hospitals and right now 2,000 bedside ventilators that could be used for adults and a thousand for papediatrics patie. we bring in a faux patient we check to see if they made changes. we find it could be strengthened especially around hand hygiene and when they are getting a mask there is a delay when they are getting a mask. it needs to become more testing given staff turn over to make sure it is really to maintain individual levigilanc vigilance. >> in terms of the work that you're doing, can you give us a sense of opportunities from improvements? >> on presengs in particular because of thinking about deliberate misuse i think there is on dual use bio-science. i think we have a long way to go and there's a lot of work to be done there. on detection we have an opportunity to improve our systems for early detection of outbreaks. in particular the technology that is rapidly immerging could be sequencing technology. if there are innovative ways to identify unanticipated outbreaks in clinical settings and to apply that technology. we are not sure where the next pandemic will come from. the technologies