the new rx. crafted by lexus. lease the 2020 rx 350 for $419 a month for 36 months. experience amazing at your lexus dealer. i'm anderson cooper. this is a "360" special report. the number of coronavirus cases rose. six people died, all in washington state. four residents of a nursing facility near seattle.

people have been put into quarantine after responding to calls at that nursing house. and president trump defending the administration's response and mike pence, calling this an all-hands-on-deck effort. major developments tonight. >> reporter: up until this point the focus has been on the west coast of this country. 20 confirmed cases here in california, three in oregon and 18 in washington state but within the past hour we have heard of one more case from mgsmous. -- somebody who had been on a school trip to italy and two more cases in georgia. those people we're being told are being held in isolation in their homes. and you mentioned that white house task force this afternoon.

the one message loud and clear out of that, anderson. there will be more kacases in t united states. six now dead in washington state. four of them residents of the nursing home near sooetd. at least 48 schools now closed for deep cleaning. and a warning from the governor. >> we think folks should start beginning to think about avoiding large events. >> reporter: and known is the key word. there are likely many more. >> right now today on this day, monday, if you look at the country as oo a whole, the risk is low. >> reporter: the virus is spreading within american communities. >> the degree of risk has the potential to change quickly. >> reporter: and the nation's most populous city. >> there is no doubt there will be more cases.

this is new york. we're a gateway to the world. >> travel restrictions are now to and from global hot spots. >> we'll make sure aen everyone receives multiple screenings. >> reporter: and of course the virus is here aulready and the enhanced testing will help us define exactly the nature and extee extent of the problem. not enough test kits, too few labs. >> by the end of this week close to a million tests will be able tee performed. >> reporter: and the question is what to do. they're buying a motel to isolate them and after the deadly outbreak at the nursing home. >> we have two police officers and 27 firefighters in

quarantine because each responded to an incident at the life care center in the past few weeks. >> reporter: after an evacuee from wuhan was released and later tested positive. this judge just issued an emergency order. >> anyone anything out of there, that we will prohibit that and the sheriff's offices will detain them if that were to happen. >> prepare for the worse, hope for the begs. >> and a plan to keep us informed. >> we'll be back here every day. get used to seeing us. >> interestingly we just got the white house schedule for tomorrow. they will have a briefing but not on camera. now, testing is the key going forward. for 80% of people who get it,

it's pretty mild or asymptomatic, which is good news but makes it harder to contain. there could be many people walk around right now, they don't know they have it and they're shedding the virus and infecting other people who may be infected more badly than they were. and that's going to be rolling out in the next few days. >> in kirkland, washington, they're putting more firefighters into quarantine after they has contact with kroen vsz patients. so, talk to me about the first responders at the nursing facility there. >> reporter: we just got a first-hand look. a few moments ago we had first-care respondered pull into the nursing care facility and all of them fought out of their

vehicles in protective gear, basically, as they were making their way towards the entrance. we do know, base said on guileance they want all of their survivors to show up in the suits and as mentioned two new firefighters being put in quarantine tonight. we did learn moments ago that one firefighter has been released after hitting that two-week incubation period and showing no symptoms. we heard from the internation asoegsziatiasoegssociation of firefighters had been moved to isolation. again, good news, meaning they have not shown any potential

symptoms so far. >> obviously, elderly condigtszs vulnerable, it appear fweez s t epicenter. >> that's what investigators are trying to get to the bottom of right now. both at the state and federal level. you have five deaths in this county alone. first four stemming from the life care nursing facility here. and when you look at the cases overall, 14 in the county, eight from the center in particular. so, it's why the nursing facility has tamped down and not allowed any visitors to come forward and why state and federal investigators are treating this as an outbreak site. joining us is washington governor jay inslee. i'm sorry it's under these circumstances. whaurtsz -- what's the latest

you can tell us? >> first, we're mourning these folks. we're honoring the first responders and police officers. we are now seriously ramping up our capacity to deal with this. we went out early in our state to establish our own local state ability to test for these samples and we're looking at our surge capacity because if this expands it could be stress on our medical delivery system. we're looking for a way to have our personnel and we're starting to think about the way we might prevent spr prevent spread through large groups. the people most important are individuals.

because washing one's hands, not shaking hands, and not going to whu work when you're sick is actually the most important things. so, individuals are important in the group effort. >> how does it work in your state and i guess state by state? but in your state, how many for instance, tests are you able to do on a given day? what capabilities do you have and where are they done? does every hospital have test they can do when they come in? >> so, we established early in the event our ability atture state lab and right now they can do about 200 test as day and we will increase that because we've ordered new equipment and the university of washington labs, and they'll come on some time

this week. and they did 1,000 tests. then we anticipate we'll get private labs which has enormous capacity. and now that the cdc has opened the door to private labs, and this is a good thing too, allow them look, we've got to prevent these infections in the first place. there's flu season, the common cold. people who are cough rg aup obviously going to be worried they have it. what do you tell somebody in washington state at home and they haven't been to china. do they go to china to check a pulse? what do they do?

>> if i had a family member with a cough and respiratory issues, i would suggest number one, stay home. repeat do not go to work. we have policies you can take at vantage of. you might want to isolate yourself, wash your harngsds don't shake hands with anyone. if you have shortness of breath, where there is difficulty breathing, that's a situation where i think going to the emergency room is approp eret. we also have extensive flu. if you're concerned, go to your doctor. we think about 80% of the people who actually have the disease

will have none or mild symptoms. maybe 20% of the people would require some medical attention. and that's the folks youictually want to see get that. >> and you suggests people in washington should begin avoiding large events and assemblies. you're not making a formal request, kroigt? >> correct and there no algorithm to tell you whu to adopt these mitigation pro frogram. first off, people can do it volen feerl. and we encourage people f they are card yoef thaskialer disease or immune systems should think about whether they want to go to conclavs of people.

we have nonprofits and others thinking about whether it makes senses to continue on with the larger get togethers. i have authority to issue an order if that became necessarily regarding school closures if that became necessary. that's a day-to-day issue. the good news is we have some of the best scientists in the world at university. they gave us insights on how the virus is evolving. so, we feel good about the emdeemological information we have and we'll make the right decision in a moment. and to be in the front lines of the issue to prevent spread of the disease.

>> we all are on this. appreciate it. thanks. coming up why we could begin to see a spike in coronavirus cases. (janine) i used to be a little cranky. dealing with our finances really haunted me. thankfully, i got quickbooks, and a live bookkeeper's helping customize it for our business. (live bookkeeper) you're all set up! (janine) great! (vo) get set up right with a live bookkeeper with intuit quickbooks. unlike ordinary memory wantsupplements-tter? neuriva has clinically proven ingredients

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and welcome back to our "360" special reports. six deaths in washington state and more than 100 across the country. dr. sanjay gupta and health policy advisor and chief counterterrorism advisor and a cnn senior international security analyst, and infectious disease epideemologist. this is such an important conversation right now. where are we on this? big picture. >> the numbers do continue to grow. some people are hearing about this, waking up to this now

because it's been plotting along and we're seeing an increase in numbers and sadly the increase in deaths as well. they anticipated this. this is not a surprise, despite how much has been going on in china for some time. the idea this virus, that doesn't respect boundaries or boarders was going to come across the oceans and travel around the world. what's going to happen this week is a lot of tests are going to finally go out. there's been inadequate testing. but when the testing goes up, i think we're going to see a sudden jump in numbers. >> because there could be people asymptomatic? >> correct. and i think it'sg going to be reflective of the fact that people didn't get particularly sick with this and some 80% of people don't have much in the way of symptoms. >> i want to put something vice

president pence said today. >> let's be clear. the risk to the american people of the coronavirus remains low. according to all of the experts that we're working with across the government. this president has said we're ready for anything. but this is an all-hands-on-deck effort. frrgs >> you hear them saying it's an all-hands-on-deck effort. how is this being better? i talked to the governor in washington. who's in charge for efforts? is the cdc? >> the cdc has one slice of the activity. but you need the fda because you need to have drugs and the approval of devices and any therapeutic sessions and they use homeland security has to be involved. the state department is going to be involved if you have travel

restrictions and the other thing you really need i have yet to see is you need connection to the state and localties. that's where the front line is. the first reports are going to go at the local public health official,to the state public health official and back the cdc in atlanta. the all-hands-on-deck requires a lot of coordination. as you heard, the governor, inslee deciding whether to close schools, what to do with the quarantine, how to manage what they need at hospitals. so, you need washington to coordinate that. when we were doing h1n1 swine flu, we were on the phone to loclo

local officials multiple time a day. >> he made a good point. those on the front lines will be the ones to prevent the spread of this from spreading farth er with a greater reach? >> and i am glad he made the point of not showing up at the emergency room. first of all we want hospital resources for people who need it. this could play out such that we have more patient than we could possibly handle. and we don't want emergency rooms and other facilities where with people mildly ill -- >> that's my concerned is emergency rooms will be flooded with those who say i have a cough. i need a test. is this a homeland security issue? we saw joe kennedy going after the acting head of homeland

security. and seemed surprised and clearly fairly or not didn't seem to think it was part of his purview. >> of course it's part of his purview. homeland security has a piece of this but obviously health and human services, cdc, the state department. foreign aid should come into this. the most effective thing we can do is to defend forward as i've described it, which is to help and assist other countries bp and to prevent those before they get to our shores. which is why it's got to be coordinated out of the white house. all of the gaps jennifer was talking about, those are gaps the white house ought to be identifying by working tightly with state and local officials. i served in the white house

during the ebola epidemic, right? and we convened regularly. conference calls and dis cushions with stated and local health officials and helping coordinate at the very quickly. that's got to be done out of the white house. we're going to take a quick break. we just want facts, information and alay any fears people may have. liz, you nerd, cough if you're in here! shhhh. i took mucinex dm for my phlegmy cough. what about rob's dry cough? works on that too. and last 12 hours. 12 hours? who studies that long?!

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almost six weeks ago president trump claimed the coronavirus outbreak under control. today six killed and more than 100 contracted it. kaitlan collins takes a closer look. . >> reporter: president trump was downplaying it and we've seen him do that before in his presidency, undermine experts. this is the first time we've seen the president do so when it comes to something that could be a possible pandemic. >> we do have a plan and think it's going to go very well. >> reporter: 22 days after health officials in china announced they were investigating a pneumonia outbreak and after the cdc warned the u.s. could see additional cases.

>> we have it totally under control. it's one person coming in from china. ri it's going to be just fine. >> reporter: and the following day the cdc expressed concern chinese officials wurntd shaing critical information about the virus. yesterday the 3z tweeted information and predicting transparnsz, predicting it all will turn out well. a move trump now says he doesn't get enough credit for. >> we have done an incredible job because we closed early and actually the democrats said i was a racist. >> reporter: at a political rally the president expressed optimism the virus would disappear by spring. >> in theory it miraculously goes away.

>> reporter: but three days later the director of the cdc said this. >> this virus is probably with us beyond this season. >> february 25th, the cdc says the virus spreading in the u.s. is inevitable. sgrits not a question of if anymore but when impactly will it happen. and how many will have severe illness. and add a press conference, trump directly disputed that characterization. >>. >> i think there's a chance it could get worse, fairly substantially worse but nothing is intevable. >> and three days later the president conceited this. >> right. additional cases in the united states are likely. >> reporter: as we've seen the cases start to sky rocked in the

united states, no longer downplaying as much as we've seen in the days before and this as they're offering daily briefings on the latest they have about coronavirus. >> interesting they're going to start now. i'm just fundering what the taunl oefr -- and you said there's been a lack of humbleness about the potential. >> i think the ability to communicate clearly, credibly and sunsistently is ivrg in a in a and one of the ingredients is being humble about what you don't know and being clear with the public about that. the mixed messages and the

inconsistent messages and information that was characterized in the beginning of the response i think contributes to panic and legitimate concerns. the american people need to know where they can go for information they can rely upon and know they're going to get science, not spit. >> there's a lot we don't know. we don't know -- if somebody is infected and they get over it. >> how lauong they're spreading. >> the 105 is just the tip of the iceberg. >> and we don't know if you get over it, you're immune. and that's reliant on chinese data and we're not 100% sure that's relyable data. and there are many different habits they have than we do.

for example more smokers and other thing. >> and the prartality rate woe doernlt know. >> so, fatality rate said number dead over the number who have it. since we don't know mild cases, it's very hard to know for sure. and so l ,all of this is a huge amount of uncertainly and. the risk of dying are low. i think kbeting getter. the second thing is they had all this time to prepare testing kits. but because there was this idea only 15 cases, they didn't team to prefair very much.

and we know out in seattle there are probably tlur, four, five 00, maybe more cases. >> 15,000 a day. >> we don't have that capability yet. >> no, and we don't but soon. when you have an uncertainty and there are categories of information you don't know. you think about how you get that information. saying even if we didn't think there were cases already here, which mowas and even if it was e case there were no other cases here, you start surveill toonsz be ready for it. >> the other thing is from a homeland security perspective and crisis management perspective, you want to be letting people know there are going to be more cases.

you need to understand you're going to see a steady rise in numbers. so, people know what to anticipate. >> and there's a lot of things we didn't know but we knew the virus way going to come here at some point. theed a vantage of what's going on in china was it bought time, significant time. if you look at coronavirus verses h1n1, that time could have been used more wisely. there's a mild pandemic in the country. we would require 64,000 to be on breathing machines. >> that's a mild pandemic. >> that's mild pandemic. and we're in the middle of flu

season. >> so, if it's a mild pan pandemic -- and several are being used for people with flu. >> there's going to have to be tough decisions made. the idea of surge, handling the surge of pasch. . that could have been part of the preparation over the last several weeks. dprrs spite the fact that the public hel public health o23i8gs and one of the things the president is saying is by april, if the warmer weather comes, this may go away i have think all was his pumppologist and do we have stock piles of other things? coming up as more people scramble to buy masks, they're

likely making the coronavirus outbreak worse for twheez get it and may not be able to get masks. more on that ahead. ♪ ♪ ♪ the calming scent of lavender

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health officials urging americans to prepare for a wider coronavirus outbreak and there's one thing they don't want people buying and that is face masks. >> reporter: as the concern over coronavirus climbs in america, they have a stern word of caution. preparedness is appropriate, panic is not. >> there are things that can harm you in your community and

hording masks is one of them. >> reporter: millions have dawned surgical masks, hoping to fend off the virus. chinese president xi jinping was seen wearing one in public. but they say masks often don't provide adequate protection against thing like the coronavirus. so, it may or may not fit? >> so, right now you're wearing a mask that's supposed to be fully sealed. at this point it's not. you can see there's space where your nose is that particles could get under the mask. >> reporter: they say many people don't have them properly fitted. that means constant adjustments and more risks. >> you might be touching your face more often.

all of oesz athose are opportun. >>. >> reporter: the more you touch your face, the greater odds of getting sick. if they're cleared off the shelves, there's a dangerous potential risk. >> and they won't be avail to those who need them. >> reporter: they say there are myths about masks. >> these are supposed to be single-use masks but some people might use them for days. bacteria might grow inside the mask. >> reporter: so what should average people be buying? soap and make sure you stock up on whatever medications you're already on. as far as the best habits to fend off coronavirus, they say fl are very simple but important steps. >> wash your hands as frequent lae as you can.

if you cough, cough on your elbeis not yourhand. >> reporter: what it you have to travel on a plane orother crowded space? should you wear a mask then? they say that's a judgment call but make sure you know how to use it and only use it one time. >> coming up we'll talk to our panel and experts and myths to dispel. demonstrating her congestion. save it, slimeball. i've upgraded to mucinex. we still have 12 hours to australia. mucinex lasts 12 hours, so i'm good. now move- kim nooooo!! mucinex has a patented tablet that lasts 3x longer, for 12 hours.

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before the break brian todd on the controversy. yeah, mass airplanes. what are some of the fallacies out there? what should people know? >> i mean, first of all, i think the point of you'll put yourself at greater risks if it's not available for health care workers to put them selves on the line to make sure they're there to save your lives. so, certainly masks used by well people is not encouraged. >> and aren't they normally used by people so -- it should be somebody sick so they're not spreading. >> the coronavirus comes out in droplets. it's in the droplets. it's not in the air circulating like free virus. the reez an sick superson shoul

wear it is to prevent the problet proble problets. that's why washing of the hands is so important, cleaning surfaces. >> so, if you're wearing a mask and touching tables and droplets, then you're touching your eyes and adjusting your glasses. >> and some evidence when people wear masks, they touch their face more frequently. >> and on airplanes and people say the air is circulating around. >> it's circulated more in cells. so just like if you wrur sith next to you in a movie theater. there's filtration of the air. in fact the overall air quality

is probably more sterile than other environments. >> what else -- i was talking to you in the break about stock piles the government has and the head of homeland security and you talked about ventilators that we don't have enough and this a huge serious outbreak. things like masks, the government stock piles? >> absolutely. masks, the personal protective equipment, moon suits for health care workers to treat folks p 20laters and countermeasures. one of the reasons why you want fox on this in the white house is to make sure that stock pile is up to date and we're planning to constantly have the right thing. >> you had the job of keeping

that up to date? >> as homeland security as have hadar to the 3z -- we had a dedicated pandemic in place. he said we need a perm nnlt capability to prepaurb for the stuff and thinking ahead of time. all of those things. unfortunately, that team got dismantled in 2018. >> why? >> we don't know. >> john bolton fired who was brewing that. >> right. if even if it was not this -- >> sings ar hundred w 1. 23rrs we've had zika, mars, sars. every two or three years we're having one of these outbreaks. >> and it's a national

securityads issue we shd prepare for. and also the president was idea this would dissipate in april. and >> i mean f you looked at sars it was in november of 2002. and you did see this sort of peek end of march, beginning of april, i believe, as the weather started to warm. and the tail end is july. prob aeb somebody had mentioned this idea and maybe would happen here. and it may but there's no evidence of that. and you haveth other viruses that don't behave that at all. that's not an at kwd response.

the a it might ble a seasonal virus. >> i mean, listen the way you protect yourself from the risis the really hauwash them well bp certainly wash your hands. i think the idea of coughing in your sleeve is a great one. and if you are somebody who is particularly vulnerable. should you not go to crowded spaces? i think all these questions out there is part your own priortz

and have vulnerabilities, maybe thts the decisionian would and thosen peoples the take that. and part of the preparation, along with that, is if dwrou to get some recommendations, governor insly was towing around with . could you stay home are a couple weeks in your home? the food, the water, sulies, meadsons? that shntd sound alarming to people. wee but we may hear that in the count rae and people should get the fluorshot so they don't get the fluor. so, not that it's going to help the coronavirus but it's going to help not get so much of the

fluor. >> roughly 30 million people are going to get us in the zoo. our special live coverage starts 4:00 p.m. eastern time tomorrow. i'm anderson cooper. news continueds. introducing a single sports destination,

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