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New York Gov. Andrew Cuomo Holds Coronavirus Briefing | NBC News

New York Gov. Andrew Cuomo Holds Coronavirus Briefing | NBC News
we took dramatic actions in this state we New

York

pause program to close down schools businesses social distancing and it's working it is flattening the curve and we see that again today so far meaning what meaning that curve is flattening because we are flattening the curve by what we are doing if we stop what we are doing you will see that curve change that curve is purely a function of what we do day in and day out but right now it's flattening the number of patients hospitalized is down and again we don't look at just day-to-day data you look at the three-day trend but that number is down the three day average trend is also down anecdotally there were individual hospitals the larger systems are reporting that some of them are actually releasing more people than are coming in so their net down so we see the quote/unquote flattening of the curve we have more capacity in the hospital system than ever before so we've had more capacity in that system to absorb more people the sharing of equipment which has been really one of the beautiful cooperative generous acts among different partners in the healthcare system has worked if the hospitalization rate keeps decreasing the way it is now then the system should stabilize over these next couple of weeks which will minimize the need for overflow on the system that we have built in at jabots and that the USNS comfort so that is all good

news

there's a big caution sign that's if we continue doing what we do...
new york gov andrew cuomo holds coronavirus briefing nbc news
we continue doing what we're doing we are flattening the curve because we are rigorous about social distancing etc so if we continue doing what we're doing then we believe the curve will continue to flat but it's not a time to get complacent it's not a time to do anything different than we we have been doing remember what happened in Italy when the entire healthcare system became overrun so we have to remain diligent we have to remain disciplined going forward but there's no doubt that we are now bending the curve and there's no doubt that we can't stop doing what we're doing that's the good

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the bad

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isn't just bad the bad

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is actually terrible highest single day death told yet 779 people when you look at the numbers on the death toll it has been going steadily up and it reached a new height yesterday the number of deaths as a matter of fact the number of deaths will continue to rise as those hospitalized for a longer period of time pass away the longer you are on a ventilator the less likely you will come off the ventilator doctor foul Qi spoke to me about this and he was acted percent right the quote-unquote lagging indicator between hospitalizations and deaths the hospitalizations can start to drop the deaths actually increase because the people who have been in the hospital for 11 days 14 day 17 days passed away that's what we're seeing hospitalizations dropped and the death toll rises I understand the science...
new york gov andrew cuomo holds coronavirus briefing nbc news
of it I understand the facts and the logic of it but it is still incredibly difficult to deal with every faith every number is a face right and that's been painfully obvious to me every day but we have lost people many of them frontline workers many of them health care workers many of them people who were doing the essential functions that we all needed for society to go on and they were putting themselves at risk and they knew they were many of them vulnerable people who this this vicious predator of a virus targeted from day one this virus attacked the vulnerable and attacked the weak and it's our job as a society to protect those vulnerable and that's what this has always been about from day one and it still is about be responsible not just for yourself but to protect the vulnerable be responsible because the life you risk may not be your own those people who work into a walk into an emergency room every day and put themselves at peril don't make their situation worse don't infect yourself or infect someone else so their situation becomes more dangerous just to put a perspective on this 911 which so many of us live through in this state and in this nation 2753 lives lost this crisis we lost 60 268 New

York

ers I'm going to direct all flags to be flown at half-mast in honor of those who we have lost to this virus big question from everyone for my daughters I'm sure around most people's dinner table when will things go back to the way they were...
new york gov andrew cuomo holds coronavirus briefing nbc news
I don't think it's about going back I don't think it's ever about going back I think the question is always about going forward and that's what we have to deal with here it's about learning from what we've experienced and it's about growing and it's about moving forward well when we will we return to normal I don't think we return to normal I don't think we return to yesterday where we were I think if we're smart we achieve a new normal the way we are understanding a new normal when it comes to the economy and a new normal when it comes to the environment now we understand the new normal in terms of health and public health and we have to learn just the way we've been learning about the new normal and other aspects of society we have to learn what it means global pandemic how small the world is actually gotten someone sneezes in Asia today you catch a cold tomorrow whatever happens in any country on this globe can get on an airplane and be here literally overnight and understanding this phenomenon and having a new appreciation for it how our public health system has to be prepared and the scale to which we need a public health system look at the way we're scrambling right now to make this work we have to learn from that I think we've also learned positive lessons we found ways to use technology that we never explored before you have a New

York

state court system that thank you chief judge is basically developing a...
virtual online court system which has all sorts of positive benefits going forward using technology for healthcare using technology worked from home using technology for education I think these are all positives that we can learn testing capacity which we still have to develop that is going to be the bridge from where we are today to the new economy in my opinion it's going to be a a testing informed transition to the new economy where people who have the antibodies people who are negative people who have been exposed and now are better those are the people who can go to work and you know who they are because you can do testing but that we've all developed a sense of scale over the past few weeks in dealing with this there's also lessons to be learned why are more African Americans and Latinos affected we're seeing this around the country now the numbers in New

York

are not as bad as the disparities disparities we see in other places across the country but there still are apparently disparities why well comorbidity I don't understand that but I think there's something more to it you know it always seems that the poorest people pay the highest price why is that why is that whatever the situation is the natural disaster Hurricane Katrina the people standing on those rooftops were not rich white people why why is it that the poorest people always pay the highest price but let's figure it out let's do the work let's do the research let's...
learn from this moment and let's learn these lessons and let's do it now we're going to do more testing in minority communities but not just testing for the virus let's actually get research and data that can inform us as to why are we having more people in minority communities more people in certain neighborhoods why do they have rate higher rates of infection I get the comorbidity I at the underlying illness issue but what else is at play are more public workers Latino and african-american who don't have a choice frankly but to go out there every day and drive the bus and drive the train and show up for work and wind up subjecting themselves to in this case the virus whereas many of the people who had the option just absented themselves they live in more dense communities more urban environments but what is it and let's learn from that and let's do it now I'm going to ask our SUNY Albany chief dr. Javed on Rodriguez that had an effort to do it right now we'll do more testing in minority communities now with more data research done now so let's learn now Department of Health will be doing it along with north well but let's learn these lessons now we're also going to make an additional six hundred six hundred dollar payment to all unemployed New

York

ers the federal government says they will reimburse us for it but people need money now in their pocket so New

York

will be doing that immediately we're also extending the period...
covered by unemployment benefits for an additional 13 weeks because from 26 weeks to 39 weeks so that should be a relief on voting I've seen lines of people on television voting in other states as is totally nonsensical god bless them for having such diligence for their civic duty that they would go stand on a line to vote but people shouldn't have to make that choice and we're by executive order all New

York

ers can vote absentee on June 23rd primaries coming up I want to say thank you to the many places and people who are working with the state of New

York

mercury Medical donated 2,400 BiPAP machines BiPAP machines are technically not ventilators but they can be modified to effectively ventilate even though they're not ventilators and we're using them they were brought up from Florida thank you very much JetBlue for doing that I also want to thank Oregon and Washington State in California for freeing up ventilators I want to thank the direct care workers who are doing a fantastic job and they're doing it every day I want to thank thank the state workers who are showing up and doing a great job every day every first responder this has been a long battle and it's going to go on but I want them to know how thankful we all are of them for what they're doing I want people to remember that we're flattening that curve and if anything we double down now on our diligence we're going to start a social media campaign who are you staying home for...
right it is not about staying home for yourself stay home for others stay home for the vulnerable people who if they get this virus are in a really bad place in life stay home for the health care worker who's in the emergency room because you don't want to infect anybody else who then puts another greater load on our healthcare system so who are you staying home for I'm staying home for my mother but everyone it's not about just you it's about all of us so who you staying home for and we'll start a social media campaign that does that but thank you to all the New

York

ers for all they've done and we still have or to do we are by no means out of the woods and do not miss read what you see in that data and on those charts that is a pure product of our actions and behavior if we behave differently you will see those numbers change I just doubled the fine on disobeying the social distancing rules why because if anything we have to get more diligent not less diligent and we have more to do and that's New

York

tough but tough is more than just tough tough is smart and disciplined and unified and tough is loving the toughest guys are tough enough to love right last point our brothers and sisters in the Jewish community celebrate Passover tonight we wish them all a Happy Passover the Jewish community has had a long and difficult year besides any of this the number of incidents of anti-semitism across this country the violence that they have seen even in...
this state of New

York

that has such a large Jewish population so we wish them all well on Passover and the message of Passover I know helps me today and I offer it to others to consider Passover says we remember the past we learn from the past we remember the lessons of the past we teach a new generation those lessons but there's also a message of hope in Passover next year in Jerusalem next year in Jerusalem next year the promised land next year will be better and yes this has been a difficult month we'll learn a lot we'll move forward and we'll be better for questions workers are black and Latino we're talking about grocery store clerks people working public transit childcare it did time to scale back some of these grocery stores that are open or some of these businesses that are out still open at this time to try to bridge that gap you know question is many of the essential workers public workforce tends to be african-american Latino I think that's probably right I don't know the statistics but I think that's probably right I also believe the frontline workers do have a greater exposure than most people I think that's one of the things we'll find when we do this research and why is the infection rate higher with the african-american community and the Latino community again the disparity that we're seeing in New

York

is nothing like what you see in other places across the country but I think it is something that we have to...
understand I don't think we can reduce the essential services you know we're down to basically food pharmacy basic transportation which frankly is more for our essential workers to get where they're going if you would if you didn't have public transportation you couldn't have those health care workers showing up you couldn't have the grocery workers showing up so I don't think we're in a position to say eat less or use less drugs or use less health care I think we have to get through this now and then learn from it and see what we what changes we can make in the future second Karen just burped sorry just the state slow to shut everything down we did New

York

pause come too late do you guys wish that you had started reducing the workforce shutting down businesses etc sooner especially considering San Francisco had shut prior to New

York

do you think that New

York

was late to act no no I think New

York

was early and I think the actions we took were more dramatic than most and frankly were criticized as being premature so no I think if you could rewind the tape you'd have to go back to last November December what was going around what was happening around the world and what was the effect going to be here my point about you know global pandemics we're watching China we're watching Italy we're watching other countries well extrapolate from that on a national basis I was the first party because remember today just wondering if you...
think you know should you have shut down the schools there there was a conflict between the city schools you know de Blasio and you were having that debate over should we shut them down also bars and restaurants should any of those actions been comfortable you know there was there wasn't a debate I made the decision to close down the city schools there was there was I didn't have a debate there was a debate about closing City Schools and people thought I closed the city schools prematurely that was the ongoing debate but no I think look of anything in retrospect it shows what we did is right I'm sorry Karen the June 23rd be open as you know many of the co-workers are older workers or would everybody voting by mail I think we're just saying absentee voting is an option we don't say it's a necessity right we're saying absentee voting is an option we're saying the temporary illness provision of the absentee voting will include the risk of contracting kovat 19 and I think we're going to take a wait-and-see approach as we get closer on whether or not any poll should be open landing is a nursing home that has been releasing data should other nursing homes be releasing data as the question should all nursing homes or any nursing homes so we are tracking the nursing homes and we we want to protect the privacy of the individuals in the nursing homes and we do defer that back to the homes themselves so that particular place has released data but we...
do track it we have seen in multiple nursing homes across the state particularly in the lower down state I should say cases and we do track them some of them are as a result of one person who was there and and others have gotten infected so we are looking at that closely patients like other states and countries have well again it goes back to the fact that the nursing home is in many ways they're where they live it's not like where you go into the hospital then you can leave the hospital so we try to protect their privacy a little bit more but we do keep we do track and if there's a case there of as a concern there we go and investigate it immediately so that it would be shut down until June 7th this morning is that going to be a good rule of thumb for other sorts of mass gatherings in New

York

City or statewide no I wouldn't use what they think mass gatherings beginning before juice I don't know I don't know but I wouldn't use what we think's as a barometer of anything unless they're in the public health business and they have seen better numbers and models I think look all of these projections basically turned out to be wrong right and this is a very hard thing to model because besides all the variables you're modeling public behavior and what people will do if you go back and you look at even models that were put out in January they all had a premise about how effective social distancing would be what percent of the population would...
actually comply with social distancing etc and they have turned out to be wrong but I think Jessie they can be wrong either way you know I'm more worried about people saying oh well the number of cases is coming down it's now safer it's not it's not I'm more afraid of the number changing and the curve changing because people read something into it that's not there if you reduce that compliance on social distancing you'll see those numbers go up within days literally go up within days so no I take it one day at a time look at the data for the day look at the numbers for the day and then make a decision well two weeks there look we only went to April 29th right with the school closing we extended everything until April 29th on the school closing New

York

pause even that's a projection I wouldn't go past that to Bali but there are other places where you haven't seen these cases you foresee opening schools you haven't seen these cases yet Jimmy and be careful of tents and be careful of counting our chickens before they hatch we haven't seen cases yet we are in the midst of this don't start doing a retrospective like it's over because that's the attitude we have to avoid you will see more cases in upstate New

York

I'll bet you whatever you want to bet right now you will see more cases on Long Island I'll bet you whatever you want to bet right now so we're not through it it's not over we are in the midst of...
it we have some good

news

in that what we're doing is working and by the way we've all been killing ourselves right one way or the other isolation the work of the healthcare system has been phenomenal people working 24 hours a day people exposing themselves the good

news

is that's showing a benefit and flatten the curve at a lower rate than almost any of the models who are projected okay that's the good

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but we are still in the midst of it and the bad

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the terrible

news

is look at how many lives we lost I mean it is breathtaking so the next time we want to think about we're getting a little complacent or cavalier look at the number of people we've lost remember that before you decide to go out of the house because you have cabin fever what what metric would you be looking at or dr. Zucker or any of you to make that sort of decision what would be the tipping point so the infection rates Jessie that number has to come down on the other side of the mountain the number of infection new cases going to a hospital the infection rate has to come down to a point where you believe the isolation of the vulnerable the other measures we're taking is enough to start to reopen and then how do you reopen it's not just gonna be about Broadway theatres before you go to Broadway theatres we were gonna say but I can't go back to work when can I go back to school one of the other essential services going to open you know before they go to a play...
there's gonna be a lot of other questions that they're gonna ask and that's gonna be a function of numbers frankly I would like to do that on a regional basis with Connecticut in New Jersey because this is a regional workforce so I stay very close to the governor Murphy and governor Lamont on those decisions I don't believe in these geographic distinctions in these situations right there is no New

York

City there's New

York

City there's Nassau the Suffolk there's Westchester this Rockland right the virus doesn't stop at a border and these these decisions are regional in nature so now the Broadway obviously is a microcosm but the overall decisions are all in a regional context and I think it's going to be the numbers and when are the low numbers low enough that it is safe we need to be zero it's what you're saying it could just be lowered yes yes it may never be zero it may never be zero and you have to watch this you know when will we go back to normal you think there's not a you think this is ever gonna be a morning that I wake up again in my life not worried about this in the back of my mind you don't think we're all gonna worry about now is there a second wave you don't think we're all gonna worry about now when somebody sneezes in Asia how long until that cold comes here no but I would not zero I don't know that we ever get back to zero doctor you want to mention some is that I concur hospitals and queens...
but they don't have the blood gas machines or cartridges which are critical for operating them also if ventilators if hospitals do have ventilators do they have enough operational technicians to operate them they do they have enough operational technicians they must because somehow they've been working I don't know what the exact operating technician is for a ventilator but I have not heard that I talked to the I've talked to all the hospitals every day for the past couple of days to find out what's going on what they need in the heads of a large hospital systems nobody's mentioned that to me we have over 100 hospitals on the phone so what was the first part of your question blood gas machine cartridges doctors are kerza is an expert on blood gas machine cartridge he gave me some for my birthday last year actually he said just in case I didn't know what he meant at the time no I know I need give me a ventilator this birthday so I'm gonna put it all together those are the supplies to run the point-of-care testing which is a blood gas which the lab tests that we do at the bedside and if there is a decrease in supplies we are looking into all of them to get them to the hospitals that are needed I knew what a blood gas cartridge was I just wanted the doctors what number do we have what do we need these temporary facilities what would it get based on those numbers not for - not for my third you're right we are that's my whole point we're...
flattening the curve now below projected peace because of our behavior but again Jimmy it's you want to talk about this in the retrospective there is no retrospective you're in the middle if you walk in front of traffic on the way home yes you're young you may have a different life expectancy based on your action we are in the middle of it I'm not going to say to any right now you've seen a little flattening that's all you've seen you've seen four or five days of flattening oh it's flat no you have four or five days of flattening you couldn't have tomorrow morning we wake up and the numbers back up so I'm not willing to say because it's not true that any of this is over or anything has been accomplished because this is just a small snapshot in time where we are at this rate we are below projected numbers there is no judge there is no new peak projection listen to what I'm saying nobody is saying repeat we are flatten the curve for this period of time if you continue doing what you're doing might one think the flattening would continue my one might think that but nobody knows nobody knows in terms of people that may have died at home and not been diagnosed I think that's a very real possibility we're looking at other models of County but I don't know I have no idea the question is if people died at home might you not have those numbers because they would only come from basically your funeral home we're...
looking at other models because right now most of the data we have comes from hospitals and major institutions nursing homes so there could be a deviation no doubt about that in past the hospitalization rate and couldn't that skew the measurements that you guys have been doing on hospitalizations if there have been that many at-home deaths that have not been tallied in this nobody says there have been that many at home deaths Jessie where could their yeah they've been well people have said there may be people who have died at home who have not been counted that is a possibility right that would never affect the hospitalization rate because the hospitalization rate is the number of people who walk into the hospital right that is different than the number of people who have passed away we're dealing with this illness at home and perhaps they had symptoms that would have been treatable or they it would have caused them to go to the hospital so you know like it's it's confusing because if people are in the hospitals right but if someone's at home because they can't go to the hospital well you're out of you if someone who ever went to the hospital and just stayed at home and passed away at home they would never show up in the hospitalization rate they would show up in the number of deaths there might be just this point there might be a lag in the number of deaths because we haven't fully aggregated all the data from all the different sources...
that's possible I don't know how it's going to be meaningful statistically but it's possible tonight I'm certain governor there is a an emergency room physician in New

York

City who says he's seen a very high percentage of patients maybe 70% died who were put on ventilators he's thinking the approach is all wrong we need to rethink the protocol that these patients might not need the ventilators they might need oxygen instead so I think I can't comment on exactly what they're saying but the fact is when someone shows up in the emergency room there's a handful things that are going to take place one is the oxygen is an initial therapy that someone needs but but the fact is that if someone's respiratory status gets worse they're going to need respiratory support the real question may be is there other interventions that one can do we are looking at what other possible therapies would be out there that could possibly be given earlier and that's all experimental so the issue with ventilators in general is that if you if someone goes on a ventilator and the government is spoken about this before about how long people stay on the ventilator the longer you stay on the ventilator you end up potentially causing damage to lung it's a pressure that's being pushed into your lungs and you constantly putting pressure into those little air sacs in the lungs it can damage them and the high levels of oxygen also think damage your...
lungs but the fact is it's what's called the catch-22 in a lot of ways which which is where you need the ventilator but if you're on in a long time it can cause harm that's where you try to get them off as fast as possible excuse me I can't comment on his case but obviously because I don't know the information but when someone comes in the initial thing to do is to give someone oxygen by mask and if someone gets worse then you end up intubating them what's happen with these patients is that they get they get worse relatively quickly and so there's a lot of interventions that have have to have to happen relatively quickly as well I'm not a medical doctor obviously but look nobody wants to put people on the ventilator I've discerned that much and I think these you're right the percentage of people who go on the ventilator who never come off the ventilator is incredibly high I've even heard like closer to 80% I don't think the ventilator is doing that I think that's why they're on the ventilator they're doing the ventilator is basically a last resort so when they put you on the ventilator it's because everything else has failed and that's why the mortality rate is so high on the ventilator and that's what we're seeing here that death rate is going up because it's the people who've been on a ventilator 7 days 10 days 15 days and they're passing away so when we had that big increase in...
hospitalizations about 10 days ago two weeks ago that big spike in hospitalizations what we're seeing as the people went into the hospital on that day 10 days ago 12 days ago who didn't get better who was put on a ventilator is now passing away and that's what's driving this death toll and look the that number what's even making it more depressing and distressing that death toll probably will be this high or near this high or even higher for the next several days because it's the coefficient of the high hospitalization rate from two weeks ago or so so when you get up tomorrow morning the

news

could be just just as bleak and that's why I'll end where I started you know mixed emotions we are flattening the curve thank God thank God thank God thank God and thank a lot of good people who have been working very hard that is a moment in time don't get complacent it's what we're doing that's working keep doing it that's the good

news

and that good

news

has a big caveat we're still in the midst of it don't get complacent you start acting different you'll see that number change in 27 minutes that's the good

news

the bad

news

is we have had a record number of deaths I mean I went through 911 I thought in my lifetime I wouldn't have to see anything like that again nothing that bad nothing that tragic I remember the number of funerals after 9/11 I remember the grief after 9/11 that this should literally eclipse that...
in terms of numbers of of dead in this state it's it's almost unimaginable to me then how do you square those two things we're making progress we lost more people than ever before on a single day okay you're going to work thank you guys we are not building more we're still maintaining them we are still in the mix don't get over confident don't get complacent we're still in the midst of this this can still turn anyway from Sunday in California a possible consortium of two by medical spas I have not talked to him about a possible consortium but it's one of the things the National Governors Association is talking about because what we just went through where states are competing with other states it's made absolutely no sense for anyone so a statewide consortium would be a positive alternative or a federal government that did all of the purchasing instead Jesse and they just gave to the states that made them all a multi-state in Georgia federal government to purchase right when I was in federal government FEMA effectively was the shipping clerk they did the purchasing they disseminated to the states that's the simplest system federal government on a federal disaster which means multiple states that's a federal disaster they are the purchasing entity they are the master