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i'm chris cuomo. welcome to a bonus hour of "prime time." the questionable news, good or bad it will be dependent on the out come. 31 states are going to be reopening some way by the end of the week. none of them appear to have met the white house benchmark saying 14 straight days of declining cases. we are bending the curve. why aren't we adhering the way other countries that dug out of this did? look at the financial times chart. death tolls are at their peak. or falling in many western countries. so many have turned a corner with new case numbers in

decline. we have the highest number of new cases globally. what are they doing right that we're doing wrong or not doing right enough or not doing long enough. let's turn to doctor director of the harvard global health institute and jermy, seen your policy -- i know your name. policy fellow with the center for global development. good to have you both. first, from a public policy perspective, am i being unfair to the united states? and looking at how other western countries have dealt with this vs. us and the chart we put up there. do you agree with the assessment we're not doing as well as others? >> well, it's clear from the data. we have been at a plateau for really the whole of the month of

april. on the first day of april we had 25,000 cases in the country. today in the last day we have 27,000. through the entire month, we have hovered around those numbers in the 25 to 30,000 range. my fear is that we have in effect wasted april much like february. and in february we wasted it by failing to prepare for what was coming. here in april we have wasted it by not taking all the measures we need to do in order to not merely platen the curve but bring it down. we see certain states are making head way on that. new york is making head way. new jersey. others are not. other states are going un. as a country we are basically flat. we have yet to get to the kind of public health measures and the kind of serious government effort that will be needed to bring this under control. >> quick follow to you. you're too harsh a grader. the president says it's a

success. jared kushner says it's a success and he's in charge of middle east peace. the reason is the projections had this much worse. and we stopped the spiking. people stayed home, case growth is going down. and people are starting to reopen because we're actually flattening the curve and that's good enough as long as you reopen with smart safety measures. do you agree with the analysis? >> no. i don't. we're in a holding pattern. we have had a transmission number of one. roughly every case creates one other case. that's better than three. but it's not enough to get us anywhere close to zero. if we're averaging 25,000 cases and each is producing one more. we can stay at the number for a listening time. that would mean that in effect we have done just enough to freeze it. but not enough to suppress it and bring it down and get the country back on the track to reopening our economy.

we are not yet at a point where we can safely reopen. and i fear with all that we have done, we have gotten that number down to one case per existing case. we need to get it below that to be winning. >> okay, let's stay with this. and come to you, doctor. you don't have to get it underneath that. it's hyper conservative. not a perfect world. we have to deal with a certain number of cases that's the reality. we'll reopen in a smart way and continue to go down we'll continue to do smartish things and get a cure soon and have a vaccine maybe by january. and that's going to really change. by the way all the numbers are wrong and there's much more herd immunity than people think and we'll be okay. we don't have to get any lower and reproductive rate than just the one. we're okay. >> that's a great story.

it's a mix of hope and magical thinking. and unfortunately that's not the reality we have. the reality we have is we're kind of flat here. and flat is not good. we want to bring the case in your opinions down. we were flat through april and 60,000 americans chied during that month. we don't want to replicate that in may and june. i think we can open up when the data says we can. and that means case in your opinions have to decline substantially. testing has to get up substantially. and then if we open up we can stay open. if we open now, we are going to find ourselves with exploding case numbers, hospitals overwhelmed. having to get shut down again. that's what we have to avoid. >> so the push back becomes harder to make. let me bring it this way. which is i understand the logic. but it has not played out in

practice. the hospitals have been able to handle it. they weren't supposed to be able to handle it as long as they have. and in a lot of places you have new york city, still very hard pressed. a will the of the hospitals are burning the midnight oil. not once you get outside the city. there's a relativism that we didn't expect. you are not giving full benefit to. is that a fair push back? okay we won't open everywhere the same way. we don't have to do this as conservatively as you want everywhere. >> well, i'll give you half a point. here's the thing, there are states, montana, wyoming, alaska, where they have very few cases. they are testing is good. pretty good. if those states open up carefully that's probably okay. but large parts of the country, georgia, certainly not. texas and florida, that's not where the data are. are there any places in america

that can open up safely and carefully? there are. there are large parts that cannot. this is not just a new york story. >> vaccine in january. where's the love? why aren't you feeling that. that changes the game. >> no one would be happier than me to see that happen. i'm not going to start counting those chickens before they hatch. i'm glad to see the government is doing this sort of big push the warp speed plan. to generate a vaccine. the "new york times" had a good piece today laying out just how difficult that would be. i have yet to see a good explanation from the government of how to plan to compress the time line that much. the hard part to compress here is the human trials. and you have to take a certain amount of time for human trials in order to ensure that you have a vaccine that safe and effective. that's very hard to compress.

it's a fixed amount of time. i think it's a good idea they are talking about trying to manufacture at the same time or at least build a manufacturing capacity. great they're doing that. what i'm frustrated by is they can invest in warp speed for vaccine but not investing in warp speed for testing. or contact tracing. those are the things that can pay off now that begin bringing numbers down now. not waiting until january before we get a hope for a miracle that may or may not pan out. >> that i have a problem with. i can't believe that the best we can come to the rosy the riveter mentally is one company in maine making this swabs with the tips. one. is all we have been able to figure out. that's the bad fact. i don't understand why the desperation isn't there.

>> it's extraordinary. >> this is where you lose. fatigue. you are not paying attention to the biggest metric. fatigue. we have had it. that's what the president is banking on. that if he keeps giving little suggestions, i don't know that testing is necessary. liberate your states. it doesn't matter what he says about testing being good and tracing being good. when he floats that out there he's feeding fatigue. you saw michigan today. people are scared. they want to get back to work, people die. people get sick. it's part of reality. we're not all going to die or get sick. we're past the fear. and we want to get back to life so we can take care of our families. that could be tough to over come no matter what the numbers are. thoughts on that? >> you give me the president and the protestors in michigan and i'll give you the american

people as my response. latest survey, 80 to 90% of americans are not comfortable going back to work. not comfortable sending kids to school. not comfortable going to restaurant without additional testing, without additional evidence it is safe to do so. i see the small minority that's loud. let's get going. i sympathize with them. the vast majority of americans are saying not until it's safe. it won't be safe until we have a testing regime that can identify people who are sick and isolate them from society. so everybody else can go about their daily business. that's where the american people are and they're being smart about this. >> all right. gentlemen, thank you very much. six months they are saying for a vaccine. we'll see if it happens. doctor, thank you very much. you rightly cite the polls. patience wanes.

and often out rage gains. we'll see if that comes to play in this situation in terms of pushing action. i appreciate your perspective, thank you. stay blessed sp healthy. a region exercising caution as others are relaxing their rules. you'll see the kinds of splits. we have to examine them why they're happening and the net effect. massachusetts extended its stay home order. why when everybody else is pushing to go in a different direction? 21 states reopening. why not them. mayor of boston, next.

all right. so this is an interesting piece of information that goes against the reopen now trend. the massachusetts governor baker extended the stay at home order until may 18. even before that was announced

boston mayor made clear the city wasn't going to open reopen any time soon. we have the mayor. marty walsh joining us now. welcome to "prime time." thank you for taking the opportunity. >> thanks, chris. thanks for having me. >> i know the city. i know the anxiety level there is real as well. they are hearing people and watching people reopen. why do you not feel the fer ver? >> it's not the right thing to do. my job is keep people safe and keep people alive. and rushing what's happening in other states quite honestly and talking to the mayors you had one on today from atlanta, they know it's the wrong thing to do. people are afraid. i heard other guests prior to me being on as well. they make good points. my responsibility is mayor of the city of the boston and i our responsibility as governors is

keep the people safe. we're in the middle of a pandemic. like wf never seen. and it's our responsibility to do the right thing. >> the president is beating a drum that people are listening to. angry enough to do what people are doing in michigan today. going to the governors office. my money is short, i need this for my family. life isn't perfect. don't make the cure worse than the disease. what's your response? >> that's why the stimulus bill and recovery act through congress with unemployment benefits for three months. and our legislature and governor are passing legislation around evictions for three months. there has to be a well thought out plan on how to get business back going here. i understand the small businesses the restaurants. the golf courses and flower

shops. all of those businesses that are hurting in my district and my city. i know my businesses are of color are affected by this as well. they have less operating cash. we have to be careful because one of the previous guests said if we do this wrong and i hope to god down the states that doesn't happen, the second surge is worse. emergency rooms sp hospitals will be overwhelmed. boston, massachusetts, we dealt extra space in the convention center. like new york did for additional capacity. we have people in there. we have been able to come up with a plan to shelter our homeless folks and they get covid-19 they have a safe place to go. we have been able to send chrome books home to kids and teach them e learning. if we get it wrong, the next september and october, we're in a situation that's worse. it's more detrimental to the economy. and the president will wish at that point that he shut things down earlier and kept it extended because it will be

right up to election. >> what do you say to the push back, it turns out this wasn't as bad as they said it was going to be? do you believe there's a basis for that suggestion at this time? >> no. too many people have lost lives. there's too many people in the hospital right now seriously ill. too many families have buried loved ones. you look at it if we didn't do the social distancing the numbers would be worse. if we didn't have the world class hospitals we have in the united states. the numbers would have been worse. and i think that a lot of work has been done to actually spare a will the of save a lot of life. if we don't continue down the same path here in boston and massachusetts and across the country, we'll be in a worse situation. at the end of the day i made the very beginning of this i made decisions cancelling a parade. we cancelled marathon. school. we did a lot of things that some

people might not have been supportive of. certainly now fast forward not that long, eight weeks later. we have nearly 10,000 cases of coronavirus in boston. and we have over 300 people lost their life. why would i change course and open things up when all i can see it getting worse down the road. >> what do you pick up in terms of the shift in feel? you mention something that may fly past a lot of people. not me because i have been following this. people are starting to make homeless a touch stone for the frustration. people talk about homeless like they were rats in new york city talking about how many homeless are on the trains. there's no capacity in the shelter and can't be in the hospital. there's nowhere to go. you made smespecial accommodati. that was humane and tactical. people use that as an index

things have gone too far. what are you picking up in your city in term of feelings about how long this has gone and the reinking thing to do is? >> i think there's no question the segment of the population wants to go back to work and it's not as serious as it is. the greater majority of people are concern. you made a point talking about schools. one of the things saw happen here in boston was as soon as we got to five or six coronavirus cases, people started panicking about kids in school. let's quick news flash, by september when schools restart that will be six months where kids haven't been in physical school. and boston. if we don't take all the precautions today, there's going tor coronavirus in september. and chance kids don't go back to school. that won't help society or children. that won't help a lot. we have to continue to take this very seriously.

we don't have that negative necessarily labeling of the homeless population. we did build out space for quarantine, for additional space in the shelters and physical distance. and we have at the convention center and boston medical center we have hospital beds with healthcare for the homeless for the the homeless that are covid-19 positive. >> you guys are in the hash tag boston strong. and this is a very different kind of test than the one you showed amazing endurance to make it through. we'll be watching your city. because once again, you are doing things that call for strength during a time of great fear. and frankly weakness. mayor, stay blessed and stay healthy. please be aware you have this platform. it's a phone call away. to tell people how it's going and why you're doing what you're doing. >> thanks, chris. good to see you better. i'm watching you go through this. it was interesting to see.

and hope you stay safe and god bless you. >> thank you. it became proof positive that i am the weak link in the family. because the mrs. and my son blew through it. it knocked me down like i was nothing. so thank you. i appreciate the good work. 30 million americans have a filed for unemployment. 30 million. all right. that is obviously the biggest number we have seen since the great depression. 20% of the work force. i'm not trivializing the desere to come back. i'm not saying it's about a burger and a beer. that's part of it. money is tight. people's families are jeopardized by this. not just their health. but wellness as a function of financial stability. i get it. the white house predicts a rocking economy by july. how? how the heck could that happen. one of the great financial minds next. oft?

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all right, tomorrow is going to bring a terrible new meaning to may day. for many families across america it's going to mean almost panic. as people have to file for unemployment. and money is short. and feeding families is a challenge. again this is not just about wanting to reopen for a burger and beer. that is unfair to families all over the country. somebody who can put in perspective what this means for our economy and how fast you can get it back, what that would take and what the need is right

now for the families. she's actually working on an analysis but on answers. financial expert and a lot more. it's great to have you back on "prime time." >> it's great to see you, chris. >> so, 30 million. 20% of the work force. filing unemployment. most since the great depression. what are the numbers mean? in terms of economic impact and hardship. >> it just demonstrates the degree of the catastrophe we have truly witnessed in the economy. it's unprecedented times. we have never seen anything like this. the rate of o job loss is completely unprecedented. just to give you an idea during the great recession in 2007 to june 2009 we lost 9 million jobs. it has taken us since june 2009 up until last month.

22 million jobs were created in that time dur reinking. about a decade. the idea of losing 30 million jobs in six weeks, and the belief is for many economists that we are actually shortchanging that number. that there are upwards of maybe 10 million more who have not been able to file claims or have given up. the expectation of course those numbers are going to rise in the coming weeks and we will see an unemployment rate like we have never seen since the depression. >> it's going to be rocking in july. >> yeah. i wish. rose colored glasses look great when you put them on. the reality is we're not living in rose colored glasses environment. as we both know, right now, this staggered return back to work and the risks that you talked about with the mayor of the second or possibly a third wave are going to live with the economy for quite sometime.

most economists do predict that we saw the economy contract in the first quarter by 4.8%. that we will see a double digit contraction in q 2. worst since the great depression maybe worse. we'll see an up tick in growth in the third and fourth quarter. that is contingent on us continuing to pump money into the economy. we just listened to the federal reserve chairman speak two days ago. he said we're putting out a fire. we're trying to continue to win the battle. this means that more stimulus may very likely be needed as you know with the governor, states right now are in trouble. so right now the critical thing is let's get the unemployment benefits out to the people as quickly as possible, paycheck protection program. which is helping small businesses. those things are critical. when you look at just the those employed in the united states,

50% over 50% of the private sector jobs come from small businesses. we need to get them in action. the notion that this economy is going to be booming in july is just not accurate. >> all right. let's check a couple boxes about not just out lining the problem which is what i do, you find ways to solve it. you have a huge resource you launched today to make it easier for families to feed their kids. schools as you explain and taught me before that, it's not just about education. it's nutrition. and what is new resource that families can use to help find a place to feed their kids? >> well, so as we have talked about before there's a great that u.s. public schools are closed. 98,000 u.s. public schools in this nation remain open to feed kids.

30 million kids rely on meals daily and now that is millions more due to the job loss we have seen over the past six weeks. so today we launched a resource locater. sap.com/sap for kids. what it is is it's a national presentation of all 50 states. sorry. all 50 states. >> say it again. what's the address. >> okay. >> put it on the screen. >> okay it's a mobile enabled web application. and it is available as you can see on the screen right there. it is at sap.com/sap 4 kids. it's using google maps to recognize where you are. log on. it knows where your location is

and tell you any and all school feeding sites in your community. so it will help families and kids find a the nearest feeding site near them. the other thing is, over time we are going to be entering in more available resources which will include things like financial assistance, things like tell med. all the resources that will be for free available to kids and families. what we have started today the app right now has 27,000 feeding site locations. by next week we'll have upwards of 40,000 feeding sites. and it's an available tool for families and kids which we anyone can use through their cell phone. on their online. and the other thing is there's a place where businesses can share their available resources so that we can match that with the needs and demands of kids and school buildings at this time.

>> money. it takes money. last time you were on you were asking for money. you still need money. you had a record number of schools asking for grants. you're working with the rock a feller foundation. how do people get involved and help places have food and resources so people can find the places and get kids fed. >> as you referenced today was a great day for us. because we announced this digital platform. and announced a partnership with the rocker feller foundation. making sure nobody goes food insecure. when i joined four weeks ago and launched covid-19 nutrition fund and allowing school buildings to apply for $3,000 of grants to get the resources they need to deliver vital meals safely, today as i sit here, we have over 11,000 applications from

schools. over 30 million in requests for school buildings. we have been able to provide $5 million in resources. unfortunately we still sit here with a $25 million deficit. our front line workers are the school nutrition professionals. the school bus drivers. the volunteers in the school building. they are the one taking the food ou of the cafeteria and giving it in a grab skb go. putting it on school buses to deliver to homes. and right now those front line workers need the resources and protective equipment to deliver the meals. >> gif us place to go to donate. >> gen youth now.org. or text schools to 20222. >> schools 20222. or go to gen youth

now.com/donate. and we are not going to stop and i thank you from the bottom of my heart. for letting me continue to share this story. number one, we need to show families where the nearest school feeding site is. and now with the sap web site we can do it. now we have the resources. the vital resources to help schools with the foundation. we need a lot more help. >> i'll put it on the social media so people can get it. thank you very much for helping us understand the situation and more importantly thank you for fighting to help solve it. she's been doing that while dealing with covid-19 in her household. working and finding solutions dealing with the illness in who are house. special person. working to help us understand the full scope. i have been banging this a lot here. we have to. mental health is part of overall wellness. we're seeing it. cities across the country are

having record increases in suicide attempts. why? what can we do about it? what can you and i do about it? i have an expert who knows it better than anyone. next. soon, life will move forward. we'll welcome back old colleagues, get to know new ones some things may change, but we'll still be here, right here, so you can work on the business of getting your business back. at paycom, our focus will always be you and we'll see you soon. sun care is self care. i used to not love wearing an spf just because i felt like it was so oily and greasy. but with olay regenerist whip spf 25 it's so lightweight - i love it! i'm busy philipps, and i'm fearless to face anything.

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facts are not in dispute. cities are reporting jumps in

911 calls for suicide attempts. 900% more calls compared to this time last year. the only discussion is about how we respond. kelly is the founder and director of the columbia lighthouse project. i rely on her often for perspective on how to deal with mental health in moments of crisis. we have never seen anything like this. what should we be doing right now? >> put this in the perspective that it deserves. 900% increase. what does that tell us? people are suffering. they're suffering a lot. but let's understand what we know. we know the good news, i'm always starting with the good news. suicide is preventable. this is not an inevitable out come. mental health issues like depression and anxiety are

treatable. what have we learned, what do we know about how do that? let's remember the in terms of magnitude where we started. what the baseline was before this pandemic. right? it took suicide takes more fire and police more soldiers than combat. more lives than car accidents. again the good news is we know how to treat. this pandemic brings with it a tsunami of risk factors. the perfect storm. we know that with economic downturns in the past, they track and rate and pace with the suicide rate. we know that isolation and loneliness is a huge risk factor. did you know the cdc tells us that one of the most important things we can do to prevent

suicide is connecting. connectiveness. right? and so it's such a critical thing to remember now. what we have to understand is that social distancing and quarantine does not inevitably mean social isolation. so what do we need to do? we need to connect. and what we know in terms of mental health issues being treatable, tell a psychiatry and is incredible effective. you might only get that once a week. it means we have to rely much more on peer to peer, peers helping each other. we have learned that from other wartime scenarios we have been in. mass trama. peer to peer help and connection is one of the most important things you can do. right now we need to reach out, we need to be here for each other. and what does that mean reaching

out? how do people suffer in silence. the 900% increase calling the crisis lines have a will to do that. very often people won't. we knew before this, chris, we had to find people where they live. they often don't have the will to come to you. so we need to ask routinely, we need to ask our friends, check in with neighbors. about and be direct. how are you doing? ask specific questions about whether they are feeling suicidal. that is what we know. let me give you the perspective. less anyone doubt the impact of connecting. there was a study that showed the opposite that loneliness is equal to smoking 15 cigarettes a day. it can be more low that will than heart disease and obesity. we can connect. we can connect people to the care they need. and by the way, what we have

learned from other mass trama? that's not only going to help them. it will help you as well. we know that in these desperate times, what we can do to help ourselves is find meaning and purpose in our lives. and help -- >> where do we go to find out t the -- learn how to do that. questions to ask and series of if thens. if they say this go to this. where do people go to get the ways to help connect? >> yes, you can go to the columbia protocol. it's it gives you very simple questions that anybody can ask. and gives you the next steps. in the past people didn't know what to ask. they didn't know what to do with the answers and didn't know if it was harmful to ask somebody.

it's the opposite. when people are suffering they want help. and they feel a relief and distress when you do ask. >> now. kelly happens to be a close friend of mine and the mrs. and one of the things i love about her. she's a psychiatrist. who got the highest zcivilian honor for her work. she can interview herself. we can make so much out of so little time. she knows the right questions and answers. thank you for walking us through this and quickly. i will put out on social media how to get to the web site. and it's only referred to that now. i kept mangling the name of the lighthouse project. she just went with that. i kept getting it wrong on tv. thank you very much for helping us understand how to deal with an obvious and severe need. we ignored it too long. we can change it ourselves. thank you. >> grateful to be here.

>> all right. so, important update. on a fight that we showcase the other week for some of the most essential workers. people who are putting food on our tables. among the most vulnerable when it comes to contracting covid-19. we have guests who have been heard and there are some big developments next.

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more than 2 million farm lab laborers are keeping you, me, all of us fed. nearly two weeks ago the coalition of workers in florida told me if you might remember about the lack of health care, jam packed conditions, thousand of workers they're faced. they don't have the testing. they don't have anything they need. good news. florida's governor has heard their pleas. a testing site is opening in amo amockly. now, is it enough? we're watching. why? together as ever as one. thank you for watching. stay tuned. the news continues here on cnn. indigestion, , upset stomach, diarrhea. try pepto liquicaps for fast relief and ultra-coating. nausea, heartburn, indigestion, upset stomach, diarrhea. get powerful relief with pepto bismol liquicaps.

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♪ hello and welcome. i'm anderson cooper in new york. >> hey, anderson. i'm sanjay gupta. town hall facts and fears seen around the world on cnn international, cnn espanol, and streamed on cnn.com. tonight dr. anthony fauci will be joining us to answer your questions as well as the latest on treatments and the push by dozens of states to begin reopening their economies. also bill gates will be here to discuss what the united states and the world at large is going to need to do to accomplish when it comes to testing and the deployment of a possible vaccine. >> this is our ninth global town hall. no one town hall is more significant than the other. tonight is unique, though. the federal guidelines that recommend social distancing and brought a