Transcripts For CSPAN Washington Journal Nicolette Louissain

Transcripts For CSPAN Washington Journal Nicolette Louissaint 20240713

After katrina, after disasters, when we are focused on the population, there need to be partnerships that exist between the Public Sector and the private sector to make sure that i continuity of care can sustain, so our partnership, our organization it designed to keep coordination and healthcare that old flowing after a disaster, can happen between the government and the private parallel sector. Portcrisis. What are the parallels from back in 2014, 2015 . Guest yes, i think one of the most important lessons from the Ebola Outbreak was the role of partnerships. A big part of the responsibility that our team had was to make sure that the u. S. State department was working with the who and working with the u. S. Agency on the coronation that needed to happen across government, with businesses, to make sure that the west african outbreak could be contained, and that whatever we could do to make sure that the logistics were able to flow could sustain, and i think that is a big part of what we see. Every disaster, every disease outbreak is a huge logistical effort, and so making sure that we have our best on working with fema and others, to be able to do that but also that whatever is necessary from the private sector, private Sector Health kits, specifically, can be brought to bear during an outbreak, and that is what we saw during ebola as well. Host can you clarify, when it comes to the federal stockpile, of ppe, ventilators, and other equipment . What is the role of that . What is it supposed to be used for . Guest sure. So the Strategic National stockpile as an asset that is one of our most important bio defense assets. The reality is that if there is an outbreak or a chemical attack or some other type of biological or nuclear warfare, theres going to be what are called countermeasures, medicines, products that are needed to be able to protect communities who are impacted, and often times, the Strategic National stockpile is looked at as the first stopgap. So in the time right after a bio attack, if you would, or a chemical or nuclear attack, there needs to be those countermeasures that are flowing into a community to make sure that they have those medicines and can dispense them across that community. That is the role of the stockpile. Making sure that in that stock ap, they would be able to fill that backstop and provide additional medicines, that those are in place. Say,e sns is, i would underfunded, but it has been a tremendous asset that has been working to make sure that specifically for those types of attacks that we have what can serve to be that front line of defense. Host so with that background, here is what the president said about this very issue friday at his regular white house briefing. [video clip] the. Trump when we have federal stockpile, i mean, isnt that designed to be able to distribute pres. Trump sure, but it is also needed for the federal government. We have the federal stockpile, and they have state stockpiles, and frankly, many of the states were not prepared for this. What we are not an ordering clerk. They have to order for themselves. Some of the states were in good shape. Some of the states were not in good shape. That is something you probably could expect. We have been spending eight minutes amount of time, effort, and billions and billions of dollars on making sure that they have what they have. I mean, take new york, we built them hospitals i built them for hospitals built them medical centers, sent them a ship with 1000 rooms and 12 operating rooms, and then on top vast numbers of ventilators, vast amounts of surgical equipment, masks, everything else. Now, they had a chance to order ventilators over the years, but they did not choose to do it. We were there, and we helped them, and i think the governor of new york is very thankful for we help that we gave, but have a stockpile, it is a federal stockpile. We can use that for states, or we can use that for ourselves. We do use it for the federal government. We have a very big federal government. Host that is from the white house and the president on friday. Nicolette louissaint, your reaction. Guest i think the role is to make sure that the federal government does have the ability to support state and local governments during a disease outbreak or a disaster, and we have seen the sns continue to come a time again, support those local jurisdictions, those Public Health departments who are in need of product during a disaster, so i think that is my reaction, is that the sns has had a clear role, and that the men and women who are staffing the sns and making sure that that stockpile is using the resources that they have, be as resilient and bad support of of local governments as they can be is a critical one for we have continued to see over this outbreak the role of the supply chain, and the sns is a critical partner to the supply chain and making sure that it is definitely for a disaster of this nature, a disease outbreak that is impacting the entire country, the entire world. We need every aspect that we can. We need every partner at the table to make sure we are stemming this outbreak in saving as many lives as we can, and the sns is a critical part of that. Host we will get to your calls in just a moment did you can also send us a tweet cspanwj. What dan paul is writing this morning in washington post,s analysis piece, america was unprepared for a major crisis again. He says host he goes on to write host your reaction. Guest Emergency Management is complicated. It is underfunded, and that is an issue that many of us in the field have been elevating for a number of years. Some would argue decades. The history of Emergency Management in this country shows that if you actually think about most Emergency Management agencies across the u. S. , we are not talking about fully staffed, fully resourced Emergency Management agencies. We are talking about a mix of volunteers. And when you have a disaster of you nature, it goes to show that as a matter of federal andet, our state budgets, imagines the management really have to improve if we are going to build a resilient society. What we have seen time and time , for the last 20 years, is beyond the u. S. Health system, Health Security system that needs to be in place to make sure that we are actually prepared, to be able to protect, prevent, and respond to disasters is not there. We have not seen the Global Investment that is necessary, and that is an issue that many people in the field have continued to raise commanded problem is that, in this moment, we are seeing it as a result of the lack of investment. What we are seeing is that we need to have Stronger Health systems, we need to have a more resilient and prepared Emergency Management workforce. We need to be able to invest in our Emergency Management systems at every level, in a manner that protects us from a range of disasters. In 2017, about this with hurricane maria, from a different Vantage Point here we talked about this after 9 11, after hurricane katrina, but these are based on response and not based on preparedness. So when we are really thinking about how we got here and how we need to get through this and build better, it really comes down to preparedness and investing in readiness systems. I think most of the partners at every level will tell you that the system is stretched, and when you have a disaster like this, when you have a pandemic that is actually impacting the entire nation at once, it really bears light on what we are actually dealing with any system that we have invested in. And so my response to that or my reaction is that this is the result of the investments and the policies that we have not really put towards preparedness. Towards response and put money and resources to work, having a more nimble response, but we have not invested in preparedness in a way that actually builds the systems and supports the agencies that need that support. That is what we are seeing right now. Host our guest is joining us from baltimore. She is a graduate from Carnegie Mellon and Johns Hopkins university. Nicolette louissaint is the executive director of healthcare ready. Post,om the Washington Health care supplies are near depleted. ,oe is joining us from compton california. Good morning. Caller good morning, america. Question, and it is from what i see why dont they walk out here and do 100, swab checks on different people, and then say out of these random tests, we found 3, 4 coronavirus in this area, and then give us the general idea of what is going on here. The counties, the cities, we all have Health Departments. Making 40,000 a year. No county has walked out the door and just did random tests. Host thank you. We will get a response. Guest so i would actually challenge that pete i think there are many county and city Health Departments that have not been fully funded. They are working to do testing right now. As more tests are coming online and the ability to test more individuals is coming online, they are focusing on making sure more likelyho have contactor being tested first. There are a lot of ways to do testing and surveillance, and one,om testing is but right now, they are making sure that the ability to do rapid test, we are really focusing on those individuals who need to be tested more frequently. We are seeing in states like new york, new york city in particular, my hometown, that they are testing with much more frequency in the last week, and beginning to learn more about who has been infected, so the approach is not to do random testing, it is to really make sure that, first and foremost, they are focusing on those individuals who have more likely exposure, and then moving beyond that. But your point is certainly taken, that another approach is to do random testing. I am not sure about the Human Rights Watch locations of that pure you have to do these methods in a way that is respective of Human Rights Watch and im not sure that walking on the street and being able to just swab individuals is welcomed that would be by most. Part of that is focusing on those individuals who have likely exposures, who are a symptomatically and are in positions where they may be exposing others. News, more than 2000 countries and territories confirmed cases of coronavirus. If you look at the map, the deeper the rectum of the more cases. The deeper the red, the more cases. Of course, europe, the u. S. , and china with the majority. Good morning. Caller i am really concerned with how and where the people that are passing, especially those in new york, are going to be handled, the bodies of them, and if there could also be something that could be of concern, as far as spreading. I just do not understand how the resources and people and time they are spending on keeping for that purpose, i would think there would be something that could be done other than that. Even the Funeral Homes are bursting at the seams, from what ive heard, in new york. It is kind of a scary prospect. And then i had a thought of the ceos of all of these large fast food chains that are still running and probably making a huge profit. You see lines wrapped around the building every day. We have chosen not to actually go for takeout or delivery or fast food, to keep safe. , and i am just wondering why they arent doing something more to either use their millions of dollars to either retrofit local companies or what have you for gloves or masks, or their own employees. The local papa johns here in marion, the manager told me that her mother is making masks for all of them to wear, and i just think there could be something done more with all of these ceos that are making millions. Host jody, thank you, from iowa. Guest sure. So on burials, i have been tracking this a little. I dont know that i am confident in getting a definitive answer, but i am happy to tell you what i know. I do know that there is there are a lot of efforts that are happening, to make sure that we are looking things like burial bags. That is also a lesson from ebola. While this is a widely different packaging, that is something that was really at the forefront of the Ebola Response and something that stayed with me as we do safe that, as and dignified burials, that you are not doing that in a way that is transmitting further infections. So i do know that that is going on, and i also know that some of our colleagues in new york and other states as well are working to actually share those lessons with their partners at the state level, so that as we are seeing outbreaks in other states, those are things to consider. And your point about ceos, we have seen a number i want to start with what we have seen so far. We have seen a number of companies that have looked at what it takes to retrofit or have started to make, for example, sanitizer. There are a lot of distilleries to make it. Ho look the ford announcement, the ge announcement to make ventilators. We have seen those as well. Those things are happening. I think these are difficult decisions. One of the pieces that we have seen from the healthcare ready side is a question of, what is the most impactful thing that a company could do . Sometimes that is actually just donating the resources to other groups who can use those resources, those funds to be able to do those outfittings. Sometimes it is being able to make sure that their workforce is actually staffed and not laid off and is able to maintain their economic stability. So we have seen a few different strategies. I cannot say that i know what all of those Fast Food Companies are doing, but i think we have seen a few different approaches, and some of it is just making sure that their own workforce can maintain no mossy maintain normalcy. To me, that is an incredibly important part of this, because when it comes to a pandemic, you do not have to be infected to be impacted, so from the Vantage Point of what some of these ceos and companies can do, it is also making sure that they are keeping their workforce table, to the extent that they cant get we have seen a range, e nominees are working on that they can. We have seen a range, some companies are working on bringing in ppe, some are creating masks or sanitizer, other things. Summer making sure that whatever funds they have a going toward their workforce and keeping their workforce stable. I think all of these are important solutions, but your point is certainly taken that in a time this dire, all hands on deck is needed. Host compiling all of the materials on coronavirus, you can find on our website, cspan. Org. The events that are coming in are also streamed live, including news conferences by governors in the key states, and a fourth the White House Daily briefing, which we also carry live here on the cspan networks. Nicolette louissaint is the directiv director of healthcare, and joanne is joining us from nevada. Good morning. Caller good morning. I have a comment and a question. The comment is, yesterday morning, watching the news, and you had all the firemen in new york going in front of the hospital and clapping when everybody is getting off. Nice gesture, but not a one of them wearing masks, and they are all congregated altogether. Now, if that is not a place for coronavirus to get ahold, it was right there in new york. Why wasnt cuomo saying anything . And then my question is i pay for the hospitals zone. I pay for indigent care. Labyrinthn a walking to take out the parking lot. Now, what the hell . Put it in a storage shed. Money should be used to protect the people that pay into it. Forthen i am charged extra my health care, and i think there is something wrong. I think the hospitals are doing a poor job on that. Host thank you. We will get a response. Guest thank you. Yeah, your point is certainly taken about how to show gratitude and also maintain social distancing. I think that is one of the hardest parts about a pandemic, and of course this particular pandemic, when youre dealing with a virus that is this infectious and easily transmittable is that all of the normal ways that we would go about showing support, expressing appreciation, being able to see communities support one another, are traditionally based on the physical proximity. We are used to being able to get close together to show support, and that is something that is, in fact, very dangerous as it relates to this particular outbreak, so your point is certainly taken. And i think a lot of people are struggling with that very thing right now. Host from Johns Hopkins university, 1. 2 million confirmed cases around the world , and 65,000 confirmed deaths. Patients who,000 have fully recovered, and the u. S. Now with an excess of 8000 confirmed deaths as a result of coronavirus. Froms next, joining us maryland. Good morning. Caller good morning. And thankcspan you, cspan, for bringing baltimore, actually. 52 miles from where i am sitting right now. My question is about the preparedness of the inner city baltimore. And after seeing the conference where there were the young youth, assaulting the Police Officer sitting in his automobile, the message is not seem to be getting to the young people to help these people to get better prepared. My question is should this thing go to the expectation that , whats goingold to happen to those of us that are being in a prepared state and being aware of what is coming our way should this thing get out of control, as it did with the freddie gray issue back just a few years ago . Host ok, we will get a response. Appreciate it. Guest sure. There are a few differences between this and the u uprising. I think the crux of your point, what happens when some of us are prepared but others of us are not prepared . Adhering to guidance is what actually im hearing you say, so the social isolation guidelines and the stayathome orders, they are something that actually help us to recognize how fortunate some of us are, but they are glaring reminders of some of the challenges that many face. In society for some people, home is not a siphon environment safe environment. Home is

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