hasn't developed at this point. we're going to continue to go to our journalists and medical experts for kov wracoverage. i want to thank you. we are up against the end of the hour. i will be signing off. i will see you back here tomorrow. keep it on msnbc. good evening. i'm steve in new york. president trump is shifting his focus to the economy. and to reopening the country. in a press conference tonight, that just wrapped up, he announced new testing guidelines

at the state level and he encouraged governors to reopen their states beginning with their school systems. >> well, we want them to do it. rerecommend they do it as quickly as possible and safely. you are seeing a lot of governors get out. they want to open it up. many are thinking ability the school system. not a long way to go in the school season, for this year, but i think you will see a lot of schools open up up, even for a short period of time. i think it would be a good thing. as you see, in terms of what this vicious virus goes after, young people seem to do very well. >> and this comes as the number of coronavirus cases in this country now approaches 1 million. 985,000. a little more than that as of this evening. that number includes almost 56,000 americans now who have lost their lives to this virus.

president avoided his usual public speeches this weekend. and he attacked the media and his political opponents. trump's e remarks about disinfectants has sparked new debate at the white house about whether the president's public appearances need be scaled back. the white house initially canceled tonight's briefing and put it back on the schedule late they are afternoon. the president disclaimed responsible for for suggesting disinfectants can be used on people. >> they said they have seen a spike in disinfectant after your comments last week. i know you said they were sarcastic. >> i can't imagine why. i can't imagine why. >> do you take any responsibility -- >> no, i can't imagine that. >> and if a news story tonight, the washington post reports, u.s. intelligence agencies issued warnings about the noefl

coronavirus in more than a dozen classified briefings prepared for president trump in january and february. they were conveyed in issues in the daily brief and the alarms failed to appear with the president who routinely skips reading it. i'm joined by ashley parker, white house reporter for the washington post. and dr. patel. thanks to you for being was. ashley, let me start with you. is all that reporting that preceded the most recent trump press conference that just wrapped up within the last few minutes that perhaps the white house was rethinking how they were going to be done. it was not the on schedule. it was added later. it did not feature dr. fauci. did not feature dr. birx. is this a new model we saw today? >> well, i think they are trying

to push the president to a new model. talking to white house officials over the weekend and frankly before the president had a bad news psych wrl he suggested injecting disinfectants, they are going to keep the president more economic. think think that is area where the president is more comfortable. where he has better chance for success. if he says something hyperbol ginnic about the economy, it's not dangerous like passing false health information is. there is a new model to a separate economic venn eye for the president. the one challenge of course is this is a president who is incredibly responsive to news coverage. there were stories there were going to be less briefings, they with not worth with the time, and then exactly, as you

mentioned, we saw today, we woke up, there is a briefing scheduled at 9:20. and by b about 11:00, update, no briefing and a little over 1:00, a briefing was back on. and the whiplash reflects a president who does not want to be constrained despite what they are advicing him. >> i said that the dr. birx was not at briefing. i said -- but it was dr. fauci who was not there. set the record straight on that. in terms of what we saw last week from the president and it triggered conversation over the weekend. how do you contract that with what you saw this afternoon? >> he does seem to burnd some kind of restraint or duress. ashley is right. the white house does come up with plans for making him behave better. we have a long record where trumps aids come up with a brain

wave to better behavior him. he will always snap. he cannot abide any kind of restraint. he will behave him for for 24, 48 hours and then there will be an explosion. and the story are about the briefing books is exactly the thing that ig nynites him. and the p president will have a basis for complaint. they did have the warnings in the one place he would never look, inside a book with. >> dr. patel, the theme there in addition to the idea of reopening the states, it was testing, ramps up testing capacity. brings in in cooperation on

cooperate america. do you believe we have turned on corner? >> no, unfortunately, we are facing a bit of an uphill time to e get enough testing, absolutely. if you reatd the blueprint, it talks about cooperation. but it says, they are left to their own to set up, and conversation about what to do once you do get the tests. because if somebody's positive, you need to put in motion a significant amount of tracing. unfortunately, it always feels like the administration is a little too late and not enough substance. >> we can put here the subject of testing comes up. why don't we put the numbers up there. right now, i think we can put the first graphic up. this is a bar chart that shows the number of tests performed each day. you do see there, it looks like

in the last couple days, there has been an up tick there. you see it has north of 300,000. what you have been seeing for two weeks before that. a number at 140, 150,000 a day. the raw numbers have increased in the last few days. again, a lot of experts telling us it needs to be higher still. it does show more recent progress. you can see, this is the total number of tests performed. and there you go, this is the total number of tests. one thing to keep in mind when you see the graphic here there are different ways of thinking about numbers. you hear the president say more tests are performed in the united states than any where else. you can see on this chart in raw numbers that is certainly true, but not every country has the same popular. the u.s. has a population that is much higher, significantly higher. when you break it down to tests more 1,000 people, that's where the united states, i don't think

we actually have that graphic. if you were to break the countries down by tests per 1,000 people, the united states is in middle of the pack. we would be higher than united kingdom. higher than france, lower than italy and many of the other countries. so middle of the pack with testing rate. ashley parker, let me bring you in on that piece of it, what the white house and what the president was announcing today in terms of cooperation. walmart, other places what steps are implemented now? >> it's a little unclear what the specifics are. part of the reason of the briefing, they had a big national testing strategy to roll out on. they had a conference call with some reporters earlier in the day. some outlets were invited, some were not.

one of the goals was to have about 2% of each state's population to be able to be tested. when you listen to the briefing, there were less tangible specifics than i personally was expecting to hear. i think another thing to keep in mind, ift doesn't mean they are not going to do i, but they did get pressed on this. this is not the first time we have seen the exact same executives standing in the same place, the the rose garden, and saying we're going to ramp up drive through testing sites. we're going to work on private public partnerships and after after the first time, last month, we had to push and went back and checked and there were only about a half dozen of the sites. so i think it's interesting and it's great they are trying to work with the companies and stand something up. but i think until e we actually see the proof, what are they doing with testing, how many testing are being produced, how are they processed in tansible

numbers, i think it makes sense to be a little skeptical. >> david, you mentioned your skepticism, the tone we saw from the p the might persist for another day or few days. i won'ter in terms of the focus, we were talking with ashley, the focus of a briefing that as focused, in terms of the idea of reopening and mention of the economy. is that a shift the white house would be wise to think about at all? >> look, the white house is -- you can't ask a question like would this white house be wise to do this? because that treats it like a normal kind of government. i think it's important to understand, this administration is on a two track strategy. a rhetorical strategy, that pays lip service to tracing, and quarantining and all the things the health experts say. but the real strategy, driven by

the fact they have taken away the options. they have missed the deadlines for testing and now missing the deadlines for tracing and there is no plan for quarantining at all. the real strategy is to muscle through it. to accept that the infection will race through the population, there will be with a certain level of casualty and to make the economic reopening a priority notch priority. to do what britain is doing and abandoned. here is what president is thinking with this. right now, the numbers are going up faster than you can count. probably 17%, 18%. great depression levels. unless the economy gets to rocket up, the president has no hope. he needs to show economic recovery beginning rapidly. that means it's the economy that he separates from human life. the real policy is let it rip,

take a punch. hope for rapid recovery, and if the casualties go above 100,000, 200,000, that is the thing. >> dr. patel. we talked about contract tracing. didn't hear as much emphasis on that today. just curious from your standpoint, is united states positioned right now to implement the contract tracing bram that would be necessary to begin talking about wide scale reopening? how far off are we to be in foigs do that? >> pretty far off. i will give you the first data point. the cdc's budget was proposed to be pretty significantly cut before covid. of course congress has injected funds in the cdc but there is really no ready turnkey staff to do this tracing. if you find someone that is

positive, let's say a couple months from now, and businesses reopen, you have to -- human labor, you have to find a way to go back in time and talk to contacts and their contacts contacts. this isn't something you can really just do overnight. so we are far off. and in the blueprint, i didn't see enough mention about the tracing, that is critical part of this. >> thank you for being with us. dr. patel will be with us later as well. coming up, the debate over reopening. ly take a look at how different things are in states that are beginning to reopen compared to the epicenter of this, new york city. >> 30% of restaurants are estimated to go out of business. we really have been going through -- we are been going through hell. we don't know the future of the

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well, there was something that came up in the rose garden news conference. a lot of talk about this, the idea of states beginning to reopen. beginning to lift restrictions, some restrictions on nonessential businesses, folks being able to get out of their homes. these are the states -- it's not all the same. they are not all doing it the same way. states that have begun to lift. tennessee, it's not consistent within the state of tennessee. much of tennessee is seeing restrictions lifted but not all of tennessee. one of the themes, we show you the statistics for the united states, the picture when it comes to covid can look dramatically different depending where you are in the united states, and tennessee suggests,

where you are within a state. let's take a look here. the statistics. south carolina, one of the states we just had highlighted there, they are beginning to lift restrictions. these are the key statistics on this for south carolina. deaths per 1,000, 0.03. hospital zag hospitalizations for over 1,000 people. 0.2. cases, you see 1. if the numbers look small to you, here is one way to put it in perspective. let's compare it to south carolina where it's been raging, here in the united states, it's new york. take a look at the new york numbers compared. and that is when you really get a sense of it. the numbers, they are just dramatically, dramatically larger in new york than they are in south carolina. that gets to impetus it seems for some of the states

reopening. the picture on the ground in the states, if they had covid cases, it isn't, in terms of numbers, nearly as dire right now as it is in new york. that probably accounts for the impetus in a state like south carolina. one thing to keep an eye on. we talked a lot about it in the last segment, the idea of widespread testing. the idea to have it if place to monitor things, nip an outbreak in the dud bud. a lot more testing going on in new york, than in south carolina. georgia, another state that is beginning to reopen here. again, the numbers are larger than in south carolina. georgia ha had a big outbreak, in the albany, georgia, area, the numbers are smaller than new york. can account for the impetus. we request say quickly here within states how different picture can look within states.

new york, we talk about it all the time epicenter, so this is the new york stay metro area. new york city, long island, p suburbs f y suburbs, if you can sigh it, it's a small part of the state heef. terrible numbers, the worst you will see in the country. come paper it to the rest of the state. up state new york, western new york, again, it's night and day. it's a totally different picture. that is within new york, the hardest hit state in the country. again, perspective, how it looks and how it all feels on the ground, big component is it, depends where you're standing. still ahead, states are pressured to owe open. we will ask a neighbor of new york and a mayor of a mid western city how they are balancing the competing forces next. stay with us. usaa has been standing with them for nearly a hundred years.

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welcome back. as the trump administration moves ahead with additional guidelines on reopening country, a lot of states are beginning to get back to some business. colorado, minnesota, mississippi, montana, tennessee and kentucky are among the states allowing some businesses to begin reopening today. at least easing restrictions. georgia gave the green light to movie theaters and restaurants

to open. i'm joined by governor ned lamont of connecticut. if you have a reopen, with 25 pra25% capacity. i'm just wondering, what is the timetable for a state like yours, what do you think your reopening timetable looks right now? >> well, steve, first here in connecticut, the heart of our economy never started. we're a big manufacturing state, jet engines, helicopter state, finance capital. what hit you is the service

economy, the rest ranlts aauran bars will take longer. it hits the unemployment numbers big time. >> when you say a little longer, new jersey, second in new york, in terms of just being devastated, the governor is talk b at weeks, the time table to starting starting to reopening he is saying weeks, do you think about it long center. >> no, i think in terms of weeks as well. over the next few weeks, we will have a lot more testing, a lot more masks. so that will allow us to get going. we he will have 14 days of declines hospitalizations, and i like to think we have most of our retail up and of rperating them. >> the president talked about some states, encouraging states to get kids back to school, even he said for a short period of

time before the end of this school year. is that something on the radar at all in connecticut? >> you know, probably not. we're a pretty small state. we have some sections of the state that have a very low infection rate, perhaps the schools can open up and right next door, you have a school system that is closed. sounds very complicated to my. we have great distance learning going on right now. i'm afraid that will be the norm through the end of june. we haven't made that call yet. >> what do you think life looks like this summer in your state? over talking? you're talking if jobs are going to have a paycheck, the businesses they work for are going to be able to open, citizens in your state wondering if they will be able to get out of their houses, the wed withing season, families wondering if the daughter and future son-in-law can get married. what do you think summer is going to look like, do you

think? >> i think local businesses are open as long as you can socially distance. outside eating for restaurants will get started. people will be able to go outside and enjoy summer weather as long as they cautious about not -- keeping that social distance. i think the golf courses never closed down. so i think we e can do a lot of things we always wanted to do. bars and rock concerts and places where you tend to congregate, that will take longer. >> the president treted, why should the police and texas payers boiling out poorly run states when they are not looking for bay out help. idea of getting federal aid to states. what is your response to what the president put on twitter today? >> that is nonsense. you look around the country, red

states, blue states, we've all been hit. wyoming, north dakota, you know, they are hit because of energy, the price of energy collapses and hit their budget. and mitch mcconnell's kentucky. 20 plus percent unemployment. let's get blou and red. let's get it fixed. >> thank you. meanwhile in oklahoma, the governor there has allowed some hair and nail salons to open for appointments last friday, and gyms and sports theaters can open with social distancing and sanitation guidelines, the approach to reopen will be data driven. oklahoma has 3200 confirmed cases of coronavirus and 197 people have died there.

and it does allow local governments to put conditions on reopening. i'm joined by the mayor of the largest city, david holt. one of the first mayors to issue a stay at home order. you're going to have -- per your governor, you're going to have flexibility in your city, in terms of what can happen, what can't open. what is your sense, by the end of the week what you think we will be operating in some capacity in oklahoma city? >> we also have to operate within the structure. we do have flexibility in objecti oklahoma city and we are going to use it to the greatest degree practical. we operate where i'm only the mayor of less than half the people in my metro. that is going to be the case in many areas. we have to have some kind of

uniformity for there to be a public health ben it in closure. that is a health factor we have to consider. having said that, the list of openings will be similar if not adent cal to the governors. but we will put conditions on that and common sense stuff. but social distancing and sanitation protocols to try to make it as safe as possible. we want the same mind set we had for the last six weeks. >> once you put it in place, put the conditioning s on it, talk t the monitors process. if you get a report of one case, what do you do? how is the monitoring going to work? how reactive are you going to be to reports of cases? >> data is critical. i should say, we're not moving forward on friday if there is a sudden change in the next four days. we're going to be monitoring now and then.

we seem to be in decent position relative to other places and we appear to meet the white house criteria. we will are keep watches it but as we move forward, i have said it and the governor seed it. there is a sudden shift, there experience has failed and we have to go back to another phase. my hope is that everybody conditioned themselves and we were not ready on march 15th. but we will know how important it is to take the precautions we talk about. and if you are going to engage in activities, you do social distancing, wear masks. but we will watch it like a hawk had. >> i'm curious about that. this is an issue that cities and states across the country have to deal with, when they begin to reopen in some way. that is the difference between okay, there's a report of a

case. there is a report of a few dozen cases that might be scattered and don't represent a new outbreak. you said the idea of looking for a spike. it seems easy to say that. but how will you define that? how do you know you're looking a the a spike or cases? >> we listen to public health officials. we're going to look for definition for that from the highest levels, people like dr. fauci, who is a hero, and the oklahoma city public health department. they are local heroes. nobody's depending on me for public health expertise. thank goodness. we are going to rely on the public officials to tell us whether it's a spike the community should be concernedn't or whether it's one assisted living center. all of that is things to consider. but we rely on science and data

to make the digtss. >> david holt, the mayor of oklahoma city, thank you. >> thank you, very much. be well. >> you too. >> and up next, a care of medical professionals compare their assessments of the progress in the fight and the forecast for what is coming next. >> i want you understand that had it can be no matter what your age is, no matter what your history is. we have seen patients in their 20s and 90s and all in between and is all of them have been sick. with a blue whale and it all started when she got on fitbit and saw that every sleep step bite and stress is connected. she learned how to workout smarter, found balance, and did something she never thought she could.

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at most, 5 brnt to 15% of the united states has been infected to date. with all the experience we had so far, the virus is going to keep transmitting. it's going on be here for 16 to 18 months and people don't get that yet. we are just on the very first stages. when i hear new york talk about they are down on the backside of the mountain, i know they have

been through hell. that is an important statement. they have to understand, that is not the mountain. that's the foothills. we have a lot of people to get infected before this is over. >> welcome back. that is the drerkt, the director of infectious disease and research policy. it's been more than three months since the first case of the coronavirus has been reported here in the united states. the sign tigss learned a lot in that time. and there is much more we don't yet know about this deadly virus. the centers for busy contrdisea added new symptoms. chills, repeated shaking with chills, muscle pain, headache, sore throat and losing your sense of taste or smell. back with me, dr. patel and joining us, dr. parric, peach

medical adviser and former deputy secretary for department of health and human services. let me start with you what we just read there. the new symptoms that have been added to the profile of the disease that folks should be on the lookout for, we hear so much this is a disease of the lungs, the air ways, it it a fekts breathing. when you start to see chills added to the list, what is that telling us about our understanding of what this disease, what the virus is? >> steve, we're still learning quite a bit about the disease. a lot of the symptoms you just presented are flu-like symptoms and the important part for the public now, flu season is winding down and you see the illness out the there. which makes us think absolutely

that covid-19 is present across the country, and not necessarily showing signs of slowing down everywhere. >> well, as businesses, we just talked about this, decide whether to begin to reopen, a new study shows the coronavirus will linger in air in crowded space or rooms, and it did not indicate where it can cause infections but said future studies should explore that. dr. patel, i have been seeing it about indoor spaces. i know there is another study about folks in a restaurant that are in the line of an air conditioner, they are getting it at higher rate. what do we learn about indoor versus outdoor in terms of transmission of this? >> well, we know that indoors and especially the environments

in which some of the studies were done are a lot like hospitals or medical facilities and in those environments, it's clear that the need for the medical grade personal protective equipment is very high because it can linger in those spaces four hours as the studies point the out. but to your point, indoor/outdoor restaurants and if we have tables that are apart, that will help. but to it's clear that our normal indoor dining habits are going to change, and it's not just because of what you said but also because probably a high hadd higher infection right of people talking things and that is a real cause of the transmission of the virus. it's a little bad news for indoor diners because we didn't be in crowded, packed spaces like we used to. >> let me ask you getting away from restaurants and businesses

indoor versus outdoor, more basic, just in we're going to have to live with it in some form over summer, this became an issue in california. huh huh a heat wave in california and folks doing their best to adhere to the guidelines and what you saw over the weekend are folks, i just want to get outside. here is a beach a mile away, five miles away, whatever it is. let me get outside. let me get air. i know it has caused controversy but given what we know about indoor, and what you describe, just the reality of folks trying to live with it and try to find some outlet, is there a case to be made -- a way to get them to beaches and outdoor places over summer just to give them a break from being inside? is there a way to do safely, do you think? >> i do think there is a way.

but -- >> go ahead, dr. patel. >> i do think there is a way to do it safely. if you stack the use of for example no medical masks, parks spaces that are distanced and having clear december signationt having metal play structures. but how do you encourage exercise or fresh air? it's going to be a different way than we are used to. >> and it could be at least another year before the vaccine is available. dozens of clinical trials here and abroad. heartburn medication in combination with

hydroxychloroquine. in japan, they will approve a drug that was first developed as a possible treatment for ebola. there was another one, i see the stories all the time. i perk up when i see a story about a promising study. i imagine a lot of folks out there. there was another one i saw out of oxford university in england, a potential vaccine. six monkeys had been giving a high dose of it a month later. they were not showing symptoms of it. and let me ask you, a broad question, we keep hearing a year, 18 months at least for a vaccine. is anything that you have are seen, whether it's the oxford one of japan, has anything that you have seen given you hope that it could be less than 18 months, less than a year and maybe substantially less?

>> i think a vaccine will take at least a year. you have to remember the studies not only have to go through animal studies but human studies. safety is paramount. effectiveness, where it has an immune response. you want to make sure that it's given to a large number of people so you can identify side e effects. it will probably take a year and you have to focus on manufacturing and distribution. but you mention medications and in particularly anti-viral meditations and there, there could be promtsiising answers. and there are dozens of clinical studies around the world. and looking at patients with severe covid-19 with pneumonia and the small study showed

reduction in death and muse of mechanical ventilation. there are studies that -- we all hope that will come to fruition before a vac zocine is possible >> we will keep our fingered processed on that. doctors, thank you both for being with us. up next, nbc news chief foreign correspondent richard e engel goes to sweden where soerkd is voluntary. we're back after this. >> watching people die without anybody there is just torture. it's going hurt a lot of nurses. we're going need a lot of coaching and counselling after this is over. i don't know, it's hard for the families no to the be there. i'm just praying we're done with this. these days, it's anything but business as usual. that's why working together is more important than ever.

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welcome back. yesterday italy's prime minister announced the gradual easing of that country's restrictive lockdown. italy was the first western nation to impose a strict national lockdown more than a month ago as the coronavirus began spreading throughout that region. a sweden opted for a dramatically different approach, however. sweden's health officials chose to keep things open and to make social distancing guidelines voluntarily. nbc's chief foreign

correspondent richard engel reports from stockholm on the controversial approach. richard? >> reporter: steve, for sweden it's about sustainability. this country believes that tair -- they're going to be facing the coronavirus in one wave or another, one mutation or another for many years to come so they are trying to think about the long term, trying not to have a policy where they lock everything down only to have to open it up again and lock it down once more. they are thinking what can we do that is sustainable potentially for years until there is an effective vaccine, if there is anfe effective vaccine because there is no guarantee we'll reach that. i spoke earlier today with the mastermind of this program, the dr. fauci of sweden, his name is dr. anders tegnell.

he said if you treat people like adults and speak to them, explain what the rational is that here in sweden, at least, they have been sticking to some social guidelines without having to totally close down their businesses. here, almost nothing has been closed. schools are open. shops are open. restaurants are open. bars are open. but people are told don't over crowd them, don't go and visit your elderly grandparents, especially if they're ill and try and keep your distance from people, but they're not even seeing keep six feet apart. they're not putting lines of chalk down or tape on the ground. they're just saying keep a respectful distance, we'll leave it up to you to decide what it is. a lot of critics say this is irresponsible and pushing for so-called herd immunity, which means you protect the vulnerable

and let everybody else get sick with the idea and hope that eventually they become more and more immune but health officials say so far, so good in this country. they had 2,000 deaths. half of them in nursing homes, half in the rest of the population but that is more or less equivalent per capita to the rates they have been having in the united states. steve? >> all right. richard engel, thank you for that. coming up, the latest on the 2020 race. joe biden picked up a big endorsement today. we'll be right back. this is an athlete, twenty reps deep,

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welcome back. the president's handling of the coronavirus crisis threatened his political standing six months ahead of the presidential election. with nearly 60,000 americans now dead and 26 million losing their jobs in recent weeks, there is a new poll today from the university that shows the presumptive democratic nominee, former vice president joe biden leading trump in a hypothetical matchup by ten points.

other polls put closer but consistently a biden lead in the high single digits over trump and today the house speaker nancy pelosi formally endorsed biden saying he would be quote in extraordinary president siting his leadership during the financial crisis and his experience in the obama administrationme administration. president trump's approval rating is steady. it's about 45% right now. even though an associated press poll shows few americans trust the information he's providing on the pandemic. more troubling for the president is a series of polls in battle ground states released over the last week that show trump trailing biden in critical states. trump campaign officials told the associated press they have quote become concerned about losing support in several key swing states particularly florida and wisconsin. some advisors have all but written off michigan. "the new york times" reports internal rnc polling mirrors public polling that shows the president quote struggling in the electoral college battle

grounds. the president's standing also has republicans concerned but of course, as we've learned six months can be an eternity in this era. six minutes can be an i teteret. "all in with chris hayes" is next. good evening from new york. i'm chris hayes. i want to start with a small bit of reporting from the associated press that crystallizes the fundamental problem we face now as a nation. here is the quote from it. trump campaign officials have expressed worry that he could be pushing to open things too quickly and that any resulting deaths will not be forgiven by voters in november. that's the quote. the president's campaign advisors are trying to get the president not to go down a path that will result in thousands of people dying unnecessarily because they think it will be