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tv   CNN Newsroom  CNN  May 1, 2020 12:00pm-1:00pm PDT

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following the guidelines that they carefully laid out and the president is not criticizing them except for perhaps georgia, if you recall. and so there could be a conflict there because fauci and dr. birx don't report to him in the same way that others do so i think that may be an issue. >> we're lucky to have fauci on last night for a town hall and hopefully we'll see the scientists in addition to the white house briefings, maybe they'll be back. gloria, thank you very much and thank you to you for chatting with me. i'm going to turn things over to kate baldwin. i'm brooke baldwin. thank you for being with me. our special coverage continues now with kate. hello, everyone, i'm kate baldwin, thank you for joining us this hour. it is a tale of two pandemics, depending on what state you live in, the next month is going to look very different and those differences are leading to
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confusion and tension. but since this virus knows no border, the decision of any one state impacts everyone. keep that in mind as we focus in. at least 32 states now are easing restrictions. like texas, allowing some businesses to reopen today. and georgia, which is lifting its stay-at-home order for most residents. but some states are making clear that they are nowhere near that right now and instead extending stay-at-home orders. that is the case in michigan. and in the sign of the tension, this has all -- how tense this has all become, protesters, some carrying guns, occupied michigan's cap toitol building r the restriction until the end of may. and the virus killing more than 63,000 americans now. more than 1,080,000 people infected and dr. fauci warning states that reopening too soon
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carrying enormous risk. >> you're going to see another peak, a spike, and then you also have to turn the clock back to go back to mitigation. so that is the reason why i keep trying to articulate to the public and to the leaders, take a look at the guidelines. they don't tell you because you've reached the end of the 30-day mitigation period that all of a sudden you switch a light on and you just go for it. that is not the way to do. >> and just within the last hour, we learned that new mexico governor is ordering the lockdown of a small city near the arizona border because of a large coronavirus outbreak there. cnn's ed lavandera joins us with the latest. what is go on with lockdown in the state? what are you hearing. >> reporter: well, the town of gallup, new mexico, is about 22,000 people west of albuquerque. it is a remote area where medical facilities have been taxed thin for the last few
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weeks. this is a community with -- even though a population of 22,000, has more than a thousand coronavirus cases and those cases have jumped by more than 200 in just the last few days. because of that, the mayor and the governor have now essentially put the city of gallup, new mexico, on lockdown starting at noon mountain time today. residents will be required to stay in their homes. only allowed out for essential and emergency visits. people traveling in cars can only have two people in a car at any given time and all businesses must be closed down from 5:00 p.m. until 8:00 a.m. this emergency order goes into effect today. and, kate, lasted until monday. so it is just from friday to monday where this is being done. but this is because, again, the city of gallup, new mexico, accounts for about 30% of the coronavirus cases in the entire state of new mexico. as i mentioned, there is a great
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deal of concern but those high number of cases, the volume of cases and what it could do to the small health care system there in that community. kate. >> absolutely. and you wonder if within the time period they could stem the tide of where that trend is headed with that small town. ed, thank you very much. one of the states on the leading edge of reopening is georgia. this despite the fact that it has yet to meet cdc benchmarks for doing so and the state also is reporting about a thousand new cases in just the last 24 hours. martin savidge is tracking this reopening plans and now as they are in place he's in atlanta. businesses are reopening today, what are you seeing? >> reporter: kate, yeah, it has been a week now of reopening for the state of georgia and it is an aggressive plan. the latest addition is malls starting to reopen. this mall behind us in atlanta was scheduled to reopen today but at the last moment they decided to push it off until monday. but as far as all of the
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businesses reopening, the reaction of the public is extremely cautious. and now with new numbers coming out from the state as far as new coronavirus cases that are being reported, there is reason to understand that caution. there has been a spike within the last 24 hours, a thousand new cases of coronavirus has been reported bringing the total number of confirmed cases in the state to 27,000. the number of deaths is now over 1,100. i should point out that the reason for the spike of cases is also because the state has much more aggressively this week gone after testing and this is the point that medical predictions made. they said, look, you should test first and then decide if it is safe to reopen and not reoech a -- reopen and do the testing at the same time. but the governor is of the mindset that the economic clamity is on equal footing to the pandemic and both have to be dealt with, kate. >> martin, thank you.
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so no matter how effective any treatment for coronavirus is, the one thing that will keep people safe is, of course, a vaccine. or do the best job of keeping people say. dr. fauci said the goal remains to have a vaccine by january. and an ambitious timeline of just 12 months by any standard but also cautions now it is not a sure thing. the vaccines in trial might not work with 102 potential coronavirus vaccines in development around the world, where do things stand in this quest? joining me now is richard besser from the former cdc and from the robert wood johnson foundation, the largest philanthropy dedicated to health. good to see you. thank you for coming in. >> nice to be here, kate. thank you. >> so this is what the world is waiting for. when it comes to finding a vaccine that works, when you have 102 potential in development, you could put it into perspective of where are we? >> well, you know, i think we
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could be encouraged that there are so many scientists working on this that there is 100 vaccines that are potential. but i think it's -- this is a situation where you need to under-promise and hopefully over-deliver. there are a lot of viral infections for decades and we still don't have those so there is no guarantee we'll have a vaccine for this. so that will prove to be safe and fully effective. so a lot of planning has to be done in -- based on the idea that there may not be a vaccine. >> that is a great point. and along the same vain of where are we now, antibody testing. you have said that right now when it comes to antibody tests, they're not ready for prime time and i wonder what kind of problem does it reate whether you have the tests out there but you can't trust the results. >> the antibody question and the vaccine question are kind of
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related. because in order to know whether a vaccine works, you have to have a validated, proven way of measuring that someone is immune and that is what is called an antibody test. it measures protective factors, antibodies in the bloodstream. the fda has allowed a lot of tests to go forward with only testing being done by the companies. and those tests all have to be validated to show that they work. and what you want to know is there a certain amount of protective factors, meaning you can't get it again or transmit coronavirus to somebody else and, in so, how long do those last. for some infections last a lifetime and for others they last a year or two. so those questions are really important. and when i hear states thinking about using antibody testing as a way to decide who gets to go back to work, well we don't have the tests, we don't have the information to be able to do that at this time. >> yeah, it feels like the antibody testing that is out there right now, it almost just
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adds static to what should be really clear and straightforward messaging and information when it is so -- when everything is so uncertain. >> i think that is really important point. the antibody test -- cdc just reported out in areas of washington state looking at antibody testing and showing there hadn't been much transmission in the community. i'm assuming they are using an assay they feel good about. but as states are opening up, as georgia, as texas, as other states open up, there will be the spikes that dr. fauci is so concerned about. and if we don't have in place the public health system to lock this down and control it, we're going to be way worse off than we are right now. >> well, i think, given where things are with treatment, with a vaccine, with testing, you have been advising governors as they are working through
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reopening plans and are trying to make plans in the northeast, really in reopening plans. what do these governors need to be considering, if you are presented with the reality of this moment? >> well, you know, everybody wants to get people back to work. the shutdown of the economy, so many people are suffering. but you have to do this slowly, kayful -- carefully and based on the best available science and that is widespread testing available in all communities, black americans and latinos are getting hit so much harder than other groups by this. >> doctor, could i talk about that because -- >> yeah. >> because just what martin savidge was reporting. does it make any sense if you don't have more widespread testing and then you open up before you have it. the way that -- what we're seeing in georgia, does that make any sense then? >> to me it makes no sense. and here is why.
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right now the testing is being done on the sickest of patients to figure out if they have to stay in the hospital. to switch gears and reopen, you need to be able to test anyone with symptoms that might suggest even mild coronavirus because even though they may not need to be hospitalized they could spread the disease within the community. so if you're not picking them up and doing contact tracing and providing safe places to isolate or quarantine, you're going to see them leading to what you see in gallup, new mexico, they're the cause of a new outbreak in the community. >> and when you talk about contact tracing, it seems to be the least talked about important aspect of outbreak response. bill gates talked about it during the cnn town hall last night and saying that even at this point it could be ramp up quickly and in a big way. let me play what he said. >> it is not that hard. it is not like we don't have people like everybody in america's tied up doing important work. you can train somebody to do this work fairly quickly.
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remember, we're spending trillions for the economic relief here. so the idea that we actually get serious about the health related thing like the testing, it seems pretty obvious there should be clear federal guidelines. >> do you agree? >> yeah. just imagine if there was a corp of hundreds of thousands of trains people from all communities around america representing the diversity of our nation that was doing this, it isn't hard work. it is the basic -- the basic tuberculosis control and doing this kind of work is critically important but the other piece that no one is talking about is when you identify someone, you have to have a safe place for them to say and some are using hotels and dormitories. we're not talking about that and that will cost money. but if we truly want every family to be safe, you need to have that in place. >> that is a great point. doctor, thank you so much.
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it is good to see you. >> nice to see you. >> coming up for us, texas begins the first wave of reopening, just one day after reporting it's deadly day of the pandemic. should the state be reconsidering right now. and later several universities are prepared to bring students back on campus for on-campus, in-classroom learning this fall but how do you keep thousands of students in dorm rooms and classes safe? during trying times. today, being on your side means staying home... "nationwide office of customer advocacy." ...but we can still support you and the heroes who are with you. we're giving refunds on auto insurance premiums, assisting customers with financial hardships, and our foundation is contributing millions of dollars to charities helping with covid-19 relief. keeping our promise to be on your side.
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we hope you find our digital solutions helpful to bank safely from home. deposit a check with your phone or tablet. check balances, pay bills, transfer money and more. send money to people you know and trust with zelle. stay safe. stay home. together, we'll get through this. pnc bank
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dallas county specifically has seen the largest spike in new coronavirus cases. joining me now, dallas county judge clay jenkins, the chief elected official of the county judge. thank you for being here. your state is reopening. you think the governor has moved too fast. what is your message to people in dallas today? >> well, the message is the rules from the governor may change but the underlying science has not. so until we see a two-week decline in cases, you need to stay home and stay safe. you need to avoid those unnecessary trips and when you make one ensure to wear your face covering and stay six feet apart. >> do you think people are listening to you or who do you think they're listening to? >> well, i think different people do different things. most businesses in dallas are remaining closed. the governor said we could all go back to church and have hundreds of people in churches and our houses of worship all
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said, no thank you, we'll stay closed. so we live here, we recognize the situation here is serious situation. so most people are still making good choices. and it is going to -- and the police and the government are allowing people to go back to movie theaters and crowded churches and what not. it is going to be imperative that each one of us make those good choices. look, this virus is not democrat or republican. the virus doesn't care. >> right. >> the virus is just biological. so what we're recommending to people is that you go to and you listen to those voices, you listen to the infectious disease and epidemiology experts at your local hospitals and your public health authority. those are the voices that have dedicated their entire adult
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life to tell you when it is safe like this. it is up to us now not to do what we can do, but do what we should do to keep ourselves and each other safe. >> the other -- another side of this is, and i'll show video for viewers, we see these long lines of cars in dallas of people lining up in their cars waiting to get access to food banks. so people are hurting. we know that. people want -- need to get back to work at the same time. so what do you say to them? >> you know, it's hard. and this pandemic is taking a great toll on people. but the best way for us to get back to work and to get our lives back to some semblance of normal is to see that two-week decline and then we could open up our activities and do more and go more places, right. because that is what science tells us, gives us our best chance not to see a huge spike.
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right now we're going like this. so if you go out and you loosen up and start having backyard barbecues and doing things that the science tells you you shouldn't do, that that is going to go like this and that much longer before we could get back to a sustainable economy. >> the governor -- look, the governor doesn't want to see texans get sick. the governor doesn't want to see more texans get infected and god forbid die from this disease. do you think he's seeing something that you don't? >> you know, i think the governor has to listen to a lot of voices and it is a big state. and unfortunately he decided not to differentiate between places like dallas and houston where you're seeing significant community spread and places like waco and abilene where it is pretty small. so, look, he's hearing a lot of voices and the loudest voice is never science, right. and the most powerful voice is
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never science. but in times like this, it is science that will see us through. so the voice that you need to listen to, if you're watching this program, is science. don't take my word for it. look into what the cdc and the public health authority tells you to do and follow that. i've done that. i've made my peace with it is not a time to try to figure out what science is, it is a time for me to listen to the experts and act decisively to keep you safe. >> judge, thank you for coming in. i really appreciate it. >> thank you. the white house today doing something that it hasn't in well over a year. 417 days to be exact. a white house press secretary holding an official white house briefing from the white house briefing room. the newly installed press secretary kayleigh mcenneny was at the white house and kaitlan collins joins me now.
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how did it go? >> reporter: well it is notable. we've not seen someone in this role in a formal press secretary job behind the podium since march of 2019 when sarah sanders still had the job. there was a press secretary in between there that never saw reporters like you saw kayleigh do today and she does expect regular occurrences after they were phased out by the white house and people were wondering that because the president was coming out because they wondered if they could go back to no briefings. so they came out and answered several questions about the news of the day. one of them has been about this intelligence report or this comment that the president made yesterday after you saw the office of the director of national intelligence put out a pretty rare statement where they said it was on behalf of the entire intelligence community and they agreed with the scientific conclusion that the coronavirus was not manmade or genetically modified but said they were still investigating whether it came from contact
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with infected animals or if it originated as part of a lab accident in china that seemed to contradict the president who hours later said he had seen evidence that the coronavirus had come from a lab in china. something that statement did not say. so she was asked about the difference in the two statements from the intelligence community and the president. this is what she said about that. >> the president's statement is consistent with the other intelligence assessments. while we continue to have very limited and dubious data from china, current assessments indicated that president trump's statement is consistent with what some analysts believe is the epicenter of where the virus began and would you note that intelligence statement that you're referring to made two points, one, this virus originated in china, two, that it began through contact with infected animals, or was the result of an accident at a laboratory in wuhan. so i consider that consistent with what the president said. >> reporter: so, kate, we're
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still waiting to learn more about this. the president acted surprised by the statement put out by the director of the national intelligence office yesterday, kept asking who wrote it. but we'll likely get more on this. because remember the next person the president nominated for the top job will have his confirmation hearing on tuesday, john ratcliffe will go before the senate so he's likely going to be asked about this by the senators who want to know more about what it is that the president is saying he's seen and this intelligence that he's citing but not offering up to reporters saying he can't reveal that. >> when it comes down to it, he can. the president can de classify anything he wants to and we've known that from the beginning and we've seen this time and time again. good to see you. still ahead, will in person on campus classes return in the fall. some schools are planning on it. and planning for it. the president of the university of oregon joins us next. people. and when people are depending on you to make an average
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how you watch git does too.r. this is xfinity x1, featuring the emmy award-winning voice remote. access to your favorite apps, including netflix, prime video, youtube and hulu. all without changing passwords and inputs. the most 4k content and movies and shows on any screen. the best entertainment experience all in one place. xfinity x1. simple. easy. awesome. xfinity. the future of awesome. known as college decision day. the day many high school seniors commit to their school of choice. but with the pandemic, hundreds of schools are extending those
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deadlines. and also a big question remains, will students even be on campus in the fall? colleges and universities across the country are working through that now. one of the schools already announcing it plans to have students on campus and in classrooms is the university of oregon. planning to bring back over 22,000 students in the fall. joining me now is the president of the university of oregon, michael schill. thank you for coming in. >> hey, kate. good to be here. >> thank you. you are planning for it. how confident are you that it's going to happen, that you'll have students back on campus in the fall? >> we are hoping, we are planning, we are counting on having students back. our faculty did an amazing job going remote. but, you know, a university like the university of oregon is more than just two dimensional online classes. it is a place where we learn from each other. so our students, our faculty, our staff, our whole community
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is really excited about the possibility of us being back and the probability of us being back. >> every parent and student i'm sure is wondering the same thing, what is going to be different? talk me through this. what is one -- one piece of it is what is the dorm situation going to look like this fall? >> sure. so what we are -- we are right now in the planning stages. see, we are in a fortunate position in that we start on quarters. so we're not beginning until the beginning of october. so we have extra time to do really carefully planning and also watch what happens around the rest of the country. but we have a great emergency preparedness group and what we're going to be doing in the dorms is we're going to be thinning out the dorms so not that many students will be using those facilities, maybe reducing the number of students in the dorms significantly. we are going to be doing testing on a regular basis of students.
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and we're also going to be doing contact tracing. so it is very important -- we want our students back. but first and foremost is their safety, safety of our professors, our staff, and our entire community of eugene. >> absolutely. and, of course, if you reduce the number of students living in dorms, where do you put the rest of them? are you going to be -- is it now -- everything has a ripple effect, right. every decision that you have to make here. is it now more off campus housing you need to find for people? >> yes, if that is the case. we're fortunate in eugene, our housing market is fairly -- it is not as tight as many places so we'll be able to handle that. and i should say that everything that we're doing is subject to the -- the final say in all of this is going to be the governors and we are really, really fortunate to be on the
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west coast because our three governors are science-based governors in our region, newsom, brown and inslee and we're working very, very closely with them and with the other leading research universities in our region. so we will come up with a lot of plans, a lot of scenarios, we're gaming out every scenario right now. >> talk to me about one of those scenarios also. dining halls, lecture halls. i assume that means reduced density there as well. >> absolutely. so what we might do is more hybrid classes, so you might have a class -- split a class in half, same room, split it in half so the people are distanced and one week they might be doing things online, the next week they'll be in person. you'll have small sections where you'll be a big room where you will be able to not sit on top of each other. i imagine there could be masks
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that people will sometimes wear. we'll do intensive cleaning of the rooms and so all of those things, working very, very carefully and very closely with our health department in the county -- main county. and you know -- >> sorry. >> part of the advantage of being a great research university is we have all of this brain power from our faculty and our staff that we can really put to this. and my belief is that the universities will lead our countries out -- our country out of this crisis. >> here is hoping for that. and it is no small thing, you have major sports programs at oregon. what is that going to look like for them? >> so that remains -- that is not within my control, whether -- so obviously a lot of people are wondering what football will look like. because i doubt very much we're going to have a packed stadium watching our ducks play
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football. if you know we won the rose bowl this year so we want our football games to be played, we're hoping our football games will be played but we're not going to take any chances with the health and safety of our student athletes or the people who come to watch them. so the decisions there will be made by the pac-12 conference as well as the ncaa. as well as the governor. >> there is a lot of necessary -- it is necessary in this case. a lot of cooks do need to be in the kitchen when it comes to the major decisions. president schill thank you. good luck, appreciate your time. >> thank you, stay safe. >> thank you. you as well. coming up, just days after the president ordered meat processing plants to remain open across the country, hundreds of workers test positive for covid-19. what is being done then to protect workers if they're being told it is time to go back to work?
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and these are the only plans of their kind endorsed by aarp. whew! call unitedhealthcare today and ask for this free decision guide. this just into cnn. the cdc reporting that more than 4900 workers in u.s. meat and poultry processing facilities have contracted the coronavirus. at least 115 facilities in 19 states have reported cases. and in two of the hardest hit states when it comes to this industry, iowa and south dakota, that comes out to about 18% of the workers. cnn's miguel marquez is on the
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iowa/nebraska state line. >> reporter: dakota city, across from sioux city, massive, one of the largest, 4,300 employees, the person i'm speaking to is one of them. when you hear the number of people getting sick every day, they say, you just wait your turn. out of fear for losing their job, we are not identifying this person who said it was clear something was wrong at the plant for weeks. >> how many have gone missing in the last several weeks? >> three, four or 500 they say. tyson has tested everyone ott the plant but this person said the company could have done more earlier. >> they only started giving you masks a couple of weeks ago. ome masks. no other protective gear. >> no gloves. no face shields, no gowns they say. >> so well into the crisis over
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covid-19 this is the only protection offered to employees at the plant in dakota city. it is something that we also heard from officials at another tyson plant in waterloo. >> we walked out of that plant knowing that we had an enormous problem. >> reporter: blackhawk county sheriff tony thompson and health department officials expected the waterloo, iowa, plant on april 10th. >> a third of the staff was wearing masks and some of them had masks but dangling around their necks. >> reporter: thompson said the countries county is in a full on crisis. they have more confirmed covid-19 cases than any other county in the state. >> our front line of defense is all fallen back now to the e.r. front doors, to the long-term care facility front doors to my jail front door. >> reporter: and now concerns about reopening parts of the state to regular business and forcing meat packing plants back to work too hastily.
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>> president trump does this defense production act telling the tyson plant they have to open back up. i don't know what that is supposed to say to the citizens here that have contracted the disease or the citizens here that are twice the risk of catching the virus than anywhere else. >> reporter: in that tyson employee in nebraska also has a message for the president. >> i just want him to know, they say, we are human and we have families that care about us and we care about them, too. >> reporter: now, a spokesperson for tyson said that they did have issues and difficulties getting protective equipment for their employees early on. they even chartered a plane at one point to go overseas to bring back masks but they do have 140,000 employees in the company. officials here and in waterloo also say that tyson's does seem to be getting the message now and preparing their plant for no
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more infections or fewer infections in future days. this one is closing down for the weekend. it will be cleaned and reworked. the one in waterloo is closed and will open up in the coming days. both of them, they hope, will avoid any more infections. kate, back to you. >> miguel, thank you. still ahead, an alarming new complication emerging from the coronavirus. strokes in patients in their 30s. i'm going to talk to a neurosurgeon who is seeing this firsthand. here's the thing about managing multiple clouds for your business. when you've got public clouds, and private clouds, and hybrid clouds- things can get a bit cloudy for you. but now, there's the dell technologies cloud, powered by vmware. a single hub for a consistent operating experience
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this just in from the white house. according to pool reporters and reuters who are in an event with the president, the president has just announced that gilead, the company that has been developing and done the trials on the coronavirus, potential coronavirus treatment remdesivir, that gilead has now received the fda approval for the emergency authorization from the fda to begin using this treatment. dr. fauci had said this was likely to be coming soon and would happen quickly. the president announcing that it now has happened. and president trump also announcing that the gilead ceo is going to be donating 1 million doses of remdesivir. much more on that to come. in talking about the impact of coronavirus on patients of all ages, we have top officials who are looking for treatment
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and for a vaccine for the coronavirus, remdesivir being one of them. as they look for these fixes and for a vaccine, there is a scary new complication emerging in patients not considered the most vulnerable. a troubling jump in sudden strokes among covid patients in their 30s and 40s who are not otherwise terribly ill. one of the doctors who has been treating patients like this, detailing this troubling complication, dr. thomas oxley, a neurosurgeon at mt. sinai hospital here in new york. dr. oxley, we know that this virus attacks the lungs. what is the connection that's leading to stroke? >> we're still learning. we noticed several weeks ago there was an increase in strokes occurring in all patient groups, but most alarming was an increase in young patients in the age of 30s and 40s who had no past medical history. >> it is so scary to hear this. when you started seeing this happen in patients that you needed to then care for who are
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in their 30s and 40s, what did you say when you first started seeing it? >> well, the first thing that we noticed was that the patients were not coming into hospital early enough. usually within six hours, sometimes 24, and two of the five patients that we reported delayed calling an ambulance out of fear of coming into hospital. >> is this, are you finding, and there's so much that is not known, is this specific to patients, the sudden stroke, in this age range, or is it just that you're seeing such a surprising increase in sudden strokes in a group that shouldn't be having strokes? >> it is a low number of patients. but what is surprising is that typically in young patients having large vessel stroke, we typically find a cause. there's a reason those blood clots are forming and we were not able to find a cause in the
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majority of the patients we've seen except that they have covid. >> one complication of the treatment here, which is, one is obviously a huge dose of blood thinners, i've heard from other doctors, is then bleeding in the brain. how do you then account for that? it's a push/pull, everything has another ripple effect. >> the entire violatenvironment blood clotting ais not functioning normally with the virus. we're seeing that with patients with strokes, which is why we're reticent to recommend blood thinning medicine. however the hospital took steps a few days ago to issue guidelines for coagulation
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issues with covid. >> what do people need to be looking for in this moment? >> most people are only calling the ambulance if they have shortness of breath or high fever. for patients who are developing stroke symptoms, it's very important they call an ambulance immediately. so the way to remember stroke is the acronym f.a.s.t., f for facial, a for arm. it needs to be treated within six hours to be affected. >> thank you, dr. oxley, for the work you're doing. still ahead, the u.s. is making a big bet on a vaccine maker who has never brought a drug to market. why are so many people pinning their hopes on this company? mor, like transform into an air fryer. the ninja foodi grill,
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this is cnn breaking news. >> welcome to "the lead." i'm jake tapper. we began the show one month ago, april 1st, with 1,064 death from
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coronavirus in the united states. today, on may 1, the death toll right now tops 64,203. just a stunning and tragic number. the trump administration has announced emergency fda approval for remdesivir, which shortens the recovery time for patients. we'll have more on that with dr. sanjay gupta in a second. but first, a team of leading pandemic experts predicting today that barring the discovery of a vaccine, the devastation in the united states is not ending anytime soon. they detail in a new report that the coronavirus is likely to continue spreading for 18 months to two years until 70% of the u.s. population has been infected. 70%. the experts are recommending the u.s. prepare for a worst case scenario that includes a second big wave of infections this fall and winter, and even in their