New York Governor Andrew Cuomo held his daily Coronavirus Briefing from albany tuesday. He updated the total number of cases and tests performed, and the coordination of resources. He also talked about his brother, cnn anchor, chris cuomo, testing positive for the virus. This is just over an hour. Of people tested overnight, 18,000 people, more than any state in the country, and we are proud of that. The total number of people population of0, 19 million will not give you a random sample. It has been helping us track down positive cases. Cases,ber of positive 9208. Total cases, 75,000. You see the predominance in new york city and westchester, then thenu, then suffered suffolk. It spreads out from density. The march of coronavirus across the state continues. Numbers, 75,000 tested positive, 10,000 in our patients. 2700 icu the good news, 4900, almost 5000 people discharged is up 771. People come in, get treated and go home. New york is at 75,000 cases. Is 16,000. Te california is at 7000. New york is a magnitude of difference more than any other state. 1500 deaths up from 1218 yesterday. Charts, weying the are trying to study data and follow the data. Uneven. Is numbers often bounce in any model there are variables in this model. The hospitals are reporting it. What every hospital reported that day combining a couple of days in one, it is an imperfect reporting mechanism. The basic line is still up. What the statisticians will tell you is you draw the Straight Line that the columns indicate. Up, which isgoing what we see on the overall trajectory, still going up. The number of intimations were down. You also see the number of discharges going up. Consistent. The longer people rn, 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. You can have an opinion. But nobody knows. 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. And your expectations so you are not disappointed every morning you get up. 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. That is what 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. That is an association of 160. You then have in new york city the Public Hospitals. The new york City Hospital and hospitals corporation. They are 11 Public Hospitals. They are a universe and then you have the private hospitals as a separate universe. The 11 Public Hospitals are the hospitals that in many ways have always been under greater stress and greater need. We have to get those two systems, the private system and the public system in new york city working together in a way they never did before. The distinction of privatepublic, that has to go out the window. We are one Health Care System. On top of that, it cant be the downstate hospitals and the upstate hospitals and long island hospitals. When we talk about capacity of beds, when i say we now have 75,000 beds, thats a statewide number. That means those beds have to be available to the people in new york city or nassau even if those beds are up in albany. Combining that whole system, you are no longer just the western New York Hospitals, or the central New York Hospitals. Its one coordinated system. Its much easier said than done. But we have to do it. On top of that, you have to overlay the new federal beds that came in. That are in an entirely new component. We have the center 2,500 beds. The comfort, 1,000 beds. We are planning other federal facilities. These all have to be coordinated on top of the existing hospital network. So you see the organizational situation that we are dealing with. And lets be 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 that have the least capacity, that have already been stressed, are the hospitals that are not going to be able to handle the additional load. That is a fact. Ere struggling. We do reports all the time about the Financial Capacity of hospitals and what hospitals are in stronger versus weaker position. The hospitals in a weaker position are the hospitals that are going to suffer when they then carry that added burden. That was elm hurst hospital. It happened to be a Public Hospital. It happened to be a Public Hospital in a place of density. It happened to get overwhelmed. Then you saw burden on the staff. You saw the emotion. The stress. That cant happen. Thats what we talked about yesterday. People said, elmhurst isnt my responsibility. Elmhurst is a Public Hospital. The city runs it, i dont. Its new york city. Not a private hospital. I dont care which link breaks in the chain. The chain is still broken. It doesnt matter which hospital, which link. Any link breaks, the chain breaks. The Health Care System is a chain. It breaks anywhere, it breaks everywhere. That has to be our mentality. We laid out a full plan on how 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. Ok. Then lets pool our supplies and lets put them out for the people who need them. And just because one hospital happened to have found a vendor from china who delivered five million masks, lets share those masks. We talked about that yesterday. We also talked again at length about ventilators, which as Everybody Knows is a key piece of equipment. Identifying all the ventilators in the state. Who has them. Who has them in a stockpile. Who ordered them. Who expects them to come n and come in,xpects them to and well have one stockpile of ventilators that we can distribute for everyone who needs them. We also talked about splitting of ventilators because thats a technology that does exist. Its been used before. Its not ideal. You take one ventilator and its used for two patients. The federal government is a partner in this, obviously. I spoke to the president again. Yesterday about this situation. I spoke to the vice president. The white house has been 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. This is no time for anyone to be learning on the job. We are going to be working through that today. P. P. E. , same thing. We want to know what everybody has. One stockpile, well distribute it fairly. Testing, how do we get when does this end . This ends when we get a fast track test. An at home test, 15minute test. And people can then find out when they can go back to work because they are negative. We are working on additional testing, as i said the department of health has a new test. But thats when this ends. We are also working on the new medications. We are leading the country in many of those tests. We have saliva testing now. We are working on the Antibody Testing and plasma testing at the same time. We put together essential coordinating team. Its going to be led by the department of health. Westchester is on it, Greater New York, new york city son it, long island is on it. If the federal government is going to participate, they have to be part of this team. Because we have to know what we are doing. I dont want fema coming in and blowing the coordination of what everyone is trying to do. The coordinating team is going to organize upstate, downstate transfers. Set patient loads for hospitals, right. So if one hospital gets up near an overload capacity, lets call it, those hospitals start to send patients to other hospitals before they get up to their max. Within the new york city public Hospital System, within the Greater New York private system, and then among the different systems. Total different mentality. We have to do it. We said two missions, one was hospitals, second was individual responsibility. Individual responsibility is about discipline. Its about selflessness, and its about being informed. The basic point is stay home. The point is stay at home. I know its hard to stay at home. I know everyone thinks, i can go out, i can be smart, i wont get infected because its me. Im a super hero. Its not going to be me. That is not true. And its not just about you. Its not just about your health and your life that you are playing with here, 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 dont need to be out. Even for essential workers, people have to be careful. And again, i have been trying to communicate that. Everyone, everyone is subject to this virus. It is the great equalizer. I dont care how smart, how rich, how powerful you think you are. I dont care how young, how old. This virus is the great equalizer. My brother, chris, is positive for coronavirus. Found out this morning. He is going to be fine. Hes young, in good shape, strong. Not as strong as he thinks. He will be fine. But theres a lesson in this. Hes an essential worker, member of the press. So hes been out there. If you go out there, the chance that you get infected is very high. I spoke to him this morning, and hes going to be quarantined in his basement at home. Hes just worried about his daughter and his kids that he hopes he didnt get them infected. You dont really know chris. You see chris as a show on night 9 00 on cnn. But you just see one dimension. You see a person in his job. And in his job hes combative and argumentive and pushing people. But thats his job. Thats really not who he is. Hes a really sweet, beautiful guy. Hes my best friend. My father was always working, so it was always just me and chris. Hes a lawyer also, chris. Hes a lawyer because growing up the Decision Point came to what do you want to do after college . My father was a very strong personality. And my father basically suggested forcefully to chris that he should be a lawyer. It was a different time and a different place. Now my daughters, cara who is here, they all followed their individual stars. This is their destiny, which is right. To my father, i want to follow my individual star, he would say, you can follow your individual star right out that door. So chris went to law school. He never really had a desire to practice law. He calls me when hes about 26, hes at a law firm. He said, i dont want to be a lawyer. I said yeah, i know. But you are now a lawyer. You are. He said, yeah, but i dont want to be lawyer. What do you want to be . I want to be a journalist. You want to be a journalist. Too late. You are a lawyer. You have to pay law school bills. You didnt go to journalism school. Its 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 in the house. And then worked his way up. Hes at cnn. He does a beautiful job. But a sweet guy. A sweet guy. I was quarantined in the basement. He said to me even the dogs wont come down today. But he is concerned about his wife and his kids. Heseason i raise it is ,mart, he is social distancing but you end up exposing yourself. People expose you, and they find out they are positive a couple of days later. I had a situation with that ipher two weeks ago even mentioned my mother was at his house. I said that is a mistake. My mother is in a different situation. Older, she is healthy, but i said you cant have mom at the house. He said mom is lonely, she wants to be at the house, she is cooped up in the apartment. I felt bad, but you bring her to your house, 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. You could expose mom to the virus. Is sometimes you need to be a little smarter than just reactive. He is informed, im informed. Was that dangerous or not dangerous . I said we have to tell people the rules, how this works. Thats when i came up with matildas law. I named it from my mother. It was very clear about people who are older and what they should be exposed to. It was two wee