running for office, whether you're in politics, whether you're a citizen, let's do what we can for those who can't help themselves. restaurants need help. >> yes, they do. we'll push them there to apply for that assistance. thank you, howard, and good luck to your team. >> thank you, poppy. thank you. >> thank you, all of you, for joining us today. i'm poppy harlow. >> and i'm jim sciutto. "cnn newsroom" with john king continues right now. hello, everybody, i'm john king and this is cnn's continuing coverage of the coronavirus pandemic. we begin this hour with the cruel coronavirus reality right here in the united states. nearly 10,000 have now died and officials say the hardest and the saddest week is just now beginning. roughly 2500 people perished this weekend. the trajectory from fewer than 100 deaths when the president put his death numbers to the

deaths now. a new watchdog report out today shows significant stress on u.s. hospitals heading into a week the surgeon general predicts will be a pearl harbor moment for this country. our inspector general today backing up the message from governors across the country that hospitals are falling short of critical supplies. the white house says the mitigation is working, but another peak in a few weeks may overwhelm the health care system if americans ignore those social distancing guidelines. that underlying uncertainty and dependence on everyday follow-through clashes with the sunday evening optimism at the white house, that the end of the road might be near. >> i want to say to the american people that we are beginning to see the glimmers of progress. >> i steeee a light at the end the tunnel. if i didn't, i would not be very

thrilled with what we've done. if we start seeing a flattening or stabilization of cases, what you're hearing about potential light at the end of the tunnel doesn't take away from the fact that tomorrow or the next day is going to look really bad. >> new york remains the epicenter of this outbreak of the pandemic here in the united states. the place we need to watch the most this week, the death toll in new york city tops 2,00,000. that is by far the highest in the country. cnn was granted access inside an emergency room of one of those. miguel marquez was one of them and he did this incredibly disappointing result. >> this is a covid-19 only facility, just a massive, massive effort by that hospital. about a quarter of the patients

that are admitted there end up dying from covid-19. we admitted two e.r.s in the last two weeks or so, and both of us wanted us to come in there to see what they're dealing with so the entire country, the entire world could see what this crisis actually looks like. the front line in the fight against coronavirus. the brooklyn emergency room of downstate emergencies, patients struggling to breathe. this morning has been brutal. >> today is pretty intense. we've had a bunch of people die in a very short period of time, which we are prepared for, but when it happens so many times in one shift, it's pretty hard to tolerate. >> as we arrive in the e.r., the latest victim of coronavirus at

sunni downstates is being wrapped up in the emergency room where doctors tried to save them. we visited sooney downstates, and in the time we were in the emergency room alone, six patients coded, in other words, they suffered heart or respiratory failure. four of them died. a devastating part of just one day. >> this is what we train to do, this is what we signed up for, just not in this volume. you may have a code, maybe on a bad shift you'll have two codes where you carry that emotion and you wonder if you did everything that you could. i think it's emotionally hard to prepare for this level of sickness and suffering and morbidity and mortality in such a short period of time. i don't think any of us are well prepared for it. >> reporter: have you ever seen this e.r. jammed like this? >> not quite like these days, no. >> reporter: you're not at max yet, but you're pushing it? >> yes, we're pushing it. at times the emergency room

here, there is no room to move, but we have a system of where we decompress them out behind here in the hallways, other rooms are the fast track. not many people have been bringing in their children, so we've taken over part of pediatrics. there are also clinics back here we can turn into beds, and they wait there once they're stabilized from here and then go upstairs. >> reporter: the corridors in the e.r. here lined with those suffering from coronavirus. patients unresponsive, struggling to breathe. it is the hard reality of this virus. for some patients it attacks the lungs, depriving them of oxygen, slowly suffocating them. >> with covid the pneumonia is not just in one lung but both lungs, leafiving the patient wi no good lung. it's also widespread in both lungs that's damaging the lungs. >> reporter: keeping the most

critically ill patients breathing, it's still a mystery as coronavirus resists treatments, confounds doctors and kills patients. >> once they become so altered from the lack of oxygen, they're unable to keep it open themselves. >> reporter: what is the mortality rate? once they go on a vent, what happens to mortality? >> it increases exponentially. >> reporter: more patients die, in other words? >> they do. the numbers are not exactly the same in country to country and there are various factors for that, but we all agree it's skyrocketed. >> reporter: dr. lorenzo palantino is an e.r. doctor who has done astounding work of putting more people on one ventilator. it's something he hopes will not have to be used here. >> we want an alternative to give to these patients. not just the ventilators but also for cpap and isolation,

oxygenation, high flow. we try all sorts of maneuvers to keep them breathing and keep them sufficient indicating or having a cardiac arrest. >> reporter: and it's not just in the emergency room where patients struggle to breathe and code. while interviewing doctors in other parts of the hospital, nearly constant overhead announcements that another patient has coded. >> room 815. >> reporter: those announcements for patients already admitted, not those in the e.r. >> can i stop you for a second? this is the fifth or sixth code 99. >> code 99 is typically a rare event. we're having, i would say, ten code 99s every 12 hours, at least. >> reporter: we've been here for about 30 or 40 minutes, and that's the fifth or sixth one. >> a lot of that, what that

represents, is calling for a team to put a patient on a breathing machine. >> reporter: what is most jarring about seeing the inside of an e.r. in a hospital making the transition to being one of three in noew york state that will only treat patients suffering from coronavirus, outside it is quiet and feels like an early spring day. it's slow-moving, and it's damn boring for a lot of people, but this is a disaster. >> it's definitely a disaster. it's kind of difficult for people from the general public who don't work in the hospitals. when you drive down clarkson hospital, you're driving down new york avenue or ocean avenue which are pretty busy thoroughfares, it's almost crickets. but here in the emergency department, it's a level of intensity you only see in disaster zones thavt have been televised around the world. >> reporter: another point, another thing that will give you a sense of just how seriously

this hospital is taking this and where it seems to be headed, their regular morgue has been overwhelmed already with the number of bodies. they brought two semi trailers in, refrigerated trailers in. they only have bodies right now on the ground floor of it that they have on stretchers, and they're going to start adding shelves to them so they can stack more bodies into those trailers. there is also a plan in place to shut down streets around the hospital and bring in three more trailers. it is terrifying, john. >> it stops you in your tracks to hear that. miguel marquez, fabulous reporting, and we can't say thank you enough to those brave workers, not just the doctors and nurses, but the januaitors d everybody trying to help those patients. even as deaths in new york top 4,000, there is some hope that the state might be reaching its apex, might. new york reported its first decline in coronavirus deaths

just yesterday. governor cuomo warning it's too early to draw any definite conclusions. the chief deputy officer at northwest health in new york city is here. doctor, thank you so much for being with us today. you saw that report and it is stunning, it is sobering, it is sad and depressing. you also see the heroes. are you having a similar experience in your hospital network in terms of when you hear code 99. you have a lot of covid patients coming in. what percentage of them are ending up in an intensive care unit needing a ventilator? >> sure. through our system of 23 hospitals, we have approximately 3,400 patients who are positive with covid in the hospital, and over 700 of those are on ventilators. that doesn't include the non-covid patients on ventilators. most of our hospitals have about 90% of the patient population of covid-positive patients, so similar to downstate and similar

in the whole city. >> i want you to listen to your governor yesterday. everybody believes this is going to be the week -- did we lose the doctor's shot there? we lost the doctor. we'll try to get him back. we'll take a quick break. our coverage will continue in just a moment.

this just in to cnn, the acting navy secretary of the day slamming the ship commander. he was ousted from his position

afr soundi after sounding the alarm of the spread of the coronavirus on his ship. about 170 crew members on that ship have now tested positive for coronavirus. joining me now, reporter ryan brown. ryan, the navy secretary addressed the ship's crew, went after the former captain. what did he say? >> he said several things, john, one of which he said the former commander of the ship was either too naive or too stupid or intentionally leaked this letter that he sent to several officials warning of the situation on the theodore roosevelt where there was a major outbreak of the coronavirus, over 10% of all cases within the u.s. military on that one ship. so he had called for that urgent evacuation. the navy secretary slamming him for sending that letter, saying it showed poor judgment. he also accused the former commander of committing a betrayal, very strong words. the navy secretary made these comments in an address to the ship's crew, according to the copy of the transcript that's

been provided to cnn. that same crew just days ago gave that now fired commander a very warm sendoff, thunderous applause, chanting his name. you're seeing video of it here. it's an interesting choice by this navy secretary to give such harsh words for this commanding officer to that very same crew. he actually referenced -- the secretary referenced the fact that the commander was popular. captain brett crozier was popular with the crew, but he almost admonished him for giving him a sendoff with the fireball that letter created. several navy officials have confirmed to cnn that he did deliver these remarks over the p.a. intercom system aboard that ship monday morning. >> and ryan, he also said that he thought the media had an agenda here. correct? >> that's correct.

he said it's never okay to leak things to the media. the secretary has been careful not to publicly accuse captain crozier of leaking this memo, but to the crew he very strongly suggested that he did leak this to the media and said it's never okay to go to the media with concerns, they're not part fortunate command. he said the media had a political agenda and that they would use this to embarrass the military and send messages to the cdc. >> i wish he would understand that our agenda is to get the message across, including on those ships, and getting the sailors the help they deserve. an antibody therapy for the coronavirus is being conducted in new york. we'll talk to the doctor behind that research, next. "the mortality rate is much higher

than the president claimed." "he's also completely discarding the advice from public health experts." "president trump also ended that global health security unit within the white house." "the president and his administration was very slow to move on this virus." "tonight the number of people filing for unemployment is soaring." "and across the nation, widespread layoffs." "unemployment could hit 30 percent." unite the country is responsible

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antibody therapy is a long approved weapon in fighting infectious diseases and there is a race underway to adapt the idea to the coronavirus antibody. the idea is to get antibodies from infected people to boost the immunities of uninfected antibodies. doctor, thank you for joining us. take us inside how this works. you find patients who have recovered, you take their blood and then what? >> firstly, thank you so much for having me on and telling this really important story. what we do is that we identify people who have recovered from coronavirus. they need to have been recovered for at least 14 days and to have had documented disease, and we approach them and ask them whether they would like to contribute to this effort by providing us with a sample of their blood.

we take that blood to the lab and determine whether it has antibodies in it. if it does, we refer our patients here to the new york blood center to obtain blood to make plasma from it to treat patients who are sick. i will say it has not been hard for us to find potential donors. the community around westchester that includes new rochelle, one of the first communities to have suffered from this infection, have come forth just in an incredibly heartwarming and uplifting manner to offer their help to those who are now suffering from the disease. >> so if your trial moves fruitful, somebody out there watching who is either worried they're going to get this or someone in a high-risk community who wants help to keep them from getting this, when might something like this be

available? >> great question with a slightly complex answer that i'll break down into a couple of parts. there is permission now from the fda to use convalescent plasma in what's called a compassionate use manner. any physician in the country can actually register to be able to give this to a single patient or to a group of patients under what's called an expanded access use protocol. that is for patients that are ill in the hospital who have perhaps not done well with the medicine they've received so far. there is also a scientific me

method to compare this with other things we've tried. we are trying to determine if it can convert with the need of ventilators and other things you have covered on your air. and the other important place where we have a lot of enthusiasm is in prophylaxis, people who have had exposure, nurses, doctors, and caretakers in nursing homes. there was an approval for the latter at johns hopkins and hopefully it will launch soon. i do need to point out that this modality is very different than taking a drug off the shelf and putting it in a clinical trial. we need to produce this product ourselves, so there is a food court press going on right now

to be able to stock blood banks with plasma from donors so that we are able to treat patients under one of these different protocols. >> dr. pirofski, we wish you the best of luck. keep in touch so we know if you're proceeding in the right direction if the timetable changes at all. we appreciate your insight. >> thank you so much. up next, some signs of hope in europe as spain and italy reports some relatively positive numbers. stay with us. that's why there's otezla. otezla is not a cream. it's a pill that treats plaque psoriasis differently. with otezla, 75% clearer skin is achievable. don't use if you're allergic to otezla. it may cause severe diarrhea, nausea, or vomiting. otezla is associated... ...with an increased risk of depression. tell your doctor if you have a history of depression... ...or suicidal thoughts or if these feelings develop. some people taking otezla reported weight loss.

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there are perhaps hopeful signs in two european countries hard hit by the coronavirus. that's why some trump administrations now using terms like "light at the end of the tunnel," even as we brace for a horrible week or more in the death toll. flatten the curve is a term you keep hearing. spain is being looked at closely. the line shows a big increase throughout march but it does level out a bit at the end, with today showing the lowest daily rise since the surge in cases began. italy looks similar with a slowdown in its daily number of

cases since march. the first cases in both of those countries were announced almost a week after the first case here in the united states. our international correspondents have more on the numbers and hopefully what they mean going forward. >> reporter: here in italy, all signs point to the country having passed the worst as far as the coronavirus goes. sunday saw the latest daily death toll in two weeks, and for the second day running, sunday was reported that there was a drop in the total number of people in intensive care units due to the virus. now, the improving situation has led to talk about italy entering what's known as phase 2, the phase when the numbers of coronavirus cases is falling and the nationwide lockdown can be eased. officials are warning, however, that phase 2 needs to be introduced gradually to avoid a

second wave of a disease that has, until now, killed nearly 16,000 people. i'm ben wedeman, cnn reporting from rome. >> a single day would be a national tragedy under any other circumstances, but today during the age of coronavirus, it's considered progress, a sign that three weeks under strict lockdown measures is working. the increase in new active cases has slowed substantially and deaths and recoveries are taking some of the strain off of this country's health care system. the trouble is, much of that pressure is now being felt by cemetaries which are struggling to bury bodies fast enough. the backlog in bodies waiting to be buried or cremated has meant that madrid is now using two ice rinks as temporary morgues. when bodies do show up at the

cemetary, priests are given brief five-minute funerals with family in attendance. they announced 1 million rapid tests would be distributed across the country. they're hoping that will further slow the spread of this virus. stock mclain, cnn, madrid. up next a return here to the united states. out of a job and struggling to get government help despite thousands of calls. that's the story of a texas oil worker who joins us next. your customers served. your students inspired. and your employees closer than ever. our network is resilient. our people are strong. our job is to keep your business connected . it's what we've always done. it's what we'll always do.

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part of the global disruption right now, oil prices are in disarray, crude oil slipping again. the meeting that was supposed to happen today is now postponed. you have this large rush on oil. it's russia versus saudi arabia. this is happening at a time when they're putting the brakes on the global economy. >> that for me, john, is the key point for me because it's this demand we've seen with this drivingless, flyingless in this fight in the coronavirus. finding that balance is what's so difficult here. the message from big players like russia, like saudi arabia, as you mentioned, is that they're getting closer to a deal, but, and it's a big one, they want other big oil-producing nations to play their part, too, and cut supply

as well. that includes the united states. now, president trump is resisting. he even talked this weekend about applying tariffs on incoming oil to the united states. look, i spoke to the industry's biggest body in the united states today, the american petroleum institute, and they said two things. they said, one, tariffs are a no-go, they will only hurt u.s. consumers, but the supply cuts in the united states is already happening. up to a third output in the united states has already been switched off because oil proiic are too low to make it feasible for them to pump oil at this stage. so his argument is, look, the united states is already playing its part. it's an interesting one. the call, as you said, has been postponed until thursday. there is also a suggestion that the g-20 energy ministers might also have to be brought into this as well, because it has to be about more than just opec and russia doing this deal.

in the short term, john, the bigger issue, jobs, businesses in states like texas, access to that stimulus money is the critical issue and part of the fight for survival here with oil prices so low. >> julia chatterley, appreciate that, and you're exactly right. this big local fight has enormous local and personal impact, the drop of oil personally hitting workers in texas. take a look at these staggering numbers just from the first of the year to the last weekend in march. in the last two weeks in march, more than 430,000 texans filed for jobless benefits. one of them who would like to be part of that statistic because he needs help is wil yaliam wal. he joins us from austin, texas. william, you lost your job from an oil company. you have made nearly 5,000 calls trying to apply for benefits. you haven't been able to get

through and get help. what in the world is going on? >> thank you for taking my call. my online portal somehow has a problem. my social security is attached to two different log-ins, and when i try to log into one, it tells me to log into the other, and when i try to log into the other, it tells me to go back to the first one, and after the second time, it tells you you have to call in. when you call in, it takes about a hundred calls to get through. when you finally get into the system, the system says, hey, look, we're overloaded, sorry about that. use the online portal. i can't even get into the system right now. and i have multiple friends in the same situation. they're setting their alarms for midnight, 2:00, 3:00 in the morning to get up and try to get to the online portal. nobody even knows we're unemployed at this time. >> the state knows this is an issue and set bit, and that hasn't worked for you, either, on tuesday,

thursday and saturday. from 1:00 to 4:00 on saturday we made 500 calls trying to get through. >> so some people would say, online is not working, phone is not working, i'm going to show up in person. what happens then? >> i drove to the bryant college station office. there is a sign on the door that says, we're sorry, because of the covid-19 virus, we're all working remotely. call the 1-800 number. i went to the shenandoah office, same thing. nobody is there. i sent a certified letter to the governor, i sent emails to anyone i can find in the system and i sent to everybody on linkedin just to get into the system. that's what we're worried about more than anything else. >> i hope somebody in the texas government, whether it's somebody in the state government is listening to this. this is a time when every american, people all around the world, are under enormous stress. you need and deserve help. you need and deserve help. what does this do, if anything?

i guess, how do you keep at it? >> so more than anything, we know that sooner or later we'll get into the system and the government here in texas has come out and said they will fact date all of the unemployment, which is a great relief, because here in texas, the day you actually file for unemployment is the day you start getting paid in the past. they're going to backdate these. my biggest problem is i don't have insurance as of now. i was laid off in march, so as of april 1st, i have to go on cob cobra, so i'm trying to weigh all that out. if i get sick, that could easily wipe out whatever savings i have, and i don't know what would happen, i really don't. >> william, i hope, just giving y you a few minutes here caught someone's attention. if you still haven't gotten a call after a few days, let us know and we'll try again. >> thank you. when we come back, the surgeon general says this is pearl harbor week in the united

states. one of the hardest hit spots? new orleans. in this world where people are staying at home,

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there are warning signs of which community could be the next hot spot for coronavirus. you can see the virus spiked in new york, new jersey and california.

those states experiencing the highest number of confirmed cases. the top five states with the most deaths have become clear which states have hit the hardest. pennsylvania of 11,500 confirmed cases. that number has more than doubled. ed lavandera is in louisiana. >> reporter: the unit of washington and projecting and modelling has detailed in the latest projection showing in that model that the peak use of hospital beds and ventilators and that's where it leads past here on april 1st. the other thing that was a dramatic change in that was for

the last week or so, the projected overall number of deaths have been put in about just over 1800. that has been slashed down to 750 but again just a word of caug caution of all of this. i spoke with one american analyzing all of these. a lot of these projections are based on people continuing their behaviors sheltering in place at the end of this month. if people change their behavior, this would change their model once again. we are waiting to hear from state officials on what they think of this modelling change and what it means long-term here for the state of louisiana. the strain of the victims are going to be tested here and the mayor was talking in dire terms

of what she's seeing here in new orleans. >> our office is at capacity. mortuaries can't even pick up or store because they're out of capacity. i had to ask the federal government for additional refrigeration so we can take care of people. they have not been laid to rest as they deserve. >> reporter: anyway, you can see the intensity of what people across the state are dealing with and definitely different aspect of good news and bad news in the latest analysis as you heard the mayor talking about there of what we have seen the last 24 hours. the numbers of deaths reported

by the day have gone up. we are seeing hospital bed spaces. people begin to slow it down. we have not heard from state officials here today as to how they're reacting to these new modelling and obviously there will be questions we'll ask throughout the day, john. >> let's hope, ed. some hopeful signs and we'll get more data. ed lavandera is live for us. cnn athena jones is at the javits center. >> reporter: hi john, the last update of three dozen patients are treated behind here. today was the day they were to begin accepting covid-19 patients.

we confirmed through the mayor's office they're already doing so. governor andrew cuomo calling this javits and saying it could be a big shift, it could lead to a dramatic change in a situation here. it is coming at a time where the state desperately need a release valve with so many patients c e loading into hospitals. more than a third of the cases a nationwide. new york city accounts for half of those. that's why you need a place like the javits center. if you talk to hospital add straig minu administrators and doctors, it only make sense to make javits covid-19 center. one emergency doctor i spoke to over the weekend, even people coming in for strokes and when they are admitted, all of those

x-rays show of pneumonia and tale tell sign of infection. a couple of things i want to mention is the supplies, making sure that hospitals in each state and city have the supplies and personnel when they need it. we heard from mayor bi mayor bilmayor bill d mayor bill de blasio, he's calling on doctors and dunurses and supplies. send those doctors and nurses and medical personals where they need to go when they are needed. california is now going to be giving 500 ventilators that does not need right now to the national strategic stockpile. that's an example of the kind of shifts that's going on along with 600,000 n-95 respiratory

masks are due to arrive here in new york today. athena jones, thank you. >> we'll bring you that live report. appreciate that reporting. the giant white house situation between the white house's trade adviser and the cdc top adviser. the president sees big positives and no negatives for the drug hydroxychloroquine, what do you have to lose is what the president says. dr. fauci says the evidence that treatment works is suggested and there are danger in side effects in the drug. fauci wished that the president should stop hyping the drug. the president decided that he's smarter than the medical

professionals. on cnn this morning navarro suggested you should consider his professional equal to those of dr. fauci who's been in the job of 30 years in the world pronounced. >> doctors disagree things all the time. phd and i understand how to read statistical studies whether it is medicine or laws or economics. when i look at the latest study and i read it for wuhan and there is a control group where 80% do well and only 50% don't. you can be a plumber in the data and come to the same conclusion. kaitlyn colin is live at the white house for us, i am going to pick at d"dr. navarro."

>> reporter: the question is who does the president pick? what officials are describing is a one sided disagreement between the two. fauci was surprised that navarro brought this stack of paper work trying to say this hydroxychloroquine could work even of course it is still being tested and not proven to treat coronavirus and there is a lot of skepticism in the medical community, there is no data that shows it could work. ultimately the question is the president himself who for two days pushed the straw saying they did not have that long of a time to wait to test it to see how it could work. medical experts warned of the side effect of pushing the straw. the president says i am not a doctor but what do you have to lose? the question is as this debate is playing out inside the west wing, you see what a divide it is over the use of this drug and who's pushing for it and who has