to be and how long your chest is going to be like this and problems and that's different. normally they tell you. now they're simply saying we don't know. don't take the risk. wear a mask. socially distance. it is not a big price to pay. >> not knowing is always some of the scariest part. thank you for sharing. >> thank you. i'm kate bolduan. brianna keilar picks up the coverage right now. hello, i'm brianna keilar and welcome viewers here in the united states and around the world. yet another day passing without a coordinated national plan to deal with the pandemic. as the calls from doctor after doctor grow urgent, the crisis is getting worse. and this just in. the world health organization says worldwide coronavirus cases are, quote, accelerating. with the world seeing about 200,000 new cases each day,

twice the rate that we saw this spring, and cnn analysis showing how the crisis is deepening in the u.s. 31 states are experiencing a rise in infections. arizona just reported its highest number of deaths in a single day and lowest number of icu beds. the military sending medical personnel to san antonio, texas, to the area there. in florida, local officials setting themselves up for what many fear is a bigger outbreak. yet florida just announced public school buildings will be required to reopen next month. the governor said this moments ago about the increasing spread in the state, especially in the miami-dade area. >> especially understanding that that 20 to 30-year-old cohort you are seeing more and more infections in that age group. probably always happening to a certain extent but the

transmission rate increased over the last month so it's very important to be careful and to continue to exercise caution. >> i want to bring in cnn senior medical correspondent elizabeth cohen. elizabeth, your heard the governor there. cases still rising but schools will be back in session. >> yeah. that is really worrisome. schools are where kids get together, kids are vectors even if they don't get sick, they're vectors and more problematic they don't get sick because they don't know enough to stay home and think about the teachers that work there, the custodians, the school bus drivers and how worried they must be. i was speaking to the family member of a teacher in another state where this is considered and worried what will happen to the teacher when they go back into this mix? it is interesting they're saying this and still early july. schools start next month in

florida. they have several weeks to see how this goes and possibly change their minds or come up with some kind of a combination of in school and online early. something that might help mitigate having all of those children in one place. >> yeah. all right. elizabeth, if you could stand by for me. among the new announcements out of florida the state requires the schools there to reopen for in-person classes this fall. i want to talk more with alberto carvallo as the superintendent of schools. i think we can all agree in-person learning is best for the kids. it's best for parents certainly trying to get back to work. but that order seems to entirely ignore how much worse the cases have gotten in your state. is you district ready to go back to school as usual? number one, thank you very much for the opportunity. our district is ready to go back as long as the options that we

have put before our parents, our community, the surveys with parents and teachers are honored. i believe they will. look. the executive order that was published yesterday does require schools to open for up to five days a week across all of the state of florida but it also allows for innovative models to be considered and that's exactly what we want to take advantage of. we have innovative models, models where students do not need to come to school for education. in the last quarter we demonstrated how effective they can be, continuous remote education without necessarily forcing all students in to the same building at the same time and i think that's the game changer is can we open schools with some number of students in schools for a traditional schoolhouse approach while allowing parenting, teachers and

individuals with underlying conditions the ability, the opportunity to continue to learn from a remote location? that's our plan, that's how we open. we will open the 2021 school year. >> are you saying that the remote learning opportunities are as good as the in-person learning opportunities? >> no. i think there's general agreement that the best approach of teaching children is physical, social approach in the classroom but we need to consider the risk/benefit analysis with students in the same building. that is why we surveyed the parents and teachers and 60% of the parents feel comfortable sending the children back to school but there's about 30% of the parents who say, look, i experimented with remote learning. i'm happy in my circumstances to actually super vise my child at home while he or she is taught

from a distance by a competent professional dedicated teacher with a same level of engagement and time on task and that's exactly the types of options we have before our parents in miami-dade. >> so you say that the order respects local decision making. if you are seeing cases continue to spike in miami-dade, do you feel confident that you could pull the plug -- sir, if you could stand by for a moment to go to governor taking questions at the daily briefing. >> the government bought out remdesivir and sent it to the state departments of health so our health department distributed to the hospitals as they have needed it. that is no longer what's happening so now the next shipment due in soon is not involving the state anymore. it is going directly from i think gilead directly to the hospitals. i talked to the vice president. told him to make sure that we don't have a gap so they're

working on it. it is a change in how it's being distributed now. it is no longer coming through the department of health but going directly to the hospitals. >> about contact tracing, we have been learning from the communities that have gotten ahead like in new york they had a pretty robust contact tracing program that dovetailed on that reopening strategy. infectious disease experts this morning r morning rit rating to me there's not enough contact tracers on the ground and now a toggle back triggered. why didn't you invest in more contact tracers in a hotspot like miami-dade and broward county and did you plan to -- >> i have already green lighted 138 million for the department of health to support contact

tracing and other personnel. all the counties gotten huge amounts of money from the c.a.r.e.s act. when you talk about an asymptomatic virus that largely doesn't create symptoms in people who are healthy and under, say, 50, you know, the contact tracing is not going to be enough. you have to have some of the things to do with the nursing homes, the things with social distancing. we have put in a lot of money for it. the counties to do it. new york, they went through the boom and bust and wasn't because of contact tracing. they had massive infections. we have had a flatter curve so the infections spread out over a longer period of time. that's what everyone said we wanted back in march but we have putt 138 million from the state. these guys have money. you have invested in contact tracing i believe, as well. at the end of the day this is

not a disease in which you get visibly sick and then contagious so if you isolate, contract trace, most of the people walking around with this either don't know they have it or mild symptoms and will never come in contact with the help. the other problem is particularly younger folks aren't cooperating with contact tracers so when they're trying to call they're just not getting a lot of support. you do have some informal contract tracing with young people and somebody has a party at a house and then someone tests positive and then tell everyone and we have put in money for it and i think it's important but it doesn't do the whole thing when you talk about an asymptomatic and not as simple to say you could contact trace everything. not when you have a largely

asymptomatic illness. >> a two-part question -- >> please. let me ask a question. restaurants beleaguered. oh my gosh, we thought we did everything we have done and then ask you about gyms. what can you say to restaurant owners? you have expanded it to allow outdoor dining. what do you say to these beleaguered restaurants in dade county saying i have done so much and now we have to go back a step? quhak y what can you say to them? >> the way they do business means people have to take off the masks and in an interior space is dangerous because the virus spreads as people talk and so the nature of the business is not that they did anything wrong but the number of people and the percentage of positives in miami-dade so the percentages are that in that restaurant somebody, one, two, three, four

people may have covid-19 and may be spreading it and that's why it's okay to do it outside. that will be allowed. in terms of the gym, we came up with a compromise. now, people when they go in the gym must wear mask. doing something strenuous then do it outdoors so they're going to be open and reached a compromise with that. >> last question. >> a follow up in english, please. how long do you think that will last with the restaurants? >> until we get a positivity rate around 5%. because that's what the cdc guidelines call for. we're running at a positivity rate over 20%. one of the reasons that i have asked please keep your mask on to start to reduce the positivity rate and then down to 5% then we can start to again open up the restaurants in the interior spaces of the restaurants but until then we will have to go with what we got

right now. >> governor -- >> governor, miami-dade said only florida can contact trace and the miami-dade county cannot. can you please explain that? >> he is hiring contact tracers. >> he said he'll hire contact tracers and not been able to hire them and we asked them and they gave us a statement saying that in florida only the florida department of health can contact trace. can you explain why in a pandemic? >> i don't think that that -- i'm not sure that's correct. we want the county health departments to be involved this working with local leadership and how they have been doing it the whole time. we have $138 million that i approved weeks ago for this. and for other things that are significant. but i think that they should be able to do it and help do that.

>> we have the county mayor with as of last thursday said contact tracing in the state per viviewd can you look at each other and decide who's hiring? >> he announced to do it and he told me he gave us the heads up they were investing in some of it. we have done it at the state level. it is a lot of money. that was what the department of health, state department of health requested of me. they created a plan with different levels, some a little bit less and approved the more robust plan and what they're going to be doing at the state level and want to stress on this, look, we understand now how this thing is transmitted. we understand kind of the things like especially when it's hot out you pack a bunch of people in a private residence, have a party, loud music, hooting and hollering. that is going to be a strong

venue for transmission. they understand that if you maintain physical distance the chance of you infecting somebody or being infected drops dramatically. we understand that doing things outdoors, fresh air, heat and humidity, the virus doesn't transmit as readily in those circumstances so i think those things are the significant behaviors and then obviously for the vulnerable populations to be limiting your close contact outside your home, to avoid crowds as much as you can, to be able to protect yourself. that is really where we're going to be needing to do this so that we're doing that, it is part of it. but it's really the behavior that i think the mayor is talking about, that we have been talking about. protecting the vulnerable, by far the most important. clinical consequences way higher and the younger groups are able to spread it to other folks so

that is the message, protect our vulnerable population and then follow the guidelines that have been put out whether it's a state guidelines on social distancing, some of the things that the mayor has done here in miami-dade. we have not had a lot of problems in florida when folks are following the guidelines and i can tell you if you go from the beginning of may through the beginning of the second week of june our statewide positivity rate was under 5%. six weeks, sometimes as low as 3% statewide. miami's was down in the single digits. and that was part of our phase one. you had businesses open but you had people by and large following the guidelines and when that happens we are able to have a lower positivity rate and to move it in a better direction. >> how many contact tracers do you guys have in miami-dade county on the ground that are working right now?

>> you have to ask the department of health for the exact number. >> one at a time, please. one at a time! samantha. >> miami-dade county published how many penal are being admitted to the hospital today. but the state has not published that county by county. the state promised i think last tuesday. >> if you look, so this report is something that you get. i get it every day from department of health but they have so much raw data on there. people can pull out the information. it is incredible the amount of -- people do the charts and graphs so that's all available for folks and they're able to do it. obviously not everything is presented in this report but just an unbelievable amount of data that's available for folks. >> governor -- >> the data she is asking about is not being released. she is asking about the number of patients -- >> all the data that goes into

this is all available. >> the spreadsheet is not available. it is not available. the data that's available showing the total number of hospitalizations is a number that's really does not give us any information. the only way for us to be able to inform the public in a better way is to know the number of -- just like miami-dade does it. releases the data every single day and we are able to look, here in miami-dade the hospitalizations in the last 13 days have increased by 90%. we are able to see that because the county releases the data but the state is not. >> your question -- >> i think a couple things to think about here is -- >> thank you. >> so obviously, you know, you are seeing as the mayor mentioned, more traffic, particularly in dade and southern florida. now part of that is when he's reporting that includes the 30%,

40% of people incidental. you have had increases for the covid treatable and increases that kind of supplement that so when you look at march and april doing this you didn't have testing of people coming in for other reasons at the time. if you are an expectant mother you're not tested. if you are in a car accident you are not tested. all those people tested and so they're capturing a certain percentage of people in the community who are largely asymptomatic, would not require hospitalization for this. but are doing it and so we -- i think by them talking about their rate, i think jackson's probably the highest we have seen in that 30%, 40% but i think others like orlando health and some others are 20%, 25%, maybe a little less in the tampa bay area but definitely a phenomenon that we have seen but i think that the message is the census, you know, i think that there were -- i don't know,

13,000, 25% of the beds statewide are available. that's pretty consistent with where we have been. we have been i think between 20% and 30% since the elective procedures were put back in in may and people started to become more comfortable about going back to the hospitals so we have abundant capacity but i think that having some of the personnel support will be very, very important. i know some of the hospital systems have done a little bit on how they handle elective procedures. i don't think you have gone to a second level yet and they have levers to pull and then obviously i think providing this support for the personnel, the 100 for jackson, obviously, woging with hhs to provide more is something that's very, very significant and will allow the hospitals to be able to handle folks as they're coming in, not just for the people because of covid but be able to have the appropriate isolation procedures for folks who may be giving

birth, broken leg, but are also found to be carrying the virus so -- >> you have had -- >> no, no, no. >> contact -- >> yes. >> state board of county that's hiring. >> so i've told you. i approved a plan $138 million for the department of health. they can provide that details of that plan if you want to so that's already been agreed to and approved. an enthat may be enough. to what we would need. it is a lot of people, stuff, but also important to just point out when you have a lot of these asymptomatic 20-year-olds there is not a lot of contact tracing effective with them because they're not as cooperative with doing it and so there's limits to how much if people won't coop rate how much that is done but 138 million, that's probably the

biggest commitment that you have ever seen before in terms of doing that so that's what the state has done. >> will you allow the county -- >> where are the 100 nurses -- >> on thursday -- >> so the nurses are -- we have had contracts in place at the state this whole time in case there's -- just basic preparation in case there's a need to have folks. we have used some contract nurses at testing centers in addition to national guard and we have capacity to be able to bring some more folks on. some may be shifted from things they are doing and may not need to be doing so much. we plan for contingencies and execute accordingly. >> just florida? >> well, i think a mix. there's places you can contract with for personnel, how they choose to deliver that we have

obviously waved any out of state limitations. if people come from georgia or other states they can do that. that's a function with what's going on with how the companies do that. that's in place since march. we didn't need to do much of it beyond helping with the test centers in march and april. may, beginning of june was light for us. but then as we have gotten into now we hear the demand signal. that is ready and flip a switch. that's just basic kind of planning to be able to meet whatever contingencies and i mentioned this yesterday. when we were in march, obviously, a lot of -- people didn't know what was going on necessarily. the idea was flatten the curve. have a flatter curve which meant that you'd push this out over a longer period of time. the places that went boom and bust and have the highest death

rates, that's what people said you didn't want to do. by spreading this out you now have the ability to have way more robust testing. they're testing everyone that comes in the door. no one could do that in march. there wasn't enough of an infrastructure. you had ppe shortages in march. not that ppe is never an issue but the ppe lines are much better now. we have the protective equipment. the state has sent out huge amounts to hospitals and to long-term care facilities so they're in a much better position. we man dated ppe in the long-term care facilities third week of march and supplies them since. that is significant. you have some of the different treatments that have been use ds. the steroid. you have remdesivir. the other techniques which are much better in delivers better patient outcomes. the fact of the matter is the mortality rate for people

hospitalized now is lower than in march and i think that's worldwide probably and certainly true in the united states and here in the state of florida so you have that which is something that's really significant. and so -- and then now with long-term care facilities covid only. you are in a situation where obviously we don't want to discharge a covid positive person back into a facility. we have never done that but the facilities can be stepped down from hospitals so you don't have hundreds of people dwelling in a hospital who don't necessarily need to be there and then can be appropriately isolated and so all of these things that we now have in place is much different than was in march and the whole point of the curve, flattening the curve to make sure we have health care capacity. people understood that you have a virus, people will get infected. shield the vulnerable of course but you want to be able to deal with what ends up happening so we're in a way better position

today to be able to do that and i think that that's something that has taken a lot of work and not just the state. we were involved in some of it but a lot of the hospitals and the physicians are better at this so that really is the nature of what we were trying to do. we want to see -- get over this wave as soon as possible. we have the tools in place to be able to deal with it in ways that not only florida didn't really no state in the country did it with the beginning or middle of march. it is something that wasn't there. now it is there. we are much better off to be able to handle it. thanks, everybody. >> all right. you are listening there governor ron desantis of florida holding his daily coronavirus briefing. i want to bring in the experts. elizabeth cohen and dr. celine gounder. we are back with alberto carvalho, the superintendent of

miami-dade county schools and factors large in what we hear from the governor there. elizabeth, something that we heard the governor say, he was talking about particularly at a place like jackson i think he said where they have folks come in -- health system, they have folks come in for things unrelated to covid and get into a car accident, heart problems, everybody is swabbed and tested for covid. i think the rate of 30% to 40% is positive, they're incidental covid positive in the hospital. that stood out to you. tell us. >> i think that's a stunning number. in a way, a closest we get to a surveillance number. how many people in the community have covid? you can't test everyone but coming into the hospital you can so they're coming in after a car zoent or after a heart attack and 30% to 40% of them have covid? that's a very high number so when you hear that number

juxtaposed to the decision to require that schools reopen when schools open back up again in august, why? that proportion of the community has covid and you require the schools open? really crossing my fingers that there will be some flexibility here. do they need to open as normal or some flexibility. another thing that struck me is the governor mentioned problems. young people are not coop rating with contraact tracers. parties at the homes. he seemed to be complaining quite a bit and didn't hear a lot of solutions. >> yeah. also on the contact tracing, to fact check him on this. he is talking about asymptomatic and can't be contact trace.

cnn contacted 27 people who tested positive and know they have covid and 5 of the 27 had been contact traced and that's the least of the problems, people who have it positively and not touched that. superintendent, you heard elizabeth making that point there about flexibility when it comes to going back to school. you are looking at flexibility so explain to us how your hybrid system would work. >> thank you. elizabeth is absolutely right. without flexibility, without some degree of creativity, we are really asking for a bigger problem than what the county is currently fasting. for the better part of a month we have developed a plan, well informed by medical and health experts in the community and beyond. in fact, the former surgeon general of the united states was part of the working group and the plan relies on a model for traditional schools with all of

the precautions observed with social distancing, with a wearing of ppes, with visors and dividers and masks. but in addition to that, to reduce student density in any one school, additional options such as hybrid models to rely onnal teon alternating numbers of students and a 100% online remote learning opportunity. without that flexibility in addition to the possibility of a latter start day for the school year depending on local conditions at the time. obviously, all in collaboration with the local health department taking into account the reality right here in miami-dade, not just the general reality across the state of florida. >> superintendent, if you can -- this is something i know that

administrators everywhere trying to figure out but how do you make that work when you have parents who are going back to work or you have teachers with children who have -- they can't be in class every day, right? they have child care considerations. i think of the teachers with small kids and need child care. they're the ones probably in the healthier age range that you want back at school and older teachers, right? but if they're in the late 50s, 60s, that's tough for them. how do you make this work with all of those factors? >> so the solutions require a level of logistics whose complexity is really enormous. that's why for weeks we have been surveying our parents, we have surveyed our teachers. we will be surveying, we are in the process of resurveying parents for additional

information and communicating to all of the workforce to understand clearly the underlying conditions that any member of our workforce may face, impediments and challenges and then the difficult task of actually matching those who probably are better working from home because of circumstances they face with cohorts of students whose parents opted for them to stay home, as well. right now, the percentages are fair fairly comparable. two thirds of parents would like the children to return to school. about 70% of the teachers surveyed said that they would rather at least understanding that the conditions would be safe enough to be able to teach their children at school or through a combination of modeling while one quarter of the teachers declared some degree of an underlying health concern, specific to age or a

real health ailment so that's where we are right now is that match making process which is a tremendous undertaking and i can tell you one thing. we in miami-dade, i shot down schools in miami-dade prior to the executive order statewide of shutting down schools in miami because we were relying on health information that told us it was the right thing to do. i will not reopen our school system august 24th if the conditions are what they are today. our reopening plan contemplates a phase two reality. we are still in phase one, a phase one that has degraded since -- over the past few weeks. >> dr. gounder, so you hear that amazing feat of logistics. i can't wait to see the flowchart you come up with, supt superintendent, to make this work and then people get sick and will be readjusted constantly but my question, dr.

gounder, when you consider how abysmal contact tracing is in florida and the governor is not dealing with the reality of that, he is saying that young people not coop rating with tracing, that's awful, but he also said people are asymptomatic and can't be traced. that they be true but we know that people that tested positive for coronavirus, the vast majority of them, have not been contacted by tracers. >> that is a problem and when we do contact tracing it is not just about identifying the individuals in those chains of transmission but identifying places that are very high risk for transmission so that might be clubs, that might be parties, that might be weddings. you know? and to understand what those places are is really key because to then say we are going to shut down bars is very difficult to convince the public of a need for a measure like that without the data so that's another

critical reason that that contact tracing needs to be happening right now. >> what do you do, dr. gounder, about the young people problem? right? i think everyone is seeing this anecdotally in their own community that young people i think they feel like they are safer, certainly in a safer category, but they feel like if they just kind of stick to hanging out with friends and keep it all in the rather safe category and doesn't always work that way. what is the solution because we didn't hear one from the governor and maybe he is stumped but what's the solution there? >> i think some of us who have been on the front lines like myself and seen young people, in fact, i just wrapped up a two-week stent and had a 25-year-old patient in the icu, first hospitalized back in march and was still in the hospital just a week ago so i think part of what we need to be doing is sharing the stories and saying, yes, this does actually happen

and while younger people are at relatively lower risk if you have obesity, if you have high blood pressure and then probably other thing that is we just don't know about yet because we are still learning so much you may be at risk and still sort of playing russian rue let with your life in this situation where when we can't tell you for sure you won't have severe disease if you're infected. >> i want to bring in rosa flores from miami for us. rosa, you were inside the briefing i believe, right? you certainly listened to the briefing. tell us what stood out to you. >> reporter: it was a very heated briefing. myself and the journalists trying to get answers from the governor on various topics. the governor left the press conference and pressing him on contact tracers, experts have told us how important it is to stop the spread for them to be able to contact trace and there appears to be a misunderstanding

or he was dodging the question but here's the thing. miami-dade county told us that only florida, only the florida department of health could contact trace and the governor and the mayor was sitting right next to each other and so i was really pressing them on why does the state not allow the mayor's office, the county of miami-dade, to hire contact tracers during a pandemic. and we walked out of that press conference, i kept on pressing the governor. he would not give us an answer. i went to the mayor here from miami-dade county and said as you walk out, is your understanding that you can hire contact tracers? and he said, no. what he said, brianna, that the governor said that the state is investing $138 million at the state level and he hope that is that trickles down here to miami-dade county, the epicenter of the crisis in the state of florida. >> i couldn't see you but i could hear you and i thought

that was you asking those questions and it was frustrating to listen to you not get your answers but kind of trying to plug a dam that's already broken and keeping an eye on florida as you are. rosa, thank you. thank you, elizabeth. thank you, dr. gounder. test results taking longer and longer and plus down played the virus as a little flu and deliberately flouted social distancing advice but the president of brazil tests positive for coronavirus and a new study show that is immunity is waning in those that recovered from the virus. very alarming. this is cnn special live coverage.

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breaking news now. brazilian president bolsonaro said he's tested positive for coronavirus and repeatedly down played the impact of the virus. he openly disregarded guidelines for masks and social distancing and vetoed laws to improve public safety, all while brazil suffered one of the worst outbreak in the world. cnn correspondent bill weir in sao paulo. tell us about bolsonaro's response here to getting a positive result on his test. >> reporter: well, those who are hoping maybe for a changed man, a humbled man having tasted it did not see that. the press conference really was a chance to double down on two things that he has been sort of pushing which is opening the economy because people under 40 are not that at risk and hydroxychloroquine is the remedy and should be available for everyone in brazil. this is the malarial drug pushed

by donald trump some weeks back and then stockpiled here in brazil by president bolsonaro who thinks it should be given early on and allow people to go to work. there's a lot of folks in the medical profession who see a lot of problems with that, both the national institutes of health, the food and drug administration in the united states, the world health organization have all backed away from this hydroxychloroquine because not only does it not help save lives for covid patients, it can also cause heart problems. so that's a really controversial thing and it seems that he is going to tumrn this moment intoa commercial for policy items but we'll see what the virus does. he is over 65 and we'll see what happens. >> tell us where you are right now, bill. >> reporter: i am actually in the villa formosa cemetery.

these are fresh graves. they have dug about 8,000 in anticipation of the wave of people coming in. i talked to a gravedigger of 25 years saying i have never seen anything like this. they come so fast that families are limited to a ten-minute memorial service. >> bill, thank you so much for your report from sao paulo. the number of coronavirus cases in arizona continuing to skyrocket. now passing the 100,000 mark. cases in that state are now climbing faster per capita than any other state. evan mcmorris-santoro with more on how it's pushing hospital capacity in arizona to the breaking point. >> reporter: new numbers out this morning from the state show a record number of daily coronavirus related deaths and a record number of icu beds in use. 117 dead announced today. only 167 beds in the icu left in

all of arizona. this state passed a grim milestone this week with more than 100,000 cases of coronavirus since this pandemic began. and as things stand right now, on average per capita arizona has the most new cases of coronavirus of any state. local officials are begging for federal support to assist in testing and other things to help them mitigate a pandemic they worry is growing out of control, brianna. >> evan, thank you. in texas the spread of coronavirus has gotten so bad the military is being called in to help and here's why. the state has hit a grim milestone with the number of cases surging above the 200,000 mark. just two and a half weeks after texas crossed the 100,000 mark. this uptick in cases is putting an unprecedented strain on hospitals nearing capacity. a doctor tells cnn he has worked

112 days straight since his hospital's covid unit opened. cnn national correspondent ed lavandera is in san antonio where military personnel are deploying and, ed, what do we know about the size and scope of the efforts there? >> reporter: hey, brianna. about 50 medical personnel which includes critical care nurses and respiratory specialists will be flown in from fort carson in colorado here into the texas area in san antonio specifically to help out, many of the hospitals overwhelmed by all of the cases of coronavirus that are exploding here in this state. if you look at san antonio which is in bexar county with about 15,000 total coronavirus cases, more than 3,000 of those have been added in just the last week. that's a 25% increase. medical and local health officials here sounding the alarm about the stress that that is putting on hospitals like

university hospital here behind me. we are told by hospital officials here that they will be receiving ten of those military personnel here at this particular hospital to help the overwhelmed staff. they have about 160 coronavirus patients here right now but this is a region of the state that already been tapping into resources that are being flown into the area with other nurses and respiratory specialists to help out the already overwhelmed staffs. >> ed, thank you. live for us from san antonio. i want to discuss this all now with dr. began hi of primary care internal medicine in austin and a candidate for texas' 10th district. it took nearly four months, doctor, for texas to hit this 100,000 case mark but then it only took 2 weeks after that for the milestone of 200,000. tell us why the rise so quickly. >> right. and on top of that, just in the

last two weeks, the number of hospitalized texans have doubled. deeply concerned and a couple of things at play here. first off we have record number of folks that just aren't heeding the advice. when we look at what happened over the last weekend, photo after photo of people out at restaurants and out enjoying thech themselves and that's tough. a tough situation for health care work care workers desperately trying to plug the dam and then of course the other challenge is that we just haven't implemented basic public health fundamentals from the get-go. and we can talk about that more in a bit but if we don't have a strategy to implement contact tracing and to expand our testing and to improve our turn around time this will get worse. >> and so, you know, to borrow that dam analogy, it almost

seems like they knew and this isn't just texas. this is all over that the dam was breaking and the people in the wake not tracked down to be told to vauevacuate and haven't contacted. a professor said cases are rising so rapidly we can't do contact tracing anymore. is it pointless at this moment and is there anything that can be done? >> it isn't pointless but we are going to have a gut check here. right? this is no instant gratification to come. there's no app, no innovation. we like to innovate our way out of problems and there is no technology. this is going to take the governor saying, you know what? we need to triple the number of contact tracers effective today by executive order. putt out job offers to 5,000 texans currently unemployed and through pen, paper and spreadsheet we will get to work. that sounds silly and naive but

the reality is that we've got to do these basic things and i do think it's possible. i don't think that it's too late to do contact tracing. but you got to putt money behind it. you have to put time when you have people like dan patrick saying dr. fauci doesn't know what he's talking about it makes it hard to believe that the administration here in texas is taking science seriously. >> dr. gandhi, thank you for joining us from austin. cnn has obtained a copy of mary trump's book in which she levels scathing criticism at her uncle, including the accusation that he paid someone to take his s.a.t.s. little things can become your big moment. that's why there's otezla. otezla is not a cream. it's a pill that treats plaque psoriasis differently.

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the highly anticipated tell-all book from president trump's niece, mary trump, is set to hit book shelves two weeks ahead of schedule. it's entitled "too much and never enough: how my family created the most dangerous man." the trump family sued to stop the publication. and now cnn has obtained a copy of the book. sarah mar mary has been reading furiously for us. tell us what stood out to you. >> reporter: oh, brianna, if you want a portrait into family dysfunction, mary trump is serving it up for you, as well as just so much scathing criticism of president trump, who is, of course, her uncle. you know, she essentially says in this book that donald trump is a sociopath. she walks through the very fraught relationship that all the trump kids, donald trump and the man who was her father, the late fred trump jr. had with the patriarch of the family, fred trump and how that's led to this messed up relationship among the

family and also essentially says that this is why donald trump, the president, is the person he is today. here is one quote from the book. she says at a very deep level, his bragging and false bravado are not directed at the audience in front of him, but at his audience of one, his long-dead father. she is a licensed clinical psychologist. she brings a lot of that perspective into the book as well as her role as a family member, but there are all kinds of damning allegations against president trump. throughout the course of his life, including this very bizarre anecdote as donald trump as a student paying another student to take the s.a.t.s for him, because he had it in his head he wanted to get in eventually to the university of pennsylvania, but he knew he wasn't going to have the grades to do it. examples like this are dotted throughout the book as she paints donald trump as someone who was a liar, a cheater, who took this idea that cruelty is the point to the next level. and she says she wrote the book

because donald trump ruined her father's life and she is now watching as he ruins the country. there's a reason i'm out here talking about this book and not mary trump. it's what you were talking about, there's a lawsuit to try to block the publication of this book. ultimately, the publisher was allowed to move forward, which is how we've seen these copies, but there's still a temporary restraining order against mary trump. >> you covered the president and candidate trump for so long, sarah, extensively. i wonder, as certainly we know these allegations will pierce his armor. how do you think he will respond or see this? >> it's clear that he did not want this book to get out. he has made this very clear publicly. it's notable that the person who sued to block the release of this book was robert trump, donald trump's brother, using an attorney that often represents president trump. so, you know, this is the kind of stuff that donald trump doesn't want to see. he doesn't want to see anyone in his family out there talking

negatively about him. we've heard very little about the trump family in general. this is a really remarkable book from that point of view, to get into the inner workings and the dirty laundry, really, of the trump family. there's another quote i want to read you from this book. mary trump writes by the time this book is published hundreds of thousands of american lives will have been sacrificed on the altar of donald's hubris and willful ignorance f he is afforded to a second term, it would be the end of american democracy. we see his family members try to block this book, the reason we see president trump trying to unsuccessfully block john bolton's book. he does not like it when these tell-alls come to light. >> no, he doesn't. sarah, thank you very much for bringing that to us. sarah marie. >> sure. hello, i'm brianna keilar. i want to welcome viewers from

the united states and around the world. as the calls from doctor after doctor grow more urgent, the crisis is getting worse. now the world health organization says worldwide coronavirus cases are accelerating, with about 200,000 new global cases a day, that's twice the rate that we saw this spring. cnn analysis shows how the crisis is deepening in the u.s. there are 31 states experiencing a rise in infections. arizona just reported its highest numbers of deaths in a single day and its lowest number of available icu beds. and in florida, cases are surging. hospital bed availability is shrinking as well. moments ago, the governor revealed this detail. >> in a place like jackson, where they have folks come in for things totally unrelated to covid. they get into a car accident. they have heart problems. everybody who is coming in is getting swabbed and they're getting tested for covid.

i think the rate you guys are seeing 30% to 40% are testing positive. they're asymptomatic. they're kind of incidental covid positives in the hospital. they would not need to be hospitalized for covid absent the other conditions. >> cnn's nick watt has been tracking which states are experiencing a major jump in these infections. nick, the southern part of the country certainly seeing a surge right now. >> absolutely. the state fair of texas was just canceled for the first time since the second world war. arizona today posting a triple-digit death toll for the first time and here is how granular some places are getting to fight this virus. in miami, outdoor dining is allowed to continue, but music must not be played at a level high enough that would require people to shout. this is still getting worse. and it's unclear when it might start getting better. >> the