doctors suiting up in ppe, giving us look inside miami's jackson memorial hospital's expanded covid ward.

our correspondent is in miami outside the jackson memorial hospital stuff and we are seeing grim new figures what's the situation like on the ground there in miami. there describe the situation absolutely accurate it is horrible situation florida is a so-called red state red states there are 18 in the united states and this terminology stems from a report which was prepared for the coronavirus task force in washington d.c. in the white house which the white house has not made public yet but it is true florida has tremendous new infection cases numbers here yesterday 13000 today 11000 in the days not over here in miami dade county and in miami so doctors we talked to from the jackson memorial hospital they do not expect any good news for the next following days or today in terms of infection rates and death rates remember effects and rates is one thing death rates is another important number and hospital hospitalization rates the problem in miami is that the hospitals do not have enough i.c.u. beds anymore they're actually over capacity that means they have to create more beds as i.c.

our correspondent is in miami outside the jackson memorial hospital.e are seeing grim new figures. what is the situation like on the ground? >> it is horrible, the situation. florida is a so-called red state. there are 18 in the united states, and the terminology stems from a report which was prepared for the coronavirus task force in washington, d.c., in the white house which the white house has not made public yet, but it is true florida has tremendous new infection case numbers. yesterday, 30,000, today, 11000 and the day is not over. doctors we talked to from the jackson memorial hospital do not expect any good news for the next following days or today in terms of infection rates and death rates. remember, infectionon rates is e thing, death rates is another important number, and hospitalization rates. the problem in miami as hospitals do not have enough icu beds anymore. that means they have to create more than they had planned originally. >> what about the people there? are they taking the situation seriously? >> i have to tell you, no but they d

jackson memorial hospital in miami seeing a surge in covid patients. is your floor at capacity right now? >> yes. we're even opening up different units at this point to be able to meet the demands of the patients that are coming in. >> reporter: the wave of new patients leaving staff exhausted. >> the way i see it now, if things don't change and people don't take it a little more serious in the next two weeks, you know, who knows where we will be. >> reporter: the country hitting 50,000 new cases in one day this week. america's top infectious disease doctor warning america is losing the war against the virus. >> i think it's pretty obvious, howard, that we are not going in the right direction. right now, if you look at the number of cases, it's quite disturbing. we're setting records practically every day of new cases. that clearly is not the right direction. >> reporter: despite cases rising in 38 states and 19 pausing or reversing reopenings, president trump today suggested things are under control. >> we have some areas where we're putting out the f

the miami jackson memorial health system for hospitals in total had 167 cold with positive patients if the 1st infections peak back in april now doctors and nurses here are dealing with 400 covering patients and every day that number grows most difficult problem is that you know the patients are get them into the hospital very sick then you know a lot of support and create a care. there's not an infant. nurses and physicians. crazes the number of hospitals increases the number of your acquirements increases and the number of deaths will go up as the largest county hospital in all of the united states and the biggest provider of health care in miami other parts of the hospital have to be converted into covert i.c.u. units as quickly as possible that's a major challenge as it severely impacts on the medical fields and services the hospital provides a core of what i do is that you have to see the patient 20 times a day to make sure that everything is working out well now you see. where the patients have to be isolated you cannot go in and out 20 times go to different places that's really

el doctor david de la cerda es jefe de cuidados intensivos del jackson memorial hospital, el hospitalayor cantidad desde que comenzÓ la pandemia. de la cerda estÁ a cargo de los pacientes mÁs crÍticos, ha sido testigo del aumento de muertes. doctor de la cerda: habrÍa que esperar los 10 dÍas del segundo pico para ver el nÚmero de muertos y los que estamos viendo ahora. vilma: mÁs del 40 y 5% de los hospitales del estado tiene sus unidades de cuidados intensivos a capacidad. o tienen menos del 10% de cama disponibles. la que dirige de la cerda estÁ llena en un 80%. doctor de la cerda: seguimos aumentando el nÚmero de pacientes. estamos llenando poco a poco las unidades de cuidados intensivos del hospital. vilma: los gerentes de hospitales ocupados por el aumento del 123% de los pacientes que requieren ventilador. doctor de la cerda: la mayorÍa de camas de uci estÁ con ventilador. asÍ que han ido aumentando. vilma: estÁn luchando para contratar mÁs personal mÉdico y temen sobrepasar la capacidad. doctor de la cerda: el plan de contingencia del alcalde excusar el centro de convenciones d

we meet up with dr gary daniel poost a trauma surgeon at jackson memorial hospital in miami he's treating more and more coronavirus patients every day is practically begging people to change their behavior the most important thing is everybody has to wear masks after we have mass there's no way around it. sort of distancing is very important 6 feet apart. frequent hand washing hand hygiene is very important we cannot have right now large gatherings of people the miami jackson memorial health system for hospitals in total had 167 covert positive patients if the 1st infections peak back in april now doctors and nurses here are dealing with 400 covered patients and every day that number grows most difficult problem is that you know the patients are get them into the hospital very sick then you know a lot of support and create a care and there's not an infant. nurses and physicians the number the number of hospital missions increases the number i see your requirements increases and the number of deaths will go up as the largest county hospital in all of the united states and the biggest provi

david de la cerda es el jefe de cuidados intensivos de jackson memorial hospital, uno de los mÁs grandesde casos, sobre todo entre gente joven de 25 a 50 aÑos que antes no veÍamos. es un momento impresionante, los nÚmeros estÁn doblando rapidÍsimo. vilma: cuando estÁ siete llegan a su unidad, es porque ya estÁn graves y su reto es salvarlos de la muerte. >> los que yo veo son los mÁs crÍticos. llegan con la mÁquina para ventilar, o con requerimientos de oxÍgeno muy grandes. vilma: hoy se reportÓ la muerte de un niÑo de 11 aÑos en florida. ver morir a un paciente es de los momentos mÁs difÍciles, dice de la cerda. doctor de la cerda: esa es la conversaciÓn mÁs difÍcil que uno tiene con alguien. cuando uno tiene que hablar de la muerte de alguien. vilma: texas y california tambiÉn vieron aumentos recorte covid-19. en algunos hospitales han llegado al 90% de su capacidad. ese es uno de los grandes temores de este doctor. doctor de la cerda: si las cifras siguen subiendo, vamos a devastar la capacidad hospitalaria al sur de la florida. no son ellas o, + sistema de salud. serÁ un tema muy del

. >> reporter: good evening, norah, from jackson memorial hospital, where the wait time to get an i.c.ud can be at times up to 24 hours. they are busy. but they also need more staff. they have been trying to recruit people, but it's tough. so today, florida's governor came here to miami to announce that 100 nurses who work and live elsewhere in the state are being redirected here to miami p ha hospitals across the state of florida are at capacity, including three in the baptist health system. >> we don't have the staffing, the nurses have been working relentlessly for over two weeks. and that leads to burnout. that leads to stress. >> reporter: as cases surge, one miami hospital is now going to be turned into a 150-bed dedicated covid-19 nursing home. despite the rising cases daily, florida is requiring that public schools reopen next month. today, dr. anthony fauci said schools will need to get creative. >> it's not going to be a one- size-fits-all. modified scheduling. things lsk ings like alternatmorning, me, tes crosse10,0sks.r it feels like someone ab yn your se enperson is a singl

doctors suiting up in ppe, giving us look inside miami's jackson memorial hospital's expanded covid ward. >> it's extremely busy, so we are full. our waiting room's full. all our areas are full. >> reporter: tonight mcdonald's and chipotle joining a growing list of companies making masks mandatory in stores. two weeks after the president blasted the cdc's guidelines to re-open schools calling them very tough and expensive, the agency releasing new guidance defending the push to get children back into the classroom, saying covid poses a low risk to kids. >> we owe it to our nation's children to take personal responsibility to do everything we can to lower the levels of covid-19 so they can go back to school safely. >> reporter: the cdc recommending masks for children over the age of 2, providing checklists to help parents decide whether to send their kids back. a large study in south korea finding that children under the age of 10 are the only group that spreads the virus less than adults. according to a new abc news/ipsos poll, only 44% of parents are willing to send their kids to school

sending 100 staff to jackson to help them because they were having a big issue with staffing jackson memorial hospital as the main state funded unit there in south florida you just mentioned you have maybe 2 or 3 beds left on last count let me ask you a question dr what happens if today you get 2 or 31000 critical care patients and they fill those units what happens when the 4th patient comes and what do you do with them. so that's that's the issue you know normally the hospital they go in that version this happened with a few hospitals here locally where they basically say we don't have any more beds so they have to there are 2 of the hospitals we you know we do have some alternative plans where we can turn beds that are not normally i.c.u. beds into i.c.u. beds of course that's a process but yeah that's what would they then have homes that is a some hospital we just say we don't have anymore i.c.u. beds and so they'll let fire rest you know and then they'll have to that were to do all the hospitals so few. i mean at this point at the rate it's going and this is you know jackson actually eat ice you

you were there in the thick of it at jackson memorial hospital. we appreciate you joining us. >> thank you. >>> the medical examiner in one county in texas says he no longer has room for anymore coronavirus victims. he'll be joining me live next. >>> as health officials plead for young people to stop spreading the virus, i will speak to a daughter that lost her dad to coronavirus. now she's calling out leaders for their pandemic response in his obituary. try wayfair. you got this! ♪ ♪ perfect. -you're welcome. i love it. how'd you do all this? told ya! wayfair. let's talk dining tables. yes! blow it up. ♪ wayfair you've got just what i need ♪ i see all the amazing things you have been doing. you are transforming business models, and virtualizing workforces overnight. because so much of that relies on financing, we have committed two billion dollars to relieve the pressure on your business. as you adapt and transform, we're here with the people, financing, and technology, ready to help. who've got their eczema under control. with less eczema, you c

memorial in north houston. in florida hospital capacity is starting to teeter as well. the state says it's going to surge a hundred extra nurses and dozens more beds into jackson memorial hospital in miami. there are now dozens of hospitals across florida that are reporting zero icu beds available. after weeks of refusing to release this kind of data statewide florida is now just starting to release information on utilization rates at hospitals across the state. of the 306 florida hospitals listed in the state database 41 report they have 0% of their icu beds available. 41 hospitals in florida say they have 0% availability in their icus, icus totally full. 41 out of 306. perhaps even more worrying there are 18 florida hospitals where it's not just the icu that's full, it's the whole hospital. 18 florida hospitals today reporting 0% of their regular hospital beds are available. they are just absolutely full. if you nudge one state up from the florida panhandle you find that in the great state of alabama here's the headline in the montgomeryadsvertiser tonight. available alabama icu beds at all-time low as covid-19 hospitalizations spike. alabama once again warning that t

nicolas, the chief of trauma and surgical critical care at jackson memorial hospital. and first, sir, tell us what your reaction is to the president retweeting a post alleging that the cdc and democrats -- maybe that's not surprising. but he's saying doctors, most of them, are also lying. >> it's unbelievable. this is an old play book to find an enemy, discredit the press, the intellectuals. we've seen it before and it's happening again right now. i'm the president of the medical staff. and i know better than to do something like that and this is from the president of the united states. >> the press secretary at the white house said moments ago there are rogue individuals in the cdc. so, the argument we've heard so often coming from the trump administration and his supporters that there's a deep state, she's applying that to the cdc, which is obviously essential in this fight. what are your concerns there? >> i'm disgusted at this attitude. i mean, there's certain things in life where you just have to have trust and i think dr. fauci and the cdc are the most respected

nicklaus lamius, chief of critical care at jackson memorial hospital in miami.s for joining me, sir. 80,000 cases in a week. what do you make of these steadily rising numbers? >> i think these rising numbers are very important. we're seeing a lot of patients coming into the hospitals and everyone is having to adjust to be able to take care of them. >> how close is your hospital and others you're familiar with there in miami, how close are you to maxing out your beds, in the er and icu units? >> maxing out is difficult. we're licensed for 1500 beds in the hospital and don't normally operate at that capacity. we can add more staff and staff more beds but at the staffing level we're at, we're continuously pushing up the edge of the limit but then increasing the limit. it's a bit touch and go minute to minute to make a bed as a new patient comes in. >> i was going to ask you how long. a lot of the problem, maybe not with your hospital but with others, is the staffing issue. they may have a bed but don't have the staff to help that patient? >> yes and that could be a

florida i can tell you for example the largest public hospital in the state of florida, jackson memorial hospital, it has x number of patients registered as covid patients. about 40% of the patients that are covid patients are not in the hospital for covid. they're in for something else, emergency appendectomy, but they're testing everybody. you may not even be treated for covid rkts but there are costs associated with the fact that your policy has to be isolated, the staff has to wear the ppe. they're not treating you for it, but there's costs and pressures that puts on the staff as well. so, all those things need to be taken into account in helping hospitals. one of the big challenges we face is staff. the staff is burning these people for a long period of time, long hours. so, one of the things we want to see both in the hospital long term care setting is the ability to provide on site rapid testing for staff so you don't have 14-day quarantine periods so they can feel safe, availability of ppes and continued push for developments in therapeutics. i don't think there's a lot of happy stories h

. >> reporter: these doctors suiting up at miami's jackson memorial hospital where they are seeing a in cases. they're pausing elective surgeries, bracing for more patients. >> we don't want to be like new york. we don't want to be like italy where you have a gynecologist taking care of your icu patients because we ran out of doctors. we don't want to get to that point. >> reporter: they're caring for twice as many covid patients now than the peak in april. >> if we don't reduce the infection rate of the community, several weeks from now we'll be underwater. >> reporter: in south carolina, this dire new warning. >> this is a category 6 hurricane of illness. we can't evacuate. we need to stay in place. >> reporter: local officials in one of the state's tourist hot spots, myrtle beach, already linked to multiple outbreaks in the past few weeks putting a new mask mandate into effect overnight. and in addition to the beach closures, miami-dade's mayor implementing stricter rules effective immediately. there is a countywide curfew and he is also rolling back the re-opening of movie theate

we'll talk to a physician at jackson memorial hospital next on "morning joe."emorial host on "morning joe. ♪ ♪ ♪ the open road is open again. and wherever you're headed, choice hotels is there. book direct at choicehotels.com. ♪ but a resilient business you cacan be ready for it.re. a digital foundation from vmware helps you redefine what's possible... now. from the hospital shifting to remote patient care in just 48 hours... to the university moving hundreds of apps quickly to the cloud... or the city government going digital to keep critical services running. you are creating the future-- on the fly. and we are helping you do it. vmware. realize what's possible. we know you're always at univethere for them.x, that's why our advisors are always here for you. learn more at phoenix.edu. we're helping members catch up by spreading any missed usaa insurance payments over the next twelve months so they can keep more cash in your pockets for when it matters most find out more at usaa.com >>> welcome back to "morning joe." joining us now, an emergency department phys

jackson memorial hospital which is our main hospital deals with complex surgeries like transplant neurourgery and open heart so having a full intensive care floor is not uncommon. we do expect to run out of beds but not yet. >> all right. i know your health system says, correct me if i am wrong, has seen about a 226% increase in coronavirus patients in the past month and just yesterday your group reported 420 coronavirus cases. help us understand the reality of this data. what kind of pressure has this influx of cases put on your facilities? >> here's the deal. our current census we can run in adult patients is 1100. we have seen in the last 14 days a growth of double from 200 to 400. the number you're talking about is for 30 days. we've seen a dramatic growth over the last certainly two weeks and certainly over the last 30 days. but, still. 400 plus patients, 1100 patients running just under 30%. we believe that this number can grow higher. it is very stressful on our people. we've been -- as i mentioned we are over 120 days now where all of our employees are going through a very stres

physician at jackson memorial hospital where just this week 153 employees tested positive for the virus. doctor, i know you yourself have contracted the virus and have since recovered. i'm so glad to see you're doing well. what is your hospital's capacity right now? >> we are full. what i will say is we have managed to expand our capacity. we've opened parts of the hospital that were not previously receiving patients. we've converted those areas into full capacity patient care areas. we have expanded our icu capabilities by the same methods in order to accommodate the patients that we have been seeing and receiving in our hospital. >> you've said you are just trying to hold your head above water. so in terms of that analogy, if you're just treading water, how much swim do you have left in you? >> oh, that's a great question, ana. i kind of liken it to when you see the shore, you can kind of estimate how much more distance there is to go. right now it's very difficult to see the shore, if at all. and it's a sink-or-swim type of scenario. we are swimming and swimming and hoping that that

doctors suiting up in ppe giving abc news a look inside jackson memorial hospital's expanded covid ward>> it's extremely busy, so we're full. our waiting room is full. all our areas are full. >> reporter: and two weeks after president trump criticized the cdc's guidelines to reopen schools calling them, quote, very tough and expensive the agency releasing new guidance defending the push to get children back into the classroom saying covid poses a low risk to kids. in kentucky where the situation is worsening the governor asked if he were a teacher would he go back inside the classroom? >> i wouldn't ask a teacher to do that today. today where we are right now i would not ask that. >> reporter: this as an abc news poll shows only 44% of parents say they're willing to send their kids to school. karina mitchell, abc news, new york. >> and we're getting a first-hand look at the long road back from coronavirus. a doctor in houston spent more than a month on a ventilator and then 6 weeks in rehab, and this morning his emotional reunion with his children. >> reporter: in a grueling battle agai

rosa flores is live outside of jackson memorial hospital in miami. let's start with the positivity rate. what is the latest on that today? >> reporter: well, miami-dade countries just released it, brooke and it is down slightly but there is no good news here. it is down to 28% from 33.5%. but here is the thing, the goal for the county is not to exceed 10%. well they've been over 18% for the past 14 days. like i said, there is no good news here. and the hospitals are getting tested, the infrastructure is getting tested. miami-dade countries also just released the hospitalization numbers of covid-19 patients and according to miami-dade county the number of covid-19 patients has increased in the past 14 days by 74%, icu's by 88% and ventilators by 123%. now, i want you to take a look at your screen and take a look at this curve. and then listen to governor ron desantis describing the curve here in florida. >> when you have a curve which florida has, you look at northeast and they went boom and florida and texas we're much flatter. it means it goes on lo

that's why as jackson memorial hospital they've hired an additional 80 nurses, all in anticipation of what they believe will be an arrival of new patients over that lag period of about two weeks. among those who have been impacted by this, the youngest victim now in the state of florida, an 11-year-old boy who passed away from complications related to coronavirus. so while everybody wanted to initially think this was only impacting older people, craig, we now see over and over again that this impacts everybody in the population. ye >> yeah, it does, indeed. kerry sanders, lauderdale by the sea, thank you. >>> in arizona, the governor slowed down the state's reopening after record breaking numbers of new covid cases earlier this week. thursday, the daily new cases dipped a bit to just over 3,000. the state's total number of cases, though, near roughly 90,000. msnbc's vaughn hilliard is live in tempe, arizona, this morning. i understand the newly elected mayor of tempe currently has coronavirus. other officials are frustrated with how the governor there has locked down. what can you tel

an emergency medicine physician at jackson memorial hospital returned last week after contracting covid-19. thank you so much for coming on to talk to us. you are looking well. how are you feeling? >> thanks for asking. i feel fine. i was very lucky, actually. my symptoms were on the more mild side and so i recovered fully and i'm back at work. >> okay. that's great news. and obviously that's what we hope for so many of your colleagues but may not be the case for a lot of them. you are back in the e.r. what is it like? what are you seeing there on the ground? >> it's packed. we are filled with patients. day in, day out. we have a lot of covid-19 positive patients. we have a lot of patients who are sick with other illnesses. we have patients that come in with other illnesses and end up testing positive for covid-19. so it's a real mixed bag and we are full. >> how long ago was it that you left when you suspected that you had covid? >> i went out of work on the 29th of june. my symptoms started almost immediately. i self isolated and got tested immediately. >> how does it compare to then?

the largest in south florida jackson memorial hospital, it has "x" number of patients registered as covid patients. about 40% of the patients that are covid patients are actually not in the hospital for covid. they're in for something else. but they're testing everybody. every patient is tested. you test positive for covid, you're there fn an appendectomy but you're covid positive. you have to be isolated. the staff has to wear the ppe. they're not treating you for it. there's costs and pressures that puts on the staff as well. all those things need to be taken into account. in helping hospitals. one of the big challenges we're facing is staff. we're burning these people for a long period of time, long hours. so one of the things we want to see both in the hospital and long-term care setting is the ability to provide on-site rapid testing for staff so you don't have 14-day quarantine periods. so they can feel safe. the availability of ppes. one of the things that is something we should be proud of is how the american medical profession has improved outcomes substantially because of change

we learned today jackson memorial hospital, the largest hospital in miami, is now once again going to stop elective surgeries saying that the covid numbers have doubled in their hospital in the last two weeks, and they just cannot afford the hospital beds for elective surgery. i caught up with the governor yesterday to ask him what he thinks about how florida is doing. did he make any mistakes and why with numbers spiking, does he get so angry when the media suggests florida is like new york? listen to what he said. >> may and early june were our best testing numbers, very low. test results in terms of percent positive. obviously you've seen a higher percentage test positive now, just understand some of those states were testing at 60% 70%. we've been 10% to 15% and want to get it down into the single digits. comparing us what we're doing with that. >> if i could follow-up? if i could just follow-up quickly -- >> reporter: his handler shut me down before i could follow-up. quickly the governor says 15% 10% positively rate. not true. yesterday a 22.24% positivity rate. the numbers just

doctors suiting up in ppe giving an inside look inside jackson memorial hospital's covid ward. >> we'reull. our waiting room is full, all our areas are full. >> reporter: and two weeks after president trump criticized the cdc's guidelines to reopen schools calling them, quote, very tough and expensive the agency releasing new guidance defending the push to get children back into the classroom saying covid poses a low risk to kids. in kentucky where the situation is worsening the gufblner asked if he were a teacher would he go back inside the classroom? >> i wouldn't ask a teacher to do that today. today where we are right now i would not ask that. >> reporter: this as an abc news ipso's poll shows only 44% of parents say they're willing to send their kids to school. karina mitchell, abc news, new york. >> and we're getting a first-hand look at the back from coronavirus. this morning his emotional reunion with his children. abc news reporter has that story. >> reporter: in a grueling battle against covid-19 dr. grant fought for his life on a ventilator for 39 days. >> there was a discuss

nbc's sam brock is in front of jackson memorial hospital for us in miami. sack,waiting game to see how th holiday weekend celebrations will impact down the line there. you got some brand-new case numbers from the state this morning. how are we looking? >> reporter: craig, good morning. the infection rates definitely the chief concern here, beyond just the sheer numbers of new confirmed covid-19 cases that we're seeing. the numbers out within the last 30 minutes, 6,300 new cases in florida. it sounds a lot better than what you just read, 11,400 plus on saturday. 10,000 on sunday. the state cracked 10,000 three out of four days. but it's not better. the reason it's not better is that the infection rate, the level of percentage of people testing positive of all those tested yesterday was at 17.25% for the entire state. craig, did you hear from gadi said five minute as ago? california, they're concerned with bumps going from 5% to 8%. miami-dade, it is 22.1% the last two weeks. incredibly high levels of percentages of people testing positive. in florida, the me

joining me now is the chief of trauma and surgical critical care at jackson memorial hospital in florida. doctor, thank you for coming on. we were speaking during the break. you said you've been very busy. tell us what you're seeing in your hospital right now. >> well, the issue we're having right now are the increased numbers of people that are coming to the emergency room with the signs and symptoms of the covid-19. and at the same time we're trying to operate in the normal health care system for people that need it. so it's a balancing act to create new capacity for isolation beds while maintaining as much of the routine services as possible. >> and just to be clear, because some icus in hospitals in florida are at capacity. what's the situation where you are right now? and are you concerned that the hospital will simply be overwhelmed by patients eventually? >> so, hopefully the public health measures will prevent that. but i think we have to really enact those public health measures to do so. the spread is still growing. there are more patients every day around 10,000 new cases toda

sort of as an example of that, i'm standing here at jackson memorial hospital in miami, and in anticipationwhat likely follows within about the two-week period of fourth of july, they have canceled the elective, future elective surgeries here and they've also put out an advertisement to hire 80 additional nurses. they are anticipating what is going to come. so as much as people say they know the rules, they understand the rules, the wearing of masks, the restaurants closing at midnight, not reopening until 8:00 in the morning, late night dinners are off the table, beaches will be closed beginning tomorrow, to the south and monroe county, the florida keys here in miami-dade county, to the north in broward county and up into palm beach county, the concern is people will find a way to get together and essentially celebrate fourth of july with a disregard to the importance of what's going on. and i think what underscores that, especially with the younger people is what's going on in tuscaloosa, alabama, college kids are having a contest to see who can get together, who can get the coronavirus f

i'm ellison barber in miami outside of jackson memorial hospital, where inside they are treating hundredscoronavirus patients and now facing questions, concern about capacity, not just in terms of beds, but also what their staff can handle, because a number of their staff members, their health care workers, those critical front line care providers, they have contracted covid-19 themselves and no longer able to work. i'm joined by one of the doctors that the hospital, dr. rish rishi rutan, a trauma surgeon, you work in critical care. what can you tell me about capacity not only in terms of beds but in terms of your resources, whether that be medicine or just your physical staffing capability to care for people. >> absolutely, we're doing the best we can but busting at the seams and we've been busting at the seams, trying to make more room and more space and more beds and get more staff, requesting it from the governor and from the federal government as fast as we're getting the patients but the patients keep showing up. in terms of medicine, we're providing all the medicine that we can, bu

here at miami's jackson memorial hospital where we are, doctors say they are pushed to the limit in termsey have available to treat patients with covid-19, and even the amount of staff they have. the governor had to approve sending a hundred nurses to this hospital, because many of their front line caretakers. they, themselves have contracted covid-19. here's some of the conversation that i had this morning with a trauma surgeon and a critical care physician at this hospital, dr. reesha rattan. how far, kind of, are you away from that breaking point right now? >> yeah, it's hard to say, because we have a lot of space. we're building tents. we have space for tents. but the reality is that our original icus have been full for weeks and weeks. and we've overflowed into other areas. we've just converted other new areas to spaces that can take icu patients. >> this afternoon, chuck, the mayor of miami said that he's going to have a discussion tomorrow with local business leaders about the potential of another lockdown. chuck? >> yeah, that 27% positive rate, that is way, way too high to have,

the growing national crisis is reflected at jackson memorial hospital in miami. they cancelled future elective surgeries and are advertising for 80 additional nurses. urgent need as spread of coronavirus is reaching belief the virus will fade away. >> i think we'll be very good with the coronavirus. i think at some point that's going to sort of just disappear, i hope. >> arizona reporting a staggering record, 4877 new positive coronavirus tests in the last 24 hours. nurses in phoenix overwhelmed. hospitalizations in the state hitting the highest level since the pandemic began. >> starting to look a little like new york did. >> the same stress felt at icus in california. >> no good news to share, just sadness. >> weeks after reopening, the governor locking the state down again. shutting all bars, indoor restaurants and movie theaters in 19 counties for at least three weeks as california notches another high. 6,402 new cases in one day. >> please, do not take your guard down. >> it is one of 14 states tallying record highs in the last week. in tuscaloosa, alabama,

david de la zerda runs an icu at jackson memorial hospital. >> if there's a big storm and you have sickeople or injured people, we'll have an issue where to actually put all these patients. >> what's the situation in the ius? >> icu is completely full. very young and sick patients. >> reporter: florida recorded a new high for coronavirus deaths for the third consecutive day. arizona and mississippi also reported record-breaking increases. and average daily deaths are rising in at least 17 states nationwide. and as millions of americans apply for unemployment every week, some states are struggling to provide that assistance. >> many of the people in my district have had no income. no income since march. >> reporter: in california, the unemployment development department is backlogged so they haven't paid out more than a million unemployment claims. >> start as early as 6:00 in the morning and be on the phone 12 hours. >> reporter: linda margolin has waited six weeks for her unemployment check. >> right now they owe me close to $5,000. i've received one benefit. >> reporter: when we think

jackson memorial our main hospital is used to that because we have complex surgeries between transplant, neurosurgery and open heart and teeter with the icu beds. we're building 100 new icu beds but unfortunately not going to be around until the end of the year. so really every day it's a challenge of how we make sure we do that, with the current icu beds. we have like you said plan b and c, how to have additional beds and even though we've seen a little bit of a growth of 60% in the last 14 days and icu only 18%, we expect those numbers to grow a little higher and for that reason we may be putting plans b and c into place. >> wow. we talk so much about available icu beds or icu beds not being available. i think it's important to focus on the staff. you have so many, 13,000, and how exhausted they're getting and how sick some are getting. last week there was more than 150 of your staff were out with covid. i wonder what that number is now and also your response to some of the doctors there. er dr. mark zupino said it's not just about having available beds for the patients. we need the s

so, if we go down to miami-dade county, jackson memorial hospital, my alma mater, and look at how the care units are essentially full -- they can move patients around a little bit, when needed, and co-opt rooms that aren't critical care rooms and turn them into icus, and then this swath of patients that are critical are moving north to broward county, where seven of the hospitals in broward county, their icus are full, to capacity. five more hospitals in that county, just south of where i am, have three or fewer icu beds available. and a lot of patients, we hear, are being shifted from the hospitals that are full up to hospitals that aren't full, and i'm to the next county north, palm beach county, where we see just yesterday 21 deaths, a new record for palm beach county for covid-19. and this trend is miami-dade, broward, and now palm beach county are taking the brunt of new cases and hospitalizations and also, mika, i might point out that the number of children in florida, new cases in florida, 34% up. the number of kids in hospitals -- there are 303 children in the hospital today i

of 47 beds has allowed jackson to use a former rehab facility adjacent to jackson memorial to discharge patients from the hospital and obviously ensuring that you have adequate hospital capacity so we think that's very important. the final thing that we are pleased to announce today is speaking with a lot of folks in the hospitals, if you look at the census, you know, you have got i think about 25% of the beds have been available statewide. that's been pretty consistent. dade has a lot of beds available still. but this is the low season typically for hospitals in terms of their staffing. usually the higher season is flu season. so they're looking at ways to utilize staff and particularly at a place like jackson where they have folks come in for things totally unrelated to covid. they get into a car accident, heart problems, everybody who's coming in is getting swabbed and they're getting tested for covid. i think the rate you guys are seeing 30% to 40% are testing positive. they're asymptomatic. they're incidental covid positive in the hospital. but what happens is if you're in and yet you broke your leg and an a

del epicentro porque se están terminando las camas de cuidados intensivos y también en el hospital jackson memorialrsonas enfermas en este estado de la florida que es el centro de todo en esta pandemia >> muchas gracias y california sigue perdiendo terreno en la batalla con más de 8000 casos diarios desde el domingo el alza ha cambiado el sistema de pruebas se necesita tener síntomas estar hospitalizado o ser de alto riesgo en texas hay crisis por la saturación de hospitales y funerarias >> (información en pantalla) >> dos camiones fueron puestos para ayudar al sistema de morgues y funerarias y se tienen que enviar los datos del coronavirus en lugar que el organismo que lo hacía antes de manera histórica el centro de control de enfermedades ha manejado la información pública los médicos han expresado preocupación por el cambio >> ellos saben qué es la información que estamos buscando pero un grupo que está comenzando una trayectoria nueva me da miedo de manera profesional y personal >> se justificó el cambio diciendo que el sistema actual no es el correcto y el nuevo método necesita nueva nación y

we stopped by jackson memorial, miami's largest hospital yesterday, after getting word that they arecaling back elective surgeries and other procedures. dr. lily lee is director in the emergency room. how does it help to put a pause on elective procedures. >> it's going to put the focus on patients that need emergency treatment. >> you can move them into different areas? >> absolutely. >> reporter: there are three exceptions to the mandate for you to wear masks outside here in miami-dade county. if you are jogging. if you have a respiratory condition that makes it hard for you to breathe with this on and lastly, for children under the age of 2. they do not have to wear a mask. >> david, thank you. >>> breaking news to get to from new hampshire where ghislaine maxwell was arrested this morning. she's kept a low profile since jeffrey epstein was arrested nearly a year ago. mola lenghi has been following story. she has scarcely been seen in public. what do we now know about her arrest. >> good morning. we know ghislaine maxwell has been arrested by the fbi in new hampshire. the charges