagnostics to other public health recommendations, everything is going to be informed by the science. Now we've had a bit of a preview you could say of the Biden plan and the last week or so. The president elect has announced that the plan is to release nearly all Doses, and it's important to say nearly because what we're saying is, we're not going to be holding back second doses of vaccine We're going to be releasing nearly all with a small buffer left over because we want to accelerate the pace at which vaccination is going. This is really a decision about how to manage the supply. It's not a recommendation about the dose of vaccination or the schedule of vaccinations. So that is to say that the Fizer dose should Still be full dose. The second jobs at 21 days the majority of vaccine should be given full does with the second dose given a 28 days, So that's that's part of what you're going to see. The team has also realized that some of the guidance the CDC n A C i P while very well intentioned in terms of trying to prevent disease, death and do so equitably. The vaccine recommendations have just been very hard to operationalize on the Round very complicated, and so we essentially need to make things simpler. Whether that is simplifying supply chain as I noted, or simplifying Thebes, tears of who is eligible for vaccination, and so that's really what we're getting at with opening it up two persons over the age of 65. But as we've seen in Florida, that's easier said than done on. So that does require some real planning and some work with the states to figure out how To operationalize that on the ground, so with respect to vaccination, those are some of the things that you're going to be seeing under the Biden administration that assessment from Dr Gounder. She was part of a public health conversation sponsored by Johns Hopkins University and serves on the Biden Coronavirus panel. Dr Lena When is the former health commissioner for the city of Baltimore? She contributes to The Washington Post, an expert on covert 19 in public health. And earlier today, I asked her for her reaction on why we're seeing a surge in the number of deaths as a result of coronavirus. My reaction is that so many of us have become numb to these numbers. This is a shocking number. That would be completely an imaginable. If we rewind a few months back to say that we will have more than 4000 people dying every single day from Corona virus. But that is our reality As to why this is the case is a combination of things. The combination of what happened over the holidays. It's a combination of people letting down their guard. Because epidemic fatigue setting in, I think also, there is this unrealistic expectation that people have about vaccines. Many people think that well, vaccines, great news. They're here. They're going to save us from this. Actually, that things are not what's going to get us through this surge..
"dr celine gounder" Discussed on WTOP
"President elect Joe Biden is unveiling a $1.9 trillion plan to help the nation as it struggles against Cove in 19. It's called the American Rescue plan and would include $1400 checks for most Americans, as well as a total of $400 billion for directly addressing the pandemic that includes funding efforts to meet Mr Biden's goal of administering 100 million vaccines by his 100th Day in office. This plan would also extend a temporary boost and unemployment benefits and a moratorium on evictions and foreclosures. Through September. The Senate's new majority leader, Chuck Schumer, said. Mr Biden's proposal will be his first order of business this year. One way Mr Biden plans to meet that goal of 100 Million and 100 Days is ordering the release of nearly all the nations available. Vaccine doses and advisers say people who are skeptical about that movement. Maybe they should not worry about the supplies. We're not really gonna have issues with supplies. Hi to meet second dose is Dr Celine Gounder is a member of the Biden Covert 19 Advisory board on a Johns Hopkins University Web cache. She says that after many conversations with drug companies, you look at the timeline for production. They're actually gonna be releasing more and more doses over time. Even if second doses are delayed vaccines are not like antibiotics. Viruses do not develop resistance in that way of more concern is whether emerging variants of the virus can escape the immune response generate. By vaccines. So far, vaccines do seem to work against the UK strain. Christi King W T O P News also knew tonight. The superintendent for Montgomery County Public Schools, Jack Smith says he's retiring over 19 has affected us all. And it has affected my family. For more than 18 months. My wife has lived in New England and taking care of my two year old grandson who's had significant Health problems and a massive open heart surgery. And, uh, my family needs to be together and I need to join my wife in New England. Smith plans to remain with the district through June 1st In a letter to the school community, the district said he will be fully engaged in helping with a return to in person learning. District praised Smith for helping change the lives of thousands of students stay with us here on Double D T O P up. Next we will preview the start of the Capitals hockey season. They dropped the puck tonight. Just a few minutes 6 43. Mm hmm. For the one standing.
"dr celine gounder" Discussed on WTOP
"Read all the details that w t o p com Michelle Bash. W T O P News now to Virginia, where Governor Ralph Northam gave an update on vaccination efforts and reopening schools Governor North and is now expanding vaccine eligibility for those 65 older and for those with co morbidity risk and that the Commonwealth is working to take care of the most vulnerable. First sighting. Northern Virginia As an example, Inova health system has administered more than 35,000 doses now and over, is working with local health departments to help Max Tonight. 55,000 teachers, public safety personnel and people Age 75 over as far as other matters like schools, Northam says the Commonwealth is reshaping guidance and will now push local systems for the need to reopen and work on mitigation plans that control Cove it inside school buildings. Kenzo. FEA W T O P News isn't GONNA like Biden has pledged to get 100 million doses of covert vaccine out in his 1st 100 days in office, so he will be ordering the release of nearly all the nations available. Vaccine advisers say people who are skeptical about the plan should not worry about supplies had a lot of conversations over the last few months with various stakeholders. Dr. Celine Gounder is a member of the Biden Covert 19 Advisory board on the Johns Hopkins University Web cache, she says drug company timelines for Vaccine production, promised the release of more and more doses over time. Barring some major manufacturing snafu. We're really not worried about second dose is being delivered on time or almost on times calendar says more vaccinations must happen if we allow the same death toll to continue over the next 100 days. Our overall death toll will more than double Christi King. W T o P News. Keep it here on W T o P will talk about the start of the Capitals Hockey season next 5 44..
"dr celine gounder" Discussed on WTOP
"Permanent Pentagon chief is confirmed by the Senate. Unnamed sources say Norquist has agreed to the plan. Biden has chosen retired Army General Lloyd Austin to serve as his defense secretary. But Austin still has to get a waiver from both the House and Senate to be considered for the job. A waiver is needed because he hasn't been away from the military for seven years. President elect Biden is preparing to release more details about his coronavirus action plan, Biden says. His number. One concern is to get the virus under control. His plan, which he's expected to announce this evening, involves speeding up the vaccination delivery campaign. His school is to administer 100 million shots in his 1st 100 days. The pace of vaccination is nearing one million shots a day. But it would have to be almost twice that to reach his mark by then also wants Congress to pump more money to states to help their efforts to contain the virus and pay for basic services. Mike Kemp in Washington. President elect Biden has pledged to get 100 million doses of covert vaccine out in his 1st 100 days, so he'll be ordering the release of nearly all the nations available. Vaccine advisers say people who were skeptical should not worry about supplies. We've had a lot of conversations over the last few months with various stakeholders. Dr Celine Gounder is a member of the Biden Covert 19 Advisory board on a Johns Hopkins University Web cache, she says. Drug company timelines for vaccine Production promised the release of more and more doses over time. Barring some major manufacturing snafu. We're really not worried about second dose is being delivered on time or almost on times calendar says more vaccinations must happen if we allow the same death toll to continue over the next 100 days..
"dr celine gounder" Discussed on C-SPAN Radio
"What you're trying to do is message about vaccine hesitancy when you're real bottleneck is how do you get Somebody who is wheelchair bound to a vaccination site. Your solutions are gonna be be off the mark. So I think those air some of the key things that I would highlight a zoo. We think through this, um, you know, speaking in terms of my advisory board roll, some of the things we have debated is the role for example of the defense production act, you know, with respect. For example, Tonto The raw ingredients that go into producing vaccines. But at this stage that really does not seem likely that that's going to be necessary given where we are in terms of supply versus distribution and demand, So I'll leave it there. I think that just to provide that great mark of how to think about vaccine roll out again is supply distribution and demand. Dr. Celine Gounder is with the Biden transition covert that 18 team. This virtual conversation took place Thursday hosted by the center. Excuse me, the Carnegie Endowment for International Peace. The moderator is group senior fellow Aaron Miller. Should predictive abilities have been so good in the past that a lot of these kings at least in the early phases will get worked out. I'm I'm hoping they certainly hoping they will, um Dr Wen chi to individual space over to, you know. George Washington University health professor. You first about Aaron for the invitation for convening this conversation. I'm very glad to be joining Dr Gounder and Dr Banker Cove in this important conversation, and I want to appreciate what Dr Gaddy just said, because I think so much of home. We should be moving forward in this response. It's not about blame and about figuring out who exactly you should be. Were the problem Woz because somebody needs to be blamed for this, but rather looking forward and saying Now we need to identify exactly where the problems are, where the barriers are with the bottleneck star and let's work to solve these problems, both short term and long term. I don't want to focus mind comments more generally on what has gone wrong in our pandemic response, not so much as a postmortem to figure out exactly what happened again to assign responsibility, but rather what is it that we could be doing moving forward? So I would say there are three areas The first is the need. For us to have a coordinated response. A national mobilization and not aimed piecemeal approach, which unfortunately is and I'm speaking from the U. S context here. As much of what we have seen. We've seen this with testing. We have seen this with the rollout of P P E and Frontline workers not having mask scowls and other Peopie even and now, Unfortunately, we're also seeing this in the initial vaccine rollout that we simply a stock together very well laid out, simply have not been able to get out the doses of the bad things. That we have, which I just think is a profound tragedy to be in a situation where there are thousands of people dying every day. Where now now nearly a 4000 people die in the US every day, but were unable to get out millions of doses that are in freezers, and there's potential wasted. That's occurring on. I think again. This is not about blame, but about saying we know this is a partnership between local state federal government. But there is very much a role for the federal government here. The role is not just the same. We wash our hands, one to be distributed vaccines to the states. It's actively setting targets asking the states What is it that you need in order for us to accomplish these targets trying to streamline processes that could be best done on the national level? And I hope that that is what the Biden team coming in, will be doing looking to see you this as a wartime effort that requires a wartime mobilization, which is a national effort. Second point is that we've also seen in this in this pandemic this far the danger of misinformation and disinformation, including this unfortunate and extremely harmful narrative of somehow pitting public health versus other things like public health and versus the economy, public called verses schools. Rather than seeing public health as actually essential to having the economy or having schools for you coming back and re opening safely. And there was an Aaron had initially practices conversation with with that about trust. And we know that public health depends on public trust, Also that one that trust is broken and eroded. It's very difficult to get back, and I actually think that that's going to be many of our leaders. Biggest challenge and moving forward. How do we overcome this? This disinformation campaign really re established Public trust third point Is about how this pandemic has unmasked underlying problems. These issues that we're seeing them with lack of investment in public health, For example, they're not new. We in public health of known about them for many years. The problems of helper parities also is not something that Kobe to somehow created. But we're saying now what happens when there is a chronic lack of focus in these key areas? And I do hope in a way forward that there will be renewed attention to these issues that whatever it is that we're designing, whether it's taxing role out or or or any other policies about worker protections or anything else, And we're focused critically on the issue of equity, but also that we're not losing theme needed attention that is long overdue on social determinants of health on strengthening our public health infrastructure not only to build back and Prevent the next pandemic if and when that occurs, but also so that we have a more just in a portable and healthier future. Moving forward. Thank you. Thank you. And that was Dr Lena. When Peace in Washington Post earlier this week or the end of last, and you had some really helpful suggestions, and I want to come back to this to a couple of them during the Q and a so Dr Van Krukov, can I turn the virtual Space already, you know, with the World Health Organization this took place Thursday. Thanks so much for having me on the panel and it it's It's really a pleasure to be with Dr Gounder Doctor when I've seen you guys. Ah, lots on television these days, and it's really nice to share this place with you. Thank you for everything that you were doing. And Erin thank you for organizing this. I think from my perspective and you know I'm coming from the World Health organization. So I'm thinking on a global level vaccines the ability for the world to have come together to develop. Safe and effective vaccines. Multiple vaccines. Ah, year after we first became aware of a cluster of pneumonia of unknown etiology from China is astounding. Um, it's an incredible feat in terms of science and the collective work that scientists have been have been working on..
US coronavirus hospitalizations break records as new cases spike
"Surge and covert 19 cases and hospitalizations continues across the country, and health experts are now theory more spikes of coed, especially following Thanksgiving gatherings this past week. We hear more on that now from Dr Celine Gounder, a member of President elect Joe Biden's covert 19 Advisory board, we know it could take up to 14 days for somebody to develop symptoms. After they have been exposed. So we fully expect that in about a week or two. After Thanksgiving, we will see an increase in cases first. Then about a week or two. Later, you'll start to see an increase in hospitalizations and then another week or two. After that, you'll start to see deaths. The covert 19 death toll across the United States has now surpassed 266,000. According to Johns Hopkins University. Meanwhile, covert 19 cases continue to see a big surge in the Commonwealth as well. State health officials reporting more than 2900 new coronavirus cases and 40 additional deaths in just the latest 24 hour count. Hospitalizations are also on the rise 1045. As of yesterday, 225 of those patients remain in the ICU. 81 communities are now in the red Zone meeting they're considered. Very high risk for Corona virus That's up from 62 communities last week since the start of the outbreak more than 214,000 people in this state have become infected with Cove. It 10,441 people have died
Moderna's Covid-19 Vaccine Is 94.5% Effective in Early Results, Firm Says
"Moderna has gone public with his experimental vaccine, the biotechnology firm says early results suggest that its vaccine is nearly 95% effective. Today's news follows a similar announcement from Fizer last week, and it leaves the incoming administration with the prospect that it will have a least to Corona virus vaccines to distribute and 2021 Dr. Celine Gounder is part of the President elect's Coronavirus Task Force. She's a clinical assistant professor of medicine and infectious diseases at New York University. She's also host of the podcast epidemic, and she joins us now, Dr Gounder. Welcome to one, eh? Great to be here. So what does it mean that two potential vaccines are both showing signs of success. Well, this is quite promising. Both appear at least based on the data we've seen so far to be over 90% effective in preventing disease. We don't yet know if these vaccines will prevent transmission from one person to another. But at least we know that they're they're very likely to protect us individually from severe disease. This is really a breakthrough. But we still have a lot of work ahead in terms of getting people vaccinated. It's not just about having a vaccine, but it needs to get into people to protect them. What's the timeline from here in terms of when we could possibly either see a vaccine approved but definitely on the distribution and as well? Well, I think you're going to see in the next couple of weeks. The submission to the FDA by both Visor and Madonna for emergency use authorization. They will continue to collect data on effectiveness and side effects as they start to ramp up vaccination in advance of an approval. But I think we're still looking at Really focusing on health care workers and other high risk populations in the first wave of vaccinations in at the end of this calendar year earlier early next calendar year. And we won't really see these vaccines available to the broader general public until at least April or may of next year, And that's because it takes time to manufacture. The millions the hundreds of millions of doses that we're going to need and to gear up in terms of the distribute that distributions supply chain and with the Fizer vaccine, there's a specific type of infrastructure needed. The story that it has to be. It started very cold temperatures. So how would that impact the possible world out of that vaccine? Well, that's right. So the Fizer vaccine requires ultra cold, ultra freezing minus 70 degrees Celsius. This is not something that you have in your regular family doctor's office s so it really is going to need to be stored. In central locations, perhaps hospitals, other pharmacy distribution centers, and so that does make it much more difficult. This is not something that you could, you know, disseminate to every single family Practitioners office and makes it more difficult, especially in rural areas to really scale of vaccinations. This is something people are thinking long and hard about right now. To figure this out. We got this question from Dr Swat on Twitter who says what have the potential side effects of the vaccines. And how much will they cost? Do you know that yet? Well, we don't have all of that information. Yet In terms of the Madonna vaccine, with the results of which were just announced, the side effects that we're seeing are pretty mild pain at the injection site, headaches, muscle pain on and it's a similar sort of profile with the fire advisor vaccine and really the kind of thing you see. With many vaccines in terms of cost. The Biden Harris transition team is very much committed to making sure that people who want to get vaccinated can get vaccinated for free. That's not just with respect to the vaccine itself, but with all of the other costs associated with getting vaccinated the doctor's visit The supplies. Unfortunately, one of the things we saw earlier this year with respect to testing was that the current administration had said Yes, people can get tested for free. But then people got surprised bills. Because there was still the cost of the doctor's office visit and so on. Are how closely are you working with the Trump Administration on a Corona virus response at this point Not at all. Um you know, a major challenge here is that the G s a needs to certify that we could move forward toe hand over the keys, so to speak, so we can enter the building so we can start to have these kinds of conversations in detail and so right now, pending the General Services Administration, signing off on Theologian results. We really are in a holding pattern on or not able to have those crucial discussions. So we got this question from Alicia on Facebook. Who says Can Biden's team start work now? The end of January so far off what? We lose progress? What are you able to do right now? Well, we can be interfacing with state and local government officials, public health officials, we could be reaching out to the private sector. Um, s O. We're certainly moving forward in terms of our own planning. But, you know, if you imagine that this is a war we're waging war on the current virus. And like any other war if we were in the middle of a world war and we didn't know where our aircraft carriers and our tanks and our troops were, it would be very difficulty to plan. A response s. Oh, it's it's very challenging, not to be given sort of that critical crucial What's really frankly national security information?