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kavita patel, msnbc medical contributor and physician and fellow at the brookings institution. dr. first before we get your take on the uptick we're seeing and the white house covid data director tweeted, a big milestone, 4.8 million doses reported administered over the total yesterday. it's a first day with four million or more. also, the first time averaging more than 3 million a day over the past week. so what does this milestone tell you about where we are in this race to end this pandemic? >> yeah, lindsey, it is good news because let's put it this way, in perspective. that's over 1% of the population of the entire country being vaccinated in 24 hours. >> wow. >> and imagine if we can keep up that pace over the next several weeks, lindsey, we are looking at a much brighter summer, and i mean, having people get together, being able to do that safely and now that we have growing data that getting vaccinated pretty much prevents you from giving the virus, not zero, but it's pretty close to give that virus to someone else, lindsey, it's incredible. so, the senator, your reporting

kavita patel, thank you as always. appreciate it.d to see you. >>> still ahead, everybody, on thin ice, what an ice skating rink and executives ex-inlaw and a document drop mean for the d.a.'s investigation into former president trump. stay with us. estigation into for president trump. stay with us now, there's skyrizi. ♪ things are getting clearer. ♪ ♪ i feel free to bare my skin yeah, that's all me. ♪ ♪ nothing and me go hand in hand nothing on my skin, ♪ ♪ that's my new plan. ♪ ♪ nothing is everything. ♪ achieve clearer skin with skyrizi. 3 out of 4 people achieved 90% clearer skin at 4 months. of those, nearly 9 out of 10 sustained it through 1 year. and skyrizi is 4 doses a year, after 2 starter doses. ♪ i see nothing in a different way it's my moment ♪ ♪ so i just gotta say... ♪ ♪ nothing is everything. ♪ skyrizi may increase your risk of infections and lower your ability to fight them. before treatment, your doctor should check you for infections and tuberculosis. tell your doctor if you have an infection or symptoms such as f

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i can't think he would enough doctor kavita patel, our guest tonight for taking our questions. you so much. coming up, common sense on a divisive issue from an unusual source. let's just say that. source let's just say that. so you want to make the best burger ever? then make it! that means cooking day and night until... [ ding ] success! that means... best burger ever. intuit quickbooks helps small businesses be more successful with payments, payroll, and banking. many plug-ins are stuck in the past. they release a lot of scent at first but after a while, you barely know they're working. new febreze fade defy plug works differently. it's the first plug-in with built-in technology to digitally control how much scent is released to smell 1st day fresh for 50 days. it even tells you when it's ready to be refilled. upgrade to febreze fade defy plug. >> last thing before we go tonight is that guy, pat robertson, the former republican presidential candidate is these days 91 years old. the marine corps veteran and law school graduate build and evangelical empire and still goes on tv

jonathan lemire, kavita patel, and susan page. the book is here in my hand, the new book is called madam speaker, nancy pelosi and the lessons of power. it is just out. thank, you the three, before starting us off tonight and coming up for us, if you have any doubt that today's gop is the party of trump, our next guest is here to tell us the extent to which is already taken hold at the local level. cities, towns across the country, and she is calling it the enemy within. later, what of certain americans were willing to fight the virus as hard as they fight mask-wearing and vaccine taking? our doctor standing by with thoughts on that. the 11th hour just getting underway on a friday night at the end of yet another consequential week. nsequential week prilosec otc uses a unique delayed-release formula that works to turn down acid production, blocking heartburn at the source. with just one pill a day, you get 24-hour heartburn protection. take the prilosec otc two-week challenge. and see the difference for yourself. prilosec otc, 1 pi

kavita patel, msnbc medical contributor, fellow at the brookings institution and former health official in the obama administration. dr. patel, i want to start with the rate of vaccinations going down 20% in the last two weeks. it has a lot of people concerned but should we be or does that number represent the fact that lots of us have already been vaccinated and we don't need it again? >> that's absolutely right, stephanie. it's the inflection point it's reflecting we had incredible demand with lower supply. we reached a shift now which many of us knew what happened, where now supply is going to exceed demand. it's just a question of how to get through those last populations that either do not want it or have some reservations and want to wait and we want to try to bring them forward. >> let's talk about those 8 million people who did not go back for their second shot. for me 8 million sounds like a big number. the white house says no, not by historical standards. what do you think? >> no, it's not. i administer multi dose vaccines for other purposes and we see as high as sometimes 50%

kavita patel. the pause in the johnson & johnson vaccine. do you expect this pause of possibly up to two weeks, if not more, to affect biden's plans going forward with millions and millions of americans getting vaccinated? >> yeah, yasmin, great question. not in the long-term. in the short-term, it's causing hiccups, definitely, but as the president has stated, they have enough moderna and pfizer doses to sufficiently vaccinate the entire united states and probably then some. so, the problem is going to come with the timing of it all, because we were depending on j&j, especially for some certain populations, and those will continue to be a challenge over the next several weeks. >> let's talk about something the ceo of pfizer said earlier this week, that a third dose of the vaccine is likely within 12 months. does that mean we can expect this vaccine to act somewhat like the flu vaccine where we are getting yearly flu shots? >> yeah, we've been all kind of wondering if that would happen. i think the

kavita patel, former obama health policy director.n the covid propaganda being december sim na disseminated on fox news. it seems that jim jordan is trying to be a little mini tucker. and i wonder what the reality is that in america's cities and among practices. where do you see the vaccine hesitancy really thwarting our ability to reach herd immunity? >> yeah, nicolle, the vaccine hesitancy really now is coming in two different directions. there is the kind of republican white men who seem to take pride in it about refusing the vaccine. i'm hopeful that gets diminished as people want to return to some semblance of normal life, movie theaters, restaurants, et cetera. but then we have an incredibly complicated composition of people, different reasons that they're hesitant, and it has nothing to do with liberty and freedom. it has everything to do, honestly, nicolle, with the government that let them fail from the beginning. so the question to ask for representative jordan, and i worked on the hill. the question to ask really is how muc

kavita patel, former white house policy director for president obama. dr. patel, what do you make of this news, president biden moving up the date to april 19th when all adults should have access to this vaccine, how big of a deal is that? >> good morning, stephanie, it's a huge deal and it can't come soon enough as you're covering this increase in cases and i think you've got a public that obviously just by the displays of gatherings is moving with their feet and we need to get shots into arms. so this is welcome news. now we just need to make sure that these supplies actual politic it into people's arms as we try to get people immunized. >> but we are getting shots in arms. we're averaging 3 million shots a day. yet in some areas where we're seeing low vaccination rates, the numbers are going up. how do he with tackle that? those are places where people are choosing not to be vaccinated. should we stay shut down in certain cases where people don't want the vaccine? >> no, i think you're hitting on it. there's a lot of talk about vaccine hesitancy but i th

kavita patel.icy director and an nbc medical contributor. so we're talking about six cases of a rare blood clot. is this the right call, to call for the johnson & johnson vaccine to be paused here? >> it is. and trust me when i tell you, willie, there's no question that this was done out of an abundance of caution, a sign that our process is working. it's just, i'm worried about the downstream effects. this is a devastating blow to an incredibly promising one-shot vaccine, that 8 million americans have already received. >> so 8 million americans have received it. we're talking about six cases. from what you know, what you've learned, is there any relationship between getting the vaccine and these six cases? one death and one in critical condition? >> if you look at the trial data that was submitted to the fda for the emergency authorization, there had been a mention. obviously, no fatality, no deaths, but there had been mention of clots. it was deemed that that truly with people who got the vaccine

doctor kavita patel, and former fbi assistant director for counter-intelligence, lucky for us, all three are msnbc contributors. dr. patel are there any vaccines available for young kids? >> no, not yet. >> so we do have hope that children will be able to be vaccinated 12 to 15 first, then younger ones, probably by the end of this year or the first quarter of 2022, but to keep your child safe, like to make this a -- i have seen cases of child abuse, and it's morally reprehensible about using those words to protect your child. you shouldn't be shamed, nicolle, if you said to wear a mask, even if you don't need to outdoors. keeping yourself safe should not be something that is against the law. >> do kids still have the ability to transmit the virus from one to another? can kids still spread the virus, dr. patel? >> yes. so we know the evidence supports that children -- or let's be clear, ages 12 and over, we do see that they act almost like adult in the sense that you can see the rate of spread, similar in ages 12 and over, to other adults. then we know that younger children are not as eff

kavita patel. i spoke to a white house official who said they were prepared for some challenge in this rush to vaccinate americans and to beat these variants. that is why they purchased so much supply of all of them, frankly, but especially of pfizer and moderna. how do you evaluate this news today on j.j.? j&j? >> hopefully i can give people some solace in what you said. it's extremely rare. i can talk about all the other type of adverse effects, things we see in other vaccines. i'm not dismissing the person that died, the families that are dealing with it. they are incredibly affected by it, but you can't vaccinate billions of people and have zero side effects, adverse events or risks, and while many are criticiing that they are overly aggressive, the fda is doing what they need to do. i hope by tomorrow afternoon when the advisory committee is scheduled to discuss and vote on what this means, we will get clarity, but as you heard, i think this was the right thing to do. i would ask the question

kavita patel.uncements, and we've talked about, this is what happens when the whole of government focuses on one goal, which is vaccinating the country. a quarter of vaccinating the country. it is remarkable. >> yeah, it is remarkable. it's even more important to keep this milestone in mind. once we vaccinate 30% of the country, we start seeing decreases. the flip of that is that the majority of americans are not fully vaccinated, which is why i think you heard some pretty straightforward comments and advice the last couple of weeks that hopefully we'll heed. >> what do you do to sort of the psychological and political impediments now. that you have people that are done and you have republican governors who refuse to call for the things that will protect us now, masks and socially distance. how do you combat that at a policy level. >> i think i learned at the hard way that you have to get into the behavioral psychology underlying this. we're sick of dealing with this, but we need to. i do think the

kavita patel.'s great to have you because you actually are a practicing physician. so the adeno vector that j&j is using has been used on a lot of different vaccines in the past, dr. patel. a lot of people took solace in that that it had been a tried and true method. is this surprising this is happening with this particular covid vaccine? >> it is surprising and i think that -- the fda issued a brief statement with more details later today. six cases that they're scrutinizing which seem similar in detail looking at further detail to cases that we've seen similar to astrazeneca where it mimics kind of what we call heparin thrombocytopenia i will say this, it's shocking and hard to believe that there is such a strong link of causality that these vaccines cause these clots but, again, the people who have had the j&j vaccine, the only solace i would tell you is the six cases, it appears still trying to work through details, joe, but it appears the clots were seen early and so this is something that i h

kavita patel.cal contributor. and writer and reporter for "the new york times," david leonard. it was something to watch dr. walensky kind of hem and haw over that question. is there any scientific evidence that shows that not wearing a mask far from other people outdoors is a risk of covid-19? >> hi, willie, good morning. i've rarely seen an issue that divides the public health community so fervently as this one. but to your question, there is very little scientific proof that if you're outdoors and you're not symptomatic and you're distant, that you do not need to wear a mask. the risk is very low. and infection transmission has not been recorded. i have not seen any evidence of it. and i've been telling people, pre-vaccination, post-vaccination, if you're away from others, you do not need to wear a mask. however, we still have a lot of factors going on such as community transmission. we have places where cases still are rising. and we have the threat of variants, as well as the fact that we stil