be sure to join dr. sanjay gupta and anderson cooper for a global town hall later tonight and they will be joined by anthony fauci and bill gates 8:00 eastern only on cnn. the president laying out his plans to reopen parts of the country despite warnings from top health officials on the deadliest day in the united states so far and how one doctor inside one of the hospitals in new york city described the scene. we will talk to a doctor on the frontline and louisiana sees a jump of more than 500 cases in just one day, the fastest rate in the world. we will speak to a local official on the ground. i am erin burnett. the deadliest day for americans since the start of the

coronavirus pandemic. at least 248 more deaths reported today and the united states now has the second most cases of coronavirus in the world, second only to china where infections were counted months earlier than the u.s. 81,300 americans are infected. despite warnings from health officials that it may be too soon. >> people want to go back to work. i am hearing it loud and clear from everybody. i think it will happen pretty quickly. a lot of progress is being made but we have to go back to work. we may take large sections of our country that are not so seriously affected. >> that is part of a plan the president sent to governors with new distancing guidelines based on where you live and how the

vi risk is ascertained based upon that, high risk, medium risk, low risk counties for levels of social distancing. you can imagine what many of the difficulties in the plan may be including this one. >> what is to prevent someone from a high risk county going to a low risk county? >> that is why we really worked on messaging to the american people about the 15 days to stop the spread. part of this will be the need to have highly responsible behavior between counties. i think the american people can understand that, that they will understand where the virus is because they will have the testing data and where it isn't and make sure they are taking appropriate precautions as they move in and out of spaces. i think this will be critical for our future as we work together to understand where the

virus is and where it isn't in real time. >> we are relying on responsible behavior and testing data which we currently do not have. it does not exist. the president saying tonight the navy hospital ship comfort is set to arrive in new york state. the hardest hit spot in the country and there is a concern about a potential shortage of hospital beds. officials say supplies are literally day to day. nick, you know, that should cause fear for anyone listening and major concern busy supplies in many states right now. >> absolutely. listen, right here in california, erin, we have just over 3,000 cases and basically bracing and preparing for a new york style onslaught. the mercy, another hospital ship

will dock here in the port of los angeles and the plan is to take people out of l.a. hospitals who are being treated right now, put them on the ship and clear space for the covid-19 cases we expect to come. as you mentioned today, erin, it has been a day of nationwide grim milestones. >> this evening we surpassed italy and china in confirmed cases according to johns hopkins university. >> we are testing tremendous numbers of people. >> on the frontline. >> the cdc, they value covid-19. >> and 13 died at this one new york hospital in one day.

>> e.r. doctor sharing a look with the "new york times." >> i don't have the support that i need and even just limitations physically to take care of my patients. >> cnn has reached out to elmhurst hospital for comments on the statements of this doctor. >> varying offices from the president to the head of health and hospitals saying things like we are going to be fine. everything is fine. and from our perspective everything is not fine. >> new york's governor says that there is enough protective equipment for now but distribution might be stop and start. >> you cannot get the curve down low enough so you do not overwhelm the hospital capacity. >> down in miami starting friday night at 10:00 p.m. to 5:00 a.m.

curfew. >> for the record the motion passed unanimously, 5-0. >> the first confirmed case in the u.s. you was january 21st, washington state. a month later the president said this. >> we are going down, not up. substantially down, not up. >> today more than 80,000 cases and in every single state. take michigan. >> over two weeks ago we had zero. this crisis is ramping up ex potentially. >> nearly 3,000 in detroit. >> in detroit there is a high number of individuals that have the underlying conditions and now when you have generations of concentrated poverty and pandemics like this it will hit those areas harder. >> erin, you played a little clip during that white house press conference talking about some counties being hit hard and

some not so much. she singled out wade count and he cook county, home to chicago, as places we are seeing a more rapid increase and between those counties nearly 7 million people just right there. erin. >> nick, thank you very much. i want to go out to sanjay gupta and the former acting director of the cdc. thanks so much to both of you. the grim milestone today, the deadliest day as we know there will be more that fit that description. but tonight the u.s. is surpassing italy and now only second to china in the number of coronavirus cases all together. what does that tell you? we know it is detection and spread and testing. do we know which it is more a reflection of? >> well, i think that there is no question the spread continues in the united states. you look at the numbers some of

it reflects more testing and a picture of what was happening in the country 10 to 14 days ago. somebody is exposed. takes time to develop symptoms. then they get tested. by the time that happens 10 to 14 days may have passed. that is what we are seeing now. over the last 10 to 14 days there continues to be spread. we hear about the more rural places or places where they think there are not that many cases. michigan had 15 cases last week. we seem to be okay. we have very few cases. the virus is spreading. more testing will reveal that. >> the president seems to down play the milestone of where the united states is here in terms of infections here tonight.

>> we don't know what the numbers are in china. i am speaking to the president tonight. it is a question of testing. >> obviously the numbers in china are significantly higher than what is said, and they are everywhere. but in the u.s. he said it is a tribute to the testing. would you agree the increase we are seeing is a tribute to the testing. >> i think it is a combination of spread and increased testing. one of the key factors in the response that there is not enough discussion about the critical role that trust will play in whether or not we are able to reduce the impact on the public. that trust kcomes from knowing that the decisions are based on

public health science. when we are hearing something, a decision made for a policy perspe perspecti perspective, we know what went into. that right now we can't tell what is being done politically based on what is being done based on evidence. >> the president didn't mention easter today at all but mentioned people wanting to get back to work and relaxing social distancing guidelines. six feet some places, not in other places. you are trusting people on an honor system going county to county. you have to trust people to be responsible. could that ever work? >> it would be hard. put yourself in somebody's shoes. you are living in a county most of the places around you, you

are still practicing the social distancing. this county is now back to work. every door handle and elevator and every time that you see a stranger. i think it is hard to say we will have a patchwork of return and the people that live in those areas. i think it will be confusing for them. young people and people without symptoms can spread the virus. >> let me say, we are now have the most coronavirus cases in the world above china. we know the numbers are not what they reported but now the united states has the most reported cases. on the letter to the governor

talking about the plans to relax social distancing in some places and not others. he made it clear that he would not be on board with anything like that because he said this. >> what we don't have right now that we do need is that we need to know what is going on in those areas of the country where there is not an obvious outbreak. >> he is saying we don't know what we don't know. just because there is no obvious outbreak does not mean there is not a problem. it means maybe there is an outbreak there. >> one of the underlying principles is correct.

we can understand the timelines. it is premature to talk about lighting up in certain areas. right now we don't know how much of what we are seeing is already out there versus continued spread. >> don't miss sanjay doing our cnn town hall at 8:00 p.m. eastern. up next, the scene inside a new york hospital being called apocalyptic. we will speak to a doctor about what it is like for him. and what is going on in louisiana? the lieutenant governor is my guest. and a record number of americans filing jobless claims.

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"new york times." the chief medical examiners office said they had 45 trucks that could be deployed as needed. now the director of critical care services. i know you spent 30 hours with patients in the hospital. the president of the hospital says you are in disaster mode at the hospital. what is the situation like? >> i would say that probably 80% of the patients in the icu are under investigation and high risk for having the coronavirus or confirmed to have it. you know icu population is clearly being dominated by patients that are likely to be infected. the graphics of people coming

into the hospital that are not in critical care per se have all of the characteristics of infection but milder disease. the population of the hospital now is the time about the possibility of using ventilators for two people. is that something you think can work? does that increase the risk? >> the number of patients we are seeing and we ar are where we wd

have to do that and we are doing simulation exercises. right now we are not at that pace. but we are like many hospitals when you are rationing and making the tough decisions we have an ethics committee and a group of people if it comes to that. >> as i mentioned, the "new york times" mentioned your hospital as well as others and the elmhurst hospital in queens. the situation there is horrific. i know you are starting to see that as well. the quote there is a call over

the loud speaker, the code for when the patient is on the verge of death comes several times a shift and some died while waiting for a bed and others found dead in their rooms while doctors were helping others, elmhurst hospital in queens. are you seeing anything like this? do you anticipate seeing anything like this? >> well, you know, we developed a pretty robust critical care program to deal with emergencies outside the icu. critical care and other practitioners of the latest technology to be deployed to any emergencies in the hospital. now we are seeing more calls. now there are calls for emergencies in the hospital and now they tend to be related to

covid-19, the coronavirus. simply because those are the patients that are really starting to populate the medical icus. you know, for many people it could be going from mild to moderate to severe disease pretty quickly. so what you are seeing at elmhurst, we are starting to see that here at the brooklyn center. but we have a pretty effective team in place to handle that pace. >> doctor, i appreciate your time and i know that your patients do as well. thank you for taking time to talk to us even after putting that 30-hour shift. thank you. next as coronavirus cases in louisiana skyrocket with 500 new cases there in just one day and a 38-year-old father of two with coronavirus, the lengths that he is going to keeping his family

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of louisiana ands it alarming spike of coronavirus cases. we first told you about this earlier this week and at this hour there are now more than 2,300 detected cases in the state, six times the number of a week ago. the situation dire and a top new orleans official had this grim warning today. >> this is going to be the disaster that is going to define our generation. on a day the nation's coronavirus death toll passed the bleak 1,000 milestone the focus is shifting to louisiana, a state that may have the fastest growth rate of infections in the country. >> we are not doing as well as we should. not when we know what is coming down the road in the not-too-distant future. >> there is an urgent need for medical supplies as confirmed cases skyrocket increasing by more than 500 in less than 2,400

hours. the governor said time is running out. ventilators and protective equipment are in short supply and hospitals in new orleans alone could lack the capacity to provide proper care by next week without assistance. >> we need resources from the federal government to unlock the chains and meet our people where we are and give them the services they desperately need and particularly our health care professionals on the ground working tirelessly. >> the ceo of lsu's health care services division said some have resorted to buying hospital gowns on ebay and others are underway to get the basic medical supplies they need. >> masks from office depot, plastic covers that you put on documents you are trying to make look horrible. >> health experts are monitoring

six clusters at nursing homes including in new orleans where of tuesday 11 people have died of covid-19. a growing theory for the rapid spread is last month's mardi gras celebration taking place weeks before the governor issued a stay at home order. the first case of covid-19 in the state was from an individual testing positive in the new orleans area 13 days after the end of the iconic parties drawing thousands from all over the world and they believe the patient contracted the virus locally. >> we had over a million people in the city attending parades daily. >> president trump approved louisiana's disaster declaration on tuesday and some are heeding the stay at home guidance with movement in new orleans down 73% according to a federal official. >> i spoke to the political

officials in new orleans and in the state of louisiana. they are now shutting things down in a vigorous way. it is likely that it should have been done a little bit sooner. >> governor edwards warns louisiana's current trajectory is not sustainable and compliance is crucial for the state's well-being. >> our future from where we are today with the curve that we are on is not promising. >> and erin, this is burbon street in the french quarter hasn't looked this quiet since hurricane catr hurricane katrina. being caught in the eye of a storm like a viral pandemic is not something this city is used to. >> thank you very much. i want to go out front to the republican lieutenant governor of louisiana. i appreciate your time. how would you describe what you are seeing right now on the ground? >> well, this is unprecedented.

we have taken over several of the state parks, moved the tourists out of the state parks. sent them home. now we are turning the convention center into a 300-bed hospital. this is serious and hit america at a horrible time, around mardi gras. we love to hug people in louisiana. we are paying for it now. we have to take this serious. 28% increase in infection in 24 hours, over 80 people dead here in louisiana. this is going to continue to get worse before it gets better. >> the governor issued a stay at home order four days ago and i want to play again, for you lieutenant governor, what president trump's top disease expert anthony fauci said here he is. >> i have spoken to the political officials in new orleans and in the state of louisiana. they are now shutting things

down in a vigorous way. it is likely that it should have been done a little bit sooner. not blaming anyone. but you get caught unaware. >> he says it is likely that it should have been done sooner but you get caught unaware. >> i take responsibility for that too. you know i think we can always go back and say should have, could have, would have. tourism is a big business in louisiana. you have to look out for the people that have the jobs in the restaurants and hotels and not wanting to make a call you might have regretted. could we have done it earlier, maybe so. i take as much responsibility as any elected official. the thing now, we know what we have got. we have to shelter in place. we have to do what the governor asks and make sure that we get control of this thing that has gotten out of control here. >> and you were told -- it is

not like you were defying anyone with mardi gras. nobody asked you to cancel it. >> no. absolutely not. it hit right about that time. actually right after that. i think the governor has taken the right steps asking people to stay at home, not touch, keep your distance when you do go out to buy groceries and hopefully in the next week or so we will get ahold of this. >> he says the coronavirus has been present in his state since december of last year and when history looks back you will see that is the case. do you think that is true for your case or do you really think this is mardi gras? >> i think it is probably here. mardi gras probably escalated

it. i think that a lot of people that might have misdiagnosed it with the flu. i think it was absolutely here is my opinion mardi gras and it helped to spread it. >> lieutenant governor, i appreciate your time. >> we will get through this. >> next, more than 3 million workers, 3 million americans just filed for unemployment, it is an all-time record. >> you know, i have not slept. i am worried about having a heart attack to be perfectly honest with you. >> and a patient with coronavirus reduced to communicating with his young children by notes pushed under the door. he is my guest next. turn on my tv and boom,

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>> tonight a record 3.3 million americans filing for their first week of unemployment benefits last week. people across the country are

losing their jobs in a stunning and unprecedented fashion thanks to coronavirus. now many of them are struggling to figure out how to even put food on the table. >> how are you doing guys? >> it a life altering experience from start to finish and within a week. this is unbelievable. >> a record number of newly unemployed americans as the virus leaves no business untouched. >> we would have all of the seats filled. >> all of the seats. >> there would be a line out the door. >> 3.3 million filed jobless claims last week, coronavirus cratering businesses. >> we went from being about to franchise to basically running a to-go business. i have not slept. i am worried about having a heart attack to be perfectly honest with you. >> with no diners the drunken crab is hemorrhaging thousands of dollars per day.

already forced to make the hard choice. >> i was forced to lay off 75 people. at first you are thinking about them, okay, i feel horrible for them and they have to go home and tell their family i just got laid off. >> i called my wife over the phone. i said honey, i am on my way home. she pretty much immediately knew. >> laid off from the drunken crab, the former general manager immediately filed for unemployment and it is just the tip of the iceberg predicting by summer 14 million workers will lose their jobs due to the coronavirus shock. >> you are talking thousands and thousands of people looking for work simultaneously. it will change every aspect of life and the government needs to react and help us get through

this. that is the only way that it is going to work. people are not going to be able to support their families for more than two months. >> and already signs money is getting tight. outside the west hollywood bar employees only. small staff preps free meals for workers that show a pay stub. >> all of us lost our jobs as of monday or tuesday. >> are you worried about how long it will last? >> 100%. i don't think any of us have any idea what we are going to do. >> are you scared? >> i am concerned. >> the rent is $1,000 per day and he doesn't want to fire

anybody but this is a new reality that he will have to face. >> all that we can do is to help each other. >> employees only in west hollywood set up a go fund me page hoping the community will keep it going. but there is only so long they can do this. they are looking at an empty parking lot just like this business is looking at an empty parking lot and just like american businesses across the country are looking at empty parking lots. >> thank you very much. next, a health care worker dying from coronavirus, the first medical professional in the united states known to succumb to the disease. others on the frontlines though are ill. how will hospitals manage? and a coronavirus patient with an illness that has taken a toll on his family and one of his

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>> new tonight, americans on the frontlines have been putting their lives at risk and many are increasingly getting infected with coronavirus. more than 150 hospital workers testing positive at just a few hospitals in boston. out front now a doctor that works at the icu at boston medical center. i know we talked to you a few days ago. i am glad that you are back and well. i know you are exhausted. this is just one of the many things you have to deal with of the 150 infected workers in boston 15 are at your hospital. how worried are you? >> i think that every day we are -- the atmosphere is so tense. so many of us have known each other for years and years. we are strangely scared of each other, right. someone thoughtfully brought food to the intensive care staff

and it was hardly touched because we are in a constant state of paranoia and fear. >> are you able to get regular testing to even know who is infected or are you also -- i mean there is some testing going on. >> yeah. >> or only if you are sick? >> yeah. i think that unfortunately, you know, since we spoke last when i said that testing was a huge problem. i think it is ramping up but hasn't ramped up. we are all working hard to get it going and we are advocating if are it. people are pushing. all of the centers are just overwhelmed. we are not at the point where we need to be where we are testing all of the health care workers. you know, if one of us gets knocked out we can do so. >> exhausting hours you are

working. i know you said we were talking about the situation in the e.r. and that the entire icu has been converted to only hold coronavirus patients at this point. i know that you see stories in new york describing the situation as apocalyptic, the entire icu and now the entire hospital. we were talking to another doctor earlier in the show. where are you right now in terms of coronavirus and your icu in the hospital. >> yeah. no. sure. i think that my heart is with new york and i think all of us are. we realize that right now that is the hot spot and what scares me the most is that is going to be a lot of places. it is terrifying. it is not just a strain on the ppee the equipment like ventilators, it's the strain on the staff and it's the strain on the infrastructure. we see that coming. thank god we're not there yet. a lot of the country is watching

and wondering will that happen to us. i think that we feel the strain growing dramatically since we spoke last week. already so many changes. you feel it everywhere you go in the hospital. that doesn't mean our icu doctors are only looking at that. we have critically ill patients and we're taking care of them where ever they are. >> right now how are you getting through this, putting in these never-ending days, knowing that you could get sick, knowing thathat many of your colleagues have gotten sick, a father of young children? how are you getting through it? >> yeah, i think it's bizarre because one of the things that's different, i think, about our icu and intensive care in general is that intensive care is the long haul, right? it's not the same as the emergency room and other places. we, we get a patient who is sick with this virus and if they're really, really sick, it could be

days to weeks. and that is, of course, a huge drain on our staff. in a good way because we want to get people better through critical illness, but it weighs on the staff. it weighs on everyone because i think this is something that's missed. there's no families here. there's no families. and the families really bring an intensive care unit to life and they play a huge role in patients getting better. >> people are alone, they're sick and dying alone. >> that's exactly what's happening. i think we try to find ways to get family as much as we can. but the combination of not enough protective equipment and also just the real fear that this could be transmitted is leaving us with critically ill patients who are left with strangers, which is us. and we do that. we do that. and that's like a really meaningful part of our job. but i think we feel that the rooms are empty, too. >> doctor, thank you very much.

i'm glad to speak to you again. i hope you stay well. we'll talk to you soon. >> yes, thank you. and i hope everyone out there is staying strong. this is a hard time for everyone, but i just want everyone out there to know that by staying home, you really are saving lives because the strain that's building is immense and we can only handle it if people stay home. thank you. >> and next a 38-year-old father with two little children. he is now really quarantined in just a room. he has coronavirus. he is my guest. i opened a sofi money account and it was the first time that i realized that i could be earning interest back on my money. this is amazing. i just discovered sofi, and i'm an investor with a diversified portfolio. who am i? they make you feel like it's an honor for them to help you out. thanks sofi for helping us get our money right. ♪

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and now for craig hollander. he is a 38-year-old father of two. he has the coronavirus. and, craig, i appreciate your taking the time. you want everyone know you are in your home right now. you are completely isolated from your family. tell us how you're doing now and your symptoms. they were not typical of coronavirus, were they? >> no, not from what i've read.

although they may be more typical than i think than what we're hearing. basically it started with a fever and chills and maybe a slight cough. my stomach was fine for the first couple days. i thought it was a run-of-the-mill virus. i went to get checked out. i didn't get better for a few days. by the fourth day, my stomach started turning for the worst and i took that as a good sign that it wasn't covid-19 because from what i've read, which is a lot, it was pretty much only associated with pulmonary symptoms and people coughing and having a sore throat. and i didn't have any of those symptoms, so i thought when my stomach went bad it was actually a good sign. but to make a long story short, i ended up getting tested several days later and find beiing out that i was positive. i still have these g.i. symptoms. at no point was my breathing impacted. i have a cough. other than that, it's not the

symptoms that, you know, most people have come to associate with covid-19. >> i think that's important for people to know, to your point, because people wouldn't necessarily expect that. but i mention you're in your room alone. if isn it isn't that you're going to go out and see your family even though you're recovering. you have two daughters, one is three, one is six. how worried are you that she could get sick from you? you've really isolated yourself. >> in hindsight i was freaked out. what i thought might have been just the flu or some other virus or a stomach bug, you know, i didn't think that i was, you know, risking her welfare or let alone her life by being around her. it was only after nine or ten days after getting the results back. oh, my negotiate, i'm lucky she's so far asymptomatic. a lot of people out there have stomach bugs or what they think are stomach bugs. that's how covid is prernting itself with them. so they have to be careful.

>> your daughters, now you're completely separated from them, not able to see them, not able to hug them. they've been slipping drawings, we'll show everyone one under the door. how hard has it been to be away from them? to note, you've been given no time when you can re-engage. you're holding it up. >> every day i get these notes passed under the door, cards from them. it has been cheering me up. but we've received absolutely no guidelines about, you know, when we should expect to, you know, be in the clear. and it's very chilling and scary because i don't want to accidentally -- even though i feel fine, i've been fever free for three days now. i still have gastrointestinal issues. i still have a slight cough. i don't know -- i'm not an i am yu knowledge gist or a virologist. i don't know if my cough -- i don't know if it's getting better. if that still carries the virus. i don't know anything like that. so -- and no one other than the health department calling me to do contact tracing, no one's called me to actually -- to give

me guidance. >> well, we are rooting for you and rooting for you to see those little girls and i hope that's a lesson for the health department to learn here. those communications are crucial because you have all these people coming out of quarantine. we wish you the best. cnn's global town hall: facts and fears begins now. >> hello and welcome. i'm anderson cooper in new york. >> and i'm dr. sanjay gupta in atlanta. welcome to our fourth cnn global town hall: coronavirus facts and fears. tonight dr. anthony fauci will be joining us answering your questions about the pandemic. we also have bill gates, who is bill and melinda gates's foundation has pledged up to $5 billion to fight the coronavirus. >> today was a bad day. more people died today from the virus than any other