well, new numbers out this week or giving us a better picture of the state of health in this country and a cause for concern. more than 10% of deaths in the u.s. last week were due to influenza, covid-19 or pneumonia, both bacterial and viral. that is well above expected levels for this time of year. and right now the department of health and human services says 80% of u.s. hospital beds are occupied, many by people with a respiratory virus. but this situation is especially dire for pediatric hospitals. joining us now is dr. erica michaels, the director of pediatric emergency medicine of the helen devos general hospital in grand rapids, michigan. welcome, doctor. the number of case in your er is