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♪ ♪ good to be back with you on this second hour of "chris jansing reports." ahead, tragedy in iowa. three people shot at a high school on the first day back from winter break. law enforcement sources telling nbc that the suspect is dead. we are live at the scene. plus, the battle down in texas, the department of justice taking on the state for its brand new law allowing police to

arrest migrants. also, a florida man arrested after threats against congressman eric swalwell, the chilling voice mails he left for the california democrat saying he would kill him and his family. that's next. plus, a miracle in the rubble, dramatic new video of a man being rescued three days after that devastating earthquake in japan. the 44-hour long heroic endeavor to get him out alive. our nbc news reporters are following all of the latest developments, and we begin with nbc's ali vitali who is on the ground for us in perry, iowa, where later this afternoon we do expect an update from police. ali, what do we know so far? >> reporter: chris, we're expect to go hear that update from police about an hour from now. the public information officer this morning was pretty mum on details but we know from our own team at nbc's reporting that at this point the gunman himself is dead of a self-inflicted gunshot wound, and we expect that at least three others are injured.

we'll see and hear more from the public information officer in just the next hour or so. but here on the ground, you can see behind me, the scene itself is calmer, and now it's left to the community to figure out what it looks like in the aftermath of this tragedy. you're right to point out that it is just the first day back from winter break. students, parents, all reeling. i've met with members and spoken to members of the community, and many of them at local businesses here who are checking in with their loved ones, making sure their friends are okay, making sure their family members are okay, and some students themselves still trying to figure out the shock and all of the emotions that they feel. including this one woman, ava, who one of our colleagues caught up with at a family reunification center. >> people are calling their parents, friends, and then we hear he's down, you can go out. and i run, and you can just see

glass everywhere, blood on the floor. i get to my car and they're taking a girl out of the auditorium who had been shot in her leg. >> reporter: clearly still so shaken by what she experienced in her school this morning, and that's going to be the aftermath. it's not just what happens in terms of locking down the campus and the law enforcement presence, it's what you and i talked about last hour. it's the psychological impact on people who were in this building even if they were lucky enough to escape physically unscathed, the emotional trauma here still so palpable for this community. >> and for their parents as well, who are wondering in that period of time did my kid get out of there okay. ali vitali, thank you. let's go to nbc's morgan chesky now in eagle pass, texas, where a legal battle is brewing between the governor and the department of justice. so talk about this lawsuit, and what's going on on the ground there today.

>> reporter: yeah, chris, good afternoon. i'd call it more of an ongoing legal saga at this point with multiple arguments going between the biden administration and the state of texas. the most recent being the department of justice suing the state over sb4. this was the law that was passed that would go into effect in march of this year. that allows local, state authorities, police officers, sheriffs deputies, state troopers, the chance to arrest migrants for crossing illegally, making that crossing a state crime, not just a federal crime. as it is right now, the doj calling it unconstitutional, making it clear that it is the federal government's responsibility to protect the borders and not the states. texas governor greg abbott saying that he likes his chances in court with this potential challenge ahead. and right now, despite a dip in numbers this new year so far, no one anticipates this lull to last forever, so we anticipate

this to be argued in court much like we've seen that border buoy argued, much like we're continuing to see the argument go over the state-installed razor wire along the banks of the rio grande here, chris. so that is just some of what's going on there. we also did have a chance to ride along with the texas dps tactical marine unit who took us along one of the stretches of river where crossings have been very prevalent here. i want you to hear what one of the troopers had to say about what they're encountering when it comes to the recent surge of migrants, take a listen. >> it's a humanitarian crisis. you know, these people are desperate, and to get across this river and to get into, you know, the united states. and i don't know what it's going to take to stop it. you know, that's beyond my, you know, my ability, but just the fact that they get here safely

that i'm not having to pull bodies out of this river anymore would be nice. >> reporter: those troopers on that boat told me, chris, that there's not a member of their unit who at this point has not pulled someone from the rio grande in need of rescue. of course speaker johnson led a gop delegation here yesterday. they had a chance to visit a nearby border patrol processing facility. they stood on the banks of the rio grande and blamed the biden administration for this recent influx. all of that taking place as directly behind them, a lone migrant family crossed the river, two parents, three children, the father, carrying a little girl in pajamas as they were greeted by the border patrol on the other side of the river, underscoring the need for something to be done. chris. >> morgan chesky, thank you for that reporting. the arrest of a florida man,

threatening to kill eric swalwell and his children. nbc's julie. >> reporter: a 72-year-old man arrested on wednesday in connection with threatening phone calls and voice mails he left for congressman eric swalwell's congressional office here in washington, d.c. as part of these voice mails he allegedly said he's going to come after him and kill him. he said he's threatened to come and kill your children. these are the kinds of things that were left on swalwell's congressional voice mail machine. michael shapiro was arrested in 2019 for making other threats to different members of congress according to the u.s. capitol police. this is also not new unfortunately to members of this building as a whole. the capitol police have said in recent years, in recent months that they need more resources to deal with the heightened threats that they have been seeing against members of congress,

most recently in november, we also saw that georgia man who was arrested for threatening to kill marjorie taylor greene, the congresswoman. certainly this is an issue that spans political parties as rhetoric across the country continues to get more and more divisive and more and more heated. dramatic new footage from japan showing a rescue team pulling an elderly man from the rubble of a building three days after the devastating earthquake. police say it took 44 hours to get to him. nbc's janis mackey frayer is reporting from kamatsu, japan. >> reporter: you see the blue tarp, the road has collapsed, the hill underneath it, disintegrated. the house resting on its side, another one resting like this. in between them, cars that have been tossed around showing how powerful this earthquake was that hit here on new year's day.

across ishikawa prefecture, there are thousands of rescue personnel that are continuing to work through the night, trying to find survivors they know are trapped in the rubble of collapsed houses. it really is a race against time. experts say that after 72 hours, the chances of a person's survival begin to drop. at least 84 people have been killed in the earthquakes, according to government officials. there have been hundreds of aftershocks since that have complicated relief efforts. aid is beginning to trickle in, but this is still an isolated area. people are needing communications, water, food, and, of course, the opportunity to go back home. officials are warning people to stay away from their homes because there's still a high risk of more strong earthquakes to come. but in the meantime, disaster officials and japan's prime minister are saying the priority is to try to save as many people

as they can. >> janis mackey frer thank you for that. former president trump's fight to stay on colorado's ballot could be headed to the supreme court. colorado secretary of state jena griswold who's pushing the bench to step in will be here to discuss it in just 60 seconds.

the decision to kick donald trump off the colorado primary ballot is now poised to be the first to go to the sreme court following donald trump's appeal. if or when the court decided to take it up, it could set the precedent for 18 other states where the former president's eligibility has either been challenged or where he's already been disqualified. joining meow is colorado secretary of state, griswold, it's goodo have you on the program. part of trump's appeal argues this, quote, the colorado supreme court decision would unconstitutionally

disenfranchise millions of voters in colorado and likely be used as a template to disenfranchise tens of millions of voters nationwide. what's your response to that? >> chris, thank you for having me. i really do appreciate it. i think it's important to remember that this case was filed by six republican and unaffiliated voters here in the state of colorado because they did not want to be disenfranchised in the primary by voting on a disqualified candidate. only qualified candidates can be on the ballot. and i think it's really rich, donald trump talking about voter suppression when he has indeed led some of the biggest voter suppression efforts in recent history and tried to steal the presidency from the american people in 2020. >> let me ask you about some of the other concerns that have been raised as a result of this action. are you worried at all, for example, that if the supreme court comes up with some sort of national standard for how to determine these questions of

eligibility, it infringes on state's own rights to manage their own elections? >> i am a secretary of state who of course will follow the law and uphold the constitution, and the united states supreme court gets the final word on big constitutional issues. the big constitutional issue in this case is does section 3 of the 14th amendment, the clause that would bar someone from holding office if they engaged in an insurrection apply to the presidency. donald trump is trying to argue to the supreme court that he did not engage in insurrection. but that even if he did, the constitution does not apply to him. i think that's wrong. two courts have found that he did engage in insurrection, and i don't think that the presidency should be some get out of jail free card from the constitution. so i do think the colorado supreme court got it right. i also think it's appropriate for the united states supreme court to resolve these big

issues either by deciding that it's up to the states or issuing a decision for the entire nation. >> when you step back and look at this as impartially as you can and understanding that you have been a part of this, realistically, what do you think the chances are that the supreme court sides with the folks in your lawsuit? >> i think there's a lot of really smart lawyers on both conservative-leaning and liberal-leaning who disagree with each other about how this case will play out. again, ultimately, my job is to follow the law and the constitution, and that means following whatever judicial order or decision that's in place throughout the election. regardless of what happens in this case, american democracy remains at risk. donald trump is a risk to the right to vote, to our democracy, and to the stability of this country. and whether he is on the ballot, americans will have all the power to continue to protect our

democracy by making their voices heard in presidential primaries and in the general election in november. >> you've also said, madame secretary, earlier this week, as a matter of fact, that you are concerned about the impact of the rhetoric of violence in this country, and suggested that in your state, that kind of rhetoric has resulted in huge turnover among elections officials. i think you said one-third of your elected county clerks have left since 2020. can you pull back the curtain, and help us to understand what's going on? >> election officials have been receiving threats on and off since 2020, since trump started to lie about american elections and the status of democracy in this country. you know, those threats come in the form of phone calls, e-mails, direct messages. some are just harassment. some are very explicit messages

about how folks are going to kill us. i do think it's a really big issue here in the state of colorado and across the nation. just this year, two election officials have been swatted. you know, these threats are used to try to intimidate us, and i do think it's important, chris, to clearly say there is a gendered aspect to these threats. the majority of election workers are women, and we deserve protect, and we are largely not getting enough protection to do our jobs. >> you've just said that the threats include threats to kill us. have you been the target of threats as well? >> yes, unfortunately, with the filing of this trump case in september, i received 64 death threats within three weeks, and they have been coming in steady since then. but again, the threats did not start with this case. they started in 2020 for many of us, and for me, in 2021, and

they oscillate, sometimes you have a bunch of threats at once. sometimes it's quiet for a little bit. but i just want your viewers to imagine what it would be like doing your job and having repeated messages about how people that you don't know are planning to kill you and your family. that's what the atmosphere is for election workers and secretaries of state. it is a very hard atmosphere. i will not be intimidated. many of us across the nation will not be intimidated but with that said, state government and federal governments need to recognize what is happening and provide adequate security to election workers and secretaries of state who are a target of this vitriol. the vitriol is not about us. it's about trying to intimidate us out of our seats so that extremists can take over. i won't allow that, but we really need some help. >> well said. jena griswold, the secretary of state of colorado.

i hope you'll come back on as we see how this makes its way to the supreme court. thank you for your time today. on capitol hill, a scathing report from house democrats charging donald trump with profiting to the tune of $7.8 million, money from 20 foreign governments. democrats on the house oversight committee releasing details in the 156-page report they say proves trump violated the constitution. nbc's ryan nobles is on capitol hill for us. ryan, what more are we learning from this report? >> reporter: this report probably doesn't come as much of a surprise, chris. it was an open secret how much foreign entities were patronizing donald trump's businesses all around the world but specifically here in washington, d.c., the trump hotel was well known to be a stop for foreign aries. what he has done is outline the ways in which these foreign governments take advantage of trump-owned properties and the

connections they may have had to decisions trump made while in office. this is what jamie raskin, the ranking democrat wrote in this report. he said, it's true that $7.8 million is certainly a fraction of trump's harvest of unlawful f state money. this figure in itself is a scandal and a decisive spur to action. the report details findings that make it clear we don't have the laws in place to deal with the president who's willing to brazenly convert the presidency into a business for self-enrichment and wealth maximization. republicans are dismissing this report, saying there's no evidence he provided assistance to foreign governments, his children were running the business. he wasn't actively involved in it. the oversight chairman, james comer, said it's beyond parity that democrats are bringing this up again. the oversight committee is one of the principle committees

investigating joe biden because of his son's business dealings around the world, and while they have yet to uncover any specific evidence that ties joe biden to his son's business dealings, this is very much in black and white, almost $8 million in which foreign businesses were spending money at trump properties around the world. democrats also would like to see the other two years of the trump presidency, which they have yet to get access to and likely won't get access to because republicans have decided that this investigation that was started under democrat majority rule no longer needs to go forward, chris. >> ryan nobles, thank you. and still ahead, with just 11 days until iowa, the new move by donald trump's team to combat nikki haley's rise in the polls.

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republican presidential candidate vivek ramaswamy has spent much of his time on the campaign trail and the debate stage praising his opponent, donald trump. now in a new exclusive interview with nbc news, ramaswamy calls the former president wounded and argues that the best person to lead the maga movement forward is ramaswamy himself. >> why wouldn't that same rigged system, if you're going even further than donald trump, why wouldn't it work against you too? >> look, they don't have on me what they have on him. you can just look right now. they've got four different wars they've waged on this man. at the end of the day, if we need a commander in chief who's going to lead us to victory, our

base needs to choose the general who's not yet wounded in that war. i think in many ways, this managerial class and the swamp, they duped donald trump, they duped trump in a way they won't be duping me. >> polls show ramaswamy hovering in single digits, well behind trump. not enough to make next week's debate stage. after a very long prelude, the path to iowa and new hampshire voting is now measured in just days, which means donald trump's primary opponents are running out of time to make a dent in his large lead in the polls. but new indications today that he sees one of them as potentially his biggest threat, nikki haley. he's targeting her in a new 30-second ad. >> haley and biden oppose trump's border wall, confirm warnings of terrorists sneaking in through our southern border. haley joined biden in posing the visitor ban from terrorist's nations. trump's strength protects us.

>> the haley campaign quickly released a statement writing trump's new ad shows he's terrified of haley. let's bring in matthew dowd, chief strategist for the bush/cheney 2004 presidential campaign, and a senior political analyst. what do you think of that ad? what does it tell us? >> well, i think it tells us a couple of things. i don't take the haley's tact that he's terrified. there's two things i think it tells us, one is donald trump doesn't want to be on the debate stage. he doesn't want all of the conversation in the next two weeks with the debate in iowa and a debate in new hampshire to be totally occupied by nikki haley or ron desantis. that's one part of it. the second part of it, he's seen haley's now rise to second place in new hampshire. she's basically tied in iowa, but still 30 points behind donald trump in iowa, and what i think he's trying to do and their campaign is trying to do is basically they know if they

win iowa and new hampshire, this race is over. it doesn't prolong it. i still think donald trump is heavily favored to win. their campaign wants to end this early. if they can beat nikki haley in both , it's basically over >> "politico" did an interesting survey, and it suggests that the gopredential race may be more fluid than sor of the conventional wiom that's according to a newoll of gop county chairs from all across the country with those seeking an alternative to trump, flocking to haleyather than ron desantis in the final weeks, and while they consider trump still the monumental favorite, they conclude it's plausible another candidate could shake up the campaign. quote, what's different from previous surveys is that nikki haley is that candidate now. what do you make of what those county chairs say? >> well, having done a lot of number of campaigns, there's a couple of things about it. first is i wouldn't take the word of county chairs as

representative of where the voters are, and so i don't think it's necessarily a place holder for the voters of what a county chair thinks. they're an activist, organized part of a party. they're worried about their esteem. that's the first thing. don't take that as a way that signals where the voters are. the second part is this race hasn't been fluid at the top. donald trump has maintained a 40, 50 point national polling lead for the last six months here. where it has been fluid, and i'll give them credit for that, it has been fluid for second or third or fourth place. the problem with that is you and i have had this conversation before. you don't win by winning second place, and though there has been fluidity between where vivek ramaswamy rose for a time, ron desantis was in second, and now nikki haley looks like she's in second, all of that still means they're well behind donald trump, which that lead has been very stable. >> but if it happensanone of the things that chris christie

has said is he's going to stay in this race no matter what. he wants to see how the legal stuff unfolds with donald trump, but the lead strategist for haley's super pac says, look, all he's doing is helping trump. if somehow this field does narrow to one, and i'm talking about the field for second place, is there a chance, then, if it happens soon after the first, say, couple of states? >> well, i mean, that's a lot of ifs in that statement. probably too many ifs in that statement. i mean, what i think, first of all, on chris christie, i actually think he should stay in the race. he's the only one of the candidates consistently telling the truth about donald trump. nikki haley is not. she fudges all along the way about whether or not she confronts donald trump or agrees with donald trump, so him staying in the race, i actually think is important because he's the only candidate that presents an alternative vision other than what trump wants in this. i think the problem for that strategy is that it gets to be a two-person race way too late,

and so let's say that donald trump wins iowa, which is likely. he wins new hampshire, barely, and there begins to emerge a second place candidate, but by that point in time, you're already in the aftermath, probably, of super tuesday, and donald trump is well on his way to a delegate lead, and i think the one thing people need to understand about the difference between republican primaries and democratic primaries, in democratic primaries, people fall in love with candidates. in republican candidates, they fall in line. as soon as the voters get the signal of who the nominee is likely to be in the first few, they fall in line. >> matthew dowd with a memorable line. thank you, my friend, good to see you. tensions quickly escalating between israel and lebanon. we've got a live report from tel aviv next. plus, nbc news confirming the safe return from gaza of two family members of a u.s. receivesman.

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by downloading duckduckgo on all your devices today. today in lebanon, streets packed with people mourning the deaths of a top hamas commander after he was killed earlier this week in an air strike in the country's capital. the death in beirut escalating the tensions at the israel-lebanon borderment mat -- matt bradley reports from

tel aviv. hezbollah has vowed to retaliate for the death, and today targeted israeli soldiers. what more do we know? >> reporter: we heard from the head of hezbollah and he said, vowing to retaliate, they would go headlong into a war with israel if israel were to attack. that was a major threat, similar to the threats that hezbollah had been issued since the october 7th attack by hamas into israel. so we're still seeing hezbollah, despite that brazen attack, assassination of a senior official, in southern beirut. we're not seeing them attack israel full on. instead, we're still seeing them taking major shots against israel, and in fact, our team has found seven different statements just today released by hezbollah describing their increased attacks over the

lebanese border into israel targeting israeli troops. so it's clear that hezbollah has ratcheted up their attacks against israel because of this assassination, that's what they're attributing it to, and they're still obeying the unstated rules of engagement between hezbollah and israel. they're trying to get it both ways. they want to increase their attacks, increase their threats against israel, rally the attention of the entire world that expects them to lead the resistance against israel while at the same time not sparking a full-on war. chris. >> matt bradley, thank you. we're now learning that two family members of a u.s. service member have been rescued from gaza in a secret operation that happened on new year's eve. that's according to one u.s. official with direct knowledge of the operation and two u.s. officials who are familiar. nbc's courtney kube joins us now. what more do we know about this rescue. >> reporter: we don't know a whole lot. we know the mother and uncle of

a u.s. service member, a specialist in the u.s. army specifically were rescued. what we have heard, according to a number of u.s. officials is that, in fact, the u.s. helped in some way for the idf, the israeli defense forces, to locate those individuals but that's really the extent of the u.s. involvement as far as we know. they were in in gaza, apparently in terrible conditions, low on food, low on water. under bombardment, and the israelis helped get them to a crossing and get them out. this was done in coordination between the u.s., israel and egypt. of course it happened on new year's eve. defense officials have stressed over and over that, in fact, the u.s. military had no direct involvement in this operation, chris. >> courtney, while we have you, the houthis attempted to attack a commercial ship again today. but this time they used a new method that you have some reporting on. tell us. >> reporter: yeah, and this is the 25th attack by houthis against commercial shipping an

ships in the southern red sea in the past month or so. today they used what we might think of as a sea-based drone. yes, they have launched air-based drones and a number of missiles, more than 60 actually in the last couple of months, but this one is, think of an unmanned drone that floats along the water, and in this case, it was packed with explosives. now, we spoke with the commander of the u.s. navy in the central command area, vice admiral cooper earlier today, and he explained this went out from houthi controlled area of yemen, transferred out 15 miles to a busy shipping area in the southern red sea and it detonated. they're not clear yet, the u.s., as to how it detonated. but it was several miles away from commercial ships and u.s. military ships there in the region. this is a new capability that the houthis have shown. admiral cooper praised this

maritime coalition that they have trying to defend against the houthi attacks, operation prosperity guardian, he said since its inception, there have been 1,500 merchant ships that have moved through the area. despite the fact that houthi attacks have continued during that time, none of the missiles and drones have successfully struck the ship. today's attack, the 25th in the last month or so, there were no injuries, no casualties, and in fact, the sea-based drone didn't actually hit any ships. chris. >> courtney kube, thank you for that. those houthi attacks have forced shipping companies to change their routes to avoid the red sea all together. 18 shipping companies will go around south africa adding more than a week to that you are journeys, and significantly raising the cost of doing business, according to the international maritime organization. cnbc's global supply chain reporter joins us for cnbc on msnbc. tell us a little bit more about

what this could mean for the global economy and every day people. >> most definitely, chris wharks -- chris, what you hit on is the higher prices. you had the delays of products coming in, and products became a lot more expensive. so the diversions that we're seeing means the delays in the arrival of the products because of the longer transit time you pointed out. get this, you have containers that were scheduled to be here in december on the east coast. they're still on their way, and they're not arriving until january and february. and this is crucial because these are spring items. and coming in, the vessels that are late, well, these are the same vessels that have to go back to asia to be picked to be filled with goods that come back here, and so you're looking at this and so on and ripple effect, if you will, with the delaysan when you're looking at the current state of play, you currently have 405 vessels carrying around $278 billion of

tradehas being diverted around the horn of africa as we speak, and these goods are going to cost more because every day the shippers are getting slapped with extra surcharges and higher ocean rates to move the goods, and you may remember, you know, back during covid, federal reserve chairman, jerome powell said the fed are no control over these prices, and the economists i have spoken with told me that they do worry that the transitory part of the inflation that we saw in 2022, it may return again, and the fed has to make sure that they're not complacent in their inflation fight. chris. >> thank you. pediatricians are sounding the alarm as flu cases skyrocket among kids. why this could be the worst flu season we have seen in 15 years. and caught on camera, the shocking scene in a nevada courtroom. the new charges against a man who suddenly attacked a judge. that's next. 's an all-in-one, that absorbs dirt and grime deep inside.

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the state of nevada! whoa, whoa, whoa, hey. [ bleep ] >> that dramatic moment caught on camera when the 30-year-old man, you saw it, he jumps over the bench, tackles the judge, after being denied probation on an attempted battery conviction. it took several officers to remove him from the court. the judge and a courtroom marshal were both examined at the hospital. they are expected to be okay. rising rates of flu are concerning pediatric doctors with one louisiana doctor warning this could be the worst flu season in 15 years, and it's not just a problem in the south. take a look at this map from the cdc, those purple and red areas. those are places with very high numbers of cases. from massachusetts to california, wyoming to texas, holiday gatherings and low

vaccination rates are driving a surge in cases of influenza. nbc's sam brock is reporting from outside a children's hospital in new orleans. dr. vin gupta is also with us, a pulmonologist and msnbc medical contributor. sam, i know louisiana is getting hit especially hard. what are you hearing from doctors there? >> reporter: yeah, that map is very telling, chris, as far as what's going on in the state of louisiana, as recently as several weeks ago, there were about one or two dozen people being hospitalized with influenza. that figure now is 300 per week. i'm standing in front of children's hospital new orleans, that's the building behind me. it's part of the lcmc health network, which is the largest here in the new orleans area. they tell me as far as flu cases are concerned. in november, they were up 175%. in december, 115%, which is to say, chris, it keeps doubling and tripling every single month. that's why you're hearing warnings about how this could be comparable to what we saw in 2009 with the h1n1 pandemic as

the figures start to climb up. it's not just influenza, of course rsv for so many families you talk to has been a bear so far this season. i did speak with kioni francis, who has son kingston got rsv a couple of months ago. he's in the icu. he has been there for a couple of months. as we're having a conversation about the ordeal, a code blue goes off, which signifies a respiratory emergency for kids. here's how kioni responded in that moment. how does that speak to what you have just experienced for your son in the last few months? >> i wanted to cry just now. i really almost lost my child. he was intubated three times. he's had two strokes. and he had to have a trach and a d-tube put in because he could

no longer breathe too good. >> reporter: he was on the cusp of death, and somehow he fought back. >> he fought and is still fighting. >> reporter: kingston has turned a corner. that gives a window into the struggle of so many families right now. and the flu vaccine this season does protect against hillary clinto -- against h1n1, that window is open, effective, lowering the chances of getting the flu by at least 50%. >> thanks for that, sam brock. dr. gupta, that breaks your heart, three intubations, we could have weeks and weeks, months of flu season to go. how bad is this? >> chris, this is just starting. we are expecting the next four weeks the most problematic of the season. we had the prior week of the hoday season traveling of indoor gatherings. we think a lot of transmission is going to happen. i think it's important for every parent out there that's watching,e might have a graphic for viewers out there. for the parents out there,

ere's a lot of just knowledge and awareness. how do you mag symptoms of your child. what do you do based on the symptom. let's try to go through it. for a sore throat, we need to think about strep throat. if your child wakes upit a bad sore throat, high fever, absence of cough. strep throat, making an appotment that day with your pediatrician. if you're thinking they wake up with a high fever, that might be covid or flu, that's where you also need to get tested, and then wheezing, high pitched wheezing, if you're hearing like a tea kettle, that's rsv potentially, and that's, again, something where you need supportive care. so these symptoms here can herald the specific diagnosis. in every single case, whether we're talking about a child or an adult, early testing leads to early treatment, helps keep people out of the hospital. >> are there other signs that parents could notice early?

kids being lethargic, for example, or is it often a combination of these symptoms that you laid out? >> well, it's absolutely a combination of symptoms because to your point, not one of these symptoms is correlated with a specific diagnosis. lethargy, absolutely, is a sign here of maybe a high fever or dehydration. that's something that should herald, let's get your child seen. in every single case here, often there's a sense, especially amongst adults, even amongst kids that maybe this will pass. we'll spend a day in the bed. we'll do symptom control. we won't get a diagnosis, and then they wait and things escalate. if you're seeing especially strep throat awareness, it's swollen tonsils, pus in the back of the throat, and it's absence of cough with a high fever, need to get seen quickly, need to get the swab in the back of the throat for your child so they can get treated quickly.

that's critical. >> important information. dr. vin gupta, always good to see you. thank you. that's going to do it for us this hour. join us for "chris jansing reports." we're here every weekday 1:00 to 3:00 p.m. eastern on msnbc. our coverage continues with "katy tur reports" after the break. break. they told their doctors. and found out they had... atrial fibrillation. a condition which makes it about five times more likely to have a stroke. if you have one or more of these symptoms irregular heartbeat, heart racing, chest pain, shortness of breath, fatigue or lightheadedness, contact your doctor. this is no time to wait. (vo) if you have graves' disease, your eye symptoms could mean something more. contact your doctor. that gritty feeling can't be brushed away. even a little blurry vision can distort things. and something serious may be behind those itchy eyes. up to 50% of people with graves' could develop a different condition called thyroid eye disease, which should be treated by a different doctor.

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