hi everyone, kate bolduan, today is another bad day. the death toll we are seeing hitting alarming. questions of when may we return back to normal and what does that look like to be honest?

new guidance is coming off of the cdc suggesting it could be months and not weeks before anything is getting back to normal. the community be evaluated for four consecutive weeks. as of now the numbers obviously are not decreasing. there are nearly 250,000 cases in the united states, over 6,000 people are died. just last hour as we have been listening, andrew cuomo announced another tragic milestone in new york. the epicenter of the nation's fight right now. listen to the governor. the curve continues to go up. the number of tasks has tests r new high. we did more tests. we have more deaths and more

people coming into the hospital the other night and more people going out. it is coming in and and out of the system. >> they are still desperate and pleading for supplies. cnn's shimon prokupecz is in new york. he did not like the word seize, he's going to redeploy resources from different parts of the state to try to fill in the gap where things are needed most. what are you learning about this in. >> reporter: these are ventilators at other hospitals throughout the state and the city that right now may not be needed in those facilities and he wants to go in and take them and bring them to facilities that really need them. we are hearing a lot from hospitals in new york city that

are really inendudated. some of the most critically and sick are at these hospitals. o a lot of cases they can't survive with these ventilators. that's what these hospitals need until the governor says i am going to do this executive order and if possible someone want s o give up their vent latilators i going to go in and transport them. each day the governor gives these briefings, he hopes sway these models and forecasts could be wrong. each day these numbers they get worse and worse. as he said the highest numbers of deaths in the last 24 hours, 600 deaths.

the other they thiing i think i important to hehere is the gove calling out the javits center. they need the less serious, people can leave hospital that is are covid patients just need oxygen, they need them out of the hospital and places like the javits center will help. >> all right, shimon, thank you so much buddy. appreciate it. >> we got a lot of questions and i am sure you do as well. let me bring in dr. sanjay gupta for some important perspectives. what we heard from governor cuomo is sad and troubling. it was the highest day increase in deaths. in one thing that governor cuomo have been getting at and a lot of governors have been getting at is this speaks to the pieceme piecemeal, patch work, pick your word nature of the response that

has been having to happen around the country. i just had dr. osterholm on, he made a strong case how this is not going to get better. this is not going to work without a national strategy, we are talking about a national strategy looking out months and not weeks that's the only thing we are seeing right now. at this point when you see the projections that olsterholm is looking at and you see how it is getting worse and worse in new york and trickling and continuing in other locations, what the hell? i am sorry to say it that way. >> i can understand how you would say it that way.

michael olsterholm, this is his life's work, he's basing on a lot of things. the data does not lie of what's happening in the country. there are still several places around the country that are not abiding these stay-at-home orders and don't have it in place. that's the problem for the country and not just for those states. i think that's hopefully clear to people. what they are doing does not affect them and the community but the entire country now. as grim as the projections are right now, grim projections are predicated on the idea that the entire country is at a stay-at-home status by the end of this week and those orders last until the end of may, not the end of april and even then they would need to be reassessed. i don't take any joy in saying this. it affects everybody and i realize it is a huge sacrifice for people but i think the point

that michael olsterholm and a lot of people are saying if we don't do these things, it is going to affect a lot of people. we know new york is the hot spot right now where you are, kate. there are other cities around the country that are going to have the hot spot sort of coming, the way it is coming later, should we be deploying resources into places and chase these hot spots around the country so that we don't run out of resources or have limited chance of running out of resources in those places perhaps. that's what he's advocating right now. >> sanjay, thank you so much. sometimes the nice words seem to escape me. sanjay, thank you, buddy, great work last night with the town hall. >> it is clear the threat - one thing we do and heard for a long

time is that the elderly are most at risk. there is a lot of signs that is not necessarily entirely the case. a lot of young people who have been showing up, a lot of young people dying and a lot of people showing signs that this is a great risk to everyone. young, old, in between. we do know there is still real concerns for the elderly. cases in nursing homes are climbing as communities desperately lacking supplies needed to slow the spread. in pennsylvania, the state is reporting one and every ten nursing homes across the state has at least one coronavirus patient. let's hone in on that right now. joining me right now is pennsylvania's secretary of health, dr. rachel, thank you for being here. >> pleasure to be here. >> 10% of pennsylvania nursing homes have at least one case of

covid. how big of a concern is this for you right now? >> this is a significant concern in relation to the epidemic of covid-19. as you have been reporting our most vulnerable citizens are seniors. and including nursing homes and personal care homes and assisted living homes. >> the president has issued new guidelines yesterday for nursing homes. what do you think the impact of those guidelines will be? it had to do with the way i guess i would put it as sequestering the staff that interacts with folks in the nursing home and other details like that. >> so we have, we'll be implementing those guidelines and we have our own guidelines for long-term living facilities. it is critically important that the staff are wearing personal

protective equipment according to patients' needs and patients are in their rooms and we take all precautions to protect these vulnerable population. we also actually working with the company to have essentially a nursing home s.w.a.t. team that we can send into a nursing home at risk that talk about infection control and help them protect our seniors. >> can you take a step, help us with the broader view of pennsylvania right now, what would you say and how would you describe the status of your state when it comes to covid cases and how it is going? >> obviously covid-19 poses a significant threat to pennsylvania. we have more than 8,000 cases of covid-19, it went out over 1400 cases in one day and tragically we had over 100 deaths due to

covid-19. under governor wolff's leadership, we have three pillars to response, first is stay-at-home order and exposing to schools and closing down essential businesses. the second is extending testing and third is watching our healthcare system for the expected surge patients over the next number of weeks or months. >> stay-at-home orders, the statewide order and the question is should there be a national order if you will. the governor issued a stay-at-home order this week. we now have top infectious disease experts in the country say they should be a national stay-at-home order. are you afraid you may have moved on this too late? >> no, so the governor's full

stay-at-home order was early this week. the governor issued stay-at-home orders for hard hit counties starting possibly two weeks ago. the governor has moved to a measured approach first including the southeast, philadelphia and the surrounding counties and including alleganey county. we have been issuing stay-at-home order for weeks now. now we have to go through the whole state. >> and that continues across the country. thanks for your work, thank you dr. levine. >> thank you so much. >> persisting problems complicating the u.s. response is testing. the u.s. have run 1.3 coronavirus tests that's

according to dr. birx. half of those only 600,000 comes back in. to explain why the testing matters. let me bring in a senior scholar at john hopskins, dr., thank you for coming back in. this is something as the tragedy of deaths starting to pick up. what does it mean to everybody that the white house does not have 50% of the test results they are looking for back. >> still needs a refine part. we don't know where the cases are. we have better idea better than a weeks ago. we don't have full situational awareness. without the swigsituational awareness, we can't right side

this. >> this gets to how can you really know where you need things or what the strategy should be or where you are in this fight if you don't have the data. i saw an interview where you said you were spending hours approving patients to be tested, why is that? what does it mean for the holdup? >> it means that we still have scarcity in terms of some of the agents we use to run these tests and the nasal swabs. we can't test every person. if you are not getting admitted in the hospital or healthcare worker or someone at risk, we just say and tell you to go home and watch out for symptoms and those people don't get counted. that skews our protection of disease. we still have at denominator problem and we may be over estimating or under estimating because we don't know.

we have to have the ability to test without having to call me throughout the night to approve and disaprprove tests. they should be able to order those tests. >> look we are in the middle of these crisis and we are beyond testing now since it is so widespread. >> it is so widespread. we know it is hetero jegeneous around the country. the only way we'll get good numbers is we actually have full capture as best as we can of what's going on in this local area. i think that's going to be the case throughout the country. it is going to be important as we try to live social distancing and trying to know where this is and what can be done so what hospitals can expect. >> does it make sense to you in

all of your expertise that there is still such a problem with access to testing and turn around time with testing results? >> no, it does not make sense. this is something we called for a long time before this pandemic. diagnostic testing was going to be a key pillar. we have the technology and private industries doing it. a lot of lodgistic cal issues that's not planned for and made it impossible to get a test fast. there is always new hiccup everyday that i hear about. it is frustrating. we don't have those hiccups with infectious disease. when the story of this pandemic is written, the diagnostic testing is going to be its original sin. >> doctor, thank you so much for being here and what you are doing. >> thank you. >> coming up for us, top officials around the world have started to test positive for

coronavirus. we have seen it happen over and over as the days tick by. here in detroit, the situation continues to deteriorate. that official is joining us next. of cream cheese. you need only the freshest milk and cream. that one! and the world's best, and possibly only, schmelier. philadelphia. schmear perfection.

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starting today detroit will be the first city in the country to use coronavirus testing that returns results in 15 minutes. rapid result tests. the first priority is first responders. just listen to the last conversation we had with dr. aldaji. the number of coronavirus cases sure is going up significantly. it is hitting some of the city's top officials now, including the police chief and city council's president. thank you for coming in. how are you feeling? >> first of all, thank you for

this opportunity. i am blessed. i am praying for those who have been diagnosed with covid-19. unfortunately my symptoms are mild. >> that's wonderful to hear. i assume that you did not have obviously access to rapid testing, the rapid result testing. what was testing like here? >> so testing was not bad for me. plus, i was trying to get the testing prior and i was told i didn't have any symptoms and to go home. i went back to get the testing and they stuck the swab up my nose and it took some days for me to get my results back over a week for me to get my results back.

te testing -- it is good to know that we are going to have the rapid response for testing now. that's a good thing. testing was not a bad thing for me. i didn't wait that long. i got the test in and i am just you know glad that on monday my quarantine will be over. >> did you know how you got it? >> i have no idea how i got it. but what me led to get testing was the first time i went to get testing i was short of breath. because we did not have sufficient testing, they took my vitals and they said my vitals were good. they checked my lungs and they indicated that everything was good they were not going to do the test. the second time i went to get

tested, i was still having shortness of breath and the first responders and police officers were getting tested. because i had a brief call of shortness of breath i went to get tested. >> in the midst of all this and thank god first and for most, your symptoms are mild. you are also in the midst of not only city council president but you are also running a campaign. you are running in a prime against democratic congresswoman talib, is your campaign completely shutdown? >> there is not a lot happening in politics but i am constantly talking to people and i am doing things from my home. i am not leaving my home. i am fomillowing what the goverr

says. no, my campaign is not completely shutdown. i am following the governor's order, i am staying at home and taking care of myself. i am talking to those from my home. >> we wish you it all remains that way and in terms that you have mild symptoms and recover quickly. thanks so much, appreciate your time >> thank you. >> coming up for us. michigan, one vocal point of the country now. still, florida. there is still major confusions and controversy in that state. the governor's stay-at-home orders allowed for religious orders then the governor says officials can stop them. where does it lead to one pastor holding services? [squawks]

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florida is under a statewide stay-at-home order from the governor. this comes after florida governor faced weeks. a statewide order should make it very clear what is allowed and not now. but the order from governor ron desantis created more confusion. the first order allowed for

people, allow exemptions. one of the exemptions was for religious gatherings. then yesterday the governor said this. >> there is got to be ways where you can accommodate so i would tell them work with the folks, work the rabbis and pastors to get it right. generally speaking yes, they can go beyond what i have done if they want to restrict access to to certain area. >> so where does that then lead florida on this one? joining me right now is andrew warren in florida, a county that early on issued a stay-at-home

order including a ban of religious gatherings. thanks for being here. >> absolutely, kate. thanks for having me. >> is it clear to you now what the rules and restrictions are? >> no, it is not clear at all. florida left it up to the kou counties to take local actions. some aggressive distancing orders and the governor signing one executive order that was in place and a second one that nullifies it. what this means locally is we can no longer enforce laws or restricting religious service to fewer than ten people and maintaining that six-feet distance. this is undermining our ability to social distancing. millions of floridians have been making across the state the past several weeks. everyone who's working to

flatten this curve and now we have a situation where it is not clear and we are going to end up leading to more people getting affected and hospitalized and more people dying. >> this is not theoretical for you guys. >> your pastor of megachurch said 4,000 members last weekend for holding services. this sunday, easter and pastor sund pastor -- pass over is around the corner. what are you trying to do? >> most people get it. they trust the science and they believe the experts and know that it works. now that we have confusions like this, it is sending mix signals. people don't know what they are supposed to be doing which leads to more people doing it wrong

and takes away our ability to make sure we are implementing those social distancing orders. it is taking away the enforcement power that we have. people are not willing to do the right thing. ultimately you are asking what we should be doing now? our advice is clear. everyone needs to right now at this moment act like you have it and thank god that you don't. >> that's a clear simple and pretty good way to think of it. >> you call the governor's initial order so weak and spineless that you thought it was an april fools joke. why do you think, why do you think the governor is having a hard time with this? >> i am frustrated the way a lot of other leaders are. i can't fathom what the governor was thinking. i hope he's not catering to powerful interests and thinking it is a hoax.

the governor left it up to the counties to take action. counties have been setting up testing sites and figuring out how our justice system is working. now the governor stepping into try to create consistency and he walks back orders that's been in place and kraicreates more confusion? that does not make any sense to me. >> this evangelical pastor who was arrested, his argument was they were taking measures by abiding distance. he says he's not going to close his church. we are raising up revivalists and not pansies. >> our goal is to make sure people are following responsible social distancing whether it is ordered by the government or

not. if that pastor put us in a situation where we have to arrest and file charges on him. he simply refuse to do what most of our faith leadership done across the country. they found creative ways to provide spiritual guidance at a time of uncertainty and fear when we want it and kraifr cravd need it. the pastor put his own self interests and the health of his prish parishioners at risk and the people he's going to come in contact as well. that pastor did take a step back and he's going to close his church and we hope he continue to do so. that's what we are preaching for everyone to do. >> i heard one leader says on "new day." there are creative ways to pray together and be together and share together in these times. mr. warren, thank you for coming on. good luck. >> thank you so much, have a great day.

>> thank you. >> coming up for us, hospitals struggle to treat coronavirus patients. patients without the virus, they're facing the surgeries and procedures being cancelled. details on that ahead. # apps are used everywhere... except work. why is that? is it because people love filling out forms? maybe they like checking with their supervisor to see how much vacation time they have. or sending corporate their expense reports. i'll let you in on a little secret. they don't. by empowering employees to manage their own tasks, paycom frees you to focus on the business of business. to learn more, visit paycom.com

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yeah. . the coronavirus pandemic is having another impact on beyond covid patients. hospitals are force to cancel surgeries for patients.

cnn's elizabeth cohen has been digging into this. marley baxtor had three surgeries before her second birthday. >> oh, i love that smile so much. today marley is 3 years old. recently her mom realized she's not getting enough oxygen. this number is very low. marley's doctor ordered a heart catheter to figure out what's going on? >> reporter: because of coronavirus governor supported temporary stops on non emergency patients, leaving marley without the care she will need. >> have the hospital given you any words when she will have it? >> not at all. it is frightening.

>> reporter: with so many resources being diverting to coronavirus, doctors have to make choices about who gets care and who's not. we have had to ration care he wrote, we have had to make decisions that i never had to contemplate before. so many patients now not getting the care they need. >> for a lot of patients these are crucial surgeries and procedures that they need. people with chronic disease and people often with acute illness that needs to be managed. we have to make sure we don't lose track of the tens of thousands and hundreds of thousands of americans of who are suffering silently because of the impact of covid on our healthcare system. >> reporter: back at marley's house, she and her mom are making masks as they wait for the pandemic to end.

>> i am wondering when we'll get it done and pray that she stays healthy until we get it done. >> is it fun? >> i was speaking to the woman from minnesota who wears a pacemaker, she says she can tell from the regular heartbeat she's having that the battery may be wearing out. she says it is about time and her doctor made an appointment for some tests and had to cancel the them. kate. >> that little girl's sweet face. that's a face we need to remember. she needs carry e as well. thank you for shining a light on this, elizabeth. >> coming up for us. the first monthly jobs report since the coronavirus outbreak is out. it is not good news. it is not even the whole story. now there is new reporting of relief coming from the

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another gut punch to the economy today with the release of the march unemployment number this morning. employers cut 700,000 jobs last month. this is capturing just the start of the impact of the coronavirus on the economy. the white house says help is on the way in the form of stimulus

packages, massive loan program for small businesses. phil matting phil mattingly is with us. what's going on? >> yes, it has been a rocky start. today is the first day the program is rommilling out. small businesses kicked out the door by the lender overseas and by the fda, all these loans are forgivable and designed to essentially cover payroll expenses and continue to pay employees and any debts that you have in order to keep your business open. this addresses the issues we are seeing in early stages and the employment reported this morning. here is the problem, some of the issues we heard on the lender side and on the small business side is they're having a difficult time accessing the portal to be able to get these loans out. lenders are not sure of the

guidelines. they did not get it until late last night. some of the largest banks and jp morgan have not cleared the way on this yet. people are working on the program assuring me and everyone that this program will be kicked into high-gear. a billion dollars of loans are gone out. they have $350 billion to work with and people need this money. speed is the action. the goal is to smooth it out as quickly as possible and get the money out the door as quickly as possible. >> a lot of people took comfort hearing direct payments were approved as part of the stimulus package. some of these post-gamayments ct be sent out for 20 weeks. >> this is all about how irs

have your information on file. the irs do not have your information, they have to send paper checks, that could take up to 20 weeks. if you have not filed your tax returns, yet, file it and give them the information and give them the direct deposit information, that's the quickest way to get your money. the irs is inputting that information, paper checks are going to take time. direct deposit is the quickest way to get that money. >> much more on this, mark sandy is joining me now. it does include the past two weeks where ten million people filed jobs claim. what do you put the number at and how much worth do you think it is now? >> oh much worse, kate. i think we got 700,000 jobs loss in march.

we'll get closer to 10 million in the month of april, probably another additional several million in the month of may. when it is all said and done looks like 15 million jobs will be lost and you know the script is still being written here and we'll have to see how it goes. something we never experienced before. just give uconn teyou context m 2009, we lost 800 j,000 jobs an last month we lost this much. >> where do you think the unemployment right now do you think we are in the double digits already? >> i do, it is headed higher. if i had to pick a peak, closer to 15% and of course you know kate, that lies the stretch, right? folks who are losing jobs and

many people who are not losing jobs are losing hours and additional millions of people are geltitting pay cuts. the problem here is tens of millions of people. >> it is such an unprecedented situation. one thing i know that you were telling me that you are getting a lot of questions about is relief. i was talking about loans with phil, where is the relief. mortgage payments due, what can people do there? >> there is a relief there. if you have a government back mortgage loan or -- you can get f forebearance. the problem is getting it so you have to be persistent and you have to call your mortgage

servicer and make sure you have that government back loan and be persistent. you may have to b oe on the pho for a while but be worth it. it is not like you have to make those payments at some point, some point down the road you have to make them. hopefully by then the economy is back on its feet and you have a job and income are rising and it will make it easier to get through. you need to be persistent here and that's available to 70% of homeowners out there. >> there is a lot more to discuss. let's continue the conversation. thanks mark zandi. still ahead for us, where the states just experienced its biggest deaths in one day. we are talking about new york, more of the epicenter of the crisis. next. - my family and i did a fundraiser walk

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good evening, i am anderson cooper, right now the number of cases of the united states has risen above 250,000. deaths have topped 2500. governor cuomo is looking for ways to restock his dwindling amount of critical medical supplies especially ventilators before it is too late. >> you do not hav