difference for those who don't have a voice. that's all for this edition of "dateline." i'm natalie morales. thanks for watching. first up on msnbc, aboutface. new official government guidelines on wearing masks to stop the coronavirus spread. we talk to a medical expert on why the sudden change and whether it will help. >> we are afraid for our patients. we are afraid for our families. we are afraid for our lives. >> on the front lines, a new look inside hospitals and how doctors and nurses are dealing with a lack of personal protective equipment.

>> and unemployment numbers skyrocket. and new reaction after a navy captain is relieved of his command when he raised a concern about the coronavirus on his ship. >> this morning, there are more than 276,000 cases of coronavirus in the u.s. the death toll climbing to 7,063. >> it is growing in ifr state. the u.s. reporting more than 30,000 new cases friday alone. that, by the way, the biggest single day increase the country has seen since the outbreak began just about two months ago. more than 1 million cases have been reported worldwide. >> in florida were more than a thousand passengers finally allowed on land after weeks of quarantine. 14 critically ill passengers were sent to florida hospitals

while those showing no symptoms went to the airport. the corporate princess was denied permission to dock as 12 people aboard tested positive for the virus. all americans are now encouraged to wear clothe face coverings when leaving home. they recommend to not use medical grade masks, to try to save those for health care workers. president trump announced these new guidelines, but says he's not going to choose to follow them. >> you can do it. you don't have to do it. i'm choosing not to do it. but some people may want to do it and that's okay. it may be good. probably will. they're making it a recommendation. it's only a recommendation. the great resolute desk. i think wearing a face mask as i greet presidents, prime ministers, dictators, kings,

queens, i don't know, somehow i don't see it for myself. >> let's move to new york city where the federally run field hospital at the javits field center has now begun accepting patients with coronavirus. >> corey is outside the javits center right now. what are you seeing so far? i know that lately not a lot of ambulances have been reporting there. are you seeing an increase right now? >> the changeover because of how great the need has become here in the state of new york, right now, things are fairley quiet as more military personnel make their way inside here. the javits center is now fully operational to house some 2,500 coronavirus patients. we've seen military personnel going inside and medical personnel all going inside. governor cuomo asking the president to make the change over to this -- to make this

fully operational for coronavirus rather than just a hospital that other noncovid-19 patients can come to. and the reason he asked for that change over this week was because of how great the need is in a major spike in cases. take a listen, guys. >> hospitals have now turned into effectively icu hospitals for covid patients. so we wanted to convert jivits from non-covid to covid. it is 2500 beds. and i thank the president for doing it. he did it despite the fact that the federal agencies were not eager to do it and he did it quickly. nearly 1,900 in the state of new york so far. governor cuomo said he'll take

control of the ventilator distribution, as well, taking some ventilators from hospitals that may have excess and redistributing them to the ones that have to most need. meanwhile, the mayor says there's going to be and months. he is calling for a national enlistment effort. the difficulties keeping first responders staffed, nypd reporting they have some 17,000 officers out. that is 18% of their force. fdny also says one out of four firefighters are also out right now. one firefighter so far. >> and this is coming with new guidance on whether to wearing a bhafk when out in public.

taking a look around, does it feel like other people are following that guidance? >> very much so, yes. and that includes up to our local government officials and our state government officials. as we pass each and every official going inside here, they were wearing masks and if they didn't put them on right away, they put them on as they stepped out the door. and, hey, if you don't have a mask that is similar to this type of mask, you can use any face covering. if you have come into contact with an n95 mask, you are urged to turn those over to officials. they need them sorely. >> thank you. about a two-hour drive south of where corey is standing, philadelphia, is putting new measures in place to help stop the spread of the coronavirus. the mayor is asking residents to stay inside and if they must

leave their homes they must wear those masks. >> let's talk about new measures, how they're affecting businesses there. we know a lot of these markets are being considered essential, kind of like grocery stores. so the mayor and governor of philadelphia are all recommending we wear masks as we go out. the markets will open in about an hour. 24 of the 60 businesses that are usually in business here every day at this italian market, 24 of the 60 are closed because they're not essential. produce, fresh food, the visitor's center behind me is closed. so as we take a la down there, the streets are empty as they're starting to set up. we did see a few people bringing

out their produce. a lot of shop owners, and i talked to them on the phone yesterday, told me that they have had to do more online, less in person. they have to regulate their smaller shops. they're doing a lot of delivery, that kind of thing. but they also mentioned that a lot of their suppliers where they get their ingredients, are scaling back. i want to throw you a sound from the philadelphia health commissioner. he said yesterday, we're not just talking about surprising ingredients coming from new york. they're also treating patients from new york city here in philadelphia. here is what he had to say. >> some people want us to build a wall between new york and philadelphia. we're not going to do that. these are people that need care and if they need care, we're going to provide for them.

>> so we're just two hours south of new york city where there's been a hot spot of this coronavirus pandemic. there's over 20 tlo,000 cases iw york city. guys. >> new jersey really hard hit by all of this. and why people have taken precautions in neighboring philadelphia. thank you. the cdc's new guidance on face masks comes after weeks of saying healthy people don't need them. but several studies show seemingly healthy people can spread the virus even if they're not showing symptoms and masks can blend that spread. >> dr. benjamin cowell is joining us now.

thank you so much for being here with us, doctor. so you lead a study, you found the wearing of surgical masks reduce the number of flu viruses and reduced the number of covid-19 detectable in the air. so if the new cdc guidelines would have been released a month ago or before that, would we see the same significant sort of numbers or smaller numbers right now? >> i think masks make a difference, but other measures make a bigger difference. staying at home is the best thing to do. so if you have to go out, wearing a mask is going to reduce it a little bit. i don't think the last month it

would have made a big difference if everyone would have been wearing masks. maybe it would have brought the case numbers down a bit, but it wouldn't have stopped the spread. we think the masks can help. but we don't think they're a magic bullet. >> as we mentioned in this program already, the new guidances, a scarf or bandanna will work as a face covering, trying to save those n95 masks for health care workers. would a do it yourself covering be as effective? >> i think it's better than nothing, for sure. so the particular issue with covid-19 is some people seem to have been able to pass on infect before they themselves knew that they were infected, before their symptoms appears. so if more people were wearing masks, if among those infected people that didn't know it that would reduce the amount of transmission. i don't think it would stop it,

but it would help and we're looking for every little bit that can help to slow down transmission in the community. >> doctor, do you get a sense the so-called experts have any clue how this virus is actually being spread? weeks ago, we were told it was about surface, was it even human to human, and now we're getting taught just from breathing in the air, the same air, you're likely to get this disease. >> we didn't even know about the virus three months ago. we know how viruses spread from one person to another. people are not highly contagious infecting everyone around them. you need a prolonged close contact with an infected person in order to have a chance to be infected and even then you might

be able to avoid infection if they were wearing a mask, if you were wearing a mask, if you were staying further away from them, if there was good ventilation in the room, etcetera. so i think we're learning a lot. so i think the decisions that have been made are very reasonable and the latest decision from the cdc is a very reasonable decision. >> another study out of singapore shows how alarming this is. i read about the story of a 52-year-old woman who was infected after she sat in a church seat that was occupied earlier in the day by two tourists who showed no symptoms until later on. that shows us how difficult it's going to be to control covid. there has been a lot of focus on testing people, finding cases and studying them.

that is important, but it may not be enough because some people, by the time we test them, by the time we isolate them, they may have already passed on infection. so that really shows the importance of social distancing. if more people can stay at home, if we have a cancellation of mass gatherings, that is going to make a big difference. if people aren't having contact with each other, there is much less opportunity for spread to occur even from those people that don't know they have it. in that study, it wasn't the minority of infections being spread in that way. but i think it's an important finding. >>. >> doctor, as you know, a number of states, at least here in the u.s., are allowing people to get together for religious gatherings, including palm service sunday services tomorrow. how bad of an idea is that given the situation that we're in? >> i understand in the u.s. the government and the constitution says the government leaders

can't make rules against those things. but i think the church leaders need to find another way to do them. having a lot of people in a small space, that's where the potential for an outbreak is more likely and we've already just heard about the possibility that people without symptoms might be able to spread. so even if you monitor at the door for people without symptoms or without a fever, someone without symptoms can come in and spread the infection. >> and some people might be starting to get a little bit stir crazy, maybe they want to go to some of those services. in your professional opinion, how much longer do you think we should be sheltering in place, essentially? >> i think we have to wait until the numbers come down.

going back to the church services, maybe they could have them outside. there is much less chance of transmission of symptoms occurring outside. in terms of how long we need to shelter in place, we have to wait until the numbers come down to a lower level and think about the way we can get back to normal, but at the same time keep the numbers low. we don't want to relax it and have a rebound in cases. >> and let's hope this isn't a second wave that's powerful. thanks for joining us from hong kong. appreciate it sfloop the captain of a navy ship fired after speaking out about the number of coronavirus cases on board. the confusion over the help for small businesses. whether there's any way to know which jobs will be saved and which ones won't. as a struggling actor,

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welcome back. we are saying good morning to detroit right now. michigan has seen a dramatic increase in the coronavirus infections over the last week. detroit seeing more deaths, some heavily concentrated cities like l.a. and chicago. >> it is one of the focus for the cdc. washington, d.c. and parts of colorado. we're going to continue to keep an eye on those particular areas. now to the shift in white house guidelines. monica, good morning to you. what prompted the shift in case covering guidance? >> yeah. we really heard a lot of different stances on this issue. and for weeks, even the surgeon general was pleading with the american public not to go out and purchase their own face masks because they were so afraid that that would take away from the medical supply. and now, here on friday, the cdc did revise its guidelines and was telling people, especially those in hot spot areas, that

anything that is sort of like a cloth face covering would be effective. and it's not just in terms of preventing the spread, but this is also for people who might be asymptomatic, not showing any of the signs of coronavirus and who could potentially get other ill. so the thinking is the more people who do this and who kind of place a barrier between the bottom of their face and others, it limits as much as possible what could get out and what could potentially cause that infection. but the president himself didn't necessarily want to commit to doing this which came at a strange time because the first lady, melania trump, had issued a tweet while the president was doing his briefing urging americans to look at this and that it could be important and to wear a mask or face covering and to take that issue seriously. so a bit of mixed messaging from the president and the first lady. the president said he didn't want to be sitting in the oval office wearing one of these. and the cdc issues this

guidancing and it's more about wearing this when you're outside, not as much about when you're inside. but as we look to the different states that continue to ask the federal government for guidance in terms of what they should be doing for a stay at home order, the president was pressed on this again last night. take a listen to what he had to say. >>. >> the governors know what they're doing. they've been doing a great job. i guess we're close to 90%, anyway. and states that we're talking about are not in jeopardy. no, i would live it to the governors. >> we have seen now so many more states particularly in the south come out with these stay at home orders. we saw alabama yesterday, something that we expect to see from other states.

but the president has made it clear he does not want to issue stay at home orders. but all the doctors here said the most important thing you can do to stop this spread is to stay at home. >> and we want to ask you about another major development overnight that would otherwise be a lead story. the president firing the inspector general who flagged the ukraine whistle-blower complaint that triggered his impeachment. did this come as a surprise? >> so the president had hinted at this for months. it's no secret his displeasure with how the impeachment proceedings began which is, of course, with this inspector general validating and passing along the whistle-blower complaint. we have heard the president rail against the intelligence community and inspectors general in that regard. and saying he would like to remove them.

but it did come as an absolute surprise right now. he wrote it is vital that i have the fullest confidence in the appointees serves as inspectors general. that is no longer the case with regard to this particular inspector general. so what is interesting about this is the president actually decided to put him on leave immediately. solo he technically still has 30 days left to serve, he will be put on administrative leave. he won't be doing that. so in the middle of this pandemic, most people are asking why was this a priority? why did this have to be taken care of in the midst of this crisis. >> so much of the timing of this is weird. the epitome of a friday night dump. monica at the white house, thank you. and new today, theodore roosevelt's great grandson is among those publicly praising navy captain brett crozier. friday was his last day in

command of the uss roosevelt. >> he was relieved of xwhacomma when his letter was published. check out the send off from the thousands of sailors on the aircraft carrier. the cheers, captain crozier and the final salute there. joining us now, christopher dicky. thanks for being here with us. interesting sound and image and pictures right there. what does that sort of sendoff say about crozier's leadership and his calculation to write that particular letter? >> i think it shows that his crew, the men and women in that crew, think that he was a great captain.

and i think that they recognize absolutely that he was willing to sacrifice his career to keep them alive. i think that's what it says. >> nbc's pentagon reporting senior leadership advised against ousting crozier, but the acting navy secretary insisted on it. what do you think was behind the decision to let him go? >> look, even in captain crozier's letter, he said this will require a political solution. he understood perfectly well what he was doing with that letter, sending it not in classified channels, probably suspected it would be leaked, probably consulting with some of his higher ups in the military, in the pentagon, to let them know what was going on. but everybody understands that in this administration, you have to suck up to the president of the united states. that's what we just saw with the snippet about the firing of the inspector general. you basically have to do

anything you can to avoid embarrassment to the president even if it seems sacrificing leaves in this case. and captain crozier simply wasn't willing to do that. >> and you can see many of his sailors were appreciative of that. there are many countries accusing the united states of piracy outbidding them at the last minute for masks and other supplies. >> we have that going on between states in the united states. this is a world encouraged by president trump to be every nation for itself. that's the way he sees the world. he also sees it apparently as every state for itself. and soon that will be every mon and woman for themselves. i think it's a very dangerous thing. and when it comes to the question of vital supplies and

what trump himself has said is a war environment, what you wind up sigh in that environment is war profiteering. and we will see a lot of that in the days to come unless there's a radical change in policy, which i don't expect. >> do you expect there to be any consequences of that? would other countries retaliate against the u.s.? >> of course they will. it's every country for itself now. the european union is having a lot of trouble holding together. but it still remains a strong alliance. the whole idea of allies is allien to the united states under president trump. basically, people are either servants or they're competitors, but what they aren't is friends and allies. so we will see a lot of this. >> it christopher dicky in paris, thank you for your time this morning. two sets of numbers telling different stories about how hard coronavirus has hit the u.s. economy. but which one is more accurate? and when are those relief

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i'm not sure how old her daughter was. but the patient is just a couple years older than me. and all the mother kept saying about her daughter was she has an 8-year-old. she has a 6-year-old. she has a 4-year-old. you have to save her. i don't understand. she was just talking to me the other day and now she's not talking. and she's really, really sick. she was like, do you have a child? and i was like, i do. i have an 8-year-old. so she's like, so then you know. and i said, i know. she was like, you have to help

her today. and i said i'll do everything that i can. everything that i can to help her. we're doing everything that we can. >> just one of the many stories from nurses and, doctors serving on the front lines against this virus. >> and here are the latest numbers. there are now more than 276,000 confirmed cases in the u.s. more than 7,000 people have died. the cdc is urging all people to wear masks outside. >> and right now in the state of montana, the national guard will screen travelers who are arriving from outside the state at airports and train stations to try to help slow the spread in that state. an army captain helping says he's happy to do his part. >> everyone for the most part in america realizes this is something we have to take seriously. i think people are willing to undergo a quick, quick thing like that in order to have some

peace of mind for themselves and make sure they're doing the right thing. >> meanwhile, north and south dakota, nebraska, iowa and arkansas, four states still have partial orders in place. walmart is staying steps to protect customers and workers. starting today, the retailer will limit the number of customers who are allowed inside, allowing a one in, one out method when stores reach 20% capacity. customers will enter single file through one entrance and aisles will become one way to prevent close contact. and also this. >> we love to see it. in new york city, a group of firefighters cheering for the nurses and, doctors outside elmhurst hospital in queens. take a look.

they held signs, blaired sirens and cheered, calling the health care workers heros. new job numbers are painting a stark picture of the economic fallout from the coronavirus. a decade of job growth came to an end when more than 700,000 americans lost their jobs in march. the unemployment rate rose to 4.4% up from 3.5%. >> weekly jobless claims from the last two weeks brought the total number of americans filing for unemployment to nearly 10 million. alexis joins us live. the numbers on the screen are at the highest weekly jobless claims since the numbers were tracked. why do the numbers from the march jobs report pay a different picture than the weekly jobless numbers? >> that's right. good morning, lindsay. good to be with you again.

these numbers were staggering and they're only expected to get worse. we saw the biggest one-month jump in the unemployment rate since 1975. going from 3.5% in february to 4.4% in march. that doesn't even begin to reflect the full impact the coronavirus is having on the labor market and that is because data for that particular survey only goes through march 14th. and we know most of those lockdown is happened in the latter part of the month. so those 10 million americans who applied for unemployment benefits in the past two weeks are not really counted in this march jobs report. even so, we lost 459,000 jobs in the restaurant and hospitality industry and all of the economists are saying the april jobs report will give us a much clearer picture of our job market. they're expecting perhaps 20 million jobs to have been lost

and we're looking for the unemployment rate to spike to a record level. it could top 11%. >> 11%. so numbers that we haven't seen in a decade. in the meantime, there is a little bit of confusion, alexis, surrounding the new small business loan protection. nbc news reports that banks as late as thursday night were still awaiting final guidance from the treasury department and it was supposed to go into effect yesterday. what are the problems that these business owners are facing right now and is there any way to know which businesses and jobs will be saved? >> there was a lot of confusion on the part of banks and also on the part of small business owners as to how this program was going to work. we know the stimulus package set aside $350 billion worth of small business loans. how are businesses going to get this? that was the big question for the banks, too, in just the final hours before this program was supposed to kick off. they finally received some guidelines from the treasury department. and even then, they were

confused. we also had borrowers found that there was really no standard application process here. so a lot of the larger banks were not ready to take applications yesterday. we have wells fargo saying they're going to start taking applications on monday. you had chase bank's website crash because so many people were trying to access it. bank of america was the first large bank to go online with this program and they were absolutely overwhelmed. over $22 billion worth of loan applications flooded bank of america. and there was some criticism here because a lot of the banks says we're going to prioritize those people who already have a lending relationship with us. so if you're a small business and and you have a loan with bank of america, you would go to the front of the line. a lot of people said, wait, that's not fair. what if a small business was prudent, had no debt, had no relationship with a bank, why should they go to the end of the line? they need the help just as badly. a lot of people are saying lawmakers know there are gaps

here. they're going to have to fill them. it's not a question or if but when we get that fourth stimulus package. >> small businesses wanting some of that relief. also, americans wanting those relief checks. steve mnuchin said they'll be coming in a couple of weeks, but it could take longer? >> that's what we're hearing. so about 90 million americans should expect a check to be deposited to them by april 15th. the problem is the government does not have direct deposit information for about 110 million people. some house democrats said those folks might have to wait five months to get those checks. the treasury secretary very quickly said no, we'll get that money directly to them. lookite for information from the irs later this month. there will be a portal where you can jump online, put your bank information there so the government knows where to send

that direct deposit check. steve mnuchin says he wants to have all checks to american s in the next three weeks. >> and rent was due yesterday or this week. alexis from yahoo! finance, thank you. getting better after being sick with coronavirus. >> we know about the process of recovery and how long it takes before a patient is actually cured. g it takes before a patient iacs tually cured. hey, can i... hold on one second... sure. okay... okay! safe drivers save 40%!!! guys! guys! check it out. safe drivers save 40%!!! safe drivers save 40%! safe drivers save 40%!!! that's safe drivers save 40%. it is, that's safe drivers save 40%. - he's right there. - it's him! he's here. he's right here. - hi! - hi. hey! - that's totally him. - it's him! that's totally the guy. safe drivers do save 40%. click or call for a quote today. there's my career,... my cause,... my choir.

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our er is still slamming with patients coming in, needing oxygen therapy, breathing treatments. >> some patients are there who start to look better. all of a sudden they deteriorate and go into cardiac arrest and die. >> it's only a matter of time before it hits your community. it's not a matter of if. it's only a matter of when. >> you almost have to pause to let that sink in. the medical community is on the front lines with the conditions they're working in and what is to come for some parts of the country. >> joining us right now is a risk and behavioral expert. thank you for being here, ashetta. are people like those doctors and the nurses who have been more exposed to the virus than the average person, per se, more likely to show serious symptoms

if they contract the virus? >> well, we know those on the front lines are definitely at higher risk of exposure. so it's important to take that moment and pause and think about why we keep saying they deserve those n95 masks and not to horde them. but the real take away from this is we are talking about symptoms and recovery. and the idea that this virus just emerged just 3 1/2 months ago. now we're talking about recovery and what it means or how we define recovery from covid-19. so that is a positive. we see infection rates going up, we see fatalities going up, but we also see recovery going up. and we have to remember this is a class of sigh viruses that cause the common cold. in the case of another virus, like hiv that causes aids, that

virus, even if he can no longer detect the virus in the blood, we wouldn't say widespread that you have covered from hiv. so we are in flux right now in terms of defining what it means to recover from covid-19. that is actively what is being determined now. >> so let's talk about those numbers about recovery. johns hopkins university cites almost 10,000 in the u.s. and more than 200,000 worldwide. so when we're talking about recovery, do we know yet whether somebody can catch the virus again, whether they're still contagious after showing no signs and feeling better? >> sure. and so this, again, is changing from region to region in the -- in east asia, it's a lot more stringent. so even those who test negative for the virus, they are required to self-isolate for two weeks just to be on the safe side. and there's a chance that the virus itself, even though the

antibodies have shown up and the lab tests are coming up as negative, there's a chance that some amount of the virus can still stay within the ris respiratory system for some amount of time. southeast asian governments are still requiring their populations to self-isolate for two weeks. in the united states where we don't have that same amount of testing, those that don't show symptoms for 72 hours, that's the requirement for them to say that they've been recovered. and if testing is available, then you need to test negative twice within 24 hours or with a 24-hour delay between tests. and so there is different definitions about recovery. those tests that show up positive even after the patient is supposedly recovered are either due to false positives from the beginning, so that first test was incorrect. the test might be faulty or there's a chance again that this virus might still persist even though recovery is in progress.

so that's something we as a community are trying to identify and figure out and we'll have a lot more information soon. >> breaking down that new information about recovery, thank you. fear, factor and firearms. the pandemic leading leading tod high in u.s. gun sales. the question is why? plus, congress considers a fourth relief bill. how much more help might it provide? getting older shouldn' . it should just mean, well, finding new ways to do them. right at home's professional team thoughtfully selects caregivers to provide help with personal care, housekeeping, and of course, meal preparation. oh, that smells so good. aw, and it tastes good, too. we can provide the right care, right at home.

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i think right now we need a fourth bipartisan bill. it could be very much like the bill we just passed. let's update with other things that we need and, again, put money in the pockets of the american people. another direct payment extending. we have employment in four months. let's take it to six for the unemployment. >> nancy pelosi expressing the urgent need for phase four

relief bill while signaling it could very much like the one that they just passed.

>> reporter: mcconnell says he wants to come back forth and put a new c.a.r.e.s. act. the timing is what's in question right now. >> of course a lot of people wanting to do something about voting protecting voting this november. really quickly here, this whole thing about guns and background checks are smashing records amid the virus fears. what's going on here? well, we uncertainty times when guns have an uptick. california is not a pro-gun state, but she is so alarmed at all the long lines there in california. it is certainly something where people are concerned that they may lose their rights to have a firearm or they're just concerned about the state of play across the country.

>> in some states it has been considered essential businesses. so many of them remaining open, even despite the shutdown. our thanks to you. appreciate it. thank you for watching. >> i'm kendis gibson. we will see you tomorrow morning. alex witt is up next. >> she will talk to general russel honorebut how doctors are competing with each other over desperately needed medical equipment. ical equipment. (aurelia) i did have hearing aids from another company. i was just frustrated i almost gave up. with miracle-ear, it's all about service. they're personable, they're friendly. i'm very happy with them. (vo) we provide you with a free lifetime of aftercare,

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