Patients in washington, state he’s, also an NBC News, medical contributor let’s start with Florida. If we could, there are schools that are still planning on reopening when you look at the data and the numbers and also the decisions being made at the top in Florida. Where do we stand, and where is this heading good morning Mika? You know, I think, it’s important to say just even in the last week since we last chatted there’s more and more data coming out suggesting that the virus transmitted, Coby 19 transmission occurs through small droplets, so called airborne transmission, so in closed spaces with poor ventilation. I’Ve been hearing from teachers school districts across the country, they say: hey Doc, my classrooms. In a basement, I can’t open up and get a lot of ventilation or a lot of hair exchange. What do I do? How do I protect myself and our kids and the truth is all of us. We don’t know the answer to that. There isn’t enough high quality PPE from Docs and nurses and respiratory therapists, much less teachers and students, so I’m concerned about Florida and Arizona and their their path forward and governor Ducey in what is the worst outbreak per capita saying: hey we’re, gon na start on August 17Th, in the face of this mounting data, suggesting that there is more and more conservative evidence about aerosol transmission of this virus, we need pot.

We need these states to pause reopening, so I go forward to them so dr.

Gupta earlier. Actually earlier this week yesterday we were reporting good news on the vaccine front, but you have a little bit of a gut check as to how this could play out. It could be quite a while couldn’t it because I think he used the right word. It was. It was good. It was not great like that, so we needed really cautious optimism here on the AstraZeneca trial. Moderne released her trial in the results from phase one in the New England Journal last week. This is what we’re, seeing all we have is the data that they’re publishing and these in these medical journals and what we see what we’re seeing is that the individuals that get these vaccines, whether it’s the Astra Zeneca or the Madeira one develop antibody titers that are Actually lower on average, then, if you’ve been exposed, naturally to Coppa 19 and then recover so it’s good. But we also know that if you’ve gotten kovat 19, you tend to maybe lose antibodies, especially very symptomatic within two months. So the big unknown here is longevity of the immune response, whether you get a vaccine or you get infected, but I didn’t see any overwhelming data from either one of these vaccines that suggests Wow. You get one shot and you’re protected or even if you get a booster you’re protected for a year, that’s the big unknown and we just don’t know, but so that’s.

Why? I would say this is good, but not great understood a New York Times.

Dispatch from a Texas hospital at the southern border shows a dire situation. Their ambulance is stacking up outside emergency rooms. Patients waiting for beds a section for pregnant women with the virus has expanded twice with some women having to begin labor in their cars, because the unit was full in the Rio Grande Valley, it’s, a perfect storm of poverty and chronic illness. That has led to a punishing surge in infections where more than a third of families live in poverty. Nearly half of the residents have no health insurance and the rates of obesity and heart disease are among the highest in the country joining us. Now. The reporter who filed that story for the New York Times, Caitlyn Dickerson Caitlyn horrifying, and is there any hope and sight for this hospital? Well, unfortunately, mica we did get the news yesterday event: Hidalgo County, one of the four counties in the rio grande valley instituted a shelter in place order. Yet again. But what I heard over and over again, while I was reporting in the region, was that people really in the early months of the pandemic took governor Abbott’s shelter in place order seriously. You know this community knows. Obviously there are so many people who don’t have health insurance, and so many people who don’t have legal immigration status or whose families don’t have legal immigration. So they avoid the healthcare system at all costs and try to keep themselves healthy and we’re.

Taking the shelter in place seriously, but once it expired in May, people were told that it was safe to begin gathering again, and this is a tight knit family oriented community people like to gather on weekends with their extended families.

They see each other for dinner. You know multiple times a week and so the virus has been spreading really unabated since May, and so here we are yesterday and late July. You know one county re Institutes, one of these orders, but it’s very late. We already have 12000 active cases, at least in the region, and so the thinking is that things will continue to get worse, unfortunately, before they get better Eddie Glaude jump in. Thank you for your reporting on this issue. What are some of the grassroots organizations doing down? In the Rio Grande area to respond to this crisis, and given the failure in some ways of local government and the state, I think grassroots groups are trying to give people advice about how to move through the community safely, which is you know to do so. As little as possible and when you do, you know, do it wearing a mask, do it wearing a face shield and I did see that start to shift. You know I would go to target to go and get my Clorox bleach to clean off my material, and I would you know that I was bringing in and out of the hospital every day and I would see people in target wearing masks and wearing face shields.

But the problem is that the grassroots organizations are having to go against what you know. The state government and the local government up until yesterday was advising people and so that’s a very difficult.

You know narrative and you can understand it’s hard for people to know. You know the government is telling me one thing: this advocacy group is telling me another. You know I haven’t worked in several months. I need to feed my family, who do I believe I and dr. Gupta. Let me just ask you: I read an article yesterday about flying on airplanes and and where we are, and there are some airlines United, that don’t keep the middle seat. Open Delta has continued to stand by their commitment to keep that middle seat open. If you have to fly somewhere, how safe is it and what is the difference between flying on an airline that jams, three people in a row all the way back and an airline that keeps the center seat open? Joe I’m glad you asked that question you know. So number one, I would say, it’s actually it’s, pretty remarkable. What airlines are able to do now Delta, for example, is able to actually recirculate new air in the cabin within five minutes. So if you had to ask me what I’d rather be in a classroom or in an airline cabin, whether if the middle seat is fuller, now there’s more ventilation in the airline cabin now they’re doing air exchanges every five minutes there is in most indoor settings.

So if you take that at face value, knowing what we know about Koba 19, it would suggest that Airlines, while they pose risks – and you only want to engage in essential travel.

There is the ventilation that you need. But Joe to your second point, I it makes some sense. I mean I understand why Airlines you know, fly capacity with reduced flight schedules and so there’s there’s a push to the pole. We have to recognize that and do does I mean instituting minimum six foot distancing. You have six feet between aisle and window, much less between aisle and middle. I don’t love the fact that they can’t just do basic things like hey let’s, get the middle seat is gon na be, is requisite needs to be open, that’s, something that federal government should be able to mandate and say hey. This is what needs to happen for flying safely, but they’re doing great when it comes to air exchanges. So I just wanted to emphasize that point all right, dr. Ben Gupta. Thank you so much for being on this morning and Caitlin Dickerson.

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