music. >> and robert and gwendolyn francis were 76 and 74. for those families and all the families mourning tonight, may your loved ones rest in peace and may their memories be a blessing. "erin burnett outfront" starts right now. >> pfizer said it could distribute up to 20 million vaccine doses. and thermal cameras. there are cell phone apps that can track whether you're social distancing. is this the way americans will go back to work? let's go "outfront." and good evening.

i'm erin burnett. "outfront" tonight, we're just at the beginning from the former director of the cdc, sounding the alarm as the death toll tonight stops 73,000. the number of cases, 1.2 million. that death toll is now where the white house's model had estimated it would be in august. and the number of deaths and cases growing as more hot spots emerge across the country. there are only 13 states where the number of cases are going down and they do include, new york, new jersey and connecticut, three states hit especially hard by coronavirus and three states that currently are almost entirely closed. that is crucial because when you actually look at the number of cases overall in the united states, and this is an important point to make, can you see that line trending down slightly. let's just remove the new york metro area. let's just take it out, show you how the graphic looks. okay. so this is a graphic from "the new york times" which, as you can see, looks dramatically

different. so the number of new cases nationwide when you just take out this metro area is increasing. you can see this yourself. and yet despite a top expert testifying before congress today that not one state, not a single state has met president trump's own published criteria to reopen, president trump himself is pushing governors to relax stay-at-home orders and get people back to work. >> i think people won't stand for it. i don't think our people will stand for it. we can't have our whole country out. can't do it. the country won't take it, it's not sustainable. >> athena, some surprising reopening news tonight as we look across the country from los angeles. >> reporter: hi, erin. we weren't sure that was going to happen but just in the last hour or so we learned that los angeles, the most densely populated county in california, will begin to reopen on friday

along with the rest of the state. trails, golf courses, car dealerships and florists are among those being allowed to reopen, along with retail shops for curbside pick up. states across the country rolling the dice as they begin to lift restrictions aimed at halting a virus the data shows is still spreading in many places. hot spots include minnesota, nebraska and texas, where dallas county has seen a jump in new cases. the governor announcing businesses like bowling alleys and miniature golf can reopen friday. by sunday at least 43 states will be partially reopened, despite signs that not only have not all of them met federal guidelines suggesting a 14-day in decline in new cases before reopening but that some are seeing cases rise. this as experts warn that given the virus's incubation period, we won't know the full effect of these moves for weeks and that

the gains states have made could swiftly be lost. >> you have states that are opening where you still are in the incline. i think that's a mistake. >> reporter: the reopening is creating a confusing picture for americans as recent state and federal actions suggest the epidemic has abated, even amid strong warnings of risk. in atlanta, people celebrating cinco de mayo, many not wearing masks. the mayor said they missed the messa message. >> they didn't get the par that this is still a deadly virus and you have to socially distance and wear masks. >> reporter: new york city shutting down the subway system overnight for deep cleaning. >> on governor andrew cuomo's orders the state's health department issued an advisory to be on the lookout for a potential complication of covid-19, a serious inflammatory

disease affecting children with as many as 64 cases being reported. symptoms include persistent fever, rash and cardiovascular symptoms requiring special care. and in the u.k. eight children have been reported having the symptoms. and evidence the virus affected people late last year. the cook county coroner plans to review for indications as far back as november. the virus is killing more african-americans in the u.s. than any other group. the foundation for aids research using using data for mid-april say counties with black populations account for more than half of the population and nearly 58

pr58% of the deaths. >> and leaders like new york congressman jefferies worry officers are using excessive force in black and brown neighborhoods while handing out masks to sun bathers. and one more sign of the virus's staying power, governor andrew cuomo said today there is a new hot spot in two county up state, madison county and oneida county. another example of dense working conditions aiding its spread. >> thank you very. i want to go outfront now to dr. sanjay gupta. you're the expert at johns hopkins. no state has met the criteria to reopen but 43 them are currently

in the process of reopening, various degrees of that. the question that the country is going to find the answer out to but what's your instinct here? were the reopening criteria a mistake to begin with? >> i don't think the criteria were a mistake to begin with. i think most people agreed with these criteria. they were fairly well spelled out, 14 days of downward trend of confirmed cases and 14 day trend of the symptoms but also having enough testing and hospital capacity. you're going to have new infections any time you reopen. the question is how much and are you able to contain those new infections? immediately test, isolate and

contact trace. that takes infrastructure. as dr. fauci has said, many states are just sort of spring boarding through this criteria. even if people agree with them, they're not following them. if you did that, you'd have a much better chance of opening up as responsibly as possible. >> the major metro areas maybe have met the capacity with hospita hospitals, not there with testing, contact tracing and hospital capacity. when you look at the national picture and i just want to get show these two charts because i want to understand what they mean. when you look at the overall numbers, you do see this plateau. when you compare it to other countries, they see a big drop. you don't see that in this country. you see this plateau, this tabletop. when you take up a new york city metro area, you actually see an increase. okay? and the slope seems to be of

that line accelerating versus where it was just a bit ago. what do you read into these charts, doctor? >> erin, i think that testing is increasing around the country and if you do more testing, you'll find more cases, all indicating that this virus is more widespread out there than even now we have anticipated. so with this increased testing, we'll find more cases and that should make us even more cautious about how it is we open up. we've got to do it carefully, just as sanjay has said. social distancing must be the rule. we've got to keep wearing our masks, hand hygiene and keeping away from people. that's the only way now we have to try to reduce the spread of this virus. this virus is not going away. >> and, sanjay, to that point yesterday we were told the white

house was winding down the coronavirus task force. today president trump changed his mind. he said it will continue its endeavor on safety on opening up our country again. it will be very focused on vaccines and therapeutic. this is a shift, okay? it certainly a shift and rhetorically it's focusing on reopening and vaccines. is this what it should look like? >> well, if there was ever a time to be multi-tasking on something, erin, this is it. the idea that these states are starting to reopen i think is a significant concern. i think the idea that people are talking about i want to, you know, open up hair salons is going to seem like such a trivial thing a few weeks from now. i can't believe we're even talking about that given what might happen in some of these places as we start to reopen. that has to be addressed and the think the coronavirus task

force, they put out these gating criteria which are fairly easy to understand. i'm surprised that part of the conversation seems to have been lost. vaccines therapeutics continue to be important as well. it's worth pointing out there are places around the world that have gotten on the back end of this curve. you look at new zealand, much smaller. there are success stories. it doesn't have to be all gloom and doom. there's a way to do this. we've seen that even with this current pandemic. >> doctor, obviously social distancing is not happening everywhere and to different e exte extent. today governor cuomo was looking at people who were hospitalized and giving data about them, saying they weren't working and traveling. but he notes that the people who are in there now are

predominantly nonessential employees, and that means they were predominantly at home at the time of infection. he said they were not working or working from home. what does that say to you? you've had people home here in this area of the country for eight, nine weeks, nonessential employees who are not going to work are getting infected. how could that be? >> well, erin, you know we haven't done really careful case investigation of these folks who have gotten so sick and you really need to know in depth exactly what their behaviors have been. have they gone outside? have they had visitors? how carefully have they adhered to social distancing guidelines? we really don't know that about these folks. the virus doesn't fly in through the windows, it has to come from close personal contact. they had personal contact with someone who had the virus, who might not have symptoms. all the more reason to keep up

the social distancing and wearing the masks. >> thank you both very. >> and next, the race for a cure. pharmaceutical giant pfizer said they'll have millions of vaccine doses by the end of the year. plus, the president is still urging the supreme court to strike down obamacare in the middle of a pandemic, even against the wishes of his own attorney general. >> and rockefeller is one of the most iconic buildings in america. going back to work will mean thermal cameras and apps tracking your every move, would you allow it? i'll speak to the owner of one of the buildings there. ok everyone, our mission is to provide complete, balanced nutrition for strength and energy. whoo-hoo! great tasting ensure with 9 grams of protein, 27 vitamins and minerals, and nutrients to support immune health.

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normally it takes three or four months to establish that the vaccine is safe. that's actually the most important first question. and then we want to know if it's tolerated well and if it produces an antibody response that might be protective. after those first three, four months you go on to the question does it protect and that will take several months as well. i do really think we're talking about getting through to the end of the year and into early next year before we would have a definitive answer. >> okay. so if you're doing three or four months, that's may, june, july/august and then you have to do the efficacy part of the trial, that gets you to the end of the year. when the president has been backing off his prediction about having a vaccine to the end of the year, that jives with what you're saying. >> part of it like so much else with this pandemic, erin,

depends on what's happening. it's a very fluid situation. if we still have a lot of transmission in the autumn when these trials go to their efficacy stage, we'll get an answer quicker. but if cases are way down, it will take longer. you have to accumulate enough in the disease arm to see if the vaccine if effective. >> there has been an assumption in if you're in a trial you're exposed to the virus. that's not how it works. you have to be naturally exposed to the virus. if that gets you the answer much more quickly, why not do it? >> reporter: the standard paradigm for vaccine

development, phase one, two, three, tens of people initially establish safety. vaccines are given most commonly to healthy people to keep them healthy. they have to be safe. and then hundreds of people to get further safety data and look at the antibody response and finally thousands of people in the efficacy phase when you have half getting placebo and half getting vaccine. that's the standard approach. believe it or not, talking about a one-year timeline here or maybe a little better if we're very lucky, that's a blazing process for vaccine development. you're starting to raise another question, which is about human challenge trials. that's not the traditional method for developing vaccines. on the other hand, it is something that has been done for influenza, malaria, for norovirus. human challenge trials can be done but that is not the standard approach and that's not what we're talking about with when we talk about a vaccine program like the one we launched

this week. >> okay. so, look, i know you're optimistic. because there's been so much focus on your particular trial and company, you're saying april 2021, a year from now, or may 2021 would make sense and maybe you can do a little better. your research chief told reuters you could distribute 20 million doses by the end of this year. two very different perspectives. is he assuming the virus is way more active in the fall? what accounts for that difference? >> i think we're talking about a couple of different things. one is how quickly will science provide us with an answer. you know, it's going to take some time. the other question is how quickly can we move in parallel to ramp up production so that as soon as we have the answer that this vaccine or any vaccine is one that will be useful, that should be deployed in populations that we have the ability to ramp up quickly.

so a lot of things are happening in parallel that normally would happen in series. we're doing things in months that normally would be done in years. so i think that's what we're talking about, doing things sort of at the same time. but we're still going to -- you said i'm optimistic. it really doesn't matter. science will give us the answer. we do the well-controlled clinical trial, we'll know without a doubt if the vaccine works or it doesn't and that will tell us if we go forward with deploying millions of doses or not. >> dr. mulligan, i appreciate your time. thank you very much. >> you're welcome. >> next, more than 20 million private sector jobs gone as the nation braces for one of the worst jobs reports in american history. is there any help on the way for tens of millions of americans? and hospitals said to be seeing a major drop in heart attacks amid the pandemics?

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new tonight more than 20

million private sector jobs gone just in the month of april. according to payroll processing company adp. this as even the white house warns, we could see great depression era numbers and we could find out about them in just hours. >> the jobs numbers are very, very chilling. i think that it's very important to let people understand that in a very somber way that this is the biggest shock our economy has ever seen. >> caitlin collins is outfront at the white house. the president making it clear he's focuses on reopening the economy. these jobs numbers well aware of the pain here. the numbers will tell a very different story. >> reporter: yeah, erin, what you're seeing at the white house is they're bracing for friday. they know it going 's going to . kevin hassett has been probably the most blunt about everybody,

talking about what this is going to look like. they want to get everybody ready for how grim the news is going to be on friday. that's why there's so many questions about what's going to be next by the white house and congress. is there going to be a another bill? when will it come and what's going to be in it? the president has made clear his priorities are a payroll tax cut and deduction for businesses for meals and entertainment and things like that. democrats said they don't believe that's what people need right now. of course republicans have even been incredibly cool to the idea of a payroll tax cut saying that's not going to help when you have millions filing jobless claims. the question is are they going to come to an agreement? so many republican senators want to take a step back and look and decide whether or not there's going to be any more spending, house of representatives there should be, whether or not they're going to replenish that small business loan program once again and they don't seem to be

on the same page with the president and they don't seem to be on the same page with each other. this is incredibly important to americans who want to know what they're going to do as they're waiting, especially if they don't have a job and are not getting paid. it doesn't seem like any progress has been made on that but we'll keep you updated. >> i want to go now to the senate minority leader chuck schumer. i appreciate your time. the numbers here are terrifying and terrible and something we never would have thought we would see and yet we aredictionn job losses. the white house economic adviser says this is going to be the worst unemployment rate since the great depression. we're going to go from one of the best rates to the worst in weeks. i know you've been speaking to speaker pelosi. what are you planning to do about this? >> we need a big, bold answer to this. i am just appalled that leader mcconnell, leader mccarthy and the president himself say let

wait back and see what's happening, maybe we don't have to do anything. we have the biggest economic and health crisis we have had in decades, as you have mentioned. we need big, bold action and we need it soon. we need action to help those who are unemployed deal with their lives and not lose everything, their homes, their ability to feed their kid, their ability to get heck. we need to maour businesses to the help they need and our local gfl governments and our firefighters and bus drivers and police officers not to be laid off. and our republican friend seem to be twiddling their thumbs. tonight amazingly enough the president said he and the republican party are sticking with repealing the aca. >> the affordable care act. >> we have millions of people losing their health care. we have so many people who have preexisting conditions who need help. they say get rid of all that in

the midst of a crisis. how tone deaf can they be? how removed from the statistics you're mentioning can they be? and each statistic represents a personal heart break for somebody. how can they do this? i am just utterly amazed. they stick to this right-wing ideology which helps a few very well-to-do people and say to the rest of america let's fiddle? it what they're doing while america is in many ways burning. >> you said as part of this big and bold plan you want to hope states and local governments. gary cohn told me he believed large amounts of borrowing and spending could turn into the next crisis. you've already got 3 trillion on the tab. that's bigger and bolder -- >> this was the gary cohn who led a $2 trillion tax cut that

mainly went to the wealthy and high-income people. the bottom line is very simple. this crisis is horrible. it is so bad that if we don't take big, bold action, our deficit will be worse. there will be fewer people paying taxes and contributing to the national wealth. it will be worse. we don't have the situation where we can sit back and say let things unfold as they are without proossibly moving into depression. yet that's what trump, mccarthy and mcconnell seem to be saying. >> i guess the question to you is 3 trillion that has been allocated is an hugely insane amount of money. >> we need to look at the problems and solve them. that's what we need to do. that is the number one goal that

should happen for the good of health care, for the good of the economy. we don't spend active money on testing in our hospitals. you've seen that there are hot spots popping up all over the place right now. what will be the result there? more people will lose their jobs. more people will not want to go out. more businesses will fold. this is a crisis. this is not simply you take out a page out of a conservative play book, conservative economics handbook of 2017. this is new. adapt to the times. let me say something. when we had the great depression, there were people who said let's sit and do nothing. they didn't go down in history very well. frank franklin roosevelt did. >> you're back in washington. we've seen some senators wearing masks. but not all of them. one not wearing a mask is

senator rand paul. senator paul said he already got coronavirus and so he can't get sick again. obviously we don't know if that's true or not. should he be wearing the mask? >> i think that the senator should set the right example. all the medical advisers tell us we should wear masks. i don't wear the mask when i do an interview but i wear it all the rest of the time and so should everybody else. >> right. and i wear one in and out of he here, too. i appreciate your time tonight. thank you very. >> thank you very much. appreciate it. >> and next, what is behind a sudden drop in heart attacks around the country amid this pandemic? dr. jonathan reiner is outfront. plus one of the most iconic building in new york is getting ready for employees to head back. what does that mean? thermal cameras and apps tracking everything you do. farm.

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across the united states doctors are seeing a drop off in cardiovascular emergencies during the coronavirus pandemic and calling it staggering,

unlike anything they've seen before. dr. jonathan reiner is the director of the cath lab at george washington university hospital. what are you seeing? >> this is really fascinating. soon after the stay-at-home measures were begun, cardiologists around the country around the world started to notice something really unexpected, which is their almost daily cases of acute heart attacks stopped coming. and all over the world physicians noted a decrease of about 40% in patients presenting with heart attacks. it was really very hard to explain. some people suggest that maybe there was something about, you know, our new daily routine, the lack of commute, maybe the cleaner air, more sleep that was

reducing heart attacks, but i think what we've really come to understand is something much worse, which is we think many people just aren't coming to the hospital and people are staying home. places like new york have seen up to a five, six or seven-fold increase in out-of-hospital deaths. we think many patients are not coming to the hospital for fear of contracting covid-19. >> so they're dying just outside the hospital and maybe they wouldn't have died if they had come to the hospital where could you have helped them. >> that's right. the "new york times" published an analysis of all cause of mortality, data from the cdc. if you compare basically mortality in places like new york since mid march, there's been this huge excess in death, 23,000 more people have died during that period than last year, but only some of that can be accounted for by covid-19.

so either we're undercounting covid-19, which is possible, but also just as likely other things are happening. cigna accomplished utilization data and they've noticed appe appendicitis and mini strokes and they think what's going to happen is this is going to be collateral damage to the viral infection is people haven't sought medical help for serious illnesses over the last two mont months. >> it's a pretty incredible statement. you could be undercounting covid-19 and having -- the excess is so enormous that both things could be true. i realize that. but, but, you do believe the bottom line is that is it possible that you have more people, and i would presume the answer to this yes, it possib's

possible you have more people dying than you had before, we just aren't categorizing them that way. >> we're seeing in new york in new york city there would be 35 out of hospital deaths and now they're seeing 200 per day. some of that may be covid deaths but a lot is other illnesses not treated in the hospitals. >> you and i were talking about brazil. everyone is talking about the warmer countries and what that means for the united states in the summer. in brazil where the president has called this a little flu, he's been going to massive rallies against social distancing. he has done this at a level that perhaps no one else has. we had a huge spike in the past 24 hours. the numbers just came out, 10,510,5 10,503 new known infections in just 24 hours in brazil.

it's a huge surge. what is the significance here in terms of -- it's clearly not under control there and there's very little effort to control it. >> well, it's obviously a cautionary tale. he's been a president who has denied the significance and doubted the significance of the coronavirus. he's gone to rallies to shake the hands of the protesters. he's called the virus a little flu. that resonates through the population. look, what we know works is mitigation strategies such as stay at home and social distancing and when people start to move away from that, the virus spreads. you're seeing that happen in brazil now. we need to think about that as we start to open up the united states economy. we immediate to use that as an example of what happens if we lessen our guard and we open too quickly or imprudently.

>> thank you. >> sure, my pleasure. >> next, an app that tracks your every move. is that going to be the new normal? plus jeannie moos on a father and son practicing baseball and look how it paid off. for people living with h-i-v, keep being you. and ask your doctor about biktarvy. biktarvy is a complete, one-pill, once-a-day treatment used for h-i-v in certain adults. it's not a cure, but with one small pill, biktarvy fights h-i-v to help you get to and stay undetectable. that's when the amount of virus is so low it cannot be measured by a lab test. research shows people who take h-i-v treatment every day and get to and stay undetectable can no longer transmit h-i-v through sex. serious side effects can occur, including kidney problems and kidney failure. rare, life-threatening side effects include a buildup of lactic acid and liver problems.

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month as they perhaps are starting to come back to work. how does it work? >> so, you know, we've had obviously a horrific time in new york for the last two and a half months, but as we've been thinking about going back to work, we're not going to go back to the new normal. we're going back to the new abnormal. until there's a vaccine, you need to social distance and have different behaviors in the past. we're trying to create a tool so as people come through our buildings, people can feel safe, know they're safe, have transparency of what's happening in our buildings and make sure not only are they safe but colleagues are safe. in the morning you'll get a notice as to your overall health and wellness of the building. we'll have a code. we've before working with public health officials to develop where you take information in terms of temperatures of people in the building, air quality of the building, humidity, a whole series of data points if you're

who is susceptible, or pregnant, you ma i y decide to work from e that day as opposed to coming into the building. if as an example, there's just a couple of examples of how this app will work. >> right. look, these are things that make sense. they do make sense, right? you're going to have temperature checks as well. is, of course, the question, though, that people have which is they may want to comply. they want these things. but there are blinding tracks. they're going to know where i am, i'm giving up my privacy to do this. are you worried about that, that this -- you know, as a concept, going to be too invasive for people? >> first and foremost, we're protecting all of our customers' privacy. we're working with microsoft and the absorb product which is the same people that protect the privacy of the pentagon. so privacy comes first.

the data that we're collecting is anonymized data so we really can't identify the actual person. we identify generality. so we'll identify -- >> there will be no way for you to say it's my phone even though i'm not social distancing as an example? >> exactly, i wouldn't know it's your phone. there's no facial recognition. it's really just tools that people can have. if there is information that would help someone, it would actually just be given to them. we're looking at the data in general, it will be anonymized data for us to look at just to see about the health and wellness of the building, the compliance of the social distancing, the compliance of the capacity. because when we open, we're not going to be able to open buildings at 100%. we're probably going to open our buildings at 20, 25%. we're going to start trying to teach people how to operate in those buildings to be as productive as possible, but maintain the social contact and the sense of community of being in those buildings. >> so what are you doing about all the legal questions? dr. fauci this week was saying -- and we're seeing it in new york data. obviously we don't know what we don't know about people's

situations. the people that seem to get this, say they've been staying at home, they have been working from home. dr. fauci said this spreads much more efficiently than influenza does. it takes one elevator button, you know, and you're deep cleaning every ten minutes. somebody is in in that intervening time, right, and there you go. how do you deal with that? >> i mean, that exactly -- you emphasize so important why we're being proactive. with this app, people's workplaces are clean, they're going to get a notice that night that their workplace was cleaned. if anyone wants a deep cleaning, they can request that deep cleaning. we're going to do it on a weekly basis, random spot-checks of the surfaces in the offices to see if we pickup the virus. i think in the beginning our objective, because of the concerns and because there is so much unknown, we're going to hit it with everything we've got so that our customers feel safe in the buildings, are safe in the buildings, and have transparency as to the health and wellness of the building and the people

around them. as we learn more, we'll adjust and we'll adapt like we've all done as we go through this experience. >> scott, i appreciate your time tonight. thanks. >> thank you, erin. >> and next, jeanne with the story of a 4-year-old's first home run and his proud dad. [ laughter ] when you shop for your home at wayfair you get way more than free shipping. you get thousands of items you need to your door fast the way it works best for you. even the big stuff. you get a delivery experience you can always count on. you get your perfect find at a price to match on your schedule. you get free two day shipping on things that make your home feel like you!

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daddy, i found you! good job. now i'm gonna stay here and you go hide. watch your favorites from anywhere in the house

with the xfinity stream app. free with your xfinity service. now any room can be a tv room. stream live tv, on demand shows and movies, even your dvr recordings. download the xfinity stream app today to stream the entertainment you love. this tonight in the face of this crisis, it's worth celebrating the small things. here's jeanne. >> reporter: it was the home run that hit home, not so much because of the ball. going over the fence. as for the dad going out of his mind. corey willig himself a former professional baseball player and now instructor celebrated his son's first home run.

celebrated it for longer than it took 4-year-old asher to circle the bases. >> i was he cecstatic because iw how much went into this. i know how many swings he's taken. >> reporter: during our interview asher was the mvp of mugging for the camera. giving a look at his mouth, his teeth, even showing a little shoulder. father and son had spent quarantine time practicing in front of their home. asher hitting with such gus toe, someone wondered how are the windows still intact? the home run happened the same day georgia's stay-at-home order was lifted. >> he had so much energy built up and he just wanted to get out there and go. >> reporter: asher has plenty of swagger on deck. he likes to tap the plate. and he loves to flip the bat. this baseball prodigy went viral once before at 22 months. his bat handling got him invited

on jimmy fallon's show for a hitting contest with a-rod. contest that asher ostensibly won with a-rod predicting -- his react to the slugger few words, pronounced himself. >> happy. >> reporter: his father's pitching as. >> best. >> reporter: and what he wants to be when he grows up? >> a junior. >> reporter: that would be ronald acuna, jr., star outfielder of the atlanta braves who applauded asher's home run with emoji. but watch your back, acuna. >> bombs away. >> reporter: it's bombs away all right. even if it's his dad who detonates. jeanne moos, cnn, new york. >> you did it! you did it! you did it! >> i like how he's all uniformed up and everything for that big

first day out. all right, thanks so much to all of you for joining us. ac 360 as always with anderson starts right now. >> and good evening, everybody. 43 states expected to be reopened to some degree by this weekend. 43 states. i want to show you a map right now compiled by cnn of where we are as a country in terms of reopening and in terms of the virus itself. there you see the map. the darker states, those are states where the numbers of coronavirus cases are actually going down. the orange and the lighter color there where they are either going up or about the same. you can see the vast majority of states, the numbers are still going up or about the same. i want to check in with cnn's nick watt in los angeles for a round up of the latest. nick? >> reporter: well, anderson, good