AND WE'RE EXPERIENCING.

AS YOU CAN SEE THE INCREASE ON

THE TRAJECTORY CASES CONTINUES

TO CLIMB, 7681.

A COUPLE OF UPDATES I WOULD LIKE

TO MAKE TO THE LOCAL HEALTH

PROVIDERS.

WE WANT TO ANTICIPATE THIS

SITUATION.

WE TALKED YESTERDAY ABOUT

PLANNING FORWARD AND GETTING

BEHIND THIS VIRUS FROM DAY ONE

RATHER THAN BEING REACTIVE, BE

PROACTIVE, GET AHEAD OF IT.

LOCAL HEALTH PROVIDERS SHOULD BE

WATCHING WHAT'S GOING ON IN

DIFFERENT PARTS OF THE STATE AND

ANTICIPATING WHAT'S GOING TO

HAPPEN.

THIS IS GOING TO BE A PHENOMENON

OF A ROLLING APEX.

WE KEEP TALKING ABOUT THE APEX,

THE TOP OF THE CURVE.

BUT THE TOP OF THE CURVE WILL

OCCUR AT DIFFERENT TIMES IN

DIFFERENT PLACES.

RIGHT?

THE CURVE IS A FUNCTION OF THE

RATE OF SPREAD, THE RATE OF

DENSITY AND WHEN IT STARTED.

SO YOU'LL SEE DIFFERENT CURVES.

YOU SEE IT ALL ACROSS THE

COUNTRY.

IT STARTED IN WASHINGTON, THE

STATE OF WASHINGTON.

NOW YOU SEE NEW YORK, YOU SEE

CHICAGO, YOU SEE NEW ORLEANS.

YOU SEE PARTS OF CALIFORNIA.

SO, THAT ROLLING APEX IS

HAPPENING ACROSS THE COUNTRY.

THAT ROLLING APEX IS ALSO GOING

TO BE HAPPENING ACROSS THE STATE

OF NEW YORK.

THE CURRENT PROJECTIONS ALL SAY

NEW YORK CITY WILL FACE THE

FIRST HIGH WATER MARK IF YOU

WILL, HIGH TIDE MARK, THE HIGH

TIDE OF THE CURVE.

BUT THEN YOU'LL SEE WEST

CHESTER, YOU'LL SEE LONG ISLAND

ON A DELAY WITH THEIR CURVE

HITTING A NEW HEIGHT.

MOD PROJECT -- MODEL PROJECTORS

ARE NOT SURE WHETHER IT'S LONG

ISLAND FIRST, SOME SUGGEST WEST

CHESTER YOU REMEMBER THAT

CLUSTERING AT NEW ROCHELLE.

THEN UPSTATE NEW YORK.

WE EXPECT A CURVE IN UPSTATE NEW

YORK ALSO.

IT MAY NOT BE AS HIGH,

OBVIOUSLY, AS NEW YORK CITY,

WEST CHESTER AND LONG ISLAND,

BUT THERE WILL BE A CURVE.

SO IF YOU ARE NOT IN A HIGHLY

AFFECTED HEALTH AREA NOW, THAT

DOESN'T MEAN YOU ARE NOT GOING

TO HAVE A REAL SITUATION TO DEAL

WITH.

BECAUSE THESE NUMBERS ARE JUST

GOING TO CONTINUE TO GO UP ALL

ACROSS THE STATE.

SO FOR LOCAL HEALTH SYSTEM, THIS

IS A NEW CHALLENGE.

MOST HEALTH SYSTEM VERSUS PUBLIC

HOSPITALS AND THEN THEY HAVE

PRIVATE HOSPITALS OR VOLUNTEER,

VOLUNTARY HOSPITALS.

AND THEY BASICALLY EXIST ON A

DAY-TO-DAY BASIS AS TWO

DIFFERENT SYSTEMS.

SO YOU WILL HAVE PUBLIC

HOSPITALS AND THEN YOU HAVE THE

PRIVATE HOSPITAL SYSTEM.

AND FOR ALL INTENTS AND

PURPOSES, IN NORMAL OPERATING

PROCEDURES, THEY OPERATE AS TWO

SYSTEMS, THERE'S VERY LITTLE

INTERACTION.

THERE IS ALSO VERY LITTLE

INTERACTION AMONG INDIVIDUAL

HOSPITALS SOMETIMES EVEN WITHIN

THEIR OWN SYSTEM.

SO YOU HAVE PUBLIC HOSPITALS

THAT ARE A PART OF A PUBLIC

HOSPITAL SYSTEM, BUT EACH

HOSPITAL BASICALLY OPERATES ON

ITS OWN.

RIGHT.

HAS ITS OWN IDENTITY.

CERTAINLY TRUE ON THE PRIVATE

SIDE, WHERE YOU HAVE INDIVIDUAL

HOSPITALS AND THEY OPERATE ON

THEIR OWN.

WE HAVE TO CHANGE THAT

MENTALITY.

AND WE HAVE TO CHANGE THAT

MENTALITY QUICKLY.

NO HOSPITAL IS AN ISLAND.

NO HOSPITAL IN THIS SITUATION

CAN EXIST UNTO THEMSELVES.

WE REALLY HAVE TO HAVE A NEW

MENTALITY, A NEW CULTURE OF

HOSPITALS WORKING WITH ONE

ANOTHER BOTH WITHIN THE PUBLIC

SYSTEM AS WELL AS THE PRIVATE

SYSTEM AND WE NEED TO THINK

ABOUT THE PUBLIC SYSTEM WORKING

WITH THE PRIVATE SYSTEM IN A WAY

THEY NEVER HAVE BEFORE.

THERE IS AN ARTIFICIAL WALL

ALMOST BETWEEN THOSE TWO SYSTEMS

NOW.

THAT WALL HAS TO COME DOWN.

THAT THEORY HAS TO COME DOWN.

THIS IS GOING TO BE ALL HANDS ON

DECK.

THIS IS EVERYBODY HELPING

EVERYONE ELSE.

ONE HOSPITAL GETS OVERWHELMED.

THE OTHER HOSPITALS HAVE TO FLEX

TO HELP THAT HOSPITAL AND

VICE-VERSA.

WE HAVE EMHURST -- ELMHURST

HOSPITAL IN NEW YORK UNDER

STRESS.

IT'S HIGH.

WHEN THE NUMBER OF CASES IS

HIGH, THE STRESS ON THE STAFF IS

HIGH.

I WAS JUST TALKING TO THE DOCTOR

ABOUT THIS, YOU DO THIS WITH

TWO, THREE, FOUR WEEKS, THE

LEVEL OF STRESS IS VERY INTENSE.

ELMHURST HOSPITAL IS A PART OF A

PUBLIC HEALTH SYSTEM OF ABOUT 11

HOSPITALS IN NEW YORK CITY.

THAT SYSTEM HAS TO WORK

TOGETHER.

AND THOSE HOSPITALS HAVE TO WORK

TOGETHER.

THE LEVIN HEALTH AND HOSPITAL IN

NEW YORK CITY, THE PUBLIC

SYSTEM.

I WILL ASK MAYOR De BLASIO AND

CONTROLLER STINGER TO TAKE A --

STRINGER TO LOOK AT THE SYSTEM

AND LOOK AT HOW WE CAN GET THAT

SYSTEM TO WORK BETTER TOGETHER

AS A UNIFIED SYSTEM.

THIS IS NOT GOING TO GET BETTER

SOON.

RIGHT.

SO ELMHURST IS UNDER STRESS NOW.

THAT STRESS DOES NOT ABATE FOR

THIS FORESEEABLE SHORT-TERM

FUTURE.

SO HOW DO WE MAKE THAT SYSTEM

WORK BETTER TOGETHER?

AND WHAT RECOMMENDATION DOS WE

HAVE TO IMPROVE H&H?

WE WILL ALSO BE MEETING WITH THE

PRIVATE HOSPITALS IN NEW YORK

CITY THAT ARE ORGED THROUGH THE

GREATER NEW YORK HEALTH SYSTEM.

WE WILL MEET TO TALK ABOUT

HAVING THOSE HOSPITALS ALSO

ORGANIZED ACT AS ONE, GET OUT OF

THEIR SILOS.

GET OUT OF THEIR IDENTITIES TO

WORK TOGETHER.

AND THEN, OVERALL, HAVE YOU

THESE LOCAL HEALTH SYSTEMS.

THE STATE'S ROLE, WHICH WE'VE

NEVER REALLY DONE BEFORE, IS

GETTING THOSE HEALTH SYSTEMS TO

WORK WITH ONE ANOTHER SO WE

TALKED ABOUT IF NEW YORK CITY

GETS OVERWHELMED, WHEEL ASK THE

UPSTATE SYSTEMS TO BE A RELIEF

VALVE FOR THE DOWN-STATE HEALTH

SYSTEMS, WHICH HAS NEVER

HAPPENED BEFORE TO ANY SCALE.

AND ALSO, VICE-VERSA.

THERE WILL BE A TIME WHERE THE

UPSTATE HOSPITALS WILL BE

STRUGGLING.

AND WHEN THE UPSTATE HOSPITALS

WILL BE STRUGGLING, THEN WE WANT

THE DOWN-STATE HOSPITALS TO BE

ABLE TO TAKE OVER AND RELIEVE

THOSE HOSPITALS.

THAT'S ACTUALLY THE ADVANTAGE OF

THE ROLLING CURVE THAT THEY'RE

PROJECTING.

IF IT DOES HAPPEN THAT WAY,

THEORETICALLY, THE -- I ALMOST

THINK OF IT AS A HIGH TIDE MARK.

RIGHT.

HIGH TIDE COMES FIRST IN NEW

YORK CITY.

THEN THE TIDE IS ON THE WAY

DOWN.

THEN IT'S HIGH TIDE IN UPSTATE,

NEW YORK.

OKAY, SO IF THE TIDE IS DROPPING

DOWN STATE, HAVE YOU RELIEF FOR

THE UPSTATE HOSPITALS.

WE PUT IN PLACE THE NEW YORK

PAUSE PROGRAM.

TODAY I AM GOING TO EXTEND IT TO

APRIL 15th.

THE DIRECTIVE THAT NON-ESSENTIAL

STATE WORK FORCE CONTINUE TO

WORK FROM HOME.

WE ARE DOING IT IN TWO-WEEK

INTERVALS, BECAUSE EVERY DAY IS

A NEW DAY AND WE'LL SEE WHAT

HAPPENS DAY-TO-DAY, BUT I THINK

IT'S NOT EVEN QUESTIONABLE

TODAY.

BUT THAT WE'RE GOING TO NEED TWO

MORE WEEKS OF NON-ESSENTIAL

WORKERS.

THE GOOD NEWS, ROD'S WORK HAS

DEVELOPED, THE NEW YORK STATE

DEPARTMENT OF HEALTH HAS

DEVELOPED A LESS INTRUSIVE

SALIVA AND SHORT NASAL SWAB

TEST.

I'M NOT EXACTLY SURE WHAT A

SHORT NASAL SWAB TEST CAN BE.

IT WILL BE ADMINISTERED IN THE

PRESENCE OF HEALTHCARE WORKERS,

REQUIRES LESS PPE.

HEALTHCARE WORKERS CAN ADMIN

STERS.

IT CAN START AS SOON AS NEXT

WEEK.

PEOPLE ASK, WHEN IS THIS OVER?

I THINK THE TESTING.

YOU TELL ME WHEN THEY COME UP

WITH A -- AN INEXPENSIVE HOME

TEST OR POINT OF CARE TEST THAT

CAN BE BROUGHT TO VOLUME, I

THINK THAT'S PROBABLY WHEN YOU

SEE A REAL RETURN TO NORMALCY IN

THE WORK FORCE.

IN OTHER WORDS, WE'RE ALL

TALKING ABOUT THIS CURVE,

FLATTEN THE CURVE, WHAT -- AT

WHAT POINT ON THE OTHER SIDE OF

THE CURVE DO YOU GO BACK TO

WORK?

JESSIE ASKED THIS QUESTION THE

OTHER DAY.

THERE IS NO ANSWER.

I THINK THE ANSWER IS GOING TO

BE IN TESTING.

DR. FAUCI, WHO I THINK IS -- WE

ARE SO BLESSED TO HAVE HIM HERE

AT THIS TIME -- HE TALKS ABOUT

FASTER, EASIER TESTING.

IF YOU CAN TEST MILLIONS OF

PEOPLE, IF YOU CAN TEST TODAY

MILLIONS OF PEOPLE, YOU COULD

SEND THEM TO WORK TOMORROW.

RIGHT.

SO THE DEVELOPMENT OF THESE

TESTS I THINK ARE VERY IMPORTANT

AND INSTRUCTIVE.

TOMORROW THE U.S. COME FIRST IS

COMING, THAT IS ABOUT 1,000 BED

CAPACITY, IT'S STAFFED BY A

FEDERAL OFFICIALS, FEDERAL,

MEDICAL PROFESSIONALS.

IT IS NOT FOR COVID-19 PATIENTS

BUT IT IS TO TAKE THE BACK-FILL

FROM HOSPITALS.

CURRENT STOCKPILE, WE'RE STILL

WORKING TO PURCHASE EQUIPMENT

ALL ACROSS THE GLOBE.

WE HAVE A WHOLE TEAM THAT'S

WORKING SEVEN DAYS A WEEK.

UNFORTUNATELY, WE'RE COMPETING

AGAINST EVERY OTHER STATE IN THE

UNITED STATES FOR THESE SAME

THINGS.

SO, IT'S VERY HARD.

BUT WE'RE MAKING PROGRESS.