now we turn to ░░░░░░░░ 19 and growing concerns ░░░░░░░░ China about a new ░░░░░░░░ in Beijing more than ░░░░░░░░ cases have been reported ░░░░░░░░ the Chinese capital most ░░░░░░░░ them linked to a ░░░░░░░░ produce market in the ░░░░░░░░ flung Thai district now ░░░░░░░░ officials have cordoned off ░░░░░░░░ to prevent the spread ░░░░░░░░ all schools and restricted ░░░░░░░░ for high risk residents ░░░░░░░░ I spoke with dr ░░░░░░░░ Haseltine the chair and ░░░░░░░░ of access health international ░░░░░░░░ the alarming situation in ░░░░░░░░ they should be worried ░░░░░░░░ takes one person to ░░░░░░░░ a whole globe that ░░░░░░░░ how they started almost ░░░░░░░░ million people started with ░░░░░░░░ they are taking all ░░░░░░░░ precautions they should to ░░░░░░░░ sure that they shut ░░░░░░░░ down before they have ░░░░░░░░ Wuhan and I m ░░░░░░░░ that they ll be ░░░░░░░░ to do that they ░░░░░░░░ also invited team in ░░░░░░░░ the w h o ░░░░░░░░ and one of them ░░░░░░░░ Michael Ryan spoke to ░░░░░░░░ the other day let ░░░░░░░░ listen to what he ░░░░░░░░ to say I I ░░░░░░░░ it s important to ░░░░░░░░ that every country is ░░░░░░░░ and certainly in China ░░░░░░░░ you spent over 50 ░░░░░░░░ without having any significant ░░░░░░░░ transmission a cluster like ░░░░░░░░ is a concern and ░░░░░░░░ needs to be investigated ░░░░░░░░ controlled and that s ░░░░░░░░ what the Chinese authorities ░░░░░░░░ doing you mentioned Wuhan ░░░░░░░░ course we know it ░░░░░░░░ shut down for 76 ░░░░░░░░ do you think Beijing ░░░░░░░░ have to take that ░░░░░░░░ a step or can ░░░░░░░░ stop this much sooner ░░░░░░░░ that I think they ░░░░░░░░ very effective I think ░░░░░░░░ ll be able to ░░░░░░░░ it sooner but you ░░░░░░░░ this is something we ░░░░░░░░ expect for a very ░░░░░░░░ time viruses there my ░░░░░░░░ is about 2 million ░░░░░░░░ in the world are ░░░░░░░░ today there will continually ░░░░░░░░ pockets of infection all ░░░░░░░░ the world for the ░░░░░░░░ future so even if ░░░░░░░░ re successful in shutting ░░░░░░░░ down like Beijing was ░░░░░░░░ long time things will ░░░░░░░░ up it just popped ░░░░░░░░ in New Zealand again ░░░░░░░░ you saw so as ░░░░░░░░ as there s one ░░░░░░░░ infected in the world ░░░░░░░░ whole world s at ░░░░░░░░ and we re just ░░░░░░░░ have to learn to ░░░░░░░░ with the possibility that ░░░░░░░░ will come back and ░░░░░░░░ and back and be ░░░░░░░░ to shut it down ░░░░░░░░ it s small and ░░░░░░░░ and shut it down ░░░░░░░░ it s large Luhan ░░░░░░░░ you can take a ░░░░░░░░ big province and shut ░░░░░░░░ down control it drive ░░░░░░░░ close to zero and ░░░░░░░░ ll still be sporadic ░░░░░░░░ also showed that if ░░░░░░░░ don t do that ░░░░░░░░ early you have a ░░░░░░░░ bigger problem doing it ░░░░░░░░ on and when you ░░░░░░░░ about Wuhan just recently ░░░░░░░░ know there s 11 ░░░░░░░░ people in the city ░░░░░░░░ a 10 day period ░░░░░░░░ tested everybody there what ░░░░░░░░ some of the lessons ░░░░░░░░ the rest of the ░░░░░░░░ can learn from how ░░░░░░░░ is address this issue ░░░░░░░░ think China has been ░░░░░░░░ once they got over ░░░░░░░░ initial issues and realized ░░░░░░░░ was going to be ░░░░░░░░ once the central government ░░░░░░░░ that this would be ░░░░░░░░ economy busting event they ░░░░░░░░ appropriate measures I think ░░░░░░░░ s what we can ░░░░░░░░ and other countries followed ░░░░░░░░ it s not just ░░░░░░░░ I think the lesson ░░░░░░░░ the eastern countries and ░░░░░░░░ Australia and New Zealand ░░░░░░░░ that this infection can ░░░░░░░░ controlled without a vaccine ░░░░░░░░ without a drug what ░░░░░░░░ need to do is ░░░░░░░░ it seriously well quickly ░░░░░░░░ need good leadership good ░░░░░░░░ you need good government ░░░░░░░░ and you need the ░░░░░░░░ to be on your ░░░░░░░░ the public is very ░░░░░░░░ involved because collective action ░░░░░░░░ this case is a ░░░░░░░░ total of individual actions ░░░░░░░░ s the United States ░░░░░░░░ it seriously enough no ░░░░░░░░ re not and we ░░░░░░░░ people at all levels ░░░░░░░░ have leadership issues we ░░░░░░░░ governance issues we have ░░░░░░░░ issues and we have ░░░░░░░░ compliance issues so all ░░░░░░░░ way up and down ░░░░░░░░ chain we ve got ░░░░░░░░ problem we re paying ░░░░░░░░ it we have every ░░░░░░░░ about 20 000 cases ░░░░░░░░ day we re learning ░░░░░░░░ live go about our ░░░░░░░░ with 20 000 cases ░░░░░░░░ day which may be ░░░░░░░░ and you re seeing ░░░░░░░░ large spike in a ░░░░░░░░ of states right now ░░░░░░░░ want to get your ░░░░░░░░ on you know as ░░░░░░░░ move through all of ░░░░░░░░ you know some of ░░░░░░░░ states are moving forward ░░░░░░░░ I mean I think ░░░░░░░░ Jacksonville Florida these women ░░░░░░░░ up board 16 of ░░░░░░░░ go to a bar ░░░░░░░░ have a great night ░░░░░░░░ all 16 end up ░░░░░░░░ Cova Dean and now ░░░░░░░░ of the employees at ░░░░░░░░ bar also tested there ░░░░░░░░ well that s just ░░░░░░░░ anecdote I mean there ░░░░░░░░ a ton of these ░░░░░░░░ that are gonna be ░░░░░░░░ lot and you know ░░░░░░░░ grew up at a ░░░░░░░░ when Polio was rampant ░░░░░░░░ we had a vaccine ░░░░░░░░ we all know to ░░░░░░░░ precautions when there is ░░░░░░░░ about we were in ░░░░░░░░ of three we weren ░░░░░░░░ allowed to go to ░░░░░░░░ pool we weren t ░░░░░░░░ to go to movie ░░░░░░░░ we re gonna have ░░░░░░░░ learn to live that ░░░░░░░░ if we don t ░░░░░░░░ the virus under control ░░░░░░░░ re gonna have to ░░░░░░░░ to live with it ░░░░░░░░ live with it means ░░░░░░░░ precautions or get infected ░░░░░░░░ me ask you about ░░░░░░░░ everyone seems to be ░░░░░░░░ a lot of emphasis ░░░░░░░░ that and and I ░░░░░░░░ I read somewhere where ░░░░░░░░ said don t bank ░░░░░░░░ it give me your ░░░░░░░░ about a vaccine how ░░░░░░░░ can a big in ░░░░░░░░ do you think you ░░░░░░░░ a vaccine can be ░░░░░░░░ soon a safe and ░░░░░░░░ vaccine is another matter ░░░░░░░░ think what I m ░░░░░░░░ at whether it s ░░░░░░░░ China the United States ░░░░░░░░ Singapore any place I ░░░░░░░░ looking at people trying ░░░░░░░░ rush something anything through ░░░░░░░░ we don t know ░░░░░░░░ we re gonna get ░░░░░░░░ re going to get ░░░░░░░░ that s probably marginally ░░░░░░░░ and maybe marginally safe ░░░░░░░░ maybe unsafe we re ░░░░░░░░ going to know what ░░░░░░░░ re gonna get is ░░░░░░░░ we are sure I ░░░░░░░░ tell you one thing ░░░░░░░░ sure if we have ░░░░░░░░ vaccine by the end ░░░░░░░░ the year we re ░░░░░░░░ gonna know what that ░░░░░░░░ really does we re ░░░░░░░░ gonna get a safe ░░░░░░░░ is our how effect ░░░░░░░░ is because there simply ░░░░░░░░ t time to do ░░░░░░░░ I m with Ken ░░░░░░░░ of Merck who said ░░░░░░░░ s no way you ░░░░░░░░ gonna have my vaccine ░░░░░░░░ the end of the ░░░░░░░░ yes we re gonna ░░░░░░░░ our best to make ░░░░░░░░ safe and effective vaccine ░░░░░░░░ t be done by ░░░░░░░░ end of the year ░░░░░░░░ s right yeah we ░░░░░░░░ have won but you ░░░░░░░░ we had Hydroxychloroquine what ░░░░░░░░ was that yeah we ░░░░░░░░ have a vaccine which ░░░░░░░░ as ineffective and even ░░░░░░░░ safe problem with the ░░░░░░░░ is you ve got ░░░░░░░░ be prepared to use ░░░░░░░░ for in this case ░░░░░░░░ billion people and a ░░░░░░░░ side effect for what ░░░░░░░░ be a drug like ░░░░░░░░ in a thousand people ░░░░░░░░ an adverse event is ░░░░░░░░ million people per billion ░░░░░░░░ do it for three ░░░░░░░░ people you have three ░░░░░░░░ very ill people that ░░░░░░░░ would be it healthy ░░░░░░░░ ve got to be ░░░░░░░░ I don t see ░░░░░░░░ Chinese being careful I ░░░░░░░░ t see the US ░░░░░░░░ careful I didn t ░░░░░░░░ the British being careful ░░░░░░░░ see no one being ░░░░░░░░ I see everybody making ░░░░░░░░ rush and I can ░░░░░░░░ you you won t ░░░░░░░░ its efficacy and you ░░░░░░░░ t know its safety ░░░░░░░░ we may have something ░░░░░░░░ what we have isn ░░░░░░░░ what you might desire ░░░░░░░░ Atlantic is out with ░░░░░░░░ story Cova 19 can ░░░░░░░░ for several months the ░░░░░░░░ is long haulers have ░░░░░░░░ relentless waves of debilitating ░░░░░░░░ and disbelief from doctors ░░░░░░░░ Friends a really interesting ░░░░░░░░ about how some of ░░░░░░░░ younger people were dealing ░░░░░░░░ this what are some ░░░░░░░░ we re learning as ░░░░░░░░ go along that perhaps ░░░░░░░░ didn t know early ░░░░░░░░ well the first thing ░░░░░░░░ learned and we learned ░░░░░░░░ lot from the Chinese ░░░░░░░░ and later when the ░░░░░░░░ disease waned there we ░░░░░░░░ learning from doctors around ░░░░░░░░ world is that this ░░░░░░░░ a very very dangerous ░░░░░░░░ to get because once ░░░░░░░░ become seriously ill ok ░░░░░░░░ not just damage your ░░░░░░░░ if you damage your ░░░░░░░░ your heart your liver ░░░░░░░░ kidneys give you toxic ░░░░░░░░ and you could die ░░░░░░░░ that this is a ░░░░░░░░ and if you recover ░░░░░░░░ a serious case you ░░░░░░░░ be say may recover ░░░░░░░░ a lifelong disability I ░░░░░░░░ those the wounded you ░░░░░░░░ have liver function failure ░░░░░░░░ may suffer the effects ░░░░░░░░ cognitive dysfunction in parallel ░░░░░░░░ being paralyzed from from ░░░░░░░░ you may have kidney ░░░░░░░░ you may have lost ░░░░░░░░ kidneys there s a ░░░░░░░░ of bad things that ░░░░░░░░ happen once you re ░░░░░░░░ ill so that s ░░░░░░░░ long recovery process if ░░░░░░░░ re mildly ill we ░░░░░░░░ now realizing it can ░░░░░░░░ back and it can ░░░░░░░░ as the Atlantic all ░░░░░░░░ long haulers so when ░░░░░░░░ re counting the morbidity ░░░░░░░░ what Public Health does ░░░░░░░░ it doesn t count ░░░░░░░░ the number of people ░░░░░░░░ it counts the number ░░░░░░░░ dead and the morbidity ░░░░░░░░ burden of disease and ░░░░░░░░ are now getting a ░░░░░░░░ large burden of long ░░░░░░░░ disease from what we ░░░░░░░░ say relatively mild infections ░░░░░░░░ well as serious consequences ░░░░░░░░ this is the effects ░░░░░░░░ last a long time ░░░░░░░░ re out with a ░░░░░░░░ family guide to Kovich ░░░░░░░░ do you hope people ░░░░░░░░ as a takeaway from ░░░░░░░░ your book well I ░░░░░░░░ well known enough amongst ░░░░░░░░ friends that they call ░░░░░░░░ dr Bill or will ░░░░░░░░ I get asked a ░░░░░░░░ of questions and especially ░░░░░░░░ grandchildren my their parents ░░░░░░░░ a lot of my ░░░░░░░░ ask me questions and ░░░░░░░░ I decided to write ░░░░░░░░ book that answers the ░░░░░░░░ of questions kids are ░░░░░░░░ to ask like when ░░░░░░░░ I get back to ░░░░░░░░ what can I see ░░░░░░░░ friends why can t ░░░░░░░░ go out why are ░░░░░░░░ keeping weekend those are ░░░░░░░░ know and then then ░░░░░░░░ kid you know kids ░░░░░░░░ four or five no ░░░░░░░░ things happens and they ░░░░░░░░ say well I m ░░░░░░░░ gonna die from this ░░░░░░░░ or mom or grandpa ░░░░░░░░ can t I say ░░░░░░░░ grandpa why are you ░░░░░░░░ here and I m ░░░░░░░░ there so those are ░░░░░░░░ kind of questions and ░░░░░░░░ the parents are gonna ░░░░░░░░ well how danger it ░░░░░░░░ t for me to ░░░░░░░░ X Y or Z ░░░░░░░░ dad or mom might ░░░░░░░░ I ve got to ░░░░░░░░ for my work how ░░░░░░░░ is that so I ░░░░░░░░ taken very simple questions ░░░░░░░░ everybody asks and trying ░░░░░░░░ give the best answers ░░░░░░░░ I ll tell you ░░░░░░░░ s been fun about ░░░░░░░░ this is a different ░░░░░░░░ of book it s ░░░░░░░░ living book we get ░░░░░░░░ new kind of entity ░░░░░░░░ exists on the web ░░░░░░░░ buy it and you ░░░░░░░░ a perpetual access to ░░░░░░░░ books that s going ░░░░░░░░ change all the time ░░░░░░░░ as we just start ░░░░░░░░ our ideas about what ░░░░░░░░ going on change we ░░░░░░░░ t know all the ░░░░░░░░ we knew a month ░░░░░░░░ we know more in ░░░░░░░░ month from now we ░░░░░░░░ going to know more ░░░░░░░░ both the questions and ░░░░░░░░ answers are going to ░░░░░░░░ changing in real time ░░░░░░░░ if you buy one ░░░░░░░░ you re gonna be ░░░░░░░░ access to any of ░░░░░░░░ changes and you can ░░░░░░░░ it any time you ░░░░░░░░ as a printable or ░░░░░░░░ book on demand so ░░░░░░░░ s a different kind ░░░░░░░░ book but thank you ░░░░░░░░ asking well you re ░░░░░░░░ up to your moniker ░░░░░░░░ appear dr Bill thanks ░░░░░░░░ much for your time ░░░░░░░░ appreciate it you re ░░░░░░░░ thanks take care and ░░░░░░░░ s it for this ░░░░░░░░ of the heat unlike ░░░░░░░░ in Washington D C ░░░░░░░░ so much for watching ░░░░░░░░