Thank you for joining once again. Thank you. Lets get to the latest on vaccine news. We heard from dr. Fauci not too long ago saying hes anticipating a vaccine to be ready by next year. How soon do you think well see a vaccine . Ive seen reports out that in the past, vaccines have taken years and years to perfect. So i think a lot of people are surprised by how fast this particular round of Vaccine Development is going. So far, we call it operation warp speed and that gives you an idea to the speed. So theres several things that make covid19 vaccines different from before. The first is, of course, were i 2020 now, so theres been a lot of development in science, so people can upscale and move things further along. I think the most important thing probably is the red tape thats been shut down or lowered because of the federal commitment to this. Not only in the United States but all over the world and then thirdly, i think from the initial vaccine studies, our immune response seems to be a little bit better than people thought. So a variety of different vaccines. I have to say, when you use the term fast tracking, i get a little unsettled because i think of an iphone, for example, when theres a new update to the iphone software. You dont necessarily always want to be the first person to download it. You want to work out a few of the kinks. Should we be concerned about the quality of the vaccine . So safety is always a concern. I think you always are balancing safety and efficacy, but i know that people will not release a vaccine unless they are very sure its safe, at least from the people theyve studied so far, and we could talk about caveats to that, but because vaccines have a lot of meaning right now in American Society and with the antivaxing campaign and such, if we released a vaccine thats unsafe, that would jeopardize all vaccinations. So i think people are very, very careful about that aspect. Indeed, and not to mention how these vaccines will be rolled out because of course, theres got to be a lot of you talked about Clinical Trials and the red tape. This could be a much longer process. Next year, january of 2021 by any means. So also, likely there will be a phased rollout. So youre going to target the people who will benefit the most. So perhaps, health care workers, people who work in the health care setting, even if theyre not providers. So people who work in the hospital kitchens, janitors, also, people who work with high risk and high risk individuals. Maybe the elderly folks in nursing homes. Because the vaccine will take some time to manufacture, even though a lot of money is built in to distribution aspect of it as well. That makes a lot of sense, those who are most vulnerable. We are getting a question now from instagram. Id like to share this. It says, do you think a vaccine will actually get us out of the situation and manage the virus . Thats a great question ive heard from several now. I think it makes theoretical sense that an effective vaccine will do the trick and sort of bring the virus and people talk about this magic number. 70 herd immunity and exactly what it sounds like. A herd of cattle. Maybe sick cattle at the back. If a diseased cattle comes to the group of cattle, or the herd of cattle, the cattle in the front, if enough people are well or vaccinated, will protect the vulnerable cattle at the back. So we need 70 of the people to get vaccinated. Right now, surveys show about 50 of americans are ready to get vaccinated, and thats a little concerning. We do have a lot of work to go when it gets to those percentages. Another question coming in from instagram is, is covid19 airborne . Great question. So covid19 is not airborne. When i think about airborne, i think of measles and tuberculosis. To give a context of how airborne in essence is, if somebody has measles, they sit in the room, they leave the room, and even a few hours later, you come in the room, you can get measles because they remain suspended in the air. Tv is less infectious than measles. Its all spectrum and then influenza, covid19, some of these other respiratory viruses, theyre mainly droplets. But you can get those droplets super powers like a can of hair spray when you spray. The droplets become finer and the super power aspects include when youre in the hospital, you get a breathing tube because air and lots of droplets in there or youre getting a camera inside the lungs. Or when youre singing or blowing a tuba and wind instrument, you can get those droplets super powers but for most intents in the community, we think about droplets and thats why a regular surgical mask will protect you. There has been so much talk about making sure you wear your mask or some kind of face covering. Elaborate more on the drob lets because ive seen some diagrams to show how widespread they can become and how the air can make those travel even more especially if theres a wind gust, out even in public. Outdoors is an enemy or friend. Its your enemy if somebody is running by and shouting and screaming at you but remember when you have those super power droplets, they get diluted the further they get away, so the dose of the virus you get into you potentially, especially if youre wearing your mask is going to be very negligible and even if you get sick by the virus getting in for whatever reason, for example, if somebody is shouting and screaming and running in a circle around you, then the mask will lower the dose of virus you would get, if you get any at all and potentially make you less sick and theres a lot of evidence from other infections where the dose of virus may make a difference. Theres a very good visual. I certainly hope nobody standing around us or running around and yelling at us outside in public any time soon. You put this very well that they almost have a super quality to them. It kind of reflects maybe in the super hero figurines you have behind you here, but speaking of these gatherings, were seeing warnings from local counties about private gatherings, whether they be inside or outside. For example, san mateo, they issued a letter saying private gatherings are one of the main spreaders and salano countys Public Health officer said 95 of recent cases are from private gatherings. What exactly makes these more dangerous and is there anything the county can do . So i think the dangerous aspects of private gatherings are, first of all, theyre not visible to the public. We see social media pictures of people lying on the beach or in packed bars on santana road but nobody goes in a private gathering necessarily and takes all these images, but some of the risk, first of all, the risk wed normally think about, lots of noses and mouths together close by indoors versus outdoors. Maybe a small house, so theres less ventilation. So you have less air currents to dilute the virus. But the most important thing about the indoor setting and what weve seen recently in multigenerational indoor settings is that its the familiarity aspect, the emotional aspect. You dont think about uncle harry or your aunt sue as being purveyors of covid19. Maybe you havent seen them in a few months or there for the graduation party. It seems rude to wear your mask and then hug your uncle harry. I think thats probably part of it and also, people are just tired of being good for all these months but we started seeing this around the sacramento area first around graduation and i think it just continued. Its almost human nature when the pandemic first began, we were told to limit contact. Its our first inclination to hold our hand out and shake someones hand or give them a hug if you havent seen them in a very long time. Those are habits that are challenging to break. What would you like to see counties to do in order to maybe quell this type of behavior and how do you do it in a way that will get people to listen . Thats a great question, deana. I think theres no easy answer but i think, first of all, we think about ways we can quell the virus in the community. And its really a triangle of test, trace and isolate. So lets dissect that a little bit. First of all, from the testing perspective, we have random testing and we need to do a lot better because although we ramped up testing, there have been a lot of delays. Delays in lining up to get the test and more concerningly, delays in getting the test result back. Every day you wait to get a test result back, you infect more and more people. Lets think about the other two parts. Trace and isolate. Tracing is very difficult a lot of times, particularly in minority populations where you may be suspicious, even though its not a Law Enforcement person asking you for Contact Information of the people youve been around with and their names and addresses. So i think people are trained in cultural sensitivity but i think we need to do that more, and i think that might be something that might be beneficial in this aspect, and the third part is isolation. Its not easy to isolate people, if you dont have a second house in one country or a part of the house where you can be isolated from your family, particularly if youre a caregiver for elderly folks in the family or live in a multigenerational family. So easier said than done. I think these are all challenges we think about. More with dr. Chin hauong wh we return. The conversation continue on live stream including Facebook Live where i ask him about his own social practices. Stthank you for staying wit us. Were back with Infectious Disease specialist peter chin hong. So many of you asking questions on facebook and i want to share one of those with you right now. Robert is asking, is it safe to turn on Heating Systems in apartment buildings come wintertime . Can covid spread through the vent . This also goes with the question, doctor, that people in warmer climates are asking right about now. So thats a great question. First of all, lets take the broader question of temperature and covid. So covid likes cold better than heat. So theoretically, a heating environment is more inhospitable to the virus than a cold environment, but it likes better than temperatures. So if theres enough people around, it doesnt matter if youre in woakiki or rio de janeiro. Youre going to get covid. So we can isolate fragments of virus in ventilating systems, but there has been no evidence thats been the cause of actual transmissions. Just because the testing strategy is so sensitive, by picking up fragments of rna from the virus doesnt mean its alive, and in practical terms, not sure its going to be as significant a source of transmission as just the noses and mouths around wintertime. I see. I do want to get to as many questions as possible. This also coming from facebook. If my 20yearold has been with family and friends visiting on a beach in atlantic city, should she get a test on return home after the flight . Should we quarantine until we get the test results . Yes. I think a lot of people talked about that. Tinas gone to college, for example, even in beach or have engaged with whats normal, meeting friends and not sure what that person has done. Yes, testing, particularly high risk individuals in the household, elderly people with medical problems, heart disease, et cetera, you probably would test, wait a certain amount of time, which is generally 4 to 7 days, and then reengage with the person. If the Team Continues to have safe behaviors. We only have a minute or so left but i do want to ask this question that hits home for me personally and one that i know youre passionate about addressing because you tweeted about this. Herman cain did not die from china virus, this is what you wrote on twitter a few days or the kung flu. Suppression of science fueling hate in troubled times. Coming from your perspective as an Asian American and also from a medical professional standpoint, what do you want to tell everyone about the use of those two terms kung flu and china virus . Thanks for asking that important question. I think its very, very tough to use a term like, and frankly, dangerous to use a term like china virus because it has a different meaning than lyme disease, which was from lyme, connecticut. Theres no meaning, race or ethnicity or Politics Associated with lyme, connecticut but a lot of meaning associated with china and particularly, used in a derogatory way like kung flu. So what that has meant is thousands of hate crimes and people coughing on elderly Asian Americans. I saw a man almost being knocked over in a crosswalk with someone shouting out chinese virus at him. Reports its dangerous, and its not just where the virus comes from. Dr. Peter chin hong, as always, a pleasure having you. So knowledgeable. Thank you for being here. Thank you so much, deion. When we return, the story of the incoming stanford med student who had no luck finding a summer job and posted a photo of herself picking fruit in the fields. That image went viral, certainly opened up a lot of discussion surrounding farm workers. Well talk to her and get her fascinating story next. Stay with us. We are taking a break on air but the conversation lily everyone in the house is online and i cant get enough bandwidth to video chat with my book club. Try 1 gig internet with at t fiber. You get more bandwidth and hbo max included. So, everyone stays entertained. So i can just watch the show instead of reading the book . You know, if you turn on your subtitles. Thats almost reading. Get 1 gig internet with at t fiber for 49. 99a month for a year. No annualcontract. And now get hbo max included. Limited availability in select areas. Call 1. 877. Only. Att we apprecate you for staying with us. Our next guest has her masters in epidemiology from stanford and shes about to start at stanford med. But listen to this, its her parttime job that now has more than 60,000 retweets and a quarter million likes on twitter. Yana nito posted this. Im about to finish up my time in the field and wanted everyone to know that we, farm workers, are paid 7 for two gallons of blueberries. How much do you pay for your blueberries . As you can imagine, the tweet exploded. It certainly got my attention. Yana joins me now. Thank you so much for being here. Congratulations on all of your accomplishments. Thank you, thank you so much. We have to start at the very beginning. Why did you want to write this tweet in the first place . Because you hadnt really been on social media that regularly until a couple of days ago. Right. Right, so i have been spending all the time on the field, i lost my job due to covid. Been working in the fields and we work 40 to 60 hours a week. So when i get home, im pretty tired and its just really getting ready for the next day. So im moving into my medical career and one of the communities im part of on twitter is the community where its a lot of medical professionals and medical students. People are in house fields so i was thinking about several of my peers who were in the community and thinking about my own perspective. And, you know, i was like, i dont tweet regularly. I just retweet. I love to learn. I dont have a lot to tweet about. Well, working in the field, so thats an important perspective. People on twitter within the medical field, and i tweeted it out just thinking, my friend will see it and it would be something that will prompt them to reflect on the food and ended up reaching a lot more people than i thought. Why do you think so many people gravitated to this tweet . For me, full disclosure, you do not seem like the typical or what i envision a farm worker to be like. You really opened my eyes. Yeah, so i think that when we eat our daily fruit or whenever we eat our fruit, we dont think about all the hands and lives that touched the food before it got to us. So one, people dont really think about that, so when prompted to reflect about, so when thinking about it, that change causes that and also, i think the disconnect between the amount they pay and then how much they pay the workers i think was also pretty stark difference for what people who were surprised that the difference is so large. I got a lot of comments saying i pay 7 for a pint of blueberries, such a difference. From what i was getting paid. So that, i think, was captivating for people. Absolutely. And tell me a little bit about your family life. Because you told me you have a farm working family, and youve been in the fields on and off since you were 14, yet here you are about to enter med school and your brothers and sisters have had this academic success as well. Yeah, so my family is from southern mexico, a village. My mom left there when she was pretty young and went to Eastern Oregon and started working in the fields. The value of hard work was important and told me, when i started thinking about my future. A lot of people there really emphasize being that they were my elders, a lot of lectures and life lessons imparted on me while were working. Education, and then come back to the Community One day. That drove me to do my education and prompted me to look and dream bigger. And my siblings, after i got into college, i was the first one to do so. My mom doesnt speak english. I was like, i want the same success for my siblings, so got them through the College Application process, letting them know everything i have learned and really mentoring and taking an active role in mentoring them. So just graduated, she graduated from Brown University and she studied computer and Software Engineering and my brother is a junior now at bowden and hes also science and computer science. They love their field, and then my youngest brother just graduated high school and shes goi hes going to the university of washington. Interested in some sort of engineering. Not sure yet. Your family must be so insanely proud of each and every one of you. I think your story resonates a lot with other children of immigrants because you see your parents work so hard and you just want to do them justice. We dont have much time but i want to ask you this. Youve seen a lot of positive encouragement and negativity on social media. What is your message to the world Going Forward after this experience of what youve learned on social media as well from people . Something ive been thinking a lot about is humanizing the people that have these essential jo jobs. We see a lot of outbreaks of covid among vulnerable patients that work. They said, you feed this nation, but we dont feel that, appreciate the people working with essential jobs, wear your mask and really that theres people out there with the difficulties of this time. Absolutely. Yana, you are such a gem. Thank you for spending time with us. I know youre working long hours in extreme heat sometimes. Thanks to you and everyone out what a fascinating day it has been. Thank you so much for joining us on this interactive show getting answers. We talked with dr. Peter chin hong about covid19 and his latest message of wear a mask. We will be here every weekday at 3 00 on air and online streaming at getting your questions tonight, the state of emergency as we come on. Hurricane isaias turning deadly and taking aim at the east coast as the covid crisis rages on. Florida, ravaged by the virus, now bracing for the cat1 hurricane already pounding puerto rico and the caribbean. Hurricane hunters flying over the eye. The bahamas battered tonight. And now the threat along the east coast. Our rob marciano standing by. Also tonight, the surging covid19 death toll. Florida breaking its own record for most fatalities in 24 hours for a fourth straight day. 257 dead. As President Trump visits that hardhit state. The cdc with a dire new estimate of how Many Americans may die. Dr. Fauci testifying b