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In the mountain or western, 202 7488001. If you are a nurse or doctor, we would like to hear u. S. We would like to hear you at 202 7488002. Lastw york city, over the 36 hours, over a thousand deaths. U. S. 13,500 deaths in the across the world, now 1. 5 million cases of coronavirus and approaching 89,000 deaths. Joining us from bethesda, maryland, dr. Wilber chen, a disease expert at the university of Maryland School of global medicine and health. Let me begin with the vaccine. There are three phases to incorporate a vaccine. Where are we with covid19 . Respect touest with vaccines, we are just at the beginning. About two weeks ago, we started the first of hopefully many vaccine trials that will be initiated this year. This first vaccine trial is what we call a phase one trial. Have to govaccines through three different phases before licensure. That means each of those phases has to be successful. There is a phase one study that requires a small sample size and the primary intent was to measure the safety and whether there was reactions to vaccinations. There is the second stage where sample sizen the population. You still look at safety but start focusing more on the immune response. You go to phase three. You continue to measure the ongoing safety, but the immune responses also and that is when you get a first look at the efficacy of the vaccine. Perhaps have a vaccine that is licensed. Faucidr. Anthony indicating this is on a fast track but you have been dealing with this for much of your life. What is the best Case Scenario for approval of this type of vaccine . The vaccine has to be successful at all stages. Isuming that the vaccine completely safe, and the immune response is as good as we desire that we mightope be, at around this time of year, finishing out phase three, which means that we might have a licensable vaccine perhaps in about another six months or a year, 18 months. Trialsbeen doing vaccine for many years. Failedse, vaccines have at any of these stages. The goal for me is to try to see as many vaccines evaluated as possible. Anyone singlet on vaccine. Host at the same time, there is a search for therapeutics. Is this in sync or separate . Guest these are all studies being done in parallel. The treatment trials are done in sick patients, patients who have covid. Those who were involved with our inpatient trials, hospitalized patients, who tend to be sick and ill people. But there are outpatient trials, that means that mild cases can be treated and still evaluate certain therapeutics or drugs. This is going on right now. These vaccine trials, the early phases are tested in healthy adults. In healthyt them adults and see good responses, we start expanding to the rest of the population. Young children, older adults, perhaps even the immune compromised. Those with diabetes and such. These are the target populations we want to get the vaccine rolled out to we have to evaluate the vaccine and how it performs in all segments of the population. Host once we get to that point in we have a vaccine, how quickly can it be manufactured and how does that process work . Guest that is a great question. A lot of people just ask how long it will take the license but then they dont realize what ginormor mess what a ous effort it takes to deploy a vaccine to a population. Licensed, the is manufacturer will have to start making large amounts of the vaccine. I cannot imagine that one single manufacturer can make 7 billion doses for the entire world. But even if you assume they are making a vaccine for small population, one billion doses, that is still a lot for one manufacturer. If they are able to do what is called tech transfer and have that Vaccine Technology licensed out to other manufacturers, then we might assume you might have 10 facilities trying to make that vaccine. Still, it is something that has to be made in large amounts. Thenyou have the vaccine, you have to deploy it down to the people. Chainis a huge logistics from the manufacturer out to federal or National Distribution sites and down to the state or local level, then down to even smaller minas of all levels and local populations. People thatf is not my expertise, but a Large Services that might have to be performed poorly vaccine can be delivered to a person. If this was not a pandemic, a virus you wanted to study, traditionally how long would that take . Guest it would take a decade on average. That is because, as we do the phase one, phase two, and phase three testing, normally there are critical stage gates or milestones you have to meet. When you do a phase one trial, after you completed the trial, you do the data analysis. Then, you think, is there justification for us to move forward and to the phase two. Then, you do the phase two study and you decide, next we can do the next phase two or phase three. Usually it is a series of phase two and phase three studies. It is usually a phase one, a series of phase twos, and a series of phase three studies. It might be different Clinical Trials being performed on one single vaccine and at every point during each of those atdies, you are taking looks how the vaccine is performing. Manufacturers, they are making a business or economic case for how the vaccine is performing, looking at Market Analysis and other things to see if this is a vaccine that will recoup our r d. S for rnd for host there are different studies going on now. One through the nih, a project between the chinese and american government, and another through oxford in england. Are these entities communicating with each other . How does that work . Situation, pandemic i hope there is great communication across. This is a global problem. , datak, at this time sharing and knowledge sharing will be critical. To move these vaccines and therapeutics forward. I am not involved in all of these different vaccine studies. Arehe national stage, there a lot of discussions that are being had that they are talking about sharing this type of data. Host you have been involved in past Vaccine Development, correct . Chin, withdr. Wilbur the university of Maryland Center. Mark in chula vista, california. Good evening. Caller a couple of questions. Orber one, with the cdc whoever basically creates the guidelines, would they be standard tout the get a vaccine much quicker . When will we be able to open the economy to restaurants . Was, i think the question theas asked as if cdc was one controlling the licensure. It is actually the fda. The food and Drug Administration is the federal authority that drugs and vaccines. Regulatory guideline be fast illhem to in a pandemic situation. Truncate these Clinical Trial so they can be done in shorter fashion. It is not to say we are cutting safety and not evaluating the relaxing some are of the requirements so we can enter into these Clinical Trials early on and so we could have early triggers to proceed with phase two testing. This is not just in the u. S. , but also what we call other regulatory authorities across the globe allowing for aunt watching allowing for and watching these therapeutics get evaluated. Host are you able to use the data, the type of vaccine used in previous pandemics . Vaccines beingse evaluated now are based on platform technologies that have been used to evaluate other types of vaccines. Versions for sar caller four example, havefor been used with these technologies. There are other Biotech Companies who have technologies that can be used, that they have used for other vaccines, and adapting it for this coronavirus. Done of studies have been using the broad platform. The fda and other regulatory authorities have some information already based on those prior vaccines using the same platform. There is not a lot of difference. Influenza forin coronavirus, you are using a broad platform for the Expression Technology or something else. These are things that a lot of these Drug Companies are axing companies are doing. They do have the Drug Companies or vaccine companies. They do have the data. , this may noten be your area of expertise. I have been following the infection rates and death rates in a lot of countries. Some of the western European Countries Megumi Yokota a lot of the western European Countries. A lot of them seem to have higher death rates and their capitan terms of per population seems to be much higher. When i think of western europe, i think of countries that are in my mind the same in terms of health care and the ability to treat people. I wonder if you have any thoughts on that. I have not seen a lot of commentary on that. Guest that is a good question. A lot of scientists are wondering about that as well. Some of it is that in western haspe, the population is a lot of older folks. We know that older adults are at higher risk for more severe disease. There may be more smoking. So, with smoking, there might be more underlying pulmonary disease or lung disease. That can also contribute to seeing more cases. There could be other reasons as well. Some people might think that might be a genetic predisposition to having more disease. Perhaps that contributes as well. Ultimately, we do not know the answers. Things are moving very quickly but may be by this time next year, we will have more data and be able to analyze it so we can understand why there seems to be disparities between some countries such as europe versus the u. S. Or other places. Host based on your expertise, if you are one of the 1. 5 Million People around the world who have had covid19, are you then immune from it . Guest we sure hope so. We have not proven it yet. Of us are really banking on it. Getally hope that once you covid, at least you will have a much lower risk of having reinfection. We have not really tested that hypothesis formally. These hoping that vaccines we are developing will do what natural infection would do. I think that is something to be answered. Was just what does the vaccine do . How does it fight off the disease . Guest it mimics parts of the virus that we think are very important for its survival and for the immune response to mount against the virus so it can kill the virus. One of the important o proteinnts is a glyc on the surface of the virus. Corona means crown. There are these proteins that come out from the surface, they are called spike proteins. Host bristol, tennessee. Guest caller i would like to know when the vaccine is coming out. Would it be this year . Covid19, can they get like a pharmacy or prescription from the doctor . Guest i think the question is basically, how would i get it when the vaccine is available . We hope it will be Something Like pandemic influenza 2009, that these vaccines would be rapidly delivered to local Public Health authorities so you can get these at Vaccine Centers or maybe large Academic Centers or even Doctors Office visits. It would probably be initially at larger Doctors Offices. More and more vaccines become available, it would be at the smaller, private clinics. Logistically, it would be most feasible to have the rollout from the local Public Health authorities. Something that will be hopefully set up within the local communities, so there might be one or two locations within a particular county. Host we welcome our audience herein d. C. And coasttocoast on serious xm. Our guest is dr. Wilbur chan. Chen. Wilbur caller thank you for taking my call. , ianted to ask dr. Chen this rush for a vaccine is more like a money grab. I think there is an insanity involved in trying to make a vaccine for a disease that you cannot even define or identify with a test. Thecan explain a lot of discrepancies with vitamin d. You can get the same group of people. Childrene, blacks, and would not have a problem with lack of vitamin d, because they take milk. I wonder why we are looking at a vaccine as opposed to other protocols . Guest i dont know what the evidence is for the vitamin d. Argumenthere is a huge causings virus is overwhelmingss, medical systems. Huge losses because of the direct effects of this virus. There are ill people all throughout the globe. I dont know what the evidence is for this vitamin d that you are talking about. There is no evidence i have seen about vitamin d having any significant effect on morbidity and mortality. I think there is a huge argument for developing therapeutics against this virus. Im not sure exactly where those assumptions for that question came from. Bet could there potentially various vaccines, one for younger people, one for the elderly . Guest that is a good question. For influenza, there are vaccines that are specifically designed so they can work better for older adults. The standard vaccines perform a little bit more broadly for older adults. The same is true for children. Versions foriatric some vaccines. We had one, even if vaccine available for covid19, we might have different doses. Or there might be a different dosing scheme. Children may get two doses whereas adults may need to only have one dose. Those studies would need to be performed to understand. Caller dr. Chen, i would just like to i am not sure how you will answer this. I appreciate you taking my call. I have noticed that President Trump has been making in his statements, he seems to be making things very political. Worldced that today the Health Organization made some comments about things being very political as well. It seemed to me they were talking about donald trump. I am not sure 100 that they were but i believe that they were. I believe that we would do a lot f donald trump a lot better if donald trump did not make it a political issue, but made it a people who are sick issue and left politics and drama out of it. Not a politician, i am a scientist. But i think at this point in the pandemic, there is not really a lot of time to point fingers and not a lot of time to criticize what other countries are doing. I think we all need to move forward. Teamwork and for all of us to be trying to push forward with progressing alsopeutics or vaccines, sharing best practices how to treat patients ultimately who are hospitalized. Again, sharing of best practices among countries is going to be helpful as well. Petersburg,t. Florida. Bruce, good evening. Caller i have a twopart question for dr. Chen. An are you treating the ards d cytokine storm . And to ace inhibitors have any effect . Guest great question. Sounds like a person who is a scientist or has read some things about the science. Inflammation, generalized, of the lungs in the body. Basically there is what is called the cytokine storm. Withis what we are seeing this infection. Some of the therapeutics that people are trying to evaluate are these particular therapeutics that actually block certain specific cytokines. For of them are used Rheumatoid Arthritis and other rheumatologic diseases, inflammatory diseases. There are some people who want to test to see if these are efficacious. There are some reports from china that some of these might be efficacious. A small still a small scale study, mostly also not randomized and blinded. Se are the we are seeing more severe disease among people who have hypertension. Drugs for most common hypertension, Blood Pressure agents, is something called an a ce inhibitor. Is the name of a receptor that the vice that the virus also binds to. So there is potential commonality of this virus attaching to a certain receptor, and we have a medication that acts in a similar pathway. People are not sure that there is evidence that these ace inhibitors are either partly responsible or in the pathway of why we are seeing more severe infections of people who have hypertension. We are not sure yet. Some of the early looks at the data are proving that ace inhibitors are not involved with more severe infection. But more study needs to be done, which means we need to continue to see and understand how the ace inhibitors use is associated or not associated with covid illness. Host we will hear from vicki from mesa, arizona. Caller i guess i want to know, when will this virus be over with . It is driving me crazy . I cant go to my neighbors, cant go out and play. It is so boring. When is it over with . Guest i think it is probably very frustrating for a lot of individuals, especially as the weather is getting nice outside and people want to go outside. We are trying to cut down transmission as much as possible because that is the only means we have right now in the absence of a vaccine to be able to stop the virus from moving through a population and our communities. If we had a magic way of stopping time and keeping people apart, then we might actually be able to get rid of the virus. What we are asking people to do is to stay in place in their homes, try not to congregate in social gatherings, to really limit your time outside in public to being able to perform the essential things you need to do. Going to get your medications from the pharmacy, buying their groceries, the sorts of things. Essential personnel and First Responders performing their occupations that are critical for the infrastructure to survive. Keepalth care, people who our electricity on, phones going, garbage collection, the supply chain for grocery stores, restaurants. The food supply chain. All of these things are essential but we have to remember that the bottom line is we have to stop transition. Transmission is when we get close to one another and the virus can jump from one person to another. Host our guest is with the university of Maryland Center for Vaccine Development and global health. Dr. Wilbur chen, thank you for being with us on cspan, we appreciate it. Keep in mind, nearly 3000 people 911. In in new york city alone, more than 6000 have died from covid19. Have we flattened the curve . We will turn to the Public Health aspect of the virus. First, Governor Andrew Cuomo in albany about whether they have stemmed the tide in new york state. [video clip] withcuomo today is a day two mixed emotions based on different pieces of information we have. I am trying to work through so i will present the facts and we will go from there. There is good news and what we are seeing, that what we have done and what we are doing is actually working and making a difference. We took dramatic actions in this state. Businesses,schools, social distancing, and it is working, it is flattening the curve. You see that again today. So far. Meaning what . Meaning that curve is flat and because we are flattening that curve is flattening because we are flattening the curve by what we are doing. If we stop what we are doing, you will see the curve change. The curve is a function of what we do day in and day out. The number of people hospitalized is down. We look at the three day trend. The three day average trend is also down. Hospitals, larger systems are reporting that some of them are actually releasing more people than are coming in. Unquotee the quote flattening of the curve. We have more capacity in the Hospital System than ever before. We have had more capacity in the system to absorb more people. The sharing of equipment, which has been really one of the beautiful cooperative, janice beautiful cooperative, generous acts among people in the health care system, has worked. Host that is from Governor Andrew Cuomo. The governors daily briefings at joint on our website cspan. Org coronavirus. Our phone lines are open and we want to hear from you at 202 7488000 if you live in the central and eastern time zones. For those in the Mountain Time zones, 202 7488001. Or all others, 202 7488002 we are back every morning at 7 00 a. M. Eastern time. Lets hear from joe. Good evening. You were on the air. Forer i have a question dr. Allen. Host he is not with us yet but no head. Caller my question is twofold. Number one, what is the natural progression of this virus . We started with social distancing, now we are doing masks. My second question, do we need to wear a different mask every day . Host thank you for that question. From massachusetts is joseph allen from Harvard School of Public Health. For those going out wearing a mask, does it need to be a new mask every day . Guest that is a very good question. Ae answer is, you dont need 30 day supply. , i am talkingk about a homemade cloth mask. We should not be using professionally great masks which should be used by health care workers. A cloth mask, you should wear that each day when you go out, and you can wash it that night. If you are fortunate enough to have a couple of masks, you can cycle them in. One ontuesday, another wednesday. The key there is you are washing masks but also time. The virus if you wait two or three days, there should not be anything left on that mask. Host in addition to physical distancing, washing your hands, limiting your timeout, and wearing a mask, what else should americans consider doing in the months ahead . Guest we are really getting back into basics here. Public health 101. The basics of Public Health because they work. Handwashing, social distancing. There are also some things you should do in your home that will help minimize risk. But i think before we talk about the types of controls you can put in place to protect yourself, your family, your friends, it is worth talking about how this virus is transmitted. Infectiousnk about disease transmission, we think of three modes. The first one is large droplets. Infected,f i am coughing or sneezing, but you might see large particles come out of my mouth. Aerosolso might be particles that you cant see but are big. That is why you want to keep six feet away. Calledond mode is foamite transmission. Object that can harbor the object. I have thefected, virus on my hand, i touch that doorknob, someone comes by later in touch as the doorknob. Later and touches the doorknob. For that, increased surface cleaning, disinfect surfaces, and of course, wash our hands frequently. The third is aerosol transmission. When i cough, a large particles will settle out, some may land on surfaces, but that still leaves smaller particles that can stay in the air for several hours. Other strategies we can take. It comes down to the basics here. Open your window a little bit, brings in the fresh air, helps dilute any airborne contaminants. Controls, back to an understanding of how this virus is transferred first. Host our guest is the coauthor of the book Healthy Buildings. To that point, you say open the windows. Can this be transmitted through airconditioning units either in your home or if you are on a subway system or Office Building . Guest i run the Healthy Buildings program at the Harvard School of Public Health. For years, i led forensic investigations for six buildings. I have seen just about everything out there including outbreaks in hospital. One of them, legionnaires disease, associated with airconditioning systems. Lets say you bring in fresh, outdoor air. Recirculateess, you most buildings, you recirculate a fraction of that air. The air conditioning system can take what is in the air and distribute it to either other parts of the house or other parts of the building. There is an outbreak related to sars, linked to mechanical ventilation systems. At that case, it was an airborne virus that was pulled up in the bathroom exhaust and spread throughout the building. A lot of people got sick. Example ofhprofile how the building can exacerbate spreadem that help disease. More importantly, if buildings safely, if you increase the amount of air coming in, you dilute the air in that space. If some of the area circulating, you want a high enough grade filter. If some of the particles are coming through it hit that filter, they will be trapped. It is less about the air conditioning and more about how things are being run. In that case, you just want more fresh, out or air. Host go to new jersey. Albert, good evening. Caller i was just curious, i was reading Different Things on the internet, how maybe this coronavirus is transmitted through bats, that i was reading about the bats, how they can handle a lot of viruses, their immune system is so strong, they have a lot of interferon. I wonder if the interferon we make is useful to patients who are sick. Guest you had a great guest before me, dr. Chen. This is a virus that started in animals, made the jump probably from a secondary animal into humans. This does happen. We dont have a natural immunity. That is why it is spreading so quickly across the globe. The perfecteally is ability torms of its cause a pandemic. Andainly, it is very lent lent and deadly. Also, that they can spread a symptomatically. And it is clear to me that we have three modes of transmission operating. This was evidenced to me early on. When i first saw the results from the cruise ship or the kirkland senior home. These to me where telltale signs that we had a virus that was highly contagious and spreading across multiple modes of transmission. That brought me back to my forensic days looking at sick buildings. Thiseaks to how easily virus has translated. If you are with somebody who does not show any symptoms, do you have a greater risk, less of a risk, or about the same . Guest certainly, when people are symptomatic, there is higher viral shedding. Two, people are also coughing and sneezing more. Not only do you have a higher viral load in your throat, lungs, but you are actually projecting that into the environment. I know we say to keep a six foot buffer, but if you have a strong emit 20 feetls can or further. Two, it is the behaviors that change that that change when people are symptomatic. Host memphis, tennessee. I wanted to ask, i heard scientisthe news, a described this as a naturally occurring virus, distinct from something that would be origin is what i am looking for, down through the birds. If that could be explained in little better as to maybe we can target an origin from some forensic profile. Guest i think that is a really good question. My field is not forensics. It is Infectious Disease dynamics. I am really on the control side of how we minimize risk. I am operating in this place, for example when i had these outbreaks in the hospitals, you are trying to control it. We are all operating with incomplete and imperfect information. This virus. Igin of scientists are working hard and will figure this out. Right now, you, your callers, your listeners have questions that need answers. This is where the guidance i am giving in terms of mask wearing, the steps you can take in your home to minimize risk, how to minimize risk when you go grocery shopping, get takeout except a package. It will take time, and we dont have that time to wait. We will give you some guidance in three months, that is not going to work for anybody. So we are giving the best guidance we can right now. Question is the following. Pandemic landhis this pandemic will end . It and necessity that this due to either that it ors due to either a vaccine achieving 60 herd immunity . Guest there is no question it will end. The question is how. The current endgame is really a vaccine. In the United States, as our testing has been behind and it is coming online now. Two types of testing. And who currently has it two, who might have had it. Who might have had it is critical for herd immunity. We dont even know right now who has had it because many people do have mild or completely a symptomatic if they get it. Until we get that second round of testing, there is testing for antibodies in the blood, this just started recently. In addition to those i think of the endgame. The scientific machine is fully ramped up. Fore are not opportunities potential breakthroughs. We might have treatment breakthroughs, repurposing old drugs, finding new drugs. On the control side, it gets down to how we do Contact Tracing. Selfquarantines. Very effective in this regard so, while it is not quite the end of the pandemic, it is a means to be able to function while we keep the lid on this until eight true endgame comes. Jeff from birmingham, alabama. Caller there was a substance that was a liquid breathing medium, similar to what you saw in the movie the abyss. I wonder if that could be used to push any kind of adema out as you also oxygenate the body. There was a case from adam york, overreaction. Une he was from the Metro Birmingham area from january to march, and his lungs also suffered. It might be interesting to follow up with his case to see if there is any sort of genetic marker. I was wondering about the liquid breathing and this other bug of a couple of years ago. Guest i dont really have a comment on that, i have not heard about that. Really we have to be careful right now in terms of bycdotes, things supported evidence. I think we have to be creative and explore every opportunity but at the same time, it has to be evidencebased. Anythingure that doesnt do more harm than good. Host dr. Joseph allen is an assistant professor of Exposure Assessment science, part of Harvard School of Public Health. From california, good evening. For elderlyrk people and they have the people in the evening, when they are going to eat dinner separated. Outng the day, they are conversing with each other, keeping their distance of course. Is it bad for them to be eating together . Some of them have alzheimers. They dont know what is going on. It is very difficult to keep them you know. I think that is a really important question. This is an area that is really concerning to me and others. Seniors have a higher risk from the virus, certainly. We have seen explosive outbreaks at senior homes. The guidance is to take every precaution you can for those reasons. I think it is smart to keep those social distancing measures in place. A lot of it comes down to how often we can wash hands, cover your cough. Also, maintaining social distancing. And, building operations up so you bring in these other factors like increased filtration, even air purifiers or humidifiers. If you take this kind of multipronged approach, we try to minimize risk. I made a forceful case for this last week in the washington post, that the debate should be over with mask wearing. This should be part of the arsenal we deploy, particularly in high risk scenarios where we are mixing with other people and there is the potential for spread. Even more so in populations that are more susceptible to the virus. Host paul in chantilly, virginia. That there is preliminary evidence that the virus can exist for up to three hours in aerosol form. So, my question is, how safe is it to walk or run or whatever outside . Lets say two or three hours before on that same sidewalk, someone coughed, and you walk through the same cloud of aerosols. Guest that is a great question. I totally understand the confusion on the part of the public. The science is coming out like a fire hose on the web. It is hard to disentangle a data point based on science and what that means in terms of your own health and risk. I fully emphasize here. Let me start with the science. We know that the virus can survive in air for a couple of hours, and on surfaces for a couple of hours. It is not that it exists and then drops off and disappears. It is decaying rapidly. Lets take the scenario where we are inside the home in a small space. I am infectious and i cough. Large particles will settle out. Some smaller particles may float around the for a couple hours. If you are close to me, the concentration of those particles is higher. As it fills up the room, there are fewer airborne particles in that space. Distance does matter. Two, over time, the particles are dropping out, settling out, viruses are decaying. You also have air exchange rate. Even though it can be tested after several hours, the risk profile is quite different. It is not as if you were sitting across from me and there were airborne particles. About whatr point happens outdoors. If i was jogging and i am infectious and i cough and release it into the air, outdoors you have infinite air exchange. Wind moving that around. Even though airborne can survive for three hours in a highly controlled indoor environments, outdoors that will not be a problem hours later, even minutes later. Park if you are at fenway this summer or any of the baseball stadiums if baseball does return, what should mlb do differently with this pandemic . Guest it is a whole new ballgame, so to speak. I have been talking a lot with commercial real estate, theaters, a little bit with the sports world, prison populations. They sector is dealing with same questions. What can i do right now, the response phase . And what does the recovery phase look like . We may be back to our offices slowly when the timing is right and we put in the right control. It may be longer before we can again at the masse ballgame, the theater. It is harder to control. That said, i am working with some groups, theater groups thinking, how do we bring this back so we can change the situation a little bit and reduce that risk . That may be hard to imagine interacting will become the new norm. Neighborsation with my , the first time i saw them on the street, we work six feet apart and it felt awkward and uncomfortable. Conversationthat and it felt normal and fine. In change our culture our culture and expectations. I have confidence that we can get back to some semblance of a new normal as we wait for that endgame of the vaccine. Host broadway will remain closed through early june and possibly even longer. Dr. Joseph allen from Harvard School of Public Health, thank you for being with us. Guest thanks for having me. Host every evening, we check in with members of congress. First, secretary of state mike pompeo talking about americans overseas. Mpeo this worldwide scale of repatriation efforts is on is unprecedented in our lifetime. You name it, we are working with them to make sure the American People get back to be with their families. You can see behind me the map of flights all across the world. Tory day, i get a chance hear the remarkable stories of our team. In peru, sending riverboats up the river to get citizens who are stranded deep inside the amazon forest. Our mission in maple, making sure a woman who needed medicine could go to a pharmacy before boarding a flight back here. Our embassies sprang into action for strange americans, thousands of them. Told one of our consular officers for a boarded the flight, thank you for helping me get home to my dad. We have received messages from lots of people who are proud to know that we will get them back home. Tearsman wrote, i was in when i received the mail that i would get back to the United States. Another person said, i was glad i had allies. The Repatriation Task force at the state department, our consular officers have done great works. I want to thank our partners and other government agencies. Our sisters and brothers across the United States government that have helped these people back. Lastly, we continue to help countries around the world as well. We have cdc officials helping these countries with expertise and everything they need to get their citizens safe and healthy, so we can get the Global Economy back on its feet. Host joining us as the dean of the virginia delegation. The thirdnts congressional district. Thank you for being with us. How are you dealing with all of this . Guest i have been at home, somewhat quarantined. Scheduled and all of them were canceled. There was very little to do. We need to take this problem seriously. Whereou have a situation someone is saying that churches will be cure phil since by easter, the cure is worse than the disease, when you have that message, it makes it tough for the governors to get compliance. I think the public has responded. They are staying at home. The transmission of the virus has been slow down. After 20 days, it has gone up 100 fold. That is why the projections were by possible millions. The explosion has slowed down significantly. They are revising those efforts. Congress has come in with support. They significantly enhanced unemployment for those who walk lost their jobs. The median worker will be helped. Although the problems you have had with housing and food and Everything Else emanates from the fact that they have lost their paychecks. Just in the last hour, some numbers thanks to Johns Hopkins university. Here in the u. S. , 1300 cases. 431 deaths. 44 of them here in the u. S. From yourou hearing extended family and constituents and friends . Everyone is aggravated with the stayathome order. But we recognize the value it has on slowing down the disease. This is serious. People are dying. The explosion in the numbers of deaths will continue unless we do something. The main tools that governors have are the stayathome orders. You can go and find the contacts. And keep a lid on it. But once against to a certain level, the Contact Tracing does not do any good. The stayathome orders are the things that governors can do. Those orders are making a significant difference in virginia. Support, the loan program for businesses, the way the loans are constructed, there is a significant use of the money. Host you were the chair of the house education committee. In virginia, Public Schools are close to the end of the year. Do you worried that secondary School Students will pay a price for these School Closings . Guest there is absolutely no question about that. For many children, the school meal is the most nutritious meal they get during the day. We have significant money for education. We had significant funding for k12 to help localities to beef it is fairlynology. Lexible based on what you need about theere made fact that Public Television was in that package. They have on their website courses that can be taken. Every required course k12 is on that website. You cannot only take the course, they have an area on the website where teachers can learn how to teach it and parents can learn how to help their children. Of thing thatnd is needed. Funding to make sure this education can continue. Especially with special ed students. There is no question they are not getting the education they deserve. It willto do it and take more funding. I think congress is willing to come up without funding. Joining us is congressman bobby scott. We appreciate you being with us. Guest thank you. Host we are back tomorrow morning at 7 00 a. M. Eastern time. Another chance for you to weigh in with your calls and comments. We are back here tomorrow evening 8 00 eastern time. A primetime addition. Edition. Be safe and enjoy the rest of your evening. News andvery day with policy issues that impact you. Heritagemorning, the a nationaldiscusses Coronavirus Recovery Commission and proposals to boost Economic Activity once the city pandemic evades. Then, a discussion on federal efforts to support Small Businesses during the pandemic. Watch live thursday morning. Join the discussion. Up next, we will show you the White House Briefing on the coronavirus pandemic. That is followed by Bernie Sanders suspending his 2020 president of campaign

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