More thanunt, tested theother in the country, total number of people 200,000. Been helping us track down the positive cases. Number of positive cases, 9,298. Total cases, 75,000 cases. You see the predominance in new york city. Westchester, nassau, and suffolk. Then rockland. You can see that area of density. It spreads out from that area of density. The march of coronavirus across the state of new york continues. We are down to just two counties that dont have a case. The overall numbers, 75,000 have tested positive. 10,000 people in our hospitals. 2,7 i. C. U. Patients. Good news, 4900, almost 5,000 people discharged. Thats up 771. So people come in, they get treated, they go home. New york is at 75,000 cases. Next state is 16,000. California is at 7,000. You can see new york is a magnitude of difference more than any other state. 1,550 deaths. Thats up from 1,218 yesterday. Again we are studying the charts. We are trying to study the data, follow the data. The data is uneven. It bounces. Numbers often bounce. In any model. There are variables in this model. The hospitals are reporting it. So what every hospital reported that day were they busy . Are they combining a couple days in one . Its an imperfect reporting mechanism. But you see the basic line is still up. What the statisticians will tell you is you basically drew the Straight Line that the columns indicate. You see we are still going up which is what we see on the overall trajectory. Number of intubation s was down, not much. But it was down. Thats a good sign. You also see the number of discharges going up. And thats consistent. The longer people are in, they either get treated and leave or they get put on a ventilator and the longer you are on a ventilator the less likelihood you will come off the ventilator. That is the blunt truth of this situation. We have two missions overall we are pursuing. One is the frontline of this battle is our Hospital System. Thats what this is going to come down to. The second is social responsibility. Stay at home. Dont get infected in the first place. Dont get infected in the first place because it goes back to youre creating a burden on our Health Care System that our Health Care System cannot handle. We are talking about exceeding the capacity of our Hospital System by some estimates two times. So what does this come down to besides all the other issues . It comes down to not overwhelming the Hospital System because those people who need acute care may not be able to get the acute care. Its all about the Hospital System. That is the frontline. What we are doing is we are following the mathematical projections of the experts. We are speaking to all the Health Care Professionals, all the health care providers, world health organization, National Institute of health, dr. Fauci, the whole alphabet soup of health care experts. And the mathematicians who then have different models. We talk to about five different models and we compare the models and try to find the median through the models. Thats how we plan everything. Follow the data, follow the science. People ask me what do you think . I dont think about this. What do i know . Im not an expert. Im not opining. I talk to experts and follow people who know. For the hospitals, procure equipment. Identify the beds. Support the staff. Thats what its been all about. Of those priorities, number one is support the staff. They are the frontline and they need relief. They are physically exhausted, even more, they are emotionally exhausted. This is unlike other disasters, hurricanes, earthquakes, floods they happen, they are fast, they are over, you start rebuilding. This is different. This is ongoing and the duration itself is debilitating and exhausting and depressing. Im speaking to Health Care Professionals who say, look, more than physically tired, im just emotionally tired. Seeing the pain, seeing the death that they are dealing with every day. In general, i am tired of being behind this virus. We have been behind this virus from day one. The virus was in china. We knew it was in china. Unless we assume theres some immune system variation with asian people, it was coming here. And we have been behind it from day one since it got here. And we have been playing catchup. You dont win playing catchup. We have to get ahead of it. The second is never underestimate your opponent. We underestimated this virus. Its more powerful, more dangerous than we expected. The third point is plan forward. Get ahead of it. Get ahead of it. Fight the fight today, yes. But anticipate the next battle and plan for the next battle. And the main battle is at the apex. We are still going up the mountain. The main battle is on the top of the mountain. Thats where the main battle is going to be. The apex of the curve. And then we come down the other side of the mountain. We are planning now for the battle at the top of the mountain. Thats what we are doing. Get a staffing plan ready now for the battle at the top of the mountain. Equipment stockpiled now. We are gathering equipment that we dont need today because today is not the day of the battle. The battle is when we hit the apex, depending who you believe, 14 days to 30 days from today. And also we need a social acceptance of the time expectation. We are all anxious. We are all tired. We are all fatigued. Its been all bad news for a long time. Our whole lifestyle has been disrupted. Everybody wants to know one thing, when is it over . Nobody knows. Well, president said by easter. This one said by this. Nobody knows. You can have a hypothesis. You can have a projection. Can you have an opinion. But nobody knows. But you can have an opinion. But nobody knows. I can say this, it is not going to be soon. If our apex is 14 to 21 days, thats our apex. You then have to come down the other side of the mountain once you hit the apex. So calibrate yourself. Yesterday we met with the entire state Hospital System. Dr. Zuker and our team. First time they were all in one place. We said to the Hospital System, look, what i just said to you we are dealing with a war, we are dealing with a war we have never dealt with before. We need a totally different mindset and organizational transformation. We cant do business the way we have always done business. We need an unprecedented sense of cooperation, flexibility, communication, and speed. And thats we talked through yesterday. And we have to do it now. The Health Care System is one of those balkanized systems. Our state education system. Our criminal justice system. Its in place. Its fragmented. They have their own identities. Their own associations. Its regionally organized. That all has to change. We dont have the ability to meet the capacity of our Health Care System as an entirety. That assumes the Health Care System is working as an entirety. Thats not how the Health Care System is organized now. We have new york City Hospitals and long island hospitals and westchester hospitals and upstate hospitals. That has to go. Even in new york city you have two basic Hospital Systems in new york city. You have the private hospitals, voluntary hospitals, about 160 of them. Which are some of the finest Health Care Institutions in the United States of america. This is mount sinai, columbia presbyterian, etc. Some of their members are also upstate. But they are the large private institutions. Greater New York Hospital association. Ken run that is association of 160. You then have in new york city , the new york citys. Hospitals health and hospitals corporation. There are 11 Public Hospitals. They are a universe. Then you have the private hospitals as a separate universe. The11 Public Hospitals are hospitals of that in many ways have always been under greater stress and need. We have to get those two systems, the private system and the public system in new york city, working together in a way that you never did before that they never did before. The distinction of public and private must go out the window. We r one Health Care System. On top of that, it cannot be the downstate hospitals and long island hospitals and upstate hospitals. When i say we now have 75,000 beds, that is a statewide number. That means those beds have to be available to the people in new york city or nassau, even if they are in albany. System,ning that whole and you are no longer just the western New York Hospitals, or, the central New York Hospitals it is one system. It is much easier said than done, but we have to do it. On top of that, you must overlay the new federal beds that came in, that are in entirely new component. The usns comfort with 1000 beds, we are planning other federal facilities. These all have to be coordinated on top of the existing hospital network. The organizational situation that we are dealing with. Honest and lets learn from the past, we know where we have to focus. We know where we are going to have problems in the next hospitals, because the hospitals have the least capacity that have already been stressed are the hospitals that that are not going to be able to handle the additional load. That is a fact. You know which hospitals are struggling. We do report all the time about the Financial Capacity of hospitals and what hospitals are stronger versus weaker positioned. Those in a weaker position are the hospitals that are going to suffer when they then carrying the added broken added burden. That happened to hearst hospital. Happened to be a hospital in a place of density. It happened to to get overwhelmed. Then you sawhat the burden on the staff, you saw that you motion and stress. That cannot happen. And that is what we talked about yesterday. And people said, elmhurst is not my responsibility. Elmhurst is a public hospital, the city runs it, i do not run it. It is new york city, it is not a private hospital. I do not care which link breaks in between. In the chain. The chain is still broken. It does not matter which hospital, which link. Any link breaks, the chain breaks. The Health Care System is a chain. It breaks anywhere, it breaks everywhere. The has to be our mentality. Howaid out a full plan on to do facility development, how to move people among hospitals so nobody gets overloaded. Shifting patients, shifting staff, shifting supplies. None of us have enough supplies. Theseven lets Pool Supplies and put them out to the people who need them. Just because one hospital found a vendor from china who delivered 5 million masks, lets share those masks. And we talked about that yesterday. We also talked at length about ventilators, which Everybody Knows is a key piece of equipment, identifying all of the ventilators in the state, who has them, who has them in a stockpile, who ordered them, who expects them to come in, and we will have one stockpile of ventilators we can distribute for everyone who needs them. We also talked about splitting ventilators. Because that is a technology that does exist. It has been used before. It is not ideal. You take one ventilator and it is used for two patients. The federal government is a partner in this, obviously. I spoke to the president again, yesterday, about this situation and i spoke to the Vice President , i spoke to jared kushner. The white house has been very helpful. We have to get the federal agencies on the ground to understand how this operates, especially fema. Because we have to be coordinated and people have to know what they are doing. And this is no time for anyone to be learning on the job. And we are going to be working through that today. Ppe, same thing. We want to know what everybody has. One stockpile and we will distribute it fairly. Testing, when does this end . When we get a fast track test. Test,home test, 15 minute and people can find out when they can go back to work because they are negative. We are working on additional testing. The department of health has a new test. But that is when this ends. We are working on new medications. We are leading the country in those developments. We have saliva testing now. We are working on the plasma testing and antibody testing. We put together a central team, it is going to be let by the department of health. Rochester is on it, new york city is on it, rhode island long island is on it. If the federal government is going to be dissipate they have to be part of this team, because we have to know what we are doing and i do not want fema coming in and blowing the coordination of what everybody is trying to do. The coordinating team is going to organize upstate, downstate transfers, set patient loads for hospitals, right . If one hospital gets near an overload capacity, lets call it, then those hospital start to send patients to other hospitals before they get up to their max. Within the public Hospital System. Within the Greater New York private system. And then among the different systems. Hole different mentality. Isividual responsibility about discipline, it is about selflessness, and it is about being informed. The basic thing a stayathome. The basic point is stayathome. I know it is hard to stayathome. Thinks,ow that everyone you know, i can go out, i can be smart. I will not get infected because it is me. I am a superhero. It is not going to be me. That is not true. And it is not just about you. It is not just about your health and your life that you are playing with, my friend. You can infect other people. So, i have been trying to communicate this many different ways for many days. We still see people coming out who do not need to be out. Workers,essential people have to be careful. Again, i have been trying to communicate that. Toryone, everyone is subject this virus. It is the great equalizer. Owdo not care how smart, h rich, how powerful you think you are, i do not care how young or old, this virus is the great equalizer. , is positivehris for coronavirus. Morning. Out this now, he is going to be fine. He is young, in good shape, strong. Not as strong as he thinks, but he will be fine. But there is a lesson in this. Worker, essential remember the press, so he has gone out there. If you go out that unity will be affected is very high. I spoke to him this morning. And he is going to be quarantined in his basement at home. He is just worried about his daughter and his kids, that he hopes he did not get them affected. You do not really know chris. You see him, he has a show at 9 00 p. M. On cnn. But you only see one dimension. You see a person in his job. And in his job, he is combative and he is argumentative and pushing people, but that is his job, that is not who he is. He is a really sweet, beautiful guy. Is my best friend. My father was always working so it was always just me and chris. He is a lawyer, also. He is a lawyer because growing tothe Decision Point came what he wanted to do after college and my father was a very strong personality, and my father basically suggested forcefully to chris that he should be a lawyer. And it was a different time and a different place. They ally daughters, follow their individual stars. It is their destiny, which is right. If you said to my father, i want to follow my individual start, he would say you are going to follow your individual s tar right out that door. So chris went to law school. But he never really had a desire to practice law. And he is at a26 law firm and he says, i do not want to be a lawyer. But i said, you are. He said, i do not want to be a lawyer. He said, i want to be a journalist. I said, too late, you have to pay the law school bills. You did not go to journalism school. It is too late. No no, i think i can do it. God bless him. He quit the law firm, went to work for fox tv, which is a whole separate conversation, and then worked his way up. He is at cnn and he does a beautiful job. But he is a sweet guy. He said to me, even the dogs will not come downstairs. But he is concerned about his wife and kids. But the reason i raise this is because he is smart. He social distanced, yes. But you wind up exposing yourself. People wind up exposing you, then they find out they are positive a couple days later. I had a situation with christopher two weeks ago, that i even mentioned my mother was at his house. And i said that is a mistake. Now, my mother is in a different situation. She is older. I said is healthy, but coming cannot have mom at the house. And he said, no, she is lonely, she wants to be at the house, i feel bad, is cooped up in the apartment. I feel bad, too, but you bring her to your house and you expose her to a lot of things. You have the kids, your wife, you are coming and going, your wife is coming and going. And you could expose mom to the virus. Littlee is sometimes a it needs to be a little smarter than just reactive. And we had a whole discussion. In truth, now he is informed, i am informed. Was that dangerous, not dangerous . I said to the doctor, we need to tell people what are the rules. How does this work. That is when i came up with matilda. I named it for my mother. It was very clear about people who are older and what they should be exposed to. Brother, that was two weeks ago. If he still had my mother at his house, again out of love and comfort, in my mother wanted to be at his house anyway, she did not want to sit at home in her apartment. So she wouldve been doing what she wanted to do, he wouldve been doing what he wanted to do, and it would have seemed great and harmless. But now we would have a much different situation. Exposed,f he was chances are she may have very well been exposed. And then we would be looking at a different situation than just my brother sitting in his basement for two weeks. So think about that, right . My brother is smart, he was acting out of love. Luckily, we caught it early enough. But it is my family, it is your family, it is all of our families. And this virus is that insidious. And we have to keep that in mind. Law,in mind matildas remember who is vulnerable. And protect them. You want to go out and acted stupid for yourself, that is one thing. But your stupid actions do not just affect you. You come home and you can infect somebody else. And you can cause a serious illness, or even death for them, by your actions. And people have to really get it, becauseernalize it can happen to anyone. Two weeks with my mother and christopher. Today is a very different situation. Last point. There is nothing i have said different since i started these briefings. And there is nothing we have learned that is different since i started these briefings. We know what to do. We just have to do it. It is individual discipline to stayathome. It is discipline. No social distancing. It miss discipline. I am bored. I know, i am bored. It is discipline. Making this Health Care System work, that is governments performance. That is saying to the Health Care System, i do not care how it worked yesterday, i do not care whos turf this is, i do not care whose ego is involved, i am sorry, we have to find a way to work a better way. To fema and the federal government and hhs, you have to learn how to do your job and you have to learn how to do it quickly. Because time is not our friend. It is about a social stamina. This is not one week or two weeks or three weeks or four weeks, five weeks or six weeks. Ok . This is not going to be an easter surprise. And have theat stamina to deal with it. And it is unity. Lets help one another. New york needs help now. Yesterday, i asked for healthcare workers from across the country to come here because we need help. We will pay you. And more importantly we will return the favor. This is going to be a wave across the country. New york, then it will be detroit, then it will be new orleans, then it will be california. Nation,re smart as a come help us in new york, get the equipment, get the training, get the experience, and then lets all go help the next place, then the next place, then the next place. That would be a Smart National way of doing this. And showing that unity. E are not, ianing w know this is a political backdrop, and democrats want to criticize republicans into vice versa, not now. Not now. There are no red states or blue states. The virus does not attack and kill red americans or blue americans. It attacks all americans. Because that in mind, there is a unifying wisdom in that. Any questions . We have now, a few days ago we put out the question is, are all healthcare workers working . The problem is healthcare workers are working too much. They are overstressed and they are working too many shifts. They are afraid to go home, they may bring the virus home. Physicalunder immense and emotional stress. We put out a request a couple days ago to ask retirees to come forward. We have about 78,000 people who said they would help. God bless the state of new york and god bless humanity. We are now working with the hospitals, we did this in the meeting yesterday also, sorting those 78,000 people by region and by expertise across the state. And we have a portal that can be explained. We then have to link them up with hospital, right . Of 78,000, but then you need to coordinate with the hospital in that region with those skills. That is what we are doing now. Jim . Today, the portal will be launched and live. We have to do some prechecking, so we checked for licenses, discipline and to those people who did not have a license were taken out, so as the governor said they are broken down by region, by discipline, now they can go in. What we are trying to do is prioritize the availability of the portal to the hospitals that need it the most right now. That need extra help in the field. We are working very closely with the entire system, like the governor said, to make sure we are linking up the new healthcare workers with those facilities. It will be live today. It is everyone. So what we are trying to do is prioritize the instate workers, which we have been region. So we know the healthcare workers in every region of the state, whether status is. We want to get those people in first. We want to prioritize the new york regional, downstate regional employees because we know that they are closer to the facilities in need right now. And we will need the upstate employees potentially later. And we have outofstate employees, we are trying to keep them close as well, so the folks from new jersey, connecticut and other places where they do not have to travel long distances. Are there any concerns about individuals who are elderly helping . We are looking at aid and we are going through a backlog. People doing 175 backgrounds on the people coming into the portal, into the hospitals will also do their own checks to make sure that person is up to it. They may not be up for one job, but they may be up to another job. And the hospitals could have these folks in needed areas by thursday. Have you anymore projections hit . When the peak will that is the 64,000 question. We have five models that we look at. It is true to say that almost no two are the same. The range on the apex is 7 towhere between lets say 21 days. From now . Gov. Cuomo if you look at all five of them it is 721 days from now. I say this does me no good. 21, the range is so broad. Do i have seven days or three weeks . There are also variables that they are looking at. On the one hand he would think they would be able to tell, because you have the south korea data, the china model, but then you have variables, how effective is the social distancing, how many people are staying home, how does the density relate . So there are variables. But listen, the apex estimate is 721. That is the not thats not the only variance. It varies on how many beds you would need. We have 53,000 beds statewide. Somandated 50 more beds, now we are up to 75,000 beds. Need morem say you than the 75,000. And the high estimate is 140,000. Estimatelators, the among those projections goes from 10,000 to 40,000. Are those right . 20,00040,000 on average projections. In addition to what we have. Can you talk about the hospitals coordinating . The executive order will that you put in a receiver to the hospitals if they do not meet the 50 threshold, or getting to that. Do you perceive doing that . Gov. Cuomo the hospitals have been cooperative. The question is, we have the ability to appoint a receiver at the hospital is not being cooperative. The hospitals have been cooperative. We put out that rule that you have to have 50 capacity, they all have responded. Today sending out a rule that says i want to know your stock, what you have in stock, what your stockpile is, what your inventory is, because we need to share. Nobody has enough, so everybody put everything into the middle and we will distribute it. Uh, we are doing that. Be theyt just going to are not listening, it is going to be there capacity level, right . Take downstates new york. You have 170 hospitals. If we sat here two months ago, ed almost all grad 170 hospitals. And wouldve had some stronger and some weaker. As a rule, the Public Hospitals would have been on the weaker spectrum. S financing, etc. Now you have more weight on 170. You are going to see a different reaction in the hospital depending on the underlying strength of the hospital. Differentiated weight, you happen to be in brooklyn, there happens to be more density in brooklyn and the hospital gets more weight, you get a different variable. But what you will see is the hospitals that were stressed cant take the stress. Right . It is not even a medical concept. The it works with personalities, too. The personalities that are having trouble dealing with stress are having more trouble dealing with the stress. So the health and hospital corporations, what i said which are the Public Hospitals, i said to the private hospitals, you have to help them. And when they get up near capacity, transfer patients. Youurst got up to capacity, had other Public Hospitals that had open beds. We have to get better and faster at transferring patients to other facilities, right . Everybody istem, at 51 . Everybody is at 60 . Everybody is at 80 . Not some people are at 40 , and some people are at 110 . That is not the way the system is organized right now. They all talk, they all have, but they are different systems. That, you know, you almost have to shock the system into actually saying, ok, we are really going to operate as one. What about if you do not see them making those shifts, does it give you a way to demand it . Gov. Cuomo yes, but look, no hospital is going to say i want to be overcapacity. It is they didnt have the caleration or the system to l someone and say, i am drowning. Elsed to have somebody accept 150 patients. And that is going to have to be managed into the system. This is something we never did before. We have never been here, you know. Normally, the beds at hospitals, they are fighting for patients, because patients are revenue, right . So you never had a situation where they said, i am going to send you patients. They wanted them and they wanted the revenues. So this is a different situation. Announcer you can watch this briefing on cspan. Org coronavirus. We will take you to the white house now for the Daily Briefing from the White House Task force. Pres. Trump thank you, everyone. Our country is in the midst of a Great National trial unlike any we have faced before. You see it probably better than most. We are at war with a deadly viru