becausere whenever we public health officials talk about implementing public health measures, people think that we want to shut the country down. we do not want to do that. we want to use public health measures in a prudent careful way to help us too reopen the country. too reopen the economy. too get jobsou back. the public health measures as of i have said so many times needs to be the vehicle and the gateway to opening the economy. not the obstacle to opening the economy. >> so for those of us, for some of those folks in the audience, could you f just go through with those public health measures are? it's such an important message. there really about five of them they sound very simple but they are important because we know theyk. work. oneen is uniform wearing of masks and face coverings. number two is to the extent possible, keeping distance. number three is likely the most important. avoid crowded places, congregate situations in which you have a lot of people, predominately indoors crowded together without wearing masks. fourth, do things to the extent that you can outdoors pr

public health expert spoke about the fda approval process, ongoing clinical trial's on that , and public confidence in a vaccine. -- >> the purpose of today's hearing -- due to the covid-19 vaccine today'sy, today' i -- hearing is being held lightly. all are participating in videoconferencing and is part of our proceeding, i will be set on mute. you will need to unmute your microphones anytime you speak. during the any time hearing, the chairman -- the vice chairman of the committee, congressman kennedy will serve as chair until i am able to return. beuments for the record can sent to benjamin tabor at the email address provided to staff. all documents will be entered into the record at the conclusion of the hearing. the chair will not recognize herself for an opening statement. today the energy and commerce committee continues its oversight of the nations covid-19 pandemic response. examining the pursuit of a safe and effective covid-19 vaccine that the american people can trust. in the eight months that we battled covid-19, over 7 million americans have had the virus, and over 200,000

that message is about public health. it is that we all need to pay attention and follow the simplest of public health measures so we can better control the spread of the virus and get our communities and countries on track. we thank you for your unwavering commitment to protecting the public's health by always speaking truth to power. dr. fauci: thank you. >> let me just come from a personal perspective. i am very pleased to have the opportunity to host this conversation, and one of my first official duties as dean was back in 2018 when i presided over the school organized with the smithsonian organization to discuss responses to the 1918 pandemic. you were our keynote speaker. in response to the symposium's topline question, are you prepared for the next pandemic -- for when the next pandemic hits, the answer from our audience was no. it was acknowledged we may no progress. here we are together again today, facing the reality painting for us that afternoon almost three years ago. [inaudible] since that 1918 influenza pa

like what realistically, with public health agencies, with strapped budgets, can the public health community do? and also what can the social media companies do to also kind of weight it so that the public health voice is a little bit louder. i'm going to turn it to you first, yoma. >> so it is a long-term conversation but it doesn't have to be effective just in the long term. i'm going to use ebola as an example again. the ebola work that was done in the drc and other countries in central and western africa is ground breaking and has been lauded as such because the conversations happening on the ground and via radio communication and a little bit on social was very much around communities and their needs. so going to community leaders, working with community organizations. and having folks who are already respected as authority figures in each community then share the facts but then also talk about people's values and why it was important for them to include the facts in their decision-making. and so that exact same sort of approach can be happening and is happening in some communities here

we need much transparency from vaccine train your -- vaccine manufacturers, public health agencies like fcc and nih, so the public knows the vigor and scientific discovery going into these products. unfortunately, we are seeing the current process has cast doubts healthapolitical public agencies. we need clear and straightforward information from our leaders to ensure that americans are vaccinated when these products are brought to market. further communication is also needed from pharmaceutical companies. andr role is critical, their business depends on public vaccines work as intended. the american people need unprecedented transparency from tormaceutical companies explain what various trial stages mean, what the side effects are and eventually when a vaccine is approved, are there may be given the drug, are they compromised in any way? this first vaccine will hopefully not be the last vaccine and hopefully will not be the only vaccine. . can you talk about how political intrusions into vaccine development process are harming americans' trust in our public officials and public health

john hopkins school of public health, protecting public health, saving lives, millions at a time. ♪ ♪ fauci: for a while, life is not going to be the way it used to be in the united states. we have to accept that if were gonna do what's best for the american public. >> no matter where in the world we are right now, meeting our medical challenges requires innovative and thoughtful public policy solution. the most effective proposals are those that rely on a multidisciplinary approach, reason, creativity, and evidence-based problem-solving. here in the policy form, we meet leaders of all levels of government, designing or implementing policies that address our most pressing problem. >> the covid-19 death toll has 200,000assed according to john hopkins university. remains theny fauci voice for straight talk and scientific fact. >> -- sen. klobuchar: covid-19 has the potential to make people ill and kill them. >> i'm working directly on a -- >>'s work spans three decades, six presidential administrations, and multiple health crises. from aids, to ebola, to covid-19. dr. fauci: no one is d

you see it in just about every public-health response. if you think back to when we had the his eco-crisis in america. directory --is the director of the cdc. we heard from her every day. when you hear from officials who are scientists and not hearing those messages from political leaders, there is more credibility there. when you don't hear from those officials every day, from the public health officials, then when you are seeing your guidance, it can sometimes feel like it is coming out of left field. there is no expedition and understanding as to why things have changed. we saw that with the mask guys early on where the recommendation was that the public should not wear masks, then it switched to the public should wear masks. there was nothing opportunity for public health to say here is what we learned, here is why there has been a change in guidance come and this is why it is so critically important for everyone to wear masks. host: allen joins us from hawaii. good morning. you are next up for the doctor. go ahead. caller: thank you

seenve certainly disparities in past public health emergencies. the pandemic has greatly exposed trust for america's health has been advocating. calling for data disaggregation. we are also focusing on other issues. calling for investment in public health infrastructure. this includes increased funding at local levels. as we prepare for a vaccine, it is important to realize that hesitancy and access issues are real. the underlying reasons are many, from higher rates of being uninsured or underinsured to lack of act as to health care to .istrust as you will hear from our panelists today. leadingbeen one of the voices advocating for policies that would increase equitable vaccine access. we advocate for increased funding for the centers for disease control. we have heard many saying that this pandemic should serve as a call for action. two in systemic inequities. we released a blueprint for the new administration and congress focusing on health for all. this report is available on our website. with that background and introduction, i'm excited to turn

by public all be run health authorities, either state public health authorities or national authorities in other countries. what it would do is it would give people a warning that they had perhaps been in proximity with someone infected and then give them instructions about how to contact public health authorities to determine what to do next, perhaps urge them to quarantine for inappropriate period of john. perhaps get tested. get them into the public health system so that they knew they had to take care of themselves. we think this will be especially important as we try to reopen around the country. what we know, what epidemiologist now know about virus -- this reticular virus is a -- particular virus is that it can spread without showing symptoms. you want to be able to reach back in time and say who was i close to and how do i get information to them super quickly. the core of this process is what is called contact tracing and it involves trade to public health workers calling people up and urging them to get the care they need. evidence we may need to get initial notifications out

public health experts spoke about the fda's approval process ongoing clinical trials, distribution plans and public confidence in a vaccine. >> the hearing will now come to order. today the subcommittee on oversight and investigation is with holding a entitled pathway to a vaccine ensuring a safe and effective vaccine. the purpose of today's hearing is to examine the safety and efficacy and assess ability of prospective covid-19 vaccines. this vaccine emergency today's hearing is being held remotely and all members of staff will be participating via videoconferencing and is part of our proceedings my proposal will be set on mute for the repose of eliminating inadvertent background noise. members and witnesses will need to unmute your microphones anytime you speak. if at any time during hearing i'm unable to chair the hearing the human chairman colÓn or vice chairman of the committee congressman kennedy will serve as chair until i'm able to return. documents for the record can be sent to benjamin tabor at the e-mail address we've provided. all documents will be entered ininto the record w

difficulty right now those of the similarities and the tbe differences. >> will wefi ever learn that publicic health message that is part of the community not just yourself? >> i hope so because that's at the essence of global health if we are interested only in individual health you are putting yourself in a vacuum which means if it affects me or bothers me i will worry about i it, if it doesn't, who cares. that is the antithesis of someone who is aware of and connected to the concept of global health so when you talk about covid-19 that if a person and gets infected and says that chances are i will not have deleterious consequences, it doesn't matter to me i will practice risk behavior go to bars now wear a mask, that would be fine if your infection doesn't intimate on - - ultimately impact other people but you t that get the message if you get infected, even without a single symptom, what you are doing is propagating a pandemic because by getting infected you are keeping the pandemic alive so even without symptoms you are innocently affecting someone else then you might have someone who is notabl

we will focus on public health. with the closing of coronavirus is in march causing unemployment in april, democrats reset some of those public health experts in the country. two all -- two nobel prize laureates, 5 former chairs of the president's council of economic advisers and 3 were president of the national economic association over 2 dozen in all. every one of them have the same urgent message, the top priority for healing our crippled economy is to contain the coronavirus. economists austan goolsbee said the number one rule of fire is economics, you have to stop the virus before you can do anything about the economics. tragically we failed to control the virus, 200,000 americans are dead, more than we lost in world war i, the korean war and vietnam combined. the united states is only 4% of the world population but approximately 21% of the world's deaths. there have been 7 million confirmed cases of covid-19 in the united states and this is likely a severe undercount. the number of cases continue to explode, 4

another thing is the lack of clear public health guidance. i think too often much of what we heard from the president on down is a lack of willingness to put science first so it's sort of contradictory and sometimes politicized public health guidance that doesn't provide american citizens with what they need to know from their leaders which is what is the risk here and what are some common sense precautions you and i can take to protect our families and communities. i think those things have been lacking. >> also before we moved to some of the recommendations, and an important point that the response was slow and the government seemed to have known much earlier on what was going on and yet it wasn't until mid-march that actually anything was mobilized. >> again i'm not sure that i personally can add much more to the revelations involved in the book and other press reports in this regard, but the task force does make the point and has charts if interventions had occurred say one week or even two weeks earlier that there would have been a lot l

asian american as the responsible for the covid pandemic or the agents behind those unpopular public health >> thank you. our third panelist is [inaudible]. tech policy expert leave leading mobile initiatives to pinterest, facebook and google. health information initiative includes pinterest has been lauded by the world health organization for leading the way in creating policies that tries to limit this information in a coordinated campaign. could i turn it to you and could you tell me what you think of those existing policies on social media platforms, digital media platforms and whether they're doing any good in limiting the kinds of coordinated campaign and using social media for political purposes. >> i will say a few things. first, thanks for having me on the panel but platforms have a responsibility here in the same way they have a response ability to address misinformation around political content, misinformation that has targeted the specific groups. when we address information specifically covid misinformation in the political context it is important to address across all issues b

he undermines public health institutions, and he undermines public health guidance. that is dangerous in a pandemic. we must do whatever we can to restore the public's trust in those public health guidelines. >> dr. chris pernell, it's wonderful to see you. thanks so much for coming on. >> thank you. >>> the president's ace tax on the governor of michigan, hours after a threat to kidnap her were thwarted. >>> hurricanes delta has strong winds and we'll have a live report from the coastal areas in the direct path. and when you get a big deal... ...you feel like a big deal. ♪ priceline. every trip is a big deal. working, parenting, problem solving. ♪ at new chapter vitamins we've been busy too... innovating, sourcing organic ingredients, testing them and fermenting. fermenting? yeah like kombucha or yogurt. and we formulate everything so your body can really truly absorb the natural goodness. that's what we do, so you can do you. new chapter wellness, well done. >>> right now we are keeping an eye on the gulf coast as parts of louisiana are bracing for yet another power

who know their areas directors of public health who know theirareas and directors of public health their communities and know how to do test and trace properly? the honourable gentleman is completely wrong on two fronts. this is been a very contentious statement so far and the gentleman has played a positive part in the giving of public health message across in northumberland but he is wrong on two fronts. the first point that he has got wrong is that when test and trace contacts people to re m ove when test and trace contacts people to remove —— or monday to is based on the analysis we have done of what helps to ensure that people stay tough sledding. yes, repeatedly, actually in i make no bones about it. yes, because the isolation of people so that they stay isolated is important. so he can complain that we are doing too much but that is not normally the complaint i get from the opposite side. in the second point is that this must be in his words handed over to local authorities. no, no, no, it has to be teamwork with local authorities. it is teamwork that will help us get throug

it's about the opposite of the public health message that every physician, scientist, and public healthfessional has been trying to spread in the united states for the last eight months. as an emergency physician, i can tellou firsthand that older folks are more susceptible to severe covid-19, and for the president to stand up there and talk about it as if it's no big deal and as if the elderly don't need to be afraid of it it just does the most tremendous disservice to our public and to our families and communities. laura: is this why the new england journal of medicine issued an unprecedented editorial today saying leaders in the u.s. have taken the crisis and turned it into a tragedy? >> that's exec we. -- exactly right. most of us in medicine believe that good medicine is politics in that we know we have to address structural determinants of health to create a healthy community and allow our patients to thrive, but you will find that physicians very rely engage in direct political advocacy, talking about one candidate or another. but i will say this white house's response to this pa

think about it at all those levels and think about the base and the core of what's happening in public health and that the health of different communities and that brings us back to some of those disparity issues we were talking about or the issues in an international scene that the gentleman marks raised the question about the broader global health. we had a strong platform of health across countries whether it's the us or in the developing world. that is the part of the funding when you describe it because you have that ace to build off . >> go ahead, >> i was just going to add some numbers illustrate sylvia's already great points. we have never since 1995 and more than one percent of global assistance on pandemic preparedness, just so that people know this. people talk about a cycle of engaging and preparing for a pandemic is consistently on the international level. we have in terms of the support federal government has given states on pandemic preparedness that has gone down on where it was in 2005. public health departments, local public performance cut 86,000 physicians in the years bef

visiting professor of health policy management at the george washington university institute for public health previously served as the health commissioner at the city of baltimore the oldest continuously operating health department with the opioid epidemic to improve maternal and child health and the public health issue. a leading voice on the call for science -based policies and on monday talk about the impact of covid 19 on communities of color in the us. we have video to play here. thank you so much for joining us a way to start off with disparity of covid-19 and those outcomes for people of color around the united states. >> first of all i'm glad to join you thank you for focusing on this topic because this disease does not affect people equally communities of color. the front of this pandemic to unmask many health disparities for a long time that have a existed and the wake of this pandemic we have seen african-americans and native americans and native islanders was so many health disparities have experienced those outcomes just passionately many times so it is severalfold so first we kn

, why is this collaborative risk assessment so vital for tackling the public health crisis. >>portant that the approaches that we take based on the best evidence and the best science that we have and what we did in this report under doctor rivers leadership and collaboration. >> in to review the evidence, is limited by getting better on how to minimize risk in school settings and how to use testing as a key part of that approach and several times of consideration and one very important one as rod mentioned earlier, how prevalent is covid in the neighborhoods where the school staff and the students are coming from, that's a big determinant on how likely they will be an outbreak and how much testing you might want to do, we also look at the importance of the other mitigation measures like distancing in schools, the other resources that can go in along with testing, reducing the risk of spread and of course we want to pay attention to the quality of the test, the tester getting much better so we can think about doing large-scale testing in schools and other at risk setting in the

i want to do my job as a public health person, a physician, and a scientist. that was the reason why i was a bit upset by that. >> so when you look at the biden super pac, will you look at it and weigh in on that as well? >> chron. maybe i will, maybe i won't. i thinker getting complicated enough here. i want to continue to do my job. >> last month you wrote in the scientific journal we are entering a pandemic era in which covid-19 is the first in an accelerating wave of epidemics into the future. tell me what you mean by that and if we are going to be ready, because we thought we were ready for this one. >> we did. that's a ver good point. what i was mentioning in that article with my colleagues, david moran and others, was that if you look upon what's going on now in society, particularly the encroachment upon the human/animal interface we are setting up a situation where we are going to be exposed to things in ways that they were never exposed to. there are so many other aspects of that. but i think one of the things that we've seen exemplified by the outbr

and this would all b run by the public health authorities, either the state public health authororities in the u.s. or national authorities in other countries. and what it would do is give people a warning that they had perhaps been in proximity with someone who was infected and then give them instructions about how to contact their public health authorities to determine whatat to do next. perhaps urge them to quarantine for an appropriate period of time, suggesting that they get tested, tell l them how to do that. and basically just get them into the public health system and they knew they had to take care of themselves, we think this is going to be especially important as we try to reopen around the country. what we know, what epidemiologists know about this particular virus is that it can spread before anyone shows any sign of infection. so what that means is that the moment that someone determines that they're p positive, you wa to almost be able to reach back in time, who was i close to and how do i get infnformation to them super quickly? the core of this process is what's called

grant colfax who will provide an update around the challenges that exist in the department of public health. again, if you have any questions about halloween, any questions about elections or election day, if you have any questions, please visit sfgov.org or the department of health website. thank you so much and have a great day. with that, i want to introduce dr. grant colfax. >> good afternoon. i'm grant colfax, director of public health for the city and county of san francisco. thank you, mayor breed, for your leadership during this pandemic. i want to reiterate mayor breed's thanks to the citizens, the community of san francisco, for everything you're doing to slow the spread of covid-19. you know, my office across the street here is right next to the polling center where people are going to vote right now. on my way over, i saw san franciscans exercising their right to vote and doing it in a safe way, wearing masks, social distancing, using good hygiene. thank you. today is not unexpected with regard to our pause in reopening. since we've been removed from the state watch list on sept

. >> we take you to a discussion hosted by the washington post with public health experts on reopening safely during the coronavirus pandemic. . >> good morning and welcome to washington post live i am eugene scott a political reporter of the washington post and i would like to welcome our first guest this morning assistant health secretary at hhs and a member of president trump's coronavirus task force admiral brett, thank you so much for joining me. >> good morning it is great to be here with you this morning, thank you for the invitation. >> i got that correct right. >> i am from deep down in louisiana and that's pretty darn close, that is a great first try at that. >> great, admiral you the white house and lead developer of the hhs wire public health policy recommendation so i was hoping you could give us an overview of the current situation on the ground today. >> the situation on the ground with the pandemic, i think everyone understands that similar to where we were post memorial day, we had a significant increase in the number of cases, the hospitalizations are starting to go u

>> there are fluide lines very much connected public health is in the midst of the .andemic public health is injected into every aspect of our government but really intoo our society and that's true with education. there is a great need to understand how it is we can create an environment that is safe for teachers , students, at the same time pursue this commitment for the highest level of learning possible. we have set up in our state and interesting approach to tackle the challenges of covid but the departments in our state that are most powerfully affected so the department of health and education and our emergency management agency with a key role and testing and our state with economic recovery groups they are meeting together every day because they are so interconnected and it's how we developed that leading strategy to put together 80000 safety kits one for every classroom and ship them to every classroom and every state. masks and gloves and face shields and the intention is initially but to have the for the entire school year. that is one small way to incorporate healthte and edu

that instead of having public health lead in the response, we've seen public health experts and scientists being pushed under the bus. between public health officials and that has led to a lot of confusion. then you have a different problem in this case as well, which is that at ace line, you have communities that have had distrust in things like vaccines. skeptics whocine may be anti-science as a baseline. then you add on top of that that because of various political interference and fears of political pressure that also has interfered with people's trust in science and now you have a whole group of people distrusting the process of regulatory approval, not because they distrust science, but because they fear political pressure and manipulation. then you have a third group that has had historical distrust in the scientific in -- scientific and medical community for good reasons. we're talking about black americans, native americans, and other groups that have had legacies of being experimented on, of unethical, illegal experimentation. now we are asking the same groups to potentially be i

instead of having public health lead in this response, so often we see public health xers and scientists being pushed under the bus. at the message between the public health officials and elected officials adjustment different. that is led to a lot of confusion. then i think you also have a different problem in this case as well. patients that have baseline, you have communities that have had distressed and things like vaccines. there are for example, vaccines skeptics made the antiscience. another top of that, because of various political interference in fears of political pressure. that also has interfered with people's trust in science . know you have a whole group of people were distrusting the process of regulatory approval not because the distrust science because they are political pressure and manipulation. and you have a third group that has historical distrust in the scientific and medical communities for good reasons. because these are the groups were talking about black americans native americans, and other groups that have had legacies of being experimented on and of unethica

experts, medical doctors, and scientists to lead the public health response in a public health crisis. this virus that is accelerating across our country, hospitalizations increasing, nearly 1000 americans dying per day was dismissed by senator perdue as no deadlier than the ordinary flu. he told us the risk to our health was low, the impact on our economy would be little and this evening you will hear david perdue talk about everything but this crisis that has torn this country apart. he will seek to deflect with the false accusations but it will not acknowledge the devastation being reached across this country or present a plan to contain his virus. moderator: thank you both for being here tonight. it is our hope and expectation that you can show voters in georgia and our families an example of what civil discourse is like and how to engage in passionate yet respectful debate. we thank you both in advance of that. we are joined by a live panel who will ask questions. it is made up of journalists from sister stations that serve viewers all across georgia. the panel includes do

and the entire public health community is rallying to dr. fauci's defense. here's francis collins, the director of the national institutes of health. >> tony fauci is probably the most highly respected infectious disease expert in the world. and he's also a terrific communicator. i think the public has been been greatly benefitted by hearing his descriptions of what's happening. i have great confidence in him. >> reporter: john one more piece of evidence that the president is on the short side of public opinion in this fight with fauci is in a new york times poll this morning, 37% of the american people said they agreed that the worst is behind us. but 51% said the worst is ahead of us on the pandemic. that closely mirrors joe biden's advantage over president trump in national polling. >> it raises questions, number one, about the president's handling or mishandle of the pandemic and number two about his discipline as a candidate. you mentioned fauci is more poplar in the polls. you see the numbers here, who do you trust as the person reliable for information

i'm the public works program manager for the public health and safety program. the approval to proceed with the third bond sale for the public health and safety bond program. okay. we'll keep it on this slide. to be more specific, we are requesting the budget and finance committee's consideration and positive recommendation to approve the resolution to authorize and direct the sale of $126,925,000 for the 2016 public health and safety bond program. the p.h.s.2016 was approved in june 2016, for a total of 350 million -- $350 million. the first bond sale was completed in 2016, and the second bond sale was completed in 2018. for a combined total of $223 million. next slide, please. the p.h.s.2016 provides funding for six bond components for three client departments. the three client departments include the department of public health, the department -- >> chair fewer: mr. chen, excuse me, could we have the next slide, please. >> oh, okay. sorry. oh, maybe -- i think we're still -- i think it's on the -- i'm still on the previous slide. >> chair fewer: okay. on the

that is the basis of public health.the numbers, and it is ironic, but over 100 years ago, my predecessors in public health would have been in a better position than we are today with computers when they were working with quill, pens and paper, going around knocking on doors and finding out where the cases where and publishing them in the local newspaper. what has been going on now for eight months is that public health england and the government have been sucking in data and not sharing it with local public health directors. it is a scandal. forgive me for interrupting, but... people will be asked to do difficult things again and people will not do it unless they trust the messengers. the examples you have given about sucking data and not showing it is a common criticism we have heard. you said fiddling the figures. you cannot accuse the government of that, can you ? cannot accuse the government of that, can you? of course you can. the beginning they were publishing the data which was just hospital data. it took the eco

there are a tiny sliver of public health experts and epidemiologists who agree. it is completely contradictory to the vast large global public health consensus. >> right. this is a highly infection disease. it's been around for less than a year. there's still not a ton of science about how serious or not serious it maybe. there's a lot of research about the covid-19 long haulers. discussions about herd immunity is around excess death. it's if you have more people infected you have more hospitalization. kp then you have the people who suffer long term consequences of the disease for weeks and months and not a lot understood about the long terms effects of the disease. we're not at a point where you don't have to worry about certain segments of the population getting it. while a large portion of people young and healthy and don't have preexisting conditions seem to do okay, there's a lot of unpredictability. and how it manifests itself. >> great reporting. i thank you for that. >> firsthand experience in managing a pandemic in the white house kp former secretary of

i just completed another public health briefing with my team of public health experts.e looked at the latest reported data and how it indicates that we are on an upward slope of a bigger wave of confirmed infections than anything we experienced to date. we talked about what actions would be needed to turn this around and how we made worse by the administration's declaration of surrender to the virus. we discussed the vital importance of wearing masks, protecting yourself, protecting your neighbors, and to save around 100,000 lives in the months ahead between now and just after the first of the year. this is not political. it's patriotic. wearing a mask. wear one. period. we focused on the way this virus is hitting communities of color much harder, particular black, latino and native american communities. we are seeing race-based disparities across the aspect of this virus, higher infection rates with lower access to testing and harder time quarantining safely because of their financial circumstances. lower access to quality treatment when they are infected, and tragical

but we have to have it led by public health and the political messaging and the public health messaging the same. >> let me pick it right there. the pronexts we have heard. dr. fauci predicted the united states can see 400,000 deaths by winder. we are heading in the wrong direction. we talk about -- you either have to open the economy, shut the economy. you say it's a false choice. we are clearly not wearing masks right now. is it becoming inevitable. if we're not going to wear masks and do other things, it's been seven months, what do you think will really make a difference at this point? >> well, the only thing that's really inevitable is what is going to happen in the next couple weeks, and from the infections that already occurred, we will see 20,000 deaths by the end of the month. additional deaths. any time reundwe under estimate virus, we do so at our peril and those under us. we have as a society the ability to turn it around, and the parts of the world, the u.s. that have been guided by public health have done better. they had fewer deaths and less dislocation, and the kids are

offit makes clear, it's bad public health. it's dangerous public health. but it's noted a all clear to me it's good politics. going to florida, there are some seniors, i'm told, who live in florida. what if you're a senior watching tv and you see 2,000 people. could be 10,000 people packed into an airplane hanger there near a president who just got over coronavirus. what are you supposed to think? >> i think you're exactly right. the president, i think, believes this is a show of strength. he's able to barn storm all of these states over the next couple of days, but it really is a show of weakness. he's doing particularly terrible among seniors. you think about a state like florida and pennsylvania, as well, in the top ten or so in terms of aging populations. and those are the voters that he's doing so poorly among. you look at the internals of that new "washington post" poll, he is tied among men, up 26 points among women, up 12 points among independents. this is not a recipe for getting elected. it's hard to see how he thinks these sort of rallies are be

public health is about prevention but when public health is working well and diseases don't happen nobody wakes up in the morning and says thank goodness for public health that prevented me from being at risk for this disease. .. it for granted and then because they have been so successful in many of these it used to be devastating to the individuals and families. they haven't taken it as seriously anymore and any risk to the vaccine why would i want my child to have it when they are never going to get the disease anyway but the the sad truth is, if we start relaxing our vaccination standards and the virus still tt in the world, then those individuals, , those kids are, n fact, at risk and we know that from experience. you look at other countries where some of these diseases are much more endemic and really take a toll every day, and those populations are much more eager to get access to vaccines and their bear the child is really making sure that underserved populations can get the vaccines they need -- and there the challenge is. >> let's talk about the construct you now, the candidates

irwin redlener, an msnbc public health analyst. dr. redlener, we're just looking, my colleague ayman mohideen has put out a list of people who may have been in contact with hope hicks during the 48 hours during which she may have been active with this illness and not been in quarantine. we're looking at mark meadows, the chief of staff, first lady melania trump, we know she's got coronavirus, representative jim jordan, alice marie johnson, robert o'brien, national security, rudy giuliani, ivanka trump, donald trump jr. kimberly guilfoyle. a lot of these people are family members and close associates of trump. a lot of these people are members of government. if this has spread around that group of people, there are a lot of issues of disaster and the kind of ways in which you deal with this kind of thing. this seems careless, but it could be very dangerous. >> could be really dangerous, ali, and all these people have families and other connections and they have staff. >> that's right. >> and i think the network of people who are possibl

that's not a public health strategy. public health is protecting people's health. and knowingly, purposefully letting people get infected and die is not good for the public's health. if we estimate we'll need 60 to 80% of people to get e feinfect before herd immunity, that's 2 million americans who have to die. we don't know that immunity even lasts for covid-19. that's millions of people who may have to die every year. that's not a strategy. that's the worst case scenario. we know what we need to do to avoid getting there. >> imagine if one of those people, someone close to you, right, one way to look at it. doctor, thanks so much as always. >> thank you. >>> tonight will be america's choice, president trump and former vice president biden will have town halls at the same time, dueling town halls. we'll talk strategy for both campaigns. >> it is not just the united states, europe is seeing virus cases surge. and now leaders there are cracking down. is it enough and is it soon enough? >>> also california's republican party is defying a state order to remove the uno

i mean, public health emergencies are moments where our leaders have to model the behavior we want thet of the public to follow. and at each and every opportunity, the president and his administration has failed mis miserably to do that and we struggle with this despite the fact many other countries are not. >> yeah. i mentionedyleigh mcenany's issue. her diagnosis was revealed yesterday. this is the period after trump tested positive. she did not isolate at that point. four staffers that work for her tested positive and she briefed reporters without the mask. three white house reporters tested positive and she's been evasive on the issue of trump's health. >> what kind of tests did the president get? >> i'm not going to get into exactly what type of tests. >> what were the symptoms? >> i won't get into the president's symptoms exactly. yeah, i'm not going to give you a detail with time stamps. again, not giving a detailed readout of the testing. >> you have been in that job. it not easy. maybe harder than it looks regardless of the era you're in. how do you grade her? >> well, look, i

health, policy and management at the george washington university milliken institute school of public health. doctor when previously served as health commissioner for the city of baltimore where she led the nations oldest continuously operating health department to fight the opioid epidemic, improve maternal and child health and street violence and racism as public health issues. doctor when been a leading voice in the call for science they policy and practices during the pandemic and on monday we spoke at length about the impacts of covid-19 on communities of color. i believe we have video to play here . doctor when, thank you so much for joining us. i'd like to start off by asking you about the data we are receiving in terms of disparities in covid-19 infection rates and outcomes for people of color aroundthe united states . >> rebecca, i'm glad to join you and i'm glad people are focusing on this critical topic because we know this disease, covid-19 is not affecting people as deeply, that committees of color are bearing the brunt of this pandemic and in fact that this pandemic has unmaske