have to go through a lot of as i said, tenderizing steps of which shelter inthe place is the most ciccone and. it is almost like treating a cancer, you try to g the bulk of the ncer, to start with. then you sort of mop up down the line. that is a kind of similar strategy to that. yo forest fires if will, you want to put off the main fire and then deal with the hotspots after that. >> one of the issues is that we are not completely isolated. we are shelteng in place, but in other states across the ar nation, partic in the south, they have been much slower to make those decisions, so still have nodone that. what will the impact be of those decisions in other states, on residence here in california? >> that is absolutely an issue. lyat is absolutely positi the issue. we are going to do all of this work, we will make the sacrifices, we are going to you know, hauled our economy, to try to save 10, 20,000 lives, meanwhile, others are just not making those kinds of sacrifices. and they are going to contin toeyave transmission. will have their own forest fires burning. they will be able to ignite

officials say that time is still weeks if not months away kristen salumi al-jazeera new york but it's ciccone is the chair of anesthesia and intensive care at milan's humanity hospital he spoke to us about how italy was caught off guard and what the world can still learn from their mistakes. the 1st thing that we learn and we try to tell everyone raves from the very famous days of our experience here is really that this is not a normal flu at all we were seen to date up from china even before it hit it to need but when we found ourselves in the middle of the epicenter you know longer they became very clear there was a bonus at the edges of cases that require a spirit to resupport and up to 1020 percent in our cases actually was requiring invasive mechanical ventilation so did the number of patients the volume of patients to seek coming to her in to secure unit was very high unfortunately so far we don't have a specific therapies against this virus would we do have it is a good supportive care so what we try to do in intensive care is exactly to do this to use what we learn from managing a new