March 10 AARP Coronavirus Tele-Town Hall

Welcome to the AARP event. Thanks for joining us. We will begin shortly. If you would like to ask a question during today's event, press *3 on your keypad at any time.

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BILL WALSH: Hello. I am AARP Vice President Bill Walsh, and we will inform you how to stay healthy with leading experts and address your questions. AARP, a nonprofit, nonpartisan member organization, has been working to promote the health of Americans for more than 60 years. AARP is providing information and resources to help older people — and those caring for them — protect themselves from the virus and prevent the spread to others.

According to the Centers for Disease Control and Prevention, older adults and people with underlying health conditions like heart disease, lung disease and diabetes are about twice as likely to develop serious outcomes.

We are streaming on aarp.org and online. To ask your question, please press *3. Tell us what your greatest need for information is right now. Press 1 if you want to hear about preparation and prevention. Press 2 if you want to hear about Medicare and insurance coverage. Press 3 if you want to hear about local resources. And press 4 if you want to hear about supporting loved ones, including family and friends.

So, press 1 for preparation and prevention. Press 2 if you want Medicare and insurance coverage. Press 3 if you want to hear about local resources. And press 4 if you want to hear about supporting loved ones.

If you are just joining, I am Bill Walsh with AARP, and I want to welcome you to this important discussion about coronavirus. We are talking with leading experts and taking your questions live.

Joining us today is Admiral Brett Giroir. Joining us also is Dr. Nancy Messonnier and administrator Seema Verma, who leads the Centers for Medicare & Medicaid Services. We will focus today on factual information to ensure you are up to date and informed. To keep you and your family healthy and safe. This event is being recorded, and you can access the recording at aarp.org/coronavirus.

AARP is convening this tele-town hall about coronavirus in an effort to protect the public. While we see an important role for AARP to play in providing consumer information and advocacy related to the virus, the public should be aware the best source of medical information is the Centers for Disease Control and Prevention. It can be reached at CDC.gov/coronavirus. Let's turn right to the CDC. Admiral Giroir, welcome to our show.

BRETT GIROIR: I want to thank all of you across the country and beyond for joining us and to thank AARP for this very important and potentially lifesaving call. I want everyone to know that you do need to take this coronavirus seriously. But do not panic — you are not helpless. In fact, you have a lot of power to protect yourself, your family and your community. I am going to talk to you the same way I talk to my 87-year-old mom and give you the same advice. You will receive the same advice, recommendations and honesty I tell my own family. We are all here for you during this call, and the administration is here for you always, both during and after the outbreak.

A little later, we are going to go over a significant amount of information. All the basics you need to know about the virus, how it is transmitted, and most importantly, how to protect yourself. The most important thing for you to know is where to get updated information. That is critically important, and if you use websites — CDC.gov is very easy to remember. You don't have to remember back slash. I can spell CDC.gov a whole at easier than coronavirus. Your health plans will have an information line or nurse line, and administrator Verma will probably talk about that.

Unless you are really sick, don’t go to an emergency room or urgent care. Call your doctor or nurse line first. We will tell you what we know and what we are learning. We do know a lot, and we know what you can do to protect yourself and your loved ones.

BILL WALSH: Admiral, thanks for that. I was wondering if you could give us the latest state of play. I understand you are at CDC headquarters in Atlanta.

NANCY MESSONNIER: As of this morning the case count is somewhere close to almost 700 confirmed and presumed U.S. cases from 38 jurisdictions, that’s 36 states and New York and D.C. And we should expect those case counts to go up. We see large increases in disease, and as of yesterday morning, the numbers continue to rise, especially in Italy. There are more than 100,000 cases worldwide.

BILL: Thank you both, we are going to circle back to you in a moment, but I would like to turn to Seema Verma. Administrator Verma leads the Centers for Medicare & Medicaid Services. CMS administers health coverage programs for more than 130 million Americans. Administrator Verma is also part of the coronavirus task force. Thank you for joining us today.

SEEMA VERMA: Of course.

BILL WALSH: What are the cost implications for those enrolled in Medicare. If older adults need a coronavirus test, what is it going to cost them?

SEEMA VERMA: Let's talk about our response, and we will talk about the implications for our Medicare beneficiaries. CMS is responsible for managing Medicare and Medicaid programs, and also developing and enforcing safety requirements in all of our institutions across the country. Not only are we providing insurance coverage for over 130 million Americans, we also have oversight at the institutions.

Let me start with Dr. Giroir's question. What can you expect to see for your coverage? Some of you are in Medicare Advantage plans, and some of you are in the traditional service programs. The good news is that no matter what type of program you are in, you can get a coronavirus test with no cost sharing. I just came from a meeting with the president and vice president, and they were talking to insurance companies. They got a commitment from insurance companies, not only for Medicare Advantage plans but all insurance companies, around covering coronavirus tests with no cost-sharing.

The second thing that is important it goes back to a comment that you made. Before you go to your doctor, make a call. We don't want people to come in unnecessarily into the health care system if they do not have to. Under the president, Medicare started paying for telehealth services. This is a very historic change that was done, and we are very proud of that. It could not be more timely. You can call your doctor. You can Skype with them. You can send them pictures, and all of those are covered services, so your doctor can bill for those particular services. As Dr. Giroir said, that is extremely important.

BILL WALSH: Sorry to interrupt. You made a couple of important points, and I want to make sure they do not get lost. Medicare would fully cover a coronavirus test, and I heard you said private insurance would cover the test as well?

SEEMA VERMA: That is exactly right. That is hot off the presses. We met with the nation's major insurance companies. Of course, you should always check with your insurance company, but we spoke with them this morning and they are committing to covering the cost of the test and ensuring there is no out-of-pocket expenses. We don't want anybody who feels like they need a test — we don't want cost to be a barrier.

BILL WALSH: That is great news. What about other coronavirus services? Will Medicare cover quarantines and any potential vaccine?

SEEMA VERMA: So, most of our services that you would need related to coronavirus — whether that is a doctor visit and hopefully not a hospitalization — those are routinely covered by your Medicare program. In terms of the vaccine, there is not a vaccine now, although our researchers are hard at work on developing a vaccine. If it was available, it would be covered in the Part D program.

BILL WALSH: AARP urged Congress to provide ample resources to combat the coronavirus and facilitate telehealth visits for those on Medicare. Can you talk a little bit about telehealth, and if efforts have been taken to expand the services?

SEEMA VERMA: Sure. Telehealth is a way for patients to access health care using digital communication technology. It allows a patient to connect with their doctor without having to travel to a hospital. Those are services that are available, not just because of the coronavirus, but they are changes we have made under this administration.

Over the last three years, the Trump administration has made it possible for doctors to bill for their time talking to patients over the phone, video chat to help triage medical issues, and it is essential that all Americans — especially those at high risk for complications, like our seniors — are aware of these easy-to-use, accessible telehealth benefits that can keep them healthy and contain the spread of disease. Just a couple more things. Virtual check-ins, e-visits are all available.

BILL WALSH: CMS put out a press release earlier with advice on what older Americans should do if they are thinking about visiting a doctor's office. Can you tell our audience what advice you would give in that regard?

SEEMA VERMA: If a Medicare beneficiary is looking for advice, they can call their doctor and receive medical direction on whether they should come in the office for an exam. If they start to feel more ill, a virtual visit allows the provider to offer them recommendations about the next steps and to even take precautions before they put others at risk.

BILL WALSH: That sounds like great advice. One last thing I want to ask you, Administrator Verma. You mention CMS also has purview over facilities. I would like to know what they are doing to ensure hospitals, clinics and clinicians are prepared and capable to handle people with coronavirus infections.

SEEMA VERMA: I appreciate that question. One of the things we have done is a call to action around infection control. That essentially means we want to make sure hospitals and nursing homes, and all of our health care facilities, are doing everything they can to prevent the spread of the disease inside these facilities, which is really important. These policies and guidelines are not new. They have existed for many years because every year we prepare for the flu. It is just encouraging and doubling down on these policies.

The president also took action and said we are going to be proactive. He has instructed us to use our 8,000 surveyors to go out into nursing homes and hospitals to make sure that they have the appropriate procedures and policies, and they are doing the right things to keep our patients safe.

BILL WALSH: We appreciate you taking the time today. We know you have got a busy schedule and you have to step away. Do you have any closing thoughts you would like to share?

SEEMA VERMA: I appreciate what you started with, which is the recommendations around encouraging people to stay calm. We have got great recommendations from the CDC about practices, in terms of washing your hands, staying away from people that are sick. I was telling my daughter, who is off for spring break. She wanted to visit her grandparents and had a cold. I told her, I don't think this is a good time. Those things are really important. I think the advice around travel is very critical, and I know you will be reviewing that later about cruise ships and any nonessential travel and staying away from crowds.

I think all of those — the great advice the CDC has given us, is really important. Our seniors and those with underlying health care conditions really heed that advice.

BILL WALSH: Thank you again for joining us, and a reminder to our listeners that this is being recorded and will be available at aarp.org/coronavirus in 24 hours. For those of you just joining, I am Bill Walsh with AARP, and we are speaking today with leading health experts about the coronavirus. We are also taking your questions live. To ask a question at any time, please press *3.

I would like to bring back into the conversation Admiral Brett Giroir and welcome Dr. Nancy Messonnier. Admiral, can you walk us through what our audience needs to know about coronavirus? I think it bears repeating, what steps are being done to contain the virus.

BRETT GIROIR: All of our listeners today, remember that early on, this started in a particular part of China where the first patients that got the virus probably got it from animal contact. Now we know there is person-to-person spread. That happened first in China and now in many countries outside China, including the United States.

In many parts of the United States, like Washington, California, New York, there is something called community spread. It is actually spreading among people in the community that we cannot trace to travel outside the United States or other contact. Person-to-person spread means a lot of things. Let me be exact on how we believe it is spread from person to person. It is generally spread person-to-person if you are in close contact with one another. That is within 6 feet of one another. It is spread through respiratory droplets that people produce when they cough or sneeze. These droplets can land on your nose, mouth or hands, and you touch your face and you can get infected.

It’s very important for everyone to understand that this is not like measles. What I mean by that is, if somebody has measles and they walk into a room and you do not have a vaccine, you could be anywhere and get infected. This is not like that. This is a close contact disease. It may be possible a person can get coronavirus by touching a surface or object that the virus landed on, and touching your nose or mouth. This is not the main way it spreads but it’s still possible, which is why we have a lot of recommendations about good cleanliness and hygiene.

Now that you understand how the virus is spread, I want to give you basic ways you can protect yourself that we know are effective, and I want Dr. Messonnier to talk about precautions we have for older Americans or those with conditions like diabetes or heart disease. There is no vaccine to prevent coronavirus and there are no specific medicines to treat it. That may sound scary, but it should not. You have a lot to do with preventing your illness.

First of all, use common sense. Avoid close contact with people who are sick. If they are sick, don't get close to them. Make sure they are protecting you by sneezing into their arm, washing their hands, but avoid contact. The second one is hard to do. Try to avoid touching your eyes, nose and mouth. If you catch yourself, you will do this dozens or hundreds of times a day. It is very important to try and remember to not touch your eyes, nose or mouth. Sometimes what I tell people to do is to tie a string on their finger, that they don't notice, and when they see that, they notice where their hands are.

Clean and disinfect frequently touched objects and surfaces. You can use a regular cleaning spray or wipe. This can be things like door handles, even things that are touched quite a bit that other people could be touching. It’s very important: Do what your mom taught you to do and you tell your children, and that is wash your hands with soap and water. Do it for at least 20 seconds. Wash them really good and wash them frequently.

If you don't have soap and water available, or it is much more convenient for you to use, use hand sanitizer that has a high percentage of alcohol. These work really well, and you can carry the little bottles around with you basically everywhere you go. Everybody should be doing that, but Dr. Messonnier wants to get some special precautions for older Americans, because as Mr. Walsh said, the elderly can be at high risk of a bad outcome with coronavirus. Dr. Messsonnier.

NANCY MESSONNIER: We know it is spread by the respiratory route, and there are things you can do to prevent getting infected. We also know that respiratory viruses do spread, and over the next couple of years, many Americans will come into contact with this virus. The good news is that most of these is mild. Of the data coming from China, 80% have a mild illness, and it is only 15% to 20% that develop a more severe illness.

However, the concerning thing is that the disease clearly affects older adults more seriously. Starting at 60, there is an increased risk of death, and the highest risk of severe illness is in people older than 80, and especially in people who are older who have serious chronic medical conditions like heart disease, diabetes and lung disease. It is those individuals, we think, who are at greatest risk and those individuals who we are asking to take special precautions.

The kind of precautions we are taking are more than you would do to prevent yourself individually from getting sick. There are things that keep you away from other people, and we are calling those congregant settings where you are likely to have lots of exposure. For example, we are recommending you have supplies on hand like routine medications for blood pressure and diabetes, as well as medical supplies and over-the-counter medicines. You can stay at home for a period of time, or closer to home, for a couple of weeks, especially if there is spread in your community.

Those are precautions we think you should be taking. We also think you should take everyday precautions, including avoiding close contact with people, avoiding touching surfaces. And that might mean if your grandchild is expected to come visit and they have a fever and runny those, it may not be the right time to visit. You should avoid crowds, and we are recommending travelers, particularly those that are older with underlying health issues, defer cruise ship travels and defer long plane trips.

Lastly, as Admiral Giroir started with, it is important you stay up to date. The CDC website is a great source of information, but you want to know what is going on in your local community because that is where you get the most direct information about the risk. You want to know what the website is or how your community sends out information, so you can be hearing quickly if there's local spread.

BILL WALSH: That is a lot of information, and I want to make sure none gets lost. Dr. Messonnier, you said older adults should stockpile prescription medications. Oftentimes insurers will only pay for up to a 30-day supply. What is your advice to people if they need more than that?

DR. MESSONNIER: I have trouble with the word stockpile because it is not exactly what I meant. What we are asking is to have a couple weeks supply on board. What you're saying is correct. If folks have issues, they should talk to their insurance companies. There already are conversations with insurance companies. We are not talking about stockpiling. We are talking about having enough medication on board that if your community says you should probably stay home, you are not going to have difficulty because you do not have your regular medications.

BRETT GIROIR: I know administrator Verma had to leave the call, but she is actively on this. You will be seeing some new discussions and recommendations for some of the Medicare plans that will help some of the Medicare enrollees potentially have a larger supply of medications on hand.

But we do not want to stockpile, like fill your basement up, with medications. But make sure you have, if you can, a good month or more of medication to keep you out of the doctor's office. If you cannot go to the pharmacy, try to think about a mail order plan. You won't have to go out into the middle of a grocery store that might be crowded, around the pharmacy, where a lot of people are sick.

BILL WALSH: Another question. There has been confusion of the use of masks and their effectiveness. What do you recommend in that regard?

NANCY MESSONNIER: That is an important question. I really want to encourage people not to go out to the store or get on Amazon and order masks. I don't think that is the best use of a mask. Masks are most important for those who are at the highest risk and for health care workers. We count on health care workers to be on the front lines taking care of us when we are sick. We want to make sure they can keep doing their job. I would ask you — I understand why it looks like a mask is the right thing to do — but it is not. The right thing to do is make sure they are available for those that need it.

BILL WALSH: OK. As you may know, AARP provides a lot of information to family caregivers. Folks that may be caring for people with the risk factors you mentioned. Do you have any additional instructions for caregivers out there?

NANCY MESSONNIER: You could end up caring for a family member or friend who is at greater risk. We recommend you familiarize yourself with your loved ones’ medications and help them get extra medication on board. As we talked about, take care of yourself. We also recommend food, medical supplies, other necessities so that you can minimize trips to the store. Finally, if you are responsible for somebody else's care, you need to have a plan if they get sick or if you get sick. You may have to identify backups to care for them if you can't.

BILL: That is very helpful. Thank you. For those of you just joining, I'm Bill Walsh with AARP. We are speaking today with Admiral Brett Giroir, at the U.S. Department of Health and Human Services, and Dr. Nancy Messonnier, at the Centers for Disease Control and Prevention. I would like to start taking your questions live. To ask a question, please press *3. I believe we have a whole queue full of questions. Who do we have first? Dixie from Florida, are you on the line?

CALLER: Yes.

BILL WALSH: Ask your question.

CALLER: We were both exposed to someone who is positive. My husband is asymptomatic. Can he be positive without showing signs of symptoms, and if so, how long would he be positive? They will not test if you are asymptomatic.

BILL WALSH: Thank you.

NANCY MESSONNIER: There's been a lot about people who are asymptomatic but test positive. While it is possible that somebody is asymptomatic and tests positive, the data shows it is people with symptoms we are worried about. They are the ones that go on to get sicker, and we are worried about them because those are the people capable of transmitting. It does make sense that your health care providers are focusing on those with symptoms. That is really what you should be looking at. The incubation period is still 14 days. If you get through that without symptoms, it means that you are safe. If you have symptoms, what we want you to do is call your doctor. Not show up at the office, because most people are going to have a mild disease. If you have an onset of more severe symptoms, you will want to make sure your doctor can diagnose you and get you treatment.

BRETT GIROIR: I totally agree. I want everyone to understand that there are different concepts of what it means to be exposed to a person. I have heard people who were very concerned because they went into a room that an exposed person had been in the day before. That is a very low-risk situation. That is different than if you were talking to a person, right next to them, and they had a fever and were coughing, and you had high-risk exposure. When we talk about exposure, not all exposures are equal. Everything is correct with what Dr. Messonnier said. If you had a high-contact exposure, that is something to talk to your doctor about, that is different from being in a room a person had been in the day before.

BILL WALSH: Very good. Let us take another question. We are turning to Tony from Virginia. Are you there?

CALLER: I am here.

BILL WALSH: What is your question?

CALLER: it is a three-part question. How can friends care for those who are sick at home? What precautions should friends take when delivering food or offering to assist with transportation to medical appointments? If a caregiver is older and healthy, or older with preexisting conditions, how does that change your advice?

BILL WALSH: Thank you. Did you get all of those questions?

NANCY MESSONNIER: I just want to confirm I think you are asking if a patient has coronavirus, how can their friends support them? Is that right? The implication is that the patient is diagnosed with coronavirus?

BILL WALSH: I believe that is what she was saying.

NANCY MESSONNIER: I will start. I think it is great and really important we as a community support our friends, including those who are sick with coronavirus. As the admiral said, this is spread by the respiratory route. For example, if you are delivering food to somebody and leaving it at the door, and they’re opening the door, you're perfectly safe. If someone is diagnosed with coronavirus, they are the ones who have to take precautions they are given by their health care provider.

For example, if you are diagnosed with coronavirus, your doctor may recommend you wear a mask to prevent anybody else from getting sick. If you are helping to take care of a friend, or visiting a friend who is diagnosed and they have taken appropriate precautions — that is, a mask — you're perfectly safe to be in the environment with them. When you leave their house, you should wash your hands. And when you get out the door at home, you should wash them again. I think it is great we step up to help each other, and there are some commonsense precautions that will protect you.

BILL: I'm Bill Walsh with AARP. You can ask a question by pressing *3 on your telephone keypad. Let's go to Harry in Kentucky.

CALLER: I have a couple of comments. One, I was surprised the lady that was on early on kind of got political about it. I hope that we get smart people in charge. How do you determine if you have the flu or coronavirus? There is a comment on the internet that said a dry cough comes from the coronavirus and a wet cough is more with the flu. Thank you.

NANCY MESSONNIER: Thank you for asking that question so I can clarify. The problem is that viral respiratory infections have many of the same symptoms, and there is no way to distinguish influenza from coronavirus. The information about a wet cough versus a dry cough is frankly not true. That is why this is so difficult and so complicated for all of us, especially for health care providers.

In general, that is why you want to know if this disease is circulating in your community. If it is, you may contact your health care provider earlier if you have milder symptoms. If people have fever, a cough, shortness of breath, I would be worried about you having the symptoms regardless of whether it is influenza or coronavirus. You should use the same common sense that you would always use about what would prompt you to call your health provider.

BILL WALSH: I want to return to a point made earlier about older people thinking twice about taking long airplane rides. We are streaming on Facebook, and one of the questions we got was how do you define long? What is a long plane ride people should be concerned about?

NANCY MESSONNIER: I think that is a great question, and I wish I had a black-and-white answer. We have tried to be as transparent as possible. I would not think about it as an on-off switch but as a light dimmer. If you are in the oldest age group, in your 80s, and you have heart disease, diabetes, lung disease, it is not a great idea for you to get on any kind of flight. On the other hand, if you are in your mid-60s and otherwise healthy, I think it is fine to take small flights within the U.S. But I’d still be concerned about longer flights, not because of the flight, but because of the congregant setting and the opportunity to exchange secretions. There is a judgment call because we are looking both at your risk of exposure and also you risk of getting really sick.

BRETT GIROIR: Any setting that puts you in very close contact for a longer period of time with people sitting right next you who could potentially cough or sneeze, or touching surfaces that people could have coughed or sneezed on. Those are all risk factors. It depends on how necessary is that travel. Is it worth taking the risk of getting a serious disease for that travel? That is something you have to answer for yourself. If you are in an older group or have chronic conditions, or both, you need to be extremely careful about exposing yourself.

BILL WALSH: Let us take another caller. Veronica from New Jersey. Welcome. What is your question?

CALLER: If you are in your 70s and have asthma and high blood pressure, and you are scheduled for a total knee replacement within the next two weeks, should you continue with that surgery or should it be postponed?

BILL: Thank you, Veronica. Doctors?

BRETT GIROIR: You really need to talk to your health care provider about that. It will depend on a lot of situations. For example, if the hospital is functioning normally and has very few patients or no patients with coronavirus, it is probably a good thing to do. If it is an area where the hospital is full of coronavirus and very difficult to keep people who are not infected from becoming infected, then your doctor — the last thing your orthopedist wants is for you to get your knee replacement and get coronavirus. I think they are going to be right upfront about it.

There are other things to consider. Not that you would need this, but we know there are severe blood shortages in Seattle right now. Some surgeries might be postponed or delayed because the typical kinds of things we take for granted are no longer there. They have a blood shortage because people do not congregate. They don’t have group gatherings where everybody comes together and gives blood. It is a very good question and depends on where you are and what the situation is. Talk to your health care provider. They will give you the best advice for the institution at that time.

BILL WALSH: It sounds like what she was asking about was something you touched on earlier, which was if you have a medical appointment you attend regularly, or scheduled surgery, the advice to reach out to your health care professional in advance or possibly doing a telehealth visit might be the best alternative. Is that a fair statement?

BRETT GIROIR: That is a fair statement. We have not progressed far enough to do a telehealth knee replacement [LAUGHTER]. But if it is a routine checkup and you can check your blood pressure or do things, your health care provider might want to defer you from coming in, particularly if there are a lot of sick people in your community. We are talking to a whole national audience, and a lot depends on where you are and what the situation is. To be honest, what some of the precautions might be in the clinic you are going to. Is there a sick side and a well side, or is that not there yet? The advice Administrator Verma gave you about calling ahead, using the telehealth options, are all very good ones.

BILL WALSH: Just a reminder, I am Bill Walsh with AARP, and we are taking your questions about coronavirus with key leaders of the department of Health and Human Services and the Centers for Disease Control and Prevention. You can ask a question. We have Roger in Tennessee. Go ahead and ask your question.

CALLER: I'm 77, have type 1 diabetes. Wondering about attending church and in particular, taking the elements distributed at a communion service. Whether that is risky business.

BRETT GIROIR: This is one of the things I think Dr. Messonnier and I talk about. I will tell you that as we started out, I would not tell you anything I do not tell my mother. My mother's 87, Catholic, goes to church every week. But she stayed home last week because there are a lot of people together in close quarters, and I firmly believe God would understand if you chose to protect your health and avoided that.

I don't think there an absolute yes or no. Not all churches are equal, but it is a place people come together in close quarters, and I know this has been changed in some denominations. There is a hug of peace or shaking hands, and those are generally risky things for anybody at high risk. You sound very healthy, but you cannot beat the numbers. You’re 77 and have type 1 diabetes. I would be very careful.

NANCY MESSONNIER: I agree completely. I have heard stories from across the country of churches who have made decisions to kind of do tele-church where people can congregate without the risk. I think that is an interesting idea.

BILL WALSH: Very good. Let's take another call. Thomas in Texas.

CALLER: Yes, I want to thank everyone for being on the panel and providing this information. That is pretty awesome. I just recently canceled a cruise vacation to Spain and Italy. Do you concur that it is a good decision to cancel my vacation? The second part: Are cruise ships safe? Third, what countries are less vulnerable or safer for the virus? If someone was going to schedule a vacation, and we don't want to stay in the United States, where in the world could one go?

BILL WALSH: Thank you, Thomas. Doctors, do you want to address those travel plans?

BRETT GIROIR: I will take the first part and have Dr. Messonnier take the second part. We certainly think you made a really good decision to not go on your cruise. I know that must be gut-wrenching after looking forward to it. Cruise ships are places this disease is spread, and it is not just where you are going to, but where the other passengers and the crew have been and come from. It is part of the CDC's recommendation that if you are in a high-risk group, you should avoid cruises. In terms of safe places to go, I will kick that to Messonnier.

NANCY MESSONNIER: I want to come back to the cruise ships. It is important for us to not equate this unprecedented situation with a general idea that cruises are not safe. We are asking people to defer cruising because there is this high-risk right now of transmission of the coronavirus. This too shall pass. It is the one thing we know about diseases like this. It will pass, and when it passes, I am hoping people like you rebook cruises. It is great to take a vacation.

My friends have been asking the same question, and I think it is complicated. As we have seen in Italy, it can spread in a location very quickly. There are already so many countries that have disease, that it is hard to pick a spot that is walled off. One of the things we all love is to travel, and the interconnectedness of the world right now means that there is lots of opportunities for transmission. For a short while, it is probably best to stay close to home. This is going to evolve, and things might look very different in a month as we understand which way this is going. A month from now, it could be very clear that it is fine. It is hard to pick a place right now and promise that place will be spared.

BILL WALSH: I think we have time for one or two more questions. Renée from Pennsylvania, you had a question.

CALLER: Thank you. What advice do you have for people who work in nursing homes or long-term care facilities or memory care centers?

BILL WALSH: That is a good question. Doctors, can you address that?

NANCY MESSONNIER: I think it is a really good question. What I would say is that the most important thing if you work at one of those facilities is not to bring illness into that facility. On its own, the people in that nursing home are fine, unless the infection enters the community. I would suggest not only for yourself but your coworkers, you make sure they are following CMS policies. And you want to make sure that people don’t come to work sick, because others can get sick and it spreads. If it does not get into that community, it will not spread.

BRETT GIROIR: I agree completely. Make sure that if you’re sick, you do not go into that workplace and potentially infect and cause serious illness. We know there was a very high death rate in the long-term care facility near Seattle, and we want to avoid that. All of the things you do normally, even though you are not sick, good hygiene is important not just for coronavirus. Washing your hands, using the cleanliness protocols that you normally do are even more important.

BILL WALSH: That is an interesting question. If folks have a loved one in a nursing home or assisted living, how can they make sure their loved one is getting the preventative steps that are necessary to protect them from the virus?

BRETT GIROIR: I will say this more as a person who — our family cared for a relative who is chronically ill in our home and then in a facility. The important thing is to have communication. Talk to the people who are caring for your relatives or running the facility to go over these kinds of things, and make sure everyone knows how to protect the residents. I think that communication is very important. There are guidelines for the nursing facility or long-term care facility on the CDC website.

Administrator Verma is emphasizing through her groups on the proper precautions. I would say good communication. Don't be afraid to ask, whether you are a patient and there is a physician or you are a family member in a nursing home. There is nothing wrong with asking. You should be empowered to ask questions and basically advocate for your loved one whether you are the patient or your loved one is in a facility.

BILL WALSH: Can you tell our listeners what they should be asking?

NANCY MESSONNIER: You should be asking what policies and procedures are in place to make sure your loved ones stay safe. You want to know they are following CMS policy, but also that their staff has doubled down to make sure there are not illnesses coming into the facility. And that if somebody gets sick, it is detected quickly. You want to ask what their policies are and how they are implementing them.

BRETT GIROIR: Is there hand sanitizer available that everybody is using? Are there sinks, soap and water? The basic kinds of things because again, a lot of people are afraid because there is no vaccine. Just because there is not one now does not mean we don't have effective tools to prevent people from getting ill. These tools are the tried-and-true tools of public health. Avoiding close contact in congregate sessions, good handwashing and hygiene techniques can provide you a great deal of protection.

BILL WALSH: Admiral, you mentioned a vaccine. I was wondering if you could give our listeners an update on how creating a vaccine is going. How far away do you think we are?

BRETT GIROIR: Let me tell you the good news and then I will tell you the reality. The good news is there has never been a time in history where the technology has been so evolved that we can get candidate vaccines into people within a few months. That is exactly what is going to happen. But when a vaccine goes into people for the first time, it is only going to go into a small number of people in a clinical trial — 40, 50, 100 people — because we need to make sure it is safe. The foremost vaccinologist in the world said it will take a good year to 18 months.

Let us not fantasize about having a miracle drop in our laps. We do have power, and we do have tools. And feel empowered by that. There is no 100 percent guarantee, but you can do a lot to control your destiny by doing the simple things we talked about today. Social distancing, avoiding crowds, don't go on cruises or airlines if you are in a high-risk group. Make sure you wash your hands very carefully and stay away from people who are sick. This will provide you a high degree of protection and in many circumstances, that can provide you just as much protection as some vaccines can.

BILL WALSH: Let's take another call. Susan from New York.

CALLER: Thank you for taking my question. One of the severe complications I understand can be pneumonia. Will having had both pneumonia vaccines help protect you if, God forbid, you get that far?

BRETT GIROIR: First of all, thank you for having your pneumonia vaccines. It is critically important to have those because they are highly effective and do so many good things. Probably having the pneumonia vaccines will not help in this circumstance because the pneumonia vaccines protect against a large range of a certain type of bacteria that cause pneumonia. But it will not protect against this virus. One could make a case that maybe if you get the virus, you are less likely to get pneumonia, but in general, the vaccines will not help you stay safe. They do help you stay safe from things that would have killed tens of thousands of people a year if you do not have the pneumonia vaccine. Good for you.

BILL WALSH: One last question. I wanted to hear from Doris in New York. I am sorry, Catherine.

CALLER: Thank you. I wondered about eating out either in a sit-down restaurant or takeout fast-food restaurant.

NANCY MESSONNIER: I think this is the part about understanding the local risk. I don't think right now there is enough information to say we should all be homebound. Unless you are in the highest risk categories, I think we go about our normal lives. We try to stay safe, avoid crowds, but I don't think there is a reason to not eat out. That seems like a reasonable thing to do. Takeout is even less risk because you are only having casual contact. This is not necessarily something that will be over in a week or two, and I think we all have to take precautions, make sure we're doing everything to protect ourselves, our families and communities, but also get on with our lives.

BILL WALSH: Very good. We are getting to the top of the hour. Maybe that is a good time to wrap up. Admiral and Dr. Messonnier, do you have any closing thoughts or recommendations on what listeners should understand from our conversation today?

BRETT GIROIR: As I said at the beginning, this is not the time to panic. Stay informed, take it seriously because it can be a serious disease, stay up to date. We are committed to doing whatever we can to communicate. We are happy to have these types of phone calls. The website, CDC.gov, will always have the newest information and again, as Dr. Messonnier said, use common sense. You don't have to put your lives on hold. This will pass, but use the kind of reasonable precautions that could really be lifesaving to you or your loved ones while we are in the heat of the moment. We do remain committed to doing everything we can to provide information to support you and to work with you as we collectively get through this. And we will get through this.

NANCY MESSONNIER: I think that was well said. We really want to look for more opportunities to keep your community informed.

BILL WALSH: Thank you both so much. This is been a really informative discussion. Our thanks to each of you for answering questions and those from our listeners. Thank you, AARP members and listeners for participating in this discussion. If your question was not addressed, please go to AARP.org/coronavirus. We will post answers to the most frequently asked questions.

AARP is a nonprofit nonpartisan member organization has been working to promote the health and well-being of older Americans for more than 60 years. In the face of this outbreak, AARP is providing information and resources to help older people and those caring for them protect themselves from the virus and prevent from spreading to others. All of the resources referenced today, including a recording of today's Q&A event, will be available March 11 and can be found at AARP.org/coronavirus. There you will find the latest updates on coronavirus as well as information tailored for older adults and family caregivers.

We hope you learned something new about the coronavirus today. In the spirit of keeping you and your loved ones healthy, thank you and have a good day. This concludes our call.

[End of transcript.]

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>> Bill Walsh: Hello.

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I am AARP Vice President,

Bill Walsh,

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and I want to welcome

you to this important

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discussion about

the coronavirus.

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Today, we'll discuss

how you can stay informed

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and stay healthy,

with leading experts,

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and address your questions.

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AARP, a nonprofit,

nonpartisan member organization,

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has been working to promote

the health and well-being

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of older Americans

for more than 60 years.

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In the face of this outbreak,

AARP is providing information

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and resources

to help older people,

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and those caring for them,

protect themselves from

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the virus and

prevent its spread to others.

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According to the Centers for

Disease Control and Prevention,

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older adults and people with

underlying health conditions

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like heart disease, lung disease

and diabetes are about twice as

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likely to develop

serious outcomes than younger,

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healthier people.

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This is your

opportunity to learn,

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to ask questions and get answers

from the leading experts.

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If you've participated in one

of our tele-town halls before,

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you know this is similar

to a radio talk show and

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you have the opportunity

to ask questions live.

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We're also streaming

on www.AARP.org and on Facebook.

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If you'd like to ask

a question about coronavirus,

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press star-3 on your telephone

keypad to be connected to an

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AARP staff member, who will

note your name and question,

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and place you in

queue to ask that question live.

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To ask your

question, please press star-3.

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Before we

begin our conversation,

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we need to

hear from you.

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Please take a moment to tell us,

what is your greatest need for

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information about

the coronavirus right now?

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Press one on your

telephone keypad if you

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most want to hear about

preparation and prevention.

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Press two if you most

want to hear about Medicare

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and insurance coverage.

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Press three if you most want

to hear about local resources,

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and press four if you

most want to hear about

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supporting loved ones,

including family and friends.

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So press one

for preparation and prevention,

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press two for

Medicare and insurance coverage,

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three for local resources and

four for support for loved ones.

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What is your greatest

need for information right now?

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Hello, if you're just joining,

I am Bill Walsh with AARP,

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and I want to welcome

you to this important

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discussion about coronavirus.

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We're talking with leading

experts today and taking your

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questions live.

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Joining us today

is Admiral Brett Giroir, M.D.

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He is the Assistant

Secretary for Health at the U.S.

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Department

of Health and Human Services.

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Also joining

us is Dr. Nancy Messonnier,

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M.D., Director of the National

Center for Immunization and

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Respiratory Diseases at the CDC.

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And finally, administrator

Seema Verma leads the Centers

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for Medicare and Medicaid,

also known as CMS.

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We'll focus today on factual

information in order to ensure

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you are up to date and informed,

to keep you and your family

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healthy and safe.

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This event is being recorded,

and you can access the recording

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at www.AARP.org/coronavirus

24 hours after the event.

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AARP is convening this

tele-town hall to supply

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information about

coronavirus in an effort to

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help protect the public.

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While we see an important role

for AARP to play in providing

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consumer information and

advocacy related to the virus,

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the public should be aware

that the best source of health

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and medical information

is the Centers for

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Disease Control

and Prevention.

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It can be reached

at www.cdc.gov/coronavirus.

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Right, well,

let's turn right to the CDC.

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Admiral Brett Giroir, thank

you and welcome to our show.

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>> Adm. Brett Giroir:

I wanted very much,

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and I want to thank all of you

across the country and beyond

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for joining us here today, and

to really thank AARP for this

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very important, and really

potentially life-saving call.

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I want everyone to know that

you do need to take this virus,

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coronavirus,

seriously, but do not panic.

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You are not helpless.

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In fact, you have a lot

of power to protect yourself,

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your family and your community.

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I'm going to talk to

you the same way I talked to my

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87-year-old mom last weekend,

and give you the same advice.

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You deserve, and

will receive, the same advice,

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the same recommendations

and the same honesty that

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I tell my own family.

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We are all

here for you, doing this call,

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in our entire administration

is here for you always,

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both during

and after the outbreak.

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And a little later,

we're going to go over a

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significant amount

of information.

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All the basics you

need to know about the virus;

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how it's transmitted;

most importantly,

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how to protect yourself.

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But as was just said,

the most important thing for

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you to know is where

to get updated information.

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That's really

critically important,

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and if you use websites,

very easy.

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www.CDC.gov.

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Very easy to remember.

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You don't even

have to remember "backslash,"

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because as soon as

you get to that website,

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there'll be a big,

huge picture of the virus

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that says

"coronavirus." Just click

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on it, and will

it will bring you right there.

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You can go to www.coronavirus.gov,

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but I can spell

www.CDC.gov a whole

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lot easier than coronavirus.

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So, just remember that.

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Your health plans will

typically have an information

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line or nurse line,

and administrator Verma will

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probably talk about that,

that can help you, as well.

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And unless you are really sick,

please don't go to an emergency

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room or an urgent care.

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Call your doctor

or nurse line first.

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Today, we're

going to tell you what we know,

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as well as what were

learning, but we do know a lot,

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and we know what you

can do to help protect

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yourself and your loved ones.

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>> Bill Walsh: Admiral,

thanks for that.

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I was wondering if you can give

us the latest state of play.

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I understand you're

at CDC headquarters in Atlanta.

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>> Dr. Nancy Messonnier:

This is Dr. Messonnier.

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Maybe I'll just

give you a little information.

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As of this morning, the

case count is somewhere close,

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almost to 700

confirmed and presumed U.S.

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cases from 38 jurisdictions.

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That's 36 states

and New York and D.C. And we

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can expect those

case counts to go up.

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Globally, we continue to

see large increases in disease,

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and as of yesterday morning,

I think the numbers continue to

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rise, especially in Italy.

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The numbers are somewhere more

than 100,000 cases worldwide.

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>> Bill Walsh: Okay, very good.

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Well, thank

you both for that overview.

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We're going to

circle back to you in a moment,

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but right now I'd

like to turn to CMS

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Administrator Seema Verma.

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Administrator Verma leads

the Centers for Medicare

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and Medicaid Services.

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CMS administers health coverage

programs for more than 130

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million Americans.

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Administrator Verma is also

part of the administration's

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coronavirus task force.

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Thank you for joining

us today, administrator Verma.

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>> Seema Verma: My pleasure,

Dr. Giroir.

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Great to be here.

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>> Bill Walsh: All right, well,

you're talking to Bill Walsh

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from AARP right now, but

we really appreciate your time,

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and we know your availability

is limited, so let's jump right.

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Can you talk to us about

the cost implications for those

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enrolled in Medicare?

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That is, if older

adults need a coronavirus test,

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what's it going to cost them?

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>> Seema Verma: Sure.

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So, let me back up a little

bit and talk a little bit more

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broadly about

CMS and some of our response,

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and then will certainly talk

about the implications for our

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Medicare beneficiaries.

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CMS is responsible for managing

Medicare and Medicaid programs,

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and also developing and

enforcing safety requirements

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in all of our healthcare

institutions across the country.

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So, not only are we providing

insurance coverage for over

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130 million Americans,

but we also have oversight

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of some of our

healthcare institutions.

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So, let me start with

Dr. Geroir's question about

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what's going on in Medicare,

what you can expect to

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see for your coverage.

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Some of you are

in Medicare Advantage plans,

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and some of you are in

the traditional fee-for-service

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program in Medicare.

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The good news is, no matter

what type of program you're in,

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you can get a coronavirus

test with no-cost sharing.

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I just came from a

meeting with the president

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and the vice president,

and they were talking to

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insurance companies

and they got a commitment

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from insurance

companies not only for Medicare

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Advantage plans, but really

all insurance companies around

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covering the cost of coronavirus

tests, with no-cost sharing,

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and also the related services.

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So, that's the first thing.

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The second thing,

I think, is really important,

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and it goes back

to a comment that you made.

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You said,

"Before you go to your doctor,

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give them a call."

And it's important we do that,

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because we don't want people

to come in unnecessarily into

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the healthcare

system if they don't need to.

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And the good news is, under

the president's leadership,

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Medicare started paying

for tele-health services in

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a large way

over the last couple of years.

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And again, this is a very

historic change that was done

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under this administration,

and we're very proud of that,

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and it couldn't be more timely.

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So, you can call your

doctor, you can Skype with them,

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you can send them pictures.

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And all

of those are covered services,

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so your doctor can bill

for those particular services.

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And as Dr. Geroir said, that's

extremely important right now.

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>> Bill Walsh: Very good--

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>> Seema Verma:--some of

the other--

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>> Bill Walsh: -- yeah,

I'm sorry to interrupt you.

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You made

a couple of important points,

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I want to

make sure they don't get lost.

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I heard you say that

the Medicare would fully

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cover a coronavirus test.

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Did I also hear you say

that private insurance would

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cover the test, as well?

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>> Verma Seema:

That's exactly right.

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That's hot off the presses.

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I think you'll

see more about that tonight,

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that we met with the nation's

insurance companies today,

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00:10:22,054 --> 00:10:23,456

the major ones.

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00:10:23,522 --> 00:10:26,158

Again, you should always

check with your provider or your

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00:10:26,225 --> 00:10:29,562

insurance company, but

we spoke with them this morning,

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and they're committing to

covering the cost of the tests

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00:10:32,531 --> 00:10:35,101

and ensuring that there

is no out-of-pocket expenses.

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We really don't want anyone

who feels like they need a test,

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we don't want cost to be

a barrier to getting that test.

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>> Bill Walsh:

Well, that's great news.

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What about

other coronavirus services?

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Will Medicare be

covering quarantines

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00:10:49,415 --> 00:10:52,918

and any potential vaccine?

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00:10:52,985 --> 00:10:54,553

>> Seema Verma: So, you know,

most of our services that

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00:10:54,620 --> 00:10:57,490

your would

need related to coronavirus,

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whether that's a doctor's

visit and hopefully not a

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00:11:00,292 --> 00:11:02,728

hospitalization,

those are routinely covered

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00:11:02,795 --> 00:11:05,531

by your Medicare program.

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00:11:05,598 --> 00:11:09,702

In terms of a vaccine, there is

not a vaccine now at this time.

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Although our researchers

are hard at work on developing

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a vaccine,

we do not have one at this time.

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But if it was available,

it would be covered in

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the part D program.

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So, Medicare would cover

it under the part D program.

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>> Bill Walsh: Okay.

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00:11:27,186 --> 00:11:29,688

Administrator Verma, AARP has

urged Congress to provide ample

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resources to combat

the coronavirus and facilitate

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00:11:35,161 --> 00:11:37,863

tele-health

visits for those on Medicare.

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You mentioned

these just a moment ago.

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Can you talk a little

bit more about tele-health,

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00:11:42,134 --> 00:11:45,337

and if efforts have been

taken to expand those services?

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00:11:45,404 --> 00:11:46,272

>> Seema Verma: Sure.

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So, tele-health is a

way for patients to access

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healthcare using telecommunications

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and digital

communication technology.

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It allows a patient to connect

with their doctor without

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00:11:57,616 --> 00:12:01,887

actually having to travel to

a doctor's office or hospital.

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And those are services

that are available not just

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because of the coronavirus,

but because of some of

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the changes that we've made under this administration.

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So, over the last year,

last three years,

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the Trump administration has

made it possible for doctors to

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bill for their time talking

to patients over the phone and

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video chat with patients,

to help triage medical issues.

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And it's really

essential that all Americans,

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especially those that are at

high risk for complications from

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the virus, like our seniors,

are aware of these easy-to-use,

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00:12:32,785 --> 00:12:36,489

accessible tele-health benefits

that can keep them healthy

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and also help contain

the spread of this disease.

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>> Bill Walsh: I saw that--

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00:12:41,293 --> 00:12:43,229

>> Seema Verma: Just

a couple more things.

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00:12:43,295 --> 00:12:46,966

Virtual check-ins,

e-visits are all available.

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00:12:47,032 --> 00:12:48,767

>> Bill Walsh: Excellent.

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I saw CMS put out a

press release this morning

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about tele-health

benefits and Medicare,

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along with some

advice about what, particularly,

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older Americans should

do if they're thinking about

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visiting their doctor's office.

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00:13:00,679 --> 00:13:03,516

Can you tell our audience

what advice you'd like to

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00:13:03,582 --> 00:13:05,251

give in that regard?

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00:13:05,317 --> 00:13:06,118

>> Seema Verma: Sure.

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So, if a Medicare beneficiary

is looking for some advice about

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00:13:09,755 --> 00:13:13,058

symptoms they're experiencing,

they can just call their doctor

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00:13:13,125 --> 00:13:15,928

and receive medical direction

about whether they should

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come into the office

in person for an exam.

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00:13:19,765 --> 00:13:23,235

If they start to feel more

ill, a virtual visit allows

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00:13:23,302 --> 00:13:25,604

the provider to

offer recommendations about

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00:13:25,671 --> 00:13:28,174

next steps, and even to

take precautions before

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00:13:28,240 --> 00:13:31,177

they put others at risk.

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00:13:31,243 --> 00:13:32,578

>> Bill Walsh:

That sounds like great advice.

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And one last think I wanted

to ask you, Administrator Verma,

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you had mentioned that CMS also

has purview over facilities.

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I'd like to know what CMS is

doing to assure that hospitals,

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clinics and clinicians

are prepared,

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and to make sure they're

prepared and capable

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to handle people

with coronavirus infections.

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00:13:51,463 --> 00:13:53,098

>> Seema Verma:

I appreciate that question.

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One of the things that we've

done is a call to action around

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infection control.

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And that essentially means is

that we want to make sure that

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00:14:01,140 --> 00:14:04,276

hospitals and nursing homes

and really all of our healthcare

293

00:14:04,343 --> 00:14:08,447

facilities are doing everything

that they can to prevent

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00:14:08,514 --> 00:14:11,217

the spread of the

disease inside these facilities,

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which is really important.

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These policies

and guidelines are not new.

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They've been...

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they've existed for many years

because every year we prepare

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for the flu, but

it's really just encouraging

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and double-downing

on these policies.

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The president also took action

in particular and said,

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"Look, we're going

to be proactive around this,"

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and he's instructed

us to use our 8, 000

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00:14:34,573 --> 00:14:38,711

surveyors to go out

proactively into nursing homes

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and into hospitals to make sure

that they have the appropriate

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00:14:43,115 --> 00:14:45,451

procedures and policies,

and that they're doing

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the right things

to keep our patients safe.

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>> Bill Walsh:

All right, very good.

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We appreciate

you taking the time today.

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We know that you've

got a busy schedule when

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you've got to step away.

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Do any closing thoughts you'd

like to share with our audience?

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00:14:59,865 --> 00:15:01,700

>> Seema Verma: I really

appreciate what you started

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00:15:01,767 --> 00:15:04,036

with, which is

just the recommendations

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00:15:04,103 --> 00:15:07,006

around encouraging

people to stay calm.

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We've got great recommendations

from the CDC about best

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00:15:11,543 --> 00:15:14,313

practices, just

in terms of washing your hands,

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00:15:14,380 --> 00:15:16,982

staying away from

people that are sick.

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You know,

I was telling my daughter...

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she's off for spring break

and she wanted to go visit

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00:15:21,320 --> 00:15:24,323

her grandparents,

my parents, and she had a cold.

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And I just told her,

I said, "I don't think this

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is a good time to visit."

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So those things

are really important.

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I think the advice around

travel is also very critical,

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and I know you'll be reviewing

that later about cruise ships,

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and also just any

nonessential travel

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and staying away from crowds.

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So, I think all of those,

the great advice that CDC

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has given us, it's really

important that our seniors,

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and especially those

with underlying healthcare

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conditions,

really heed that advice.

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>> Bill Walsh: Very good,

well, thank you again for

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00:15:57,756 --> 00:15:58,791

joining us today.

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And just a reminder to her

listeners that this tele-town

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00:16:01,360 --> 00:16:02,695

hall is being recorded

and will be available at

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00:16:02,761 --> 00:16:08,267

www.AARP.org/coronavirus

in 24 hours.

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00:16:08,334 --> 00:16:10,803

For those of you

just joining our conversation,

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00:16:10,869 --> 00:16:14,506

I am Bill Walsh with AARP,

and were speaking today with

340

00:16:14,573 --> 00:16:17,710

leading health

experts about the coronavirus.

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We're also taking

your questions live.

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00:16:20,979 --> 00:16:24,249

To ask a question at

any time, please press star-3.

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00:16:24,316 --> 00:16:27,820

I'd like to bring back

into the conversation

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00:16:27,886 --> 00:16:31,423

Admiral Brett Giroir, M.D.,

from the U.S. Department

345

00:16:31,490 --> 00:16:33,759

of Health and Human Services, and welcome

346

00:16:33,826 --> 00:16:36,995

Dr. Nancy Messonnier,

M.D., Director of the National

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00:16:37,062 --> 00:16:40,833

Center for Immunization and Respiratory Diseases at the CDC.

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00:16:40,899 --> 00:16:42,968

Thank you both

for joining us today.

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Admiral,

let's get right to it.

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00:16:45,704 --> 00:16:48,974

We are eager to hear from you,

and appreciate your time today.

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Can you walk us through

some of what our audience

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00:16:52,945 --> 00:16:54,580

needs to know

about coronavirus?

353

00:16:54,646 --> 00:16:57,850

I think it bears repeating,

and especially what steps steps

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are being done to contain the

pathogen and reduce its impact?

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00:17:03,555 --> 00:17:04,189

>> Adm.

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00:17:04,256 --> 00:17:05,524

Brett Giroir: Yeah,

thank you for the opportunity.

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00:17:05,591 --> 00:17:08,660

So, it's not

that long of a history,

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00:17:08,727 --> 00:17:13,732

but I think all of our listeners

today remember that early on,

359

00:17:13,799 --> 00:17:17,236

this outbreak started

in a particular part of China,

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where the first patients

who got the virus probably

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got from an animal

contact in a live animal market.

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But now we know that there

is a person-to-person spread.

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That happened first in

China, and now in many countries

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outside China,

including the United States.

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And in many parts of the United

States, like in Washington,

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in California and New

York, there is something

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called community spread,

meaning it is actually spread

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among people in

the community that we can't

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trace to travel outside

of the United States

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or other contact.

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But person-to-person spread

means a lot of things to people,

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so let me just be exact

on how we believe it spread

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from person to person.

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It's generally spread between

person-to-person if you are in

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00:18:03,248 --> 00:18:05,751

close contact

with one another; that is,

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within six feet of one

another, and it spreads through

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respiratory droplets

that people produce when

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00:18:12,724 --> 00:18:15,194

they cough or sneeze.

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00:18:15,260 --> 00:18:18,230

These droplets

can land on your nose or mouth,

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00:18:18,297 --> 00:18:21,400

or potentially on your

hands and you touch your face,

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and you can get infected.

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Very important for

everyone to understand

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that this

is not like measles.

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And what I mean by that is,

if somebody had measles

385

00:18:31,343 --> 00:18:34,379

and they walk into a room

and you don't have a vaccine,

386

00:18:34,446 --> 00:18:36,148

you could be anywhere

in that room and you can

387

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get infected with measles.

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This is not like that.

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This is a close

contact disease.

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Now, it may be possible

that a person can get

391

00:18:45,023 --> 00:18:49,027

coronavirus by touching

a surface or an object that

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00:18:49,094 --> 00:18:52,798

the bar landed on, and

the touching your nose or mouth.

393

00:18:52,865 --> 00:18:54,800

This is not the main

way the virus spreads,

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00:18:54,867 --> 00:18:56,902

but it certainly

is still possible,

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which is why we have a lot

of recommendations about good

396

00:19:00,205 --> 00:19:02,341

cleanliness and hygiene.

397

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So let me give you just some,

now that you understand how

398

00:19:05,077 --> 00:19:07,546

the virus is spread,

I want to give you some basic

399

00:19:07,613 --> 00:19:09,681

ways that you can protect yourself that we know are

400

00:19:09,748 --> 00:19:10,983

very effective,

401

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and then I want Dr. Messonnier

to go specifically about

402

00:19:14,686 --> 00:19:19,057

special precautions that

we have for older Americans

403

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or those with conditions

like diabetes or heart disease.

404

00:19:21,927 --> 00:19:25,030

So, first of all,

there is no vaccine now

405

00:19:25,097 --> 00:19:28,300

to prevent coronavirus,

and there are no specific

406

00:19:28,367 --> 00:19:30,035

medicines to treat it.

407

00:19:30,102 --> 00:19:33,305

Now, that may sound scary,

but it shouldn't be because

408

00:19:33,372 --> 00:19:35,641

you have a lot to

do with preventing your illness.

409

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So, first of all,

use common sense.

410

00:19:39,111 --> 00:19:41,947

Avoid close contact

with people who are sick.

411

00:19:42,014 --> 00:19:44,850

If they're sick,

don't get close to them.

412

00:19:44,917 --> 00:19:47,753

Make sure that they are

protecting you by sneezing

413

00:19:47,819 --> 00:19:51,223

into their arms,

washing their hands, as well.

414

00:19:51,290 --> 00:19:52,491

But, avoid contact.

415

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The second one

is very hard to do.

416

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Try to avoid touching

your eyes, nose and mouth.

417

00:19:58,597 --> 00:20:00,599

If you catch yourself,

you see that you will do this

418

00:20:00,666 --> 00:20:02,968

dozens or maybe

even a hundred times a day.

419

00:20:03,035 --> 00:20:07,272

It's very, very important to try

to remember to not touch your

420

00:20:07,339 --> 00:20:08,640

eyes, nose or mouth.

421

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And sometimes, what I tell

people to do is literally tie a

422

00:20:11,843 --> 00:20:14,046

little string on their finger

that they don't notice before

423

00:20:14,112 --> 00:20:16,248

and when they see that,

they kind of notice where

424

00:20:16,315 --> 00:20:17,749

their hands are.

425

00:20:17,816 --> 00:20:20,953

Clean and, if you can,

disinfect frequently-touched

426

00:20:21,019 --> 00:20:23,789

objects and surfaces

using a regular household

427

00:20:23,855 --> 00:20:25,123

cleaning spray or wipe.

428

00:20:25,190 --> 00:20:28,860

This could be things like

door handles or even if you...

429

00:20:28,927 --> 00:20:32,431

things that are touched

quite a bit that other people

430

00:20:32,497 --> 00:20:33,799

could be touching.

431

00:20:33,865 --> 00:20:35,033

Very important.

432

00:20:35,100 --> 00:20:38,737

Do what your mom taught you

to do and you tell your children

433

00:20:38,804 --> 00:20:41,907

to do, and that is wash

your hands with soap and water,

434

00:20:41,974 --> 00:20:44,676

and do it for at least

20 seconds and really wash

435

00:20:44,743 --> 00:20:46,678

it really good,

and wash it frequently.

436

00:20:46,745 --> 00:20:49,581

And if you don't have

soap and water available

437

00:20:49,648 --> 00:20:52,818

or it's really much

more convenient for you use,

438

00:20:52,884 --> 00:20:56,188

you can use a hand

sanitizer that has a high

439

00:20:56,254 --> 00:20:57,923

percentage of alcohol.

440

00:20:57,990 --> 00:21:00,158

These works really well,

and you can carry the

441

00:21:00,225 --> 00:21:03,729

little bottles around with

you basically everywhere you go.

442

00:21:03,795 --> 00:21:05,897

Now, that's

general for everybody.

443

00:21:05,964 --> 00:21:07,399

Everybody should

be doing that.

444

00:21:07,466 --> 00:21:09,868

But Dr. Messonnier wants

to give some really

445

00:21:09,935 --> 00:21:12,971

special precautions

for older Americans,

446

00:21:13,038 --> 00:21:15,774

because,

as Mr. Walsh said early on,

447

00:21:15,841 --> 00:21:18,543

we know

that the elderly, particularly,

448

00:21:18,610 --> 00:21:23,015

can be at really high risk of

a bad outcome with coronavirus,

449

00:21:23,081 --> 00:21:24,650

so we want to prevent that.

450

00:21:24,716 --> 00:21:26,051

Dr. Messonnier?

451

00:21:26,118 --> 00:21:27,319

>> Dr. Nancy Messonnier:

Thank you, Admiral Giroir,

452

00:21:27,386 --> 00:21:29,354

and thank you for

hosting this important meeting.

453

00:21:29,421 --> 00:21:34,493

I want to frame this starting

from where Admiral Giroir

454

00:21:34,559 --> 00:21:37,029

stopped, which is we know it's

spread by the respiratory route,

455

00:21:37,095 --> 00:21:41,066

and there are things you can

do to prevent getting infected.

456

00:21:41,133 --> 00:21:44,736

But we also know that

respiratory viruses do spread,

457

00:21:44,803 --> 00:21:46,138

and over

the next couple years,

458

00:21:46,204 --> 00:21:47,939

it's likely that

many Americans will come in

459

00:21:48,006 --> 00:21:49,941

contact with this virus.

460

00:21:50,008 --> 00:21:53,278

But the good news

is that most disease is mild.

461

00:21:53,345 --> 00:21:55,714

Out of the data

coming from China,

462

00:21:55,781 --> 00:21:57,482

more than 80% of

people had mild illness,

463

00:21:57,549 --> 00:22:01,253

and it's really only

15% to 20% who develop more

464

00:22:01,319 --> 00:22:03,055

severe illness.

465

00:22:03,121 --> 00:22:06,358

However, the concerning

thing is that the disease

466

00:22:06,425 --> 00:22:09,828

clearly affects older

adults more seriously.

467

00:22:09,895 --> 00:22:12,364

Starting at age 60, there's

an increased risk of death,

468

00:22:12,431 --> 00:22:15,434

and the risk

increases with age.

469

00:22:15,500 --> 00:22:18,170

The highest risk

of severe illness in people

470

00:22:18,236 --> 00:22:21,440

older than age 80,

and especially in people

471

00:22:21,506 --> 00:22:25,844

who are older who have serious chronic medical conditions,

472

00:22:25,911 --> 00:22:28,814

like heart disease,

diabetes and lung disease.

473

00:22:28,880 --> 00:22:32,250

So, it's those individuals that

we think are at greatest risk,

474

00:22:32,317 --> 00:22:35,220

and those individuals

who we are asking to

475

00:22:35,287 --> 00:22:36,621

take special precautions.

476

00:22:36,688 --> 00:22:40,092

The kind of precautions that

we're taking are more than you

477

00:22:40,158 --> 00:22:43,295

would do to prevent yourself

individually getting sick.

478

00:22:43,361 --> 00:22:46,665

There are things that

keep you away from other people,

479

00:22:46,732 --> 00:22:49,501

or what we're

calling congregate settings,

480

00:22:49,568 --> 00:22:52,204

where you are more

likely to have lots of exposure.

481

00:22:52,270 --> 00:22:54,740

So for example,

we're recommending that you have

482

00:22:54,806 --> 00:22:58,443

supplies on hand,

like routine medications for

483

00:22:58,510 --> 00:23:01,713

blood pressure and diabetes

and over-the-counter medications

484

00:23:01,780 --> 00:23:04,015

and medical supplies, and

have enough household items and

485

00:23:04,082 --> 00:23:08,220

groceries so that you can stay

at home for a period of time,

486

00:23:08,286 --> 00:23:10,622

because you may

need to stay at home,

487

00:23:10,689 --> 00:23:12,591

or at least closer

to home, for a couple weeks,

488

00:23:12,657 --> 00:23:15,227

especially if there

is spread in your community.

489

00:23:15,293 --> 00:23:18,430

So, those are some

precautions that we think you

490

00:23:18,497 --> 00:23:19,664

should be taking now.

491

00:23:19,731 --> 00:23:22,033

We also think that you

should take seriously

492

00:23:22,100 --> 00:23:25,003

the idea of everyday

precautions, specifically,

493

00:23:25,070 --> 00:23:27,072

avoiding close contact

with people who are sick,

494

00:23:27,139 --> 00:23:32,344

cleaning your hands often,

avoiding touching surfaces,

495

00:23:32,410 --> 00:23:35,580

and that mean that,

as you heard earlier,

496

00:23:35,647 --> 00:23:38,383

if your grandchild is

expected to come visit

497

00:23:38,450 --> 00:23:41,019

and they have a

fever and a runny nose,

498

00:23:41,086 --> 00:23:44,422

it may not be the right

time for them to visit you.

499

00:23:44,489 --> 00:23:48,393

We're suggesting avoiding

crowds and also, importantly,

500

00:23:48,460 --> 00:23:50,929

we're

recommending that travelers,

501

00:23:50,996 --> 00:23:54,733

particularly those who are older

with underlying health issues,

502

00:23:54,800 --> 00:23:59,571

defer cruise ship travel travel

and defer long plane trips.

503

00:23:59,638 --> 00:24:03,475

And lastly,

as Admiral Geroir started with,

504

00:24:03,542 --> 00:24:06,244

it's really important that

you stay up on what's going on.

505

00:24:06,311 --> 00:24:08,613

the CDC website is

a great source of information,

506

00:24:08,680 --> 00:24:11,149

but in fact you really

want to know what's going on

507

00:24:11,216 --> 00:24:13,919

in your local community,

because that's where you get

508

00:24:13,985 --> 00:24:16,454

the most direct

information about the risk.

509

00:24:16,521 --> 00:24:18,256

And so, you want to

know what the website is

510

00:24:18,323 --> 00:24:22,260

or how your community

sends out information so

511

00:24:22,327 --> 00:24:24,529

that you can be hearing

quickly if there's local spread.

512

00:24:24,596 --> 00:24:26,131

Admiral Geroir?

513

00:24:26,198 --> 00:24:26,965

>> Bill Walsh: Very good.

514

00:24:27,032 --> 00:24:27,933

Well, let me jump in there.

515

00:24:27,999 --> 00:24:28,800

There was a lot of information.

516

00:24:28,867 --> 00:24:30,769

I want to make sure

none of it gets lost.

517

00:24:30,836 --> 00:24:34,139

Dr. Messonnier, you

mentioned that, particularly,

518

00:24:34,206 --> 00:24:38,310

older adults should stockpile

on prescription medications that

519

00:24:38,376 --> 00:24:41,580

they may need; however,

often times insurers will

520

00:24:41,646 --> 00:24:44,683

only pay for up

to a 30-day supply.

521

00:24:44,749 --> 00:24:48,753

What's your advice to people

if they need more than that?

522

00:24:48,820 --> 00:24:50,856

>> Dr. Nancy Messonnier:

I guess I have trouble with

523

00:24:50,922 --> 00:24:54,226

the word "stockpile," because

it's not exactly what I meant.

524

00:24:54,292 --> 00:24:56,494

What we're asking is

to have at least a couple weeks'

525

00:24:56,561 --> 00:24:59,865

supply on board, and so

what you're saying is correct.

526

00:24:59,931 --> 00:25:01,533

If folks have issues,

they should talk to

527

00:25:01,600 --> 00:25:02,500

their insurance company.

528

00:25:02,567 --> 00:25:05,604

And as you heard earlier,

there are already conversations

529

00:25:05,670 --> 00:25:07,739

with insurance

companies about how to prepare.

530

00:25:07,806 --> 00:25:09,908

So, Admiral

Geroir will talk about that.

531

00:25:09,975 --> 00:25:12,978

But again, we're

not talking about stockpiling.

532

00:25:13,044 --> 00:25:16,181

We're talking about having

enough medication on board that

533

00:25:16,248 --> 00:25:20,151

if your community says

you probably should stay home,

534

00:25:20,218 --> 00:25:21,753

you're not going to have

difficulty because you don't

535

00:25:21,820 --> 00:25:22,888

have your regular medication.

536

00:25:22,954 --> 00:25:25,056

>> Adm: Brett Giroir: And I

know Administrator Verma

537

00:25:25,123 --> 00:25:26,992

probably had

to leave the call,

538

00:25:27,058 --> 00:25:28,927

but she is very

actively on this,

539

00:25:28,994 --> 00:25:32,297

and you'll be seeing some new

discussions and recommendation

540

00:25:32,364 --> 00:25:37,168

to some of the Medicare

plans that will help some of

541

00:25:37,235 --> 00:25:41,473

the Medicare enrollees potentially have a larger

542

00:25:41,539 --> 00:25:44,175

supply of medications on hand.

543

00:25:44,242 --> 00:25:47,646

But we do think,

again, not to stockpile, like,

544

00:25:47,712 --> 00:25:50,448

fill your basement

up with all your medications,

545

00:25:50,515 --> 00:25:52,851

but make

sure that you have, if you can,

546

00:25:52,918 --> 00:25:57,422

a good month or more

medications, a couple of months,

547

00:25:57,489 --> 00:25:59,090

to keep

you out of the doctor's office.

548

00:25:59,157 --> 00:26:03,028

And if you can't go

out to the pharmacy for example,

549

00:26:03,094 --> 00:26:05,864

try to think about

a mail-order plan.

550

00:26:05,931 --> 00:26:07,198

You may not have

done that before,

551

00:26:07,265 --> 00:26:09,801

but getting your drugs

mailed to you so you don't

552

00:26:09,868 --> 00:26:11,870

have to go out in

the middle of a grocery store

553

00:26:11,937 --> 00:26:14,973

could be crowded

right around the pharmacy,

554

00:26:15,040 --> 00:26:16,975

where a lot

of people are sick.

555

00:26:17,042 --> 00:26:17,642

>> Bill Walsh: Fair enough.

556

00:26:17,709 --> 00:26:18,543

Another question.

557

00:26:18,610 --> 00:26:20,612

There's been some

confusion over the use of

558

00:26:20,679 --> 00:26:22,247

masks and their effectiveness.

559

00:26:22,314 --> 00:26:22,914

Can you...

560

00:26:22,981 --> 00:26:23,581

do you...

561

00:26:23,648 --> 00:26:27,085

what do you

recommend in that regard.

562

00:26:27,152 --> 00:26:28,420

>> Dr. Nancy Messonier:

This is Dr. Messonier.

563

00:26:28,486 --> 00:26:30,055

That's a really

important question.

564

00:26:30,121 --> 00:26:32,290

I really want to

encourage people not to go

565

00:26:32,357 --> 00:26:35,627

out to the store or

get on Amazon and order masks.

566

00:26:35,694 --> 00:26:37,963

We don't think that

the best us of masks is

567

00:26:38,029 --> 00:26:40,231

the general American public.

568

00:26:40,298 --> 00:26:43,068

Masks are most important

for those who are at highest

569

00:26:43,134 --> 00:26:46,304

risk in the United States,

and that's healthcare workers.

570

00:26:46,371 --> 00:26:48,139

We count on our healthcare

workers to be on

571

00:26:48,206 --> 00:26:52,110

the front lines, taking

care of us when we're sick,

572

00:26:52,177 --> 00:26:54,612

and we want to make sure that

they can keep doing their job,

573

00:26:54,679 --> 00:26:57,749

so I would ask you,

I understand why it looks like

574

00:26:57,816 --> 00:27:00,819

a mask is the right thing

to do, but right now, it's not.

575

00:27:00,885 --> 00:27:03,254

The right thing to do

is make sure that the masks

576

00:27:03,321 --> 00:27:05,156

are available

for those who need it.

577

00:27:05,223 --> 00:27:07,192

>> Bill Walsh: Okay.

578

00:27:07,258 --> 00:27:09,227

As you may know,

AARP provides a lot of

579

00:27:09,294 --> 00:27:11,863

information to

family caregivers,

580

00:27:11,930 --> 00:27:14,432

those folks may be

caring for people with

581

00:27:14,499 --> 00:27:17,002

the risk factors

that you mentioned.

582

00:27:17,068 --> 00:27:20,038

Do you have any additional

instructions for caregivers

583

00:27:20,105 --> 00:27:21,239

that are out there?

584

00:27:21,306 --> 00:27:22,807

>> Dr. Nancy Messonier:

Yeah, you know,

585

00:27:22,874 --> 00:27:24,676

you could end up in

the role of helping to care

586

00:27:24,743 --> 00:27:27,679

for a family member

or a friend who is greater risk,

587

00:27:27,746 --> 00:27:30,849

and so we recommend that you

familiarize yourself with your

588

00:27:30,915 --> 00:27:34,252

loved ones' medications, and

help them get extra medications

589

00:27:34,319 --> 00:27:37,422

on board, and as we talked

about, taking care of yourself.

590

00:27:37,489 --> 00:27:40,825

We also recommend

food, medical supplies,

591

00:27:40,892 --> 00:27:45,030

other necessities so that you

can minimize trips to the store.

592

00:27:45,096 --> 00:27:48,033

And finally, if you

are responsible for somebody

593

00:27:48,099 --> 00:27:51,369

else's care, you need

to have a plan if they get

594

00:27:51,436 --> 00:27:53,805

sick or if you get sick.

595

00:27:53,872 --> 00:27:58,843

You have to identify backup

to care for them if you can't.

596

00:27:58,910 --> 00:28:00,178

>> Bill Walsh:

Okay, that's very helpful.

597

00:28:00,245 --> 00:28:00,879

Thank you.

598

00:28:00,945 --> 00:28:03,348

For those of you who are

just joining our conversation,

599

00:28:03,415 --> 00:28:06,751

I'm Bill Walsh with AARP,

and were speaking today

600

00:28:06,818 --> 00:28:08,753

with Admiral

Brett Giroir, M.D. at

601

00:28:08,820 --> 00:28:11,389

the U.S. Department

of Health and Human Services,

602

00:28:11,456 --> 00:28:13,691

and Dr. Nancy Messonnier, M.D.

603

00:28:13,758 --> 00:28:17,395

at the Centers for

Disease Control and Prevention.

604

00:28:17,462 --> 00:28:19,064

We'd also like,

we'd like to start taking

605

00:28:19,130 --> 00:28:20,098

your questions live.

606

00:28:20,165 --> 00:28:23,068

To ask a question at

any time, please press star-3,

607

00:28:23,134 --> 00:28:28,640

and I believe we have a whole

queue-full of questions, here.

608

00:28:28,706 --> 00:28:31,342

So let's see,

who do we have first here?

609

00:28:31,409 --> 00:28:35,447

We have Dixie from Florida.

610

00:28:35,513 --> 00:28:37,482

Are you on the line?

611

00:28:37,549 --> 00:28:38,283

>> Dixie: Yes.

612

00:28:38,349 --> 00:28:39,451

>> Bill Walsh:

Dixie from Florida,

613

00:28:39,517 --> 00:28:41,820

go ahead

and ask your question.

614

00:28:41,886 --> 00:28:42,620

>> Dixie: All right.

615

00:28:42,687 --> 00:28:45,557

We were both exposed

to someone who was positive

616

00:28:45,623 --> 00:28:46,991

for coronavirus.

617

00:28:47,058 --> 00:28:49,527

My husband is asymptomatic.

618

00:28:49,594 --> 00:28:54,165

So, can he be positive without

showing and signs and symptoms?

619

00:28:54,232 --> 00:28:57,102

And if so, how

long will he be positive for?

620

00:28:57,168 --> 00:29:02,340

Because they will not

test if you are asymptomatic.

621

00:29:02,407 --> 00:29:03,842

>> Bill Walsh:

Okay, thank you, Dixie.

622

00:29:03,908 --> 00:29:06,845

Doctors, do you

want to answer that question?

623

00:29:06,911 --> 00:29:08,513

>> Dr. Nancy Messonnier:

Yeah, so this is Dr. Messonnier,

624

00:29:08,580 --> 00:29:12,717

and what I would say is, there's

been a lot in the lay press

625

00:29:12,784 --> 00:29:15,954

about people who are

asymptomatic but test positive.

626

00:29:16,020 --> 00:29:22,760

And while it is possible

that somebody is asymptomatic,

627

00:29:22,827 --> 00:29:25,497

the data really shows

that it's people with symptoms

628

00:29:25,563 --> 00:29:26,531

that we're worried about.

629

00:29:26,598 --> 00:29:28,733

That is, worried about

them because they're the ones

630

00:29:28,800 --> 00:29:30,301

who go on to get sicker.

631

00:29:30,368 --> 00:29:32,303

And we're also worried

about them because those are

632

00:29:32,370 --> 00:29:34,372

the people

who are capable of transmitting,

633

00:29:34,439 --> 00:29:37,809

so it really does make sense

that your health care providers

634

00:29:37,876 --> 00:29:39,777

and your local health

departments are focusing on

635

00:29:39,844 --> 00:29:41,412

those with symptoms.

636

00:29:41,479 --> 00:30:12,076

And that's really

what you should be looking at.

637

00:30:13,511 --> 00:30:16,548

Dr. Messonnier, and I just want

everyone to understand, too,

638

00:30:16,614 --> 00:30:18,583

that there's different

concepts of what it means to

639

00:30:18,650 --> 00:30:20,051

be exposed to a person.

640

00:30:20,118 --> 00:30:24,522

I've heard people who were very

concerned because they went into

641

00:30:24,589 --> 00:30:28,059

a room that an exposed person

had been in the day before.

642

00:30:28,126 --> 00:30:30,895

That's a very,

very low risk situation.

643

00:30:30,962 --> 00:30:35,166

That's different than if you

were really talking to a person

644

00:30:35,233 --> 00:30:37,936

right next to them when they

had fever and were coughing,

645

00:30:38,002 --> 00:30:40,371

and you really

have a high risk exposure.

646

00:30:40,438 --> 00:30:41,539

So, let's...

647

00:30:41,606 --> 00:30:44,175

when we talk about

exposure, you know,

648

00:30:44,242 --> 00:30:46,077

not all exposures are equal.

649

00:30:46,144 --> 00:30:49,214

Everything is correct

with what Dr. Messonnier said,

650

00:30:49,280 --> 00:30:50,515

but let's not overplay it.

651

00:30:50,582 --> 00:30:54,018

If you had a very severe,

high-contact exposure that

652

00:30:54,085 --> 00:30:56,654

something to talk to your

doctor about that's different

653

00:30:56,721 --> 00:30:59,057

than just having,

being in the same room

654

00:30:59,123 --> 00:31:01,993

or being in a room that a person had been in the day before.

655

00:31:03,628 --> 00:31:04,095

>> Bill Walsh: Very good.

656

00:31:04,162 --> 00:31:06,030

Well, let's

take another question.

657

00:31:06,097 --> 00:31:09,267

We're turning

to Toni from Virginia.

658

00:31:09,334 --> 00:31:10,935

Toni, are you there?

659

00:31:11,002 --> 00:31:12,704

>> Toni: Yes, I'm here.

660

00:31:12,770 --> 00:31:14,472

>> Bill Walsh:

What's your question, Toni?

661

00:31:14,539 --> 00:31:17,475

>> Toni:

It's a three-part question.

662

00:31:17,542 --> 00:31:21,846

How can friends care

for those who are sick at home?

663

00:31:21,913 --> 00:31:25,850

What precautions should

friends take when delivering

664

00:31:25,917 --> 00:31:31,289

food or offering

to assist with transportation

665

00:31:31,356 --> 00:31:33,091

to medical appointments?

666

00:31:33,157 --> 00:31:35,360

If a caregiver

is older and healthy,

667

00:31:35,426 --> 00:31:39,697

or older

with pre-existing conditions,

668

00:31:39,764 --> 00:31:43,268

how does that

change your advice?

669

00:31:43,334 --> 00:31:44,269

>> Bill Walsh: Okay,

thank you, Toni.

670

00:31:44,335 --> 00:31:46,971

Doctors, did you get

all those questions?

671

00:31:47,038 --> 00:31:48,473

>> Dr. Messonnier:

I presume, Toni,

672

00:31:48,539 --> 00:31:50,775

but I just want to confirm

that I think you're asking,

673

00:31:50,842 --> 00:31:56,547

if a patient has coronavirus,

how can their friends support

674

00:31:56,614 --> 00:31:58,483

them; is that right?

675

00:31:58,549 --> 00:32:01,119

So, the implication

is that the patient actually

676

00:32:01,185 --> 00:32:02,787

is diagnosed

with coronavirus.

677

00:32:02,854 --> 00:32:04,422

>> Bill Walsh:

Yeah, Toni is off the line,

678

00:32:04,489 --> 00:32:06,090

but I believe

that was what she was saying.

679

00:32:06,157 --> 00:32:07,392

>> Dr. Messonnier: Okay.

680

00:32:07,458 --> 00:32:08,192

I'll start.

681

00:32:08,259 --> 00:32:10,762

I think it's great and really

important that we as a community

682

00:32:10,828 --> 00:32:11,963

support our friends,

including those who

683

00:32:12,030 --> 00:32:14,198

are sick with coronavirus.

684

00:32:14,265 --> 00:32:16,734

As Admiral Geroir said,

this is a virus that is

685

00:32:16,801 --> 00:32:18,670

read by

the respiratory route.

686

00:32:18,736 --> 00:32:21,973

And so, for example,

if you are delivering food

687

00:32:22,040 --> 00:32:23,975

to somebody and you're

leaving it at the door

688

00:32:24,042 --> 00:32:25,910

and then they're opening the door, you are perfectly safe.

689

00:32:25,977 --> 00:32:27,412

There's no risk.

690

00:32:27,478 --> 00:32:30,081

If somebody

is diagnosed with coronavirus,

691

00:32:30,148 --> 00:32:32,917

they are the ones

that actually have precautions

692

00:32:32,984 --> 00:32:35,620

that they are given

by their health care provider.

693

00:32:35,687 --> 00:32:38,823

And so, for example, if you

are diagnosed with coronavirus,

694

00:32:38,890 --> 00:32:43,227

your doctor may recommend

that you wear a mask to prevent

695

00:32:43,294 --> 00:32:44,862

anybody else

from getting sick.

696

00:32:44,929 --> 00:32:48,066

And so, if you're taking

helping to take care of a

697

00:32:48,132 --> 00:32:50,268

friend or even visiting

a friend who has been diagnosed,

698

00:32:50,335 --> 00:32:53,104

and they have appropriate

precautions, that is, a mask,

699

00:32:53,171 --> 00:32:56,207

you're perfectly safe to

be in the environment with them.

700

00:32:56,274 --> 00:32:59,043

When you leave their house,

you should wash your hands,

701

00:32:59,110 --> 00:33:02,447

and honestly, when you

get out the door and get home,

702

00:33:02,513 --> 00:33:04,148

you should wash them again.

703

00:33:04,215 --> 00:33:06,184

And so, I think it's

great that we all step up as a

704

00:33:06,250 --> 00:33:08,619

community to help each other, and there is some common

705

00:33:08,686 --> 00:33:11,756

sense precautions that

we all can take that will

706

00:33:11,823 --> 00:33:15,660

protect you and also

protect the person who's ill.

707

00:33:15,727 --> 00:33:19,330

>> Bill Walsh:

Okay, thank you very much.

708

00:33:19,397 --> 00:33:22,200

Just a reminder,

I'm Bill Walsh with AARP,

709

00:33:22,266 --> 00:33:25,603

and we're taking your questions

today about coronavirus,

710

00:33:25,670 --> 00:33:27,372

with key leaders at the

Department of Health and Human

711

00:33:27,438 --> 00:33:31,609

Services and the Centers for

Disease Control and Prevention.

712

00:33:31,676 --> 00:33:34,345

You can ask a question

by pressing star-3 on your

713

00:33:34,412 --> 00:33:36,114

telephone keypad.

714

00:33:36,180 --> 00:33:38,349

Let's go to

Harry in Kentucky.

715

00:33:38,416 --> 00:33:40,318

Harry, welcome.

716

00:33:40,385 --> 00:33:42,920

>> Harry: Yes,

I have a couple of comments.

717

00:33:42,987 --> 00:33:44,522

On is that

I was kind of surprised.

718

00:33:44,589 --> 00:33:48,593

The lady that was on early on

kind of got political about it.

719

00:33:48,659 --> 00:33:50,161

That's all

I'm going to say about that.

720

00:33:50,228 --> 00:33:53,197

I just hope that

we get smart people in charge.

721

00:33:53,264 --> 00:33:55,767

It sounds

like we have them here.

722

00:33:55,833 --> 00:33:58,403

My real question

is, I've heard that...well,

723

00:33:58,469 --> 00:34:01,672

how do you determine which,

if you got the flu or if

724

00:34:01,739 --> 00:34:03,074

you have coronavirus?

725

00:34:03,141 --> 00:34:08,079

There was a comment on the

Internet that said "a dry cough

726

00:34:08,146 --> 00:34:12,884

comes from coronavirus and a

wet cough is more with the flu."

727

00:34:12,950 --> 00:34:14,619

Thank you.

728

00:34:14,685 --> 00:34:15,953

>> Dr. Nancy

Messonnier: Dr. Messonnier.

729

00:34:16,020 --> 00:34:18,923

Thanks for acutally asking

that question so I can clarify.

730

00:34:18,990 --> 00:34:22,827

The problem is that

viral respiratory infections

731

00:34:22,894 --> 00:34:25,329

in general have

many of the same symptoms,

732

00:34:25,396 --> 00:34:29,067

and there is no way to

being with early symptoms

733

00:34:29,133 --> 00:34:32,470

of influenza from

early symptoms of coronavirus,

734

00:34:32,537 --> 00:34:36,040

so that information about

a wet cough versus a dry cough

735

00:34:36,107 --> 00:34:37,141

is frankly not true.

736

00:34:37,208 --> 00:34:40,745

And that's why this is so

difficult and so complicated for

737

00:34:40,812 --> 00:34:44,015

all of us, and especially

for our health care providers.

738

00:34:44,081 --> 00:34:48,019

In general, that's why

you want to know if this disease

739

00:34:48,085 --> 00:34:52,423

coronavirus is circulating your

community, because if it is,

740

00:34:52,490 --> 00:34:55,359

you may contact your

health care provider earlier

741

00:34:55,426 --> 00:34:57,328

if you have milder symptoms.

742

00:34:57,395 --> 00:34:59,096

But in general,

the people that we're most

743

00:34:59,163 --> 00:35:02,099

worried about are people

who had fever and a cough

744

00:35:02,166 --> 00:35:05,403

and shortness of breath,

and I be worried about you

745

00:35:05,470 --> 00:35:07,572

having the symptoms

regardless of whether

746

00:35:07,638 --> 00:35:09,407

it's influenza or coronavirus.

747

00:35:09,474 --> 00:35:11,776

So, you should use

the same common sense that

748

00:35:11,843 --> 00:35:14,312

you would always use

about what would prompt you

749

00:35:14,378 --> 00:35:15,646

to call your

health care provider.

750

00:35:15,713 --> 00:35:18,816

You have a fever; you're short

of breath; you have a cough;

751

00:35:18,883 --> 00:35:20,685

you call your

health care provider.

752

00:35:20,751 --> 00:35:22,553

>> Bill Walsh: Very good.

753

00:35:22,620 --> 00:35:25,156

Dr. Messonnier, I want to

return to a point that you

754

00:35:25,223 --> 00:35:27,158

made earlier about

older people thinking twice

755

00:35:27,225 --> 00:35:32,897

about taking

long airplane rides.

756

00:35:32,964 --> 00:35:36,100

As you know,

we are streaming on Facebook,

757

00:35:36,167 --> 00:35:38,603

and one of the questions

we got via Facebook was,

758

00:35:38,669 --> 00:35:39,737

how do you define "long?"

759

00:35:39,804 --> 00:35:41,873

What is a long plane

ride that the people

760

00:35:41,939 --> 00:35:44,575

should be concerned about?

761

00:35:44,642 --> 00:35:46,010

>> Dr. Nancy Messonnier:

I think that's a great question,

762

00:35:46,077 --> 00:35:47,445

and I wish I had a

black and white answer.

763

00:35:47,512 --> 00:35:49,647

One of the things

from this outbreak,

764

00:35:49,714 --> 00:35:52,183

since the very beginning, is we

have tried to be as transparent

765

00:35:52,250 --> 00:35:54,252

as possible with

what we know and what we don't,

766

00:35:54,318 --> 00:35:56,654

and where were making

guidance based on data

767

00:35:56,721 --> 00:35:58,289

versus expert opinions.

768

00:35:58,356 --> 00:36:02,093

So, in this case, I wouldn't

think about it as an on-off

769

00:36:02,159 --> 00:36:04,996

switch; I would think

about it as a light dimmer.

770

00:36:05,062 --> 00:36:08,065

If you are in the

oldest age group in your 80's,

771

00:36:08,132 --> 00:36:10,468

and you have underlying health

issues; you have heart disease,

772

00:36:10,535 --> 00:36:13,070

diabetes,

lung disease, truthfully,

773

00:36:13,137 --> 00:36:15,306

it's probably not a great idea

for you to get on any kind of

774

00:36:15,373 --> 00:36:16,941

flight.

775

00:36:17,008 --> 00:36:20,711

On the other hand, if you're

sort of in your mid-60's and

776

00:36:20,778 --> 00:36:22,179

you're

otherwise generally healthy,

777

00:36:22,246 --> 00:36:27,118

I think it's fine to take small

flights within United States,

778

00:36:27,184 --> 00:36:29,954

but I'd still be

concerned about longer flights,

779

00:36:30,021 --> 00:36:33,791

not because of the flight itself

but because of the congregate

780

00:36:33,858 --> 00:36:37,128

setting and the opportunities

to exchange secretions.

781

00:36:37,194 --> 00:36:39,730

I wish that we could give

you more of a black and white,

782

00:36:39,797 --> 00:36:42,233

but there is a judgment call,

because we're looking both at

783

00:36:42,300 --> 00:36:44,602

your risk of exposure

but also your risk of

784

00:36:44,669 --> 00:36:46,537

getting really sick.

785

00:36:46,604 --> 00:36:48,339

Admiral Genoir,

do you want to...?

786

00:36:48,406 --> 00:36:51,108

>> Adm. Brett Genoir: No,

I agree completely with that.

787

00:36:51,175 --> 00:36:53,210

And, you know,

it's not just...

788

00:36:53,277 --> 00:36:56,781

any setting that puts you

in close contact for a longer

789

00:36:56,847 --> 00:36:59,850

period of time with people

sitting right next to you who

790

00:36:59,917 --> 00:37:02,787

could potentially

cough or sneeze or expose you,

791

00:37:02,853 --> 00:37:07,892

or to be touching a lot

of surfaces that people could've

792

00:37:07,959 --> 00:37:11,696

coughed on or sneezed

on, those are all risk factors.

793

00:37:11,762 --> 00:37:14,599

And again, it really just...

794

00:37:14,665 --> 00:37:17,101

it also depends,

and we all live in a real world,

795

00:37:17,168 --> 00:37:20,538

as really

how necessary is that travel?

796

00:37:20,605 --> 00:37:23,240

Is it really worth taking

the risk of getting a really

797

00:37:23,307 --> 00:37:25,743

serious disease

for that travel?

798

00:37:25,810 --> 00:37:28,813

And that's something you

have to answer for yourselves.

799

00:37:28,879 --> 00:37:31,682

But in general,

if you're in an older group or

800

00:37:31,749 --> 00:37:36,053

you have chronic

conditions or both, you need

801

00:37:36,120 --> 00:37:38,623

to be extremely careful

about exposing yourself

802

00:37:38,689 --> 00:37:41,092

in those situations.

803

00:37:41,158 --> 00:37:42,159

>> Bill Walsh:

Okay, thank you very much.

804

00:37:42,226 --> 00:37:43,928

Let's take another caller.

805

00:37:43,995 --> 00:37:46,330

Veronica from New Jersey.

806

00:37:46,397 --> 00:37:47,231

>> Veronica: Hi.

807

00:37:47,298 --> 00:37:48,366

>> Bill Walsh:

Hi, Veronica, welcome.

808

00:37:48,432 --> 00:37:50,067

What's your question?

809

00:37:50,134 --> 00:37:51,736

>> Veronica: All right.

810

00:37:51,802 --> 00:37:54,338

If you're in your 70's

and have asthma and high blood

811

00:37:54,405 --> 00:37:56,273

pressure and you're

scheduled for a total knee

812

00:37:56,340 --> 00:38:00,778

replacement within

the next two weeks,

813

00:38:00,845 --> 00:38:03,180

should you continue

with that surgery or should

814

00:38:03,247 --> 00:38:06,283

it be postponed?

815

00:38:06,350 --> 00:38:07,718

>> Bill Walsh: Thanks, Veronica.

816

00:38:07,785 --> 00:38:10,021

Doctors?

817

00:38:10,087 --> 00:38:14,592

>> Adm. Brett Genoir:

Well, you really need to talk..

818

00:38:14,659 --> 00:38:16,894

you really do need

to talk to your health care

819

00:38:16,961 --> 00:38:20,097

provider about that,

and it's going to depend

820

00:38:20,164 --> 00:38:21,832

on a lot of situations.

821

00:38:21,899 --> 00:38:25,336

For example, if the hospital

is functioning normally

822

00:38:25,403 --> 00:38:29,707

and has very few patients

or no patients with coronavirus,

823

00:38:29,774 --> 00:38:32,009

it's probably

a good thing to do.

824

00:38:32,076 --> 00:38:36,547

But if it is an area where

the hospital full coronavirus

825

00:38:36,614 --> 00:38:39,617

and it's very difficult

to keep people who are not

826

00:38:39,684 --> 00:38:42,319

infected from becoming infected,

then your doctor--

827

00:38:42,386 --> 00:38:44,855

the last thing your

orthopedist wants is for

828

00:38:44,922 --> 00:38:46,323

you to go in

and get your total knee

829

00:38:46,390 --> 00:38:48,125

replacement

and get coronavirus.

830

00:38:48,192 --> 00:38:50,961

So I think they're going

to be right up front with you.

831

00:38:51,028 --> 00:38:53,330

And there's some

other things, too, to consider.

832

00:38:53,397 --> 00:38:55,366

Not that you would

need this in a knee replacement,

833

00:38:55,433 --> 00:38:57,535

but we know there are

severe blood shortages

834

00:38:57,601 --> 00:38:59,804

in Seattle right now,

so some surgeries might be

835

00:38:59,870 --> 00:39:04,008

postponed or delayed

because the typical kinds of

836

00:39:04,075 --> 00:39:08,679

things that we take for

granted are no longer there.

837

00:39:08,746 --> 00:39:12,450

They have a blood shortage

could people don't congregate.

838

00:39:12,516 --> 00:39:14,485

They don't have a group

gatherings where everybody

839

00:39:14,552 --> 00:39:15,686

comes together

and gives blood.

840

00:39:15,753 --> 00:39:17,288

So that's

a practical consideration.

841

00:39:17,354 --> 00:39:18,756

So, these are all...

842

00:39:18,823 --> 00:39:20,224

it's a very,

very good question.

843

00:39:20,291 --> 00:39:22,893

It depends on where you

are and what the situation is,

844

00:39:22,960 --> 00:39:26,330

and really, talk

to your health care provider.

845

00:39:26,397 --> 00:39:29,934

They'll give you the best

advice for that institution

846

00:39:30,000 --> 00:39:31,602

at that period of time.

847

00:39:31,669 --> 00:39:34,271

>> Bill Walsh: Yeah, I mean, it

sounds like what she was asking

848

00:39:34,338 --> 00:39:35,973

about was something you had

touched on earlier, which is,

849

00:39:36,040 --> 00:39:39,143

if you have a medical

appointment that you attend

850

00:39:39,210 --> 00:39:42,079

regularly or a scheduled

surgery, as she mentioned,

851

00:39:42,146 --> 00:39:47,618

the advice to reach out

to health care professional

852

00:39:47,685 --> 00:39:51,822

in advance, possibly doing

a tele-health visit might

853

00:39:51,889 --> 00:39:54,258

be the best alternative.

854

00:39:54,325 --> 00:39:55,659

Is that a fair statement?

855

00:39:55,726 --> 00:39:57,695

>> Adm. Brett Biroir:

That is truly a fair statement.

856

00:39:57,762 --> 00:39:59,764

We've not progressed

enough to do a tele-health

857

00:39:59,830 --> 00:40:02,233

total knee replacement,

so you're kind of stuck,

858

00:40:02,299 --> 00:40:06,203

but in

other circumstances, absolutely.

859

00:40:06,270 --> 00:40:10,074

If it's a routine check

and you can check your blood

860

00:40:10,141 --> 00:40:12,476

pressure or do things,

your health care provider might

861

00:40:12,543 --> 00:40:16,113

want to defer you

from coming in, particularly if

862

00:40:16,180 --> 00:40:18,115

there are a lot of

sick people in your community.

863

00:40:18,182 --> 00:40:21,318

So were talking to

a whole national audience, here,

864

00:40:21,385 --> 00:40:24,789

and a lot really depend where

you are and what the situation

865

00:40:24,855 --> 00:40:27,892

is and, to be quite honest,

what some of the precautions

866

00:40:27,958 --> 00:40:29,026

may be in

the clinic you go to.

867

00:40:29,093 --> 00:40:30,661

Is there a sick

side and the well side?

868

00:40:30,728 --> 00:40:33,931

Or, is that

really not there, yet?

869

00:40:33,998 --> 00:40:38,002

So really, the advice that

administrator Verma gave you

870

00:40:38,068 --> 00:40:40,538

about calling ahead,

using the tele-health options,

871

00:40:40,604 --> 00:40:42,540

all really very good ones.

872

00:40:42,606 --> 00:40:43,808

>> Bill Walsh: Very good.

873

00:40:43,874 --> 00:40:46,210

Just a reminder,

I'm Bill Walsh with AARP,

874

00:40:46,277 --> 00:40:49,814

and were taking your questions

today about coronavirus with key

875

00:40:49,880 --> 00:40:52,516

leaders of the Department

of Health and Human Services

876

00:40:52,583 --> 00:40:55,452

and the Centers for

Disease Control and Prevention.

877

00:40:55,519 --> 00:40:56,187

You can ask a question

by pressing star-3 on your

878

00:40:56,253 --> 00:41:00,591

telephone keypad.

879

00:41:00,658 --> 00:41:06,597

We have a question

from Roger in Tennessee.

880

00:41:06,664 --> 00:41:08,332

Roger, are you there?

881

00:41:08,399 --> 00:41:09,400

>> Roger: Yes.

882

00:41:09,466 --> 00:41:11,535

>> Bill Walsh: Okay,

go ahead and ask your question.

883

00:41:11,602 --> 00:41:13,737

>> Roger: Okay.

884

00:41:13,804 --> 00:41:14,572

I'm...what am I?

885

00:41:14,638 --> 00:41:16,006

77.

886

00:41:16,073 --> 00:41:18,075

I have type

one diabetes for many decades.

887

00:41:18,142 --> 00:41:22,112

Wondering about attending

church and, in particular,

888

00:41:22,179 --> 00:41:27,117

taking the elements distributed

at communion service,

889

00:41:27,184 --> 00:41:29,587

whether that is risky business.

890

00:41:29,653 --> 00:41:33,791

>> Adm. Brett Genoir: Well,

I tell you, this is one of

891

00:41:33,858 --> 00:41:37,695

the things that I think

Dr. Messonnier I may talk about.

892

00:41:37,761 --> 00:41:41,799

I'm going to tell

you that, as we started out,

893

00:41:41,866 --> 00:41:44,935

I wouldn't tell you anything

that I didn't tell my mother.

894

00:41:45,002 --> 00:41:46,737

My mother is 87 years old.

895

00:41:46,804 --> 00:41:47,671

She's Catholic.

896

00:41:47,738 --> 00:41:49,273

She goes to church every week.

897

00:41:49,340 --> 00:41:53,677

But she stayed home last week,

because there's a lot of people

898

00:41:53,744 --> 00:41:58,482

together in close

quarters and I firmly believe

899

00:41:58,549 --> 00:42:02,353

God would understand if you chose to protect your

900

00:42:02,419 --> 00:42:05,356

health and avoided that.

901

00:42:05,422 --> 00:42:07,157

I don't think

there's an absolute yes or no.

902

00:42:07,224 --> 00:42:09,994

I may ask Dr. Messonnier,

and not all churches are equal.

903

00:42:10,060 --> 00:42:12,830

But it is it is a place

where people come together

904

00:42:12,897 --> 00:42:15,099

in sort of close quarters.

905

00:42:15,165 --> 00:42:18,802

And in many ceremonies,

I know this is been changed

906

00:42:18,869 --> 00:42:20,304

in some denominations.

907

00:42:20,371 --> 00:42:24,808

There's a hug of peace

or shaking hands or sharing,

908

00:42:24,875 --> 00:42:29,146

and those are generally risky

things that I wouldn't want

909

00:42:29,213 --> 00:42:31,682

anybody at high

risk, particularly yourself.

910

00:42:31,749 --> 00:42:34,718

You sound very healthy

but you can't beat the numbers.

911

00:42:34,785 --> 00:42:37,021

You're 77 you've

got Type I diabetes.

912

00:42:37,087 --> 00:42:39,023

I would be very careful.

913

00:42:39,089 --> 00:42:40,190

Dr. Messonnier?

914

00:42:40,257 --> 00:42:41,492

>> Dr. Nancy

Messonnier: I agree completely.

915

00:42:41,558 --> 00:42:46,630

I've heard stories from across

the country of churches who have

916

00:42:46,697 --> 00:42:50,601

actually made themselves

decisions to kind of do

917

00:42:50,668 --> 00:42:54,138

tele-church, which is a really

interesting idea to try to make

918

00:42:54,204 --> 00:42:57,174

sure that folks can

congregate without any risk of

919

00:42:57,241 --> 00:42:59,376

person-to-person secretion.

920

00:42:59,443 --> 00:43:01,011

So, I think

that's a great interesting idea.

921

00:43:01,078 --> 00:43:03,080

>> Bill Walsh: Okay, very good.

922

00:43:03,147 --> 00:43:05,049

Let's take another call.

923

00:43:05,115 --> 00:43:08,686

Thomas in Texas,

I believe you had a question?

924

00:43:08,752 --> 00:43:11,522

>> Thomas: Yes.

925

00:43:11,588 --> 00:43:14,491

I want to thank everyone

for being on the panel

926

00:43:14,558 --> 00:43:16,193

and providing this information.

927

00:43:16,260 --> 00:43:17,261

It's pretty awesome.

928

00:43:17,328 --> 00:43:24,234

But I just recently

canceled a cruise vacation

929

00:43:24,301 --> 00:43:27,771

I had for June and July

for Spain and Italy.

930

00:43:27,838 --> 00:43:29,707

And of course,

that was going to be a long

931

00:43:29,773 --> 00:43:32,710

flight to get there.

932

00:43:32,776 --> 00:43:34,845

And you've

probably already covered this.

933

00:43:34,912 --> 00:43:39,049

Do you concur that

it's a good decision

934

00:43:39,116 --> 00:43:41,618

to cancel that vacation?

935

00:43:41,685 --> 00:43:46,123

The second

part: are cruise ships safe?

936

00:43:46,190 --> 00:43:51,161

And the third part: what

countries are less vulnerable,

937

00:43:51,228 --> 00:43:55,833

or safer, for the virus?

938

00:43:55,899 --> 00:43:58,836

In other words, if someone was

going to scheduled a vacation

939

00:43:58,902 --> 00:44:04,074

and we don't want

to stay in the United States,

940

00:44:04,141 --> 00:44:05,376

where in the world could one go?

941

00:44:05,442 --> 00:44:06,677

>> Bill Walsh:

Okay, thank you, Thomas.

942

00:44:06,744 --> 00:44:11,215

Doctors, do you want to address

some of those travel plans?

943

00:44:11,281 --> 00:44:12,316

>> Adm. Brett Genoir:

I'll take the first part,

944

00:44:12,383 --> 00:44:14,218

and I'll have Dr.

Messonnier take the more

945

00:44:14,284 --> 00:44:15,786

difficult second part.

946

00:44:15,853 --> 00:44:18,922

But we certainly think

you made a really good decision

947

00:44:18,989 --> 00:44:21,658

to not go on your cruise.

948

00:44:21,725 --> 00:44:24,595

And I know that must

be gut-wrenching after looking

949

00:44:24,661 --> 00:44:28,766

forward to

it, but just look at the news.

950

00:44:28,832 --> 00:44:32,669

We see that cruise ships

are places that this disease

951

00:44:32,736 --> 00:44:36,673

is spread, and it's

not just where you're going,

952

00:44:36,740 --> 00:44:38,542

but it's where

all the other passengers,

953

00:44:38,609 --> 00:44:42,012

and most importantly, where the

crew have been and come from.

954

00:44:42,079 --> 00:44:44,114

So, it is part

of our recommendation now that,

955

00:44:44,181 --> 00:44:47,885

at the CDC's recommendation

and Health and Human Services,

956

00:44:47,951 --> 00:44:51,088

that if, particularly

if you're in a high-risk group,

957

00:44:51,155 --> 00:44:54,425

you really should avoid cruises.

958

00:44:54,491 --> 00:44:57,094

Now, in terms

of quote "safe places to go,"

959

00:44:57,161 --> 00:44:59,797

I'll kick

that to Dr. Messonnier.

960

00:44:59,863 --> 00:45:01,365

>> Dr. Nancy Messonier: Yeah,

I also want to come back to

961

00:45:01,432 --> 00:45:03,067

something you asked, which

is, "Are cruise ships safe?"

962

00:45:03,133 --> 00:45:10,174

And think it's really important

for us to all not equate this

963

00:45:10,240 --> 00:45:11,975

really unprecedented situation

with the general idea that

964

00:45:12,042 --> 00:45:13,644

cruises aren't safe.

965

00:45:13,710 --> 00:45:15,913

This is an unprecedented

situation and we're asking

966

00:45:15,979 --> 00:45:20,184

people to defer cruising because

there is this high risk right

967

00:45:20,250 --> 00:45:22,619

now of transmission

of this coronavirus.

968

00:45:22,686 --> 00:45:24,822

But this, too, shall pass.

969

00:45:24,888 --> 00:45:27,257

It's the one thing that we

know about diseases like this.

970

00:45:27,324 --> 00:45:29,226

It will pass,

and when it passes,

971

00:45:29,293 --> 00:45:33,197

I'm hoping people

like you re-book your cruises,

972

00:45:33,263 --> 00:45:35,165

because

it's great to take a vacation.

973

00:45:35,232 --> 00:45:37,267

In

terms of where it's safe to go,

974

00:45:37,334 --> 00:45:40,737

I have to say I've been asking

myself the same question and my

975

00:45:40,804 --> 00:45:42,873

friends have been

asking me the same question.

976

00:45:42,940 --> 00:45:46,110

And I think it's a really

complicated question right now

977

00:45:46,176 --> 00:45:49,446

because, as we've seen

with what happened in Italy,

978

00:45:49,513 --> 00:45:52,316

it can spread

in a location very quickly.

979

00:45:52,382 --> 00:45:57,621

There are already so many

countries that have the disease,

980

00:45:57,688 --> 00:46:00,791

that it's really hard to

pick a spot that's walled off.

981

00:46:00,858 --> 00:46:02,426

It's just

not our modern society.

982

00:46:02,493 --> 00:46:04,828

One of the things

that we all love is to travel,

983

00:46:04,895 --> 00:46:09,032

and the interconnectedness all

over the world right now means

984

00:46:09,099 --> 00:46:12,069

that there's lots of

opportunities for transmission.

985

00:46:12,136 --> 00:46:15,038

And so, for a short while,

I would say probably best

986

00:46:15,105 --> 00:46:17,274

to stick close to home.

987

00:46:17,341 --> 00:46:20,077

But this is going

to evolve, as it has, quickly,

988

00:46:20,144 --> 00:46:22,179

and things might look

really different in a month

989

00:46:22,246 --> 00:46:24,848

as we understand

which way this is going.

990

00:46:24,915 --> 00:46:27,217

And in a month from now,

it might be really clear

991

00:46:27,284 --> 00:46:30,220

that it's fine to

again make those kinds of plans.

992

00:46:30,287 --> 00:46:33,790

But it's hard to pick a place

right now and promise that that

993

00:46:33,857 --> 00:46:35,325

place would be scared.

994

00:46:35,392 --> 00:46:35,926

>> Bill Walsh: Right.

995

00:46:35,993 --> 00:46:36,627

Okay, very good.

996

00:46:36,693 --> 00:46:38,328

We're

coming to the top of the hour,

997

00:46:38,395 --> 00:46:40,931

so I think we have time

for one or two more questions.

998

00:46:40,998 --> 00:46:43,567

Renée from Pennsylvania,

you had a question.

999

00:46:43,634 --> 00:46:46,470

>> Renee: Yes, thank you.

1000

00:46:46,537 --> 00:46:49,473

I was wondering, what advice

do you have for people who

1001

00:46:49,540 --> 00:46:53,343

work in nursing homes

or long-term care facilities

1002

00:46:53,410 --> 00:46:57,714

or memory care centers?

1003

00:46:57,781 --> 00:46:59,049

>> Bill Walsh:

That's a good question.

1004

00:46:59,116 --> 00:47:02,119

Doctors, can you address that?

1005

00:47:02,186 --> 00:47:05,055

>> Dr. Nancy Messonnier: Yeah,

I think that's a really good

1006

00:47:05,122 --> 00:47:06,123

question.

1007

00:47:06,190 --> 00:47:07,791

What I would say is

that the most important thing,

1008

00:47:07,858 --> 00:47:09,993

if you

work at one of the facilities,

1009

00:47:10,060 --> 00:47:12,663

is to do everything

you can not to bring illness

1010

00:47:12,729 --> 00:47:14,198

into the facility.

1011

00:47:14,264 --> 00:47:18,335

So, on its own, a nursing home,

the people in that nursing home,

1012

00:47:18,402 --> 00:47:24,541

aren't at higher risk unless the

infection enters the community.

1013

00:47:24,608 --> 00:47:28,445

I would suggest that, not only

for yourself, but your coworker,

1014

00:47:28,512 --> 00:47:31,582

you make sure that

they are following CMS policies.

1015

00:47:31,648 --> 00:47:35,052

And you want to make sure that

people don't come to work sick,

1016

00:47:35,118 --> 00:47:37,821

because what happens

is somebody comes to work sick,

1017

00:47:37,888 --> 00:47:40,190

gets others in the nursing

home sick, and then it spreads.

1018

00:47:40,257 --> 00:47:42,826

If it doesn't get

into that community then

1019

00:47:42,893 --> 00:47:43,860

it's not going to spread.

1020

00:47:43,927 --> 00:47:44,795

Admiral?

1021

00:47:44,861 --> 00:47:47,231

>> Adm. Brett

Genoir: No, I agree completely.

1022

00:47:47,297 --> 00:47:52,469

Make sure that if you're

sick that you don't go into that

1023

00:47:52,536 --> 00:47:58,675

workplace and potentially infect

and cause serious illness.

1024

00:47:58,742 --> 00:48:02,713

We know there was a very, very

high death rate in the long-term

1025

00:48:02,779 --> 00:48:06,316

care facility near Seattle,

and that's something we all

1026

00:48:06,383 --> 00:48:07,484

want to avoid.

1027

00:48:07,551 --> 00:48:10,053

And of course, you know,

all the things you do normally,

1028

00:48:10,120 --> 00:48:11,722

even though you're not sick.

1029

00:48:11,788 --> 00:48:15,859

Good hygiene is important

for any number of reasons,

1030

00:48:15,926 --> 00:48:16,927

not just for coronavirus.

1031

00:48:16,994 --> 00:48:20,797

Washing your hands, using

the kind of cleanliness protocol

1032

00:48:20,864 --> 00:48:23,300

that you normally

do are even more important now.

1033

00:48:23,367 --> 00:48:25,435

>> Bill Walsh: Well,

that's an interesting question.

1034

00:48:25,502 --> 00:48:28,305

I mean, if folks have a

loved one in assisted living or

1035

00:48:28,372 --> 00:48:33,076

nursing home, how can they be

assured that their loved one is

1036

00:48:33,143 --> 00:48:38,148

getting the preventative steps

that are necessary to protect

1037

00:48:38,215 --> 00:48:41,118

them from the virus?

1038

00:48:41,184 --> 00:48:43,987

>> Adm. Brett Genoir: So,

I will save more as a person

1039

00:48:44,054 --> 00:48:48,959

who our family cared

for a relative who would

1040

00:48:49,026 --> 00:48:52,262

chronically ill in our home,

and then a facility.

1041

00:48:52,329 --> 00:48:55,766

I would say the most important

thing to have communication.

1042

00:48:55,832 --> 00:48:59,836

It's very important to talk

to the people who are caring for

1043

00:48:59,903 --> 00:49:02,105

your relative and

who are running the facility,

1044

00:49:02,172 --> 00:49:04,875

to go over the kinds of things

and make sure that everyone

1045

00:49:04,941 --> 00:49:08,445

understands how

to best protect the residents.

1046

00:49:08,512 --> 00:49:11,948

I think that communication

is really very important.

1047

00:49:12,015 --> 00:49:15,786

There's plenty of guidelines

for the nursing facility or

1048

00:49:15,852 --> 00:49:19,122

long-term care

facility on the CDC website.

1049

00:49:19,189 --> 00:49:22,993

Administrator Verma is really

emphasizing to her groups on the

1050

00:49:23,060 --> 00:49:27,698

proper precautions, but

I would say good communication.

1051

00:49:27,764 --> 00:49:31,401

Don't be afraid to ask, whether

you're a patient and there's a

1052

00:49:31,468 --> 00:49:34,271

physician, or whether you're a

family member in a nursing home,

1053

00:49:34,338 --> 00:49:36,306

there's

nothing wrong with asking.

1054

00:49:36,373 --> 00:49:39,976

You should be empowered to

ask the questions and basically

1055

00:49:40,043 --> 00:49:43,447

advocate for your loved one,

whether you're the patient

1056

00:49:43,513 --> 00:49:45,882

or whether

your loved one's in a facility.

1057

00:49:45,949 --> 00:49:47,217

>> Bill Walsh: Can you

tell our listeners what they

1058

00:49:47,284 --> 00:49:50,987

should be asking?

1059

00:49:51,054 --> 00:49:53,490

>> Dr. Nancy Messonnier:

You should be asking what

1060

00:49:53,557 --> 00:49:57,227

the policies and procedures

that are in place to make

1061

00:49:57,294 --> 00:49:58,895

sure that your

loved one stays safe.

1062

00:49:58,962 --> 00:50:02,566

You want to know that

they're following CMS policy,

1063

00:50:02,632 --> 00:50:06,136

but also that their

staff has even doubled-down,

1064

00:50:06,203 --> 00:50:09,673

as the administrator said, to

make sure that there aren't...

1065

00:50:09,740 --> 00:50:12,376

illness isn't

coming into the facility,

1066

00:50:12,442 --> 00:50:15,479

and also that if somebody

in the facility gets ill,

1067

00:50:15,545 --> 00:50:17,881

it's detected

quickly before it spreads.

1068

00:50:17,948 --> 00:50:21,017

So, you want to ask what

their policies are and how

1069

00:50:21,084 --> 00:50:22,519

they're implementing them.

1070

00:50:22,586 --> 00:50:24,321

>> Adm. Brett Giroir:

Is there is early in sanitizer

1071

00:50:24,388 --> 00:50:26,556

generally available

that everybody's using?

1072

00:50:26,623 --> 00:50:30,460

Is there sinks and soap

and water that people use?

1073

00:50:30,527 --> 00:50:32,028

The kind of

basic kinds of things.

1074

00:50:32,095 --> 00:50:37,968

Because again, a lot of people

are afraid because there's no,

1075

00:50:38,034 --> 00:50:40,771

quote, "vaccine." But because

there's no vaccine now doesn't

1076

00:50:40,837 --> 00:50:44,574

mean we don't have

very effective tools to prevent

1077

00:50:44,641 --> 00:50:46,109

people from getting ill.

1078

00:50:46,176 --> 00:50:48,011

And the tools are

the tried-and-true tools

1079

00:50:48,078 --> 00:50:50,847

of public health.

1080

00:50:50,914 --> 00:50:55,585

Avoiding close contact

and congregate session settings,

1081

00:50:55,652 --> 00:50:57,587

like Dr. Messonnier said,

and just good hand-washing and

1082

00:50:57,654 --> 00:51:01,324

hygiene techniques provide

you a great deal of protection.

1083

00:51:01,391 --> 00:51:04,394

>> Bill Walsh: Okay.

1084

00:51:04,461 --> 00:51:06,196

Admiral,

you just mentioned a vaccine.

1085

00:51:06,263 --> 00:51:08,231

I was wondering if you could

give our listeners an update on

1086

00:51:08,298 --> 00:51:10,867

how the work

on creating a vaccine is going?

1087

00:51:10,934 --> 00:51:15,071

How far away do

you think we are?

1088

00:51:15,138 --> 00:51:18,175

>> Adm. Brett Ginoir: Let me tell you the good news,

1089

00:51:18,241 --> 00:51:19,409

and then I'll

tell you the reality.

1090

00:51:19,476 --> 00:51:22,913

The good news is there's never

been a time in history where the

1091

00:51:22,979 --> 00:51:26,216

technology has been so involved

that we can get candidate

1092

00:51:26,283 --> 00:51:31,588

vaccines into people

within a period of a few months.

1093

00:51:31,655 --> 00:51:34,057

And that's

exactly what's going to happen.

1094

00:51:34,124 --> 00:51:37,360

But when a vaccine goes in

the people for the first time,

1095

00:51:37,427 --> 00:51:39,729

it's only going to go into

a very small number of people in

1096

00:51:39,796 --> 00:51:42,933

the clinical

trial, 40, 50, 100 people,

1097

00:51:42,999 --> 00:51:45,502

because we

do need to make sure it's safe.

1098

00:51:45,569 --> 00:51:49,139

So, as Dr. Fauci

says frequently on television,

1099

00:51:49,206 --> 00:51:51,341

who I think is the foremost

vaccinologist in the world,

1100

00:51:51,408 --> 00:51:57,113

is that it will

think a good year to 18 months,

1101

00:51:57,180 --> 00:52:00,083

even if we do

have a very effective vaccine,

1102

00:52:00,150 --> 00:52:01,852

for it to be widespread.

1103

00:52:01,918 --> 00:52:06,923

So, let's not fool ourselves or

fantasize about having a miracle

1104

00:52:06,990 --> 00:52:08,992

drop in our laps right now.

1105

00:52:09,059 --> 00:52:11,194

We do have

power we do have tools,

1106

00:52:11,261 --> 00:52:13,763

and feel empowered by that.

1107

00:52:13,830 --> 00:52:15,732

Feel that you can help.

1108

00:52:15,799 --> 00:52:16,900

You can't...

1109

00:52:16,967 --> 00:52:20,070

there's no 100% guarantee,

but you can do a lot to control

1110

00:52:20,136 --> 00:52:23,740

your destiny by doing the simple

things we talked about today:

1111

00:52:23,807 --> 00:52:26,343

the social

distancing, avoiding crowds,

1112

00:52:26,409 --> 00:52:28,044

make sure you

have your medications.

1113

00:52:28,111 --> 00:52:31,448

Probably don't go on a cruise

ship for airline flights if

1114

00:52:31,515 --> 00:52:32,616

you're in a high-risk group.

1115

00:52:32,682 --> 00:52:35,785

Make sure you wash your hands

very carefully and stay away

1116

00:52:35,852 --> 00:52:37,487

from people who are sick.

1117

00:52:37,554 --> 00:52:39,890

This will provide

you a high degree of protection,

1118

00:52:39,956 --> 00:52:41,324

and you know what?

1119

00:52:41,391 --> 00:52:44,027

In many circumstances that

can provide you just as much

1120

00:52:44,094 --> 00:52:46,363

protection as

some vaccines can.

1121

00:52:46,429 --> 00:52:48,331

>> Bill Walsh:

Okay, let's take another call.

1122

00:52:48,398 --> 00:52:49,633

Susan from New York.

1123

00:52:49,699 --> 00:52:52,869

>> Bill Walsh: Hi, hi.

1124

00:52:52,936 --> 00:52:55,572

Thank you very

much for taking my question.

1125

00:52:55,639 --> 00:53:00,644

One of the severe complications,

I understand, can be pneumonia.

1126

00:53:00,710 --> 00:53:04,981

Would having had both pneumonia

vaccines protect you if,

1127

00:53:05,048 --> 00:53:10,053

God forbid, you get that far?

1128

00:53:10,120 --> 00:53:12,022

>> Adm. Brett Genoir: So, first of all, thank you for having

1129

00:53:12,088 --> 00:53:13,323

your pneumonia vaccines.

1130

00:53:13,390 --> 00:53:16,626

It's really critically

important to have those,

1131

00:53:16,693 --> 00:53:19,663

because they are

highly effective and do

1132

00:53:19,729 --> 00:53:21,197

so many good things.

1133

00:53:21,264 --> 00:53:25,001

Probably having the pneumonia

vaccines won't help in this

1134

00:53:25,068 --> 00:53:28,438

circumstance, because

the pneumonia vaccines protect

1135

00:53:28,505 --> 00:53:32,275

against a large range

of a certain type of bacteria

1136

00:53:32,342 --> 00:53:35,211

that cause pneumonia,

but it won't protect against

1137

00:53:35,278 --> 00:53:39,149

this particular virus.

1138

00:53:39,215 --> 00:53:41,818

One could make a case

that maybe if you get the virus,

1139

00:53:41,885 --> 00:53:44,854

you're less likely get another

pneumonia, but in general,

1140

00:53:44,921 --> 00:53:48,391

your pneumonia vaccines

are going to help you stay

1141

00:53:48,458 --> 00:53:49,926

safe from this virus.

1142

00:53:49,993 --> 00:53:53,396

But they help you stay safe

from things that we know would

1143

00:53:53,463 --> 00:53:56,066

have killed tens of thousands

of people a year if you don't

1144

00:53:56,132 --> 00:53:57,334

have the pneumonia vaccine.

1145

00:53:57,400 --> 00:53:58,435

So, good for you.

1146

00:53:58,501 --> 00:54:00,770

>> Bill Walsh: Okay,

one last question.

1147

00:54:00,837 --> 00:54:07,677

I wanted

to hear from Doris in New York.

1148

00:54:07,744 --> 00:54:09,946

I'm sorry,

Catherine in New York.

1149

00:54:10,013 --> 00:54:11,247

>> Catherine: Yes, thank you.

1150

00:54:11,314 --> 00:54:15,585

I wondered about eating out,

either in a sit-down restaurant

1151

00:54:15,652 --> 00:54:19,222

or in

a take-out fast food restaurant.

1152

00:54:19,289 --> 00:54:22,492

>> Dr. Nancy Messonnier:

This is Dr. Messonnier.

1153

00:54:22,559 --> 00:54:25,362

I think this is, again,

the part about understanding

1154

00:54:25,428 --> 00:54:26,596

the local risk.

1155

00:54:26,663 --> 00:54:29,633

And I don't think right now

there is enough information to

1156

00:54:29,699 --> 00:54:31,801

say that

we should all be home-bound.

1157

00:54:31,868 --> 00:54:33,103

Again, unless

you're in that really,

1158

00:54:33,169 --> 00:54:35,772

really highest risk categories,

I think we go about

1159

00:54:35,839 --> 00:54:36,706

our normal lives.

1160

00:54:36,773 --> 00:54:39,109

We try to stay

safe; we try to avoid crowds,

1161

00:54:39,175 --> 00:54:41,811

but I don't think of any reason

not to go about our normal

1162

00:54:41,878 --> 00:54:43,713

lives, and eating

out in a restaurant seems

1163

00:54:43,780 --> 00:54:45,382

like a completely

reasonable thing to do.

1164

00:54:45,448 --> 00:54:49,586

Again, taking out food,

even less risk,

1165

00:54:49,653 --> 00:54:51,621

because all you're

doing is really having casual

1166

00:54:51,688 --> 00:54:52,889

contact with somebody.

1167

00:54:52,956 --> 00:54:56,893

But this is not necessarily

be over in a week or two,

1168

00:54:56,960 --> 00:54:59,596

and I think we

to take precautions,

1169

00:54:59,663 --> 00:55:02,399

make sure that we're doing

everything we can to protect

1170

00:55:02,465 --> 00:55:04,701

ourselves, our

families and our communities,

1171

00:55:04,768 --> 00:55:06,436

but also get

on with our lives.

1172

00:55:06,503 --> 00:55:11,074

>> Bill Walsh: Very good,

and were getting to the top

1173

00:55:11,141 --> 00:55:13,910

the hour, and

maybe that's a time to wrap up.

1174

00:55:13,977 --> 00:55:17,113

Admiral and Dr. Messonnier,

I wonder if you have any closing

1175

00:55:17,180 --> 00:55:20,583

thoughts or recommendations

about what AARP members or a

1176

00:55:20,650 --> 00:55:25,255

listener should understand

from our conversation today?

1177

00:55:25,321 --> 00:55:28,558

>> Adm. Brett Genoir: Well,

as I said at the beginning,

1178

00:55:28,625 --> 00:55:32,929

and I will say it again, this is

clearly not the time to panic.

1179

00:55:32,996 --> 00:55:34,931

Stay informed.

1180

00:55:34,998 --> 00:55:38,935

Take it seriously, because it

can be a very serious disease.

1181

00:55:39,002 --> 00:55:40,236

Stay up to date.

1182

00:55:40,303 --> 00:55:42,872

We are absolutely

committed to doing whatever we

1183

00:55:42,939 --> 00:55:44,307

can to communicate.

1184

00:55:44,374 --> 00:55:46,476

We're very happy to

have these types of phone calls.

1185

00:55:46,543 --> 00:55:50,213

The website,

if you use the website,

1186

00:55:50,280 --> 00:55:53,683

www.CDC.gov will always

have the newest information.

1187

00:55:53,750 --> 00:55:58,054

And again, as Dr. Messonnier

said, use common sense.

1188

00:55:58,121 --> 00:55:59,189

Be reasonable.

1189

00:55:59,255 --> 00:56:01,458

You don't have to

put your lives on hold.

1190

00:56:01,524 --> 00:56:04,260

This will pass, but use

the kind of reasonable

1191

00:56:04,327 --> 00:56:07,831

precautions that could

really be lifesaving to you

1192

00:56:07,897 --> 00:56:10,700

or your loved one while

were sort of in the heat

1193

00:56:10,767 --> 00:56:12,702

of the moment

as we are right now.

1194

00:56:12,769 --> 00:56:15,739

So, we do remain committed

to doing everything we can to

1195

00:56:15,805 --> 00:56:19,809

provide information

to support you and to work

1196

00:56:19,876 --> 00:56:23,179

with you as we

collectively get through this.

1197

00:56:23,246 --> 00:56:24,948

And we will get through this.

1198

00:56:25,014 --> 00:56:26,116

Dr. Messonnier?

1199

00:56:26,182 --> 00:56:27,283

>> Dr. Nancy Messonier:

I think that's well-said.

1200

00:56:27,350 --> 00:56:28,284

Thank you.

1201

00:56:28,351 --> 00:56:29,919

AARP is an

important partner to us,

1202

00:56:29,986 --> 00:56:31,321

and we really want to

look for more opportunities to

1203

00:56:31,387 --> 00:56:33,790

keep your community informed.

1204

00:56:33,857 --> 00:56:35,558

>> Bill Walsh:

Okay, thank you both so much.

1205

00:56:35,625 --> 00:56:37,127

This has been

a really informative discussion.

1206

00:56:37,193 --> 00:56:40,363

Our thanks to each of you

for answering our questions and

1207

00:56:40,430 --> 00:56:42,365

those from our listeners.

1208

00:56:42,432 --> 00:56:46,069

And thank you, our AARP members,

volunteers and listeners for

1209

00:56:46,136 --> 00:56:47,871

participating

in this discussion.

1210

00:56:47,937 --> 00:56:50,440

If your question

was not addressed,

1211

00:56:50,507 --> 00:56:54,110

please go to www.AARP.org/coronavirus.

1212

00:56:54,177 --> 00:56:57,547

We'll be posting the answers

to the most frequently-asked

1213

00:56:57,614 --> 00:56:59,682

questions from today's call.

1214

00:56:59,749 --> 00:57:04,821

AARP, a nonprofit nonpartisan

member organization has been

1215

00:57:04,888 --> 00:57:07,257

working to promote the

health and well-being of older

1216

00:57:07,323 --> 00:57:09,759

Americans

for more than 60 years.

1217

00:57:09,826 --> 00:57:12,729

In the face of this outbreak,

AARP is providing information

1218

00:57:12,796 --> 00:57:15,565

and resources to help older

people and those caring for them

1219

00:57:15,632 --> 00:57:18,902

protect themselves from

the virus and prevent it from

1220

00:57:18,968 --> 00:57:20,770

spreading to others.

1221

00:57:20,837 --> 00:57:24,007

All of the resources referenced

today in our tele-town hall,

1222

00:57:24,073 --> 00:57:27,343

including a

recording of today's Q&A event,

1223

00:57:27,410 --> 00:57:30,213

will be available

on March 11th and can be found

1224

00:57:30,280 --> 00:57:33,316

www.AARP.org/coronavirus.

1225

00:57:33,383 --> 00:57:36,119

There, you will find the

latest updates on coronavirus,

1226

00:57:36,186 --> 00:57:41,524

as well as information

tailored for older adults

1227

00:57:41,591 --> 00:57:43,660

and family caregivers.

1228

00:57:43,726 --> 00:57:47,497

We hope you learn something

new about the coronavirus today,

1229

00:57:47,564 --> 00:57:51,634

in the spirit of keeping

you and your loved ones healthy.

1230

00:57:51,701 --> 00:57:53,803

Thank you and have a good day.

1231

00:57:53,870 --> 00:57:55,705

This concludes our call.

1

00:00:00,734 --> 00:00:01,334

>> Bill Walsh: Hola.

 

2

00:00:01,401 --> 00:00:03,970

Soy Bill Walsh, vicepresidente de AARP,

 

3

00:00:04,037 --> 00:00:05,905

y quiero darles la bienvenida

a esta importante discusión

 

4

00:00:05,972 --> 00:00:08,475

sobre el coronavirus.

 

5

00:00:08,541 --> 00:00:10,777

Hoy, discutiremos cómo

puede mantenerse informado

 

6

00:00:10,844 --> 00:00:13,646

y saludable, con expertos líderes,

 

7

00:00:13,713 --> 00:00:16,082

y abordaremos sus preguntas.

 

8

00:00:16,149 --> 00:00:20,720

AARP, una organización sin

fines de lucro y no partidista,

 

9

00:00:20,787 --> 00:00:22,889

ha estado trabajando para

promover la salud y el bienestar

 

10

00:00:22,956 --> 00:00:26,226

de los adultos mayores del país

durante más de 60 años.

 

11

00:00:26,292 --> 00:00:29,863

Ante este brote, AARP

está proporcionando información

 

12

00:00:29,929 --> 00:00:32,198

y recursos para ayudar

a las personas mayores

 

13

00:00:32,265 --> 00:00:34,467

y a aquellos que

los cuidan, a protegerse

 

14

00:00:34,534 --> 00:00:38,238

del virus y prevenir

su propagación a otros.

 

15

00:00:38,304 --> 00:00:41,741

Según los Centros para el Control

y la Prevención de Enfermedades,

 

16

00:00:41,808 --> 00:00:44,411

los adultos mayores y las personas

con trastornos de salud subyacentes

 

17

00:00:44,477 --> 00:00:48,715

como enfermedades cardíacas, enfermedades

pulmonares y diabetes tienen el doble

 

18

00:00:48,782 --> 00:00:51,851

de probabilidades de desarrollar

resultados graves que las personas

 

19

00:00:51,918 --> 00:00:53,920

más jóvenes y saludables.

 

20

00:00:53,987 --> 00:00:55,822

Esta es su oportunidad de aprender,

 

21

00:00:55,889 --> 00:01:00,593

hacer preguntas y obtener respuestas

de los principales expertos.

 

22

00:01:00,660 --> 00:01:03,696

Si ha participado en uno de

nuestros programas telefónicos antes,

 

23

00:01:03,763 --> 00:01:06,599

sabrá que es similar

a un programa de radio

 

24

00:01:06,666 --> 00:01:09,736

y tiene la oportunidad

de hacer preguntas en vivo.

 

25

00:01:09,803 --> 00:01:14,207

También estamos transmitiendo

en www.AARP.org y en Facebook.

 

26

00:01:14,274 --> 00:01:16,810

Si desea hacer una pregunta

sobre el coronavirus,

 

27

00:01:16,876 --> 00:01:20,313

presione asterisco 3 en el teclado

de su teléfono para conectarse

 

28

00:01:20,380 --> 00:01:24,384

con un miembro del personal de AARP,

quien anotará su nombre y pregunta,

 

29

00:01:24,451 --> 00:01:26,886

y lo colocará en línea

para hacer esa pregunta en vivo.

 

30

00:01:26,953 --> 00:01:30,423

Para hacer su pregunta,

presione asterisco  3.

 

31

00:01:30,490 --> 00:01:32,892

Antes de comenzar nuestra conversación,

 

32

00:01:32,959 --> 00:01:35,895

necesitamos saber sobre usted.

 

33

00:01:35,962 --> 00:01:39,032

Tómese un momento para decirnos,

¿qué es lo que más necesita

 

34

00:01:39,098 --> 00:01:42,735

saber sobre el coronavirus

en este momento?

 

35

00:01:42,802 --> 00:01:44,838

Presione 1 en el teclado

de su teléfono

 

36

00:01:44,904 --> 00:01:48,308

si lo que más desea escuchar

es sobre preparación y prevención.

 

37

00:01:48,374 --> 00:01:51,244

Presione 2 si desea

saber más sobre Medicare

 

38

00:01:51,311 --> 00:01:53,246

y la cobertura de

su seguro médico.

 

39

00:01:53,313 --> 00:01:56,749

Presione 3 si desea escuchar

sobre recursos locales,

 

40

00:01:56,816 --> 00:01:59,919

y presione 4 si desea

escuchar sobre el apoyo

 

41

00:01:59,986 --> 00:02:03,323

a sus seres queridos,

incluidos familiares y amigos.

 

42

00:02:03,389 --> 00:02:06,392

Entonces; presione 1

para preparación y prevención,

 

43

00:02:06,459 --> 00:02:09,796

presione 2 para Medicare

y cobertura de su seguro,

 

44

00:02:09,863 --> 00:02:14,534

3 para recursos locales y 4

para apoyo a sus seres queridos.

 

45

00:02:14,601 --> 00:02:19,706

¿Qué es lo que más necesita

saber en este momento?

 

46

00:02:19,772 --> 00:02:23,743

Hola, si se está conectando recién

ahora, soy Bill Walsh de AARP,

 

47

00:02:23,810 --> 00:02:25,478

y quiero darle la bienvenida

a esta importante discusión

 

48

00:02:25,545 --> 00:02:27,413

sobre el coronavirus.

 

49

00:02:27,480 --> 00:02:30,383

Estamos hablando con

expertos líderes hoy y tomamos

 

50

00:02:30,450 --> 00:02:32,318

sus preguntas en vivo.

 

51

00:02:32,385 --> 00:02:35,822

Nos acompañan hoy

el almirante Brett Giroir, doctor en medicina,

 

52

00:02:35,889 --> 00:02:39,092

Él es el subsecretario de salud

del Departamento de Salud

 

53

00:02:39,158 --> 00:02:41,494

y Servicios Humanos de EE.UU.

 

54

00:02:41,561 --> 00:02:44,898

También nos acompaña

la Dra. Nancy Messonnier,

 

55

00:02:44,964 --> 00:02:49,269

doctora en medicina y directora del Centro

Nacional de Vacunación

 

56

00:02:49,335 --> 00:02:52,005

y Enfermedades Respiratorias de los CDC.

 

57

00:02:52,071 --> 00:02:55,508

Y finalmente, la administradora

Seema Verma, quien lidera los Centros

 

58

00:02:55,575 --> 00:03:00,046

de Medicare y Medicaid,

también conocidos como CMS.

 

59

00:03:00,113 --> 00:03:02,982

Hoy nos enfocaremos en información

objetiva para asegurarnos

 

60

00:03:03,049 --> 00:03:06,419

de que usted esté actualizado e informado,

para mantenerlo a usted y a su familia

 

61

00:03:06,486 --> 00:03:08,021

sanos y salvos.

 

62

00:03:08,087 --> 00:03:11,658

Este evento está siendo grabando

y puede acceder a la grabación

 

63

00:03:11,724 --> 00:03:18,031

en www.AARP.org/coronavirus

24 horas después del evento.

 

64

00:03:18,097 --> 00:03:20,867

AARP está convocando esta teleasamblea para proporcionar

 

65

00:03:20,934 --> 00:03:23,903

información sobre

el coronavirus en un esfuerzo

 

66

00:03:23,970 --> 00:03:25,905

por ayudar a proteger al público.

 

67

00:03:25,972 --> 00:03:29,075

Si bien vemos que AARP desempeña

un papel importante en brindar

 

68

00:03:29,142 --> 00:03:32,745

información al consumidor y

recursos para la protección contra el virus,

 

69

00:03:32,812 --> 00:03:35,848

el público debe ser consciente de que

la mejor fuente de información

 

70

00:03:35,915 --> 00:03:38,418

médica y de salud

son los Centros

 

71

00:03:38,484 --> 00:03:40,053

para el Control y la Prevención

de Enfermedades.

 

72

00:03:40,119 --> 00:03:42,855

Puede acceder a ellos en: www.cdc.gov/coronavirus.

 

73

00:03:42,922 --> 00:03:48,194

Bien, vayamos

derecho hacia los CDC.

 

74

00:03:48,261 --> 00:03:55,001

Almirante Brett Giroir, gracias y

bienvenido a nuestro programa.

 

75

00:03:55,068 --> 00:03:56,336

>> Almirante Brett Giroir:

Quiero

 

76

00:03:56,402 --> 00:03:59,706

agradecerles mucho a todos ustedes

en el país y más allá

 

77

00:03:59,772 --> 00:04:04,043

por acompañarnos hoy aquí, y realmente

agradecer a AARP por esta

 

78

00:04:04,110 --> 00:04:07,380

llamada tan importante y

potencialmente salvadora de vidas.

 

79

00:04:07,447 --> 00:04:12,552

Quiero que todos sepan que

es necesario tomar este virus,

 

80

00:04:12,619 --> 00:04:16,589

coronavirus, en serio,

pero no se asuste.

 

81

00:04:16,656 --> 00:04:17,790

No está indefenso.

 

82

00:04:17,857 --> 00:04:21,728

De hecho, usted tiene mucho

poder para protegerse,

 

83

00:04:21,794 --> 00:04:24,797

proteger a su familia

y su comunidad.

 

84

00:04:24,864 --> 00:04:27,700

Voy a hablar con ustedes

de la misma manera en que hablé

 

85

00:04:27,767 --> 00:04:32,772

con mi madre de 87 años el fin de

semana pasado, y les daré el mismo consejo.

 

86

00:04:32,839 --> 00:04:35,575

Usted merece y recibirá

el mismo consejo,

 

87

00:04:35,642 --> 00:04:38,845

las mismas recomendaciones

y la misma honestidad

 

88

00:04:38,911 --> 00:04:41,080

que ofrezco a mi propia familia.

 

89

00:04:41,147 --> 00:04:43,750

Todos estamos aquí para usted,

en esta teleasamblea,

 

90

00:04:43,816 --> 00:04:46,953

y toda nuestra Administración

estará aquí para usted siempre,

 

91

00:04:47,020 --> 00:04:50,590

tanto durante como después del brote.

 

92

00:04:50,657 --> 00:04:53,526

Y en unos momentos, revisaremos

 

93

00:04:53,593 --> 00:04:55,228

una cantidad significativa de información.

 

94

00:04:55,294 --> 00:04:58,498

Todo lo básico que necesita

saber sobre el virus;

 

95

00:04:58,564 --> 00:05:00,867

cómo se transmite;

y lo más importante,

 

96

00:05:00,933 --> 00:05:02,802

cómo protegerse.

 

97

00:05:02,869 --> 00:05:05,605

Pero como acabamos de decir,

lo más importante

 

98

00:05:05,672 --> 00:05:09,509

que debe saber es dónde

obtener información actualizada.

 

99

00:05:09,575 --> 00:05:11,110

Eso es realmente muy importante,

 

100

00:05:11,177 --> 00:05:13,746

y si utiliza sitios web,

es muy fácil.

 

101

00:05:13,813 --> 00:05:15,515

www.CDC.gov.

 

102

00:05:15,581 --> 00:05:17,450

Muy fácil de recordar.

 

103

00:05:17,517 --> 00:05:19,552

Ni siquiera tiene que recordar

la "barra diagonal inversa",

 

104

00:05:19,619 --> 00:05:21,821

porque tan pronto como

acceda a ese sitio web,

 

105

00:05:21,888 --> 00:05:24,057

habrá una imagen grande

y enorme del virus

 

106

00:05:24,123 --> 00:05:25,591

que dice "coronavirus".

Simplemente haga clic

 

107

00:05:25,658 --> 00:05:28,327

en ella, y lo llevará directo.

 

108

00:05:28,394 --> 00:05:30,096

Puede ir a www.coronavirus.gov,

 

109

00:05:30,163 --> 00:05:31,998

pero puedo deletrear

www.CDC.gov mucho más fácil

 

110

00:05:32,065 --> 00:05:33,499

que "coronavirus".

 

111

00:05:33,566 --> 00:05:34,867

Entonces, solo recuerde eso.

 

112

00:05:34,934 --> 00:05:38,037

Sus planes de salud

generalmente tendrán una línea

 

113

00:05:38,104 --> 00:05:41,040

de información o una línea con personal de enfermería. Y la administradora Verma

 

114

00:05:41,107 --> 00:05:44,444

probablemente hablará sobre eso,

que también puede ayudarlo.

 

115

00:05:44,510 --> 00:05:48,081

Y a menos que esté realmente enfermo,

no vaya a una sala de emergencias

 

116

00:05:48,147 --> 00:05:49,782

ni a una sala de

atención de urgencia.

 

117

00:05:49,849 --> 00:05:53,019

Llame primero a

su médico o enfermera.

 

118

00:05:53,086 --> 00:05:55,755

Hoy, le diremos lo que sabemos,

 

119

00:05:55,822 --> 00:05:59,592

así como lo que aprendimos,

pero sabemos mucho

 

120

00:05:59,659 --> 00:06:02,295

y sabemos lo que puede hacer

para ayudar a protegerse

 

121

00:06:02,361 --> 00:06:04,464

y proteger a sus seres queridos.

 

122

00:06:06,966 --> 00:06:08,234

>> Bill Walsh: Almirante,

gracias por eso.

 

123

00:06:08,301 --> 00:06:11,003

Me preguntaba si puede darnos

la última actualización.

 

124

00:06:11,070 --> 00:06:13,606

Entiendo que usted se encuentra en la sede

de los CDC en Atlanta.

 

125

00:06:16,242 --> 00:06:17,877

>> Dra. Nancy Messonnier:

Aquí la Dra. Messonnier.

 

126

00:06:17,944 --> 00:06:21,114

Quizás solo les dé

un poco de información.

 

127

00:06:21,180 --> 00:06:25,051

A partir de esta mañana, el recuento

de casos está aproximadamente

 

128

00:06:25,118 --> 00:06:27,787

en casi 700 casos confirmados

y presuntos en EE. UU.,

 

129

00:06:27,854 --> 00:06:30,623

en 38 jurisdicciones.

 

130

00:06:30,690 --> 00:06:34,227

Son 36 estados y

Nueva York y D.C.

 

131

00:06:34,293 --> 00:06:38,498

Y podemos esperar

que esos casos aumenten.

 

132

00:06:38,564 --> 00:06:42,235

A nivel mundial, seguimos viendo

grandes aumentos en la enfermedad

 

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y, a partir de ayer por la mañana,

creo que los números continúan

 

134

00:06:48,875 --> 00:06:51,310

aumentando, especialmente en Italia.

 

135

00:06:51,377 --> 00:06:57,016

Los números están en un poco más

de 100,000 casos en todo el mundo.

 

136

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>> Bill Walsh: bueno.

 

137

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Gracias a ambos

por ese resumen general.

 

138

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Volveremos con ustedes en un momento,

 

139

00:07:02,221 --> 00:07:04,423

pero ahora me gustaría

retomar a la Administradora

 

140

00:07:04,490 --> 00:07:05,625

de los CMS Seema Verma.

 

141

00:07:05,691 --> 00:07:09,328

La administradora Verma

dirige los Centros de Servicios

 

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00:07:09,395 --> 00:07:10,530

de Medicare y Medicaid.

 

143

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CMS administra programas de cobertura

de salud para más de 130

 

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millones de personas en Estados Unidos.

 

145

00:07:17,103 --> 00:07:20,306

La administradora Verma también es

parte del equipo de trabajo

 

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00:07:20,373 --> 00:07:22,308

de coronavirus de la Administración.

 

147

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Gracias por acompañarnos

hoy, administradora Verma.

 

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>> Seema Verma:

Un placer, Dr. Giroir.

 

149

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Feliz de estar aquí.

 

150

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>> Bill Walsh: Muy bien, bueno,

están hablando con Bill Walsh

 

151

00:07:29,549 --> 00:07:30,550

de AARP en este momento, pero

realmente apreciamos su tiempo

 

152

00:07:30,616 --> 00:07:36,556

y sabemos que su disponibilidad

es limitada, así que comencemos.

 

153

00:07:36,622 --> 00:07:40,426

¿Puede hablarnos sobre

las implicaciones de costos para

 

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00:07:40,493 --> 00:07:41,828

los inscritos en Medicare?

 

155

00:07:41,894 --> 00:07:44,764

Es decir, si los adultos mayores

necesitan una prueba de coronavirus,

 

156

00:07:44,831 --> 00:07:46,332

¿cuánto les costará?

 

157

00:07:46,399 --> 00:07:48,067

>> Seema Verma: Sí, claro.

 

158

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Bien, permítanme retroceder un poco

y hablar un poco más

 

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ampliamente sobre CMS y

algunas de nuestras respuestas,

 

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00:07:54,807 --> 00:07:57,076

y luego ciertamente hablaré

sobre las implicaciones

 

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00:07:57,143 --> 00:07:59,011

para nuestros beneficiarios de Medicare.

 

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CMS es responsable de administrar

los programas de Medicare y Medicaid,

 

163

00:08:03,249 --> 00:08:08,254

y también de desarrollar y

hacer cumplir los requisitos de seguridad

 

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en todas nuestras instituciones de

atención médica en todo el país.

 

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Por lo tanto, no solo

brindamos cobertura

 

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a más de 130 millones de personas en el país,

sino que también supervisamos

 

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00:08:19,332 --> 00:08:21,033

algunas de nuestras instituciones

de atención médica.

 

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Entonces, permítanme comenzar con

la pregunta del Dr. Giroir sobre

 

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lo que está sucediendo en

Medicare, qué puede esperar ver

 

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en su cobertura.

 

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Algunos de ustedes están

en planes Medicare Advantage,

 

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00:08:32,345 --> 00:08:36,148

y algunos de ustedes están en el programa

tradicional de pago por servicio

 

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de Medicare.

 

174

00:08:37,750 --> 00:08:40,753

La buena noticia es que, sin importar el tipo

de programa en el que se encuentre,

 

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puede hacerse una prueba

de coronavirus sin copago.

 

176

00:08:44,624 --> 00:08:47,426

Acabo de llegar de

una reunión con el presidente

 

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y el vicepresidente, y estaban hablando

 

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con las compañías de seguros y

lograron un compromiso

 

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00:08:51,264 --> 00:08:55,935

por parte de las compañías de seguros

no solo para los planes

 

180

00:08:56,002 --> 00:08:58,304

Medicare Advantage, sino también para

todas las compañías de seguros

 

181

00:08:58,371 --> 00:09:02,375

que cubrirán el costo de las pruebas

de coronavirus, sin copago,

 

182

00:09:02,441 --> 00:09:05,678

y también los servicios relacionados.

 

183

00:09:05,745 --> 00:09:07,046

Entonces, eso es lo primero.

 

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00:09:07,113 --> 00:09:09,181

Lo segundo, creo que

es realmente importante,

 

185

00:09:09,248 --> 00:09:11,284

y se remonta a un comentario

que usted hizo.

 

186

00:09:11,350 --> 00:09:14,120

Usted dijo: "Antes de

ir a su médico,

 

187

00:09:14,186 --> 00:09:17,757

llámelos". Y es importante

que lo hagamos,

 

188

00:09:17,823 --> 00:09:20,226

porque no queremos que las personas

visiten las instalaciones de salud

 

189

00:09:20,293 --> 00:09:22,695

si no es necesario.

 

190

00:09:22,762 --> 00:09:25,431

Y la buena noticia es que,

bajo el liderazgo del presidente,

 

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Medicare comenzó a pagar

los servicios de telesalud

 

192

00:09:28,267 --> 00:09:31,570

en gran medida en los últimos años.

 

193

00:09:31,637 --> 00:09:33,906

Y nuevamente, este es

un cambio histórico que

 

194

00:09:33,973 --> 00:09:37,576

llevamos a cabo, y

estamos muy orgullosos de esto,

 

195

00:09:37,643 --> 00:09:39,378

y no podría ser más oportuno.

 

196

00:09:39,445 --> 00:09:43,816

Entonces, puede llamar a su médico,

puede comunicarse por Skype con ellos,

 

197

00:09:43,883 --> 00:09:46,519

puede enviarles fotos.

 

198

00:09:46,585 --> 00:09:48,921

Y todos estos son servicios cubiertos,

 

199

00:09:48,988 --> 00:09:51,791

por lo que su médico puede

facturar esos servicios en particular.

 

200

00:09:51,857 --> 00:09:56,128

Y como dijo el Dr. Giroir, eso es

extremadamente importante en este momento.

 

201

00:09:56,195 --> 00:09:57,330

>> Bill Walsh: Muy bien...

 

202

00:09:57,396 --> 00:09:58,197

>> Seema Verma: Algunos de los otros...

 

203

00:09:58,264 --> 00:09:59,398

>> Bill Walsh: Sí, lamento interrumpirla.

 

204

00:09:59,465 --> 00:10:01,133

Ha planteado un par

de puntos importantes,

 

205

00:10:01,200 --> 00:10:02,768

quiero asegurarme

de que no se pierdan.

 

206

00:10:02,835 --> 00:10:07,006

La escuché decir que Medicare

cubriría completamente

 

207

00:10:07,073 --> 00:10:08,307

una prueba de coronavirus.

 

208

00:10:08,374 --> 00:10:10,242

¿También la escuché decir

que los seguros privados

 

209

00:10:10,309 --> 00:10:12,712

también cubrirían la prueba?

 

210

00:10:13,779 --> 00:10:14,847

>> Verma Seema: Eso es correcto.

 

211

00:10:14,914 --> 00:10:16,983

Eso es noticia de último momento.

 

212

00:10:17,049 --> 00:10:19,018

Creo que verán más

sobre eso esta noche,

 

213

00:10:19,085 --> 00:10:21,988

que nos reunimos hoy con las compañías

de seguros de la nación,

 

214

00:10:22,054 --> 00:10:23,456

las más importantes.

 

215

00:10:23,522 --> 00:10:26,158

Una vez más, siempre

debe consultar con su proveedor

 

216

00:10:26,225 --> 00:10:29,562

o su compañía de seguros, pero

hablamos con ellos esta mañana,

 

217

00:10:29,628 --> 00:10:32,465

y están comprometidos a cubrir

el costo de las pruebas

 

218

00:10:32,531 --> 00:10:35,101

y a garantizar que

no haya gastos de bolsillo.

 

219

00:10:35,167 --> 00:10:39,138

Realmente no queremos que nadie

que sienta que necesita una prueba,

 

220

00:10:39,205 --> 00:10:43,309

no queremos que el costo sea

una barrera para hacerse la prueba.

 

221

00:10:43,376 --> 00:10:44,744

>> Bill Walsh: Bueno,

esas son buenas noticias.

 

222

00:10:44,810 --> 00:10:46,879

¿Qué hay de los otros

servicios relacionados con el coronavirus?

 

223

00:10:46,946 --> 00:10:49,348

¿Medicare cubrirá cuarentenas

 

224

00:10:49,415 --> 00:10:52,918

y alguna vacuna potencial?

 

225

00:10:52,985 --> 00:10:54,553

>> Seema Verma: Bueno, ya sabe,

la mayoría de los servicios

 

226

00:10:54,620 --> 00:10:57,490

que necesitaría, relacionados con el coronavirus,

 

227

00:10:57,556 --> 00:11:00,226

ya sea una visita

al médico y, con suerte,

 

228

00:11:00,292 --> 00:11:02,728

no una hospitalización, esos están

cubiertos de manera rutinaria

 

229

00:11:02,795 --> 00:11:05,531

por el programa de Medicare.

 

230

00:11:05,598 --> 00:11:09,702

En términos de una vacuna, no hay

una vacuna ahora en este momento.

 

231

00:11:09,769 --> 00:11:13,706

Aunque nuestros investigadores

están trabajando arduamente para desarrollar

 

232

00:11:13,773 --> 00:11:16,008

una vacuna, no tenemos

una en este momento.

 

233

00:11:16,075 --> 00:11:19,245

Pero si estuviera

disponible, el costo estaría cubierto

 

234

00:11:19,311 --> 00:11:20,980

en el programa

de la parte D.

 

235

00:11:21,047 --> 00:11:25,885

Entonces, Medicare lo cubriría

bajo el programa de la parte D.

 

236

00:11:25,951 --> 00:11:27,119

>> Bill Walsh: De acuerdo.

 

237

00:11:27,186 --> 00:11:29,688

Administradora Verma, AARP,

ha instado al Congreso a proporcionar

 

238

00:11:29,755 --> 00:11:35,094

amplios recursos para

combatir el coronavirus y facilitar

 

239

00:11:35,161 --> 00:11:37,863

las visitas de telesalud

para quienes tienen Medicare.

 

240

00:11:37,930 --> 00:11:39,365

Ha mencionado esto hace un momento.

 

241

00:11:39,432 --> 00:11:42,068

¿Puede hablar un poco más

sobre telesalud

 

242

00:11:42,134 --> 00:11:45,337

y si se han tomado medidas

para expandir esos servicios?

 

243

00:11:45,404 --> 00:11:46,272

>> Seema Verma: Claro.

 

244

00:11:46,338 --> 00:11:49,175

Bueno, la telesalud es una manera

en que los pacientes pueden acceder

 

245

00:11:49,241 --> 00:11:51,410

a la atención médica mediante telecomunicaciones

 

246

00:11:51,477 --> 00:11:54,280

y tecnología de comunicación digital.

 

247

00:11:54,346 --> 00:11:57,550

Permite que un paciente

se conecte con su médico

 

248

00:11:57,616 --> 00:12:01,887

sin tener que viajar al consultorio

de un médico u hospital.

 

249

00:12:01,954 --> 00:12:04,123

Y esos son servicios

que están disponibles no solo

 

250

00:12:04,190 --> 00:12:06,425

por el coronavirus, sino por algunos

 

251

00:12:06,492 --> 00:12:09,628

de los cambios que hemos realizado.

 

252

00:12:09,695 --> 00:12:11,897

Durante el último año,

los últimos tres años,

 

253

00:12:11,964 --> 00:12:15,134

hemos hecho posible que los médicos

 

254

00:12:15,201 --> 00:12:19,305

facturen su tiempo

hablando con los pacientes

 

255

00:12:19,371 --> 00:12:23,275

por teléfono y chateando por video con ellos,

para atender los problemas médicos.

 

256

00:12:23,342 --> 00:12:25,744

Y es realmente esencial

que todos en el país

 

257

00:12:25,811 --> 00:12:28,781

especialmente aquellos que corren

un alto riesgo de complicaciones

 

258

00:12:28,848 --> 00:12:32,718

por el virus, como nuestros adultos mayores,

conozcan estos beneficios de telesalud accesibles

 

259

00:12:32,785 --> 00:12:36,489

y fáciles de usar que

pueden mantenerlos saludables

 

260

00:12:36,555 --> 00:12:40,226

y también ayudar a contener

la propagación de esta enfermedad.

 

261

00:12:40,292 --> 00:12:41,227

>> Bill Walsh: Vi que...

 

262

00:12:41,293 --> 00:12:43,229

>> Seema Verma: Solo

un par de cosas más.

 

263

00:12:43,295 --> 00:12:46,966

Los registros virtuales, las visitas

electrónicas están disponibles.

 

264

00:12:47,032 --> 00:12:48,767

>> Bill Walsh: Excelente.

 

265

00:12:48,834 --> 00:12:51,003

Vi que los CMS publicaron un comunicado

de prensa esta mañana

 

266

00:12:51,070 --> 00:12:53,038

sobre los beneficios

de la telesalud y Medicare,

 

267

00:12:53,105 --> 00:12:56,742

junto con algunos consejos

sobre lo que, particularmente,

 

268

00:12:56,809 --> 00:12:58,944

los adultos mayores

deberían hacer si están pensando

 

269

00:12:59,011 --> 00:13:00,613

en visitar el consultorio

de su médico.

 

270

00:13:00,679 --> 00:13:03,516

¿Puede decirle a nuestra audiencia

qué consejo le gustaría

 

271

00:13:03,582 --> 00:13:05,251

dar al respecto?

 

272

00:13:05,317 --> 00:13:06,118

>> Seema Verma: Claro.

 

273

00:13:06,185 --> 00:13:09,688

Bueno, si un beneficiario de Medicare

está buscando algún consejo

 

274

00:13:09,755 --> 00:13:13,058

sobre los síntomas que está experimentando,

simplemente puede llamar a su médico

 

275

00:13:13,125 --> 00:13:15,928

y recibir instrucciones

médicas sobre si debe

 

276

00:13:15,995 --> 00:13:19,698

venir a la oficina en persona

para un examen.

 

277

00:13:19,765 --> 00:13:23,235

Si comienzan a sentirse

más enfermos, una visita virtual

 

278

00:13:23,302 --> 00:13:25,604

le permite al proveedor ofrecer

recomendaciones sobre

 

279

00:13:25,671 --> 00:13:28,174

los próximos pasos, e incluso

tomar precauciones antes

 

280

00:13:28,240 --> 00:13:31,177

de poner a otros en riesgo.

 

281

00:13:31,243 --> 00:13:32,578

>> Bill Walsh: Eso suena

como un gran consejo.

 

282

00:13:32,645 --> 00:13:35,814

Y una última cosa que quería

preguntarle, administradora Verma,

 

283

00:13:35,881 --> 00:13:40,553

usted había mencionado que CMS

también tiene alcance sobre las instalaciones de salud.

 

284

00:13:40,619 --> 00:13:43,122

Me gustaría saber qué está haciendo

CMS para asegurar que los hospitales,

 

285

00:13:43,189 --> 00:13:45,591

clínicas y médicos estén preparados,

 

286

00:13:45,658 --> 00:13:47,660

y para asegurarse de que

estén preparados y sean capaces

 

287

00:13:47,726 --> 00:13:51,397

de manejar a las personas

con infecciones por coronavirus.

 

288

00:13:51,463 --> 00:13:53,098

>> Seema Verma: aprecio esa pregunta.

 

289

00:13:53,165 --> 00:13:57,203

Una de las cosas que hemos hecho

es un llamado a la acción en torno

 

290

00:13:57,269 --> 00:13:57,937

al control de infecciones.

 

291

00:13:58,003 --> 00:14:01,073

Y eso significa esencialmente que

queremos asegurarnos de que

 

292

00:14:01,140 --> 00:14:04,276

los hospitales y hogares de ancianos,

y realmente todas nuestras instalaciones

 

293

00:14:04,343 --> 00:14:08,447

de atención médica, estén haciendo

todo lo posible para prevenir

 

294

00:14:08,514 --> 00:14:11,217

la propagación de la enfermedad

dentro de estas instalaciones,

 

295

00:14:11,283 --> 00:14:13,185

lo cual es realmente importante.

 

296

00:14:13,252 --> 00:14:16,255

Estas políticas y

pautas no son nuevas.

 

297

00:14:16,322 --> 00:14:16,922

Han existido

 

298

00:14:16,989 --> 00:14:19,758

durante muchos años

porque cada año nos preparamos

 

299

00:14:19,825 --> 00:14:22,628

para la gripe, pero

realmente es alentador

 

300

00:14:22,695 --> 00:14:24,830

el haber reforzado esas prácticas.

 

301

00:14:24,897 --> 00:14:29,568

El presidente también

tomó medidas en particular y dijo:

 

302

00:14:29,635 --> 00:14:31,937

"Miren, vamos a ser proactivos

con respecto a esto",

 

303

00:14:32,004 --> 00:14:34,506

y nos indicó que usemos

nuestros 8,000 inspectores

 

304

00:14:34,573 --> 00:14:38,711

para visitar proactivamente

a hogares de ancianos

 

305

00:14:38,777 --> 00:14:43,048

y hospitales para asegurarnos de que

cuentan con los procedimientos

 

306

00:14:43,115 --> 00:14:45,451

y políticas adecuados, y

que están haciendo lo correcto

 

307

00:14:45,517 --> 00:14:49,088

para mantener seguros a nuestros pacientes.

 

308

00:14:49,154 --> 00:14:50,589

>> Bill Walsh: Bueno, muy bien.

 

309

00:14:50,656 --> 00:14:52,291

Le agradecemos por

haberse tomado el tiempo hoy.

 

310

00:14:52,358 --> 00:14:54,893

Sabemos que tiene una agenda ocupada

 

311

00:14:54,960 --> 00:14:55,928

y tiene que irse.

 

312

00:14:55,995 --> 00:14:59,798

¿Alguna idea final que le gustaría

compartir con nuestra audiencia?

 

313

00:14:59,865 --> 00:15:01,700

>> Seema Verma: Realmente aprecio

lo que usted ha comenzado,

 

314

00:15:01,767 --> 00:15:04,036

que son las recomendaciones

 

315

00:15:04,103 --> 00:15:07,006

para alentar a las personas

a mantener la calma.

 

316

00:15:07,072 --> 00:15:11,477

Recibimos excelentes recomendaciones

por parte de los CDC sobre

 

317

00:15:11,543 --> 00:15:14,313

las mejores prácticas, simplemente

en términos de lavarse las manos,

 

318

00:15:14,380 --> 00:15:16,982

mantenerse alejado de

las personas que están enfermas.

 

319

00:15:17,049 --> 00:15:18,450

Sabe, le estaba diciendo a mi hija,

 

320

00:15:18,517 --> 00:15:21,253

que se va de vacaciones de primavera

y que quería ir a visitar

 

321

00:15:21,320 --> 00:15:24,323

a sus abuelos, mis padres,

y estaba resfriada.

 

322

00:15:24,390 --> 00:15:26,125

Y simplemente le dije:

"No creo que este

 

323

00:15:26,191 --> 00:15:27,493

sea un buen momento para visitar".

 

324

00:15:27,559 --> 00:15:30,663

Entonces esas cosas son realmente importantes.

 

325

00:15:30,729 --> 00:15:33,799

Creo que los consejos sobre

viajes también son críticos,

 

326

00:15:33,866 --> 00:15:37,169

y sé que hablarán más adelante sobre los cruceros,

 

327

00:15:37,236 --> 00:15:39,805

y también cualquier viaje no esencial

 

328

00:15:39,872 --> 00:15:41,473

y se mantendrán alejados de las multitudes.

 

329

00:15:41,540 --> 00:15:45,010

Entonces, creo que todo eso, el gran

consejo que nos dieron los CDC,

 

330

00:15:45,077 --> 00:15:48,147

es realmente importante

que nuestros adultos mayores,

 

331

00:15:48,213 --> 00:15:50,716

y especialmente aquellos con

trastornos médicos subyacentes,

 

332

00:15:50,783 --> 00:15:54,019

realmente presten atención a ese consejo.

 

333

00:15:54,086 --> 00:15:57,690

>> Bill Walsh: Muy bien,

gracias de nuevo

 

334

00:15:57,756 --> 00:15:58,791

por acompañarnos hoy.

 

335

00:15:58,857 --> 00:16:01,293

Y solo un recordatorio

para los oyentes

 

336

00:16:01,360 --> 00:16:02,695

de que esta teleasamblea está siendo grabada y estará disponible

 

337

00:16:02,761 --> 00:16:08,267

en www.AARP.org/coronavirus en 24 horas.

 

338

00:16:08,334 --> 00:16:10,803

Para aquellos de ustedes que se acaban

de unir a nuestra conversación,

 

339

00:16:10,869 --> 00:16:14,506

soy Bill Walsh con AARP,

y estuve hablando hoy con

 

340

00:16:14,573 --> 00:16:17,710

destacados expertos

en salud sobre el coronavirus.

 

341

00:16:17,776 --> 00:16:20,913

También tomamos sus preguntas en vivo.

 

342

00:16:20,979 --> 00:16:24,249

Para hacer una pregunta en cualquier

momento, presione asterisco  3.

 

343

00:16:24,316 --> 00:16:27,820

Me gustaría volver a la conversación

 

344

00:16:27,886 --> 00:16:31,423

con el Almirante Brett Giroir, M.D.,

del Departamento de Salud

 

345

00:16:31,490 --> 00:16:33,759

y Servicios Humanos de EE.UU.,

y dar la bienvenida

 

346

00:16:33,826 --> 00:16:36,995

a la Dra. Nancy Messonnier,

M.D., directora del Centro

 

347

00:16:37,062 --> 00:16:40,833

Nacional de Vacunación y Enfermedades

Respiratorias de los CDC.

 

348

00:16:40,899 --> 00:16:42,968

Gracias a los dos por

acompañarnos hoy.

 

349

00:16:43,035 --> 00:16:45,637

Almirante, vamos a comenzar.

 

350

00:16:45,704 --> 00:16:48,974

Estamos ansiosos por saber de usted,

y apreciamos su tiempo hoy.

 

351

00:16:49,041 --> 00:16:52,878

¿Puede explicarnos algo

de lo que nuestra audiencia

 

352

00:16:52,945 --> 00:16:54,580

necesita saber sobre el coronavirus?

 

353

00:16:54,646 --> 00:16:57,850

Creo que vale la pena repetirlo,

y especialmente ¿qué acciones

 

354

00:16:57,916 --> 00:17:03,489

se están tomando para contener

el patógeno y reducir su impacto?

 

355

00:17:03,555 --> 00:17:04,189

>> Almirante Brett Giroir:

 

356

00:17:04,256 --> 00:17:05,524

Sí, gracias por la oportunidad.

 

357

00:17:05,591 --> 00:17:08,660

Bueno, no es

una historia tan larga,

 

358

00:17:08,727 --> 00:17:13,732

pero creo que todos nuestros oyentes

de hoy recuerdan que desde el principio,

 

359

00:17:13,799 --> 00:17:17,236

este brote comenzó en

una parte particular de China,

 

360

00:17:17,302 --> 00:17:20,239

donde los primeros pacientes

que contrajeron el virus probablemente

 

361

00:17:20,305 --> 00:17:23,909

se contagiaron de un contacto con animales

en un mercado de animales vivos.

 

362

00:17:23,976 --> 00:17:27,746

Pero ahora sabemos que hay una

propagación de persona a persona.

 

363

00:17:27,813 --> 00:17:31,083

Eso sucedió primero en China,

y ahora en muchos países

 

364

00:17:31,150 --> 00:17:34,453

fuera de China, incluido Estados Unidos.

 

365

00:17:34,520 --> 00:17:38,457

Y en muchas partes de

Estados Unidos, como en Washington,

 

366

00:17:38,524 --> 00:17:41,527

California y Nueva York,

hay algo llamado

 

367

00:17:41,593 --> 00:17:44,696

propagación comunitaria, lo que significa

que en realidad se propaga

 

368

00:17:44,763 --> 00:17:46,732

entre las personas de

la comunidad que no podemos

 

369

00:17:46,799 --> 00:17:49,134

rastrear que hayan viajado

fuera de Estados Unidos

 

370

00:17:49,201 --> 00:17:51,236

u otro contacto.

 

371

00:17:51,303 --> 00:17:54,139

Pero la propagación de persona a persona

puede significar muchas cosas diferentes,

 

372

00:17:54,206 --> 00:17:57,309

así que permítanme ser exacto sobre

cómo creemos que se transmite

 

373

00:17:57,376 --> 00:17:59,611

de persona a persona.

 

374

00:17:59,678 --> 00:18:03,182

Generalmente se transmite

de persona a persona si están

 

375

00:18:03,248 --> 00:18:05,751

en contacto cercano

entre sí; es decir,

 

376

00:18:05,818 --> 00:18:09,488

a menos de seis pies el uno

del otro, y se propaga a través

 

377

00:18:09,555 --> 00:18:12,658

de las gotas respiratorias

que las personas producen

 

378

00:18:12,724 --> 00:18:15,194

cuando tosen o estornudan.

 

379

00:18:15,260 --> 00:18:18,230

Estas gotas pueden caer

en su nariz o boca,

 

380

00:18:18,297 --> 00:18:21,400

o potencialmente en sus manos

y al tocar su cara,

 

381

00:18:21,467 --> 00:18:23,368

puede infectarse.

 

382

00:18:23,435 --> 00:18:25,704

Es muy importante que todos entiendan

 

383

00:18:25,771 --> 00:18:28,106

que esto no es

como el sarampión.

 

384

00:18:28,173 --> 00:18:31,276

Y lo que quiero decir con eso

es que si alguien tiene sarampión

 

385

00:18:31,343 --> 00:18:34,379

y entra a una habitación y

no tienes una vacuna,

 

386

00:18:34,446 --> 00:18:36,148

sin importar en qué lugar

de esa habitación estés,

 

387

00:18:36,215 --> 00:18:37,416

podrías infectarte con sarampión.

 

388

00:18:37,483 --> 00:18:39,284

Esto no es como eso.

 

389

00:18:39,351 --> 00:18:42,287

Esta es una enfermedad

de contacto cercano.

 

390

00:18:42,354 --> 00:18:44,957

Ahora, es posible que

una persona pueda contraer

 

391

00:18:45,023 --> 00:18:49,027

coronavirus al tocar

una superficie o un objeto

 

392

00:18:49,094 --> 00:18:52,798

sobre el que el virus se posó, y  luego tocar su nariz o boca.

 

393

00:18:52,865 --> 00:18:54,800

Esta no es la forma principal

en que se propaga el virus,

 

394

00:18:54,867 --> 00:18:56,902

pero ciertamente todavía es posible,

 

395

00:18:56,969 --> 00:19:00,138

por eso tenemos muchas

recomendaciones sobre buena

 

396

00:19:00,205 --> 00:19:02,341

limpieza e higiene.

 

397

00:19:02,407 --> 00:19:05,010

Así que déjenme darles,

ahora que entienden cómo

 

398

00:19:05,077 --> 00:19:07,546

se propaga el virus, quiero

darles algunas formas básicas

 

399

00:19:07,613 --> 00:19:09,681

en las que pueden protegerse

y que sabemos que son

 

400

00:19:09,748 --> 00:19:10,983

muy efectivas,

 

401

00:19:11,049 --> 00:19:14,620

y luego quiero que la Dra. Messonnier

aborde específicamente

 

402

00:19:14,686 --> 00:19:19,057

las precauciones que tenemos

para los adultos mayores

 

403

00:19:19,124 --> 00:19:21,860

o aquellos con afecciones como

diabetes o enfermedades cardíacas.

 

404

00:19:21,927 --> 00:19:25,030

Entonces, antes que nada, por

el momento no hay una vacuna

 

405

00:19:25,097 --> 00:19:28,300

para prevenir el coronavirus, y

no hay medicamentos específicos

 

406

00:19:28,367 --> 00:19:30,035

para tratarlo.

 

407

00:19:30,102 --> 00:19:33,305

Ahora, eso puede sonar aterrador,

pero no debería serlo porque

 

408

00:19:33,372 --> 00:19:35,641

usted mismo tiene mucho que ver

con la prevención de su enfermedad.

 

409

00:19:35,707 --> 00:19:39,044

Entonces, antes que nada,

use el sentido común.

 

410

00:19:39,111 --> 00:19:41,947

Evitar el contacto cercano

con personas que están enfermas.

 

411

00:19:42,014 --> 00:19:44,850

Si están enfermos,

no se acerque a ellos.

 

412

00:19:44,917 --> 00:19:47,753

Asegúrese de que lo estén

protegiendo, estornudando

 

413

00:19:47,819 --> 00:19:51,223

en el brazo, lavándose

las manos también.

 

414

00:19:51,290 --> 00:19:52,491

Pero, evite el contacto.

 

415

00:19:52,558 --> 00:19:54,993

El segundo es

muy difícil de hacer.

 

416

00:19:55,060 --> 00:19:58,530

Trate de evitar tocarse

los ojos, la nariz y la boca

 

417

00:19:58,597 --> 00:20:00,599

Si presta atención,

verá que lo hace

 

418

00:20:00,666 --> 00:20:02,968

docenas o tal vez

incluso cien veces al día.

 

419

00:20:03,035 --> 00:20:07,272

Es muy importante tratar

de recordar no tocarse

 

420

00:20:07,339 --> 00:20:08,640

los ojos, la nariz

o la boca.

 

421

00:20:08,707 --> 00:20:11,777

Y a veces, lo que le digo a

la gente que haga es, literalmente,

 

422

00:20:11,843 --> 00:20:14,046

atar una pequeña cuerda en su dedo

que no hayan notado antes

 

423

00:20:14,112 --> 00:20:16,248

y cuando ven eso,

se dan cuenta de dónde

 

424

00:20:16,315 --> 00:20:17,749

están sus manos.

 

425

00:20:17,816 --> 00:20:20,953

Limpie y, si puede, desinfecte

los objetos y las superficies

 

426

00:20:21,019 --> 00:20:23,789

que más se tocan, con un producto de limpieza corriente,

 

427

00:20:23,855 --> 00:20:25,123

en atomizador, o paño desechable.

 

428

00:20:25,190 --> 00:20:28,860

Cosas como limpiar las

manijas de puertas o incluso

 

429

00:20:28,927 --> 00:20:32,431

cosas que se tocan bastante

y que otras personas

 

430

00:20:32,497 --> 00:20:33,799

podrían tocar.

 

431

00:20:33,865 --> 00:20:35,033

Muy importante.

 

432

00:20:35,100 --> 00:20:38,737

Haga lo que su madre le enseñó

a hacer y dígale a sus hijos

 

433

00:20:38,804 --> 00:20:41,907

que lo hagan, y eso es lavarse

las manos con agua y jabón,

 

434

00:20:41,974 --> 00:20:44,676

y hacerlo durante al menos 20

segundos y lavarse bien,

 

435

00:20:44,743 --> 00:20:46,678

muy bien, y lavarlas con frecuencia.

 

436

00:20:46,745 --> 00:20:49,581

Y si no tiene agua

y jabón disponibles

 

437

00:20:49,648 --> 00:20:52,818

o si es mucho más

conveniente para su uso,

 

438

00:20:52,884 --> 00:20:56,188

puede usar un desinfectante

para manos que tenga un alto

 

439

00:20:56,254 --> 00:20:57,923

porcentaje de alcohol.

 

440

00:20:57,990 --> 00:21:00,158

Funciona muy bien y puede llevar

 

441

00:21:00,225 --> 00:21:03,729

las pequeñas botellas con usted

básicamente a todas partes.

 

442

00:21:03,795 --> 00:21:05,897

Ahora, eso es general para todos.

 

443

00:21:05,964 --> 00:21:07,399

Todos deberían estar haciendo eso.

 

444

00:21:07,466 --> 00:21:09,868

Pero la Dra. Messonnier quiere

dar algunas precauciones

 

445

00:21:09,935 --> 00:21:12,971

realmente especiales para

los adultos mayores,

 

446

00:21:13,038 --> 00:21:15,774

porque, como dijo

el Sr. Walsh al principio,

 

447

00:21:15,841 --> 00:21:18,543

sabemos que los ancianos, en particular,

 

448

00:21:18,610 --> 00:21:23,015

pueden tener un riesgo muy alto

de un mal resultado con el coronavirus,

 

449

00:21:23,081 --> 00:21:24,650

por lo que queremos prevenir eso.

 

450

00:21:24,716 --> 00:21:26,051

¿Dra. Messonnier?

 

451

00:21:26,118 --> 00:21:27,319

>> Dra. Nancy Messonnier:

Gracias, almirante Giroir,

 

452

00:21:27,386 --> 00:21:29,354

y gracias Bill por organizar

esta importante reunión.

 

453

00:21:29,421 --> 00:21:34,493

Quiero enmarcar esto comenzando

por donde se detuvo

 

454

00:21:34,559 --> 00:21:37,029

el Almirante Giroir, que sabemos que

se propaga por la vía respiratoria,

 

455

00:21:37,095 --> 00:21:41,066

y hay cosas que usted puede

hacer para evitar infectarse.

 

456

00:21:41,133 --> 00:21:44,736

Pero también sabemos que los virus

respiratorios se propagan,

 

457

00:21:44,803 --> 00:21:46,138

y en los próximos dos años,

 

458

00:21:46,204 --> 00:21:47,939

es probable que muchas personas en Estados Unidos

 

459

00:21:48,006 --> 00:21:49,941

entren en contacto con este virus.

 

460

00:21:50,008 --> 00:21:53,278

Pero la buena noticia es que la mayoría

de los contagios son leves.

 

461

00:21:53,345 --> 00:21:55,714

De los datos que

provienen de China,

 

462

00:21:55,781 --> 00:21:57,482

más del 80% de las personas

tenían enfermedades leves,

 

463

00:21:57,549 --> 00:22:01,253

y en realidad solo entre el 15%

y el 20% desarrollan enfermedades

 

464

00:22:01,319 --> 00:22:03,055

más graves.

 

465

00:22:03,121 --> 00:22:06,358

Sin embargo, lo preocupante

es que la enfermedad

 

466

00:22:06,425 --> 00:22:09,828

claramente afecta más

a los adultos mayores.

 

467

00:22:09,895 --> 00:22:12,364

A partir de los 60 años,

existe un mayor riesgo de muerte,

 

468

00:22:12,431 --> 00:22:15,434

y el riesgo aumenta

con la edad.

 

469

00:22:15,500 --> 00:22:18,170

El mayor riesgo de enfermedad

grave reside en personas

 

470

00:22:18,236 --> 00:22:21,440

mayores de 80 años, y

especialmente en personas

 

471

00:22:21,506 --> 00:22:25,844

mayores que tienen afecciones

médicas crónicas graves,

 

472

00:22:25,911 --> 00:22:28,814

como enfermedades cardíacas,

diabetes y enfermedades pulmonares.

 

473

00:22:28,880 --> 00:22:32,250

Entonces, son esas personas las que

creemos que están en mayor riesgo,

 

474

00:22:32,317 --> 00:22:35,220

y aquellas personas a las que

les pedimos que tomen

 

475

00:22:35,287 --> 00:22:36,621

precauciones especiales.

 

476

00:22:36,688 --> 00:22:40,092

El tipo de precauciones que

estamos tomando son más

 

477

00:22:40,158 --> 00:22:43,295

de las que usted tomaría para

evitar enfermarse individualmente.

 

478

00:22:43,361 --> 00:22:46,665

Hay cosas que lo mantienen

alejado de otras personas,

 

479

00:22:46,732 --> 00:22:49,501

o de lo que llamamos entornos congregados,

 

480

00:22:49,568 --> 00:22:52,204

donde es más probable

que tenga mucha exposición.

 

481

00:22:52,270 --> 00:22:54,740

Entonces, por ejemplo,

le recomendamos que tenga

 

482

00:22:54,806 --> 00:22:58,443

suministros a mano, como

medicamentos de rutina

 

483

00:22:58,510 --> 00:23:01,713

para la presión arterial y la diabetes

y medicamentos de venta libre

 

484

00:23:01,780 --> 00:23:04,015

y suministros médicos, y que tenga

suficientes artículos para el hogar

 

485

00:23:04,082 --> 00:23:08,220

y comestibles para que pueda quedarse

en casa por un período de tiempo,

 

486

00:23:08,286 --> 00:23:10,622

porque es posible que deba

permanecer en su hogar,

 

487

00:23:10,689 --> 00:23:12,591

o al menos más cerca de su hogar,

durante un par de semanas,

 

488

00:23:12,657 --> 00:23:15,227

especialmente si hay propagación

en su comunidad.

 

489

00:23:15,293 --> 00:23:18,430

Entonces, esas son algunas

precauciones que creemos

 

490

00:23:18,497 --> 00:23:19,664

que debería tomar ahora.

 

491

00:23:19,731 --> 00:23:22,033

También creemos que

debe tomarse en serio

 

492

00:23:22,100 --> 00:23:25,003

la idea de las precauciones

cotidianas, específicamente,

 

493

00:23:25,070 --> 00:23:27,072

evitar el contacto cercano

con personas enfermas,

 

494

00:23:27,139 --> 00:23:32,344

limpiarse las manos con frecuencia,

evitar tocar superficies,

 

495

00:23:32,410 --> 00:23:35,580

y eso significa que, como

escuchó anteriormente,

 

496

00:23:35,647 --> 00:23:38,383

si se espera que

su nieto venga de visita

 

497

00:23:38,450 --> 00:23:41,019

y tienen fiebre y secreción nasal,

 

498

00:23:41,086 --> 00:23:44,422

puede que no sea el momento

adecuado para que lo visiten.

 

499

00:23:44,489 --> 00:23:48,393

Sugerimos evitar las multitudes

y, lo que es más importante,

 

500

00:23:48,460 --> 00:23:50,929

recomendamos que los viajeros,

 

501

00:23:50,996 --> 00:23:54,733

particularmente aquellos que son mayores

con problemas de salud subyacentes,

 

502

00:23:54,800 --> 00:23:59,571

difieran los viajes en cruceros y

difieran los viajes largos en avión.

 

503

00:23:59,638 --> 00:24:03,475

Y, por último, como comenzó

a decir el almirante Giroir,

 

504

00:24:03,542 --> 00:24:06,244

es muy importante que se mantenga

al tanto de lo que está sucediendo.

 

505

00:24:06,311 --> 00:24:08,613

El sitio web de los CDC es una excelente

fuente de información,

 

506

00:24:08,680 --> 00:24:11,149

pero en realidad, lo que verdaderamente debe

saber es qué está sucediendo

 

507

00:24:11,216 --> 00:24:13,919

en su comunidad local,

porque es allí donde obtiene

 

508

00:24:13,985 --> 00:24:16,454

la información más directa

sobre el riesgo.

 

509

00:24:16,521 --> 00:24:18,256

Por lo tanto, conozca

cuál es el sitio web

 

510

00:24:18,323 --> 00:24:22,260

o cómo su comunidad envía información

 

511

00:24:22,327 --> 00:24:24,529

para que pueda enterarse rápidamente

si hay propagación local.

 

512

00:24:24,596 --> 00:24:26,131

¿Almirante Giroir?

 

513

00:24:26,198 --> 00:24:26,965

>> Bill Walsh: Muy bien.

 

514

00:24:27,032 --> 00:24:27,933

Bueno, interrumpo un momento.

 

515

00:24:27,999 --> 00:24:28,800

Había mucha información.

 

516

00:24:28,867 --> 00:24:30,769

Quiero asegurarme de

que nada se pierda.

 

517

00:24:30,836 --> 00:24:34,139

Dra. Messonnier, usted

mencionó que, en particular,

 

518

00:24:34,206 --> 00:24:38,310

los adultos mayores deben

almacenar los medicamentos

 

519

00:24:38,376 --> 00:24:41,580

recetados que puedan necesitar; sin embargo,

muchas veces las aseguradoras

 

520

00:24:41,646 --> 00:24:44,683

solo pagarán por un suministro

de hasta 30 días.

 

521

00:24:44,749 --> 00:24:48,753

¿Cuál es su consejo para las personas

si necesitan más que esa cantidad?

 

522

00:24:48,820 --> 00:24:50,856

>> Dra. Nancy Messonnier:

Creo que tengo problemas

 

523

00:24:50,922 --> 00:24:54,226

con la palabra "almacenamiento", porque

no es exactamente lo que quise decir.

 

524

00:24:54,292 --> 00:24:56,494

Lo que pedimos es tener un suministro

de al menos un par de semanas,

 

525

00:24:56,561 --> 00:24:59,865

por lo cual, lo que

está diciendo es correcto.

 

526

00:24:59,931 --> 00:25:01,533

Si la gente tiene

problemas, deben hablar

 

527

00:25:01,600 --> 00:25:02,500

con su compañía de seguros.

 

528

00:25:02,567 --> 00:25:05,604

Y como escuchó anteriormente,

ya hay conversaciones

 

529

00:25:05,670 --> 00:25:07,739

con las compañías de seguros

sobre cómo prepararse

 

530

00:25:07,806 --> 00:25:09,908

Bien, el almirante Giroir

hablará sobre eso.

 

531

00:25:09,975 --> 00:25:12,978

Pero, de nuevo, no estamos

hablando de almacenamiento.

 

532

00:25:13,044 --> 00:25:16,181

Estamos hablando de tener

suficientes medicamentos guardados

 

533

00:25:16,248 --> 00:25:20,151

para que si su comunidad dice que

probablemente debería quedarse en casa,

 

534

00:25:20,218 --> 00:25:21,753

no tendrá dificultades porque no tiene

 

535

00:25:21,820 --> 00:25:22,888

sus medicamentos habituales.

 

536

00:25:22,954 --> 00:25:25,056

>> Almirante Brett Giroir:

Y sé que la administradora Verma

 

537

00:25:25,123 --> 00:25:26,992

probablemente tuvo

que abandonar la llamada,

 

538

00:25:27,058 --> 00:25:28,927

pero ella está

muy activa en esto,

 

539

00:25:28,994 --> 00:25:32,297

y verá algunas nuevas

discusiones y recomendaciones

 

540

00:25:32,364 --> 00:25:37,168

para algunos de los planes de

Medicare que ayudarán a algunos

 

541

00:25:37,235 --> 00:25:41,473

de los afiliados de Medicare

a potencialmente tener

 

542

00:25:41,539 --> 00:25:44,175

un mayor suministro

de medicamentos a mano.

 

543

00:25:44,242 --> 00:25:47,646

Pero sí pensamos, una vez más,

no acumular, por ejemplo,

 

544

00:25:47,712 --> 00:25:50,448

llenar su sótano con

todos sus medicamentos,

 

545

00:25:50,515 --> 00:25:52,851

sino asegurarse de tener, si puede,

 

546

00:25:52,918 --> 00:25:57,422

medicamentos suficientes para

un buen mes o más, un par de meses,

 

547

00:25:57,489 --> 00:25:59,090

para mantenerlo alejado

de la oficina del doctor.

 

548

00:25:59,157 --> 00:26:03,028

Y si no puede ir a

la farmacia, por ejemplo,

 

549

00:26:03,094 --> 00:26:05,864

trate de pensar en un plan

de pedido por correo.

 

550

00:26:05,931 --> 00:26:07,198

Es posible que no haya

hecho eso antes,

 

551

00:26:07,265 --> 00:26:09,801

pero recibiría sus medicamentos

por correo para que no tenga

 

552

00:26:09,868 --> 00:26:11,870

que salir hasta un supermercado o tienda

 

553

00:26:11,937 --> 00:26:14,973

o estar abarrotado en la farmacia,

 

554

00:26:15,040 --> 00:26:16,975

donde mucha gente está enferma.

 

555

00:26:17,042 --> 00:26:17,642

>> Bill Walsh: Tiene sentido.

 

556

00:26:17,709 --> 00:26:18,543

Otra pregunta.

 

557

00:26:18,610 --> 00:26:20,612

Ha habido cierta

confusión sobre el uso

 

558

00:26:20,679 --> 00:26:22,247

de mascarillas y su efectividad.

 

559

00:26:22,314 --> 00:26:22,914

¿Qué recomienda

 

560

00:26:22,981 --> 00:26:23,581

usted

 

561

00:26:23,648 --> 00:26:27,085

al respecto?

 

562

00:26:27,152 --> 00:26:28,420

>> Dra. Nancy Messonier:

Aquí la Dra. Messonier.

 

563

00:26:28,486 --> 00:26:30,055

Esa es una pregunta realmente importante.

 

564

00:26:30,121 --> 00:26:32,290

Realmente quiero alentar a las personas

 

565

00:26:32,357 --> 00:26:35,627

a que no vayan a la tienda o entren

a Amazon y ordenen mascarillas.

 

566

00:26:35,694 --> 00:26:37,963

No creemos que el mejor uso

que se le puede dar a las máscarillas

 

567

00:26:38,029 --> 00:26:40,231

sea para el público general.

 

568

00:26:40,298 --> 00:26:43,068

Las mascarillas son más importantes

para aquellos que están en mayor

 

569

00:26:43,134 --> 00:26:46,304

riesgo en Estados Unidos, que son

los trabajadores de la salud.

 

570

00:26:46,371 --> 00:26:48,139

Contamos con que nuestros

trabajadores de la salud

 

571

00:26:48,206 --> 00:26:52,110

estén en primera línea, cuidando

de nosotros cuando estamos enfermos,

 

572

00:26:52,177 --> 00:26:54,612

y queremos asegurarnos de que puedan

seguir haciendo su trabajo,

 

573

00:26:54,679 --> 00:26:57,749

así que entiendo

por qué parece que

 

574

00:26:57,816 --> 00:27:00,819

una mascarilla es lo correcto,

pero en este momento, no lo es.

 

575

00:27:00,885 --> 00:27:03,254

Lo correcto es asegurarse

de que las máscarillas

 

576

00:27:03,321 --> 00:27:05,156

estén disponibles para quienes las necesiten.

 

577

00:27:05,223 --> 00:27:07,192

>> Bill Walsh: De acuerdo.

 

578

00:27:07,258 --> 00:27:09,227

Como ya sabrá, AARP

proporciona mucha información

 

579

00:27:09,294 --> 00:27:11,863

a los cuidadores familiares,

 

580

00:27:11,930 --> 00:27:14,432

esas personas pueden

estar cuidando a las personas

 

581

00:27:14,499 --> 00:27:17,002

con los factores de riesgo

que usted mencionó.

 

582

00:27:17,068 --> 00:27:20,038

¿Tiene alguna instrucción

adicional para los cuidadores

 

583

00:27:20,105 --> 00:27:21,239

que están disponibles?

 

584

00:27:21,306 --> 00:27:22,807

>> Dra. Nancy Messonier:

Sí, ya sabe,

 

585

00:27:22,874 --> 00:27:24,676

usted podría terminar en el papel

de tener que ayudar a cuidar

 

586

00:27:24,743 --> 00:27:27,679

a un familiar o un amigo

con mayor riesgo,

 

587

00:27:27,746 --> 00:27:30,849

por lo que le recomendamos

que se familiarice con

 

588

00:27:30,915 --> 00:27:34,252

los medicamentos de sus seres queridos,

y ayúdelos a obtener medicamentos adicionales

 

589

00:27:34,319 --> 00:27:37,422

y como dijimos,

cuide de usted mismo.

 

590

00:27:37,489 --> 00:27:40,825

También recomendamos alimentos,

suministros médicos

 

591

00:27:40,892 --> 00:27:45,030

y otras necesidades para que pueda

minimizar los viajes a la tienda.

 

592

00:27:45,096 --> 00:27:48,033

Y finalmente, si usted

es responsable del cuidado

 

593

00:27:48,099 --> 00:27:51,369

de otra persona,

debe tener un plan

 

594

00:27:51,436 --> 00:27:53,805

por si esa persona se enferma o

si usted se enferma.

 

595

00:27:53,872 --> 00:27:58,843

Debe tener un plan B de cuidado por

si usted no lo puede hacer.

 

596

00:27:58,910 --> 00:28:00,178

>> Bill Walsh: Bien,

eso es muy útil.

 

597

00:28:00,245 --> 00:28:00,879

Gracias.

 

598

00:28:00,945 --> 00:28:03,348

Para aquellos de ustedes que

se están uniendo a nuestra conversación,

 

599

00:28:03,415 --> 00:28:06,751

soy Bill Walsh con AARP,

y estuve hablando hoy

 

600

00:28:06,818 --> 00:28:08,753

con el almirante Brett Giroir, MD

 

601

00:28:08,820 --> 00:28:11,389

del Departamento de Salud y

Servicios Humanos de los EE.UU.,

 

602

00:28:11,456 --> 00:28:13,691

y la Dra. Nancy Messonnier, MD

 

603

00:28:13,758 --> 00:28:17,395

de los Centros para el Control y la

Prevención de Enfermedades.

 

604

00:28:17,462 --> 00:28:19,064

También nos gustaría comenzar a responder

 

605

00:28:19,130 --> 00:28:20,098

sus preguntas en vivo.

 

606

00:28:20,165 --> 00:28:23,068

Para hacer una pregunta en cualquier

momento, presione asterisco 3,

 

607

00:28:23,134 --> 00:28:28,640

y creo que tenemos una lista

completa de preguntas aquí.

 

608

00:28:28,706 --> 00:28:31,342

Entonces, veamos, ¿a quién

tenemos primero aquí?

 

609

00:28:31,409 --> 00:28:35,447

Tenemos a Dixie de Florida.

 

610

00:28:35,513 --> 00:28:37,482

¿Está en la línea?

 

611

00:28:37,549 --> 00:28:38,283

>> Dixie: Sí.

 

612

00:28:38,349 --> 00:28:39,451

>> Bill Walsh: Dixie de Florida,

 

613

00:28:39,517 --> 00:28:41,820

adelante con su pregunta.

 

614

00:28:41,886 --> 00:28:42,620

>> Dixie: Muy bien.

 

615

00:28:42,687 --> 00:28:45,557

Ambos estuvimos expuestos

a alguien que dio positivo

 

616

00:28:45,623 --> 00:28:46,991

al coronavirus.

 

617

00:28:47,058 --> 00:28:49,527

Mi esposo es asintomático.

 

618

00:28:49,594 --> 00:28:54,165

Entonces, ¿puede ser positivo

sin mostrar signos y síntomas?

 

619

00:28:54,232 --> 00:28:57,102

Y si es así, ¿por cuánto

tiempo será positivo?

 

620

00:28:57,168 --> 00:29:02,340

Porque no te hacen el examen

si uno es asintomático.

 

621

00:29:02,407 --> 00:29:03,842

>> Bill Walsh: Bien, gracias, Dixie.

 

622

00:29:03,908 --> 00:29:06,845

Doctores, ¿quieren

responder esa pregunta?

 

623

00:29:06,911 --> 00:29:08,513

>> Dra. Nancy Messonnier:

Sí, aquí la Dra. Messonnier,

 

624

00:29:08,580 --> 00:29:12,717

y lo que diría es que se ha hablado

mucho en la prensa

 

625

00:29:12,784 --> 00:29:15,954

sobre personas que son

asintomáticas pero dan positivo.

 

626

00:29:16,020 --> 00:29:22,760

Y aunque es posible

que alguien sea asintomático,

 

627

00:29:22,827 --> 00:29:25,497

los datos realmente

muestran que nos preocupan

 

628

00:29:25,563 --> 00:29:26,531

las personas con síntomas.

 

629

00:29:26,598 --> 00:29:28,733

Es decir, preocupados por

ellos porque son los que

 

630

00:29:28,800 --> 00:29:30,301

se ponen más enfermos.

 

631

00:29:30,368 --> 00:29:32,303

Y también estamos preocupados

por ellos porque esas

 

632

00:29:32,370 --> 00:29:34,372

son las personas capaces de transmitir,

 

633

00:29:34,439 --> 00:29:37,809

por lo que realmente tiene sentido que

sus proveedores de atención médica

 

634

00:29:37,876 --> 00:29:39,777

y sus departamentos de salud

locales se centren

 

635

00:29:39,844 --> 00:29:41,412

en aquellos con síntomas.

 

636

00:29:41,479 --> 00:29:43,882

Y eso es realmente a lo que

deberían prestar atención.

 

637

00:29:43,882 --> 00:29:46,885

El período de incubación sigue siendo

de 14 días, y si logras pasar

 

638

00:29:46,951 --> 00:29:51,256

los 14 días sin síntomas,

son buenas noticias,

 

639

00:29:51,322 --> 00:29:54,259

quiere decir que estás a salvo

y no te vas a enfermar,

 

640

00:29:54,325 --> 00:29:56,928

y si resulta que sí presentas síntomas,

como dijo el Almirante Giroir,

 

641

00:29:56,995 --> 00:29:58,763

lo que debes hacer

es llamar a tu médico,

 

642

00:29:58,830 --> 00:30:00,865

no simplemente presentarte en la oficina.

 

643

00:30:00,932 --> 00:30:03,801

Mucha gente va a tener

una enfermedad leve,

 

644

00:30:03,868 --> 00:30:06,905

pero si tienes síntomas más severos,

 

645

00:30:06,971 --> 00:30:09,407

asegúrate de que tu doctor

pueda diagnosticarte

 

646

00:30:09,474 --> 00:30:11,409

y darte el tratamiento apropiado.

 

647

00:30:11,476 --> 00:30:12,377

¿Dr. Giroir?

 

648

00:30:12,443 --> 00:30:13,444

>> Alm. Brett Giroir:

Estoy completamente de acuerdo

 

649

00:30:13,511 --> 00:30:16,548

con la Dra. Messonnier, y solo quiero

que todos entiendan, también,

 

650

00:30:16,614 --> 00:30:18,583

que hay diferentes

conceptos de lo que significa

 

651

00:30:18,650 --> 00:30:20,051

estar expuesto a una persona.

 

652

00:30:20,118 --> 00:30:24,522

He escuchado a personas que estaban

muy preocupadas porque entraron en

 

653

00:30:24,589 --> 00:30:28,059

una habitación en la que había estado

una persona expuesta el día anterior.

 

654

00:30:28,126 --> 00:30:30,895

Esa es una situación

de muy, muy bajo riesgo.

 

655

00:30:30,962 --> 00:30:35,166

Eso es diferente a si realmente

estuvieras hablando con una persona

 

656

00:30:35,233 --> 00:30:37,936

justo al lado de ellos

cuando tenían fiebre y tosían,

 

657

00:30:38,002 --> 00:30:40,371

y realmente tienes

una exposición de alto riesgo.

 

658

00:30:40,438 --> 00:30:41,539

Entonces, vamos,

 

659

00:30:41,606 --> 00:30:44,175

cuando hablamos de exposición, ya saben,

 

660

00:30:44,242 --> 00:30:46,077

no todas las exposiciones son iguales.

 

661

00:30:46,144 --> 00:30:49,214

Es correcto lo que

dijo la Dra. Messonnier,

 

662

00:30:49,280 --> 00:30:50,515

pero no lo exageremos.

 

663

00:30:50,582 --> 00:30:54,018

Si tuvo una exposición

muy grave y de alto contacto,

 

664

00:30:54,085 --> 00:30:56,654

eso es algo de lo que hablar

con su médico, eso es diferente

 

665

00:30:56,721 --> 00:30:59,057

a decir que estuvo

en la misma habitación

 

666

00:30:59,123 --> 00:31:01,993

o en una habitación en la que

había estado una persona el día anterior.

 

667

00:31:03,628 --> 00:31:04,095

>> Bill Walsh: Muy bien.

 

668

00:31:04,162 --> 00:31:06,030

Bueno, tomemos otra pregunta.

 

669

00:31:06,097 --> 00:31:09,267

Vamos con Toni de Virginia.

 

670

00:31:09,334 --> 00:31:10,935

Toni, ¿estás ahí?

 

671

00:31:11,002 --> 00:31:12,704

>> Toni: Sí, aquí estoy.

 

672

00:31:12,770 --> 00:31:14,472

>> Bill Walsh: ¿Cuál es

tu pregunta, Toni?

 

673

00:31:14,539 --> 00:31:17,475

>> Toni: Es una pregunta

de tres partes.

 

674

00:31:17,542 --> 00:31:21,846

¿Cómo pueden los amigos cuidar

a los que están enfermos en casa?

 

675

00:31:21,913 --> 00:31:25,850

¿Qué precauciones deben

tomar los amigos al entregar

 

676

00:31:25,917 --> 00:31:31,289

alimentos u ofrecer

ayuda para el transporte

 

677

00:31:31,356 --> 00:31:33,091

a las citas médicas?

 

678

00:31:33,157 --> 00:31:35,360

Si un cuidador

es mayor y saludable,

 

679

00:31:35,426 --> 00:31:39,697

o mayor con enfermedades preexistentes,

 

680

00:31:39,764 --> 00:31:43,268

¿cómo cambia eso su consejo?

 

681

00:31:43,334 --> 00:31:44,269

>> Bill Walsh: Bien, gracias, Toni.

 

682

00:31:44,335 --> 00:31:46,971

Doctores, ¿recibieron todas esas preguntas?

 

683

00:31:47,038 --> 00:31:48,473

>> Dra. Messonnier: Supongo, Toni,

 

684

00:31:48,539 --> 00:31:50,775

pero solo quiero confirmar

que creo que estás preguntando,

 

685

00:31:50,842 --> 00:31:56,547

si un paciente tiene coronavirus,

¿cómo pueden sus amigos apoyarlo?

 

686

00:31:56,614 --> 00:31:58,483

¿es así?

 

687

00:31:58,549 --> 00:32:01,119

Es decir, la implicación sería

que el paciente realmente

 

688

00:32:01,185 --> 00:32:02,787

es diagnosticado con coronavirus.

 

689

00:32:02,854 --> 00:32:04,422

>> Bill Walsh: Sí,

Toni está fuera de línea,

 

690

00:32:04,489 --> 00:32:06,090

pero creo que eso

era lo que estaba diciendo.

 

691

00:32:06,157 --> 00:32:07,392

>> Dra. Messonnier: De acuerdo.

 

692

00:32:07,458 --> 00:32:08,192

Empezaré.

 

693

00:32:08,259 --> 00:32:10,762

Creo que es genial y realmente importante

que nosotros, como comunidad,

 

694

00:32:10,828 --> 00:32:11,963

apoyemos a nuestros amigos,

incluidos aquellos que

 

695

00:32:12,030 --> 00:32:14,198

están enfermos con coronavirus.

 

696

00:32:14,265 --> 00:32:16,734

Como dijo el almirante Giroir,

este es un virus que

 

697

00:32:16,801 --> 00:32:18,670

se lee por vía respiratoria.

 

698

00:32:18,736 --> 00:32:21,973

Y así, por ejemplo, si está

entregando comida a alguien

 

699

00:32:22,040 --> 00:32:23,975

y la deja en la puerta

 

700

00:32:24,042 --> 00:32:25,910

y luego abren la puerta,

estará perfectamente a salvo.

 

701

00:32:25,977 --> 00:32:27,412

No hay riesgo.

 

702

00:32:27,478 --> 00:32:30,081

Si a alguien se le

diagnostica coronavirus,

 

703

00:32:30,148 --> 00:32:32,917

ellos son los que realmente tienen

que tomar las precauciones

 

704

00:32:32,984 --> 00:32:35,620

que les da su proveedor

de atención médica.

 

705

00:32:35,687 --> 00:32:38,823

Y así, por ejemplo,

si le diagnostican coronavirus,

 

706

00:32:38,890 --> 00:32:43,227

su médico puede recomendarle que

use una máscarilla para evitar

 

707

00:32:43,294 --> 00:32:44,862

que alguien más se enferme.

 

708

00:32:44,929 --> 00:32:48,066

Entonces, si está ayudando

a cuidar a un amigo

 

709

00:32:48,132 --> 00:32:50,268

o incluso visitando a un amigo

que ha sido diagnosticado,

 

710

00:32:50,335 --> 00:32:53,104

y tiene las precauciones adecuadas,

es decir, una máscarilla,

 

711

00:32:53,171 --> 00:32:56,207

está perfectamente a salvo al estar

en el ambiente con ellos.

 

712

00:32:56,274 --> 00:32:59,043

Cuando salgas de su casa,

deberías lavarte las manos y,

 

713

00:32:59,110 --> 00:33:02,447

sinceramente, cuando salgas

por la puerta y vuelvas a casa,

 

714

00:33:02,513 --> 00:33:04,148

deberías volver a lavarte.

 

715

00:33:04,215 --> 00:33:06,184

Entonces, creo que es genial que

todos demos un paso adelante

 

716

00:33:06,250 --> 00:33:08,619

como comunidad para ayudarnos unos

a otros, y hay algunas precauciones

 

717

00:33:08,686 --> 00:33:11,756

de sentido común que todos

podemos tomar que

 

718

00:33:11,823 --> 00:33:15,660

lo protegerán a usted y también

a la persona que está enferma.

 

719

00:33:15,727 --> 00:33:19,330

>> Bill Walsh: Muy bien,

muchas gracias.

 

720

00:33:19,397 --> 00:33:22,200

Solo un recordatorio,

soy Bill Walsh con AARP,

 

721

00:33:22,266 --> 00:33:25,603

y hoy estamos respondiendo

sus preguntas sobre el coronavirus,

 

722

00:33:25,670 --> 00:33:27,372

con líderes clave del Departamento

de Salud y Servicios Humanos

 

723

00:33:27,438 --> 00:33:31,609

y los Centros para el Control y

la Prevención de Enfermedades.

 

724

00:33:31,676 --> 00:33:34,345

Puede hacer una pregunta

presionando asterisco + 3

 

725

00:33:34,412 --> 00:33:36,114

en el teclado de su teléfono.

 

726

00:33:36,180 --> 00:33:38,349

Vamos con Harry en Kentucky.

 

727

00:33:38,416 --> 00:33:40,318

Harry, bienvenido.

 

728

00:33:40,385 --> 00:33:42,920

>> Harry: Sí, tengo

un par de comentarios.

 

729

00:33:42,987 --> 00:33:44,522

Uno es que

me sorprendí un poco

 

730

00:33:44,589 --> 00:33:48,593

la mujer que estuvo al principio y

se puso política al respecto.

 

731

00:33:48,659 --> 00:33:50,161

Eso es todo lo que

voy a decir al respecto.

 

732

00:33:50,228 --> 00:33:53,197

Solo espero que tengamos

a personas inteligentes a cargo.

 

733

00:33:53,264 --> 00:33:55,767

Parece que los tenemos aquí.

 

734

00:33:55,833 --> 00:33:58,403

Mi verdadera pregunta es,

he escuchado que...

 

735

00:33:58,469 --> 00:34:01,672

Bueno, ¿cómo se determina

cuál, si tiene gripe

 

736

00:34:01,739 --> 00:34:03,074

o si tiene coronavirus?

 

737

00:34:03,141 --> 00:34:08,079

Hubo un comentario en internet

que decía "una tos seca

 

738

00:34:08,146 --> 00:34:12,884

proviene del coronavirus y una tos

húmeda es más como la gripe".

 

739

00:34:12,950 --> 00:34:14,619

Gracias.

 

740

00:34:14,685 --> 00:34:15,953

>> Dra. Nancy Messonnier: Dra. Messonnier.

 

741

00:34:16,020 --> 00:34:18,923

Gracias por hacer esa pregunta

así la puedo aclarar.

 

742

00:34:18,990 --> 00:34:22,827

El problema es que

las infecciones respiratorias virales

 

743

00:34:22,894 --> 00:34:25,329

en general tienen muchos

de los mismos síntomas,

 

744

00:34:25,396 --> 00:34:29,067

y no hay forma de

diferir síntomas tempranos

 

745

00:34:29,133 --> 00:34:32,470

de influenza de síntomas

tempranos de coronavirus,

 

746

00:34:32,537 --> 00:34:36,040

por lo que la información sobre

una tos húmeda versus una tos seca

 

747

00:34:36,107 --> 00:34:37,141

es francamente falsa.

 

748

00:34:37,208 --> 00:34:40,745

Y es por eso que esto

es tan difícil y tan complicado

 

749

00:34:40,812 --> 00:34:44,015

para todos nosotros, y especialmente para

nuestros proveedores de atención médica.

 

750

00:34:44,081 --> 00:34:48,019

En general, es por eso que

debe saber si esta enfermedad

 

751

00:34:48,085 --> 00:34:52,423

coronavirus está circulando en

su comunidad, porque si es así,

 

752

00:34:52,490 --> 00:34:55,359

puede comunicarse con su proveedor

de atención médica antes

 

753

00:34:55,426 --> 00:34:57,328

si tiene síntomas más leves.

 

754

00:34:57,395 --> 00:34:59,096

Pero, en general, las personas

que más nos preocupan

 

755

00:34:59,163 --> 00:35:02,099

son las personas

que tienen fiebre, tos

 

756

00:35:02,166 --> 00:35:05,403

y falta de aliento, y me preocuparía

de que tengas los síntomas,

 

757

00:35:05,470 --> 00:35:07,572

independientemente de si se trata

 

758

00:35:07,638 --> 00:35:09,407

de influenza o coronavirus.

 

759

00:35:09,474 --> 00:35:11,776

Por lo tanto, deben usar

el mismo sentido común

 

760

00:35:11,843 --> 00:35:14,312

que siempre usarían,

con respecto a qué los motivaría

 

761

00:35:14,378 --> 00:35:15,646

llamar a su proveedor

de atención médica.

 

762

00:35:15,713 --> 00:35:18,816

Tienes fiebre; te falta

el aliento; tienes tos;

 

763

00:35:18,883 --> 00:35:20,685

llama a tu proveedor

de atención médica.

 

764

00:35:20,751 --> 00:35:22,553

>> Bill Walsh: Muy bien.

 

765

00:35:22,620 --> 00:35:25,156

Dra. Messonnier, quiero

volver a un punto

 

766

00:35:25,223 --> 00:35:27,158

que usted mencionó anteriormente sobre

las personas mayores que piensan dos veces

 

767

00:35:27,225 --> 00:35:32,897

antes de tomar

largos viajes en avión.

 

768

00:35:32,964 --> 00:35:36,100

Como saben, estamos

transmitiendo en Facebook,

 

769

00:35:36,167 --> 00:35:38,603

y una de las preguntas que recibimos

a través de Facebook fue,

 

770

00:35:38,669 --> 00:35:39,737

¿cómo definiría "largo"?

 

771

00:35:39,804 --> 00:35:41,873

¿Qué es un "largo" viaje

en avión que debería preocupar

 

772

00:35:41,939 --> 00:35:44,575

a la gente?

 

773

00:35:44,642 --> 00:35:46,010

>> Dra. Nancy Messonnier:

Creo que es una gran pregunta,

 

774

00:35:46,077 --> 00:35:47,445

y desearía tener una respuesta

más concreta.

 

775

00:35:47,512 --> 00:35:49,647

Una de las cosas

de este brote,

 

776

00:35:49,714 --> 00:35:52,183

desde el principio, es que hemos tratado

de ser lo más transparentes

 

777

00:35:52,250 --> 00:35:54,252

posible con lo que

sabemos y lo que no sabemos,

 

778

00:35:54,318 --> 00:35:56,654

y dónde estábamos brindando

orientación basada en datos

 

779

00:35:56,721 --> 00:35:58,289

versus opiniones de expertos.

 

780

00:35:58,356 --> 00:36:02,093

Entonces, en este caso, no

lo pensaría como un interruptor

 

781

00:36:02,159 --> 00:36:04,996

de encendido y apagado. Pensaría

en ello como un atenuador de luz.

 

782

00:36:05,062 --> 00:36:08,065

Si te encuentras en el grupo

de mayor edad en tus 80 años

 

783

00:36:08,132 --> 00:36:10,468

y tienes problemas de salud subyacentes;

tienes enfermedad cardíaca,

 

784

00:36:10,535 --> 00:36:13,070

diabetes, enfermedad pulmonar, sinceramente,

 

785

00:36:13,137 --> 00:36:15,306

probablemente no sea

una buena idea tomar ningún tipo

 

786

00:36:15,373 --> 00:36:16,941

de vuelo.

 

787

00:36:17,008 --> 00:36:20,711

Por otro lado, si tienes 65 y,

 

788

00:36:20,778 --> 00:36:22,179

en general, estás sano,

 

789

00:36:22,246 --> 00:36:27,118

creo que está bien tomar vuelos

pequeños dentro de Estados Unidos,

 

790

00:36:27,184 --> 00:36:29,954

pero todavía estaría preocupado

por los vuelos más largos,

 

791

00:36:30,021 --> 00:36:33,791

no por el vuelo en sí,

pero debido al entorno congregado

 

792

00:36:33,858 --> 00:36:37,128

y las oportunidades para

intercambiar secreciones.

 

793

00:36:37,194 --> 00:36:39,730

Desearía que pudiéramos

darles una respuesta más precisa,

 

794

00:36:39,797 --> 00:36:42,233

pero depende de una decisión a conciencia, porque

estamos considerando tanto

 

795

00:36:42,300 --> 00:36:44,602

su riesgo de exposición

como su riesgo

 

796

00:36:44,669 --> 00:36:46,537

de enfermarse realmente.

 

797

00:36:46,604 --> 00:36:48,339

Almirante Giroir, ¿quiere...?

 

798

00:36:48,406 --> 00:36:51,108

>> Almirante Brett Giroir: No, estoy

completamente de acuerdo con eso.

 

799

00:36:51,175 --> 00:36:53,210

Y, ya sabe, no es solo...

 

800

00:36:53,277 --> 00:36:56,781

Cualquier entorno que

te ponga en contacto cercano

 

801

00:36:56,847 --> 00:36:59,850

durante un período de tiempo más prolongado

con personas sentadas a tu lado

 

802

00:36:59,917 --> 00:37:02,787

que podrían toser, estornudar o exponerte,

 

803

00:37:02,853 --> 00:37:07,892

o tocar muchas superficies

en las que la gente podría haber

 

804

00:37:07,959 --> 00:37:11,696

tosido o estornudado, esos

son todos factores de riesgo.

 

805

00:37:11,762 --> 00:37:14,599

Y de nuevo, realmente solo...

 

806

00:37:14,665 --> 00:37:17,101

También depende, y todos

vivimos en un mundo real,

 

807

00:37:17,168 --> 00:37:20,538

así que realmente ¿qué tan

necesario es ese viaje?

 

808

00:37:20,605 --> 00:37:23,240

¿Realmente vale la pena

correr el riesgo de contraer

 

809

00:37:23,307 --> 00:37:25,743

una enfermedad realmente

grave por ese viaje?

 

810

00:37:25,810 --> 00:37:28,813

Y eso es algo que tienen que

responder por ustedes mismos.

 

811

00:37:28,879 --> 00:37:31,682

Pero, en general, si pertenece a

un grupo de personas mayores

 

812

00:37:31,749 --> 00:37:36,053

o tiene enfermedades crónicas

o ambas, debe tener

 

813

00:37:36,120 --> 00:37:38,623

mucho cuidado al exponerse

 

814

00:37:38,689 --> 00:37:41,092

a esas situaciones.

 

815

00:37:41,158 --> 00:37:42,159

>> Bill Walsh: Muy bien,

muchas gracias.

 

816

00:37:42,226 --> 00:37:43,928

Tomemos otra llamada.

 

817

00:37:43,995 --> 00:37:46,330

Verónica de Nueva Jersey.

 

818

00:37:46,397 --> 00:37:47,231

>> Verónica: Hola.

 

819

00:37:47,298 --> 00:37:48,366

>> Bill Walsh: Hola,

Verónica, bienvenida.

 

820

00:37:48,432 --> 00:37:50,067

¿Cuál es tu pregunta?

 

821

00:37:50,134 --> 00:37:51,736

>> Verónica: Bueno.

 

822

00:37:51,802 --> 00:37:54,338

Si tienes más de 70 años y

tienes asma y presión arterial alta

 

823

00:37:54,405 --> 00:37:56,273

y tienes programado

un reemplazo total de rodilla

 

824

00:37:56,340 --> 00:38:00,778

en las próximas dos semanas,

 

825

00:38:00,845 --> 00:38:03,180

¿deberías continuar con

esa cirugía o debería

 

826

00:38:03,247 --> 00:38:06,283

posponerse?

 

827

00:38:06,350 --> 00:38:07,718

>> Bill Walsh: Gracias, Verónica.

 

828

00:38:07,785 --> 00:38:10,021

¿Doctores?

 

829

00:38:10,087 --> 00:38:14,592

>> Almirante Brett Giroir: Bueno,

realmente debería hablar

 

830

00:38:14,659 --> 00:38:16,894

con su proveedor de atención médica

 

831

00:38:16,961 --> 00:38:20,097

sobre eso, y dependerá

 

832

00:38:20,164 --> 00:38:21,832

de muchas situaciones.

 

833

00:38:21,899 --> 00:38:25,336

Por ejemplo, si el hospital

funciona normalmente

 

834

00:38:25,403 --> 00:38:29,707

y tiene muy pocos pacientes

o ninguno con coronavirus,

 

835

00:38:29,774 --> 00:38:32,009

probablemente sea algo bueno hacerla.

 

836

00:38:32,076 --> 00:38:36,547

Pero si es en un área donde

el hospital está lleno de coronavirus

 

837

00:38:36,614 --> 00:38:39,617

y es muy difícil evitar que las personas

que no están infectadas

 

838

00:38:39,684 --> 00:38:42,319

se infecten, entonces su médico...

 

839

00:38:42,386 --> 00:38:44,855

lo último que quiere su ortopedista

 

840

00:38:44,922 --> 00:38:46,323

es que ingrese y obtenga

su reemplazo total

 

841

00:38:46,390 --> 00:38:48,125

de rodilla y contraiga coronavirus.

 

842

00:38:48,192 --> 00:38:50,961

Así que creo que

van a serle sincera.

 

843

00:38:51,028 --> 00:38:53,330

Y también hay otras

cosas que considerar.

 

844

00:38:53,397 --> 00:38:55,366

No es que necesite esto

en un reemplazo de rodilla,

 

845

00:38:55,433 --> 00:38:57,535

pero sabemos que hay

una escasez de sangre severa

 

846

00:38:57,601 --> 00:38:59,804

en Seattle en este momento,

por lo que algunas cirugías

 

847

00:38:59,870 --> 00:39:04,008

pueden posponerse o retrasarse

porque lo que típicamente

 

848

00:39:04,075 --> 00:39:08,679

damos por sentado ya no existen.

 

849

00:39:08,746 --> 00:39:12,450

Tienen escasez de sangre

porque la gente no se congrega.

 

850

00:39:12,516 --> 00:39:14,485

No tienen reuniones grupales

donde todos se unen

 

851

00:39:14,552 --> 00:39:15,686

y donan sangre.

 

852

00:39:15,753 --> 00:39:17,288

Entonces esa es una consideración práctica.

 

853

00:39:17,354 --> 00:39:18,756

Entonces, estos son todos...

 

854

00:39:18,823 --> 00:39:20,224

Es una muy, muy buena pregunta.

 

855

00:39:20,291 --> 00:39:22,893

Depende de en dónde se encuentre

y cuál sea la situación,

 

856

00:39:22,960 --> 00:39:26,330

y realmente, hable con

su proveedor de atención médica.

 

857

00:39:26,397 --> 00:39:29,934

Le darán el mejor consejo

para esa institución

 

858

00:39:30,000 --> 00:39:31,602

en ese período de tiempo.

 

859

00:39:31,669 --> 00:39:34,271

>> Bill Walsh: Sí, quiero decir, parece

que lo que estaba preguntando

 

860

00:39:34,338 --> 00:39:35,973

era algo que había

tocado anteriormente, que es,

 

861

00:39:36,040 --> 00:39:39,143

si tiene una cita médica

a la que asiste regularmente

 

862

00:39:39,210 --> 00:39:42,079

o una cirugía programada,

como ella mencionó,

 

863

00:39:42,146 --> 00:39:47,618

el consejo es contactar

al profesional de la salud

 

864

00:39:47,685 --> 00:39:51,822

con anticipación, posiblemente

hacer una visita de telesalud

 

865

00:39:51,889 --> 00:39:54,258

podría ser la mejor alternativa.

 

866

00:39:54,325 --> 00:39:55,659

¿Le parece que debería ser así?

 

867

00:39:55,726 --> 00:39:57,695

>> Almirante Brett Giroir:

Eso es correcto.

 

868

00:39:57,762 --> 00:39:59,764

No hemos progresado lo suficiente

como para hacer un reemplazo total

 

869

00:39:59,830 --> 00:40:02,233

de rodilla por telesalud,

por lo que estás atascado,

 

870

00:40:02,299 --> 00:40:06,203

pero en otras circunstancias, absolutamente.

 

871

00:40:06,270 --> 00:40:10,074

Si se trata de un control de rutina y usted

puede controlar su presión arterial

 

872

00:40:10,141 --> 00:40:12,476

o hacer algo, su proveedor

de atención médica puede

 

873

00:40:12,543 --> 00:40:16,113

decidir que no se presente, especialmente

 

874

00:40:16,180 --> 00:40:18,115

si hay muchas personas

enfermas en su comunidad.

 

875

00:40:18,182 --> 00:40:21,318

Entonces, estamos hablando con

una audiencia nacional completa aquí,

 

876

00:40:21,385 --> 00:40:24,789

y mucho realmente depende de dónde

se encuentre y cuál es la situación

 

877

00:40:24,855 --> 00:40:27,892

y, para ser honesto, cuáles son

algunas de las precauciones

 

878

00:40:27,958 --> 00:40:29,026

en la clínica a la que va.

 

879

00:40:29,093 --> 00:40:30,661

¿Hay un lado enfermo

y el lado sano?

 

880

00:40:30,728 --> 00:40:33,931

O, ¿realmente no está allí todavía?

 

881

00:40:33,998 --> 00:40:38,002

Así que realmente, el consejo que

la administradora Verma le dio

 

882

00:40:38,068 --> 00:40:40,538

acerca de llamar con anticipación,

usar las opciones de telesalud,

 

883

00:40:40,604 --> 00:40:42,540

todas realmente muy buenas.

 

884

00:40:42,606 --> 00:40:43,808

>> Bill Walsh: Muy bien.

 

885

00:40:43,874 --> 00:40:46,210

Solo un recordatorio,

soy Bill Walsh con AARP,

 

886

00:40:46,277 --> 00:40:49,814

y hoy estamos respondiendo a

sus preguntas sobre el coronavirus

 

887

00:40:49,880 --> 00:40:52,516

con líderes clave del Departamento

de Salud y Servicios Humanos

 

888

00:40:52,583 --> 00:40:55,452

y los Centros para el Control y

la Prevención de Enfermedades.

 

889

00:40:55,519 --> 00:40:56,187

Puede hacer una pregunta

presionando asterisco + 3 en el

 

890

00:40:56,253 --> 00:41:00,591

teclado de su teléfono.

 

891

00:41:00,658 --> 00:41:06,597

Tenemos una pregunta

de Roger en Tennessee.

 

892

00:41:06,664 --> 00:41:08,332

Roger, ¿estás ahí?

 

893

00:41:08,399 --> 00:41:09,400

>> Roger: sí.

 

894

00:41:09,466 --> 00:41:11,535

>> Bill Walsh: Bien,

adelante, haz tu pregunta.

 

895

00:41:11,602 --> 00:41:13,737

>> Roger: Bueno.

 

896

00:41:13,804 --> 00:41:14,572

Yo tengo... ¿cuántos

años tengo yo?

 

897

00:41:14,638 --> 00:41:16,006

77.

 

898

00:41:16,073 --> 00:41:18,075

Tengo diabetes tipo I

hace muchas décadas.

 

899

00:41:18,142 --> 00:41:22,112

Preguntándome sobre asistir

a la iglesia y, en particular,

 

900

00:41:22,179 --> 00:41:27,117

tomar los elementos distribuidos

en el servicio de comunión,

 

901

00:41:27,184 --> 00:41:29,587

si eso es algo arriesgado.

 

902

00:41:29,653 --> 00:41:33,791

>> Almirante Brett Giroir:

Bueno, le digo que esta es una

 

903

00:41:33,858 --> 00:41:37,695

de las cosas de las que creo que

puedo hablar yo, Dra. Messonnier.

 

904

00:41:37,761 --> 00:41:41,799

Le diré que, como cuando comenzamos,

 

905

00:41:41,866 --> 00:41:44,935

no le diría nada que

no le haya dicho a mi madre.

 

906

00:41:45,002 --> 00:41:46,737

Mi madre tiene 87 años.

 

907

00:41:46,804 --> 00:41:47,671

Ella es católica.

 

908

00:41:47,738 --> 00:41:49,273

Ella va a la iglesia

todas las semanas.

 

909

00:41:49,340 --> 00:41:53,677

Pero se quedó en casa la semana

pasada, porque hay muchas personas

 

910

00:41:53,744 --> 00:41:58,482

juntas en lugares cerrados

y creo firmemente

 

911

00:41:58,549 --> 00:42:02,353

que Dios lo entendería

si elige proteger su salud

 

912

00:42:02,419 --> 00:42:05,356

y lo evita.

 

913

00:42:05,422 --> 00:42:07,157

No creo que haya un

sí o un no absoluto.

 

914

00:42:07,224 --> 00:42:09,994

Puedo preguntarle a la Dra. Messonnier,

y no todas las iglesias son iguales.

 

915

00:42:10,060 --> 00:42:12,830

Pero es que es un lugar

donde la gente se reúne

 

916

00:42:12,897 --> 00:42:15,099

en una especie de espacios cerrados.

 

917

00:42:15,165 --> 00:42:18,802

Y en muchas ceremonias,

sé que esto se ha cambiado

 

918

00:42:18,869 --> 00:42:20,304

en algunas denominaciones.

 

919

00:42:20,371 --> 00:42:24,808

Hay un abrazo de paz o

se estrechan las manos o un compartir,

 

920

00:42:24,875 --> 00:42:29,146

y esas son generalmente cosas

arriesgadas que no quisiera que nadie

 

921

00:42:29,213 --> 00:42:31,682

en alto riesgo, particularmente

usted mismo, haga.

 

922

00:42:31,749 --> 00:42:34,718

Se lo escucha muy sano, pero

no puede superar los números.

 

923

00:42:34,785 --> 00:42:37,021

Tiene 77 años y tiene

diabetes tipo I.

 

924

00:42:37,087 --> 00:42:39,023

Yo tendría mucho cuidado.

 

925

00:42:39,089 --> 00:42:40,190

¿Dra. Messonnier?

 

926

00:42:40,257 --> 00:42:41,492

>> Dra. Nancy Messonnier:

Estoy completamente de acuerdo.

 

927

00:42:41,558 --> 00:42:46,630

He escuchado historias

de iglesias de todo el país que

 

928

00:42:46,697 --> 00:42:50,601

realmente han tomado

la decisión de hacer

 

929

00:42:50,668 --> 00:42:54,138

tele-iglesia, lo cual es una idea realmente

interesante para tratar de asegurarse

 

930

00:42:54,204 --> 00:42:57,174

de que las personas puedan

congregarse sin ningún riesgo

 

931

00:42:57,241 --> 00:42:59,376

de secreción de persona a persona.

 

932

00:42:59,443 --> 00:43:01,011

Entonces, creo que es una idea interesante.

 

933

00:43:01,078 --> 00:43:03,080

>> Bill Walsh: Bueno, muy bien.

 

934

00:43:03,147 --> 00:43:05,049

Hagamos otra llamada.

 

935

00:43:05,115 --> 00:43:08,686

Thomas en Texas, ¿creo

que tienes una pregunta?

 

936

00:43:08,752 --> 00:43:11,522

>> Thomas: sí.

 

937

00:43:11,588 --> 00:43:14,491

Quiero agradecer a todos

por estar en el panel

 

938

00:43:14,558 --> 00:43:16,193

y proporcionar esta información.

 

939

00:43:16,260 --> 00:43:17,261

Es asombroso.

 

940

00:43:17,328 --> 00:43:24,234

Recientemente cancelé

unas vacaciones en crucero

 

941

00:43:24,301 --> 00:43:27,771

que tenía para junio

y julio para España e Italia.

 

942

00:43:27,838 --> 00:43:29,707

Y, por supuesto,

hubiese sido un largo vuelo

 

943

00:43:29,773 --> 00:43:32,710

para llegar allí.

 

944

00:43:32,776 --> 00:43:34,845

Y probablemente ya hayan cubierto esto.

 

945

00:43:34,912 --> 00:43:39,049

¿Están de acuerdo en que

es una buena decisión

 

946

00:43:39,116 --> 00:43:41,618

cancelar esas vacaciones?

 

947

00:43:41,685 --> 00:43:46,123

La segunda parte:

¿son seguros los cruceros?

 

948

00:43:46,190 --> 00:43:51,161

Y la tercera parte: ¿qué países

son menos vulnerables

 

949

00:43:51,228 --> 00:43:55,833

o más seguros para el virus?

 

950

00:43:55,899 --> 00:43:58,836

En otras palabras, si alguien busca

programar unas vacaciones

 

951

00:43:58,902 --> 00:44:04,074

y no quiere quedarse

en Estados Unidos,

 

952

00:44:04,141 --> 00:44:05,376

¿a dónde podría ir uno?

 

953

00:44:05,442 --> 00:44:06,677

>> Bill Walsh: Bien, gracias, Thomas.

 

954

00:44:06,744 --> 00:44:11,215

Doctores, ¿quieren abordar alguno

de esos planes de viaje?

 

955

00:44:11,281 --> 00:44:12,316

>> Almirante Brett Giroir:

Tomaré la primera parte,

 

956

00:44:12,383 --> 00:44:14,218

y dejaré que la Dra. Messonnier tome

 

957

00:44:14,284 --> 00:44:15,786

la segunda parte más difícil.

 

958

00:44:15,853 --> 00:44:18,922

Pero ciertamente creemos que tomaste

una muy buena decisión

 

959

00:44:18,989 --> 00:44:21,658

de no ir a tu crucero.

 

960

00:44:21,725 --> 00:44:24,595

Y sé que eso debe ser desgarrador

después de tanto añorarlo,

 

961

00:44:24,661 --> 00:44:28,766

pero solo mira las noticias.

 

962

00:44:28,832 --> 00:44:32,669

Vemos que los cruceros

son lugares en los que se propaga

 

963

00:44:32,736 --> 00:44:36,673

esta enfermedad, y

no es solo a dónde vas,

 

964

00:44:36,740 --> 00:44:38,542

sino que es donde están

todos los demás pasajeros,

 

965

00:44:38,609 --> 00:44:42,012

y lo más importante, dónde ha estado

y de dónde viene la tripulación.

 

966

00:44:42,079 --> 00:44:44,114

Por lo tanto, es parte de

nuestra recomendación ahora que,

 

967

00:44:44,181 --> 00:44:47,885

según la recomendación de los CDC

y los Servicios Humanos y de Salud,

 

968

00:44:47,951 --> 00:44:51,088

que si, particularmente está

en un grupo de alto riesgo,

 

969

00:44:51,155 --> 00:44:54,425

realmente debería evitar los cruceros.

 

970

00:44:54,491 --> 00:44:57,094

Ahora, en términos de la cita

"lugares seguros para ir",

 

971

00:44:57,161 --> 00:44:59,797

le dejaré eso a la Dra. Messonnier.

 

972

00:44:59,863 --> 00:45:01,365

>> Dra. Nancy Messonier:

Sí, también quiero volver a algo

 

973

00:45:01,432 --> 00:45:03,067

que usted preguntó:

"¿Son seguros los cruceros?"

 

974

00:45:03,133 --> 00:45:10,174

Y creemos que es realmente importante

para nosotros no equiparar

 

975

00:45:10,240 --> 00:45:11,975

esta situación realmente sin precedentes

con la idea general de que

 

976

00:45:12,042 --> 00:45:13,644

los cruceros no son seguros.

 

977

00:45:13,710 --> 00:45:15,913

Esta es una situación

sin precedentes y estamos pidiendo

 

978

00:45:15,979 --> 00:45:20,184

a las personas que posterguen el crucero

porque existe un alto riesgo

 

979

00:45:20,250 --> 00:45:22,619

en este momento de transmisión

de este coronavirus.

 

980

00:45:22,686 --> 00:45:24,822

Pero esto también, pasará.

 

981

00:45:24,888 --> 00:45:27,257

Es lo único que sabemos

sobre enfermedades como esta.

 

982

00:45:27,324 --> 00:45:29,226

Pasará, y cuando pase,

 

983

00:45:29,293 --> 00:45:33,197

espero que personas como usted,

vuelvan a reservar sus cruceros,

 

984

00:45:33,263 --> 00:45:35,165

porque es genial tomarse unas vacaciones.

 

985

00:45:35,232 --> 00:45:37,267

En cuanto a dónde es seguro ir,

 

986

00:45:37,334 --> 00:45:40,737

tengo que decir que me he estado

haciendo la misma pregunta

 

987

00:45:40,804 --> 00:45:42,873

y mis amigos me han estado

haciendo la misma pregunta.

 

988

00:45:42,940 --> 00:45:46,110

Y creo que es una pregunta realmente

complicada en este momento

 

989

00:45:46,176 --> 00:45:49,446

porque, como hemos visto

con lo que sucedió en Italia,

 

990

00:45:49,513 --> 00:45:52,316

puede propagarse en

un lugar muy rápidamente.

 

991

00:45:52,382 --> 00:45:57,621

Ya hay tantos países

que tienen la enfermedad,

 

992

00:45:57,688 --> 00:46:00,791

que es realmente difícil elegir

un lugar que esté excluído.

 

993

00:46:00,858 --> 00:46:02,426

Simplemente no es

nuestra sociedad moderna.

 

994

00:46:02,493 --> 00:46:04,828

Una de las cosas que

todos amamos es viajar,

 

995

00:46:04,895 --> 00:46:09,032

y la interconexión en todo el mundo

en este momento significa

 

996

00:46:09,099 --> 00:46:12,069

que hay muchas oportunidades

para la transmisión.

 

997

00:46:12,136 --> 00:46:15,038

Y así, por un corto tiempo,

diría que probablemente sea mejor

 

998

00:46:15,105 --> 00:46:17,274

quedarse cerca de casa.

 

999

00:46:17,341 --> 00:46:20,077

Pero esto va a evolucionar,

como lo ha hecho, rápidamente,

 

1000

00:46:20,144 --> 00:46:22,179

y las cosas podrían verse

muy diferentes en un mes

 

1001

00:46:22,246 --> 00:46:24,848

a medida que entendamos

en qué dirección va esto.

 

1002

00:46:24,915 --> 00:46:27,217

Y en un mes a partir de ahora,

podría estar realmente claro

 

1003

00:46:27,284 --> 00:46:30,220

que está bien volver

a hacer ese tipo de planes.

 

1004

00:46:30,287 --> 00:46:33,790

Pero es difícil elegir un lugar

en este momento y prometer que

 

1005

00:46:33,857 --> 00:46:35,325

ese lugar estaría libre del virus.

 

1006

00:46:35,392 --> 00:46:35,926

>> Bill Walsh: Correcto.

 

1007

00:46:35,993 --> 00:46:36,627

Bueno, muy bien.

 

1008

00:46:36,693 --> 00:46:38,328

Estamos llegando

al final de la hora,

 

1009

00:46:38,395 --> 00:46:40,931

así que creo que tenemos tiempo

para una o dos preguntas más.

 

1010

00:46:40,998 --> 00:46:43,567

Renée de Pensilvania, tenías una pregunta.

 

1011

00:46:43,634 --> 00:46:46,470

>> Renee: Sí, gracias.

 

1012

00:46:46,537 --> 00:46:49,473

Me preguntaba, ¿qué consejo

tienen para las personas

 

1013

00:46:49,540 --> 00:46:53,343

que trabajan en hogares de ancianos

o centros de atención a largo plazo

 

1014

00:46:53,410 --> 00:46:57,714

o centros de atención

de la memoria?

 

1015

00:46:57,781 --> 00:46:59,049

>> Bill Walsh: Esa es

una buena pregunta.

 

1016

00:46:59,116 --> 00:47:02,119

Doctores, ¿pueden abordar eso?

 

1017

00:47:02,186 --> 00:47:05,055

>> Dra. Nancy Messonnier: Sí,

creo que es una muy buena

 

1018

00:47:05,122 --> 00:47:06,123

pregunta.

 

1019

00:47:06,190 --> 00:47:07,791

Lo que yo diría es

que lo más importante,

 

1020

00:47:07,858 --> 00:47:09,993

si trabaja en una

de las instalaciones,

 

1021

00:47:10,060 --> 00:47:12,663

es hacer todo lo posible

para no traer enfermedades

 

1022

00:47:12,729 --> 00:47:14,198

a las instalaciones.

 

1023

00:47:14,264 --> 00:47:18,335

Entonces, por sí solo, en un hogar de ancianos,

las personas en ese hogar de ancianos,

 

1024

00:47:18,402 --> 00:47:24,541

no están en mayor riesgo a menos que

la infección ingrese a la comunidad.

 

1025

00:47:24,608 --> 00:47:28,445

Sugeriría que, no solo usted, sino

también su compañero de trabajo,

 

1026

00:47:28,512 --> 00:47:31,582

se aseguren de cumplir

con las políticas de los CMS.

 

1027

00:47:31,648 --> 00:47:35,052

Y querrá asegurarse de que las personas

no vengan a trabajar enfermas,

 

1028

00:47:35,118 --> 00:47:37,821

porque lo que sucede es que

alguien viene a trabajar enfermo,

 

1029

00:47:37,888 --> 00:47:40,190

enferma a otros en el hogar

de ancianos y luego se propaga.

 

1030

00:47:40,257 --> 00:47:42,826

Si no entra en esa comunidad,

 

1031

00:47:42,893 --> 00:47:43,860

entonces no se extenderá.

 

1032

00:47:43,927 --> 00:47:44,795

¿Almirante?

 

1033

00:47:44,861 --> 00:47:47,231

>> Almirante Brett Giroir: No,

estoy completamente de acuerdo.

 

1034

00:47:47,297 --> 00:47:52,469

Asegúrese de, si está

enfermo, no ingresar a ese lugar

 

1035

00:47:52,536 --> 00:47:58,675

de trabajo ya que puede

infectar y causar enfermedades graves.

 

1036

00:47:58,742 --> 00:48:02,713

Sabemos que hubo una tasa de mortalidad

muy, muy alta en el centro de atención

 

1037

00:48:02,779 --> 00:48:06,316

a largo plazo cerca de Seattle,

y eso es algo que todos

 

1038

00:48:06,383 --> 00:48:07,484

queremos evitar.

 

1039

00:48:07,551 --> 00:48:10,053

Y, por supuesto, ya sabes, todas

las cosas que haces normalmente,

 

1040

00:48:10,120 --> 00:48:11,722

aunque no estés enfermo.

 

1041

00:48:11,788 --> 00:48:15,859

La buena higiene es importante

por varias razones,

 

1042

00:48:15,926 --> 00:48:16,927

no solo por el coronavirus.

 

1043

00:48:16,994 --> 00:48:20,797

Lavarse las manos, utilizando

el tipo de protocolo de limpieza

 

1044

00:48:20,864 --> 00:48:23,300

que normalmente se sigue,

es aún más importante ahora.

 

1045

00:48:23,367 --> 00:48:25,435

>> Bill Walsh: Bueno, esa

es una pregunta interesante.

 

1046

00:48:25,502 --> 00:48:28,305

Quiero decir, si las personas tienen un

ser querido en una casa de vida asistida

 

1047

00:48:28,372 --> 00:48:33,076

o en un hogar de ancianos, ¿cómo pueden

estar seguros de que su ser querido

 

1048

00:48:33,143 --> 00:48:38,148

está recibiendo las medidas preventivas

necesarias para protegerlo

 

1049

00:48:38,215 --> 00:48:41,118

del virus?

 

1050

00:48:41,184 --> 00:48:43,987

>> Almirante Brett Giroir: Bueno,

diré esto más como una persona

 

1051

00:48:44,054 --> 00:48:48,959

a quien nuestra familia cuidaba,

un pariente que tendría

 

1052

00:48:49,026 --> 00:48:52,262

una enfermedad crónica en nuestro

hogar, y luego en una instalación.

 

1053

00:48:52,329 --> 00:48:55,766

Yo diría que lo más importante

es que haya comunicación.

 

1054

00:48:55,832 --> 00:48:59,836

Es muy importante hablar

con las personas que cuidan

 

1055

00:48:59,903 --> 00:49:02,105

a su pariente y que

administran las instalaciones,

 

1056

00:49:02,172 --> 00:49:04,875

para repasar el tipo de cosas

y asegurarse de que todos

 

1057

00:49:04,941 --> 00:49:08,445

entiendan cómo proteger

mejor a los residentes.

 

1058

00:49:08,512 --> 00:49:11,948

Creo que la comunicación

es realmente muy importante.

 

1059

00:49:12,015 --> 00:49:15,786

Hay muchas pautas

para el centro de enfermería

 

1060

00:49:15,852 --> 00:49:19,122

o el centro de atención a largo plazo

en el sitio web de los CDC.

 

1061

00:49:19,189 --> 00:49:22,993

La administradora Verma realmente

está enfatizando ante sus grupos,

 

1062

00:49:23,060 --> 00:49:27,698

las precauciones adecuadas,

pero yo diría que la buena comunicación.

 

1063

00:49:27,764 --> 00:49:31,401

No tenga miedo de preguntar,

si es un paciente y

 

1064

00:49:31,468 --> 00:49:34,271

hay un médico, o si se trata de un miembro

de la familia en un hogar de ancianos,

 

1065

00:49:34,338 --> 00:49:36,306

no hay nada de malo en preguntar.

 

1066

00:49:36,373 --> 00:49:39,976

Debe tener la facultad de hacer

las preguntas y, básicamente,

 

1067

00:49:40,043 --> 00:49:43,447

abogar por su ser querido,

ya sea usted el paciente

 

1068

00:49:43,513 --> 00:49:45,882

o si su ser querido

está en un centro.

 

1069

00:49:45,949 --> 00:49:47,217

>> Bill Walsh: ¿Puede decirle a

nuestros oyentes lo que

 

1070

00:49:47,284 --> 00:49:50,987

deberían preguntar?

 

1071

00:49:51,054 --> 00:49:53,490

>> Dra. Nancy Messonnier:

Deberían preguntar cuáles son

 

1072

00:49:53,557 --> 00:49:57,227

las políticas y los

procedimientos vigentes

 

1073

00:49:57,294 --> 00:49:58,895

para asegurarse de que su

ser querido se mantenga a salvo.

 

1074

00:49:58,962 --> 00:50:02,566

Que desea saber que

están siguiendo la política de los CMS,

 

1075

00:50:02,632 --> 00:50:06,136

pero también que su personal

incluso se ha duplicado,

 

1076

00:50:06,203 --> 00:50:09,673

como dijo la administradora,

para asegurarse de que

 

1077

00:50:09,740 --> 00:50:12,376

las enfermedades no ingresen al centro,

 

1078

00:50:12,442 --> 00:50:15,479

y también que si alguien

en la instalación se enferma,

 

1079

00:50:15,545 --> 00:50:17,881

se detecte rápidamente

antes de que se propague.

 

1080

00:50:17,948 --> 00:50:21,017

Por lo tanto, debe preguntar

cuáles son sus políticas

 

1081

00:50:21,084 --> 00:50:22,519

y cómo las están implementando.

 

1082

00:50:22,586 --> 00:50:24,321

>> Almirante Brett Giroir:

¿Existe un desinfectante

 

1083

00:50:24,388 --> 00:50:26,556

de manos que todos usan?

 

1084

00:50:26,623 --> 00:50:30,460

¿Hay lavabos, agua y jabón

que usan las personas?

 

1085

00:50:30,527 --> 00:50:32,028

El tipo de cosas básicas.

 

1086

00:50:32,095 --> 00:50:37,968

Porque, de nuevo, mucha gente

tiene miedo porque no hay,

 

1087

00:50:38,034 --> 00:50:40,771

cito, "vacuna". Pero el hecho de que

no haya una vacuna ahora no significa

 

1088

00:50:40,837 --> 00:50:44,574

que no tengamos herramientas

muy efectivas para evitar

 

1089

00:50:44,641 --> 00:50:46,109

que las personas se enfermen.

 

1090

00:50:46,176 --> 00:50:48,011

Y las herramientas son

las herramientas probadas

 

1091

00:50:48,078 --> 00:50:50,847

y acertadas de la salud pública.

 

1092

00:50:50,914 --> 00:50:55,585

Evitar el contacto cercano

y la unión en congregaciones,

 

1093

00:50:55,652 --> 00:50:57,587

como dijo la Dra. Messonnier, y

las buenas técnicas de lavado de manos

 

1094

00:50:57,654 --> 00:51:01,324

e higiene le brindan una gran protección.

 

1095

00:51:01,391 --> 00:51:04,394

>> Bill Walsh: De acuerdo.

 

1096

00:51:04,461 --> 00:51:06,196

Almirante, acaba de mencionar una vacuna.

 

1097

00:51:06,263 --> 00:51:08,231

Me preguntaba si podría darles

a nuestros oyentes una actualización

 

1098

00:51:08,298 --> 00:51:10,867

sobre cómo va el trabajo

de creación de una vacuna.

 

1099

00:51:10,934 --> 00:51:15,071

¿Qué tan lejos cree que estamos?

 

1100

00:51:15,138 --> 00:51:18,175

>> Almirante Brett Giroir:

Déjeme contar las buenas noticias

 

1101

00:51:18,241 --> 00:51:19,409

y luego contaré la realidad.

 

1102

00:51:19,476 --> 00:51:22,913

La buena noticia es que nunca ha habido

un momento en la historia en el que

 

1103

00:51:22,979 --> 00:51:26,216

la tecnología haya estado tan involucrada,

que podamos llevar vacunas candidatas

 

1104

00:51:26,283 --> 00:51:31,588

a las personas en un período

de unos pocos meses.

 

1105

00:51:31,655 --> 00:51:34,057

Y eso es exactamente

lo que va a suceder.

 

1106

00:51:34,124 --> 00:51:37,360

Pero cuando una vacuna llega

a las personas por primera vez,

 

1107

00:51:37,427 --> 00:51:39,729

solo va a llegar a un número

muy pequeño de personas

 

1108

00:51:39,796 --> 00:51:42,933

en el ensayo clínico,

40, 50, 100 personas,

 

1109

00:51:42,999 --> 00:51:45,502

porque necesitamos asegurarnos

de que sea segura.

 

1110

00:51:45,569 --> 00:51:49,139

Entonces, como el Dr. Fauci dice

con frecuencia en la televisión,

 

1111

00:51:49,206 --> 00:51:51,341

quien creo que es

el principal vacunólogo del mundo,

 

1112

00:51:51,408 --> 00:51:57,113

es que tomará entre

un buen año a 18 meses,

 

1113

00:51:57,180 --> 00:52:00,083

incluso si tenemos

una vacuna muy efectiva,

 

1114

00:52:00,150 --> 00:52:01,852

para que se extienda.

 

1115

00:52:01,918 --> 00:52:06,923

Entonces, no nos engañemos

ni fantaseemos con que una

 

1116

00:52:06,990 --> 00:52:08,992

poción mágica caiga

del cielo en este momento.

 

1117

00:52:09,059 --> 00:52:11,194

Tenemos poder, tenemos herramientas

 

1118

00:52:11,261 --> 00:52:13,763

y nos sentimos fortalecidos por eso.

 

1119

00:52:13,830 --> 00:52:15,732

Sienta que puede ayudar.

 

1120

00:52:15,799 --> 00:52:16,900

No hay

 

1121

00:52:16,967 --> 00:52:20,070

una garantía del 100%, pero

puede hacer mucho para controlar

 

1122

00:52:20,136 --> 00:52:23,740

su destino haciendo las cosas simples

de las que hablamos hoy:

 

1123

00:52:23,807 --> 00:52:26,343

el distanciamiento social, evitar las multitudes,

 

1124

00:52:26,409 --> 00:52:28,044

asegurarse de tener sus medicamentos.

 

1125

00:52:28,111 --> 00:52:31,448

Probablemente no vaya en

un crucero o vuelos de aerolíneas

 

1126

00:52:31,515 --> 00:52:32,616

si está en un grupo

de alto riesgo.

 

1127

00:52:32,682 --> 00:52:35,785

Asegúrese de lavarse las manos con

mucho cuidado y mantenerse alejado

 

1128

00:52:35,852 --> 00:52:37,487

de las personas enfermas.

 

1129

00:52:37,554 --> 00:52:39,890

Esto le proporcionará

un alto grado de protección,

 

1130

00:52:39,956 --> 00:52:41,324

y ¿sabe qué?

 

1131

00:52:41,391 --> 00:52:44,027

En muchas circunstancias, eso puede

brindarle tanta protección

 

1132

00:52:44,094 --> 00:52:46,363

como lo hacen algunas vacunas.

 

1133

00:52:46,429 --> 00:52:48,331

>> Bill Walsh: Bien,

tomemos otra llamada.

 

1134

00:52:48,398 --> 00:52:49,633

Susan de Nueva York.

 

1135

00:52:49,699 --> 00:52:52,869

>> Susan: Hola, hola.

 

1136

00:52:52,936 --> 00:52:55,572

Muchas gracias por

responder mi pregunta.

 

1137

00:52:55,639 --> 00:53:00,644

Entiendo que una de las complicaciones

graves puede ser la neumonía.

 

1138

00:53:00,710 --> 00:53:04,981

¿Tener ambas vacunas contra

la neumonía te protegerían si,

 

1139

00:53:05,048 --> 00:53:10,053

Dios no lo permitiera,

llegaras tan lejos?

 

1140

00:53:10,120 --> 00:53:12,022

>> Almirante Brett Giroir: Bien,

en primer lugar, gracias por tener

 

1141

00:53:12,088 --> 00:53:13,323

sus vacunas contra la neumonía.

 

1142

00:53:13,390 --> 00:53:16,626

Es realmente importante tenerlas,

 

1143

00:53:16,693 --> 00:53:19,663

porque son muy efectivas y hacen

 

1144

00:53:19,729 --> 00:53:21,197

muchas cosas buenas.

 

1145

00:53:21,264 --> 00:53:25,001

Probablemente tener las vacunas

contra la neumonía no ayudará

 

1146

00:53:25,068 --> 00:53:28,438

en esta circunstancia, porque

las vacunas contra la neumonía protegen

 

1147

00:53:28,505 --> 00:53:32,275

contra una amplia gama

de cierto tipo de bacterias

 

1148

00:53:32,342 --> 00:53:35,211

que causan neumonía,

pero no protegen contra

 

1149

00:53:35,278 --> 00:53:39,149

este virus en particular.

 

1150

00:53:39,215 --> 00:53:41,818

Se podría argumentar

que tal vez si contrae el virus,

 

1151

00:53:41,885 --> 00:53:44,854

es menos probable que contraiga

otra neumonía, pero en general,

 

1152

00:53:44,921 --> 00:53:48,391

sus vacunas contra la neumonía no

la ayudarán a mantenerse a salvo

 

1153

00:53:48,458 --> 00:53:49,926

de este virus.

 

1154

00:53:49,993 --> 00:53:53,396

Pero la ayudan a mantenerse

a salvo de cosas que sabemos

 

1155

00:53:53,463 --> 00:53:56,066

que habrían matado a decenas

de miles de personas al año

 

1156

00:53:56,132 --> 00:53:57,334

si no tuviese la vacuna

contra la neumonía.

 

1157

00:53:57,400 --> 00:53:58,435

Entonces, bien por usted.

 

1158

00:53:58,501 --> 00:54:00,770

>> Bill Walsh: Bien,

una última pregunta.

 

1159

00:54:00,837 --> 00:54:07,677

Quería saber de Doris

en Nueva York.

 

1160

00:54:07,744 --> 00:54:09,946

Lo siento, Catherine

de Nueva York.

 

1161

00:54:10,013 --> 00:54:11,247

>> Catherine: Sí, gracias.

 

1162

00:54:11,314 --> 00:54:15,585

Me preguntaba si comer fuera,

ya sea en un restaurante para sentarse

 

1163

00:54:15,652 --> 00:54:19,222

o en un restaurante

de comida rápida para llevar.

 

1164

00:54:19,289 --> 00:54:22,492

>> Dra. Nancy Messonnier:

Aquí la Dra. Messonnier.

 

1165

00:54:22,559 --> 00:54:25,362

Creo que esta es, nuevamente,

la parte sobre la comprensión

 

1166

00:54:25,428 --> 00:54:26,596

del riesgo local.

 

1167

00:54:26,663 --> 00:54:29,633

Y no creo que en este momento

haya suficiente información

 

1168

00:54:29,699 --> 00:54:31,801

para decir que todos

deberíamos estar en casa.

 

1169

00:54:31,868 --> 00:54:33,103

Una vez más, a menos que esté

 

1170

00:54:33,169 --> 00:54:35,772

en esas categorías de riesgo realmente

muy altas, creo que podemos seguir

 

1171

00:54:35,839 --> 00:54:36,706

con nuestras vidas normales.

 

1172

00:54:36,773 --> 00:54:39,109

Intentemos mantenernos a salvo;

tratemos de evitar las multitudes,

 

1173

00:54:39,175 --> 00:54:41,811

pero no pienso en ninguna razón

para no seguir con nuestras vidas normales,

 

1174

00:54:41,878 --> 00:54:43,713

y comer en un restaurante parece

 

1175

00:54:43,780 --> 00:54:45,382

algo completamente razonable.

 

1176

00:54:45,448 --> 00:54:49,586

Nuevamente, pedir comida, incluso menos riesgoso,

 

1177

00:54:49,653 --> 00:54:51,621

porque todo lo que estás haciendo

es tener un contacto casual

 

1178

00:54:51,688 --> 00:54:52,889

con alguien.

 

1179

00:54:52,956 --> 00:54:56,893

Pero esto no necesariamente terminará

en una o dos semanas,

 

1180

00:54:56,960 --> 00:54:59,596

y creo que debemos tomar precauciones,

 

1181

00:54:59,663 --> 00:55:02,399

asegurarnos de que estamos haciendo

todo lo posible para protegernos

 

1182

00:55:02,465 --> 00:55:04,701

a nosotros mismos, a nuestras

familias y a nuestras comunidades,

 

1183

00:55:04,768 --> 00:55:06,436

pero también seguir adelante

con nuestras vidas.

 

1184

00:55:06,503 --> 00:55:11,074

>> Bill Walsh: Muy bien,

y estábamos llegando al final

 

1185

00:55:11,141 --> 00:55:13,910

de la hora, y tal vez este es

un buen momento para terminar.

 

1186

00:55:13,977 --> 00:55:17,113

Almirante y Dra. Messonnier,

me pregunto si tienen alguna

 

1187

00:55:17,180 --> 00:55:20,583

idea final o recomendación sobre

lo que los socios de AARP

 

1188

00:55:20,650 --> 00:55:25,255

o los oyentes deberían entender

de nuestra conversación de hoy.

 

1189

00:55:25,321 --> 00:55:28,558

>> Almirante Brett Giroir:

Bueno, como dije al principio,

 

1190

00:55:28,625 --> 00:55:32,929

y lo diré nuevamente, claramente

este no es el momento de entrar en pánico.

 

1191

00:55:32,996 --> 00:55:34,931

Manténgase informado.

 

1192

00:55:34,998 --> 00:55:38,935

Tómelo en serio, porque puede ser

una enfermedad muy grave.

 

1193

00:55:39,002 --> 00:55:40,236

Manténgase al día.

 

1194

00:55:40,303 --> 00:55:42,872

Estamos absolutamente

comprometidos a hacer todo

 

1195

00:55:42,939 --> 00:55:44,307

lo posible para comunicarnos.

 

1196

00:55:44,374 --> 00:55:46,476

Estamos muy contentos de tener

este tipo de llamadas telefónicas.

 

1197

00:55:46,543 --> 00:55:50,213

El sitio web,

si utiliza el sitio web,

 

1198

00:55:50,280 --> 00:55:53,683

www.CDC.gov siempre tendrá

la información más reciente.

 

1199

00:55:53,750 --> 00:55:58,054

Y nuevamente, como dijo

la Dra. Messonnier, usen el sentido común.

 

1200

00:55:58,121 --> 00:55:59,189

Sean razonables.

 

1201

00:55:59,255 --> 00:56:01,458

No hace falta poner

sus vidas en espera.

 

1202

00:56:01,524 --> 00:56:04,260

Esto pasará, pero usen el tipo

de precauciones razonables

 

1203

00:56:04,327 --> 00:56:07,831

que realmente podrían salvarles la vida

 

1204

00:56:07,897 --> 00:56:10,700

a ustedes o a sus seres queridos

mientras estamos en la intensidad

 

1205

00:56:10,767 --> 00:56:12,702

del momento como lo estamos ahora.

 

1206

00:56:12,769 --> 00:56:15,739

Por lo tanto, seguimos comprometidos

a hacer todo lo posible

 

1207

00:56:15,805 --> 00:56:19,809

para proporcionar información

para apoyarlo y a trabajar

 

1208

00:56:19,876 --> 00:56:23,179

con ustedes a medida que

lo superamos colectivamente.

 

1209

00:56:23,246 --> 00:56:24,948

Y lo superaremos.

 

1210

00:56:25,014 --> 00:56:26,116

¿Dra. Messonnier?

 

1211

00:56:26,182 --> 00:56:27,283

>> Dra. Nancy Messonier:

Creo que está bien dicho.

 

1212

00:56:27,350 --> 00:56:28,284

Gracias.

 

1213

00:56:28,351 --> 00:56:29,919

AARP es un socio

importante para nosotros

 

1214

00:56:29,986 --> 00:56:31,321

y realmente queremos buscar más oportunidades

 

1215

00:56:31,387 --> 00:56:33,790

para mantener informada a su comunidad.

 

1216

00:56:33,857 --> 00:56:35,558

>> Bill Walsh: Bien,

muchas gracias a los dos.

 

1217

00:56:35,625 --> 00:56:37,127

Esta ha sido una discusión

realmente informativa.

 

1218

00:56:37,193 --> 00:56:40,363

Nuestro agradecimiento a cada uno

de ustedes por responder nuestras preguntas

 

1219

00:56:40,430 --> 00:56:42,365

y las de nuestros oyentes.

 

1220

00:56:42,432 --> 00:56:46,069

Y gracias a nuestros socios

de AARP, voluntarios y oyentes

 

1221

00:56:46,136 --> 00:56:47,871

por participar en esta discusión.

 

1222

00:56:47,937 --> 00:56:50,440

Si su pregunta no fue respondida,

 

1223

00:56:50,507 --> 00:56:54,110

visite www.AARP.org/coronavirus.

 

1224

00:56:54,177 --> 00:56:57,547

Publicaremos las respuestas

a las preguntas más frecuentes

 

1225

00:56:57,614 --> 00:56:59,682

de la llamada de hoy.

 

1226

00:56:59,749 --> 00:57:04,821

AARP, una organización

sin fines de lucro y no partidista

 

1227

00:57:04,888 --> 00:57:07,257

ha estado trabajando para promover la salud

y el bienestar de los adultos

 

1228

00:57:07,323 --> 00:57:09,759

mayores durante más de 60 años.

 

1229

00:57:09,826 --> 00:57:12,729

Ante este brote, AARP proporciona información

 

1230

00:57:12,796 --> 00:57:15,565

y recursos para ayudar a las personas

mayores y a quienes los cuidan

 

1231

00:57:15,632 --> 00:57:18,902

a protegerse del virus y evitar

 

1232

00:57:18,968 --> 00:57:20,770

que se propague a otros.

 

1233

00:57:20,837 --> 00:57:24,007

Todos los recursos a los que se hace referencia

hoy en nuestra teleasamblea,

 

1234

00:57:24,073 --> 00:57:27,343

incluida una grabación del evento

de preguntas y respuestas de hoy,

 

1235

00:57:27,410 --> 00:57:30,213

estarán disponibles el 11 de marzo

y se pueden encontrar

 

1236

00:57:30,280 --> 00:57:33,316

en www.AARP.org/coronavirus.

 

1237

00:57:33,383 --> 00:57:36,119

Allí encontrará las últimas

actualizaciones sobre coronavirus,

 

1238

00:57:36,186 --> 00:57:41,524

así como información adaptada

para adultos mayores

 

1239

00:57:41,591 --> 00:57:43,660

y cuidadores familiares.

 

1240

00:57:43,726 --> 00:57:47,497

Esperamos que haya aprendido

algo nuevo sobre el coronavirus hoy,

 

1241

00:57:47,564 --> 00:57:51,634

con el espíritu de mantenerlo a usted

y a sus seres queridos saludables.

 

1242

00:57:51,701 --> 00:57:53,803

Gracias, que tenga un buen día.

 

1243

00:57:53,870 --> 00:57:55,705

Esto concluye nuestro llamado.