Posted on 03/07/2020 12:26:21 PM PST by ransomnote
Centers for Disease Control and Prevention Atlanta, Georgia
March 6, 2020 4:43 P.M EST
THE PRESIDENT: I said, Id like to walk the press down the hall to see how professional this is. Its incredible. If you people would like, we would do that. Are they able to do that, Doctor? Can they do that?
DR. MONROE: (Inaudible.)
THE PRESIDENT: Yes. Yes. (Laughter.) Why dont you tell them a little bit about what youre doing and how its going? And here they are, right over there. Theyre actually very nice people. But theyre told not be (inaudible) by the editors.
Dr. Monroe is a tremendously talented man. Theyve done tremendous work here. Doctor, please.
DR. MONROE: Well, thank you, Mr. President. And
Q Could speak up just a little bit for us?
Q Yeah, we cant hear.
Q Its really low.
DR. MONROE: Thank you, Mr. President. In this laboratory is where we generate materials that go into all of our diagnostic tests, not just for the coronavirus, which you have the electron micrograph here, but also for all of the other infectious agents that we work with.
And the advantage of having this facility here is the CDC is constantly listening for infectious disease spreads, both within the U.S. and around the world. And when we first heard about this unusual illness in Wuhan, China, we started paying close attention to see if there was any indication of what might be the cause.
And as soon as the Chinese announced that it was a coronavirus and made available to the general public the sequence of that virus, we immediately started using that information our scientists to develop a test so that we could detect the virus.
THE PRESIDENT: Can you hear that okay?
Q No.
THE PRESIDENT: Can we go over there?
(The participants move to a closer location.)
This is Dr. Monroe, everybody. If you could maybe go through that, Doctor. This is a little more comfortable, right?
DR. MONROE: Sure. So the CDC is always listening for infectious disease threats, both in the U.S. and around the world. And we heard early on, at the beginning of end of December about this unusual illness that was taking place in Wuhan, China. And the fact that it was associated with the seafood market led some evidence that it might be this what we call a zoonotic transmission, from animals to people.
As soon as the Chinese announced that it was a novel coronavirus and the Chinese, to their credit, made that sequence information available right away our coronavirus experts here at CDC used that sequence information to design a test so that we would be able to detect the virus even though, at that time, there were no cases in the U.S. and we had no samples of the virus because we had no clinical materials.
And so we quickly went from designing the test, and the materials were made in these laboratories. The quality control is done here. And then our scientists used that to validate that it would work against what they could make as the coronavirus, using just the sequence information. But importantly, so that it would not affect other things, because you want a positive to only be for the coronavirus, not for other kinds of viruses that create similar respiratory samples.
THE PRESIDENT: Does everybody understand that?
Q Can we ask some questions, please?
THE PRESIDENT: Yeah, sure. Just one second. Let him finish up.
DR. MONROE: And then, in relatively short order, as the information coming out of China indicated that this was more serious than was originally thought originally seven cases we stood up our incident management system here at CDC so that we would have all the right components together the epidemiology, the laboratory, the communications, the policy folks.
And then once it became clear that it was even more serious, thats when we started to work with our colleagues at FDA to say, We need to make this test available to the larger public health laboratory community.
And so, worked with FDA to get
THE PRESIDENT: So tell them about how youve done with the tests (inaudible) over 4 million.
DR. MONROE: to get what we call emergency use authorization so that we could distribute the test to our originally to our public health laboratory counterparts.
And now, working with the commercial manufacturers, were in position to scale up that production beyond what we can do with our own facility here, so that theres the capacity to test more and more Americans. And we are as we work today to qualify more of those materials to go out.
And its important to note that at no time during this response has CDC ever denied a request that came from a public health official, either state or local, to test a patient. So all the patients who needed to be tested, in the opinion of the public health officials, have been tested.
THE PRESIDENT: They have plenty of materials is what youre saying.
DR. MONROE: And, yeah, all of our state labs now have the ability to to test for this virus
THE PRESIDENT: And they have had.
Doctor, do you want to make a little statement, here?
Q Tell us your name again, sir.
DR. MONROE: Dr. Steve Monroe.
DR. REDFIELD: Well, I think I first, I want to thank you for your decisive leadership in helping us, you know, put public health first. I also want to thank you for coming here today and and sort of encouraging and bringing energy to the men and women that you see that work every day to try to keep America safe. So I think thats the most important thing I want to say, sir.
THE PRESIDENT: Thank you. I appreciate it. And the whole situation is the testing has been amazing, actually. What theyve been able to produce in such a short period of time. You had mentioned 4 million tests before 4 million?
DR. MONROE: By the end of the the week, hopefully, it will be
SECRETARY AZAR: The following next week.
DR. MONROE: And the following week, well be at
THE PRESIDENT: What what number will it be?
SECRETARY AZAR: Up to 4 million tests available in the United States by the end of next week. Weve got commercial labs getting validated as we speak.
By the end of this weekend, well, as promised, have enough testing for seven- that CDC has produced for to test 75,000 people is already out. And then enough tests for another million tests to be done. And thats most of that is shipped, but last lots are here being validated by Dr. Monroes team as we speak.
DR. REDFIELD: The one thing I would like to add: You know, the purpose of all of this, as Dr. Monroe said, is to have the capacity to detect the unknown. You know, this lab has developed tests for Zika, SARS, MERS, and now this coronavirus.
And I think it really is remarkable that the capacity we had here once we got the sequence, I think this lab team had a functional test in about seven days that they worked with the FDA to make sure it was regulated.
I think its thats really what we do.
THE PRESIDENT: And they started working when they saw there was a problem in China. That was many weeks ago. So they saw there was something going on in China long before anybody even heard of it. That was actually before it was even in the print.
They heard there was a problem in China. Thats when they started working on this, and thats pretty incredible. Thats why were in good shape.
Q Sir, is the coronavirus contained in the United States?
THE PRESIDENT: Go ahead.
DR. REDFIELD: Yeah, I think at this point, again and weve said this before and the Secretary can add you know, the overall risk to the American public does remain low. And, again, I think we owe a lot to the decisive decisions initially to have travel restrictions and the number of areas of screening in airports.
And then the most important is to get the public health community to do early case recognition, isolation, and contact tracing, which again, the fact that we now had a test allowed us to do that a lot more effectively than if we didnt have a test.
We do have some areas where theres significant community transmission now. Obviously, weve seen that in the Seattle area, weve seen it in parts of of California. Were working hard with the local and state health departments and those groups to continue to try to control this this infection in that area.
I think, as the President said or maybe the Secretary you know, we still have only around 200 cases that weve diagnosed in the United States. Were going to see more cases because were getting more diagnostics out there. But I would say that again, what I said before that that, at the present time, the general risk to the American public remains low. Were going to concentrate and help those communities, though, that are now fighting fighting the battle, like in the state of Washington. Some of you were there, I think, the other day, when we were out there so.
Q I have a question for Dr. Monroe, please. Would you admit that the CDC did have problems with the tests? And you say that there were people who that these health officials never had to request anyone who wanted the test. But you set such strict guidelines so people were coming in and saying they couldnt get the tests. And weve talked to dozens of people that have contacted us saying they couldnt get the test, even though they had the symptoms because they didnt meet your criteria, because your test were faulty.
DR. MONROE: So we did learn shortly after we distributed the first batch of our tests to the some of the state health labs that there was an issue with one component of the test. And so we quickly put together a team to try to figure out what that issue was and we suggested that people not test until we could sort that out. But what we what we have are three different signatures that we test for. And we in working with FDA colleagues, we identified that two of those were sufficient to have a positive conclusive test.
And so weve moved forward now with testing with just the two signatures. And this is something that could easily happen where were were just, again, starting from scratch with sequence information, building a test rather rapidly. We did small-scale testing here before rolling it out because our our goal was to get it out to the public health labs as quickly as possible.
Q But you didnt have to start from scratch. You couldve just used the WHOs test. Why did you choose to start from scratch when it would be a longer process?
DR. MONROE: But we started with our test probably the same time the Germans and the other Italians and the other groups that have worked with WHO were developing their own test.
Nobody could start with test development until the sequence information was made available by the Chinese.
Q Right, but theirs didnt have any faults the WHO. So why did we use that?
DR. REDFIELD: I would like Id like to make one thing clear.
Q Please.
DR. REDFIELD: When this test was developed in in really very rapid time, it was first offered here at CDC. So all the public health labs in this nation could use CDC as we do when any new disease comes, and we can help them understand if this new pathogen is in that individual. That was available as soon as our test was approved by the FDA not a faulty test, a very accurate test.
But the challenge was you had to send the sample here to CDC. Thats the same test we use today. So no state lab never had no access. They always had the ability to send it here.
Q But they had to send it here because there were false reads?
DR. REDFIELD: No, they had to send it here because thats how we started it. Then we developed the test to expand, and in the manufacturing, there wasnt then, after that, we sent it out to the states to see if they could verify that it worked.
We found that, in some of the states, it didnt work. We figured out why. I dont consider that a fault. I consider that doing quality control. I consider that success, making sure this test was going to perform out there with the same proficiency that it performed here.
THE PRESIDENT: And now its all performing perfectly, right?
DR. REDFIELD: Yes, sir.
THE PRESIDENT: Just so you understand, now its all performing perfectly.
Q And you have confidence in the CDC and how it rolled out?
THE PRESIDENT: Theyre fantastic people. These are fantastic people. No, its performing very well, and it has been performing very well. And as you said, you had two of the three that worked perfectly. And thats all you need is two of the three. In fact, you could have one of the three and it will work. So he had two of the three, but now its performing perfectly in all places.
SECRETARY AZAR: Dr. Monroe, could you could you explain on the testing criteria and how that compares? You explained to the President how that compared to China and international standards.
DR. MONROE: Right. So, early on, it and when we submit our test to the FDA for emergency use authorization, we have to specify what are the conditions under which a person should be tested. And certainly, at the beginning, we wanted to be clear that all of the cases at that time were associated with travel to one of the endemic areas or other things like that.
And so the criteria in the package insert were were strict about who could be tested because we didnt want just a lot of people with compatible symptoms who had no history of exposure to be tested.
But, as was stated, there was never a time when a public health official contacted CDC to ask for testing and it was not done, even if they didnt quite meet the strict definition.
SECRETARY AZAR: I understand even China even China had a geographic travel restriction on who they tested. And they were in
DR. MONROE: Right.
SECRETARY AZAR: They were the epicenter. Is that right, Dr. Monroe?
DR. MONROE: Right. At the very beginning, they were only testing people who had direct contact at the seafood market in Wuhan.
Q Is there a chance that the limited testing means that the numbers are low and the public has been misled about how widespread this is?
DR. REDFIELD: Yeah, we have been diagnosing cases here from the beginning originally linked to travel, associated with very aggressive public health measures of contact tracing. So you might find one confirmed case and you might evaluate another 300 people. Right? And as you we went out to do that. The only contacts, initially, from the beginning that we found were two spouses spouses who came back from Wuhan. And all the other contacts were were negative.
Over time, when the state of Washington sent a sample from an individual, they made the first diagnosis. That individual was also a traveler. But, clearly, as the as they continued to diagnose more, we found people that had no risk of travel. And this is what we call community spread.
So we do have community spread. We are continuing to look. We are enhancing our surveillance. Were blending surveillance for coronavirus into our flu surveillance system. But at this point, I think we have isolated a number of clusters. But its not as if we have multiple, multiple hundreds and hundreds of clusters around the United States.
Q Mr. President, this is obviously
THE PRESIDENT: I do think I do think whats happening, though, is you have people that are sick, but they dont go to the hospital or theyre not very sick; its a more minor case and it could be of this virus. But you have a lot of people that arent going to the hospitals. So were not seeing those people. And if you did see those people, I believe if you did see those people the statistics actually become much better, because they heal, they get better, they dont see a doctor, they dont see a hospital, they have a problem, they have the sniffles or a cold or all you know, some of the symptoms. And over a period of time, a short period of time or even longer period of time, they get better.
If you look at that, then all of a sudden youre coming into a much lower category of risk in terms of death-type risk. Because I think a lot of people arent going to doctors. A lot of people arent going to hospitals. And so youre not seeing those people.
SECRETARY AZAR: And, just, Mr. President, you wouldnt you wouldnt have seen this but actually today, Dr. Fauci published, in the New England Journal of Medicine, a revised estimate of fatality counts very much consistent with what the President was saying, which is the WHO numbers are just a math problem: This many people died. This many were diagnosed.
But if you then extrapolate to from the number of diagnosed to how many likely cases there are that never came to the doctor or hospital or got tested, Dr. Faucis paper in the New England Journal says he thinks its less than 1 percent, which is, I think, word for word, Mr. President, what you were saying.
Q Can I just ask one question about containment? I mean, were youre saying that you have noticed youve seen these clusters, but from last Friday to today, weve gone from something like 57 or 59 cases. In 7 days, we have 200. And we even havent had the testing to see if theres more than that. So now were actually getting the testing. Dont you think its likely there are a lot more people out there who are going to come and actually be sick?
DR. REDFIELD: I think theres no doubt were going to see more community cases. And I just want to say and theres no doubt that the public health system of the United States is enhancing surveillance in a variety of ways to try to really understand: Is there any hidden pockets? And I really just thats all in process.
But I will say everyone has been aggressively using the single case they diagnose and then to go look at all contacts to try to begin to understand this. This how the nursing home was having a lot of infections in Seattle. And tragically and theyre all in our prayers a number of deaths from that nursing home.
So I just assure the American public that we are enhancing our surveillance, not just CDC, but the entire public health systems in this nation so that we will have very accurate eyes on where this virus is.
Q Obviously, Mr. President, weve talked a lot about the health ramifications, which of course is very important. But there are also economic ramifications; the stock market dropped again today. The travel industry airlines, cruise ships, other companies travel companies have been hit especially hard. Can you give us a sense of what youre considering to help offset this pain?
THE PRESIDENT: Well, were considering different things. But were also considering the fact that last year we had approximately 36,000 deaths due to whats called the flu. And I was when I first heard this four, five, six weeks ago when I was hearing the amount of people that died with flu, I was shocked to hear it. Anywhere from 27,000 to 70,000 or 77,000. And I guess they said, in 1990, that was in particular very bad; it was higher than that.
As of the time I left the plane with you, we had 240 cases. Thats at least what was on a very fine network known as Fox News. And you love it. But thats what I happened to be watching.
And how was the show last night? Did it get good ratings, by the way?
Q I I dont, sir.
THE PRESIDENT: Oh, really? I heard it broke all ratings records, but maybe thats wrong. Thats what they told me. I dont know. I cant imagine that.
But what happened is, if you look at the number at the time we left, it was 240 cases, Peter, and 11 deaths. Thats what it has been. Now, you look at throughout the world, I mean, other countries have South Korea, Italy, and in particular China have many.
Now I also hear the numbers are getting much better in those places. And Ive heard the numbers are getting much better in China, but I hear the numbers are getting much better in Italy, et cetera, et cetera. But what I hear so we have 240 cases, 11 deaths. Everything is too much and its true. I dont want 11 deaths. I dont want any deaths, right?
But over the last long period of time, when people have the flu, you have an average of 36,000 people dying. Ive never heard those numbers. I would I wouldve been shocked. I wouldve said, Does anybody die from the flu? I didnt know people died from the flu 36,000 people died. Twenty-seven thousand to seventy-seven thousand, thats your flu.
And again, you had a couple of years it was over 100,000 people died from the flu. So I start to say, I wonder whats going on here.
Now, you look at the percentage: The percentage for the flu is under 1 percent. But this could also be under 1 percent because many of the people that arent that sick dont report. So theyre not putting those people in there.
And youre smiling when I say that. Who are you from, by the way?
Q Im Im from CNN.
THE PRESIDENT: You are? I dont watch CNN. Thats why I dont recognize you.
Q Oh, okay. Well, nice to meet you.
THE PRESIDENT: I really dont I dont watch it. I dont watch CNN because CNN is fake news.
Go ahead.
Q Can you just address the economic piece, though, because there is obviously a lot of fear about the economy?
THE PRESIDENT: Of course its an effect. I mean, it is effect now, you know, if you know anything about me, I like when people happen to stay in the United States and spend their money in the United States. Okay? So I think people are staying in the United States more. Theyre going to spend their money in the United States. And then this is ended. It will end. People have to remain calm.
I do think that if you look at the numbers and you look at the numbers from other years on other things, and you look at these numbers, itll be interesting to see what you find. And statistics will soon be coming out. But there was a big statistic today that its way under 1 percent. They said one tenth of 1 percent in one case. But nobody really knows. Well be able to find out.
The problem is the people that get better, that dont see a doctor, dont go to a hospital, those people get better. If they were in the numbers, the numbers would look much better in terms of death rate.
Q Are you concerned there will be some bankruptcies (inaudible)?
THE PRESIDENT: Oh, I think youll have other things that are the amazing thing look at the job numbers today. We had a tremendous job number today.
We had a number today that, when you add last months number, which was a correction of plus-80,000 jobs wasnt it a 350,000 jobs number today? That was shocking. I was watching a particular network and they said on the net- that but theyre pros. They said, Wow, these are unbelievable numbers. They were shocked by the numbers over 350,000, when you add last months correction.
Peter?
Q All of these organizations that are canceling conventions and trips and study abroad programs and all these all the organizations and businesses that are canceling conventions and meeting and travel, even within the United States, are they overreacting or are they taking the right precautions?
THE PRESIDENT: I think its fine if they want to do it. I dont think its an overreaction, but I wouldnt be generally inclined to do it. I really wouldnt be. Now, it depends in what country youre talking about. If youre talking about if theyre going through another country or are you talking about within the United States?
Q Within the United States, a lot of places are
THE PRESIDENT: Yeah, I I mean, they have to feel comfortable. People have to feel comfortable to have a good time. If you look at do I want to go to China? Do I want to go to certain parts of Italy? Do I want to go to South Korea right now? You know, thats a different decision.
But you have some parts of the world that some parts many most parts of the country look, in this big, vast land of ours, this great country of ours, we have 240 cases. Most of those people are going to be fine. A vast majority are going to be fine. Weve had 11 deaths, and theyve been largely old people who are who were susceptible to whats happening.
Now, that would be the case, I assume, with a regular flu too. If somebody is old and in a weakened state or ill, theyre susceptible to the common flu too. You know, they were telling me just now that the common flu kills people and old people is sort of a target.
DR. MONROE: And also the very young.
THE PRESIDENT: And the young. Now, the interesting thing here its very interesting. The interesting thing here is that the young seem to be doing unbelievably well actually better than they do with the flu. Young people and very young people are doing very well, which is another thing, I guess, theyre trying to figure out.
Q Mr. President, you were shaking a lot of hands today, taking a lot of posed pictures. Are you protecting yourself at all? How are you how are you staying away from germs?
THE PRESIDENT: Not at all. No, not at all. Not at all. You know, Im a person that was never big on the hand-shaking deal throughout my life. They used to criticize me for it or laugh about it or have fun with it. But if youre a politician like, I walk in, and the doctors have their hands out Hello, sir. How are you? I if you dont shake hands, theyre not going to like you too much. And I guess thats my business; I never thought Id be a politician. I guess, Im a politician.
But the fact is I feel very secure. I feel very secure.
Q Are you going to tell us what happened here last night and today that at one point you cancelled the trip and then put it back on? What happened here in the last
THE PRESIDENT: I was told that one person, maybe, that works someplace in the building, at Im not even sure what level but that one person may have had the virus. And therefore, they said, Sir, because of the fact that one person may have had the Because this is a big building with a lot of great scientists, frankly. One person had the virus. And that turned out to be a negative report. That turned out to be negative. And so they called me. But it was already cancelled.
But this morning, I said, Wait a minute. Im going to Tennessee. Were going down to Florida. I have a meeting on Monday, as you know. And so were going to Florida. Id love to stop at the CDC. That was a big deal with Secret Service, but theyre fantastic and they worked it out. So we stopped.
But it was a report and the person it was a negative diagnosis.
Q Mr. President, that convention on Monday has been cancelled because of coronavirus, where you were supposed to speak.
THE PRESIDENT: No, we had another big deal. There were two of them. And there was a thing that we recommended, because theres a lot of people. And we recommended that if they want, let them cancel that one. But there was another one in a similar area.
Q Have you considered not having campaign rallies?
THE PRESIDENT: No, I havent.
Q Like, you dont have one scheduled in Michigan this coming week and
THE PRESIDENT: Well, Ill tell you what: I havent had any problems filling them. I mean, we just had one in North Carolina, South Carolina all over the place. And we have tens of thousands of people standing outside the arena. So, we havent had
Q Isnt it a risk if theres that many people close together?
THE PRESIDENT: It doesnt bother me at all and it doesnt bother them at all.
Q What should be done about that cruise ship thats docked (inaudible)?
THE PRESIDENT: Well, thats a big question. So I was just on the phone with the Vice President, and theyre trying to make a decision. I mean, frankly, if it were up to me, I would be inclined to say, Leave everybody on the ship for a period of time, and use the ship as your base. But a lot of people would rather do it a different way. They would rather quarantine people when they land.
Now, when they do that, our numbers are going to go up. Okay? Our numbers are going to go up. The 240 is going to go up. And I assume that, perhaps, you know its a very big ship with thousands of people on it, including the sailors and the crew. Its youre talking about a massive number of people. That is a big ship. If it were up to me, I would do it that way. A lot of people think we should do it the other way. Theyre Americans, or mostly Americans. And we have to take care of Americans.
Q The other way being take them off the ship and quarantine them?
THE PRESIDENT: Bring them off the ship.
Q Is that the
THE PRESIDENT: No, theyll be under quarantine, and theyll be tested very carefully. Everyone is tested very carefully.
Somebody said today in fact, the Governor said a story that a friend of yours you know Governor Kemp? A friend of yours was saying how tough it is to get into the United States with all the testing. Maybe youd like to say?
GOVERNOR KEMP: Yeah, so John Selden, whos running the general manager of Atlanta International Hartsfield Airport hes on our coronavirus task force here. And he did a great job yesterday in our press conference explaining the procedures that the President and others had put in place to make sure that everybody who is coming from northern Italy and South Korea are being screened multiple times before they get on the airplane. I think that just gives people great confidence as theyre traveling through all of the airports across the country that the people that are coming in have been screened from those problem areas. Their their Customs and Border people are checking them as well and having conversations.
I think they may have tested one person at the Atlanta airport. They have over 300,000 people go through there a day. That test was negative.
And so, I mean, it is safe to travel right now. People just need to be very careful, do the things that the CDC and Dr. Redfield and Secretary Azar and the Vice President and this task force are telling people to do. And thats you know, keep your hands clean and just be careful where youre going. If youre sick, dont go to the airport. You know, dont go to sporting events.
THE PRESIDENT: But he was very impressed with how hard it is to get on the plane. He was tested two times and then one person said three times just to come in.
I mean, were watching it very closely. The people are doing a good job. And instead of being negative, you should be positive. These scientists are doing a phenomenal job with something that came from out of nowhere a very short time ago.
Q Im not trying to be negative. Im trying to help people understand when they can get the test. And I want to ask Secretary Azar because he said most of them had shipped out. Can you tell me exactly how many people, as of right now, can be tested? You told me yesterday you thought itd be 475,000. How many kits have been shipped, and how many people do you think can be tested by the end of
SECRETARY AZAR: Well, youve got the CDC Director, who is doing it. Why dont we have Dr. Redfield talk to you?
Q Okay, great. Perfect.
SECRETARY AZAR: You may believe him. You wont believe me. Why dont you talk to Dr. Redfield?
DR. REDFIELD: No, no, no. Youve done a great job.
SECRETARY AZAR: No. (Laughter.)
THE PRESIDENT: Thats all right. Thats all right.
DR. REDFIELD: We continue to send excuse me. (Inaudible.)
GOVERNOR KEMP: No, no, no.
DR. REDFIELD: Ill stand right here. We continue our first responsibility CDC as I said, was to develop the eyes the lab test. The second responsibility is to get that out to the public health community. And we have now shipped out I think it was enough to test 75,000 people into the public health labs now.
THE PRESIDENT: Anybody that wants a test can get a test. Thats what the bottom line is.
GOVERNOR KEMP: And I would just say that we started testing in our lab in Georgia, our Department of Public Health, yesterday, which is a day over that we thought it would be today. So we are actually testing today.
Q Great.
DR. REDFIELD: And the second group was to get how do you get tests into the clinical arena, since our role is, you know, in the public health arena? And the FDA, the Secretary, under his leadership, was able to take the test that CDC developed, and one of the companies said they want to develop it and sell it. And thats what the Secretary referred to that
Q Yeah. IDC.
DR. REDFIELD: Yeah. And by the end of this week, they were supposed to have about a million, a million two tests out
SECRETARY AZAR: Yeah. A million tests. So they shipped 700,000 already. The remaining lots are actually being tested here. Dr. Monroe has got them as of, I think, 10:30 this morning. And they have to do the quality control, and then, if they pass
THE PRESIDENT: But but I think I think, importantly: Anybody right now and yesterday anybody that needs a test gets a test. We theyre there. They have the tests. And the tests are beautiful. Anybody that needs a test gets a test.
If theres a doctor that wants to test, if theres somebody coming off a ship like the big monster ship thats out there right now, which, you know again, thats a big decision. Do I want to bring all those people on? People would like me to do that. I dont like the idea of doing it.
But anybody that needs a test can have a test. Theyre all set. They have them out there.
In addition to that, theyre making millions of more as we speak. But as of right now and yesterday, anybody that needs a test thats the important thing and the tests are all perfect, like the letter was perfect. The transcription was perfect, right? This was not as perfect as that, but pretty good.
DR. REDFIELD: I just I want to add I want to add one
Q Is South Korea handling it better than we are?
THE PRESIDENT: Were handling it from South Korea. Were testing that you cant come in from South Korea unless they go through it.
Q But are they handling it better than we are?
THE PRESIDENT: Id have to ask the doctors.
DR. REDFIELD: Before that, I just wanted to add one other thing to the availability of clinical tests: The Secretary and the Vice President, last week, brought together all of the major diagnostic companies that you all know so well LabCorp, Quest and asked them to come together as a group. And they already formed a consortium to work together to use their capacity, which is really substantial, to bring this test to doctors offices around our nation. And when they presented it, they felt that either by Monday, theyre going to begin to roll out this test now through LabCorp, through Quest.
So, as the President said, the issue now is whether the clinicians believe that this test is indicated in evaluating the patients who come to see them. Its not going to be about the availability of the test, its going to be about the clinical judgment of the patient and the doctor or the nurse practitioner to get this test.
Q Can I clarify about the cruise ship?
THE PRESIDENT: And this is, by the way, the highest level test.
DR. REDFIELD: Yes, sir.
THE PRESIDENT: This is the highest level test anywhere.
Q About the cruise ship, has a decision been made?
THE PRESIDENT: Ah, thats a very good question. From my
Q And are you the final decider?
THE PRESIDENT: Yes. From my standpoint, I want to rely on people. I have great experts, including our Vice President, who is working 24 hours a day on this stuff. They would like to have the people come off. Id rather have the people stay, but Id go with them. I told them to make the final decision. I would rather because I like the numbers being where they are. I dont need to have the numbers double because of one ship.
That wasnt our fault, and it wasnt the fault of the people on the ship, either. Okay? It wasnt their fault either. And theyre mostly Americans, so I can live either way with it.
Id rather have them stay on, personally. But I fully understand if they want to take them off. I gave them the authority to make the decision.
Q But isnt that putting the preference over not having more attractive numbers over having the people be treated?
THE PRESIDENT: No. No. No. Im saying whatever it is that takes precedence over the numbers. No, I like the numbers. I would rather have the numbers stay where they are. But if they want to take them off, theyll take them off. But if that happens, all of a sudden your 240 is obviously going to be a much higher number, and probably the 11 will be a higher number too.
Q There must be some risk in leaving them on the ship though, right, in terms of community spread?
THE PRESIDENT: Theres probably risk to both. Probably risk to both. You know, ah
Q Is there going to be a way for us to advance our testing the way that South Korea has? They have the drive-through testing now. Theyre testing
THE PRESIDENT: Were working very closely with South Korea. Yeah.
Q 10,000 people a day. Are we going to be able to have that kind of capacity?
THE PRESIDENT: Well, were working closely with South Korea. Theyre also in a much different position. They have a lot of people that are infected; we dont. Theyre in a much different position. But we are working very closely with South Korea.
As you know, were allies. Even though theyve made much better trade deals in the past than we did, were allies with South Korea. You have heard that, right? And were working very closely with South Korea.
Q Yeah, Im just Im asking if we match their capabilities.
THE PRESIDENT: And a lot of the testing a lot of the testing is very similar testing. But theyre in a much different position than they have thousands of people. And theyre in a you know, theyve got some difficulty right now. But were working very closely. In fact, theyre calling us, asking us and these people for advice.
SECRETARY AZAR: And if I and please correct me, doctors, if Im wrong: If I understand correctly, South Korea is using a technology different than what we use in the United States in our public health labs but that we do use in our commercial labs the LabCorp, the Quests, the Roches, the Abbots. And thats exactly what Dr. Redfield was saying. Weve been able to get up and running right away that is that am I saying that correctly, Dr. Monroe?
DR. MONROE: Yeah, just one point of clarification: The South Koreans (inaudible), theyre doing drive-through sample collections. So this is not like a pregnancy test where you drive through, they take a swab, and they tell you on the spot if its positive or negative. Theyre using that as a way to collect samples from a large number of people. And then theyre using the high-throughput testing platforms in order to do the testing.
Q And that testing platform is what youre saying is available through Quest? And and so it will likely be available starting Monday, we think, when theyre up and running?
DR. REDFIELD: And I think its important just to emphasize again, back to the role that CDC had to support the public health labs: We have built the laboratory capacities throughout our public health labs to monitor for flu and other respiratory viral assistance. The platform that does that is the platform of the test that we developed. It wouldnt have helped us to develop a test for the public health labs when they have none of the instrumentation.
We developed, using that platform for public health labs, a platform that the Secretary and Dr. Monroe was saying is a high-throughput platform, which has been put in most hospitals for HIV, hepatitis C. And so thats the platform.
And as we sit here today, were trying to now validate whether the test we made would be validated to use that on that platform.
But the private sector is already doing it too. I mean, theyre theyre moving now to that rapid throughput platform.
THE PRESIDENT: And dont forget, these are the people like as an example: HIV. I talk about it in the in speeches and other things. HIV-free or essentially free within nine years now. Its a 10-year process. These are the people that came up with the answers to the stuff that three years ago, four years ago, you would have said its impossible. What theyve done is incredible and to others also. If you look at what theyve done with HIV, its incredible.
Other countries are all calling the same people that youre dealing with. And honestly, what you should be doing is giving them a lot of credit because this was a very condensed period of time. Even the vaccine, theyre going to have tests done in 90 days that other people wouldnt have that, two years ago, you were taking two years to do. And theyre making great progress. It takes a period of time, but theyre making great progress.
Other countries are dealing with the same people youre talking to now, and others in this government universe. Theyre incredible people. And honestly, you should be giving them tremendous credit. Theyve done a tremendous job.
When you mention South Korea, theyre dealing with us all the time. When you mention Italy, theyre dealing with us all the time. Were working together with China. Were working together with everybody.
But these are great people. These are incredible people. And you shouldnt be knocking them; you should be praising them. They have done an incredible job already.
Q Mr. President, last night, you said you had not anticipated this kind of thing happening. Would you rethink then having an Office of Pandemic Preparation in the White House that is point on (inaudible)?
THE PRESIDENT: I just think this is something, Peter, that you can never really think is going to happen. You know, who Ive heard all about, This could be you know, This could be a big deal, from before it happened. You know, this something like this could happen.
I think were doing a really good job in this country at keeping it down. Weve really been very vigilant, and weve done a tremendous job at keeping to down.
But who would have thought? Look, how long ago is it? Six, seven, eight weeks ago who would have thought we would even be having the subject? We were going to hit 30,000 on the Dow like it was clockwork. Right? It was all going it was right up, and then all of a sudden, this came out.
And all I say is, Be calm. We have the greatest people in the world. Everyone is relying on us. The world is relying on us. Theyve done an incredible job in a very condensed period of time.
And the thing is, you never really know when something like this is going to strike and what its going to be. This is different than something else. This is a very different thing than something else.
So I think theyve done a great job. And you know what? If I didnt think they did, Id tell you.
Q But do you think theres value in having an office in the White House thats preparing for this kind of (inaudible)?
THE PRESIDENT: Well, I just dont think I just dont think that somebody is going to without seeing something, like we saw something happening in China. As soon as they saw that happening, they essentially not from the White House. I mean, you know, we dont need a lab in the White House. But they saw something happening.
I found it very interesting. They spotted something going on in China. When you see these labs that I just saw and I would love to have them see it if its possible but they spotted something going on in China. They started working on it immediately just in case it should come here, and also to help China. I mean, if we could find something thats beneficial, we want to give it to China like theyre going to want to give it to us. China is working very closely with us South Korea, Italy, all of them. Theyve been working very closely.
But were doing you know, again, 240 and 11. Thats where we are right now.
Q Mr. President, on the numbers, where are we now with the forecast? What sort of numbers are you working to, in terms of
THE PRESIDENT: We dont have a forecast because we dont know. We dont know how many people are you know, have this, arent going to see a doctor, arent going to see a hospital. And the higher that number is, the better the numbers from the standpoint of death the death count. They get better without seeing doctors, without seeing hospitals. So nobody is marking it down. And I think the number is very high. I think that number is much higher, but it never gets reported because theyre not going to hospitals or doctors.
The ones that get reported are people that are really sick enough to go to a hospital or to a doctor. So it makes the numbers look worse.
Q But how can hospitals be preparing if they dont know how many people theyre going to have to deal with?
THE PRESIDENT: Well, were prepared for anything. Were prepared. We are, really, very highly prepared for anything. And in a short period of time I mean, what theyve done is very incredible. And Ive seen what theyve done back there. Its really incredible.
Q And just from a health perspective
THE PRESIDENT: And, by the way, NIH, what theyve done I spent time over there and I like this stuff.
You know, my uncle was a great person. He was at MIT. He taught at MIT for, I think, like a record number of years. He was a great super genius. Dr. John Trump.
I like this stuff. I really get it. People are surprised that I understand it. Every one of these doctors said, How do you know so much about this? Maybe I have a natural ability. Maybe I should have done that instead of running for President.
But you know what? What theyve done is very incredible. I understand that whole world. I love that world. I really do. I love that world. And they should be given tremendous credit. And the whole world is relying on us.
You know, you hear about like youre saying about South Korea. South Korea is very much reliant on the information were giving them. And theyre reliant on the vaccines that we will come up with. Very soon, were going to come up. Now it take a bit of time to get them tested and then put into the (inaudible). It has to be very safe. You cant give a vaccine thats going to be unsafe. It would be a disaster. So thats where we are.
And I think these people deserve all of them, scientists and doctors I think they deserve tremendous credit. I really do.
Q The Vice President went to the Seattle area yesterday
THE PRESIDENT: He did.
Q with Governor Inslee.
THE PRESIDENT: Yeah.
Q He was very complimentary of Washingtons response. The governor was a little less complimentary of your response.
THE PRESIDENT: So I told Mike not to be complimentary to the governor because that governor is a snake. Okay? Inslee. And I said, If youre nice to him, hes he will take advantage. And I would have said no.
Let me just tell you, we have a lot of problems with the governor and the governor of Washington. Thats where you have many of your problems. Okay? So Mike may be happy with him, but Im not. Okay?
And he would say that naturally. And as I said last night at the town hall, if we came up with a cure today, and tomorrow everything is gone, and you went up to this governor who is a, you know, not a good governor, by the way if you went up to this governor, and you said to him, How did Trump do? hed say, He did a terrible job. It makes no difference. If we came up with it right now, and tomorrow everything ended, at 8 oclock tomorrow morning everything ended he would say, Trump did a horrible job. Okay?
And I told Mike that would happen. I said, No matter how nice you are, hes no good. Thats the way I feel.
Goodbye. Good luck to CNN.
Q I have one quick question. Just for just for the people who are watching who are concerned and have symptoms: Is it possible, or is it a good thing or is it something that were looking into to be able to test people in mass, like theyre doing in other countries, so that they can just show up and get tested and leave?
THE PRESIDENT: Well, theyre not testing. Theyre sampling people in other countries.
Q Then theyre testing samples.
THE PRESIDENT: No, no excuse me, theres a difference. I heard what he said. Theyre sampling people. Its a drive-by. They give samples.
Now, can we do that? Yeah, we can do that, but thats not effective like what were doing. Were doing the whole thing in one in one stop. Theyre doing samples in South Korea. Its a very different thing.
Go ahead. Would you like to say something?
DR. REDFIELD: Well, I would just say, you know, were at a stage in our experience with this virus that we are still deeply focused on control. Some people use the word containment and control.
And I said, about the important principles of early diagnosis, isolation, and contact tracing, and then now with some mitigation strategies, as you see in different areas, when theyre deciding should you close large gatherings I think its important to use the data and the science that we have.
I mean, were not blind where this virus is right now in the United States. And we need to focus our resources right now where we know this virus is circulating substantially in the community, like certain parts of California, like certain parts of Seattle. Thats where we need to put our focus.
It would not be in service to our ability for our American response if all of a sudden 20 million Americans that have no evidence of any risk, and weve looked in those areas, really dont need that.
Thats why we are accelerating, as the President said, our surveillance. I mean, were going out and really testing people that have flu-like symptoms, and going to expand that, from the sites we started to the whole nation. So were going to have eyes on this and see, Whoops, this virus has now snuck up into northern Maine. Whoops, we see it down in Kansas.
And that information will then be used by doctors to know if someone comes in with an upper respiratory to Ohp, I better think about maybe testing for the coronavirus.
So we really want to have the American people to have confidence its not just in the CDC; its in the public health community of this nation. Its strong. Theyre doing their job. I tell people, every time we see a new confirmed case, they should think of that as a success, not a failure, because they know their public health community is out doing their job.
THE PRESIDENT: So the difference is that theyre doing theyre being proactive. We are being proactive. Were going out and looking for spots. Nobody else is doing that not by leaving samples or anything else. Were going out and proactively looking to see where theres a problem. We dont have to do that, but were doing it to see if we can find areas which are trouble spots.
I even dont even know if I agree with that. Youll find out those areas just by sitting back and waiting. But theyre trying to find out before before you would normally find out by waiting. And, you know, I think thats great. But thats what theyre doing.
Theyre the only were the only country, in that sense, thats proactive. Were totally proactive and were totally equipped to handle it.
Q Is the strategy shifting from containment to risk mitigation?
DR. REDFIELD: So, right now, its you shouldnt think of it as one or the other. All right? And Im going to say, we need to stay committed to containment. And I still believe containment and control is the goal. But thats going to be complemented strategically by what we call mitigation or non-pharmaceutical interventions, like asking, you know, churches not to have big gatherings.
So in the state of Washington, in the last couple of days, they announced their initial mitigation strategies. Weve been working on mitigation for the whole nation, just in a planning way, but weve also been have our people buried into the Washington Health Department, the California Health Department, to have them start to develop.
And again, Washington started to operationalize theirs this week. I suspect California will later. Were going to continue to work on these, and its going to be a community by community, community, community strategy. Theyre not all going to be the same.
But its going to be driven by the amount of community transmission that cant be linked to a contact, that cant be linked to a trip. When you see significant, what we call on-link transmission, then you start to have to evaluate the value. So its not one versus the other. But this nation should not give up on containment.
THE PRESIDENT: Okay? Thank you very much. Thank you. Thank you very much.
END 5:31 P.M. EST
SECRETARY AZAR: And, just, Mr. President, you wouldnt you wouldnt have seen this but actually today, Dr. Fauci published, in the New England Journal of Medicine, a revised estimate of fatality counts very much consistent with what the President was saying, which is the WHO numbers are just a math problem: This many people died. This many were diagnosed.
But if you then extrapolate to from the number of diagnosed to how many likely cases there are that never came to the doctor or hospital or got tested, Dr. Faucis paper in the New England Journal says he thinks its less than 1 percent, which is, I think, word for word, Mr. President, what you were saying.
that governor is a snake. Okay? Inslee. And I said, If youre nice to him, hes he will take advantage. And I would have said no.
Let me just tell you, we have a lot of problems with the governor and the governor of Washington. Thats where you have many of your problems. Okay? So Mike may be happy with him, but Im not. Okay?
The Governor of Georgia is Brian Kemp. The CDC is in Atlanta, GA.
Trump was referring to Gov Inslee of Washington state, who does deserve to be called a snake. :-D
Trump needs to be a lot smarter. He needs to lead. He needs to say we are way out in front of the rest of the world on this.
The rest of the GOP needs to be out front.....instead of hiding in their weekend retreats around the country. Their strategy sucks. The biz community wants leadership.....the TV networks are killing em with draconian headlines.
DR. MONROE: But we started with our test probably the same time the Germans and the other Italians and the other groups that have worked with WHO were developing their own test.
Nobody could start with test development until the sequence information was made available by the Chinese.
Q Right, but theirs didnt have any faults the WHO. So why did we use that?
DR. REDFIELD: I would like Id like to make one thing clear.
Q Please.
DR. REDFIELD: When this test was developed in in really very rapid time, it was first offered here at CDC. So all the public health labs in this nation could use CDC as we do when any new disease comes, and we can help them understand if this new pathogen is in that individual. That was available as soon as our test was approved by the FDA not a faulty test, a very accurate test.
But the challenge was you had to send the sample here to CDC. Thats the same test we use today. So no state lab never had no access. They always had the ability to send it here.
Q But they had to send it here because there were false reads?
DR. REDFIELD: No, they had to send it here because thats how we started it. Then we developed the test to expand, and in the manufacturing, there wasnt then, after that, we sent it out to the states to see if they could verify that it worked.
We found that, in some of the states, it didnt work. We figured out why. I dont consider that a fault. I consider that doing quality control. I consider that success, making sure this test was going to perform out there with the same proficiency that it performed here.
THE PRESIDENT: And now its all performing perfectly, right?
DR. REDFIELD: Yes, sir.
THE PRESIDENT: Just so you understand, now its all performing perfectly.
Q And you have confidence in the CDC and how it rolled out?
THE PRESIDENT: Theyre fantastic people. These are fantastic people. No, its performing very well, and it has been performing very well. And as you said, you had two of the three that worked perfectly. And thats all you need is two of the three. In fact, you could have one of the three and it will work. So he had two of the three, but now its performing perfectly in all places.
I like what the president did here backing up the CDC. Yes, there were probably mistakes made in the early part of this testing, and they will need to do some studies after this is over and fix the process. But there is no need to beat up the CDC now, and President Trump knows this. I am sure the medical people working on this are glad he has their back and wants them to move forward.
The discussion between containment and mitigation is interesting. Right now we are still working on containment, in the hopes that we can stop the outbreak. In contrast when somebody gets the flu nobody asks where did they get it from, we just assume people will get it and we work on mitigating the spread and the consequences through vaccines and treatment
Posted on 3/7/2020, 3:55:30 PM by ransomnote
SNIP
The WHO is responsible for the World Health Report, the worldwide World Health Survey, and World Health Day. The current Director-General of the WHO is Tedros Adhanom, who started his five-year term on 1 July 2017 but as we have noticed there are many negative articles about him as well. And not only Tedros in spooky deals but also two of his friends Bill Gates and George Soros.
Bill Gates and George Soros are pulling on the strings of WHO
The WHO (World Health Organization) deals with the health of the world. A noble goal, but the organization has been struggling for decades with the lack of money. The biggest criticism of the WHO is that instead of helping mankind, it supports the economy.
The WHO is the highest authority on health in the world. It should be an independent organization, but for a very large part, it is financed by one person: Bill Gates.
SNIP
Links between George Soros, the Wikimedia Foundation and the drug industry is clear. Soros is a Hungarian-born currency speculator and multi-billion dollar stock market wheeler-dealer who has been convicted or insider trading in France.
Soros was accused in court by the Dr. Rath Foundation of having funded the ARV drug-promoting Treatment Action Campaign to the tune of 1.4 million South African Rand. He has also invested heavily in the pharmaceutical and biotechnology sectors over the years, buying large holdings in companies such as Pfizer, Merck, and Monsanto.
Significantly, therefore, is Melissa Hagemann, a senior program manager of the Soros Open Society Foundations' Information Program, which operates Wikipedia. Hagemann has worked with the Bill and Melinda Gates Foundation, an organization that, like Soros, has invested heavily in the drug industry over the years.
According to the Los Angeles Times, they reap fixed financial gains from investments that contravene its claims to good works.
MORE AT LINK
He is, the MSM just does not talk about it or give it air time
Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.