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industrial grade products you need. call, click or stop by granger for the ones who get it done. >> united states of scandal with jake tapper returns sunday, march 9th on cnn. >> you're in the cnn newsroom. i'm jessica dean in new york. and tonight, ukrainian president volodymyr zelenskyy is looking to europe for help defending his country against russia. the ukrainian leader receiving a much friendlier reception from british prime minister keir starmer at ten downing street today, just a day after zelenskyy's explosive meeting in the oval office friday afternoon. >> that your very, very welcome here in downing street. um, and as you heard from the cheers on the street outside, um, you have full backing across the united kingdom. >> today, the uk announcing plans to speed up a $2.8 billion loan for ukraine, just 24 hours after president trump abruptly ended his meeting with zelenskyy at the white house. cnn

international diplomatic editor nic robertson is live in london, with more details. nic, we look ahead to these next few hours the next day. how critical are these for president zelenskyy? >> they're very critical. i think what he got in london today from keir starmer was a good bounce coming out of that fractious meeting at the white house. it kind of got him back on his feet, if you will. not that he needed much of it because he's been pretty clear about what his narrative is, about what he believes. but as he said, this was a warm and significant meeting. it was a meeting where he was happy to be able to have it with a partner who shared ukraine's vision for the future. you're still looking at the hug there. this is not something that prime minister keir starmer does very often, and that was it. this was demonstrated to the cameras there that this was a different type of meeting, different environment, different engagement. and the meeting tomorrow with the european leaders who are coming. and there's more than a dozen of them coming. germans will be there. the french, the italians,

the norwegians, the swedish, the finns, a whole host of leaders coming, as well as the nato secretary general. here's zelenskyy has a broader audience. and the nato secretary general, for example, has said, look, zelenskyy, you need to kind of remake that relationship with president trump. you need to remake that relationship with senior figures within within the white house. so there will be an undercurrent of that narrative. but the reality here, and this is what starmer is talking about in advance of the meeting, is there are immediate needs right now. they need these leaders need to make sure that military and economic support going to ukraine is maintained, irrespective of what happens from the united states, that there is in the future, security guarantees that there is a process to a realistic and lasting peace that can be put in place. so that will be the focus. but i think what we'll be looking for at the outcome is what is the outreach. then back towards the white house. is it a

collective thing from these european leaders? is it what the italian prime minister has suggested she wants, which is a summit, a quick and soon summit with president trump and european union leaders? will that be a narrative that emerges? but for zelenskyy, he feels that he is in a much better and safer environment here in the uk than in the u.s., because he feels he's got commonality of vision on ukraine's future that he doesn't get out of the white house at the moment. so he's going to want to build on that. but he really needs to build that bridge with the united states, and that's what we're looking for tomorrow. >> yeah. can that happen? all right. nic robertson, thank you so much. we appreciate it. and joining us now is kurt volker, the former u.s. ambassador to nato and the former u.s. representative for ukraine negotiations. thank you so much for being here. the perfect person to talk about all of this with. i think we just jumping off where nick nick left off there, jumping back in. is ukraine's future now in the

hands of european leaders, as has the u.s. effectively ceded that? >> uh, no, i don't think so. >> and i don't. >> think anyone. >> should be thinking of. >> it that way. >> uh, we had a very unfortunate. >> meeting at the white house on friday. i am glad to. see european leaders. >> show support for. >> president zelenskyy. >> and i thought nick. made a lot. >> of really good points, including what starmer saying about immediate needs. we do have to focus on what's immediate in terms of helping ukraine and what europeans can do. but we have got to get this. >> back to. >> the u.s. and europe and ukraine all being on the same page and finding a way to convince putin to stop the war. and that's where president trump was trying to drive this. it's been disrupted for a bit now. but i hope that together, when they're meeting behind closed doors, this is one of the main topics of conversation is how to get ukraine and the united states and europe all back on the same page again. >> and you are you confident that can that can happen? >> i think so i think president

trump, on his way to marine one when he was giving that impromptu press conference, kind of laid out what he needs to hear from zelenskyy. he needs to hear a commitment from zelenskyy that he truly wants peace, and that he's prepared to accept a cease fire. and what i think president zelenskyy needs to do is turn around the way he's talked about this. he said he can't have a ceasefire without security guarantees. turn that around. say he's ready for a cease fire immediately, but putin has got to have a cease fire as well. and we have to make sure that it lasts, that that he doesn't attack again. and that's going to require a lot of work going forward. i think that's roughly where president trump is thinking. but the way things went friday, there's a lot of building bridges to do again now. >> yeah. and so how how do you do that. how do you begin to repair that relationship, do you think? >> well, i think first off, i think there does need to be some kind of recognition from president zelenskyy that the meeting went very badly. he should not have carried on a debate with the vice president

and the president in front of the cameras. this was meant to be a positive day, aligning u.s. and ukrainian interests, economic interests, but then more broadly, a shared strategic partnership going forward, and that he wants to get back to that. and then, secondly, to say that he is ready for peace in the ceasefire, and he wants to do that with the united states. >> and so how what do you see happening now? now zelenskyy is in europe trying to, you know, bolster his support there. as, as we were just walking through. um, trump has laid out as you note, what he needs to hear from them. what about the russia of it all? what happens with russia right now? >> well, russia is sitting pretty right now. they are delighted that this meeting in the oval office blew up. they were probably rather concerned to see u.s. and ukrainian interests aligned around this minerals deal. and the fact that that has been put on ice now makes them very, very happy. so

they're not going to do anything. they're going to keep up the attacks overnight on kyiv and other major cities, attacks on the front line because they want to project a position of strength. i think this is why, you know, starmer is right to focus on immediate needs, uh, shoring up ukraine's energy sector. the u.s. is cutting off some usaid assistance there. uh, shoring up ukraine's ammunition supplies and the political support as well. but we've got to get ukraine and the u.s. back, uh, working together towards a common outcome with our european allies. uh, that may take a week or so, but i think we have to stay focused on that, even while we deal with the immediate needs. and russia's continued attacks. >> do you think that that the trump administration has held russia and president trump himself has held russia properly accountable here? >> no, i don't think that that's been president trump's objective at this stage. as he said in that oval office meeting, he doesn't want to be calling out president putin and

accusing him of all the things that he has done, because he wants to get him to the table. uh, he has threatened pressure on russia, sanctions, tariffs, taxes, and this minerals deal would have created a pathway for sustainable u.s. military support to ukraine, which is very important to show putin that this is sustainable. um, so i think he's been trying to avoid demonizing putin personally while putting in place some of these building blocks. um, again, this is now, uh, in pieces on the floor. we've got to try to pick it up. >> and what is the future for nato here? as a former ambassador to nato, what do you think the future is? >> i think the future is strong for nato. i think russia has been doing a great job in these recent days, messaging about what needs to happen, what zelenskyy needs to do, what what the interests of all the nato allies are. i see european allies spending more on defense

well beyond the 2%. that's the current target. i think that's important for nato. it's important to sustain u.s. support. i think the collective defense commitment has proven itself over these past three years. russia has not attacked any any nato countries. i think we have to maintain that. and then i think we have to have a interim period where ukraine is a secure, sovereign, independent state and there's a ceasefire with russia. things have stabilized, and then we work towards permanent security commitments for ukraine, which could include nato membership in the future. >> but do you think that those fellow nato members, those other nato countries, do you think that there has been a break in trust with the united states at this point? >> i think they're very, very frustrated with president trump. they don't like the way he messages what he communicates, the policies that he's put in place. going back to the munich security conference and vice president vance's messages or this meeting in the oval office.

now, they don't like it, but interests are interests. and i would just say the u.s. and ukraine have a shared interest, uh, including around the minerals and resources deal. the united states and europe have a shared interest in containing vladimir putin and his efforts to rewrite borders in europe. so we are we approach it differently. there's a lot of emotions in the air right now, but we've got to focus on what our interests are and getting common outcomes together. >> all right. kurt volker, thank you very much for your time. we really appreciate it. >> my pleasure. thank you. >> breaking news tonight. israel says it has agreed to extend its cease fire deal with hamas. that deal paused fighting in gaza for weeks as dozens of israeli hostages and then hundreds of palestinian prisoners were released. among the hostages freed. israeli american sigi chin. the israeli prime minister's office saying the u.s. made the proposal for that extension. it will extend the current cease fire, which would

have expired tonight through the end of march, including the muslim holy month of ramadan and the jewish holiday of passover. the agreement would also see more hostage releases. the israeli prime minister office says hamas has not signed off on that proposal just yet. new information about the death of hollywood actor gene hackman and his wife. just how long were they dead before a caretaker found them? we're going to talk more about this when we come back here in the cnn newsroom. >> have i got news for you is back. let's think of some new games to play. what do you got? yes. >> something like, uh. >> oh. >> what? >> keep playing the same games. yeah, let's do the same games. >> have i got news for you tonight at nine on cnn. >> can you make good choices? they've shaped your journey to leave all that. >> your life built rock solid. >> for generations. with ambition like that, you need

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>> it's only. >> olay united states of scandal with jake tapper returns sunday, march 9th on cnn. >> family and friends mourning the mysterious deaths of oscar winner gene hackman and his wife, betsy arakawa, discovered in their new mexico, new mexico home wednesday. days before the 97th academy awards. investigators say hackman's pacemaker showed he died nine days before being found, and that his wife's hands and feet showed signs of mummification. but officials say they do not suspect foul play. this as they await more in-depth toxicology and autopsy reports. cnn's julia vargas jones is joining us live from santa fe. julia, we know that investigators also took a lot of items outside of the home. what more can you tell us? >> well, aside from both of their cell phones are two devices that were found in the home. jessica. they also found a medication. there was tylenol. just regular over the counter. tylenol and thyroid and blood pressure medication that was

taken, as well as medical records that were found in the home. look, both gene hackman and his wife, betsy arakawa were in different parts of the home. that's according to this search warrant, where the deputies actually described quite a lot of detail, what they saw when they entered the home. and mr. arakawa was in a bathroom and there was a space heater on the floor next to her, as well as pills scattered around the bathroom counter. and mr. hackman was in this mud room off the kitchen with a cane and sunglasses on the floor next to him. that's curious, because authorities have also already ruled out carbon monoxide poisoning in their deaths. so as they don't sign any signs, they don't see any signs of trauma to the bodies, no sign of foul play. it really remains a mystery to figure out what is it that took place in that home that could lead these two people to their deaths? and there is

another point here that i want to make, jessica. that is, they aren't ruling out completely foul play. it is an ongoing investigation. and the sheriff is pointing to that toxicology report as probably what will give answers in the investigation. >> and julia, do we know how long it will take to get that information back? that toxicology report? >> it could take as little as three weeks, as long as three months. they want us in. but it will be important because since there are no external factors here, jessica, it is what they're looking at. look, there's another added challenge to this which is piecing together the timeline of a couple that was very private in that lived in this secluded home here in santa fe. they weren't they didn't have any recording devices in their home. so it's hard to piece that together. you know, we know when gene hackman died. now, thankfully, too, thanks to that pacemaker data that came out on friday. but we still don't know how long his

wife might have been there. you know, we talked about signs of mummification on her body. of course, authorities say that it could be longer. it could happen depending on weather conditions, climate conditions, how dry a house was. uh, it could have happened at the same time. it could have happened a days apart, even. and so that toxicology report and the full autopsy will be key here. the sheriff says to find out what is it that took place that led them to their deaths? >> all right. julia vargas jones there in santa fe with the latest. thank you for that reporting. some federal workers are about to have a new task to start. each week, we'll tell you what it is here in the cnn newsroom. >> the presidential address to congress tuesday at 8:00 on cnn. stanley steemer is proud to be the leader in deep cleaning, cleaning over 1 million homes and businesses every year using powerful equipment custom built by us. it's not clean until it's stanley steemer clean. >> gets your home cleaner. >> kids, i'm sure you're

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>> i've got the feeling. baby. >> tonight the state department is telling its workers not to respond. that it will reply for them to a new email from the office of personnel management, sent at the behest of elon musk's doge. a second email went out last night to federal employees, asking them to report back with bullet points of what they did the past week at work. the subject line was what did you do last week? part two? and it claimed documenting their work will now be a weekly requirement for all federal workers. a union representative saying the emails went out to workers in several agencies. and cnn correspondent arlette saenz is joining us now. arlette, what more can you tell us about this second email that workers are now receiving? >> well, yes, it's round two now for these federal workers as they received yet another email asking them to detail their accomplishments for the week. this comes one week after that initial email that was sent out by the office of personnel management, which really set off a lot of confusion and uncertainty for these federal workers who had been facing a

monday deadline. that email eventually was said to be voluntary. what seems to be different about this one that was sent started to go out last night is that it said that this will now be a weekly requirement. federal workers are expected to send in a bullet point list of five things that they accomplished in the past week, and copy their managers into that email, the deadline being 11:59 p.m. eastern on monday night. now, we have heard from several employees across various agencies who received this email. that includes people at the veterans affairs department. education department, as well as the cdc. but still, there's a lot of uncertainty for these federal workers, even as they are receiving this email about how exactly to handle it going forward. >> right. and to that end, is the expectation that everyone responds to this. >> well, it says that this will be required each week, but it's worth noting that the administration has not outlined what any repercussions would be if people did not respond. and it appears that there are some

agencies who have already sent out notices to their employees saying that they're going to handle things a little differently. for instance, i'm told that last night the state department employees did receive an email from opm. but then this morning, state department leadership sent them a follow up email saying that they would be that leaders would be responding on their behalf. so essentially telling these workers not to respond. we've also learned that the department of homeland security has sent a follow up email to their staff, asking them to go ahead and submit their accomplishments, but noting that this will be kept to an internal system only partly due to the national security issues that they're handling. so it appears that there are different approaches, perhaps because it relates to certain national security or foreign policy issues that these agencies are taking. but still, it raises a lot of questions for these employees about whether they need to answer or what exactly the repercussions might be if they don't. >> right. all right. arlette saenz, thanks so much for that

reporting. and joining us now, senior political analyst ron brownstein. ron, good to see you. we just heard from arlette saenz reporting there about how employees are being asked again to talk about and report on their activities at work. um, what do you how do you see this? i mean, this is going to be apparently what they're going to have to do now going forward. how do you see this going over in federal employees reacting? >> well, look. >> i mean, i. >> think as you as you heard. >> there. mean, there. >> are a lot of issues here. >> i mean, one. >> are the. >> security implications of. >> having in one. place the names of so many federal employees. >> and their managers. >> i mean, there have been national security experts who have raised questions about. >> uh, the the risk. >> that is inherent in centralizing that much information, given, uh, that we know that foreign intelligence agencies spend a lot of time and money trying to penetrate federal data systems. second, i mean, i think it's an ongoing way of just trying to put pressure on federal employees

and trying to reduce the workforce. and third, and this is something really hasn't been talked about too much. but, you know, if you recall, i guess very few people will recall back in 1981, ronald reagan fired the air traffic controllers, uh, and it sent a signal of weakness of unions that led to years of kind of rollback of union gains in the private economy. um, i remember that when trump did the online interview with musk during the campaign, and musk said he fired workers who were trying to form a union, trump went, wow, you know, kind of like almost fanboy, uh, like in appreciation. trump was someone who won a lot of votes from union members, especially white union members. um, and you really have to wonder, what is the signal being sent here, uh, about the inability of unions to protect federal workers and what that might inspire in the private sector as well. >> um, and i also want to ask

you about, obviously, the the fallout around the zelenskyy meeting. we're now getting reporting from my colleague betsy klein. the white house really views this as a win, as a victory for them. um, we see people like lisa murkowski, a senator from republican, senator from alaska. she said she's sick to her stomach as the administration appears to be walking away from our allies. um, what is the fallout of this? because aside from murkowski and a handful of other republicans, it does seem that a lot of republicans, at least publicly, are going along with this. >> yeah. >> i think this falls in the category of beware of what you wish for. you just might get it. i remember writing during the transition, and i think we talked about it, uh, that, you know, many of the constraints on donald trump from his first term were going to be gone in the second term. republicans in congress were not going to stand up to him on almost anything. you don't have. you didn't have mitch mcconnell and paul ryan at the center of things. he didn't

feel compelled to appoint officials who were going to push back on him, particularly on national security, as he did the first term. and as a result, you are going to get trump unfiltered, you know, and what we got on friday was trump unfiltered. his disdain for ukraine, his disdain for zelenskyy, uh, you know, who did not go along with his effort to strong arm him in 2019 and to ginning up an investigation into hunter biden, which led to trump's first impeachment. and, you know, a very clear signal to europe that, you know, he is more than willing to walk away and leave ukraine to its own devices against putin's, you know, larger war machine. well, if you think back to 2021, think about what the fall of kabul did to joe biden's approval rating. in fact, he went below 50% as kabul collapsed, never to rise above it again during his presidency. what would it look like? uh, for world opinion and u.s. opinion? uh, if kyiv ultimately does collapse, if

trump does walk away and let putin have his way, you know, many european analysts have reacted to this, um, confrontation by saying that it could be counterproductive for trump in that it will embolden putin to think, why make a deal? i can keep going, and eventually the u.s. will pull out and leave ukraine to fall. so obviously the europeans want to put this back together. there's reporting today. the british prime minister is encouraging zelenskyy to make the minerals deal. um, but i think this fits into that larger category. we are getting trump unbound. and that is not an unmitigated blessing for either him or for the gop. >> and we are going to hear from him on tuesday as he, uh, does his first joint session addresses his first joint session, does his first address to a joint session of congress in his new his second term. how do you think that's going to play out? >> well, i you know, look, i think trump, you know, is basically going to say this is a new golden era and that we are

rescuing america, uh, from the kind of disaster that joe biden left. and he will point to what i think is attractive to his supporters, just, you know, an intense flurry of activity at home and abroad. um, and republicans, as i said, you know, there's just very little will to to stand up to him on almost anything. i mean, the contrast between kind of lisa murkowski and virtually all of our other colleagues. h.r. mcmaster, who was trump's first national security advisor, tweeting something similar and in a way, making the contrast to today's silence so, so loud. um, trump has a grip, a death grip on the republican party. he has overwhelming support among republican voters. republicans in congress are afraid to cross him. but there is evidence already, you know, in multiple polls that kind of trump unbound may be more than many americans signed up for. i mean, there are a lot of polls with his approval rating falling into the mid 40s.

as we talked about, his approval rating is net negative, uh, consistently in polls among independents between 10 and 20 points, which is unusual this early in the presidency. and most importantly, i think you're seeing in the consumer confidence surveys from the conference board and the university of michigan, a lot of concern in the public about inflation. i mean, three quarters of americans in the cbs poll last week said that their income was not keeping up with prices. that is the problem trump was elected to solve, above all, and there are a lot musk's story line is kind of conquered, you know, overshadowed everything else in the presidency. but i think the risk for him is if voters feel that he is losing sight of the issue that elected him and is focusing on other things, including, uh, passing tax cuts that, you know, enrich his already rich buddies while cutting programs that could hurt them, which is the path that the house is moving toward on the on the budget. >> right. and how long will people, um, you know, go go with the chaos and feel comfortable with it. um, as another question

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and that could mean some sticker shock, new car prices already averaging nearly $50,000, according to kelley blue book. a new analysis says the tariffs could drive prices up by as much as 10,000 additional dollars. and a separate study by insurify found the tariffs will also send your car insurance rates higher. joining us now from toronto, flavio volpe, the president of the automotive parts manufacturers association. thank you so much for joining us this evening. flavio. the president has said that the idea is to strengthen american car companies. yet when you start to put all of this together, that does seem like a disconnect from what might be reality. >> yeah. >> well, he doesn't get is. >> that between. >> our. >> two countries and also mexico. >> we've. >> built the auto sector together. >> ford has been here for 120 years. >> and when. >> he says strengthen. >> american auto. >> companies. half of the cars made.

>> in canada, you know. >> the 2 million cars are made by general motors, ford, dodge, chrysler. and so. >> if you. >> put a. >> tariff, a. >> 25% tariff, those. >> silverados. >> those chargers. >> uh, those, uh, those, uh, ford suvs are going to go up by 25%. but also. really importantly. >> we've we've. >> co-invested with each other. there's 172 canadian auto parts plants in 26 u.s. states. parts crossed the border really so often that, um, you know, a jeep plant in toledo, ohio, might have 30 or 40% content from canada and mexico. and, you know, all of that content will go up. uh, 25%. so even if it's made in ohio, it's going to go up five, six, $7,000. >> um, and the wall street journal board wrote this week, quote, if the goal is to harm u.s. auto workers and republican prospects in michigan, then by all means, go ahead. mr. president, the ceo of ford motor saying, let's be real honest, long term, a 25% tariff across mexico and canada borders would blow a hole in the u.s.

industry. and so from where you're sitting, and i know you just laid out why it's all so interconnected. how much damage are we talking about for that industry? >> well, you can't make a car without all of the parts. and cars are made in states all across the u.s. from michigan, all the way down to texas. those parts cross borders. some of them come from canada, some from mexico. during the pandemic, when the president, president trump, declared a pandemic on march 17th, 2020. march 18th, uh, with all of these plants kind of short on labor, the industry shut down for 60 days. when the ambassador bridge between detroit and windsor was blocked by protesters in 2022, you know, it took two days. and plants from michigan down to kentucky were closed because you can't you can't finish a car if you don't get the seats or the wheels. and so it's one thing to talk about the price of eggs or maybe the price of gas might go up, but what will

happen here? and i think jim farley is saying it, is that the industry will shut down and people in michigan will be home from work, and maybe the target is ontario, canada. but people in alabama and tennessee and georgia and ohio will be sitting at home wondering why they're on temporary layoff. >> and that's what i did want to ask you too, is is what does this mean for for jobs? >> well, there's 900,000 americans who are either make cars or make parts or make the tools to make those cars and parts. and there's about 125,000 here in canada who will be sitting at home like they did in those two instances. we know in automotive that that is a certainty. and i think you're hearing a lot of people stand up, americans stand up and say, let's think about this a little bit. we're we're so intertwined. and especially canada is so invested. canadian companies have investments in the u.s. that employ 48,000 americans in this space. we are absolutely full partners, and we want to be. and and the

competition is supposed to be china. and, um, you know, we can help. we've been, you know, when ford was a one year old startup, they invested in windsor on the other side of the river. we built this together. we we we are prosperous together. and certainly if somebody if the president wants to improve the usmca, the trade agreement between us, uh, then then that's a table that, you know, we're glad to sit down at. but i don't know what putting people out of work, uh, means, or if it's good for anybody on either side of the border. >> and what's your advice to anyone who's looking to buy a car in the near future? >> well, you know, if you can buy one before tuesday, before the tariffs come in and we either shut down or become more expensive. uh, you should go and do it. but but really, the real advice is look at the vin number and look at the second digit. and in and help the argument that the president is trying to make, which i think some of it is valid, is, uh. uh, help american workers by buying

american cars. that will help canada, too, because a whole bunch of our parts are in there, or canadian companies in states like mexico are employing in states like michigan are employing americans to help make those cars. >> yeah. flavio volpe, thank you so much for being with us. we appreciate your time. >> always a pleasure. thank you. >> thank you. this week, for the first time in a decade, a child died in the united states from the measles. there are more than 100 cases in west texas right now. we're going to break down the newest information for you when we come back. >> amid upheaval and sweeping changes. >> the president of the united states. >> trump heads to capitol hill to share what's next. follow cnn for complete coverage and in-depth analysis. the presidential address to congress tuesday at eight on cnn. >> what would you. >> look at that? >> jerry, you gotta see this. saying that. >> trust me, after 15.

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mesothelioma, we'll send you a free book to answer questions you may have. call now and we'll come to you. >> 821 4000. >> the measles outbreak in texas progressively getting worse. officials confirming 22 additional cases, bringing the total to 146 since that outbreak began late last month. children and the unvaccinated making up the bulk of these cases. and this update comes days after the virus claimed the life of a west texas child, marking the first measles death in the united states in a decade. joining us now, doctor peter hotez, the director for the center for vaccine development at the texas children's hospital. doctor hotez, thank you for being here with us. um, i i'd love to just get your thoughts first on on how we're continuing to see this outbreak grow and of course, this devastating news that for the first time in a decade, we had a child who died from measles in the united states. >> yeah.

>> no, jessica, it's a horrible tragedy. i mean. >> this is. >> a school aged. >> child who is. >> unvaccinated. >> whose life would have. >> been saved had. >> that. >> child received. >> uh. >> at least one. >> dose of the. >> mmr vaccine, the. >> measles. >> mumps. >> rubella vaccine. >> and probably. >> by the age. >> of five two. >> so this child did not. >> have to. >> lose his or her life. and and by the way, we still. >> have another. >> 20 kids. uh. >> by some estimates. >> in, in. >> the. >> children's hospitals, uh, mostly around lubbock. >> so this thing is still. >> accelerating. >> even though. the official number is one. >> 46 i think. >> there are a. >> lot of other, both. children and adults who are. >> still in the process. >> of being diagnosed. >> trying to get a confirmatory igg measles. >> antibody. or in some cases. >> people who aren't. >> seeking medical attention. >> so i. >> and remember the the incubation period of measles is around 12 to. >> 13 days. >> so any. >> number you. >> hear about today, remember there's going to be another cohort of children. and adults

who are going to be infected almost two weeks from now. >> so we're still. >> maybe in the early stages of this. >> i think we're going. >> to go out, continue to go up significantly. >> and of course, after covid 19, that really ignited this whole large debate about vaccines that had previously, you know, really accelerated that conversation and vaccine skepticism. how do you think that plays a role in all of this? and what should people know about that? >> yeah, it's a good question. >> i mean. >> we had seen anti-vaccine activism, especially here in texas, rise. over the last ten years. we have a very aggressive, unfortunately, anti-vaccine lobby that uses terms like health freedom, medical freedom and convinces parents. >> not to vaccinate. >> their children. it really accelerated during covid here in texas. my estimate is around 40 to 50,000 texans needlessly died because they refused covid vaccines. they were targeted by the same similar anti-vaccine forces, and now it's spilling

over to childhood immunizations. and so i think that's a big part of it. but, you know, texas is not alone. maybe they're the tip of the spear of the anti-vaccine movement. but we're seeing this all over the country. so i think this is going to be a big challenge for us in 2025. this will not be our last measles epidemic. it may be our largest, but it won't be our last. and it's not just measles. remember, there's other childhood preventable illnesses such as pertussis or whooping cough. we've had a 5 to 6 fold rise in cases from 2023 to 2024. i'm expecting that to continue to rise. we've had polio detected in the wastewater in new york state in 2022. that's a concern. so i'm worried about this erosion in our whole vaccine ecosystem here in the united states. >> and what happens to doctor hotez for for people who have who are vaccinated. and i'm even thinking about really young babies that maybe can't get vaccinated until a few months after their birth, if they're out in the world. it's not just

this, it's it's back to this covid idea, too. but it's not just if you're choosing not to get vaccinated or not vaccinating your children, that does put other people at risk, right? >> that risks and restricts their own freedom. i mean, if you're a young parent and you have a child, let's say that's 5 or 6 months of age and not yet old enough to be vaccinated against measles, and you don't know how much maternal antibody you have on board to protect your child. you're concerned. and and so the the department of state health services is implementing some revised guidelines where there's a lot of measles transmission going on to vaccinate earlier than we might usually do and maybe do some catch up vaccinations later on. but these are stopgap measures that should never be necessary, since we had eliminated measles from the united states in 2000. but the problem is the vaccine ecosystem is fragile, and it doesn't take much for diseases to come roaring back. and measles is

often the first one we see because it's so highly transmissible. >> and just before we go for people out there, it is very, very, um, contagious measles and and just kind of helping us understand that. and then also to and if people want to protect themselves, it sounds like the best protection is to be vaccinated. >> that's right. the measles. measles is so highly transmissible for two reasons. one, um, if you if you have ten individuals who are not vaccinated and they're exposed to the measles virus, on average nine will become infected. that's because there's a small inoculum, a small amount of virus required to infect an individual. but also measles has this other property that it can linger in the atmosphere. uh, tiny particles of the virus still remain infectious. oftentimes after a person's even left the room. so you don't even have to be in the same room with someone with measles. someone could be, um, releasing measles virus through sneezing or

coughing. that virus will linger in the atmosphere. a person could leave, and then another individual is not vaccinated, could walk into that room and acquire the infection. and that's why you get these numbers accelerating so quickly. so what do you do? um, have be mindful of your vaccination status. these the mmr vaccine, the measles, mumps, rubella vaccine. we formulate all three viruses together as one of the safest and most effective vaccines. we have over 90% protection after a single dose and 97% protection after two doses. so if you're not vaccinated, this is the time to go out and do it. it's a very safe and effective vaccine, right. >> all right. doctor peter hotez, thank you. we really appreciate your time. >> thank you. >> tomorrow, ukrainian president zelenskyy meets with leaders from across the eu as he goes on a charm offensive after yesterday's disastrous oval office meeting with president trump and vice president pence here in the cnn newsroom. >> cooked books. >> corporate fat cats. >> swindling socialites, doped.

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