1 00:00:00,000 --> 00:00:00,000 2 00:00:08,440 --> 00:00:11,470 those on the phone today . We're here 3 00:00:11,470 --> 00:00:13,748 to discuss the military health systems . 4 00:00:13,748 --> 00:00:15,914 Unified response to Corona virus . Our 5 00:00:15,914 --> 00:00:18,081 speakers today in the room we have the 6 00:00:18,081 --> 00:00:20,303 honorable Tom McCaffrey , the assistant 7 00:00:20,303 --> 00:00:22,248 secretary of defense for Health of 8 00:00:22,248 --> 00:00:23,914 Bears . And then we have Army 9 00:00:23,914 --> 00:00:26,026 Lieutenant General Ronald Place , the 10 00:00:26,026 --> 00:00:28,248 director of the Defense Health Agency . 11 00:00:28,248 --> 00:00:30,192 On the phone with us , we have the 12 00:00:30,192 --> 00:00:32,248 Surgeon General's from the service's 13 00:00:32,248 --> 00:00:32,070 Army Lieutenant General are Scott 14 00:00:32,080 --> 00:00:34,240 Dingle , Air Force Lieutenant General 15 00:00:34,240 --> 00:00:36,810 Dorothy Hog and Navy Rear Admiral Bruce 16 00:00:36,810 --> 00:00:38,866 Gilling . Hands and then also on the 17 00:00:38,866 --> 00:00:41,088 phone . We have Dr Richard Thomas , the 18 00:00:41,088 --> 00:00:43,088 president of the Uniforms Service's 19 00:00:43,088 --> 00:00:45,310 university . With that , I will turn it 20 00:00:45,310 --> 00:00:47,421 over to Mr McCaffrey for some opening 21 00:00:47,421 --> 00:00:49,366 remarks . Then that will take some 22 00:00:49,366 --> 00:00:51,310 questions . Thank you . Ladies and 23 00:00:51,310 --> 00:00:53,366 gentlemen , Thank you for joining us 24 00:00:53,366 --> 00:00:55,588 today . I'm pleased to have here in the 25 00:00:55,588 --> 00:00:57,588 room with me Lieutenant General Ron 26 00:00:57,588 --> 00:00:59,754 Place , director of the Defense Health 27 00:00:59,754 --> 00:01:01,977 Agency , And on that phone , the senior 28 00:01:01,977 --> 00:01:04,088 leaders of the military health system 29 00:01:04,088 --> 00:01:03,860 who are each leading significant 30 00:01:03,870 --> 00:01:06,210 efforts supporting the military's Coben 31 00:01:06,210 --> 00:01:08,690 19 response Lieutenant journal , Scott 32 00:01:08,690 --> 00:01:10,801 Dingle , the Surgeon General , United 33 00:01:10,801 --> 00:01:12,523 States Army Rear Admiral Bruce 34 00:01:12,523 --> 00:01:14,690 Gillingham , the Surgeon General , the 35 00:01:14,690 --> 00:01:17,023 U . S . Navy lieutenant general dot Hog , 36 00:01:17,023 --> 00:01:19,190 the surgeon general of the U . S . Air 37 00:01:19,190 --> 00:01:20,968 Force , and Dr Tom Thomas , the 38 00:01:20,968 --> 00:01:23,079 president of the Uniform Service , is 39 00:01:23,079 --> 00:01:25,079 University of the Health Sciences . 40 00:01:25,079 --> 00:01:26,968 We're doing this in part by phone 41 00:01:26,968 --> 00:01:29,023 because we felt it important that we 42 00:01:29,023 --> 00:01:31,190 engage with you as a team together but 43 00:01:31,190 --> 00:01:33,210 also while maintaining appropriate 44 00:01:33,210 --> 00:01:35,700 social distancing . As you know , 45 00:01:35,700 --> 00:01:37,867 Secretary Esper has set our priorities 46 00:01:38,140 --> 00:01:40,140 that we protect our service members 47 00:01:40,140 --> 00:01:42,251 their families in our workforce while 48 00:01:42,251 --> 00:01:44,196 maintaining military readiness and 49 00:01:44,196 --> 00:01:46,529 supporting the national covert response . 50 00:01:47,070 --> 00:01:49,292 Military medicine has been at the front 51 00:01:49,292 --> 00:01:51,330 lines of the national response , 52 00:01:51,660 --> 00:01:54,630 bringing unique and agile expertise and 53 00:01:54,630 --> 00:01:56,741 rapidly deployable resource is to the 54 00:01:56,741 --> 00:01:59,120 fight . Most importantly , we have 55 00:01:59,120 --> 00:02:01,240 marshaled medical staffing , getting 56 00:02:01,240 --> 00:02:03,462 them to the place where they can do the 57 00:02:03,462 --> 00:02:05,407 most good . Treating patients were 58 00:02:05,407 --> 00:02:07,920 mobilizing doctors , nurses , medical 59 00:02:07,920 --> 00:02:10,560 technicians , both active duty in the 60 00:02:10,560 --> 00:02:13,490 reserve component . As you know , right 61 00:02:13,490 --> 00:02:15,657 now , D . O . D . Is executing a three 62 00:02:15,657 --> 00:02:17,879 pronged effort in New York City through 63 00:02:17,879 --> 00:02:20,046 the high end capability of the U . S . 64 00:02:20,046 --> 00:02:22,470 And S comfort are large capacity within 65 00:02:22,470 --> 00:02:24,800 the Javits Center in augmentation of 66 00:02:24,800 --> 00:02:27,220 medical professionals directly to 11 67 00:02:27,220 --> 00:02:29,220 civilian local hospitals in the New 68 00:02:29,220 --> 00:02:31,740 York area . the comfort is accepting 69 00:02:31,740 --> 00:02:33,790 trauma , emergency and urgent care 70 00:02:33,790 --> 00:02:36,220 patients without regard to their covert 71 00:02:36,220 --> 00:02:39,020 19 status . The department has also 72 00:02:39,020 --> 00:02:41,076 deployed our other hospital ship and 73 00:02:41,076 --> 00:02:43,131 expeditionary field hospitals around 74 00:02:43,131 --> 00:02:45,242 the country to support hard hit local 75 00:02:45,242 --> 00:02:47,690 health care systems . Additionally , 76 00:02:47,920 --> 00:02:50,420 roughly 30,000 National Guard service 77 00:02:50,420 --> 00:02:53,140 members are offering frontline care to 78 00:02:53,140 --> 00:02:55,307 community based testing , distributing 79 00:02:55,307 --> 00:02:57,529 personal protective equipment , medical 80 00:02:57,529 --> 00:03:00,130 supplies , food and water , all part of 81 00:03:00,130 --> 00:03:02,074 the concerted national response to 82 00:03:02,074 --> 00:03:04,710 serve and support hard hit communities . 83 00:03:05,410 --> 00:03:07,400 For the first time in its 48 year 84 00:03:07,400 --> 00:03:09,770 history , the Universe Uniforms 85 00:03:09,770 --> 00:03:11,770 Service's university has graduated 86 00:03:11,770 --> 00:03:14,150 nurses and doctors early so that even 87 00:03:14,150 --> 00:03:16,210 as we speak , those new nurses and 88 00:03:16,210 --> 00:03:18,321 doctors are on the front lines of the 89 00:03:18,321 --> 00:03:20,970 covert response . The military health 90 00:03:20,970 --> 00:03:23,500 system also is heavily involved working 91 00:03:23,500 --> 00:03:25,950 to better understand this virus how to 92 00:03:25,950 --> 00:03:28,340 treat and prevent it . We are putting 93 00:03:28,340 --> 00:03:30,340 all the best brains in our military 94 00:03:30,340 --> 00:03:32,451 medical research facilities , working 95 00:03:32,451 --> 00:03:34,340 in partnership with other federal 96 00:03:34,340 --> 00:03:36,400 agencies on future treatments and 97 00:03:36,400 --> 00:03:38,920 vaccines . Our research experts are 98 00:03:38,920 --> 00:03:40,950 focusing in on diagnostic testing , 99 00:03:41,240 --> 00:03:43,490 utilizing D O D's robust laboratory 100 00:03:43,490 --> 00:03:45,950 network to perform testing and pursuing 101 00:03:46,080 --> 00:03:48,170 additional types of diagnostic 102 00:03:48,170 --> 00:03:50,430 capabilities to include Sarah Logic 103 00:03:50,430 --> 00:03:52,680 testing to assess the patient's blood 104 00:03:52,690 --> 00:03:54,830 for the presence of Cove it 19 105 00:03:54,830 --> 00:03:57,620 antibodies . The department has also 106 00:03:57,620 --> 00:04:01,240 invested 74 $75 million to 107 00:04:01,240 --> 00:04:03,260 research . Three vaccine candidates 108 00:04:03,610 --> 00:04:05,721 were collaborating closely with other 109 00:04:05,721 --> 00:04:07,499 federal research efforts on the 110 00:04:07,499 --> 00:04:09,670 promising antiviral therapeutic from 111 00:04:09,670 --> 00:04:12,070 desert veer through covert 19 clinical 112 00:04:12,070 --> 00:04:14,500 trials . Having previously funded the 113 00:04:14,500 --> 00:04:16,980 development of this antiviral for the 114 00:04:16,980 --> 00:04:19,760 treatment of Ebola in Marburg , virus 115 00:04:19,760 --> 00:04:22,690 is duties . Medical research teams 116 00:04:22,880 --> 00:04:24,880 continue to be at the forefront and 117 00:04:24,880 --> 00:04:26,936 support of the whole of government . 118 00:04:26,936 --> 00:04:29,600 Response to this pandemic with the 119 00:04:29,600 --> 00:04:31,330 servants , surgeons , general 120 00:04:31,510 --> 00:04:33,677 Lieutenant Place and Dr Thomas will be 121 00:04:33,677 --> 00:04:35,732 able to tell you more about today is 122 00:04:35,732 --> 00:04:37,677 the wide range of efforts they are 123 00:04:37,677 --> 00:04:39,454 involved in . From the surge to 124 00:04:39,454 --> 00:04:42,060 buttress our frontline clinical care to 125 00:04:42,060 --> 00:04:44,116 running field hospitals and hospital 126 00:04:44,116 --> 00:04:46,820 ships , toe lab testing to air medical 127 00:04:46,820 --> 00:04:49,180 evacuations and movement of supplies 128 00:04:49,180 --> 00:04:51,513 and equipment to the areas most in need . 129 00:04:52,140 --> 00:04:53,751 We're working hard to ensure 130 00:04:53,751 --> 00:04:55,980 beneficiaries have continued access to 131 00:04:55,980 --> 00:04:58,370 the care they need , ramping up virtual 132 00:04:58,370 --> 00:05:00,370 health capabilities and offerings , 133 00:05:00,390 --> 00:05:02,840 establishing drive up testing sites in 134 00:05:02,840 --> 00:05:04,951 putting the right protection measures 135 00:05:04,951 --> 00:05:07,062 in place to minimise exposure risk of 136 00:05:07,062 --> 00:05:08,896 both patients in our health care 137 00:05:08,896 --> 00:05:11,010 workers , we've expanded our nurse 138 00:05:11,010 --> 00:05:13,340 advice line capacity to include 139 00:05:13,350 --> 00:05:15,128 implementing and over the phone 140 00:05:15,128 --> 00:05:17,350 screening tool to meet the surge we saw 141 00:05:17,590 --> 00:05:20,080 just weeks ago of up to 9000 patient 142 00:05:20,080 --> 00:05:22,190 calls a day requiring medical 143 00:05:22,190 --> 00:05:25,230 consultation . Our medical treatment 144 00:05:25,230 --> 00:05:27,286 facilities are implementing pharmacy 145 00:05:27,286 --> 00:05:29,670 drive throughs and curbside delivery in 146 00:05:29,670 --> 00:05:31,920 some cases servicing patients and up to 147 00:05:32,160 --> 00:05:35,510 1200 vehicles a day , demonstrating our 148 00:05:35,510 --> 00:05:37,680 ability to protect our people while 149 00:05:37,690 --> 00:05:40,410 also staying mission ready . At the 150 00:05:40,410 --> 00:05:42,077 same time , we haven't let up 151 00:05:42,077 --> 00:05:44,299 supporting combat readiness for service 152 00:05:44,299 --> 00:05:46,021 members , even while the surge 153 00:05:46,021 --> 00:05:48,132 laboratory and research facilities to 154 00:05:48,132 --> 00:05:50,077 support national and international 155 00:05:50,077 --> 00:05:52,780 events . This is an historic challenge 156 00:05:52,780 --> 00:05:54,730 for our nation . But the military 157 00:05:54,730 --> 00:05:56,952 health system is bringing it all has to 158 00:05:56,952 --> 00:05:58,786 bear on this fight , from highly 159 00:05:58,786 --> 00:06:00,841 trained medical providers in a world 160 00:06:00,841 --> 00:06:02,841 class health care system to cutting 161 00:06:02,841 --> 00:06:05,063 edge research and development expertise 162 00:06:05,063 --> 00:06:07,174 in a wide ranging arsenal of military 163 00:06:07,174 --> 00:06:09,410 medical combat capabilities . Were 164 00:06:09,410 --> 00:06:11,500 system trained to be agile , an 165 00:06:11,500 --> 00:06:14,020 adaptable ? That's why we're here and 166 00:06:14,020 --> 00:06:16,150 that's what we do across the military 167 00:06:16,150 --> 00:06:18,317 health system . That's what you see in 168 00:06:18,317 --> 00:06:20,350 action today . The men and women 169 00:06:20,350 --> 00:06:22,250 serving the military medicine are 170 00:06:22,250 --> 00:06:24,417 delivering today on the front lines of 171 00:06:24,417 --> 00:06:26,530 hospitals and clinics in the labs and 172 00:06:26,530 --> 00:06:28,697 behind scenes advancing the priorities 173 00:06:28,697 --> 00:06:31,030 of the department to protect our people , 174 00:06:31,030 --> 00:06:33,210 maintain our readiness and support the 175 00:06:33,210 --> 00:06:36,120 nation's needs . The impressive MHS 176 00:06:36,120 --> 00:06:38,176 leadership team alongside me today , 177 00:06:38,580 --> 00:06:40,690 the Defense Health Agency Director , 178 00:06:40,940 --> 00:06:42,940 the service surgeons general in the 179 00:06:42,940 --> 00:06:45,430 president of us . You can describe for 180 00:06:45,430 --> 00:06:47,620 you the issues in a very tangible way 181 00:06:47,820 --> 00:06:49,931 so you can get a deeper understanding 182 00:06:49,931 --> 00:06:51,931 have we are collectively addressing 183 00:06:51,931 --> 00:06:54,660 these complex issues in real time . And 184 00:06:54,660 --> 00:06:56,716 with that , we are open to take your 185 00:06:56,716 --> 00:07:00,260 questions . Burns from a P . 186 00:07:03,310 --> 00:07:07,190 Thank you . I think my question is for 187 00:07:07,190 --> 00:07:10,640 the service Surgeon General , um , 188 00:07:10,950 --> 00:07:13,220 separate from the work you're doing 189 00:07:13,220 --> 00:07:16,500 that's connected to supporting civilian 190 00:07:16,500 --> 00:07:19,430 agencies and communities . Uh , morning . 191 00:07:19,430 --> 00:07:21,760 What you're planning is are you whether 192 00:07:21,760 --> 00:07:23,816 you're planning with the expectation 193 00:07:23,816 --> 00:07:26,160 that crew in the violence , we'll still 194 00:07:26,170 --> 00:07:30,060 be ah , challenge for the military 195 00:07:30,060 --> 00:07:31,727 required Extraordinary health 196 00:07:31,730 --> 00:07:34,320 protection measures into were beyond 197 00:07:34,320 --> 00:07:38,250 this summer . So let me just quickly 198 00:07:38,250 --> 00:07:41,630 before the surgeons jump in , um , we 199 00:07:41,630 --> 00:07:44,210 are . The department has been planning 200 00:07:44,210 --> 00:07:47,080 to put out guidance across the military 201 00:07:47,080 --> 00:07:49,790 departments across the department on 202 00:07:49,790 --> 00:07:51,901 force health protection measures that 203 00:07:51,901 --> 00:07:54,900 will be in place on be used as the 204 00:07:54,900 --> 00:07:58,420 situation adapts unfolds Since 205 00:07:58,420 --> 00:08:00,820 January , we've put out about seven or 206 00:08:00,830 --> 00:08:03,740 eight different force health protection 207 00:08:03,960 --> 00:08:07,450 directives that again adapt to the 208 00:08:07,450 --> 00:08:10,090 evolving situation , aligning with CDC 209 00:08:10,090 --> 00:08:12,257 guidelines and everything to do with , 210 00:08:12,560 --> 00:08:15,150 you know , personal health measures . 211 00:08:15,150 --> 00:08:18,010 You take use of p p e travel 212 00:08:18,010 --> 00:08:20,280 restrictions , guidance toe local 213 00:08:20,280 --> 00:08:22,980 commanders with regard to based upon 214 00:08:22,980 --> 00:08:24,980 their community and their mission . 215 00:08:24,980 --> 00:08:26,980 What they need Thio to take care of 216 00:08:26,980 --> 00:08:29,091 their force and keep them healthy and 217 00:08:29,091 --> 00:08:31,313 ready . And we would anticipate we will 218 00:08:31,313 --> 00:08:33,536 have those in place and evolve those as 219 00:08:33,536 --> 00:08:35,313 a switch the situation merits . 220 00:08:39,350 --> 00:08:41,406 My question was about about health , 221 00:08:41,406 --> 00:08:43,517 how foreign into the somewhere beyond 222 00:08:43,517 --> 00:08:45,628 the somewhere . You anticipate having 223 00:08:45,960 --> 00:08:48,016 to implement these measures and keep 224 00:08:48,016 --> 00:08:51,550 these measures in place . So we we 225 00:08:51,560 --> 00:08:55,080 worked with the CDC in terms of their 226 00:08:55,080 --> 00:08:58,230 planning guidance their projections on , 227 00:08:58,230 --> 00:09:00,174 and I think what's unique for us , 228 00:09:00,174 --> 00:09:02,610 unlike many organizations were 229 00:09:02,610 --> 00:09:04,666 obviously in all , 50 states were in 230 00:09:04,666 --> 00:09:07,310 over 100 countries around the world . 231 00:09:07,310 --> 00:09:09,650 So there's not one , I think , one way 232 00:09:09,650 --> 00:09:12,110 to say how long this is gonna place in 233 00:09:12,110 --> 00:09:14,166 terms of our force health protection 234 00:09:14,166 --> 00:09:16,332 measures . It's going to be contingent 235 00:09:16,332 --> 00:09:18,388 upon what environment , what mission 236 00:09:18,388 --> 00:09:20,600 and what local community we are that 237 00:09:20,610 --> 00:09:22,777 the guidance we've put out is meant to 238 00:09:22,777 --> 00:09:25,950 be flexible , based upon the conditions 239 00:09:26,150 --> 00:09:28,390 of the Mission Command and of that 240 00:09:28,390 --> 00:09:30,557 local community . And so things may be 241 00:09:30,557 --> 00:09:32,557 different in different parts of the 242 00:09:32,557 --> 00:09:34,057 country as we go forward . 243 00:09:41,740 --> 00:09:43,518 Hi , Mr Burns . This is Advil . 244 00:09:43,518 --> 00:09:46,590 Grilling him from the Navy , I think 245 00:09:46,600 --> 00:09:49,930 way are not We don't have a specific 246 00:09:49,940 --> 00:09:52,810 prediction . We're certainly following 247 00:09:52,870 --> 00:09:56,220 the model's very carefully . But I'll 248 00:09:56,220 --> 00:09:58,331 tell you what we've learned certainly 249 00:09:58,331 --> 00:10:00,510 in the Navy is that , uh , with regard 250 00:10:00,510 --> 00:10:02,880 to Cove in 19 . We're learning that 251 00:10:02,890 --> 00:10:05,110 stealth in the form of a symptom 252 00:10:05,270 --> 00:10:07,950 asymptomatic transmission . Is this 253 00:10:07,950 --> 00:10:11,420 adversary secret power on ? So we 254 00:10:11,420 --> 00:10:14,240 recognised . Despite really our best 255 00:10:14,240 --> 00:10:16,462 efforts , we're gonna have to learn how 256 00:10:16,470 --> 00:10:19,420 to learn toe operate with the virus . A 257 00:10:19,420 --> 00:10:21,531 CZ general Heightens said yesterday . 258 00:10:22,020 --> 00:10:24,860 And so , uh , in coordination with our 259 00:10:24,870 --> 00:10:27,550 fleet commanders , we've developed a 260 00:10:27,730 --> 00:10:30,780 cove in 19 mitigation framework . Uh , 261 00:10:30,790 --> 00:10:32,846 the essence . The goal is to protect 262 00:10:32,846 --> 00:10:34,679 the force , and , of course , to 263 00:10:34,679 --> 00:10:36,790 preserve our war fighting readiness . 264 00:10:36,790 --> 00:10:39,450 The four elements are to identify that 265 00:10:39,520 --> 00:10:41,576 that involves screening , evaluating 266 00:10:41,576 --> 00:10:44,290 and testing as appropriate , isolating 267 00:10:44,290 --> 00:10:47,810 those who are positive containing with 268 00:10:47,820 --> 00:10:51,250 numerous measures aboard our ships , uh , 269 00:10:51,260 --> 00:10:53,500 to include enhanced cleaning up to 270 00:10:53,500 --> 00:10:56,200 three times per day . Uh , sequestering 271 00:10:56,200 --> 00:11:00,000 into small cohort , uh , mandatory use 272 00:11:00,390 --> 00:11:03,060 cloth , facial covering a meticulous 273 00:11:03,070 --> 00:11:07,010 hygiene . Ah , and one at a time . Up 274 00:11:07,020 --> 00:11:09,320 and down ladders aboard ship . The 275 00:11:09,320 --> 00:11:11,153 other elements , of course , are 276 00:11:11,153 --> 00:11:13,110 appropriately treat as those 277 00:11:13,110 --> 00:11:15,110 individuals that developed symptoms 278 00:11:19,610 --> 00:11:22,240 coming back to the room . Ryan , did 279 00:11:22,240 --> 00:11:24,240 you have a question ? I did . Yes , 280 00:11:24,240 --> 00:11:26,870 just two quick questions . The first 281 00:11:26,870 --> 00:11:29,620 you you mentioned this'll kind of 282 00:11:29,620 --> 00:11:32,060 recent development of surging military 283 00:11:32,060 --> 00:11:34,060 medical personnel into hospitals of 284 00:11:34,060 --> 00:11:36,700 themselves . Way . Understand ? Another 285 00:11:36,700 --> 00:11:38,840 update is another . Traunch has gone 286 00:11:38,840 --> 00:11:41,220 today . Can you talk about what is the 287 00:11:41,220 --> 00:11:43,690 capacity to keep doing that ? I mean , 288 00:11:43,690 --> 00:11:45,857 obviously , they have been deploying a 289 00:11:45,857 --> 00:11:48,023 lot of your military medical personnel 290 00:11:48,023 --> 00:11:47,970 in response to this , New York seems to 291 00:11:47,970 --> 00:11:50,770 be the focus . How many more personnel 292 00:11:50,770 --> 00:11:53,460 in theory could you deploy on that type 293 00:11:53,460 --> 00:11:55,627 of mission before you start exhausting 294 00:11:55,627 --> 00:11:57,920 your capacity ? And what does this say 295 00:11:57,920 --> 00:12:01,510 about you ? Have the comfort and Javits , 296 00:12:01,510 --> 00:12:03,510 which both have about 1000 military 297 00:12:03,510 --> 00:12:05,343 personnel between them , they're 298 00:12:05,343 --> 00:12:07,880 basically empty on . Not really . The 299 00:12:07,880 --> 00:12:09,880 capacity doesn't seem to be much of 300 00:12:09,880 --> 00:12:11,991 issues , much as personnel to plan on 301 00:12:12,160 --> 00:12:14,920 deploying more personnel from Javits 302 00:12:15,140 --> 00:12:17,362 and from the comfort into the hospitals 303 00:12:17,362 --> 00:12:19,473 or you're gonna leave them there . So 304 00:12:19,473 --> 00:12:22,150 in terms of your first question , um , 305 00:12:22,150 --> 00:12:23,920 the shift in terms of actually 306 00:12:24,320 --> 00:12:26,250 utilizing our military medical 307 00:12:26,250 --> 00:12:28,600 capabilities around personnel and 308 00:12:28,600 --> 00:12:31,680 staffing you mentioned in New York . So 309 00:12:31,690 --> 00:12:34,250 along with managing the Javits Center 310 00:12:35,010 --> 00:12:37,232 in the Comfort and the original purpose 311 00:12:37,232 --> 00:12:39,660 of the comfort was really to be another 312 00:12:39,660 --> 00:12:42,000 safety valve for E . R . And trauma 313 00:12:42,410 --> 00:12:45,160 that could arise in the the city health 314 00:12:45,160 --> 00:12:48,120 care system . But what we found is , 315 00:12:48,260 --> 00:12:50,910 while the civilian hospitals are 316 00:12:50,910 --> 00:12:53,190 getting to capacity , what they really 317 00:12:53,190 --> 00:12:55,412 need is they need that extra manpower , 318 00:12:55,412 --> 00:12:57,790 extra staffing . And so , to date , 319 00:12:57,790 --> 00:12:59,900 we've already put in close to 400 320 00:13:00,240 --> 00:13:02,930 doctors , nurses , respiratory 321 00:13:02,930 --> 00:13:06,030 therapists in New York City hospitals , 322 00:13:06,320 --> 00:13:08,487 a CZ you mentioned . We've got another 323 00:13:08,487 --> 00:13:11,490 traunch going . So we're now looking in 324 00:13:11,490 --> 00:13:13,890 working with CDC in terms of whether 325 00:13:13,890 --> 00:13:16,112 those future hot spots , you know , New 326 00:13:16,112 --> 00:13:18,880 Orleans , Texas , Detroit , looking at 327 00:13:18,880 --> 00:13:20,880 doing the same thing . Where can we 328 00:13:20,880 --> 00:13:23,047 really partner with a local hospital ? 329 00:13:23,047 --> 00:13:24,936 That may have capacity , but what 330 00:13:24,936 --> 00:13:27,158 they're out of is is that manpower . So 331 00:13:27,158 --> 00:13:29,380 that's again , I think , a good example 332 00:13:29,380 --> 00:13:31,380 of how we're trying to adapt and be 333 00:13:31,380 --> 00:13:33,500 flexible based upon the need with 334 00:13:33,500 --> 00:13:35,722 regard to your other question of how is 335 00:13:35,722 --> 00:13:38,780 that affecting our own D O D health 336 00:13:38,780 --> 00:13:41,220 care system ? What we put in a number 337 00:13:41,230 --> 00:13:43,730 of measures that we think are helping 338 00:13:43,730 --> 00:13:46,560 to reduced the demand of our system 339 00:13:47,150 --> 00:13:49,317 that would allow than us to be able to 340 00:13:49,317 --> 00:13:51,720 deploy out of our hospitals and clinics 341 00:13:52,200 --> 00:13:54,310 to help the domestic response . So , 342 00:13:54,310 --> 00:13:56,620 for example , we , like the rest of the 343 00:13:56,620 --> 00:13:59,900 country , adhere to the guidance of 344 00:13:59,900 --> 00:14:03,190 HHS . And we have ah delayed elective , 345 00:14:03,190 --> 00:14:04,857 non urgent procedures and our 346 00:14:04,857 --> 00:14:07,520 facilities for a 60 day period . 347 00:14:08,340 --> 00:14:10,451 General place can can add into this , 348 00:14:10,451 --> 00:14:12,618 but we have seen that at it has had an 349 00:14:12,618 --> 00:14:14,920 effect in terms of reduced demand . So 350 00:14:14,920 --> 00:14:17,190 we are able to serve our kind of 351 00:14:17,190 --> 00:14:19,600 regular patients . We also have seen 352 00:14:19,820 --> 00:14:22,190 that are , are beneficiaries are likely , 353 00:14:22,190 --> 00:14:25,060 like other citizens , self selecting 354 00:14:25,060 --> 00:14:27,440 not to unnecessarily goto healthcare 355 00:14:27,440 --> 00:14:29,662 facility if they don't need to . And so 356 00:14:29,662 --> 00:14:31,900 right now , we're not seeing that we 357 00:14:31,900 --> 00:14:33,970 cannot maintain our capacity for our 358 00:14:33,970 --> 00:14:36,320 beneficiaries and are able to support 359 00:14:36,320 --> 00:14:38,431 these missions . But that's something 360 00:14:38,431 --> 00:14:40,264 that we will need to continue to 361 00:14:40,264 --> 00:14:42,376 evaluate a CZ . We balance what we do 362 00:14:42,376 --> 00:14:44,431 for the national response support as 363 00:14:44,431 --> 00:14:46,487 well as maintaining our system , but 364 00:14:46,487 --> 00:14:48,709 that that will have to be doing that on 365 00:14:48,709 --> 00:14:50,598 a regular basis . I don't know if 366 00:14:50,598 --> 00:14:52,764 evenings to add in terms of short , so 367 00:14:52,764 --> 00:14:54,931 so much of our function has changed as 368 00:14:54,931 --> 00:14:57,153 well . As General McCaffrey mentioned , 369 00:14:57,153 --> 00:14:59,264 Some folks are choosing to delay some 370 00:14:59,264 --> 00:15:01,431 routine care type things , which means 371 00:15:01,431 --> 00:15:03,653 that staff is now available to do other 372 00:15:03,653 --> 00:15:05,820 things . So as they're deployed out of 373 00:15:05,820 --> 00:15:07,820 our facilities , then we're reusing 374 00:15:07,820 --> 00:15:10,042 them inside of our facilities for other 375 00:15:10,042 --> 00:15:12,264 different things , for example , far in 376 00:15:12,264 --> 00:15:12,050 patient uses . Further , many of our 377 00:15:12,050 --> 00:15:14,360 patients has have decided that virtual 378 00:15:14,360 --> 00:15:16,416 health is a better way , at least at 379 00:15:16,416 --> 00:15:18,638 present toe handle their current health 380 00:15:18,638 --> 00:15:20,749 care needs . And it takes a different 381 00:15:20,749 --> 00:15:22,693 kind of staffing to handle virtual 382 00:15:22,693 --> 00:15:24,693 health appointments than it does in 383 00:15:24,693 --> 00:15:24,370 person health appointments and in 384 00:15:24,370 --> 00:15:26,530 general takes less people . And so , 385 00:15:26,540 --> 00:15:28,429 based on the choices that are our 386 00:15:28,429 --> 00:15:30,380 benefit , sirs are making , we're 387 00:15:30,380 --> 00:15:32,491 evaluating locally . Local commanders 388 00:15:32,491 --> 00:15:34,658 are making decisions about where those 389 00:15:34,658 --> 00:15:36,824 people can can best be utilized inside 390 00:15:36,824 --> 00:15:38,991 those treatment facilities to continue 391 00:15:38,991 --> 00:15:41,102 to optimally care for the local , the 392 00:15:41,102 --> 00:15:43,080 local population and because it is 393 00:15:43,080 --> 00:15:45,570 taking less Maur is available so that 394 00:15:45,580 --> 00:15:47,636 the total number more . I don't know 395 00:15:47,636 --> 00:15:49,469 what the answer is , but more is 396 00:15:49,469 --> 00:15:51,580 available . Should the the department 397 00:15:51,580 --> 00:15:53,636 decided that we need to take further 398 00:15:53,636 --> 00:15:55,691 action , you have a rough estimate . 399 00:15:55,691 --> 00:15:57,691 Hundreds , thousands . I don't know 400 00:15:57,691 --> 00:15:59,700 that any any plans to take all the 401 00:15:59,700 --> 00:16:01,644 personnel that are kind of sitting 402 00:16:01,644 --> 00:16:04,960 unused at Javits and and a comfort and 403 00:16:04,960 --> 00:16:07,016 have him go into the hospitals where 404 00:16:07,016 --> 00:16:09,016 that because that seems to be where 405 00:16:09,016 --> 00:16:11,182 they need is there would be one of the 406 00:16:11,182 --> 00:16:13,349 things we look at both in terms of New 407 00:16:13,349 --> 00:16:15,404 York City , but also now kind of pre 408 00:16:15,404 --> 00:16:17,627 positioning any staff we have and being 409 00:16:17,627 --> 00:16:19,793 agile enough to say , working with HHS 410 00:16:19,793 --> 00:16:21,849 and FEMA . Where's the next priority 411 00:16:21,849 --> 00:16:24,500 area for the nation ? And how do we 412 00:16:24,500 --> 00:16:27,040 balance ? Um , you know what we do in 413 00:16:27,040 --> 00:16:29,680 New York ? Other areas . And do we have 414 00:16:29,680 --> 00:16:32,110 staff ? And it also using the National 415 00:16:32,110 --> 00:16:34,277 Guard and the reserves to help augment 416 00:16:34,277 --> 00:16:37,600 that ability and our ability to kind of 417 00:16:37,610 --> 00:16:39,666 allocate resource is real time where 418 00:16:39,666 --> 00:16:42,110 they're where they're needed . Just 419 00:16:42,170 --> 00:16:44,990 follow up on that . Did the States get 420 00:16:44,990 --> 00:16:47,330 it wrong thing ? Army Field Hospital in 421 00:16:47,330 --> 00:16:49,386 Seattle now had to pack up after not 422 00:16:49,386 --> 00:16:51,608 treating one patient for the past three 423 00:16:51,608 --> 00:16:53,386 days . Mercy and Comfort . Only 424 00:16:53,386 --> 00:16:55,163 treating just a small number of 425 00:16:55,163 --> 00:16:57,274 patients right now , despite all this 426 00:16:57,274 --> 00:16:59,497 capacity . Javits Center treating a few 427 00:16:59,497 --> 00:17:01,552 100 patients . But it was about 2000 428 00:17:01,552 --> 00:17:03,774 empty beds . Right now is the problem . 429 00:17:03,774 --> 00:17:07,430 A shortage of docks and not beds I 430 00:17:07,650 --> 00:17:09,890 right now and you see in different 431 00:17:09,890 --> 00:17:12,350 communities , it is likely Maur 432 00:17:12,350 --> 00:17:15,010 shortage of the docks and nurses and 433 00:17:15,010 --> 00:17:17,288 the staff . You need to run a facility . 434 00:17:17,288 --> 00:17:19,454 I wouldn't say that the state's got it 435 00:17:19,454 --> 00:17:21,566 wrong . I would say that the states , 436 00:17:21,566 --> 00:17:23,530 we're doing good due diligence and 437 00:17:23,530 --> 00:17:25,697 planning and anticipating . And rather 438 00:17:25,697 --> 00:17:27,752 than being in a situation where they 439 00:17:27,752 --> 00:17:30,340 need that capacity and it's not there , 440 00:17:30,610 --> 00:17:33,080 I'd much rather have it ready to go . 441 00:17:33,380 --> 00:17:35,158 And if we need to reposition it 442 00:17:35,158 --> 00:17:37,269 somewhere else , I think that's a far 443 00:17:37,269 --> 00:17:39,850 superior position to be in , then not 444 00:17:39,850 --> 00:17:41,961 have the capacity , and they're being 445 00:17:41,961 --> 00:17:45,150 extreme need for it . Let's go to the 446 00:17:45,160 --> 00:17:47,160 phone lines , Phil , from Reuters . 447 00:17:50,840 --> 00:17:53,062 Hey there . Thanks very much . You talk 448 00:17:53,062 --> 00:17:56,400 a little bit about how the the viruses 449 00:17:56,400 --> 00:17:58,740 ability Thio infect people but have 450 00:17:58,750 --> 00:18:01,310 them be asymptomatic was sort of a 451 00:18:01,320 --> 00:18:03,840 superpower I wanted e wondered if you 452 00:18:03,840 --> 00:18:05,896 could elaborate a little bit on what 453 00:18:05,896 --> 00:18:09,160 that means for you . Exactly . 454 00:18:09,440 --> 00:18:11,950 And does that mean I know that ? Uh , 455 00:18:11,960 --> 00:18:13,960 you know , there's been some debate 456 00:18:13,960 --> 00:18:16,238 about the extent to which the virus is , 457 00:18:16,238 --> 00:18:18,470 uh is actually kind of stealth mode . 458 00:18:18,680 --> 00:18:21,660 Do you believe that 1/4 uh , service 459 00:18:21,670 --> 00:18:24,740 members , maybe then , you know , have 460 00:18:24,740 --> 00:18:26,796 been infected or there's a there's a 461 00:18:26,796 --> 00:18:28,962 very much What does this mean ? As far 462 00:18:28,962 --> 00:18:31,129 as your perception of how many service 463 00:18:31,129 --> 00:18:33,184 members may be infected , how Muneer 464 00:18:33,184 --> 00:18:35,240 partner nations , uh , forces may be 465 00:18:35,240 --> 00:18:37,351 infected , and then and then what you 466 00:18:37,351 --> 00:18:39,462 gonna do about it ? So I believe what 467 00:18:39,462 --> 00:18:41,796 Dad will Gillingham was referring to is , 468 00:18:42,090 --> 00:18:44,201 um , you know , based upon what we've 469 00:18:44,201 --> 00:18:46,800 seen , data here in the United States 470 00:18:46,800 --> 00:18:50,360 and elsewhere is the testing technology 471 00:18:50,360 --> 00:18:53,320 we currently have , obviously , is good 472 00:18:53,330 --> 00:18:55,620 for identifying a positive someone 473 00:18:55,620 --> 00:18:58,170 who's cove in 19 positive . And so the 474 00:18:58,170 --> 00:19:00,337 value here is you identify that person 475 00:19:00,450 --> 00:19:02,617 and you know what to do . Tow to treat 476 00:19:02,617 --> 00:19:04,617 them what you need to do to isolate 477 00:19:04,617 --> 00:19:06,728 them , prevent further transmission . 478 00:19:06,740 --> 00:19:08,760 The issue . The constraint of the 479 00:19:08,760 --> 00:19:11,230 current testing technology is you may 480 00:19:11,230 --> 00:19:14,320 test negative But the testing is not so 481 00:19:14,320 --> 00:19:16,790 accurate to say that you know that that 482 00:19:16,790 --> 00:19:19,280 person is negative . So you you we do 483 00:19:19,280 --> 00:19:21,058 know that we have folks who are 484 00:19:21,058 --> 00:19:23,002 asymptomatic who may have passed , 485 00:19:23,002 --> 00:19:25,880 tested , negative , who are infected . 486 00:19:26,780 --> 00:19:29,840 And so the combination of our current 487 00:19:29,840 --> 00:19:32,410 testing again is good for identifying 488 00:19:32,410 --> 00:19:34,466 those we know our positive deal with 489 00:19:34,466 --> 00:19:38,130 them and then for those that may have 490 00:19:38,130 --> 00:19:40,186 been in contact with someone who has 491 00:19:40,186 --> 00:19:42,408 been positive . You know , we do all of 492 00:19:42,408 --> 00:19:44,408 the CDC guidelines in terms of what 493 00:19:44,408 --> 00:19:46,630 they must do in terms of self isolation 494 00:19:46,630 --> 00:19:48,910 care , that sort of thing . But that's 495 00:19:48,910 --> 00:19:51,021 one of the things that the Department 496 00:19:51,021 --> 00:19:52,910 of Defense and other entities are 497 00:19:52,910 --> 00:19:55,640 looking at in terms of , um , as we get 498 00:19:55,640 --> 00:19:58,040 more testing capability and we do more 499 00:19:58,040 --> 00:20:00,500 research about , um , you know , what 500 00:20:00,500 --> 00:20:02,890 is the prevalence of those asymptomatic 501 00:20:03,320 --> 00:20:05,500 positive folks ? Then how would that 502 00:20:05,500 --> 00:20:08,870 inform our own testing strategy as well 503 00:20:08,870 --> 00:20:10,703 as you know , nationwide testing 504 00:20:10,703 --> 00:20:11,703 strategy ? 505 00:20:14,480 --> 00:20:17,320 Let's stand that the number we have 506 00:20:17,320 --> 00:20:21,280 today is 2000 forces tested positive 507 00:20:21,630 --> 00:20:23,910 a little over that . That is a fair 508 00:20:23,910 --> 00:20:25,799 assume , then that the assumption 509 00:20:25,799 --> 00:20:28,110 within within your agency's that there 510 00:20:28,110 --> 00:20:30,260 are hundreds or maybe thousands Maur 511 00:20:30,630 --> 00:20:33,850 who are positive as well . But I'm not 512 00:20:34,000 --> 00:20:36,180 not testing positive . So , um , where 513 00:20:36,180 --> 00:20:38,347 I don't want to go is give you a sense 514 00:20:38,347 --> 00:20:40,569 of that . We have a precision that it's 515 00:20:40,569 --> 00:20:42,791 hundreds or thousands . What we what we 516 00:20:42,791 --> 00:20:45,013 do know what we do anticipate or assume 517 00:20:45,013 --> 00:20:46,910 is that there are others not just 518 00:20:46,910 --> 00:20:49,460 within d o d but across the country who 519 00:20:49,460 --> 00:20:52,790 are indeed positive . Yet they have not 520 00:20:52,790 --> 00:20:55,040 been tested or confirmed as positive . 521 00:20:57,140 --> 00:20:59,640 Okay , let's go to retire A cop from 522 00:20:59,650 --> 00:21:03,640 McClatchy . Hi . 523 00:21:03,640 --> 00:21:06,220 Thanks for doing this . Obliged to 524 00:21:06,230 --> 00:21:08,930 follow up on the mercy question on 525 00:21:08,940 --> 00:21:11,080 comfort questions right now . So the 526 00:21:11,080 --> 00:21:13,760 mercy , I think a current count . We 527 00:21:13,760 --> 00:21:17,060 have 15 patients at the not only cost , 528 00:21:17,470 --> 00:21:19,692 you know , intact here dollars , but in 529 00:21:19,692 --> 00:21:23,130 personnel . Um , are you all evaluating 530 00:21:23,130 --> 00:21:25,186 whether the mercy should be moved or 531 00:21:25,186 --> 00:21:27,890 the doctor should be flown into 532 00:21:27,890 --> 00:21:30,001 possibly Annette an area with greater 533 00:21:30,001 --> 00:21:32,001 need , such as New Orleans ? And at 534 00:21:32,001 --> 00:21:34,530 what point does it become not cost 535 00:21:34,530 --> 00:21:36,641 effective to have the mercy lingering 536 00:21:36,641 --> 00:21:39,890 there . Thank you . So , um , as you 537 00:21:39,890 --> 00:21:42,057 know that the secretary has designated 538 00:21:42,057 --> 00:21:45,040 Thea Northcom , Combatant Command 539 00:21:45,040 --> 00:21:47,260 general General of Shaughnessy to be 540 00:21:47,260 --> 00:21:51,210 our lead on how we respond to FEMA and 541 00:21:51,210 --> 00:21:54,980 HHS requests for support . Um , and 542 00:21:55,340 --> 00:21:58,280 he basically is looking at whether it 543 00:21:58,280 --> 00:22:00,600 is the comfort in New York . The mercy 544 00:22:01,000 --> 00:22:04,900 in California are field hospitals based 545 00:22:04,900 --> 00:22:07,680 upon the data . We're receiving the 546 00:22:07,680 --> 00:22:09,870 experience . What's happening in those 547 00:22:09,870 --> 00:22:12,430 local communities ? Hey , will be 548 00:22:12,430 --> 00:22:14,597 making those decisions in terms of the 549 00:22:14,597 --> 00:22:16,763 best way to deploy . Both are physical 550 00:22:16,763 --> 00:22:18,986 infrastructure in our staffing . And so 551 00:22:19,420 --> 00:22:22,560 I don't want to get out in front and 552 00:22:22,560 --> 00:22:25,800 say that we have a decision with what 553 00:22:25,800 --> 00:22:27,800 next ? For the comfort of the mercy 554 00:22:27,980 --> 00:22:30,860 that is all going to be reviewed and 555 00:22:30,860 --> 00:22:34,020 considered as part of the all of nation 556 00:22:34,140 --> 00:22:36,251 effort where the next hot spots are , 557 00:22:36,251 --> 00:22:38,418 what are the priorities and what would 558 00:22:38,418 --> 00:22:40,480 be the priorities for , um , our 559 00:22:40,480 --> 00:22:44,460 military medical capabilities . But in 560 00:22:44,460 --> 00:22:46,700 hindsight , does it make sense to send 561 00:22:46,700 --> 00:22:48,533 the ship since there are so many 562 00:22:48,533 --> 00:22:50,990 limitations about or were initially 563 00:22:50,990 --> 00:22:53,101 about bringing colonel virus patients 564 00:22:53,101 --> 00:22:55,320 on board ? Maybe instead of sending 565 00:22:55,320 --> 00:22:57,380 that medical expertise directly into 566 00:22:57,380 --> 00:23:00,970 the communities of need . So , um , so 567 00:23:00,970 --> 00:23:04,760 again , when we first responded to 568 00:23:04,770 --> 00:23:08,570 requests from FEMA HN HHS , there was a 569 00:23:08,570 --> 00:23:10,760 concern and a desire that the 570 00:23:10,760 --> 00:23:13,790 capabilities of the comfort trauma and 571 00:23:13,790 --> 00:23:16,190 he are could very well be needed if 572 00:23:16,190 --> 00:23:18,850 indeed , the civilian sector in New 573 00:23:18,850 --> 00:23:20,961 York was overwhelmed and did not have 574 00:23:20,961 --> 00:23:23,490 the capacity to be able to take on 575 00:23:23,490 --> 00:23:25,850 those patients . And so it very much 576 00:23:25,850 --> 00:23:29,680 made sense that at the epicenter of the 577 00:23:29,680 --> 00:23:32,510 nation's , you know , pandemic outbreak , 578 00:23:32,880 --> 00:23:35,230 that was a very real threat on . I 579 00:23:35,230 --> 00:23:37,397 believe that is why we the request for 580 00:23:37,397 --> 00:23:39,452 the hospital ship . So that's why we 581 00:23:39,452 --> 00:23:41,563 went up there . That was the original 582 00:23:41,563 --> 00:23:44,990 tent experience has changed . It could 583 00:23:44,990 --> 00:23:48,000 very well be because of the experience 584 00:23:48,000 --> 00:23:50,750 in New York City . The directors about 585 00:23:50,750 --> 00:23:54,520 staying at home have less trauma , have 586 00:23:54,520 --> 00:23:57,070 less e . R . And now we are looking at 587 00:23:57,330 --> 00:23:59,920 How would we make better use of that 588 00:23:59,920 --> 00:24:02,640 facility ? As you know , last week , 589 00:24:02,770 --> 00:24:04,992 you know , we made the decision that as 590 00:24:04,992 --> 00:24:07,160 necessary , if we need to treat covert 591 00:24:07,160 --> 00:24:09,940 patients in some of our infrastructure , 592 00:24:10,190 --> 00:24:12,190 you know , with all the appropriate 593 00:24:12,760 --> 00:24:15,060 precautions and protocols , that is 594 00:24:15,060 --> 00:24:17,350 something that we will be doing . 595 00:24:19,180 --> 00:24:21,236 Come back to the room . Meghan . How 596 00:24:21,236 --> 00:24:23,347 many service members have been tested 597 00:24:23,347 --> 00:24:25,610 so far for a covert 19 and given we've 598 00:24:25,620 --> 00:24:27,787 talked about how many how many sailors 599 00:24:27,787 --> 00:24:30,130 on tr have tested positive and had been 600 00:24:30,140 --> 00:24:32,029 asymptomatic . Have you given any 601 00:24:32,029 --> 00:24:33,807 thought to the plan in terms of 602 00:24:33,840 --> 00:24:35,784 widespread testing , especially if 603 00:24:35,784 --> 00:24:37,896 there has been a service ? My morning 604 00:24:37,896 --> 00:24:40,062 unit tested positive . Nobody else has 605 00:24:40,062 --> 00:24:41,896 symptoms . I don't have the most 606 00:24:41,896 --> 00:24:44,230 current in terms of total number tested . 607 00:24:44,390 --> 00:24:46,501 We obviously have the total number of 608 00:24:46,501 --> 00:24:48,580 cases for D o d . All that Admiral 609 00:24:48,580 --> 00:24:51,420 Gillingham speak to the specific 610 00:24:51,430 --> 00:24:54,050 Roosevelt situation . But let me back 611 00:24:54,050 --> 00:24:57,520 up one of our approaches as d o d 612 00:24:57,940 --> 00:25:00,310 not just d o d . But across the country 613 00:25:00,400 --> 00:25:03,550 on testing is again keeping in mind 614 00:25:03,550 --> 00:25:06,260 that the current testing technology is 615 00:25:06,260 --> 00:25:08,470 good to test you in meaning , you know 616 00:25:08,470 --> 00:25:10,600 you're positive , but there are . 617 00:25:10,610 --> 00:25:12,832 There's an element of false negatives , 618 00:25:12,832 --> 00:25:14,666 so you can't be sure if you test 619 00:25:14,666 --> 00:25:16,943 negative that you don't have the virus . 620 00:25:16,980 --> 00:25:19,120 And there are right now there's a 621 00:25:19,120 --> 00:25:21,730 finite amount of lab testing 622 00:25:22,300 --> 00:25:24,810 capabilities in terms of kits and the 623 00:25:24,820 --> 00:25:26,931 re agents and supplies you need . And 624 00:25:26,931 --> 00:25:28,931 so in that environment , we want to 625 00:25:28,931 --> 00:25:31,590 make sure we devote those finite 626 00:25:31,590 --> 00:25:34,030 resource is to the highest priority , 627 00:25:34,120 --> 00:25:36,780 and that is to indeed test those who 628 00:25:36,780 --> 00:25:38,930 are showing symptoms who we need to 629 00:25:38,930 --> 00:25:41,090 immediately treat and immediately 630 00:25:41,090 --> 00:25:43,600 isolate . And so that has been . Our 631 00:25:43,600 --> 00:25:45,830 approach is consistent with the CDC 632 00:25:45,980 --> 00:25:49,610 approach over overall . Now , if 633 00:25:50,110 --> 00:25:53,360 new testing technology comes on online 634 00:25:53,450 --> 00:25:56,230 where you're able to do , ah , lot more 635 00:25:56,230 --> 00:25:59,550 tests a lot more volume rapidly , then 636 00:25:59,620 --> 00:26:01,950 we probably can rethink our strategy . 637 00:26:01,960 --> 00:26:05,090 But based upon supply and demand 638 00:26:05,280 --> 00:26:08,140 priorities in the efficacy of the 639 00:26:08,140 --> 00:26:10,140 current tests , we believe that's a 640 00:26:10,140 --> 00:26:12,362 prudent approach . You can't really get 641 00:26:12,362 --> 00:26:14,450 the full scope of everything because 642 00:26:14,460 --> 00:26:16,627 the testing is powerful enough . Would 643 00:26:16,627 --> 00:26:18,738 it be better to maybe meet it halfway 644 00:26:18,738 --> 00:26:20,738 in the middle and just test as many 645 00:26:20,738 --> 00:26:22,904 people as you can hope that that gives 646 00:26:22,904 --> 00:26:22,050 you a better number than what you 647 00:26:22,050 --> 00:26:23,990 obviously have now ? I'm not 648 00:26:23,990 --> 00:26:26,212 necessarily because if you were to take 649 00:26:26,212 --> 00:26:28,434 that approach either across the D . O . 650 00:26:28,434 --> 00:26:30,434 D . Or across the country , you may 651 00:26:30,434 --> 00:26:32,434 very well be allocating a diverting 652 00:26:32,434 --> 00:26:34,601 that finite amount of testing capacity 653 00:26:34,601 --> 00:26:36,823 to folks who may be our perhaps not the 654 00:26:36,823 --> 00:26:38,934 highest priority , meaning those that 655 00:26:38,934 --> 00:26:40,879 are symptomatic . That's our first 656 00:26:40,879 --> 00:26:44,840 priority . Smoke all of that , 657 00:26:45,510 --> 00:26:47,510 Mr . Secretary , why can't you test 658 00:26:47,510 --> 00:26:49,621 every sailor before he or she goes to 659 00:26:49,621 --> 00:26:53,550 see again , um , with 660 00:26:53,550 --> 00:26:57,550 the with the limited capacity in 661 00:26:57,550 --> 00:26:59,606 terms of testing . And it's not just 662 00:26:59,606 --> 00:27:02,270 the d . O d . Who want only wants to 663 00:27:02,270 --> 00:27:04,492 utilize testing but the entire civilian 664 00:27:04,492 --> 00:27:07,780 sector . And knowing that the current 665 00:27:07,780 --> 00:27:11,150 test well will show up a considerable 666 00:27:11,150 --> 00:27:14,620 amount of false negatives , we don't 667 00:27:14,620 --> 00:27:16,920 believe that is the best way to 668 00:27:16,920 --> 00:27:19,830 allocate testing . Resource is , uh , 669 00:27:19,840 --> 00:27:22,880 and so again , our focus is on those 670 00:27:22,880 --> 00:27:25,500 who are who are symptomatic and those 671 00:27:25,500 --> 00:27:28,120 that we we believe if you focus on that 672 00:27:28,130 --> 00:27:30,241 and you can isolate them , that's the 673 00:27:30,241 --> 00:27:32,408 most effective way to kind of stop the 674 00:27:32,408 --> 00:27:35,040 progress of the virus . Worried that 675 00:27:35,050 --> 00:27:37,106 when the Nimitz Strike Group deploys 676 00:27:37,106 --> 00:27:39,161 this summer , the same thing's gonna 677 00:27:39,161 --> 00:27:41,272 happen aboard Nimitz that we just saw 678 00:27:41,272 --> 00:27:43,494 happen aboard Theodore Roosevelt . Um , 679 00:27:43,610 --> 00:27:45,810 we obviously are very concerned , and 680 00:27:45,810 --> 00:27:48,780 that's why we have issued a series of 681 00:27:48,790 --> 00:27:51,640 guidance to the force Of all the things 682 00:27:51,990 --> 00:27:54,157 consistent with CDC guidelines that we 683 00:27:54,157 --> 00:27:56,500 can do to prevent from that from 684 00:27:56,500 --> 00:27:59,240 occurring . Is testing part of that ? 685 00:27:59,250 --> 00:28:01,400 Yes , testing can be part of that in 686 00:28:01,400 --> 00:28:05,080 terms of the ability to before sailor 687 00:28:05,080 --> 00:28:07,247 gets on a ship , you know , Is there a 688 00:28:07,247 --> 00:28:09,650 period of time before that that we both 689 00:28:09,710 --> 00:28:13,010 do screening . We do the test and wait 690 00:28:13,010 --> 00:28:15,010 a 14 day period . That is something 691 00:28:15,010 --> 00:28:17,232 that that we are looking at , that that 692 00:28:17,232 --> 00:28:19,510 could be a good approach going forward , 693 00:28:19,510 --> 00:28:21,630 distancing the last question . So we 694 00:28:21,630 --> 00:28:23,852 have time for one more question . Let's 695 00:28:23,852 --> 00:28:26,130 go to Jeff on the phones . Just shovel . 696 00:28:28,540 --> 00:28:30,880 Thank you very much . Doody has been 697 00:28:30,880 --> 00:28:33,102 putting out a lot of information on the 698 00:28:33,102 --> 00:28:35,102 Corona virus . And in the spirit of 699 00:28:35,102 --> 00:28:37,158 that transparency , I'm wondering if 700 00:28:37,158 --> 00:28:39,600 you d would reconsider its policy of 701 00:28:39,600 --> 00:28:42,120 not saying how many service members are 702 00:28:42,120 --> 00:28:44,900 infected for installation . Wouldn't 703 00:28:44,900 --> 00:28:47,067 that give the American public at large 704 00:28:47,067 --> 00:28:49,233 and specifically the internal audience 705 00:28:49,233 --> 00:28:51,660 a better idea of the scope of the 706 00:28:51,660 --> 00:28:53,827 problem ? And how D o . D is rising to 707 00:28:53,827 --> 00:28:57,450 need it ? Thank you . So , um , 708 00:28:57,840 --> 00:29:00,450 I will take that . It's somewhat out of 709 00:29:00,450 --> 00:29:03,780 my out of my lane . We obviously I 710 00:29:03,780 --> 00:29:05,947 would agree . We have been putting out 711 00:29:05,947 --> 00:29:08,770 a lot of information about the virus , 712 00:29:09,430 --> 00:29:11,970 what we're doing to mitigate its impact 713 00:29:11,970 --> 00:29:14,710 on our force and our employees . We do 714 00:29:14,710 --> 00:29:17,120 provide , you know , daily numbers in 715 00:29:17,120 --> 00:29:19,660 terms of total case is broken down by 716 00:29:19,660 --> 00:29:21,771 active duty civilians . Contractors . 717 00:29:21,771 --> 00:29:23,771 We're gonna continue to do that . I 718 00:29:23,771 --> 00:29:26,140 know from the operational standpoint . 719 00:29:26,150 --> 00:29:28,750 In the national security standpoint , 720 00:29:28,960 --> 00:29:31,560 there is a discomfort for us to 721 00:29:31,560 --> 00:29:33,720 identify , you know , down to a 722 00:29:33,720 --> 00:29:36,990 particular base down to a particular 723 00:29:37,590 --> 00:29:41,230 aircraft or , uh , our naval vessel , 724 00:29:41,300 --> 00:29:43,522 what the cases are because it does then 725 00:29:43,522 --> 00:29:45,790 get into what is the impact on 726 00:29:45,790 --> 00:29:47,957 readiness of that particular mission , 727 00:29:47,957 --> 00:29:50,123 our location , which we don't think is 728 00:29:50,123 --> 00:29:52,810 helpful to be sharing in a public way 729 00:29:53,070 --> 00:29:55,470 while we we recognize we still have 730 00:29:55,470 --> 00:29:57,637 adversaries in the world . And so that 731 00:29:57,637 --> 00:29:59,748 is the rationale as to why we want to 732 00:29:59,748 --> 00:30:01,748 give the information . But we don't 733 00:30:01,748 --> 00:30:04,230 want to break it down to , uh , thio 734 00:30:04,270 --> 00:30:06,326 particular missions or installations 735 00:30:08,340 --> 00:30:10,562 because it really is a direct object to 736 00:30:10,562 --> 00:30:12,618 say , for example , how many Marines 737 00:30:12,618 --> 00:30:14,396 and sailors at Camp Pendleton , 738 00:30:14,396 --> 00:30:16,562 California , have probate 19 ? I don't 739 00:30:16,562 --> 00:30:18,507 think duty is saying is that would 740 00:30:18,507 --> 00:30:20,618 prompt the Chinese to invade the West 741 00:30:20,618 --> 00:30:24,030 Coast . Am I wrong ? Well , um , I 742 00:30:24,030 --> 00:30:26,086 don't know where you where you would 743 00:30:26,086 --> 00:30:28,780 stop in terms of going down that path . 744 00:30:29,110 --> 00:30:30,950 You may be able to pick out an 745 00:30:30,950 --> 00:30:33,710 installation or a base and not tight 746 00:30:33,710 --> 00:30:36,043 directly to a national security concern , 747 00:30:36,670 --> 00:30:39,150 but I don't think it makes a lot of 748 00:30:39,150 --> 00:30:41,830 sense . I don't think that it's it's 749 00:30:41,830 --> 00:30:45,160 bringing a lot more value in terms of 750 00:30:45,170 --> 00:30:47,770 information . If we're sharing with you 751 00:30:48,220 --> 00:30:51,130 by demographic , by active duty by 752 00:30:51,130 --> 00:30:53,360 service , I think it's giving you a 753 00:30:53,360 --> 00:30:56,210 sense of where we're finding cases and 754 00:30:56,210 --> 00:30:58,543 what the disposition of those cases are . 755 00:30:58,543 --> 00:31:00,766 So the American public eyes fully aware 756 00:31:00,766 --> 00:31:02,654 of that . All right . Thank you , 757 00:31:02,654 --> 00:31:04,877 everybody . That's all the time we have 758 00:31:04,877 --> 00:31:06,766 for today . Send me any follow up 759 00:31:06,766 --> 00:31:09,820 questions may have . Thank you . Just 760 00:31:09,830 --> 00:31:11,552 you have a number of troops of 761 00:31:11,552 --> 00:31:13,774 intestine or somebody around here , but 762 00:31:13,774 --> 00:31:15,997 joint stop for something . I can't find 763 00:31:15,997 --> 00:31:14,720 it .