again housed at the c.d.c. and really is our surveillance program that can be utilized for a lot of different illnesses but in this case will be utilized for respiratory diseases in addition we are tracking the number of cases and it must have a downward trajectory for 14 days as well as the influenza like illness and the syndrome ic illnesses and a downward trajectory in the number of positive tests with persistence of high levels of testing for the hospitals it's and to ensure that we can treat all patients without resorting to any crisis care and ensuring that there's a robust testing program in place for at risk health care workers including frontline responders with their marriage ing antibody tests next life just to show you what this looks like so what the c.d.c. did for me under the direction of bob redfield was to chart what led to the syndrome make illnesses we're reporting throughout the early part of march and you can see in new orleans respiratory diseases we're starting to be seen in the

emergency room that is the red line the cases are shown in the dark blue line the gray mountain is testing and underneath that is the blue mountain of positives and you can see that the early alert was present from the emergency room about early respiratory disease you can see it predated the cases so out the summer when we do not have flu to contaminate this picture will be able to follow this syndrome a pattern city by city county by county community by community safe i stay. in addition the c.d.c. has the influenza like illness net distributed throughout the united states very useful in the winter time that 1st peak is influenza b. in the red that's the season i showed you all the seasons here so you can see the seasons as they are displayed the 1st peak is influenza b.

2nd peak influenza a and then you can see that the corona virus and you can see it's declined and it's declining towards a baseline this well laois again city by city community by community state by state to look for variations in an early response mode in those it localities that i described next like so hopefully you see that we've brought c.d.c. and their amazing talented individuals at the center for disease control and prevention and all of their abilities to this response and also to the surveillance that we need in this response but i want to call your attention to the 3rd bullet on this graphic so we're tracking those 2 pieces that i described for the 3rd bullet is about setting up sentinel surveillance sites to be able to find asymptomatic individuals individuals that you've heard about that may be either

present dramatic are asymptomatic throughout their entire disease course. we want to be able to find them in communities of particular vulnerability so we'll be doing sentinel surveillance throughout nursing homes throughout inner city federal clinics throughout indigenous populations to really be able to find early alerts of asymptomatic individuals in the community and both for the syndrome a cases that are tested the flu influenza like cases and the asymptomatic cases doing contact tracing again with support from the centers for disease control working with each state and local government in addition we want to make sure that all the health care facilities have adequate protective personal protective devices and the equipment to handle the surge and to ensure the i.c. use can handle increased capacity we want every state to have a plan for the health and safety of its workers in critical industries and to

protect the health and say these of those living in high risk facilities including senior care facilities as we discussed with sentinel surveillance but also additional surveillance when we talked with all of the states that had not had a major metro outbreak their centinels surveillances picked up always the 1st cases in nursing homes and so this is a very much a big focus of the plan moving forward i won't go into the rest of the details on the slide but there is quite a bit of detail on the expectations of every state and local government next site you'll recognize this slide it's a next. you'll recognize this slide is what we've been talking about in the $15.30 days to prevent the spread it's continuing those in critical hand-washing are sanitizer is not avoiding touching your face at all times disinfecting surfaces using face covering while in public following state local guidelines and critically staying home if you are sick. i know

a lot of people go to the workplace when they are feeling ill you know when you're feeling ill it won't get better by going to work so we're asking again for people to stay home when they're sick next light is for employers to ensure that there can be social distancing and protective equipment their temperature checks use of disinfectant high traffic areas including break rooms and assuring that we don't do a set there's no non-essential business travel and then monitoring for any symptomatic individuals in the workplace and again if you come become ill at work to immediately to go home and ensure that there's contact tracing of all the individuals that becomes that i'm going to go to through the phases very quickly but you have the details phase one. again you have to go through those gating criteria as related to 14 days of decreasing evidence of illness and decreasing

testing despite adequate testing so phase one begins with all vulnerable individuals including those with co-morbidities continuing to shelter in place and ensuring that those of the 1st go out into the public are not those that are most vulnerable to bad outcomes in this disease and then ensuring that we continue to do 6 feet maximum physical distancing in public spaces continuing to avoid large gatherings and all non-essential travel for the employers next. again if a vulnerable population needs to return to work and cannot be teleworking there should be special accommodations for all vulnerable populations as well as options for teleworking we believe every employee should encourage work return in phases from 25 percent or 25 percent to 40 percent to 50 percent and again minimize all non-essential travel phase one continued next life. if the schools are already

close they should remain close all visits to senior living facilities and hospitals should be continue to be prohibited large venues including sit down dining can only be operated under strict physical distancing protocols and maintaining those 6 feet gyms could open if they have again could hear district physical distancing and elective surgeries can resume on an outpatient basis face to next slide. next life again you have to go through the criteria again of a continuation of another 14 day decline among those criteria is that we're in the gating again we're asking for all vulnerable individuals shelter in place we did not put a timeline on any of the phases we want the governors with the data that they have community by community to be setting up those timelines again we're asking for the public to continue to maximize physical distance however we increased the social

settings to be able to now have 50 individuals and non-essential travel can resume next this is for the employers we still would like to include encourage telework and the common common area should remain close or be physically distance non-essential travel for employees can and can resume and then again special accommodations for vulnerable next. this should be a relief to many of households that have small children schools daycares and camps can reopen in phase 2. visits a senior living facilities however should remain and hospitals for him it'd large venues can operate but solely under moderate physical distancing and elective surgeries can resume on an outpatient and in-patient basis phase 3. and so phase 3 high won't go through in detail with this essentially we're turning to

our new normal with all of the what we talked about through all phases continuing that the good hygiene practices continuing their respect for spaces between individuals because we know that we still have an issue with asymptomatic spread i do believe with this plan that we're both confronting the issue of finding symptomatic individuals through our networks with early alert as well as those who come and present to different hospitals and emergency room with testing and contact tracing but critically have put in place what we believe is a safety net through asymptomatic sentinel surveillance that is centered around our most vulnerable groups between nursing homes and native r. and native american people and indigenous populations and our inner city groups that we know maybe in multigenerational households and have unique rest stop there mr president. thank you very much mr president mr vice

president so as you seeing just now from the detailed presentation from dr burk's this is a rather robust program for re entering into normality there's a lot of details here and i know it will take a little bit time to digest them all so i thought would be good since i really want to be brief to allow time for questions to kind of take us back to the discussions that we've had here before and why this is a natural evolution from what we had said before you might recall that on a few occasions when i was up here before you i told you that when we get to the point where we're going to take those steps towards trying to get back to some form of a malady that it would not be a light switch that you could turn on and off i meant that in 2 different component . the 1st of all that we are a very large country and we have different dynamics in the country we

have areas of the country that have gone through a terrible ordeal and others that fortunately have gone and gotten ill gotten through this rather lightly so that's the 1st thing the 2nd thing is that ought light switch on and off is the exact opposite of what you see here which is a gradual reduction with the 1st thing and the only thing in mind as the health people here my colleagues who are either physicians scientists or public health issues the predominant and completely driving element that we put into this was the safety and the health of the american public and i know there are a lot of other considerations that go into opening considerations that you've heard of right from this podium but the dominating drive of this was to make sure that this is done in the safest way possible so let me just make a couple of comments to just reiterate more from

a broader standpoint the things that dr burk's did so well in a very granular detail 1st of all in order to even consider getting into the phasing you have to pass a hurdle and that's the hurdle that we refer to as gating in now when you think about it and look at the map of the country and look at the differences in different parts of the country you will see that there are some regions states locations that are going to be almost already into some of that gating and will have already fulfilled some of those criteria others because of the dynamics of the outbreak in the area will take longer to be able to do that but you don't get to phase one until you get through the gate and then in order to make sure that safety and health is the dominant issue the design of the phases would. just that you go into phase one if you get no rebound and you satisfy the gating yet again

a 2nd time then you go to face 2 if you have no rebound and you satisfy the gating criteria for a 3rd time you go into phase 3 so there are multiple checkpoints of safety there so as i've said from this podium when we were talking about the 1st 15 days of the mitigation and then we extended it another 30 ringback days i essentially pleaded with the american public to say let us make sure we do the best that we can to accomplish that and in fact mitigation works you saw the charts that the vice president and that dr bert's put up it worked and what we hope and i believe we will be successful if we carefully do this again with the attention to the safety and health of the american public that we will be able to it will be staggered not every state not every region is going to do it at the same time that's clearly

obvious because of the very dynamics of the outbreak but we feel confident that sooner or later we will get to the point hopefully soon with safety as the most important thing to a point where we can better get back to some form of the reality the one thing i liked about it that that dr burke said so well is that no matter what phase you're in there are certain fundamental things that we've done that are not like it was in september and october you want to call it the new normal you can call it whatever you want but even if you are in phase 123 it's not ok game over it's not it's going to be a way that we protect ourselves because as we know and as i said from this podium it may very well be as we go the cycle around that they'll be this virus that wants to come back to us i think we're going to be able to handle it thank you. from.

the knockout punch so i assume that there's also a face for it which is after that scene is that all right until to everybody so the question of the history being the new normal are read during that she's going to be able to see things like packed arenas for supporting a man's large crowd concerts. the answer is it is conceivable that we will be able to do that i think there will always have to be attention to making sure that we don't do all that packing and together i think we'll be able to have squats events in that phase where you actually have participants there i'm not sure you're going to be able to do that uniformly and evenly temporally with everyone but when people get to that phase paying attention to the fact that if there is a rebound of any sort that when you're in that phase you can respond to that or you put it back and go in the other way so the flexibility is that there may be some

setbacks i mean let's face it this this is uncharted waters there may be some setbacks that we may have to pull back a little and then go forward but john the direct answer to your question i do see us getting more towards nothing because it. printed if you if you take a look at the dating criteria as outlined guidelines that are there are at least in forest and slightly different lines idaho wyoming hawaii montana to look like they've already satisfied that getting crime tyria in your coat with the governor's other stamp to new did you hear back from many states who said we're already there we could start the process needed from a number of governors and said they're in very good shape i also heard not only from the call but i heard from some of the governors previous and i think you have some very good. things to report over the next few days about states opening. up and i think john having to do with you call and on sports depending on the area

depending where we're talking about it you can have large areas of our country where this has not been or has been totally eradicated you'll be able to have those fuller arenas now with everything being said a lot of great work has been done on vaccines but you have a testing process therapeutics likewise we have a lot of great things happening therapeutically that will be a step further but in terms of sports they'll probably start off i as you know i spoke to the commissioners yesterday almost i guess of every sport and many of them are going to be starting with out the fans so it will be made for television the good old days made for television and it will go that way and then the fans will start coming in maybe they'll be separated by 2 seats and then ultimately we want to have packed arenas when the virus is gone we're going to have packed arenas and we're going to be back to enjoying sports the way this supposed to be and the same thing can be said for restaurants so at

a certain point in time when the virus is god we're going to be back to normal sooner. please that mr president and the doctors can you clarify that it's the 30 day period to stop the spread of those mitigation efforts to place or have they been replaced by new guidelines well they're going to be in place to a large extent and it also depends on the governors what they want to do you have very different states if you look at montana wyoming north dakota that's a lot different than new york it's a lot different than new jersey so it's going to be very dependent on the governor and we're recommending as you see in the charts we're recommending certain things will be in place dependent on what the governor wants to do if we see something wrong we will be expressing ourselves very strongly thank you mr president does that mean that things that just montana are in utah that are in me period will they be able to garner phase one. sally smart of the company you talked about those states that are in great shape already and they will be able to go literally

tomorrow yes because they feel that all of the guidelines if you go back you're going back 14 days you're going back even a month and they have the ones that i'm thinking about the ones that i've already spoken to governors about they've met those guidelines actually pretty long ago is the proceeds from the president which are messages to the protesters we see you saw a lot in michigan but in others they're saying that they are refusing to 5 instead home or by governors and more powerful than is it important for everybody to go along with this as we go through the stages of they've been going through it a long time john and it's been a tough process but people you know i told you this this death and this problems in staying at home too it's not just isn't it wonderful to stay at home having to suffer and that this country wasn't built on that principle it was built on an exact opposite principle actually and i watched in one particular state where they

were they want to get back they want to get back they were very strict sanctions that were put on people that was probably the most strict of all but. i just think the american people have been incredible when you look at john when you look at what they've done when you look at what they've been through when you look at all of the death and all of the problems and all of the sickness when you look at what's happened i just think the american people have been incredibly protesters almost over he's running who has the i think they listen to me. they seem to be protests is that like me and respect this opinion and my opinion is the same as just about all of the governors they all want to open nobody wants to say chef but they want to open safely so do i but we have large sections of the country right now they can start thinking about opening to be some mitigation and they'll keep it going for a period of time. including masks by the way in areas that you wouldn't even think i asked a question today i said why would they wear thin masks in wyoming or montana or

north dakota and that's if somebody should come in from an area that isn't so successful in terms of what they have done so that will be a governor's choice and will have no problem with the president spoke to sarah now with your new congressional advisory groups 32 bipartisan members of the house $65.00 arms and members and senate one big talkers was the fact that the small business association volume pot of $350000000.00 that has hit the cows it's exhausted there's nothing moving on the $250000000000.00 to reply just what did you tell those bipartisan groups today about getting a move on to get some more money to the handsome home visits and so just for the viewers watching this or hearing you as to question exhausted is a good thing not a bad thing it went quickly it is so popular the banks have been incredible including 4000 community banks 4000 people the new you had that many banks 4000 the middle of what they want is people want to keep this going and we're doing it to

keep the small businesses open and to keep the workers paid and we have 200 $50000000000.00 request the democrats like it the republicans love it and to be honest i think it's going to something's going to be happening i hope so because it's a very popular program it was really executed flawlessly the 1st day they change an application a little bit there was a but when you look at what bank of america did and what wells fargo did in city and a lot of the banks but when you ask when you look at what all of the community banks did it's been really incredible well we're negotiating with democrats and they should frankly approve it quickly there's a great thing for our country it's a great thing for small business and for the workers and we're having a hard time getting them to approve it i think it's going to happen it should happen really unanimous. but they're trying to get things and we're not too happy with what they're trying to get with the 1st thing you just say which state

specifically does think that it did not promise but rather than say that but you'll be seeing it very soon i mean they'll be i'd rather have the governor be able to governors be able to announce and they're very proud of it they work towards some are in an area that's less susceptible and some really was done i think we can say through talent they really work very hard and you know we have some states that got too much credit for what they've done frankly i could name you a couple of those too and i could name you a couple of them and we have others that haven't been given credit that have done a phenomenal job and part of the costs seems to sort of shift to states and companies it's the birth not just of additional testing and surveillance but also the sort of new norm on which you know there's smaller crowds and restaurants and bars and originally just be normal this is not going to be a new normal where somebody has been having for 25 years 158 seats in a restaurant and now he's got 30 or he's got 60 because that wouldn't work that's

not normal no normal will be of he has the 158 or 68 seats and that's going to happen and it's going to happen relatively quickly we hope but that's our normal our normal is if you have 100000 people in an alabama football game or one 110002 be exact we want 210000 people that we want every see a doctor but normal is not going to be where you have a game with 50000 people some point i mean that's case now that happens these states are doing really well on. obviously for i think a lot of other states come along in that so my question is what is the federal government going to do to sort of especially companies that states and local governments in those positions pay for what is now going to be an even longer and stand and wait going to be watching over we're going to see that everything is working out smoothly we're. in very strong communication with the governors we're going to be helping with testing they're going to be doing the testing it's got to

be a localized thing and it really has been since i've been involved because i came in and federal government supposed to do testing of parking lots in the middle of a certain state that's 2000 miles away it's ridiculous. but the testing has been so incredible 2 things testing and ventilators ventilators are really tough they have very complex they're very expensive they're you know very sophisticated machines some are unbelievably sophisticated well we built you saw general motors yesterday thousands are being issued we have 11 companies building them we have not had one complaint in the last week and half which is surge time over you know when they were calling they were calling because in 2 weeks and 4 weeks in 5 weeks they're going to need ventilators up because they need them right now and we were right on our counts and nobody that wanted a ventilator didn't get a ventilator plus we have additional if there is a surge we hope there's not going to be a surge at all but we're going to be able to build up the stockpiles of states food

and have them who should have had them and we're also going to have a big stockpile in the federal government and we'll be able to help foreign countries countries that data help because you have come to look you have countries will never be able to build 'd a ventilator it's tough stuff where uniquely talented in the sense that we can do things that nobody else can do a look at a great bacteria was there and i think they're in of after a season in which the states that might be really ready to go can you give a sample of it to the experts the doc the 1st start to get some sense of how many yesterday you said 29 states were good state you think is middle i mean i am peter i think 29 states are in that ball game not open enough for opening but i think they'll be able to open relatively 'd soon i think the remainder are just getting better look new york new jersey are have been very tough times. and they'll be there they'll be there are some point but they're not going to be one of the earlier states are going to be later obviously. just spoke with the governor of new

jersey we just spoke with mike and couple of folks and we had a great talk with him felicity riffing guy he's working very hard democrat but we get along he's working very very hard i guess the fact that he's right next to this big massive city where everybody is very closely you know there that together and in new jersey has been hit unbelievably hard as hard as. hard as anybody in the true sense but they're doing a great job in new jersey other group it doesn't appear that doesn't mean that they're going to be opening next week that's not one that's going to be but we have a lot of states that. true location through luck and also through a lot of talent we have states to a lot of talent in a very good position and they're getting ready to open and over the next very short period of time it's going to be up to the governors we're going to work with them we're going to help them but it's going to be up to the governors i think they're going to i think you're going to see quite a few states starting to open and i call it

a beautiful puzzle you know 50 pieces all very different but when it's all done it's a mosaic when it's all done it's going to be i think a very beautiful picture and very important is what dr felt she said it could be that sometime in the fall they'll be some flare ups we're going to be in a great position with everything we've done and everything we've learned this was something that if it is that 23 g.m.t. we're following a white house briefing with u.s. president donald trump laying out new guidelines to allow the governors to take a phased approach to opening his state sales with 3 phases each with their own specific requirements the president's rein back on if statements claim that lifting lockdowns across the country would be his sole decision now saying that state governors will be empowered to tayla that approached let's keep listening in that he was unconscious so this is a tough deal at the same time some people got sniffles and they didn't even realize

they had a problem and they are supposedly immune and we're going to find out about that even that's a little bit soon because we don't know how long the immunity last but peter some states are in great shape and they're really in great shape to open and i think we'll have quite a few states opening soon and they're going to be very vigilant they're going to be very careful because the product is good for public health. experts have said that this would be better done if there were comprehensive survey last testing which we're obviously not in the position to do i wonder if maybe dr versus dr probably because i've never heard your colleagues of. that that you know do it together i just wanted to that's why i wanted to put up this. dramatic influenza like illness piece because what is key and this is the early alerts and getting in there. before they even know they have a problem and i think c.d.c. has been remarkable in building these platforms dr redfield integrated so they're all on the same website if you.