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Questions. What is the plan for testing people who have had or believe they have had covid19 and recovered . Is a test being developed to determine immunity . The doctor mentioned that a little bit ago. The test that determines, not if you are infected but if you have been infected and you have what they call antibodies against the virus, which is a sign that you have been exposed and infected, but it could be in indication that you are now immune and essentially protected from being infected again. Are still a lot of unknowns that we need to be careful of because we still do not know the relationship between the level of antibody and the degree of protection. Total not sure what the immunity is. Many of these antibody tests that are out there have not been completely and totally validated. Telling us that they are butistent and reproducible, the answer to the question, when we do get an antibiotic that can be widely distributed, we can get an idea of the degree of exposure of the general population. That gets back to a question that was asked, what percentage of the population could be asymptomatic infection. 25 , up torom 20 to 50 . Tell what thee to relative proportion of the population was actually infected and is now protected against exposure. There definitive guidelines on grocery handling . Is wiping down with a clorox wipe enough if someone who is suffering from the virus touched the product . Dr. Fauci the cdc has a number of guidelines. Cdc. Gov oro on to coronavirus. Gov and get a feel for that. Taking one of the things that you mentioned, there have been studies that the virus can live on some surfaces. The idea about doorknobs and frequently touched things, it is a good idea to wipe them down, particularly alcohol. Saying issue that i keep is no matter what guidelines there are, wash your hands as often as you possibly can, particularly when you are dealing with a respiratory infection that has a high possibility of transmissibility. As we say in medicine, too numerous to count. I have been washing my hands more than i ever imagined i would. Host joining us from michigan. It is a tremendous opportunity to talk to you. What are some of the factors it spreading so successfully in the u. S. Versus how ebola did not spread widely in the u. S. . Are a couple of reasons why. First of all, the transmissibility, the more we learn about it. There is a degree of transmissibility that is highly efficient. We had a couple of superspreader fears, but in general, it was due predominantly to people in very close contact and a medical setting. People who were in Emergency Rooms and health care providers. When it comes to community spread, being next to someone who is asymptomatic and winding up having four, five or six people and well documented situations of outbreaks, within a setting where there was a person he was not symptomatic at all, it makes it a completely different virus, predominantly in its ability to be transmitted in a very efficient way and to be able to be transmitted by someone who was essentially asymptomatic. That is a real challenge for community spread, which we did not have a lot of with sars. Melissa, you are on with active fancy. Caller it is very dr. Fauci. Talkr it is very nice to with you. In terms of the use of hydroxychloroquine in the last the u. S. Is there any data that would let us know the inple that have been intensive care or in really bad shape and that are treated with hydroxychloroquine and recovered . Or people who were not treated with it and did not recover dr. Fauci . Any kind of data on that . Data on that . Dr. Fauci sure. The only way you can definitively determine whether a particular interventional agent, in this case hydroxychloroquine, is effective and safe is if you do a controlled trial that you compare it to something. There has been a number of anecdotal reports of people saying i gave it to someone and they did well. It is difficult to make any determination because often come people do well, even if you do nothing but standard care. We need to rely on wellcontrolled, well followed, welldesigned Clinical Trials to determine definitively whether any drug, including hydroxychloroquine works. The other thing is that there is a safety issue. One of the issues is that some individuals, it causes an electrical abnormality. This becomes particularly interesting if you are taking azithromycin, which can also do that. You want to make sure that when you start recommending something , that you do it on the basis of a trial that has shown definitively that something works or is not. Received hundreds of emails. You have been working long days, seven days a week. How are you holding up . Dr. Fauci i would say that i am running on fumes, but the fumes are ok. This is a challenge. We are dealing with a bona fide Public Health crisis in the sense that is something that is unprecedented. Mike is a really good friend of mine that you have on the show. Verye been through some difficult and challenging Public Health issues, back in the day of aids, but that was something that turned out to be one of the most historically bad Public Health things that happened to our civilization, but it happened over a longer period of time. Now you are getting a brandnew infection with a high degree of transmissibility, with a high degree of morbidity. It is compressed into a matter of weeks, two months, where people have asked me, years ago, what is your Worst Nightmare . I said that, a respiratory illness, likely one that is brandnew and jumping from an animal they high degree of transmissibility and a degree of morbidity and mortality that is significant. Right now, that is where we are now. When you ask me how i am doing, it does not matter. I am doing fine. The people we need to tip our hats to come of the committed people of our Health Care Delivery system, who are right now risking their own health, their own welfare and that of their family by taking care of people who are critically ill with coronavirus disease. Those are the ones we should be concerned about. Good evening. Question for the doctor . Vegas. I am a teacher in i am concerned and a lot of the and parents are concerned. Do you think it is safe for the kids to go back to school . Dr. Fauci it really depends on where you are. We have a big country. We follow this on a daily basis. Dr. Deborah birx does a great job of getting all the data for big difference a between new york city metropolitan area and someplace in the midwest or mountain region. Whether uv open schools or close them, you have to be careful that you do not have onesizefitsall. It is not like a light switch that goes on and off. You have to look at what you have been through, where you are in an outbreak. , everything will be fine, others might be on the uptick. The short answer is that it is not united dimensional. You need to look at where you looksd what the infection like in your community. The , whatou saw was your Immediate Reaction . This is the world that we live in. People see things like that all of the time. That is the result of an answer to a question that i was given to by a reporter. It was a hypothetical question. Somebody did not like the way that i answered, so they fire fetching. It does not bother me. Host but can the president fire you . Dr. Fauci it depends on what you mean. I am serving at his pleasure. I was with him for quite a while today. He has no intention of firing me. Placeis there a plan in for someone to take on the duties if that were to happen . Dr. Fauci i do not think it will happen, but if it does, there are a lot of competent people around. Ast did you have conversation with the president about this . Dr. Fauci no. He said we were fine. Host thank you for being with us. Thank you for taking cspans washington journal, live every day with news and policy issues that impact you. This morning, Lieutenant General and former commander of joint Task Force Katrina discusses the Trump Administration response to the coronavirus pandemic. Then psychologist Jennifer Hartstein talks about Mental Health concerns during the pandemic. And association of american railroads president ian jeffries on Railroad Freight and passenger travel during coronavirus. Watch washington journal live at 7 00 a. M. Eastern this morning, and be sure to watch sunday morning as we look back on the Oklahoma City bombing 25 years later, with events from that morning, investigations, a rest of the perpetrators, and how the attack has been remembered over the years. Governor christie gnome noem announced her state is the first to start of hydroxychloroquine. This is 40 minutes. I am the executive Vice President for Stanford Health sanford health

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