intensive care admissions. higher than what we were expecting from chinese data. we met with the european society of intensive care medicinewere seeing numbers in the region of 10%, the most recent data says this could be even higher, up to 15% or 16%. which, as you say is much higher than lots of people have been estimating. and if that carries on, what will be the implication for the way the italian health care system tries to deal with this? for us, it's been very clear that you must do things to attack this virus, one thing is increase very fast your i see you capacity but it will not be allowed if you don't contain the virus. as italy was the first western country to face an outbreak outside of china, we were very close working to monitor the situation, it has been very clear that you have to increase your surgery capacity but at the same time it is very important that governments put in place containment manoeuvres. as you may have seen, lombardi was put in lockdown, i would like to say, we think this was a very responsible response from our government. they listened to us. as i understand it, you have experience of

join in know as doctor alison pitt out who is the dean of the faculty of intensive care medicine. e from leeds. thank you for talking to us. how well prepared is the nhs with a view of intensive ca re the nhs with a view of intensive care when it comes to this virus? we are very concerned as to how we will be able to cope, especially if the number of patients who require critical care services reaches our worst predictions. we are planning for a worst—case scenario but the problem is that we have had either little or no increase in critical ca re little or no increase in critical care services little or no increase in critical ca re services over little or no increase in critical care services over a number of yea rs. care services over a number of years. this means that even under normal circumstances we struggle to meet demand. we see routine operations cancelled on a regular basis. we are planning but everyone is looking at how to expand our critical care services to ensure that patients are mainly focus of what we do and i would like to reassure patients that if you do end up r

what the non-specialists in the teams are doing well meanwhile the dean of the faculty of intensive care medicine says the measures taken will enable staff to respond in an effective way as the n.h.s. claims health care workers were not up to such changes in a sensitive way n.h.s. staff are working around the clock gearing up to deal with this unprecedented global health threat and as the professional bodies have said doctors nurses and other health professionals will rightly respond flexibly and compassionately in the meantime the public absolutely must now play their part by staying home to stop the spread of the virus and save lives before n.h.s. trust chairman roy really joins me now to discuss the crisis facing the health service roy thank you for joining us can the staff work effectively under this amount of pressure will be n.h.s. cope. good also drink well it's going to have to cut isn't it and we've seen what's happened in italy we know what's coming we've seen pictures in italy of beds in corridors of people ventilated in warehouses effectively and it's going to happen to us as well the

monitor what the non-specialists in the teams are doing or meanwhile the dean of the faculty of intensive care medicine says the measures taken will enable staff to respond in an effective way that says the n.h.s. claims health care workers will adopt such changes in a sensitive way n.h.s. staff are working around the clock gearing up to deal with this unprecedented global health threat and as the professional bodies have said doctors nurses and other health professionals will rightly respond flexibly and compassionately in the meantime the public absolutely must now play their part by staying home to stop the spread of the virus and saved lives. full n.h.s. trust chairman roy nanny will be joining me in the next hour to discuss the crisis facing the health service. well meanwhile some on the frontline say the public want to tell the full story one clinician working in accident and emergency who wishes to remain anonymous told r.t. you take the training on those of those with the virus of being suppressed. from testing that happens within the hospital which is only patients that are admitting to the ho

dr maxjonas is a consultant in intensive care medicine at the university hospital of southampton. me now from southampton. thank you very much for being with us on bbc news. let me ask you first of all if you can explain to us the value that a ventilator might have in treating somebody with severe symptoms from coronavirus? of course. about one in 20 people who are infected with the virus will require some form of enhanced critical care, and some of those will need help breathing and that is where the ventilator comes in. the ventilator is just a sophisticated device for helping gas getting into the lungs and helping it to get out as well. where you at all surprised by the figure that was announced today that at present the uk has about 5000 ventilators available? today that at present the uk has about 5000 ventilators available7m does not surprise me. we have not beenin does not surprise me. we have not been in this situation before. 5000, for what we would be currently using them for, would probably be a surplus but the situation has changed because we have a virus that attacks

doctor alison pittard, is the dean of the faculty of intensive care medicine.r she explained how hospitals are preparing to cope with an increase in patients. we are obviously very concerned as to how we will be able to cope especially if the number of patients who require critical care services reaches our worst prediction and we are planning for a worst—case scenario. but the problem is, we have had either little or no increase in critical care services over a number of years which means even under normal circumstances we struggle to meet demand and we see routine operations cancelled on a regular basis. but we are planning and everyone is looking at how we can expand our critical care services to ensure that patients remain the focus of what we do and i would like to reassure patients that if you do end up needing to come into hospital or indeed require critical care services that you will receive the highest quality of care. are you able to give us any more detail when you talk about preparing for a worst—case scenario, what does that mean in terms of numbe

dr maxjonas is a consultant in intensive care medicine at the university hospital of southampton.to explain the importance of a ventilator. about one in 20 people who are infected with the virus will require some form of enhanced critical care, and some of those will need help breathing and that is where the ventilator comes in. the ventilator is just a sophisticated device for helping gas getting into the lungs and helping it to get out as well. were you at all surprised by the figure that was announced today that, at present, the uk has about 5,000 ventilators available? it does not surprise me. we have not been in this situation before. 5,000, for what we would be currently using them for, would probably be a surplus but of course the situation has changed because we have a virus that attacks the respiratory system in people that need intensive care, so we are short and we will need to do something about that. i do not know if you can answer this question but i will put it to you and you can tell me pretty sharply if you cannot. is it possible for manufacturers of other goods o

actually intensive care medicine that it's slowly used, but not at the same time, and i think that'se. doctor in frankfurt, thank you for that sobering assessment. the sporting word — outside the uk — is beginning to follow italy's example — with more and more large scale events cancelled in an attempt to combat the coronavirus. football matches are being postponed, or played in empty stadiums. uefa have postponed two matches next week. spain have suspended their top two divisions for the next fortnight. while the top two divisions in france will play to empty stadiums. the new york half marathon has been cancelled this sunday. the paris and barcelona marathons have both been postponed till 0ctober. and — the atp tour has postponed all play for six weeks "due to escalating health and safety issues". despite all this — the cheltenham race festival is still underway. the stands packed with punters. and last night's match between liverpool and atletico madrid still went ahead. despite the fact the authorities in madrid have reported a sudden spike in their coronavirus cases. the usa is

intensive care beds across the uk — but about four—fifths are occupied, according to latest figures. so is the nhs ready? let's speak to doctor alison pittard, the dean of the faculty of intensive care medicineoins me from leeds. thank you very much forjoining us. that point, then, straight up — four fifths of intensive care beds occupied. obviously, there is a geographical spread. what does it mean if someone needs one with coronavirus? how does it get managed ina coronavirus? how does it get managed in a practical fashion? coronavirus? how does it get managed in a practicalfashion? you are quite right, we do struggle with our critical care capacity. one of the reasons for that is that we've seen over the last ten years there has been a steady increase in demand for critical care by about 4%, year—on—year. what we haven't seen is the corresponding increase in critical care beds, so we are already starting from a situation where we have high occupancy rates and having to look at how we manage critical care patients. the most important thing to say is, patients will remain the focus of our care, and we will make sure that anyone who comes into hospital or requires our critical care services w

we have country for intensive care medicine and on any given day they're filled. >> can you get this,ast majority, what we now know is in the first day of your infection where you're actually putting the virus out you may not even have symptoms as we just heard from dr. gupta but we know over the next three to five days you have this upper respiratory infection just like the flu type of picture. for some reason a large risk is there for people who are over age 55, 60, have underlying health problems for the virus then getting into the lungs and causing the additional problems. the vast majority of people never experience that. they'll just have the first couple days of respiratory symptoms. >> and they can get through it. >> they won't even be treated and will be fine. >> but they might infect others. dr. gupta, we have a question from a viewer in minnesota, and let's listen to that. >> i would like to know how long the virus lives on the various surfaces. >> such a good question. i think it -- what we know now, we have studies that show it depends on ambient temperature number one an

dr alison pittard is dean of the faculty for intensive care medicine — shejoins me now from leeds.t is notjust the ventilators but there is other equipment and the staff as well. we work and multi—professional team and it is absolutely vital that we look after them and one of the things that we a re really them and one of the things that we are really concerned about is the availability of personal protective equipment and without that, staff will expose themselves to unnecessary risk. one of the things that i would like to see is more time being put into looking at manufacturing more protective equipment to look after our staff so that we can continue to look after our patients. i amjust our patients. i am just seeing the health chief in birmingham city council has said the spread of coronavirus in that city is moving more quickly than first anticipated. he said the focus has moved away from testing and we have just heard from testing and we have just heard from the who, saying that there are three words that matter and they are test, test and test. it is very confusing. it is ver

like efficient good respirators, intensive care units, people who have expertise in medicine. e medicine. all of these things we did not have back then and we have them now. >> our parents and grandparents had little warning or chance to prepare. we know now that influenza has caused pandemics. public health officials have been preparing for the next flu pandemic knowing it could be as mild as 1968 or as severe at 1918. the world is now watching the h1n1 flu virus that emerged in spring of 2009. >> we know it is in almost every country of the world already. fortunately so far the 2009 h1n1 doesn't seem to have that level of severity. it is affecting people differently than seasonal flu strains. the illness is most common in young people, children and young adults, and we're seeing hospitalizations and deaths for people with conditions that increase their risk of complications. pregnant women have been heavily hit by this virus. in the united states and reports around the world. they suggest that native populations may have a higher risk of severe illness. we want to be ready an

acutely and seriously ill individuals like efficient good respirators, intensive care units, people who have expertise and medicine as acute care medicine. all of these things we did not have back. then we have them now. >> our parents and grandparents had little warning or a chance to prepare, but we know now, that influenza has caused pandemics at intervals for at least the last 500 years. public health officials have been preparing for the next flu pandemic, knowing that it could be a mild pandemic as the 1968 or as severe as in 1918. the world is watching a new pandemic flu virus. the novel h1n1 flu virus, which emerged in the spring of 2009. >> we know that the new 2009 h1n1 virus is in almost every country of the world already. fortunately, so far, the 2009 h1n1 virus is in a future have that level of severity that the 1918 one had. the h1n1 virus is affecting people differently. the illnesses are most common in young people, children and young adults. but we are also seeing hospitalizations and deaths, in particular in people who have conditions that increase their risk of implication. pregnant women have r

it is equivalent to australia, canada, supported by european society for intensive care and critical care medicinence differed in any way and we are continuously reviewing that, to the extent we have asked the health and safety executive to have a look, and they have produced some very positive guidance on that, and equally there was a report around face masks which was also very supportive of the position we have. so we are continuously checking. i think one of the issues, and i have to admit i stood here about ten days ago and said — very probably optimistically now in the past — we've sold the ppe position, so my apologies because 48 hours later, i think our distribution issue had popped back in again. so, the distribution element has been a little bit tricky at times and we have now taken a whole strands of the logistics, including with the army actually, out, so that we are developing a uk position on that stock and distribution flow, and the underlying critical point about this is that the ppe should go to match where the critical clinical risk is. so that doesn't matter whether you are a co

intensive care drugs at some organisations are falling short on supplies for slightly. not just about ventilators in intensive care but the pumps with which to deliver the medicines to keepwe named in volume three we have never seen before. and when it comes to testing, the government is setting out targets of 25,000 tests a day and they are not going to come until the end of april. germany is giving tens of thousands of tests a day. why are we not there? before i answer, it is important to the tests themselves are not perfect and negative tests do not mean you definitely don't have covid—19 and positive tests is likely to mean that you have it. so it is really important we get test of the front line professionals. i am supply flooding right now because i have some fairly typical symptoms of this illness. he could just be a very bad cold. i would love to know because if i knew him out to be able to get back to the coal face. but i've not heard anything yet about how the test will be applied to me in my work force on the front line. so just to clarify, you your self, you are in theory showing such as what you have not been offered a test? that is correct. and i think ther

medicine. we've seen data about intensive care beds and ventilators. how -- tell us about the ratio between that influx of patients and what you're capable of managing on a day to day basis. how full are you right now? >> right. this influx of patients in addition to our regular volumes of emergencies that we see on a daily basis, we see approximately 75,000 patients a year so that comes out to 200, 250 patients a day. these 950 patients are in addition to our regular volume so you can imagine the challenge so once we started screening, we quickly realized we needed a x mechanism to keep the patients who are the least symptomatic out of the emergency department and we installed a tent eight days ago outside of the hospital to give us the ability to screen those who could possibly be treated at home and that's what we've been doing for the last eight days. for those who rewe can newe rec having more severe symptoms we bring to the emergency department. we essentially separated our emergency department into a safe zone to evaluate patients with coronavir

medicine. three went to the intensive care unit. that's an 11% critical rate, 1 died, a 4% mortality rate.umbers are higher, critical care and mortality rates, than the general population of infected. keep in mind, again, it's a small study. there was another study from 2011 which found that while chloroquine was effective in the lab against the flu, it ultimately wasn't effective in humans. look, that's why trials are needed, and they can be done quickly. many labs in the world health organization had already started studying these drugs and dozens of others to help us find an answer for a disease that currently has no known cure. >> using untested medicines without the right evidence could raise false hope and even do more harm than good and cause a shortage of essential medicines that are needed to treat other diseases. >> and at the end of last week chloroquine was added to the american society of health system pharmacist drug shortage lists. dr. sanjay gupta, cnn reporting. >>> and when we come back, i will talk to a woman in europe who has spent the last three weeks on lockdown. plus

it is equivalent to australia, canada, supported by european society for intensive care and critical care medicine we have asked the health and safety executive to have a look, and they have produced some very positive guidance on that, and equally there was a report around face masks which was also very supportive of the position we have so we are continuously checking. i think one of the issues, and i have to admit! think one of the issues, and i have to admit i stood here about ten days ago and said very probably optimistically now in the past that we've sold the ppe position so my apologies because 48 hours later i think our distribution issue had popped think our distribution issue had popped back in again. so, the distribution element has been a little bit tricky at times and we have now ta ken little bit tricky at times and we have now taken a whole strands of the logistics, including with the army actually come out, so that we are developing a uk position on that stock and distribution flow, and the underlying critical point about this is that the ppe should go to match where the critical

medicine. we've seen some of the data about the intensive care beds. the number of, for example, ventilators. -- tell us about the ratio between that kind of influx of patients and what you're capable of managing on a day-to-day basis. how full are you right now? >> right. so this influx of patients, of additional patients is, in addition to our regular volumes of emergencies that we see on a daily basis. we see approximately 75,000 patients a year. so that comes out to about 200 to 250 patients a day. so these 950 patients are in addition to our regular volume. so you can imagine the challenge. so once we started screening, we quickly realized we needed a mechanism to -- to keep the patients who were the least symptomatic out of the emergency department. and we, actually, installed a tent eight days ago outside of the hospital. so we -- to give us the ability to screen those who could, possibly, be treated at home. and -- and that's what we've been doing for the last eight days. for those who we recognize as having more severe symptoms, we bring into the emergency department. we had to desig

medicine across the country who have been infected by covid-19. a couple of them have been hospitalized. a couple are in intensive care. my friends and colleagues are doing things like recording videos for their kids, writing letters to their spouses or their kids or their grandkids, making sure that their wills are in order because we know that if we end up getting admitted to the hospital, we, like everyone else with covid-19, would be isolated from our family and friends and may not have the chance to say good-bye in person. >> that's hard to hear that. >> it is unbelievably difficult. you know, as health care providers, we run toward disaster, we are trained and ready to help anyone who needs it. we're not used to our helping putting us at such risk. >> what are you seeing at your hospital in terms of covid-19 patients and supplies? >> my hospital, like every other hospital across the y,ing dricia patiith sympms teith co we are also seeing dropping numbers of supplies. a lot of the supplies that were intended for hospitals like mine have been diverted to new york. >> what is something that people at home can do to

my colleagues in emergency medicine and intensive care all over the country are telling me that thats don't need to be in the e.r. but they are worried, understandably about coronavirus. they want a test or they're just concerned. right now getting a test in the e.r. is not the best place. you're probably not going to get test there but just by being there you're exposing yourself to other pathogens if you don't have coronavirus. also, you're taking up the space that somebody else may need if they actually have a heart attack or stroke. don't go to the e.r. that will help to reduce the strain on our health care system too. >> you're suggesting not to go to the e.r. if you have mild symptoms. if you're really in bad shape, what do you do then? >> if you need to go to the e.r. because you have acute systems, go. i'm saying don't go unless you would have gone otherwise. don't go if your main reason for going is you're worried about coronavirus. >> that's a good point. do you agree that's the right thing to do? >> yeah, i do. i get this is going to be jarring for people to see the army c

intensive care? >> i've been surprised in the ways that people have been able to expand the skills they use on a daily basis. you know, i think we have enough critical care capacity, certainly enough emergency medicinecapacity. i think some of these other folks can serve a lot of other roles. taking care of people to sort of off load those who are needed to provide that critical care. that's probably the most effective and certainly what we're seeing. >> on a personal note, thank you. i want to check in and take your temperature and see how you're feeling as we head into an extremely busy, to put it mildly, period. >> on the whole, i'm feeling inspired just being able to watch the stuff my colleagues are doing. it's absolutely incredible what people have done over the last month. we know there's at least a month or more ahead that's going to be pretty tough. healthcare workers are taking care of each other to take good care of the patients. it's really wonderful to see. >> i'll agree with that. it's wonderful to see. again, i want to thank you and your team for all the work you're doing. thank you very much, dr. mcgreevy. >> thank you so much. >> we can't thank those healthcare professionals enough

ethics in medicine in that heat and 2nd each hospital test if and test out these bullets should be implemented and therefore actually asked teams that include the expertise of intensive care physicians. maybe even clinical ethics committees can support in setting up these processes think the most important think it's s. and thing as doctors that they're only if they give it up is not to charge for the responsibility taken in these decisions that's where one key issue of course but what about normal doctors say in the community village doctors who have covered patients do they also or might they also face these ethical dilemmas. i think not those that at this end is and the decision on. who gets under ventilator is obviously not the primary care physician that they have at their tree as decisions if there are many patients who are going to transfer to the hospital. if there are many patients in need so i think the same criteria of seriousness and and commodities that go into the trash or the courts in the hospitals can also. in the periphery for nominal primary care physician. at least of importance for him . not of course coming back to you how well can you predict actual

intensive that is in terms of how much manpower that takes? >> overwhelmingly, one of the things we're seeing, and we've known in critical care medicine for years is a technique called proning where you take a patient who is ill and turn their body upside down. and that allows for shifts in the blood supply and oxygen to affect their body differently. >> it takes a lot of people. >> if you think about the number of tubes in a person on a ventilator that a person has, the number of people it takes is really significant. it can take five or six people to do this. there's special equipment, special beds but not every hospital has those. so you can do this manually, but four or five people in a room, people outside monitoring what's happening. >> one thing that's impacted you is your staff has become really close to the patients. and they are feeling the pain and the stress. can you talk about that just a little bit? >> yeah, i think, without a doubt, there's a tremendous amount of tension and stress and anxiety in the air in every hospital in the country, in the world. we're taking care of patients that were otherwise healthy a couple of weeks ago

intensive care. >> doctors and hospitals are going to be forced to make decisions they didn't go into medicine for. essentially that's going to be seriously? >> i think they really are. you're seeing people talk about the highways and the freeways being empty of traffic. there are some stores people are allowed to go to, groceries and pharmacies. they basically closed down businesses here. even if you wanted to go into work, you can't in most cases. we think that people are education it seriously and hopefully they'll con i'm in brooklyn, gayle. >> a clean refrigerator. >> she has a very significant other -- >> at the house. >> all right. >> reporter: got a home in berkeley. >> got it. >> thank you so much. appreciate it. >>> ahead, idris elba's personal warning about the impact of the coronavirus. plus, nfl superstar tom brady says good-bye to the patriots. a non-coronavirus story there. >> say it ain't so. >> why he's leaving new england after a historic 20 year run there. >>> we'll be right back. this is ava. these are ava's shoulders. they square off, hold firm, bear it all. this is her physica

intense rush of vicks vapors. ahhhhhhhhhh! dayquil severe with vicks vapocool. the daytime, coughing, stuffy head, vaporize your cold, medicine. we find a way through it. it's about taking carearts that make a big difference. at chevy, we promise to do ours. we're offering chevy owners complimentary onstar crisis assist services and wifi data. if you need a new chevy, interest-free financing for 84 months - with deferred payments for 120 days on many of our most popular models. you may even shop online and take delivery at home. it's just our way of doing our part... >>> the preseason version of the bay bridge series was set for tomorrow. opening day for the giants and a's originally scheduled for thursday but everything is on halt as we fight this virus. bay area native brandon crawford will enter the tenth season with san francisco. we saw the giants hard at work just last month in scottsdale and turns out that athletic ability runs in the family, here is his sister playing catch with garrett cole, and amy and garrett are expecting a baby boy this june. some good athletic genes in those families. >>> bill musgrave was to be hired asac oadesrience in the nfl football, and w

intensive care beds, for the entire region. yemen, women weave masks for what health officials calld- co's inevitable arrival. but half of all medical facilities aren't full functional, and medicine, equipment, and testing are limited. inibya, there's a state of emergency, and this cell phone video shows fire trucks on all sides, spraying disinfectant. in afghanistan, ministry of health workers dct government offices. but whole swaths of the country, that helped inspire today's global ceasefire call by un secretary general antonio guterres. >> silence the guns, stop the artillery, end the airstrikes. this is crucial to help crte corridors for lifesaving aid, to open precious windows for diplomacy, to bring hope to places among the most vulnerable to covid-19. >> schifrin: david milliband is esident and c.e.o. of th international rescue committee a global humanitarian relief organization. vit latest from its control room the studio, are you isolating at home, i want to talk to you about a statement you made about how covid-19 can thrive in war gloarns. just howvulnerable are the refugees, are they internally ple whoed, are the peo are living in theetion countries been broken by wa

intensive care doctors who really understand how to treat the very sickest patients. there were no antibiotics to treat any secondary infection. so it was a very, very different time and a very different way of practicing medicinen berry, there is a takeaway from then that still applies. >> the biggest lesson from the 1918 pandemic is clearly to tell the truth. >> what are the consequences if the truth isn't told? >> i think more people will die, yeah. clearly that was the case in >>> this morning, we're remembering a hero of world war ii who passed away last week. rosalind walter was the inspiration behind rosie the riveter. but as michelle miller reports, she was much more than that. >> teams of women flush the rivets that hold together the aluminum skin on the wing of a b24. >> reporter: her image embodied the can-do image of the second world war and the women who stepped in to build the tanks, ships and airplanes that would lead the allies to victory. rosie the riveter was based on the very real rosalind walter who died in manhattan this week at the age of 95. she was just 19 when she volunteered to take a job on the night shift of a connecticut assembly line. >> it was a graveyard shift. it was 6:30 at nig

intensive care units in multiple countries shut down, multiple advancedou industrializedries, shut down and unable to function because of seasonal flu. 's just not what happens. >> mark lipsitz from the harvard th school of medicinek you. >> thank you for having me. ♪ judy: olympic history of a different sort was made today when japan and the international olympic committee decided to postpone this summer's games to 2021. that decision and ramifications. reporter: today's decision affects thousands of athletes around the world and creates huge logistical headaches for organizers. christine brennan of usa today has covered every olympics game, both summer and winter,in 1984 and joins us by skype from washington, d.c. how much of this decision was driven by the athletes' own concerns about their own health and welfare? >> all of it. this was stunning. when leaders don't lead, the athletes felt the void. the international olympic committee psident, who is actually a former olympic gold medalist, one would t havght he understood the magnitude of the problems. he sat in his ivory tower. he kept saying we are not talking about postponement.k the athletes ter. they started talking. thinterviewed some around world and th

intensive care doctors who understand how to treat the very sickest patients. there were no anti-biotics to to treat infection. so it was a very different way of practicing medicinehat still applies. >> the biggest lesson from the 1918 pandemic is clearly to tell the truth. >> what are the consequences if the truth isn't told? >> i think more people will die, yeah. clearly that was the case in 1918. people can deal with the truth. it's the unknown that is much scarier. ♪ >> jane: next...checking in with the dixie chicks. ♪ ♪ a long time gone ♪ >> jane: it's sunday morning on cbs, and here again is jane pauley. >> jane: that was a big hit for the dixie chicks back in 2002, not long before a political remark all but deep sixed their careers. now with their first album, years on the way, it is no regrets and no apologies. they talk for the record with tracy smith. ♪ i've been a long time gone ♪ ♪ >> reporter: they might be known more for burning bridges than towing the line. the dixie chicks, with lead singer natalie maines and sisters marty mcguire and emily strayer, are one of the biggest female acts of all time. 13 grammys, tens of millions of records sold, and n