Phase one of the Antibody Testing program suggests that as many as 2. 7 million new yorkers might have already been infected. But the state current confirmed case count is just under 270,000. 13 tested positive for having the antibody. They had the virus. They developed antibodies and they are now quote on quote recovered. New york death toll of around 19,000 is almost certainly also too low. That number is going to go up. Those deaths are only hospitalizations or nursing home deaths. That doesnt have what are called at home deaths. A higher infection rate could new york is not opening up. Not yet. We need to see how its playing out in each community and have the ability to test and protect citizens before we think about opening up. We absolutely need to significantly ramp up im not overly confident right now at all. Where ever, whenever with open, cases are likely rise. Were never going to dom up with something a zero probability or possibility that youll spread the virus. What we want to do is make sure you reduce the possibility. In miamidade despite a new case count that is not consistently coming down, with the white house reopening guidelines. They are planning to open golf courses sp parks with twists. You will be able to play tennis. Singles but not double. You have to jog in a certain direction. There are differences. Meat packing plants still seeing out breaks across the country. Tyson closed the fourth facility. A beef Processing Plant in washington state. To test all employees. This place usually produces enough beef every day to feed 4 million people. Not anymore. All right. Our thanks to nick watt for that favor tonight. What do we need . Start with a plan. This has to be a function of planning and thought and consideration. The president on the other hand hes just tossing out ideas. Im here to present talent. To present ideas. We want ideas to get rid of this thing. If heat is good and sunlight is good. Thats a great thing as far as im concerned. Uv light on surfaces. May kill the virus. Nobody is talking about using uv light or disinfectant in the body. The way the president talked about it. You notice even dr. Burkes was at loss to explain how it makes sense. Okay . This idea just happened to be the one that he thinks works for him politically. Why . What does it mean for us in healthcare policy . What does it under mine, lets talk to a doctor. The director of the Global Health institute at harvard university. Good to have you on the show. Thanks for having me. Now, easiest question of the night. Im right on the science here and the factual background of context. Homeland security official says uv on surfaces. We can do a better job killing this virus it doesnt last as long on surfaces. No shoot light into your body. There was no take a shot of this disinfectant and maybe we have something. Nobody said anything like that. Did they . No. Your viewers have to know that is in the a good idea. Not a good idea. It will not help with the virus. It will make you very sick and potentially kill you. Taking shots of disinfectant is never a good idea. Using it on the surface is great. Thats fine. Nobody should be doing that. Im not being hyper conservative. We have to be open about treatment. Theres a lot of stuff we dont know. My wife is a big wellness person. She takes baths that have baking soda and bleach. And shows me stuff. Thats different than a shot of it. And winging that as an idea. From a policy perspective, whats the analysis on this. Why does the president fight people like you . Fight the science of testing. Saying the next wave in the fall will be okay. Not that bad. But Say Something like that or pitch hydroxychloroquine when theres no Science Behind it. Whats your diagnosis . Its hard to tell. What we know is that science is the best weapon we have. Against this virus. If we use scientific principles of disease outbreak and therapy that are proven, i believe firmly that we can beat this. Distractions like drinking or using lysol or shining light inside of you or hydroxychloroquine. It may work. We dont have the scientific evidence. I really hope every day i hope the president gets back to talking about science and evidence. Because that is how we as americans will defeat this virus. Now, i got hit with the the same stick the president will get. Which baseless speculation. Mine is this, i think were going find out this virus has been around a lot longer than just a couple of months. And sure enough the scientists are taking us in that direction. Antibody tests in new york. The preliminary findings is like one in five new yorkers. 20 . Have been exposed. What does that mean to you, what does it suggest . In terms of a larger picture of what that could mean about how this resolves . So there are two points that are worth noting. One is i do think we have evidence that virus has been around longer than we initially thought. The first cases were in the seattle area end of mid to late january. Its possible there were cases earlier than that in january. Maybe december. In california. And other places. In terms of the Antibody Test that came out today, it says that we know we have been under tested. I have been assuming or estimating that we only have been getting about 10 of people who are infected we are identifying. Thats what the numbers suggest. About ten to 12 times as many people have been infected as we have been able to diagnosis. The good news is those people may turn out to be immune. We dont know. If they are, thats good. There are a lot of people with immunity who will be safe from the virus. We dont know if antibodies equals immunity yet. That is speculation. Usually its the case. There a lot of stuff that doesnt make sense about covid19 versus usual. Usually flu doesnt give people sense of smell and taste but no fever and respiratory. And somebody like me, lungs are swelling up and fever. But can smell. Were not used to that. What should we not take from this science and in terms of what it means . Well, so theres some people saying it looks like were close to herd immunity. Were not. We have a long way to go. Even in new york city which has been hit hard. Majority of people 80 of people have not been exposed and are vulnerable. In the rest of the country a vast majority are not. Were nowhere near it. People are susceptible. If that is wrong antibody equals immunity, were in big trouble. Let science work itself out. Well know in coming weeks whether having antibodies is protective or not. Then we can feel confident. Lord willing we get to a vaccine. And then hopefully its one people will take. And thats the best we can do in a situation like this. Doctor, thank you for making sense of science for us. As always. Thanks. Im glad youre feeling better. Thank you. Im one of the lucky ones. Im blessed. Better than i deserve. Georgia opening early. Texas also beginning to loosen restrictions. Starting tomorrow. Very soon. It maybe ready to ramp up its own reopening. Does it worry the mayor of one of the states biggest cities . Lets talk about to him about it. Austin. Next. When the murrays started using gain ultra flings they fell in love with its irresistible scent. Looks like their dog michelangelo did too. New gain ultra flings with two times oxi boost and febreze. I got this Mountain Bike for only 11. Dealdash. Com, the fair and honest bidding site. An ipad worth 505, was sold for less than 24; a playstation 4 for less than 16; and a schultz 4k television for less than 2. I won these bluetooth headphones for 20. I got these three suitcases for less than 40. And shipping is always free. Go to dealdash. Com right now and see how much you can save. So, tomorrow, texas is scheduled to experience one of the first phases of reopening to allow businesses to offer Curbside Pickup and delivery. A bigger announcement monday one that he says will quote allow many different types of businesses to open up. Lets get insight from mayor steve adler of austin, texas. Good to have you on the show. I hope your family is healthy and youre doing well. We are. Thank you. So let me get some different angles of the context. Cdc projections say texas should be looking at opening up sometime in mid to late june. No sooner. Are you worried about taking any action that contradicts the cdc . Sure. Were absolutely concerned. We have lots more questions than we have answers. We dont know exactly what the governor will do. He said he is going to put Public Health first and hes going to be guided by science and data. Well hold him to that. Thats what we want to see. But as far as the plans hes hinted we dont know the timing. Theres so many questions. Not only what hell do but what we know. What we can try. What works, what doesnt work. We need more testing and be able to learn from whatever it is that happens. Do you feel the need to tell constituents and the governor, wait. They tell you the middle of june. Dont do it too soon. Were a huge state. The scale is real. The density is real. Especially your city. We have been talking about that. Well continue to talk about it. Were meeting with business in a big meeting tomorrow. Council will be meeting next week in the city. The problem is that we just dont know. We dont know what it is that has been able to get us to the place were at now. Austin, texas differed from new york. We have been able to lower that spike. We havent felt it. We dont know whether it was the masks and social distancing. Maybe those dont have any impact and the on thing that worked is the fact we have been isolating in our homes. We dont know the answer. We start rolling things out, were doing this big mass social experiment without knowing what the answers are. Just to be clear, its not a cdc model. Its modelling the white house relies on. I know its the same family. I want to keep it straight factually. It takes us the same point. So my next question is this, do you agree with your Lieutenant Governor . And his suggestion that basically, sometimes you have to die. So everybody else can have their life. And hes ready for that trade off. Why even make a suggestion like that . Do you believe that is the proposition . Let me play something for the audience. There are more important things than living. Thats saving this country from my children and grandchildren. Saving this country. For all of us. Now. That comment doesnt get the reaction from me that it got on state news. The idea there is something bigger than living. What does he mean . Youre asking me to explain. I have no idea. A lot of people saw that most of the country i think acted kind of in horror at that. Were out trying to save as many lives as we can. That came out of left field. I will tell you Lieutenant Governor a weekend ago speaking to republican supporters into the media said that the best thing we did in texas was to cancel south be southwest. The first week in march. He didnt mention that it happened with a democratic mayor and in austin. Thats okay. He recognized that pulling down that event has saved many lives. I cant explain that. He doubled down on that statement here a second time on fox. On fox. Is the key. I wish you well. Well see what the governor says monday. It will be unusual to have any kind of statement at this time that is about whats going to happen in june. It suggests something may happen sooner as you have concerns ant what it would mean from austin that you want the country to know about. Mr. Mayor, you have a platform here. I appreciate that. Please wish us well. Well all be waiting to see what happens on monday. God bless. I hope you are smart and stay healthy. Well be watching. Look whats the ultimate answer. The best will do is a vaccine. No time soon. So the best we can do right now is what the mayor was talking about. Masks, glovs gloves. Social distancing. Staying home. Remember, whats the umbrella . Testing. Tracing. Treating. Isolating. We have to do that. Its the known without that nothing. Even with that, it can be years for a full return to normal. My next guest works for the Ebola Response under obama. Why two or three years for normal . Lets test it, next. Want to brain better . Unlike ordinary memory supplements neuriva has clinically proven ingredients that fuel 5 indicators of brain performance. Memory, focus, accuracy, learning, and concentration. Try neuriva for 30 days and see the difference. We were paying an arm and a leg for postage. I remember setting up shipstation. One or two clicks and everything was up and running. 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What was once seen as baseless speculation is now getting a basis in science. We have suggestions from testing that this virus has been here longer than originally suspected. And that it is spread much further than testing has told us. Each day, each new study the truth is becoming more apparent. Still the lion share is mystery when it comes to the virus. It shows how far we are behind in terms of testing and tracing. Lets bring in he used to run foreign Disaster Assistance for usaid. Good to have you on prime time. Welcome back. Good to be seen. Let me ask you the president s disposition towards testing, were good on testing. Enough with the testing. People think its not even the best thing. What do you make of that . The study that came out of new york today showing that within the city as many as one in five people may have had the virus already. That shows were nowhere close. Thats a higher figure than the official count. It suggests the official testing count for the state is it off by about factor of ten. Were not testing anywhere near where we need to be testing. When the president says i disagree with fauci. Were great on testing. Is there any defense that justifies it . Theres no defense. Testing numbers have been flat for weeks now. Even as case counts go up. If the case counts are going up and testing volume is not. We have a problem. Hell say if i do are to say its deficient, okay. Its because of you, all the people who came before me. You were not ready for the pandemic. You didnt plan. The tests were a mess and its on you guys. Yeah, leave aside the fact they have been in office three years when it hit. They deconstructed many of the tools that we left them from the last administration. We were very disturbed by the lack of Global Readiness we found when we had to battle ebola. We worked hard in the last few years to put additional things in place. To give them a play book for an event like this. That talked about a Novel Coronavirus as a tier one threat. They disregarded it. We gave them as many tools as we can. With saw the importance of that for preventing future events like this. This is not a surprise. This has been expected for a along time. Something like this. And we did what we could, was it enough . Of course its never enough. If some of that had been followed i think we would be in a better place than we have are. The recovery. The reopening. Getting back to normal. People have a hankering for it by the summer. They are hoping in the fall this curve is in the isnt that bad so everybody stays in school and stay in our jobs and no more hiding at home. Youre saying get ready for a long road home. Two or three years. Why would you Say Something as frightening as that . I think its important to start getting used to the reality. It doesnt mean two or three years like right now. Things will remain different in important ways. We will not have lock downs. But probably some manner of social distancing continuing. For two to three years. And thats going to mean things like large gatherings will be challenging. International travel. Discretionary International Travel could be a challenge. Some of the things are going to be curtailed for an ongoing basis until we get a vaccine widely available. That will probably take two to three years. Its a year to get ideally if everything works. Its a year from when it started to get a candidate that works. Call that next february. Thats not enough. You need to produce it. And once its produced at scale, administer it. At scale. Its not easy to produce billions of doses of vaccine. Much less to administer them. That will add up to another one to two years before we have enough people vaccinated that we can start to return to something that looks more like normal until then. Sobering. All right. Let me distract from that headline. To the immediate. How big a difference does it make if the model says we should open a place in the middle of june and open it in the middle of may instead . Boy, it makes a big difference. We shouldnt be opening based on the model. Open based on the evidence. Models are only as good as the assumptions built into that. Evidence into case data is what we should be using. Does it show a sustained low level for a long time. Its not enough for a downward slope. New york has been on a down slope for sever