>> 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 the president's ear here.

clearly the president is in favoring with people like navarro and continuing to push this instead of couching it as dr. fauci has done, wait and let the science speaks for itself here. >> trust your doctors, kaitlyn ko collins. we expect to hear from andrew cuomo any minute in the united states. some big global anxiety in action today. japan plans to inject $1 trillion for the coronavirus per session. there is no exit day and no timeline ending the lockdown there in the germany. in the u.k. boris johnson is suffering in the hospital and the queen rallies in the u.k. >> we'll succeed and that success will belong to every one of us. we should take comfort that

while we may have more to endure, better days will return. we'll be with our friends again and we'll be with our families again. we'll meet again. that last line is a world war ii throw back. a mix of optimism. the president says we can see light at the end of the tunnel, prepare for a pppear a pearl ha. the united states anticipates the u.s. death toll will finish of 100,000 looiives loss. dire medical equipment shortages boast in testing and in protective equipment. the white house's team promises surging supplies for areas most in need. we'll see the week ahead if that's a promise being kept or

not. it matters because if doctors can't protect themselves, they may not be there to help you. the michigan's governor says their supply stash is nearly gone. >> we are running dangerous lilo on y low on ppes. all health systems, we have less than three days until face shields are run out and less than six days until surgical gowns run out. >> we know this is going to be a very tough week here in the united states, what can we learn from what we have seen so far with the virus and what does the data tell us what we can expect going forward? joining me now dr. st. johanjay. i want to start with yesterday when the surgeon general says this is going to be pearl harbor week and the president says there may be light at the end of

the tunnel and the vice president says we may be done with this as soon as we thought. >> john, we are not at the peak. it is a little hard to tell. you are hearing different projections, april 9th is a couple of days for new york city and they say at that point there may be 878 deaths per day around that time. there is a flattening of the curve for a little bit, it plateaus a little bit and what you want to see. the united states after all may be a week after that. sadly 303,100 people may day a day during that time of the apex. we don't know for sure. that's safe to say these models are just that. they're built on the assumptions that you are feed into the model and people are being diligent of staying home and not sort of

continuing to propagate the virus. it is probably as many people should be still and it is also as far as the timeline goes as what vice president pence was talking about, those models are based on the idea that we have to have the stay-at-home order until the end of may. this may change. that's where we are now. >> and that's why i was asking the question how long you consider this to be, all these models are through the end of may and through the end of april and we know the president keeps on pushing again for the government to reopen. you look at the data and you see places like michigan and new orleans and also right there front and center but pennsylvania and massachusetts and some people say maybe rhode island. dr. fauci warns of a series of

wav waves, what does he mean? >> it is interesting, john. not only two weeks ago that are places that are hot spots that may have dodged this that they're not going to be that affected by it and dozens or 20 or so patients diagnosed turned into several hundreds a few days and more than a thousand a few days after that. that sort of the concern. all of it sort of ham ppered ase talked about it. i think you got to prepare places right now we don't have and need any surge in capacity or redundancy in our system. they have to look at what's happening around places in the country or look to see if they have stay-at-home order in place

and how it is going to add up to that. there is difficult job to perfect level of preparation for something. >> the governor of new york is giving his briefing. sorry, sanjay. >> the number continues to increase. we are up to 8,658 new cases. we have 130,000 people tested. number of deaths are up again and number of people we lost and number of new yorkers. 4,758 which is up from 59 which is effectively flat for two days. while none of this is good news. the flattening, the possible

flattening of the curve is better than the increases we have seen. new york is still far away of the most impacted state, new jersey is having real difficulty. michigan also and california has levelled off and louisiana is having a difficult time. they're in our thoughts and prayers. total number of hospitalizations are down. icu admissions are down. and daily intubations are down. those are good signs. the number of charts are down but that reflects the overall reductions and the numbers.

big question we are looking at now is what is the curve? we have been talking about cases increasing until they don't. when they stop increasing then what happens? the projected models have a number of alternatives. some suggests that the curve goes up and drops precipitously and some suggests there is a longer pause at the top or a slight pause at the top which is seskt boo effectively a plateau of effect or straight up and precipitous drop which is a peak effect. no one can tell you which will

occur. we are studying it as we are using the projection model to determine actually what we do and how do we set policies and programs. we have been working on the numbers and working on the projection models and helping us to incorporate that. jim, if you want to take a moment to speak of the projection models here. >> thank you, governor. we have been looking at projection models from the beginning to determine the size of the scope and the governor mentioned this over his briefings. we have been working with many organizations and using data of health metrics and cornell and mckenzie's and others. some of the additional projections that we first saw at the beginning of this was at

looe least up to 110,000 beds for covid patients alone and the peak would come at the end of april. those are some of the earliest modelling for many organizations. there were other models we were tracking, one being lower at 55,000 covids. keeping that end of april. we follow now that we have a robust date to go by the last several weeks. the bottom line of the purple line is sort of the way we are tracking today which suggests it is a little lower and the question was what could you do to lower those initial projections from 110,000 to 155,000. we saw the folks looking at those types of model says it was

going so what activities and actions could you take to lower that othverall number. the answer is aggressively enforced in social distancing to lower the number and the current data suggests that is exactly what's happening. we are going day by day and the numbers have changed a lot. this could suggest that we are continuing potentially at the apex or beginning at the apex at this moment like there has been a range of models, 7 days or 41 days or looks like we are towards the earlier side of that time frame based on the current projection and models we have been looking at. >> thank you. >> could you also see in the

slide of where we are now, right? it can go anywhere, we can still see an increase. it is hopeful but it is inconclusive. it still depends on what we do, right? these models all have a coefficient of what we do and how successful we'll be with social distancing and etcetera, from our decision making point of view it does not matter if we need to plateau or not. you have to do the same thing. if we are plateauing, we are plateauing at a high level and there is a tremendous stress on the healthcare system. to say the healthcare system at a maximum capacity today, right?

this is a hospital system where we have our foot on the floor and the engine is at a red line. you can't go any faster. you can't stay at red line for any period of time because the system will blow. that's where we are, we are at a red line. people can't work any harder. the staff can't work any harder and staying at this level is problematic. and, if we are plateauing is because social distancing is working. so we have to make sure social distancing actually continues. on the relieving pressure on the hospital system which is unsustainable at this rate, we are continuing what we call a surge and truck program where we get all the hospitals on the line on a daily basis, they're all doing inventories and data sheets. they're all on the telephone and shifting among the hospitals,

ventilators and ppe equipment and gowns and masks and that's happening on a daily basis and to relief the hospital system, the javits coming on and 100 military personnel started coming in, 300 were sent to new york city public hospitals to help with the public hospital system, the h&h system which has been under stressed the rest is going to javits to bring it up and running to full capacity. that transitioning is happening now. that's a covid center now, started as a non-covid and now it is a covid center. the majority of personnel will be coming in tomorrow and the next day. that javits center is going to be a relief out.

second, the comfort, the original plan that was for non-covid people. it would also be a relief for our hospitals but not for covid people that are taking all the non-covid patients if you will from the hospital. that was the plan. as it turned out there is not a lot of non-covid people in the hospital system which is a separate story. it happens to be a good news story. a by product of shutting everything down is if you have a your car accident going down and few ter trauma cases so there i not a non-covid case in the hospital. i am going to ask the president to shift the non-covid to covid.

then we'll have the ship comfort and the javits as a relief. it could serve as a relief out for the whole hospital system. that's the only way we sustain this level of intensity in the hospital system. i understand what the plan was with the comfort. i understand there is no preordained strategy here. you have to feel it out day-to-day and you have to adjust with the facts and we don't need the comfort for non-covid cases. we need it for covid. if we had those two facilities as a relief that we'll make a significance difference. bring online 3500 beds is no small tasks, northwell health is

going to help us manage those. they'll be staffed by military personnel. only the military can bring in that many people that quickly with that lodgistic cal operations. i want to thank our d.o.d. god bless the military. they are doing an extraordinary job. i will call the president, he has been helpful to new york in the past and he has moved quickly in the past. i am going to ask him if he can make this adjustment for us because it would be truly beneficial. we would feel much better knowing that we can sustain this pace if we could start to off load patients to these two facilities. in any event, plateau or not

plateau, we have to extend the new york pause because if the curve is turning, it is turning because the rate of infection is going down. social distancing is working. we have to continue the social distancing. schools and non-essential businesses will stay closed until april 29th. i know that's a negative for many, many reasons. i know what it does to the economy but as i said from day one, i am not going to choose between public health and economic activity because in either event, public health still demands that we stay on pause with businesses closed and schools closed whether we hit the apex or have not hit the apex, you have to do the same thing.

there is also a real danger in getting over confident too quickly. this is an enemy that we have under is mestimated from day ond we have paid the price dearly. while the numbers look lick they may be turning, yeah, it is over. no, it is not. and other places have made that mistake. hong kong made that mistake and south korea have made that mistake. and we are not going to make that mistake. the weather is turning and people have been locked up and we are talking about cabin fever. now is a nice day, i am going to get out and i am going to take a walk. now is not the time to do that. frankly there has been a lack on social distancing and especially over this past weekend. that's totally unacceptable.

look, people dying. people in the healthcare system are exposing themselves everyday to tremendous risk walking into those emergency rooms and then they have to go home to their family and wondering if they are bringing the virus home to their family. if you don't show discipline for yourself then show discipline for other people. if you get infected, you are infecting someone else, you go into the emergency room, you put a burden on all sorts of people who you don't know and frankly you don't have the right to

burden with your i irresponsibility. i understand people have been locked up for a long time. now is not the time to be laxed and it is a mistake. we all have a responsibility and we all have a role in this. we said that from day one. we have to respect the role that we play. the role that we play is a societal obligation, that's how i see it. i want local government to enforce the social distancing rules. the local government is in charge of enforcement. i want them to enforce it. i want to be front rangeankly m aggressive on enforcement. people are violating it at a higher rate than before. we are going to increase the potential of maximum fine from

$500 to $1,000. it is not about the fine. nobody wants the money. we want the compliance. we are serious. again, it is not about your life. you don't have the right to risk someone else's life. you don't have the right frankly to take a healthcare staff and people who are literally putting their lives on the line and be cavalier or reckless with them. you don't have the right. we want to thank all of the people who are getting us through this everyday on the very tough circumstance. we see the illness rate among these essential workers and we know the sacrifices they make. we should respect it. it is that simple. first responders who are out there and police officers who are out there and transit worker who is have to drive a bus and the train everyday. the healthcare workers who were

just doing extraordinary work. let's respect them and help them. we'll set up a fund run by the department of health to assist the healthcare workers with expenses cost and child care and etc. i want to thank black stone for making the first contribution to that fund of $10 million. to assist the first responders. i hope other individuals and corporations follow their lead. we are also aware of the mental health aspect of the situation and the stress and the isolation that this has caused and people are trying in their own way to grapple what this means and what is the impact and how do you rationalize this situation and mental health aspect of it is very real. head space is going to partner

with new york. they're going to have content for new york and free membership for new york and we thank them. we have an emotional support t hotli hotline. we have thousands of professionals who signed up and provide for menial healtal heal services. i talk about perspective a lot maybe frankly because partially i am speaking to myself and i have good conversations with my daughters last night, cara and michaela who are wiser than i am and wiser than their years. it is very hard to see the number s of deaths we are havin. it is frightening and disturbing of that amount of loss. i am the governor of new york. i see my job as preventing that kind of disturbance and

negativity and loss to the people of the state. perspective. we like to think that we can control everything, we can't. we like to think that we can fix everything and fix all the problems for people. we can't. the undeniable truth here is this virus is a deadly enemy. we'll lose and we are losing people who are vulnerable to the virus. that can't be controlled and can't be fixed. why? that's mother nature. that's a question that god can only answer. but, control when you can, do what you can. the challenge is to make sure that we don't lose anyone that could have been saved if your

healthcare system was operating fully. don't lose any one who you could save. that's a legitimate goal of government. that we have done so far. have we saved everyone? no. have we lost everyone because we did not have a bed because we didn't have ave ventilator or healthcare staff. the people we lost are the people we could not save. not for lack of trying or doing everything we could do as a society. so to the extent we can find peace in that it helps me. we are still new york tough. and new york tough means tough.

tough in the new york sense means compassionate and it means we are unified and it means that we are loving because if you are really tough guys, they're tough enough to show love. because we are smart. that's how we are going to get through this. questions? >> the drug trial of hydroxychloroquine and chloroquine going? >> we have allowed usage of the hydroxychloroquine with the pack in hospitals at their discretion. the federal government is going to increase the supply to new york pharmacies. we had a 14-day limit of how

much you can buy. if the federal government increases the supply to new york which they say they're going to do then we could lift the 14-day limit. there are a lot of people relying on this or were relying on this, people with lupus and etc. the test in the hospital they won't say they are, they are too short of a period of time to get a scientific report. you know doctors and hospital administrative and doctors have a significant data set before they give a formal opinion. antidotally you will get suggestions that's effective. we don't have official data from the hospital or a quote on quote "study," which will take weeks or months before you get an official study. is that a fair statement?

>> sounds like not in con clue siclusiinconclusive. >> doctors have prescribed it and there are some patients that have preexisting conditions. antido antidotally has been positive. we'll have a full test. antidotally it has been positive. if we get additional supply which the government says they're going to send. when i call him this after with the comfort if they increase the supply, we can let the 14-day

limit ban. [ inaudible question ] >> i have heard nothing about that. i heard a lot of wild rumors but i have not heard anything about the city bearing people in parks. no. i didn't know there was an issue. has anyone heard of that? i talked to new york city yesterday, i have not heard this was an issue. >> today how many ventilators have come to the stockpile in the city and have they asked for anymore? >> they have not asked any that they have not gotten. we are releasing 802.

the city is responsible for the health and hospital corporation, public hospitals, 11 hospital corporations. 11 health and hospitals in that system. and i spoke with the head of the system last night. he's going to be on a phone call at 1:00. dr. mitch katz, he had all the equipment he needed and i am going to speak to him again at 1:00. if they need anything we'll get it to them. every hospital will say to you i am running low on everything because they are low on everything. when we do these daily surge flex discussions, there is no

margin for error because we don't have any margin for error. we don't have the supplies. the whole system is over capacity. so everybody is low on everything. if they had a wish list everybody would want stockpile and a reserve in their own hospital. i get that. we don't have that luxury. i am taking ventilators on the hospital on a daily basis and shipping it back and forth so every hospital can get through this period. we are doing that with ppe equipment and ventilators and with patients. if we can systematically get patients out of the hospital system into javits and the comfort then you can relief pressure on the whole system. the system is running at red line has been for days.

this is the most intense management functions that we ever had to take. it is not here . and in this situation is not what they want or what anyway need. >> i want to have ventilators on reserve. i know. it is what you need. that we are doing on a day-to-day basis. everyone has what they need. there is no one who said i am out of ventilators and i have a critical need who has not gotten one. >> the governor of new york giving his update. he says there is some hope in the number. 4,758. that's the current death toll from the state of new york. the governor says that increase of 599 day-to-day from yesterday

to today is relatively flat. he hopes it is a hopeful sign. he says the number of hospitalization is down and intensive care is down and number of new yorkers requiring intubation is down. the governor is hoping new york may be at that apex moment. will there be a long plateau or the state start to come down quickly. let's discuss that with more with our guests d. thank you for being here. doctor, i want to start with you. new york is probably first here. you are in massachusetts and our next guess is in tennessee. when you hear from that the governor, from a medical perspective, the chart he shows, he believes that new york is going to come in well under

their worse case scenario, is there is reason to be hopeful? >> as the governor himself said they just were not sure exactly where they are in the curve. i think it is true for new york and us. we need to be cautious and make sure we are not looking at a single data point but we see this continuing over the number of days. >> coming in on that point and you have tennessee that's a state that's behind these other states as you watch the case number grows. the case number in tennessee have grown quite dramatically. maybe we have a hopeful side here, this is no time to back off when it comes to social distancing. what was your biggest take away there in a state that's now has the rate going this way where there are signs and hopes that you can get to that point as

well. >> absolutely. new model similar to new york. the tennessee medical community is right along after accounting for tennessee's new stay-at-home orders, those projections changed showing us thousands of bed shortages and many more deaths showing more bed shortages and just as the governor pointed out, models change all the time and this one there change as well. keeping deaths low really depends on citizens and our governor remaining committed to the state's order in keeping people separated. now is not the time for co

complacency in this pandemic. >> oh,you see the numbers are flatten. you have the president who says we'll have a horrible week or two but himself clambering to open up. in boston, the mayor put a cu curfew in place. do not think for a second this is over. >> well, i think that's exactly right. we can't breathe for a moment. we are still seeing the number rise. we have not reached that plateau. it is important for everybody to understand that social distancing is working. it is not enough and we certainly can't led up right now. our numbers are rising on a daily basis. we hope we are not going to reach the point that new york has. our icus are near full. we would approach a really dangerous point if people were to led up at this point in time. >> dr. milstone, the governor in

new york is not too aggressive on hydroxychloroquine. the medical community kind of pulled back, whoa, let's get some trials first. have you seen anything to suggest, is this being done in your state helpful or harmful? >> this answer is desperate times call for desperate measures. people begin to resort to things that science is not there for them. i would caution the medical community. i would caution or legislatures and our leaders to be very thoughtful about these medications, mrecommendations when we don't have large control of clinical trials to really support the use of these medications. antidotally there may be reports that it may work. you can find many people tried

these medications and feel that they are not working. we need science to support recommendations and the pandemic really shows us we have a long way to go, order to bolster or scientific knowledge of this si silo. >> history is littered with examples of treatments that we believed initially could be helpful and turn out when we conduct trials and have larger groups and turn out not helpful but in some cases can be harmful. it is important for us to embrace the science here and be cautious. >> dr. tabb and dr. milstone. that's why we have you here putting science first. good luck in the days and weeks ahead. >> up next, we go to the state of michigan.

tl third hi the third highest number of coronavirus cases. a live update just ahead. without leaving the safety of your home. shop at sprint.com for free next day shipping and no activation fees on our best new phone deals, like the samsung galaxy s20 5g for just $0 a month. plus, you'll also get a $100 prepaid mastercard when you switch online. stay healthy and visit sprint.com to get the services you need. for people with hearing loss, visit sprintrelay.com

the latest state by state coronavirus state count is new york, new jersey and michigan. you can see the number there. the state has nearly 16,000 confirmed cases. 617 death in michigan. the governor warning a dire shortages of critical supply. detroit has been hit especially hard, that's where brian young is there today. >> reporter: folks here are worried of the next 124 or 48 hours. people are worried about ppe.

we have been able to talk to people noticed of the death number. there are sicker and sicker people coming in and they are losing their lives a lot faster. there is a center right behind me and they're going to be able to add a thousand field hospital. they don't have enough people to staff the new space. there is an all call right now for nurses and doctors around the country to come to detroit like you see what's happening to new york. they're hoping to get more people into the area. the other part is get the awareness up and testing to be a little bit better. the 15-minute test, the city has been able to use that. 180 first responders were sidelined over the last few weeks as they await fore test results. 150 have been able to test, we know they are negative. 30 new cases of first responders tested positive for coronavirus. we'll get another update from

the mayor at 3:00. these are critical number when you think of a city this size. they need their first responders to get out there to meet the need. there are all sorts of complications of people showing up to the hospital sicker and sicker. this story continues to grow especially in urban state like detroit struggling with so many things in terms of poverty and healthcare >> critical number to watch. ryan young, appreciate the live reporting. that includes the popular destination in georgia. leaders voted to close the beaches there two weeks ago. that was over ruled last week when governor kemp issued a statewide that super seeded and allowed those beaches to reopen. he defended that decision on cnn this morning.

>> they're not opened for spring breakers. it is opened for an area for folks to get exercise and maintaining plenty of distance. we have all the state resources to be able to keep an eye on it and continue to be a safe place. >> the mayor calls the reopening reckle reckless. ahead they were parents and daughters and sons and medical workers will honor some of the vicks, next. victims, next. (baby sounds and cooing throughout) (notification chime) (keyboard clicking)

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you see the numbers there. each one of those numbers represent an individual life. family and friends mourning those who have died due to the pandemic. everyday we are learning more from this story. the 31 years old is the youngest patients in massachusetts. riley rumrill, he's always smiling and always taking care of each other. their message now is honor their son's life by staying at home. >> we could not be there with riley. we could take his death and where we live across the country when we got friends and

neighbors so it is not just a number, he's a person with a face and the fact that he had a message. the message is don't take undue risk. >> they were together for 44 years. they both worked in healthcare. alfredo was taken into the icu and days layer, suzanne was admitted. the two died. >> it is beyond hurt and pain. i have so many plans with them because think dad was only waiting for my mom to retire and this was the year they're supposed to retire. this is their retirement they were talking about. i am trying to bring awareness

to this virus and it is not to scare anybody, just to make them aware. >> this disease is taking a heavy toll on first responder. deputy bennett, he was a 12-year veteran, school resources and protected and mentoring students. the sheriff officer says he was in love and set to get married later this year. on saturday, his men and women offered a salute as his body was escorted to a funeral home. amazing grace in honor of this fallen colleague. ♪ at&t is committed to keeping you connected.

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i am anderson cooper, you are watching our coronavirus coverage of the pandemic. the u.s. surgeon general had this start warning lives ahead could be for many like pearl harbor. today the number of people killed by the virus is close to 10,000. more than 300,000 cases reported. near in new york still the epicenter of the u.s. outbreak. positive news from the governor.