power of nature. tonight, sadly it is just not possible. that is because this dust storm, which is stunning to look out along interstate 55 along central illinois today did not just produce impreza footage, it also turned portions of the interstate into a health cape of cars and trucks. dozens of vehicles, according to officials, 40 or 60 passenger cars, another 30 commercial vehicles, a two semis caught fire, and in all at least six peoples lost their lives and 30 were hospitalized. the dust came from newly-plowed fields and firms. that does it for us, the news continues right here on cnn. out front next, running out of cash? janet yellen washing doing that is just 31 days to pay americans bills or risk an economic catastrophe but tonight the two sides could not

be for the report. a possible to tackle most of the, day of a train carrying crucial supplies blown off its tracks. it is beginning of the ukrainian counter offensive? and americans are lonely and isolated and it's now a full-blown health crisis. that is what the surgeon general saying tonight as he opens up about his own struggles. let's go out front. good evening, i'm erin burnett. out front tonight, out of cash. treasury secretary janet yellen issuing a stark warning tonight that the amid united states will run out of money as soon as june 1st, if congress does not raise or suspend the debt ceiling. in a statement, she writes after reviewing recent tax receipts, our best estimate is that we will be unable to continue to satisfy all of the governments obligations by early june and potentially, wait for it, as early as june 1st. if congress does not raise or suspend the debt limit before that time. and right now, the white house and congress could not be for the way from a deal. the white house wants to raise that debt limit with an absolutely no strings attached,

republicans in the house say they will only do it if the spending cuts are attached and there are only eight days, eight days that the house and senate will be in session at the same time. so if congress does not act, yellen is warning of widespread economic catastrophe. we have talked about some of those, these are some of the risks of these things happening. the debt ceiling not being, raise social security checks don't go out, veteran payments don't go, out federal employees paychecks don't go out, that's just the beginning and the tip of the iceberg. money is also warning that defaulting on american's debt could kill millions of american jobs. so we'll all this force the white house republicans to talk to each other? well, cnn is learning that biden is calling the top four congressional leaders the white house to talk about raising the debt ceiling, but that meeting is not happening until eight days from now, may 9th. we are really pushing it here. speaker mccarthy is not even in washington right now, so he could not even do it, he is in israel. so will they be able to get something done before time is up? and there are other things causing pressure here.

her warning coming on a day when yet another bank has taken over, proving that that silicon valley bank situation was not a loan. another bank rescued before it completely collapsed, i'm talking about first republic. branches of many, states including new york, california, that bank was auctioned off debate jpmorgan chase, the third bank to go under in less than two months. now, we are live at the white house and capitol hill tonight, we want to begin with phil mattingly. phil, is the white house concerned at this point that this janet yellen is putting out. this is just weeks away, they're only in session together eight days between now and the end of the month. does the white house think that this can get done? >> i think when you talk to white house officials they're concerned at this point in time is that folks have been a little bit too sanguine about this actually happening. i think some of that is based on the course of the last of the last 11 years, having these fights here after year and always ending up, in some way, with a resolution that just dodges the absolute catastrophe right before the deadline.

given how intractable the two positions are at this moment in time, at the white house insisting that they are not moving off of, despite the presidents call for the top four leaders today, that there will be no conditions attached to any clean debt ceiling increase. the stare down has the very real potential did not just approach the edge but go right over it. that was the driving force, especially given the fact that secretary janet yellen's letter what out leaders today behind the president's phone calls. this meeting's proposed for may 9th with top four leaders and the president is designed to shake up the dynamic, add to the urgency the moment, and start conversations to try to find some pathway out of things. interestingly, erin, the white house has made something very clear. this is not a shift in their position. the president's position is unlike a pastor fights, mostly because of those past flights they will not want to negotiate on the issue. they do not want to add anything onto a debt ceiling increase, they want to stop that idea of what they referred to as hostage taking. not just for now, but pretty

much forever. even the potential catastrophe that comes with it. however, in this meeting they are also proposing to provide some type of firm or better understanding of longer term fiscal negotiations, of fiscal discussions related to spending talks going forward, to trying to formalize what the president has long said he is open to but relatives of not been willing to get engaged on given that they have passed their own legislation. whether or not that actually works is an open question, but with a letter and proposal for a meeting it underscores this urgency of this moment. it is time to take it seriously. this is a very real and happening very soon. >> thank you very much, i want to go to moderate because he is on capitol hill and manu, coming into this, meeting and this announcement from blm today, you've been speaking to lawmakers. do they think that this will be done in time? >> it is on certain, erin and i just spoke to a number of senators from both parties and they are painting a grim picture. senator republicans are making very clear that they are not going to undercut kevin mccarthy, they are not going to agree to any deal that does not have his explicit blessing.

democrats are telling me that they will not agree to any spending cut, any spending cut a deal that is tied to raising the debt ceiling. >> what they're saying is that they're going to default on the debt. >> so should you guys find the middle ground between the two? >> deal with spending cuts tied to the debt ceiling? >> i think it's a big mistake. >> this deal is got to be between biden and mccarthy, or their respective teams because there is just no other way that something gets 60 votes in the senate. the pressure is mounting and intensifying, and it should. >> that last comment coming from senator john -- the number two republican. there had been some speculation that the senate gop could come in and cut a late deal with democrats, trying to push something through that could get 60 votes in the senate. but john telling me right there, that he is the number two republican. someone who counts the votes in the senate, saying that there would not be 60 votes which is

what is needed, meaning at least nine republicans to advance any bill that does not have the support of kevin mccarthy and mccarthy making very clear earlier today in is that -- he's not gonna go forward with any bill that does not include spending cuts. so erin, how this gets resolved is anyone's guess. but this is the biggest concern about potential default that we have seen in the past dozen years, and default was diverted in 2011, it's unclear if it'll be diverted. now >> want to, thank you very much. the biggest risk in a dozen years. i want to go now to senior political analyst, john avlon, as well as economic analyst jim bianco. so jim, when you hear this, janet yellen saying that there is just not the tax receipts to drag this on much more. how significant is it? >> oh it's significant on two levels. the first one is that the tax receipts came in much weaker than expected, and that is confirming the gdp report that we saw last week. the economy is not doing great,

it is not a recession, but it is definitely heading in the wrong direction right now. it is not too late to turn around, but things are not going well. i will take a bit of positive news out of this. they are talking, at least we've got that part going. for the last several months they were not even doing that. so there is hope on wall street here that this is the first step that will lead to a resolution of this issue. >> of course wall street will hold out that will because they have been right in the past. but as manu said, this may be different than the past dozen years and what has happened again and again. i will point out, since 2011, 4288 days, since the united states lost its top credit rating from snp. when you lose your credit rating or your credit score goes down you may mourn interest that is how that works. so once we lost it, 4280 days of gone by and we've not done anything to get back. >> the taxpayers, bond holders, those the people who keep

paying for this division in dysfunction in congress. it is got to be said that as congress a tricycles towards this debt ceiling crisis, this is something that only happens when democrats are president. it's important to just remember that republicans raise the debt ceiling three times when donald trump was president, in bipartisan coalitions. we are the only nation in the world that does this to ourselves. it makes democracy look self defeating, in the eyes of some of our strategic competitors which is the really big game. so, as phil, said yeah i think people have been way too sanguine giving the polarization in this country. >> jim, to this point, you tweeted something today that i thought was interesting. the second largest bank failure ever. and then you said, highest fed fund rate since 2007 and the low is volatility rating vestige on the s&p index since late 2021. you are pointing at a confluence of several things that add up to what? >> the markets are in a period

of uncertainty. i know that isn't overused term, but right now between what is happening with the banks, what is concerning about what is happening in the bond market, it is not in a position of strength that you can throw on another issues like the debt ceiling and say, well the markets will -- this will be waters of a docks back. no it won't, this could be something that metastasizes into a bigger problem. when you already start with markets that are in the position they are in right now. so it is concerning. i know people tend to focus on the dow jones industrial average for the s&p 500 and go, well, it is not really falling so there is really no urgency. that is true, but that is only a handful of technology stocks that are holding it up. if you look beyond that and you see lots of problems everywhere in financial markets. >> john, biden has said that this is why people should vote for him. last time around he said because situations like this, moments like this, i can talk to both sides. he's got this meeting coming up, here we go.

but in 2019, i did a town hall with him and he said this is exactly the kind of situation of why i should be president. here's what he said. >> look, one of the problems and the responsibility of the president is to be able to persuade people. we got a lot done by pure compromise. remember, every time that we've got in trouble and could not get something passed in the house and the senate, who got sent to the hill? i even convinced the republicans that increase taxes on the wealthy by 600 billion dollars on new years eve day we were about to go under in terms of on the national debt. this is something that i've done, i can do it again. >> but this is a test of that promise. it's good that the four congressional leaders are meeting with the president at the presidents like request, but it is coming fast. a lot of folks said that this could be a problem, and said the biden administration should have gotten ahead of this,

taking it off the table before they had unified control. now they don't, are there any areas where they can execute? sure. i think there are things in that proposal that have bought bipartisan report. i think work here is reasonable, streamline energy regulations. a lot of stuff is either self defeating or totally off the table when it comes to bipartisan coalitions. it actors should not be attached to the debt, but this will be a test of biden be able to make a deal, and mitch mcconnell being able to rein in the crazy wing of his political party. >> thank you very much, thank you to jim bianco as well. next, that russian train flown off its track inside russia. it was carrying oil, other important equipment, and we are learning new details about that and the devastating toll that the war is having on russian troops. plus, a massive manhunt tonight ongoing for a man who seems to have vanished without trace after allegedly killing five people, including a nine-year-old boy. tonight, we are learning the suspect had been deported four times after entering the united states illegally. and upfront speaks to

democratic voters about biden's age. >> his age does carry me because he is old. >> i am going to speak to a professor who spent his career studying age and leadership. guess what, he is not worried about biden and i will show you the research to show you he's right. getting inspired! volunteering! playing pickleba...! even if you like a house, lowball the first offer. the house whisperer! this house says use the realtor.com app to see three different estimates. also, don't take advice from people who don't know what they're talking about. realtor.com to each their home.

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burning. it derailed after an ied explosion. now, the train we understand was carrying oil and construction equipment from the reports. in this video you see what is literally left of those train cars. so far it's not clear who is behind the attack, but recently we have seen attacks on russian ammo depots and electricity substations. the video that you're looking at now actually was a strike in a currently russian occupied part of ukraine. in a moment ago to speak to a special ops advisor, out front regular south jones. it can tell you exactly what he thinks these attacks show. but first it comes as the real price putin is paying for this war becomes clearer. u.s. intelligence now estimating that russia has lost a staggering numbering of men in just the last few months. >> just since december, we estimate that russia suffered more than 100,000 casualties, including over 20,000 children. >> to do the math here, that it

is more than 700 russians killed or injured every single day. nick paton walsh is out front in ukraine. >> it was hard to get much our glitter, but each dawn still the battle for bakhmut grinds on. ukraine monday said it would push russian forces back who had abandoned positions. months of agonizing fighting for about a football field every day, say analysts. leaving little standing. and injured, the soldiers here abandoned. there is a guy laying here in the reads, yelling, guys come and help me for three days. only 100 yards from the russians. also emerging to on this, the road of life. the last way in and out of the city. news of the death of cooper heiress andrews, aged 26, a

former u.s. marine and firefighter from cleveland ohio who felt compelled to join ukraine's fight. >> cooper wanted to corrective things. we had a lot of conversations about -- you know you just do not believe in stuff, you want to do something about it. >> he areas near the front line in january's part of the foreign agent, described as ideological to the core, and anti authoritarian, his body is yet to be recovered from bakhmut as the fighting is too intense. his mother recalled the last time they spoke. >> i asked cooper, because i am like cooper's mom, i said is there anything that you can try to get to meet you or sandy and cooper said yes. can you send me hot sauce and

chopsticks? so i had like 1000 chopsticks in my house, and i have all these little pockets of hot sauce that i was going to send to cooper. >> over the past weeks, graphic battle footage has emerged, showing what it is like when russians get into ukraine trench networks. here, a soldier races. but soon, a shallots. they are all miraculously okay, but the attack has started. watch and you see a russian approach throw a grenade. he misses. and they go on to shoot down russian's advancing meters from

them. scholes continue to land, the attack persists for over ten minutes. the brutal fight for bakhmut goes on and on. >> aaron it's almost hard to keep track with what is happening with bakhmut. weeks ago, russians had nearly taken control and now wagner had -- suggesting russian is not giving him enough artillery shells to hold on, ukrainians thinking that they are taking back some of those russian positions. back and forth constantly, to some degree, despite the shocking loss of life. one u.s. official suggested today may have been 10,000 casualties, dead and wounded since december alone. a staggering figure, it is essentially a sideshow. the main focus on the counter offensive, most likely in the south and potentially to get underway. so much trusting upon, it erin. >> thank you very much nick from ukraine tonight. as promised, i want to go to south jones.

he is the director of international security program at csis. and also is a former adviser to the commanding general of the american special operations forces in afghanistan. so says, that russian freight train that we saw today, blown up, that was an ied attack. we've seen a number of these sorts of attacks on russian infrastructure. just over these past few weeks. what do you read into that? >> well aaron, what it looks like is that the ukrainians are doing our targeting russian logistics hubs. this is critical in general but also critical before a major offensive operation. you want to destroy as much of the petroleum oil, lubricants, the fuel that russian forces will need. you want to destroy their arms. you want to destroy their royal heads to use that material. these are all signs of that ukrainians getting really serious on russian logistics. >> i know that you've been talking to sources involved in the ukrainian counter offensive and you've been looking at some new satellite imagery that has not been released publicly.

you've been able to look at it and in it you have been able to see what the russians are doing. what they are doing to prepare for what they expect in this counteroffensive. what do you see there? >> erin, what this looks like is that trench networks that were before world war ii and then existed during world war i. if we see extensive russian dragons teeth -- these are period mitch -- deep trenches, burns -- really the largest kinds of trench networks that we have seen since -- to try to slow down a ukrainian advance as part of an offensive. >> a brutal war coming. now what about what nick mentioned? the biden administration estimate? you heard john kirby saying

that russia suffered 1000 -- about 700 wounded or killed per day. that is a big increase. 25 30% increase from what was a very i estimate in the fall. what do you think of it, is it real? >> our estimates are very similar to that, erin. i think it is important to note that the russians, and we've talked about it on this program, have lost more soldiers in ukraine. this is another example of this then they lost in all wars combined since 1945. the second issue is that russian offensive operations, they cannot do these kinds of things effectively. we just haven't seen a lot of improvement in russian ground operations. they are struggling badly. >> thank you very much, seth jones as always i appreciate it. >> thank you. >> next, the massive manhunt for suspected killer now expanding. age along americans southern border to be on alert for a man that police say killed his neighbors execution style. america is now suffering from

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new tonight, a massive manhunt tonight for a texas man accused of killing five of his neighbors, including nine year old boy. more than 200 members of law enforcement is searching for francesco oropeza, who seems to vanished without a trace. we are learning tonight that the suspect was deported at least four times after entering the united states illegally.

this is according to u.s. immigration and customs enforcement. josh campbell is out front. >> he is a threat to the community and we need the communities help. >> a massive manhunt in southeast texas for a man law enforcement says gunned down five of his neighbors, including a nine-year-old boy. now more than two days since the slayings, authorities acknowledge they have zero leads. >> we do not know where he is. we do not have any tips right now to where he may be. >> according to the county sheriff, the suspect identified as 38-year-old francisco -- was shooting is rifle in this yard friday when neighbors asked him to stop because a baby was trying to sleep. video later captured him approaching the neighbor's house, where the sheriff says he opened fire with 15 people inside, killing the victims, quote, almost execution style. one of the survivors, wilson garcia, lost his wife and son in the horrific shooting. he says that he miraculously

escaped after a woman in the house jumped from the window. >> we lost my nine-year-old son and wife as well. and two people who died were protecting my two and a half-year-old daughter and my one month old son. they protected him with a bunch of closing so the murderer would not kill them to. just imagine what we are feeling now. it was horrible. >> authorities tracked his cell phone but found it abandoned along with articles of clothing. despite his unknown whereabouts, we are learning more about his background. a neighbor tell cnn that or perez had a history of erratic behavior with firearms and like to show them off. a mexican national, he was also deported four times between 2009 in 2016 and served jail time in 2012 for a dui conviction, a law enforcement source tells cnn. an 80,000 dollar reward is now being offered for any information leading to oropeza's captured. >> five people died in my, county and that's where my heart is. my county, protecting my people

to the best of our ability. >> garcia says he is trying a strong first to surviving children has family indoors unspeakable tragedy. >> my daughter, who morales understands. it is difficult when she comes and starts asking for her mom and brother. >> josh, i know your sources are giving you so much of this information and telling me that right now you've got law enforcement on both sides of the u.s. mexico border on alert tonight. what else are you learning about the situation? >> that's right erin, as those nearly 250 law enforcement officers continue to surge north east of houston, we are told that the u.s. mexico border is also a key focal point. as you mentioned, border patrol officers on both sides are on alert. they have the suspect's photo, they've been briefed because of course we know that in the past, he is across that border illegally at least five separate times. it is a concern that he crossed back into mexico if he's not

there already. i -- the u.s. government is aggressively pushing information into mexican media outlets about this 80,000 dollar reward, so people who may know the suspect, if they know something, if they know his whereabouts, can pick up the phone and collect an award to get justice. >> it's absolutely are effective. thank you josh, thank you very much. next, president biden joking about his age? >> i think i don't like rupert murdoch. it's simply not true, how could i dislike a guy who makes me look like harry styles? >> i'm going to talk to a yale professor who has spent decades studying age and leadership and you will hear why he thinks biden's age could actually not hurt and maybe give him an advantage. americans are lonely and isolated, the u.s. surgeon general speaking out tonight and saying it details crisis. one that he is personally faced. the surgeon general will be out front.

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no, president biden most of the philippines president at the white house, but did not hold a press conference with him. in fact, biden has hold just 13 joint press conferences so far. since taking office he is held 24 press conferences in total, which is fewer than his predecessors. it is the fewest since reagan who had 16. now it comes as presidential hopeful on the republican side nikki haley is connecting's lack of press conferences with his age and fitness. it she writes in an op-ed that

millions of americans watch biden and -- he spends most weekends at his vacation home in delaware. out front spoke to democratic voters from pennsylvania about biden's age, we went out into this. danny freeman today. here is what they told him. >> his age is not an issue for me. i mean you just want somebody in there who's going to do what they have to do for the people. >> honestly i would prefer if by younger, more progressive candidate. but i definitely prefer biden over trump. >> his age does carry me because he is old. >> do you think you should not be running for reelection? >> no. >> out front now is jeffrey sonnenfeld, he is professor at the yale school of management and president at the chief executive leadership institute eighth amendment of his career studying the issue of age and leadership. in fact, you just published an op-ed for time, which i read many times i found it fascinating i hope you will as well where he says the age is not an issue for president biden. he sort of take this on at every angle, so let me start.

we are very clear that you do not have any concerns about biden's age or his fitness to be president. obviously, many voters, do many democrats do. tell me why you don't. >> well there are all kinds of isms out there, ageism, sexism, and one of the last one is ageism, is that there is a cynicism in ageism. but there is no evidence that he is slowed up. people say that, but nikki haley just made that comment without a single shred of evidence so far in your article. do you think nikki haley could hold up in a joint session of congress for the state of the union for the whole world watching and joust with him without descript and come out on top? of course not, i don't even know if he could keep up with his bike rides or robust exercise routines. he's a hardworking guy and it is a strong day and strong week and a lot of intergalactic travel that she does. >> as you heard, some democrats do not have a problem with his age. others say they will vote for him anyway. but there are some who said

that his age is an issue. some because they really believe in mental issues, they believe in mental decline, physical decline, but others for these reasons. here they are. >> i think, across the board everywhere, we need younger people to be in charge. i feel it is too old because you will be to disconnect with younger generations and that is a factor. >> of course that would apply to if trump is the nominee as well, if that is going to the standard. but what do you say to that? >> i think it is again nonsense. benjamin franklin was 82 years old when he pulled together the great compromise for the constitutional convention. a comrade -- was 87 year old when he brought germany back to life after the second world war. -- in his 90s, churchill, all the updates people were at wisdom and age. would they rather have? sadly they are from pennsylvania at my home state, elizabeth holmes, the person

who destroyed -- with ramaswamy was got novice direction as the woke stir jokester and as bailed out early? george santos, another youthful leader? lauren boebert with all of the conspiracy theories? lindsay lohan, kanye west? i do not see how people are connecting better and unifying better than these leaders and celebrities are certainly more out of touch that many of the wise elder statesman. >> some might say you are older, maybe you need more rest, maybe you take longer to make a decision. are those things negatives? >> no, some people talk about biden's schedule. it is an intense enough schedule. not everybody in my line of work is on the job much before nine in the morning. donald trump, 60% of his time was classified as executive time, which was basically in his p.j.'s watching tv and munching on burgers. it was four times more upstairs

in the residence, he didn't come downstairs until 11:00 ever. 307 days golfing. that is one quarter of the trump presidency. biden is working a lot out of that. >> thank you very much, jeff, you make the case, you make the argument and everybody feel free to read jeff's op-ed and see what you think. next, it is a silent crisis in the united states. loneliness and isolation and it is something that the u.s. surgeon general says he struggles with as well and he is here to talk about it, next. plus, we are going to take you to a small island that's part of taiwan but only four miles from china. a place that is almost defenseless to china's navy, which is the largest in the world. it's a story that you will see first, out front. if you have this... consider adding this. an aarp medicare supplement insurance plan from unitedhealthcare. medicare supplement plans help by paying some of what medicare doesn't... and let you see any doctor. any specialist. anywhere in the u.s. who accepts medicare patients. so if you have this... consider adding this. call unitedhealthcare today for your free decision guide.

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tonight americans are lonely and isolated, the u.s. surgeon general is warning tonight that it is a full blown epidemic and increases the risk of premature death as much as talking every single day. the surgeon general, dr. murphy also opens up about his own struggles with loneliness saying that at one point, not long ago, and i quote him, i was suddenly disconnected from the colleagues with whom i've spent most of my waking hours. it might not have been so bad if i had not made a mistake. i had largely neglected my friendships during my tenure converting myself i had to

focus on work and i could not do both. up front now is doctor murphy. you know, people here isolation, and i think it affects a lot of people not just to hear it but they may say that okay, true, but this is not a health crisis. this is not something like that, you say it is. why? >> well, i'll be honest erin, i thought about it too. when i was in medical school i did not learn about loneliness and isolation. but when i became a doctor i start to see more of my patients were struggling with it. when i became a surgeon general back in 2015, i started to encounter or people all across america who are struggling with loneliness. i looked into it and i came to see two critical things. one, loneliness is extraordinarily common. when into adults say that they have experienced loneliness. >> about half. >> the numbers are actually greater among kids. but the other critical piece is that loneliness has profound consequences for our health, both our mental health and physical health. that is what makes it a public health issue.

>> you right after my job ended i felt ashamed to reach out to friends i had ignored and found myself increasingly lonely and isolated and i felt like i was the only one who feel that way. at one point, when did you realize that this was not just feelings and that it was also affecting the physical health? >> well it took me a while to realize i was actually struggling with loneliness. loneliness i think is a great masquerader, it can look like different things and some people they become withdrawn, other become irritable and angry. sometimes we need somebody around us to tell us what is actually happening and that person for me was my wife, all. is she was one who noticed that her spending less and less time reaching out to people and that i was retreating further and further. she said that you need to build a community. we need to help figure that out together. so it is hard to know sometimes but i think the timing you would get concerned. when you start to experience pay feeling of loneliness for prolonged periods of time. if you feel, only pick up the phone, call a friend, then it goes away. where you go see a family

member -- that is loneliness acting like hunger or thirst, when our body senses that we need something for survival, it's gonna persist that it becomes harmful. >> people talk about this during the pandemic, that coming out of the ceiling seems to be so much accelerated. the roman emperor, marcus aurelius, professor -- quoted him to me recently. it stood out to me, because he lived through a plague that decimated rome. after the, played in the aftermath, he wrote that it was worse. the corruption of the mind is a past far worse than the air that we breathe. the former is for human beings and affects their humanity. i took some comfort in that, is that maybe i'm not alone in feeling this. kind of malaise and sadness after the pandemic when i was supposed to be feeling jubilant and happy. you say that if this happened in ancient rome we can get through to. but you say it this time it's different because of social

media? >> what is happening is that even before the pandemic we were experiencing a growing wave of loneliness and united states that have been building for decades. and the pandemic port of fuel on that fire. it's separated us from one another and loneliness has become one of the invisible costs of the pandemic, and so i was talking to a high school suit in the other day in chicago who told me that he has been back in school for more than a year, but he is still struggling to almost learn how to socialize again. many of his peers feel the same. so we have to recognize this as one of the costs that we need to manage. unless we do that, i think we are going to struggle for a while. >> you are saying the cost also, it is the equivalent of smoking daily, which everybody knows is terrible. this is life and death? >> this is one the stunning things about loneliness and isolation, the impacts on our physical health are profound, so -- social disconnection associated with heart disease, stroke, dementia, and premature death that is on par with the risk that we see with smoking daily.

so this is really profound, and that is one of the reasons why i am going to be releasing this week a surgeon generals advisory on loneliness and isolation because i want to call the country's attention to this issue and for people who are out there who are struggling, i want them to know that you are not alone. >> i hope everyone will read this, i am sorry -- so everyone can see it. while i have you, i want to ask you about something that dr. fauci said recently. he did interview with the new york times and he talked about masks. he said, quote, for a broad public health standpoint at the population medical, masks work maybe 10%. but for an individual who religiously wears a mask, it really does work. do you see how some find this an extremely significant statement? for both of those of us it did was told that it did not matter, any kind of mask was good. our kids have to wear -- that hearing that it may be good that he saying, it but hearing that is upsetting to a lot of people? >> i can certainly understand

that for many people who are listening closely to the messages that were coming through and guiding us through what to do, when they recognize that sometimes guidance shifted and evolved over time, it could be disconcerting and sometimes guidance does evolve over time as you learn more. i certainly remember even though i was a private citizen the first day of the pandemic, but i was watching closely and we were learning a lot of the country and guidance shifted accordingly. look, one thing that i think we often recognizes that the pandemic has been incredibly hard for a lot of people, especially for kids and for parents. you are a parent, i'm a parent, we both lived through some of these challenges and are still trying to have our kids through them. but one of the challenges that our kids have endured is greater loneliness and isolation -- the first framework for national strategy -- organizations steps that they can take to build a more

connected to america. >> i appreciate you talking to you as always. and next on ac360, the battle between the florida governor ron desantis and disney escalating once again, and more on that at eight. but next we are going to take you to a tiny island that is part of taiwan, but for miles from china. some islanders there tells cnn that they feel like sitting ducks. your best defense against erosion and cavities is strong enamel- nothing beats it. new pronamel active shield actively shields the enamel to defend against erosion and cavities. i think that this product is a gamechanger for my patients- it really works. moderate to severe eczema still disrupts my skin. despite treatment it disrupts my skin with itch. it disrupts my skin with rash. but now, i can disrupt eczema with rinvoq. rinvoq is not a steroid, topical, or injection. it's one pill, once a day. many taking rinvoq saw clear or almost-clear skin

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tonight, exclusive new satellite images obtained by cnn join never before seen, roughly 100 foot blimp developed by china's military. experts say it could signal a significant advancement in china's airship program. this is a heavily militarized island controlled by taiwan, located less than four miles from china. it is now filling in the crosshairs. will ripley is out front from the islands. >> as the sun sets on taiwan strait, the neon lights of -- in southeastern china dazzle in the dust. cnn cameras close enough to read the glowing signs, a glimpse of mainland china on the inside. >> you may be surprised to learn that i am not standing in mainland china, i am here in taiwan on a small island

sitting surprisingly close to that bustling metropolis behind me. less than four miles of water, that is all that divides this democracy from communist china. >> 200 mile flight from taipei to the islands takes about an hour. a boat can reach the mainland in minutes. some islanders feel like sitting ducks at the mercy of china's peoples liberation army. the pla launched massive military drills near taiwan it twice in the last nine months. china calls the drills a response to taiwan presidents -- high-profile meetings with two u.s. house speakers. nancy pelosi in taipei last year, kevin mccarthy in california last month. just off the coast of -- we see chinese sand -- with china's reclaiming land to build an airport, the mainland getting closer every day. we all hope war did not break

out, here says the chairman of the visitors association. we think it is basically impossible for our military to defend. but they did defend the islands, more than 70 years ago. tens of thousands of nationalist troops from taiwan repelled the mainland's communist forces. things are very different today. only a few thousand taiwanese soldiers remain. china now has the world's largest navy, taiwan's outline islands are no longer strategically valuable, and almost defenseless if the pla decides to make a move. many here are calling for taiwan's military to pull out completely. >> we do not want -- to become a battlefield again. if there are no soldiers or military installations, we could become a demilitarized zone and attract more tourists. he says the handful of remaining military sites are shockingly vulnerable, last year's civilian drones from china hovered over several

island outposts. this video shows startled soldiers throwing rocks, raising questions about the military's readiness. taiwan says it shot down at least one unidentified a civilian drone. >> in so many ways, the local culture on this side and that side almost the same. politics of course are the big exception. but many who grew up here are calling for closer ties with communist china. they lived with the alternative. decades of ferocious of fighting right here on the front line. >> these battle scarred outlying islands bore the brunt of damage during the worst decade of the cross strait conflict, from the late 1940s it through to the 1970s. relentless artillery attacks left behind mountains of metal. we worry history might repeat itself, says maestro woo-hoo makes knives from old artillery. if that happens, it will change our way of life. bullet riddled buildings, bomb shelters, beaches lined with

anti landing spikes. rusty relics waiting for the waves of change to come crashing in. >> the big question is though that is a lot of the people's minds, could these islands be the next crimea? the fact is, china could have taken them, annexed them, invaded them, whatever you want to call it years ago. the number of soldiers on the islands, was at 92, 000, is at 3000. they are not doing it aaron, and some say that they believe that the local support will actually help them make those island an example for the main island of taiwan to consider this two systems alternative for thank you for joining, us a three secis 60 starts now. >> hello and welcome to our viewers joining us here in the

united states,