and that is me at my worst. is that what you want the social instruction to be? the nay deer of my humanity? we should not reflect what we are against. the country's that kill are the countries that we say we are against. think about it. all right. that leaves us with the argument for tonight it's now time for "cnn tonight" with the upgrade. erin burnett. "outfront." bonus edition starts right now. >> late edition of "outfront" next. 21 people on a cruise ship off san francisco test positive for coronavirus. so what happens now? to the more than 3,400 people stuck on board. plus a third washington state elderly care facility now has an infected patient. the third facility. how bad is the out break in the seattle area and mick mulvaney

is out. a new and very loyal chief of staff. let's go "outfront." good evening i'm erin burnett. a late edition of the "outfront." the coronavirus crisis we'll look at what's going on and how the trump administration is handling its response. dr. gupta will join us for the hour. tonight we have been dealing with 21 new cases on a cruise ship off the coast of san francisco. almost all the cases 19 of 21 are crew members. serious questions about how many people they interacted with. 46 people out of 3,400 on board have been tested. the numb of positives obviously could go up. on the last cruise ship the coronavirus the diamond princess and one time it was the second biggest center of coronavirus outside china. that went from one or two cases to eventually ballooning to 600. what is shocking about the development is that the passengers crew and captain were

not told by the government about the positive results on board. they found out from watching vice president pence on hive tv. here's the captain. >> vice president pence and i expect 21 people tested positive for coronavirus. you may have heard this on the news. we apologize. we were not given advance notice of the announcement by the u.s. federal government. >> since the vice president announced there was coronavirus on board the ship to the entire nation. did he announce the plan for testing, quarantining and important things which took 28 days for the last cruise ship in the position? no. >> we're working hour by hour with the department of defense. >> it is truly evolving right now. >> hour by hour. evolving. we'll brief you when with know is the bottom line. in order they don't know yet. the only person who made his

view is president trump. >> if it were up to me i would say leave everybody on the ship for a period of time. i like the numbers being where they are. i don't need to have the numbers double because of one ship. that wasn't our fault. >> leave people on the ship. when they come on land they'll count in his mind in the u.s. count. on his tally. which he doesn't want. that count has been growing throughout the day. 12 hours 230 cases in 20 states. 304 in 28 now. what are you hearing tonight about the passengers on the ship? where you are in san francisco. >> there's so much shock and confusion on board the grand princess the passengers were hoping the announcement would mean the end of the ordeal. it locks like the start of a new one. the question is what will be the fate of the 3,400 people on the ship. the vice president says it's

going to be taken to a non-commercial port. unclear what that means. when it will happen or located. the 1,100 or so members of the crew will not be allowed to disembark. they will stay in quarantine on the ship. every other person will get tested the crew will get tested and it seems the passengers may get taken to military bases. the administration is working on the plans as we speak. people will be quarantined as needed. that's what the vice president said. a terrifying prospect for the passengers this is a vulnerable population of people. a lot in the 60s and 70s. we have been in touch with several folks on board. they have been confined to rooms. glued to the news. where they are getting information. they have been given activity kits. there was a photograph of button bedazzling bag kid. and pass the time.

another passenger posting on facebook earlier and i quote, put all of us at the trump properties since he doesn't believe there's a serious danger. amida lot of confusion. >> i want to go out to two americans quarantined on the ship. both of you thank you. see you smiling and look, kudos for being able to do that. a difficult day. how did you fipd out about the cases cases of coronavirus on the ship? >> the person next to us told us to watch the news. so we turn on the tv and watch the vice president tell us the captain didn't say anything. so until 30 minutes later. it was i was so shocked i couldn't believe it.

>> what went through your mind when you heard the news? i don't want to put feelings on the captain. they didn't tell him. he wasn't holding anything back. he seemed proteshed by that. >> i felt so bad for everyone on the ship. including the staff. it came as a big shock. we really didn't they we would have been affected and even when we had first found out the news on wednesday about the death and from the previous ship. we still were pretty optimistic and it was business as usual. on the ship. and so it's been a bit to get used to. >> when you hear a non-commercial port and say we're working on it. which of course they are. they obviously haven't come up with a formal plan. have you got any update, any

information? >> the captain or anyone on the ship has told us. we don't know. we're kind of blind sided here. >> what are you most worried about? >> for me i'm most worried about missing more school. and of course i'm worried about everyone on board. it's such a hard thing with all the older folks on board and all the crew members. it's so scary. i think i'm healthy enough to be okay. but just everyone else is terrible. >> we can only hope they come up with a plan where it's a 14 day process. obviously for the other ship it was not handled well. and hopefully everyone learned from that. i talked to passenger and she's fine now. it was a 28 day saga. and as i say i think nobody

expects anything -- that would be just no wub expects anything like that to happen. what is your biggest fear? >> i think the biggest fear is that even if there is additional quarantine, that when we go back into the regular population to our jobs and school, what kind of additional measures might be taken? and will that prolong our getting back into our normal lives. >> sort of the stigma or how people treat you. >> yeah. >> all right. thank you both very much. good luck to you and we're rooting for you. >> thank you. >> i want to san jay, as you hear the story. this is unprecedented situation. they have no idea. no one is telling them anything. >> you would have thought we would have learned from what happened on the diamond sprinsz.

quarantining people on a ship is a bad idea. everyone is realizing that. >> not the president. he would keep them on board. >> it's a terrible idea. the problem is even outside of a coronavirus out break these viruss spread on ships. the norovirus people forget about that. 20% of the people on the diamond cruise ship that got infected. and people died. it's very hard. keep in mind you have to have a crew. and the crew then walking around the ship. they're trying to take care of people. in many ways they are putting themselves at risk knowingly to service the passengers. oftentimes they're in similar quarters. close by to each other. so eating together. all of that. it's like they know they're going to get infected. 19 of the 21 are -- >> anyone who has seen a cruise ship show.

the web site they up front say it. you'll be sharing quarters with crew. the crew the passengers have the space on ship. the crew are in tight quarters they are together. sharing a lot of things. >> it's impossible to keep them safe. i hope they are listening and there's lessons taken from the diamond. the folks on this cruise ship now i really hope they don't quarantine them on the cruise ship. we're dealing with unprecedented situations, no question. we have a case in lesson from the diamond that we should apply. >> only 46 of the 3,400 people on the ship were tested. we don't know how they got to the number. 21 were positive. that's about half. and 19 of the 21 were crew. they'll test everybody. how do you determine -- if you look at 14 day quarantine period from exposure that's a rolling period. >> so each time someone test

positive during the quarantine it resets the clock. which has to be mind numbing for the people in the quarantine. i don't know. i think the people that were tested probably were people that were suspicious for some reason because of symptoms or whatnot. the crew members that may have been on the previous ship. he subsequently died as you know. that started this. everyone has to be tested. we're talking about testing. this past week. the fact we can't get 3,500 people tested on the ship in an area where we know they are at high risk is sort of speaks to the larger issue of testing for the country over all. they need to be tested. whether they will be tested on the boat or on land i don't know. i have to say the idea again -- there's a will the of smart people who are giving advice. the idea of quarantining them in a place that's essentially going to act as a pea tree dish is a problem. potentially putting people at risk of being exposed to the

virus. >> they have to eat food. and you have to eat food. >> next breaking news. three senior care centers in washington state reporting coronavirus cases. the latest on the seattle area out break. plus trump and vice president pence are extremely different pages when it comes to testing. one says the opposite of the other. who is telling the truth. and the friday night dump. the president has gotten rid of chief of staff and has a new one. one of the most vocal defenders. extra life. extra power. extra life. - power. - life. power. extra life. no need to argue. vs. coppertop,... duracell optimum delivers extra life in some devices or extra power in others.

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breaking news there are three seen yore care centers in washington to be hit with the coronavirus. a resident of the nursing and rehab center just east of seattle tested positive and has been taken to the hospital. just hours earlier the house in seattle had a positive case. with a resident who is being quarantined off site. after the out break at the life

care nursing home where nine people have died from the virus. the chief quality officer where he oversees 23 hospitals and chief of the division of infectious disease at san francisco general hospital. san jay, three nursing homes many one state. in a state we have been talking about with the number of cases. in seattle. is that coincidence? >> it could be. but i don't think it is. the first patient diagnosed nd this country was in this area january to 20. they looked at the virus and the signature of that virus is very similar to the genetic of the virus circulating now. frankly that virus is probably circulating in that area for six or seven weeks and if you try and figure out the number of people affected it's probably in the 1 hundreds. older people are more

vulnerable. >> how likely is it that additional nursing homes will see more cases and obviously we don't have a ton of tests. that we'll keep seeing this jump? >> it's most likely we'll see more spread in the nursing homes. patients are often eating together. they are close together. the nurses go from room to room. there's been no protection in terms of trying to prevent the spread. it's very likely we'll see more cases. >> outside of severe isolation practices which are difficult to do or to enforce. is there any way stop the spread of the coronavirus in the u.s.? >> i think we need more testing. to identify how far it has spread within the community and i think there's really no question anymore that this is made its way into the community. there's no other explanation for what is going on in washington

state. and i was looking on the web site today. i imagine we spend too much time on the internet looking up about the coronavirus. now that by far the largest category of risk factors is no risk factor. so i think we'll continue to see community transmission. and if you think about it, nursing homes are not so much different from a cruise. it's a confined group of individuals, they eat together and play together. and talk together. i think we'll be important to identify cases and to isolate those and treat those who need care. and be vigilant. and expand testing. >> the point he's making about community spread. we had two members of the trump administration neither of o whom happen to be doctors. i don't say it to be funny. they both said the coronavirus is contained. and here they are.

>> i am pleased to report is that the 14 deaths so far that are completely tragic and sad in this country shows that this is being contained. because the president took action. >> you don't actually know what the magnitude of the virus is going to be. although frankly so far it looks contained. >> we don't know what the magnitude of the virus is. that's true. we haven't been testing. which is a real problem. it's not contained. clearly this is spreading. the numbers have gone up since the president's first press conference when he talked about the 15 patients. not including the patients the numbers have gone significantly up. so many more states affected now. and evidence of community spread. not just one generation. or group of people to another. that group to another group and so forth. it's not contained. >> you have tonight long island.

the 23 hospitals there. you have cases there. the last time we spoke about this you were talking about the hospitals in general. particularly in this area: at capacity in the words that would deal with this sort of thing. you have a will the of flu cases and now you have people presenting themselves with questions. >> we have a lot of patients who are already calling up asking to get tested. and number two we have the issues that we have to figure out how we'll make room in the hospital for the patients who need the hospitalization. who are very ill. if we go by the incidents china. perhaps 25% of the patients who get hospitalized need icu care. this is a difficult problem we're trying to plan for. it's not easy to move the patients around this time of year. >> i want to ask about the cruise ship. because you're in san francisco. it's there off the port. more than 3,400 people on board.

46 people on the ship were tested and 21 were positive. you have app fbi agent in san francisco has the virus? is your city red deto treat the patients with the hospital situation and if it grows. >> it depends on the numbers. back to testing to know what we're dealing with in terms of number of cases. i know there's been a coordinate it had effort in san francisco. i spoke with the infection control team. i have sat in on conferences. my wife works at cpmc. there's awareness and need for surge capacity. which in the simple terms is ability to repurpose resources to take care of people. it depends upon how widely this is spread. and until we have a better handle on that, it's going to be

hard to answer that question. >> we don't know -- there is a talk of how many people. two to three to have an increase. we don't know because at this point we don't know that the biggest factor now is not having a factor. >> that's true. to the point there is a question about surge capacity. this has been modelled. even with a mild to moderate spread. it was a million hospitalizations. 200,000 icu beds and 65,000 ventilators. those are big numbers. we have 100,000 beds in the country. about that number of >> in the country. >> many of those are already being used. >> that's not easy to ramp up. >> no. and hospitals don't work with that sort of redundancy. >> hospitals today work often on

just in time supplies. which producing a problem especially as the supply chain is strained. >> all right. thank you all staying with me. on the issue of testing the president says one thing and vice president saying the exact opposite. why. and good-bye mick mulvaney. hello mark meadows. apps are used everywhere...

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tonight vice president pence contradicting president trump on testing for the coronavirus. here's what the president said earlier today. you hear that first. and then about an hour later, what the vice president had to do which was admit that what trump said was not true. >> anybody that needs a test gets a test. if there's a doctor that wants a test. >> we trust in matter of weeks the test will be broadly available to the public and any american that is symptomatic and has concern about the possibility of having contracted the coronavirus. >> so in matter of weeks. not anybody who wants a test can

get a test. this is not a small topic. it's not a small discrepancy on the what's the most crucial issue. the president saying is not true. >> it's unfortunate. i'm sure you're getting calls all the time for colleagues who say they have patients who have symptoms and have concerns. maybe they weren't in china but korea or italy. they are concerned. they hear the president say that you can get tested no matter what. we have been hearing variation of the message for the entire week. it's not true yet. it's happening to be fair. and if you listen to the commissioner you are ramping up. 1 million tests. which doesn't mean 1 million patients. some have to get tested twice or more than that. >> the rolling quarantine too. you have to test one person multiple times. >> early on. it's not that they won't have a positive test later on. commercial labs are starting to

ramp up. not yet. we're late in the game on this. this isn't like sleep. you can't catch up on this later on. it's a concern. >> i know you're starting to do testing. a very limited availability for weeks. >> for the first three weeks we can do 75 to 100 a day. maybe 1,000 per day in three, four weeks. >> people understand this is not a widely available thing. how widespread does testing have to be for the united states to know how big the problem is? >> i would like to see it in incorporated on as a viral panel. there are already viral panels available for several manufacturers. if you have a test that's positive for a virus that is on one of the panels you are probably okay to stop. there will be people who will not test positive and that is a

group of individuals that you want to be able to test. and needs to be widely available. it needs to be a standard test. >> we don't know the extent. there's no tests. people dying from the flu. who knows. >> that's a concern. there's 16, 17,000 people have died from flu this season already. it's a number people are becoming familiar with. throughout the coronavirus discussion. it is quite possible that some percentage of those people actually had coronavirus. and died from that instead and didn't know to look for it. and couldn't test for it. >> so this brings us to viewer questions. peep want to know if they have it. how long does the virus live on surfaces or objects? which is the big question. we hear about measles. it can live for hours in the air. not so with this. op a surface or a doorknob.

>> what i have read and -- it on the surface is can live for sometime. several hours. even a few days. they recommend regular disinfecting. on card board and packages things that have a porous border. it's less. even on money it can live on bills. you saw the images in china of them burning current si. they were worried money could se serve as a method of. >> closing to clean for a day. in schools. can you really -- >> it's difficult to do. >> peace of mind but not -- >> you can clean most of the surfaces. especially where the students are. and by the desk and areas they go to commonly. to clean a whole building all the time. we deal with it daily at hospitals. it's really difficult.

it's trained team. not a couple people coming in trying to do it for the first time. and clean the surface. >> hospitals you do in general are a place you don't go if you don't want to get sick. you have to be there. here's another question. on facebook. what should people living in apartment buildings do to prepare in case someone in the building gets it. this was an issue with sars. a few years ago. with apartment buildings you were talking about vents and elevator buttons. how do you answer that question? >> first thing i want to know is the patient who has the diagnosis did you have contact with them. we're worried about surfaces and we want to be clean. if that was the only means by which this virus was transmitted we wouldn't be here today. this is the virus that's transmitted in close proximity with individuals and coughed

upon. you touch your face maybe. there's the elbow bump. it's direct contact. so if i didn't have any of those i wouldn't be too concerned. i think that would be a low risk situation. more generally though i think what is happening is meetings are cancelled and events are delayed or san keled and maybe rescheduled. the concept of social distancing. where you're not really quarantined, but there is some less interaction a other individuals. >> next white house staffers found it odd mick mulvaney didn't show up for work today. now we know why. he's out. travel from apple cofounder who reached out to san jay. he's "outfront." that covers health care costs, taxes,

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breaking knew mick mulvaney is out. replaced by trump ally republican congressman mark med does. he has been under siege for sometime. what was the president's thinking? >> none of this is a surprise in washington. it really was a question of when not if mick mulvaney was going to be pushed out and meadows was going to relace him. what's interesting is the timing. president has been talking about getting rid of mulvaney during the impeachment trial. but he was toad it will make a bad situation worse. now he's facing a similar crisis. not of his own making. a similarly challenging one in the coronavirus out break. yet he's picked this is the time to push mick mulvaney out and replace him. it's really not a surprise. if you talk to people in the

west wing mick mulvaney didn't have the president's ear any longer. he often dismissed him and didn't take advice and he wasn't traveling with him lately. which is the biggest signs somebody will be pushed out soon. >> he did everything hepted him to do with ukraine and this is how it ended. a source familiar with the matter -- you have been talking to says meadows has been acting chief of staff for a while. advising trump. building a white house team. that it's been happening in front of mick mulvaney's face. >> it was pretty clear to see even mick mulvaney was aware of it. he lobbied for the northern ireland job the one he's taking after this. he knew his exit seemed to be upon us. meadows is close to the president. he has been one of the most consistent advisers during all of the years in office. they met on the campaign trail. and he's someone who the president listens to. so it will be interesting to see what he's like in the role.

every chief of staff the president picked has been so different in the way they ran the west wing. one thing that will be notable about meadows in the role. he has relationships with democratic lawmakers. of course out going republican lawmaker. no one in the position so far had close ties with democrats. on capitol hill. it will be interesting to see how he navigates the role. and what other staffers leave and who he brings with him. >> the white house is constant only in inconstant si. out front next two coronavirus patients die in florida. this news is just coming in. the founder of apple with his own cautionary tale about traveling in this time of coronavirus. he joins us live. (professor) sound power is defined as through a surface

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breaking news the florida department of health just announcing two people with coronavirus have died. death toll in the united states at 17. as we have been discussing one of the biggest challenges is the lack of testing for coronavirus. one person who learned that firs hand is the cofounder of apple. he returned to the united states from hong kong early january. developing what he says was the worst type of flu in his life. but was it coronavirus related? he doesn't know. he couldn't get tested. and steve, the cofounder of apple is "outfront" now. with san jay and myself. thanks for coming on. just want to give people a chance to understand you were on a cruise with your wife and developed a serious ill n.

you flew from hong kong. before coronavirus was in the mainstream or public consciousness. it was spreading at that time in china. you reached out to the cdc and contacted them. tell us what happened. >> actually it was after about a week i had gone through bad symptoms and got in the u.s. press a week later. it was a big thing and maybe it would be a pandemic and the cdc was in control. i hoped i could get tested and they just wrote back and jeereric wash your hands and if you want to sign up for a test what are your symptoms. the worst by then i was passed them. i wasn't going to get a test. it bothered me. looking back, now we're saying let's bring in all the testing and we'll have a million tests soon and maybe more kits after that. what really the thing to do i don't think is blame the mistakes we have made. i'm not a judgmental person.

i think the thing to do is look at this example which happens rarely, the pandemics. and be ready. make up a plan that would have worked for the next one. it's too late on this one. there are a will the of people walking around the country that have coronavirus. and even if i had something else. i could have had some other virus from asia. >> you said your wife was sick. she was tested for everything. and had no idea what it was. she was not tested for coronavirus. but even thousand you're not in the studio. >> they at no time have a test. this was january 12. when she was throwing up blood and didn't have a test of coronavirus. there was no way she was tested. they said it's nothing american. >> you reached out to san jay. and i want to bring him in. you had a whole conversation. >> i think you may know it was john skully who told me about you and was worried.

we started communicating by e-mail. you never were able to get tested but found out it wasn't the flu. it wasn't something else obvious causing symptoms. is that right? >> it was noft an american flu. it could have been from united king doll that somebody brought on the cruise ship. or could have been a stop. taiwan, singapore, hong kong. there's no way to tell. we want to have a test that will say did we have it. back then two months ago. and we're signed up for a test. hope we get one soon. we'll have better answers. find out whether it was or wasn't. i think maybe it wasn't coronavirus because you told me that because we had diarrhea and vomiting. that that doesn't go with the coronavirus. and i bet there are other explanations. i haven't given up it could have been coronavirus. it could be we had some other virus. other flu. >> i'm glad you're feeling

better. i read it sound like it was a tough experience. tough few weeks for you. the test that you're thinking about -- you have been hearing all about the difficulty with testing still now so many weeks later. after the fact now, there's still a test they can measure your anti bodies to see if you had been exposed to the virus in the past. >> that's a blood drawn test and that's what we're requesting. >> excellent, okay. >> i mean, yeah, you know, one of the questions i have, sanjay, you know, just to give steve and everyone a sense, right, this is something that could give us a sense of how widespread it was. people could be walking around with it. >> they probably were. it's popping up in city after city. there are carriers that aren't detected. we don't know the number because we don't have tests. people with a slight sore throat. when we came back from hong kong, and we felt the symptoms getting strong in us we were around my son, who was living at our house for a few weeks, for

about one to two hours and he came down with a sore throat but it was mild enough. it didn't seem like some farfetched thing. you've got to report. he's younger. how many people like that could there be in this country? could have come back the way we did that had the virus or something else as we might have. i don't claim we had it but we were early, early in the game and we had something and i wish, never again would i want to go through what i had to go through to get on your show. >> you described it as the worst flu of your rife. we've been hearing a lot about the numbers, in terms of how many people have been infected. what it actually feels like, when you say the worst flu of your life, what do you mean? >> the early starting sore throat part of it and breathing difficulties, only had really a high fever for only about one

day. and it went away. but laying in bed last night i had the same symptoms. i don't know what i have right now. might be something totally new and different. but laying in bed last night, oh, man, it felt the same and it's no fun at all. i hope it's not a relapse. >> steve, elon musk came out, you know him, tesla, spacex, he tweets today the coronavirus panic is dumb. when you hear something like that, given what you've gone through and worried about, what do you say when someone says something like that? >> there is some truth to that. the panic is, oh, my gosh, we might get it. we've taken one step that's going to stop do you from getting it or not. there's a lot of carriers around that you can't tell and you can't see. we haven't done anything really. why panic about it? panic gets in the way of some clear thinking. >> how do you walk that line, sanjay? >> i think, you know, the -- i sort of agree with that, the honesty about this, there's facts, there's data, and present

that, i think it can be done in a way that is not histrionic. >> or pejorative. >> here's what i would suggest. >> i'd love to hear it. >> the next time pandemic is arising, very early stages, i'm going back to early january, we should have a plan for strong leadership that starts taking a lot of action to be ready in case it does come here. and, you know, look at these cruise ships did we ever say, like, security in airports, we could test everybody going on, not give them a real full coronavirus test, look at them, do you have any of the symptoms and keep them away from the others. we don't do it at sports events or major events. it's probably impossible to do is the answer. there's way too much people. >> it would change modern society beyond the point -- >> until we're smacked in the face with it, as it turns out.

>> we should be proactive and think about the next one. >> thank you very much, appreciate your time, steve. and next, a much lighter note on this story, people elbowing their way through the coronavirus crisis. with our highest concentration of glycolic acid. resurfaces skin to visibly reduce dark spots and wrinkles. revitalift glycolic acid serum from l'oréal. as your broker, i've solved it. is complicated.

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the now dreaded handshake leaves you shaking your head, no, our doctors and our politicians are elbowing their way in from senator dick durbin to the vice president and not just once -- >> and there you go. >> jimmy kimmel has a name for it. >> it's called the elbow. >> something jimmy practiced with his side kick wearing a coffee filter mask, even a floor broker known as the einstein of wall street is doing it. but you know who's not doing it?

president trump shook ten hands on a single receiving line. >> you don't shake hands they're not going to like you too much. >> he's not taking protective measures, though he must at least be doing what stephen colbert did -- >> if you're not in the sanitizing -- from the booty bump to the foot bump to the -- even germany's leader had her hands spurned and whatever you do -- start working on not touching your face. >> i haven't touched my face in weeks. i miss it. >> what else is catchy, the germy pen you used to sign the spending bill. >> here, this is for you. >> tossed to an unsuspecting reporter. there are pizza dos and don'ts, don't touch your finger and

touch the coffee lid. do, do the elbow bump. is that the same elbow everyone is supposed to cough and sneeze into? the daily show did a bit called watch those hands. >> i've been looking around the -- the number of you have put your hands to your face in the last 20 minutes. >> go ahead, lecture us. >> just be smart. >> then rub it in. cnn, new york. >> thank you so much for joining us. "cnn tonight" starts now. >> announcer: this is cnn breaking news. this is cnn tonight, i'm laura coates, in for don lemon. the coronavirus toll is rising in this country, at least 333 cases tonight. two people have died in florida, pushing the death toll now to 17. 21 people have tested