Wednesday, April 29, 2020

Governor Cuomo Announces 35 Counties Approved to Resume Elective Outpatient Treatments


  Hospitalization rate ticks down, good news. Net change, down, that's good news. Intubations down, that's good news. COVID hospitalizations, new ones per day, just about flat, that's not great news. Actually up a tick. So that is not good news. What we're watching now is how fast the decline, how low does it go? We don't want to see 1,000 new cases every day. We'd like to see that in the low hundreds, ideally, of new cases every day. Death rate, terrible news. 330. You see the decline has been slow at best and still disgustingly high. So we're making progress, that's for sure, but we're not out of the woods yet. And we're proceeding with caution.

And there are caution signs out there that we should pay attention to. Singapore is talking about a second wave with 900 new cases. This is after they controlled the beast, they're on the decline. They're now looking at new cases. Germany is a situation that we should also watch and learn f from. They relaxed and started to reopen. they're now seeing an increase. These are interesting, the rate of infection, which is what we watch, was at .7. One person infecting .7 percent, obviously less than one person. 1 percent infection rate is one person infecting one person. They were at .7. They started to reopen. In 10 days they went up to a one on the infection rate. That's troubling. Shows you how fast the infection rate can increase if you don't do it right on the reopening. So proceed with caution.
Our reopening is different. We don't have a conceptual plan. We don't have an abstract plan because there is no conceptual plan, there is no abstract plan. You have to have a plan that is based on facts, based on specifics. This is not about politics, this is not about spin, this is not about emotion. There are no conspiracy theories at work here. We outlined a 12-step plan that is factual, that is based on numbers, based on data and then it has a numerical circuit breaker that is not subject to personal emotion or desire, but just checks and monitors that infection rate that we just saw in Germany and is watching for those increases. And if there's an increase, circuit breaker stops the reopening at that point. Some of the specifics we're looking at, you must have 30 percent of your hospital beds available.

We can't go back to where we were where we overwhelmed the hospital system. We have to have a 30 percent buffer. We have to have 30 percent of ICU beds. We have to have that buffer before we start bumping up against total capacity, and we have to watch the hospitalization rate and the diagnostic testing rate, how many are positive, how many are negative, which we'll take on a continuous basis. You see that number start going up, worry. But it's all based on the data and the numbers. I'm sorry, and the rate of transmission, RT, rate of transmission, our road and track, rate of transmission has to be 1.1 or less. We just said Germany is at .1. The 1.1, that is textbook outbreak. So watch the numbers and watch the transmission rate.

Where we are now, you should know, is New York State is doing more than most countries are doing so we have been very aggressive in testing and we have made great progress. New Yorkers should feel good about that but we have more to do.

We've been worried about front line workers because they are the heroes who are out there every day so everybody else can stay home. Somebody asked me yesterday on a radio interview, well, you're out there every day. Are you taking care of yourself? I'm out there every day. Forget me. I'll tell you who is out there every day. The nurses who are in the emergency room, the doctors in the emergency room, the police officer who is going into homes and apartments because there's a domestic disturbance, the EMTs, the Fire Department, the delivery worker who goes to 50 doors a day and gets paid. Those people are out there every day. They're the ones who are really doing the work. Compared to them, what I do is de minimis. They're doing it not because they get paid a lot of money, not because people say thank you, God bless you. They're doing it because it's their value, their honor, their pride, their dignity, and they show up. Even when it's hard, they show up. My hat is off to them.

I want to make sure we do what we need to do to protect them, that they have the equipment, they have the PPE, they have our respect, they have our gratitude. I also want to make sure we're testing so we get them the results of tests so they can be taking care of themselves.

I also want to see if we have a significant problem in any of those front line workforces. So we're doing testing. We started with the New York City Fire Department and New York City Police Department. What we found so far, the Fire Department which also has the EMTs, tested 17% positive, NYPD 10% positive. Number much higher in the FDNY, EMTs. We believe that's because the EMT number is driving it up, but we have to do more numbers and more research to determine that. Remember, the EMTSs, they are the front line. They're the ones who are there assisting the person in the closest contact in many ways. FDNY, also. But we want to find out exactly what's going on. They compare to a downstate average of the general population of about 18%. Again, we'll do further research, further surveys to look at it by race and gender, also.

We're also going to do the same thing with the transit workers, the people who drive the buses, the subways, who clean the buses and the subways. Without those buses and subways, the essential workers couldn't get to work. Why didn't we just close down subways and buses? Because you close down the subways and the buses in New York City, don't expect the nurses and the doctors to be able to get to the hospital. Don't expect the delivery worker to be able to deliver food when you ring on your telephone. We need that public transportation to transport the essential workers. Those front line workers are at risk, so we're going to do additional testing for the transport workers.

Letting them endanger their own life and endanger the lives of others is not helping anyone. I told the MTA yesterday, in two days, which means tomorrow, I want a full plan. How do we disinfect every train every night, period. Any essential worker who shows up and gets on a train should know that that train was disinfected the night before. We want them to show up. We don't want them to stay home. We owe it to them to be able to say, the train you ride, the bus you ride has been disinfected and is clean.

He went so far as to say, well he'd be in favor of the states going bankrupt. First, states have never gone bankrupt. States can't go bankrupt. There are serious Constitutional questions about whether or not a state can declare bankruptcy and you need a federal law that would allow the states to declare bankruptcy even if you got around the Constitutional question on bankruptcy. If he believes that, if it wasn't just political rhetoric and personal vitriol, then pass a law that allows states to declare bankruptcy. He would have to do that. I dare him to do that and get that bill signed by the President.

America was when I said we need help in our emergency rooms and hospitals and 95,000 nurses and doctors from across the nation said we will come to New York to help. We'll come into the emergency room. We'll come into the hospital. I understand it's COVID I will leave my family, and I will come to help yours. That's America. That's who we are and that's who we have shown ourselves to be in the middle of this crisis. The crisis brings out the best and the worst, yes. And the best of America is beautiful and that's what we've seen. Because, yes, we are tough. Yes, we are smart. Yes, we are disciplined. Yes, we are united. Yes, we're loving, loving, because we are Americans. And that's who we are and how we are as Americans. And I just hope the political leadership of this nation understands how good we are as a people.

And the textbook says politicians lead, elected officials lead. No, sometimes the people lead and the politicians follow, and that's where we are today. Follow the American people. Look at what they're doing. Look at how they're reacting. And politicians, try to be half as good as the American people. I want to show you a self-portrait that was done by American people. This is a self-portrait of America, okay? That's a self-portrait of America. You know what it spells? It spells love. That's what it spells. You have to look carefully, but that's what the American people are saying. We received thousands of masks from all across America, unsolicited, in the mail, homemade, creative, personal, with beautiful notes from all across the country, literally. Just saying, thinking about you, "We care, we love you, we want to help." And this is just people's way of saying we care. And we want to help. This is what this country is about. And this is what Americans are about. A little bit more of this and a little bit less of the partisanship and the ugliness, and this country will be a better place. Thank you. Thank you, guys.

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