Coronavirus Tele-Town Hall: Symptoms and How to Protect Yourself
Federal health experts discuss what the pandemic means for older adults and family caregivers
En español | At AARP’s Coronavirus Information Tele-Town Hall event Tuesday, March 10, federal health experts discussed the symptoms of COVID-19, how to protect yourself, and what it means for older adults and family caregivers. Listen to a replay of the event, above, moderated by AARP’s Vice President of Content Strategy & Communications Bill Walsh and featuring Dr. Brett Giroir, Assistant Secretary for Health at the U.S. Department of Health & Human Services; Dr. Nancy Messonnier, Director of the CDC’s National Center for Immunization and Respiratory Diseases; and Seema Verma, Administrator at the Centers for Medicare & Medicaid Services.
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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00:00:05,972 --> 00:00:08,475
discussion about
the coronavirus.
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Today, we'll discuss
how you can stay informed
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00:00:10,844 --> 00:00:13,646
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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00:10:29,628 --> 00:10:32,465
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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00:10:35,167 --> 00:10:39,138
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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00:10:57,556 --> 00:11:00,226
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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00:11:09,769 --> 00:11:13,706
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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00:11:16,075 --> 00:11:19,245
But if it was available,
it would be covered in
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00:11:19,311 --> 00:11:20,980
the part D program.
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00:11:21,047 --> 00:11:25,885
So, Medicare would cover
it under the part D program.
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00:11:25,951 --> 00:11:27,119
>> 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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00:11:29,755 --> 00:11:35,094
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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00:11:37,930 --> 00:11:39,365
You mentioned
these just a moment ago.
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00:11:39,432 --> 00:11:42,068
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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00:11:46,338 --> 00:11:49,175
So, tele-health is a
way for patients to access
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00:11:49,241 --> 00:11:51,410
healthcare using telecommunications
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00:11:51,477 --> 00:11:54,280
and digital
communication technology.
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00:11:54,346 --> 00:11:57,550
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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00:12:01,954 --> 00:12:04,123
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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00:12:15,201 --> 00:12:19,305
bill for their time talking
to patients over the phone and
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00:12:19,371 --> 00:12:23,275
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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00:12:25,811 --> 00:12:28,781
especially those that are at
high risk for complications from
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00:12:28,848 --> 00:12:32,718
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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00:12:36,555 --> 00:12:40,226
and also help contain
the spread of this disease.
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00:12:40,292 --> 00:12:41,227
>> 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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00:12:48,834 --> 00:12:51,003
I saw CMS put out a
press release this morning
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00:12:51,070 --> 00:12:53,038
about tele-health
benefits and Medicare,
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00:12:53,105 --> 00:12:56,742
along with some
advice about what, particularly,
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00:12:56,809 --> 00:12:58,944
older Americans should
do if they're thinking about
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00:12:59,011 --> 00:13:00,613
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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00:13:06,185 --> 00:13:09,688
So, if a Medicare beneficiary
is looking for some advice about
274
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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00:13:15,995 --> 00:13:19,698
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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00:13:32,645 --> 00:13:35,814
And one last think I wanted
to ask you, Administrator Verma,
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00:13:35,881 --> 00:13:40,553
you had mentioned that CMS also
has purview over facilities.
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00:13:40,619 --> 00:13:43,122
I'd like to know what CMS is
doing to assure that hospitals,
285
00:13:43,189 --> 00:13:45,591
clinics and clinicians
are prepared,
286
00:13:45,658 --> 00:13:47,660
and to make sure they're
prepared and capable
287
00:13:47,726 --> 00:13:51,397
to handle people
with coronavirus infections.
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00:13:51,463 --> 00:13:53,098
>> Seema Verma:
I appreciate that question.
289
00:13:53,165 --> 00:13:57,203
One of the things that we've
done is a call to action around
290
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infection control.
291
00:13:58,003 --> 00:14:01,073
And that essentially means is
that we want to make sure that
292
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
294
00:14:08,514 --> 00:14:11,217
the spread of the
disease inside these facilities,
295
00:14:11,283 --> 00:14:13,185
which is really important.
296
00:14:13,252 --> 00:14:16,255
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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00:14:19,825 --> 00:14:22,628
for the flu, but
it's really just encouraging
300
00:14:22,695 --> 00:14:24,830
and double-downing
on these policies.
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00:14:24,897 --> 00:14:29,568
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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00:14:38,777 --> 00:14:43,048
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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00:14:45,517 --> 00:14:49,088
the right things
to keep our patients safe.
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00:14:49,154 --> 00:14:50,589
>> Bill Walsh:
All right, very good.
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00:14:50,656 --> 00:14:52,291
We appreciate
you taking the time today.
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We know that you've
got a busy schedule when
311
00:14:54,960 --> 00:14:55,928
you've got to step away.
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00:14:55,995 --> 00:14:59,798
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
314
00:15:01,767 --> 00:15:04,036
with, which is
just the recommendations
315
00:15:04,103 --> 00:15:07,006
around encouraging
people to stay calm.
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00:15:07,072 --> 00:15:11,477
We've got great recommendations
from the CDC about best
317
00:15:11,543 --> 00:15:14,313
practices, just
in terms of washing your hands,
318
00:15:14,380 --> 00:15:16,982
staying away from
people that are sick.
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00:15:17,049 --> 00:15:18,450
You know,
I was telling my daughter...
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00:15:18,517 --> 00:15:21,253
she's off for spring break
and she wanted to go visit
321
00:15:21,320 --> 00:15:24,323
her grandparents,
my parents, and she had a cold.
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00:15:24,390 --> 00:15:26,125
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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00:15:30,729 --> 00:15:33,799
I think the advice around
travel is also very critical,
326
00:15:33,866 --> 00:15:37,169
and I know you'll be reviewing
that later about cruise ships,
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00:15:37,236 --> 00:15:39,805
and also just any
nonessential travel
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00:15:39,872 --> 00:15:41,473
and staying away from crowds.
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00:15:41,540 --> 00:15:45,010
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
332
00:15:50,783 --> 00:15:54,019
conditions,
really heed that advice.
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>> Bill Walsh: Very good,
well, thank you again for
334
00:15:57,756 --> 00:15:58,791
joining us today.
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00:15:58,857 --> 00:16:01,293
And just a reminder to her
listeners that this tele-town
336
00:16:01,360 --> 00:16:02,695
hall is being recorded
and will be available at
337
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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00:16:17,776 --> 00:16:20,913
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.
343
00:16:24,316 --> 00:16:27,820
I'd like to bring back
into the conversation
344
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
347
00:16:37,062 --> 00:16:40,833
Center for Immunization and Respiratory Diseases at the CDC.
348
00:16:40,899 --> 00:16:42,968
Thank you both
for joining us today.
349
00:16:43,035 --> 00:16:45,637
Admiral,
let's get right to it.
350
00:16:45,704 --> 00:16:48,974
We are eager to hear from you,
and appreciate your time today.
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00:16:49,041 --> 00:16:52,878
Can you walk us through
some of what our audience
352
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
354
00:16:57,916 --> 00:17:03,489
are being done to contain the
pathogen and reduce its impact?
355
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,
358
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,
360
00:17:17,302 --> 00:17:20,239
where the first patients
who got the virus probably
361
00:17:20,305 --> 00:17:23,909
got from an animal
contact in a live animal market.
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00:17:23,976 --> 00:17:27,746
But now we know that there
is a person-to-person spread.
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00:17:27,813 --> 00:17:31,083
That happened first in
China, and now in many countries
364
00:17:31,150 --> 00:17:34,453
outside China,
including the United States.
365
00:17:34,520 --> 00:17:38,457
And in many parts of the United
States, like in Washington,
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00:17:38,524 --> 00:17:41,527
in California and New
York, there is something
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00:17:41,593 --> 00:17:44,696
called community spread,
meaning it is actually spread
368
00:17:44,763 --> 00:17:46,732
among people in
the community that we can't
369
00:17:46,799 --> 00:17:49,134
trace to travel outside
of the United States
370
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or other contact.
371
00:17:51,303 --> 00:17:54,139
But person-to-person spread
means a lot of things to people,
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00:17:54,206 --> 00:17:57,309
so let me just be exact
on how we believe it spread
373
00:17:57,376 --> 00:17:59,611
from person to person.
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00:17:59,678 --> 00:18:03,182
It's generally spread between
person-to-person if you are in
375
00:18:03,248 --> 00:18:05,751
close contact
with one another; that is,
376
00:18:05,818 --> 00:18:09,488
within six feet of one
another, and it spreads through
377
00:18:09,555 --> 00:18:12,658
respiratory droplets
that people produce when
378
00:18:12,724 --> 00:18:15,194
they cough or sneeze.
379
00:18:15,260 --> 00:18:18,230
These droplets
can land on your nose or mouth,
380
00:18:18,297 --> 00:18:21,400
or potentially on your
hands and you touch your face,
381
00:18:21,467 --> 00:18:23,368
and you can get infected.
382
00:18:23,435 --> 00:18:25,704
Very important for
everyone to understand
383
00:18:25,771 --> 00:18:28,106
that this
is not like measles.
384
00:18:28,173 --> 00:18:31,276
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
00:18:36,215 --> 00:18:37,416
get infected with measles.
388
00:18:37,483 --> 00:18:39,284
This is not like that.
389
00:18:39,351 --> 00:18:42,287
This is a close
contact disease.
390
00:18:42,354 --> 00:18:44,957
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
392
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,
394
00:18:54,867 --> 00:18:56,902
but it certainly
is still possible,
395
00:18:56,969 --> 00:19:00,138
which is why we have a lot
of recommendations about good
396
00:19:00,205 --> 00:19:02,341
cleanliness and hygiene.
397
00:19:02,407 --> 00:19:05,010
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
00:19:11,049 --> 00:19:14,620
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
00:19:19,124 --> 00:19:21,860
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
00:19:35,707 --> 00:19:39,044
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
00:19:52,558 --> 00:19:54,993
The second one
is very hard to do.
416
00:19:55,060 --> 00:19:58,530
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
00:20:08,707 --> 00:20:11,777
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
133
00:06:42,301 --> 00:06:48,808
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
00:06:57,083 --> 00:06:57,917
>> Bill Walsh: bueno.
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00:06:57,984 --> 00:06:59,485
Gracias a ambos
por ese resumen general.
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00:06:59,552 --> 00:07:02,155
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
142
00:07:09,395 --> 00:07:10,530
de Medicare y Medicaid.
143
00:07:10,596 --> 00:07:15,334
CMS administra programas de cobertura
de salud para más de 130
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00:07:15,401 --> 00:07:17,036
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
146
00:07:20,373 --> 00:07:22,308
de coronavirus de la Administración.
147
00:07:22,375 --> 00:07:25,244
Gracias por acompañarnos
hoy, administradora Verma.
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00:07:25,311 --> 00:07:27,146
>> Seema Verma:
Un placer, Dr. Giroir.
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00:07:27,213 --> 00:07:28,247
Feliz de estar aquí.
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00:07:28,314 --> 00:07:29,482
>> 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
00:07:48,134 --> 00:07:51,170
Bien, permítanme retroceder un poco
y hablar un poco más
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00:07:51,237 --> 00:07:54,740
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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00:07:59,078 --> 00:08:03,182
CMS es responsable de administrar
los programas de Medicare y Medicaid,
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00:08:03,249 --> 00:08:08,254
y también de desarrollar y
hacer cumplir los requisitos de seguridad
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00:08:08,321 --> 00:08:11,858
en todas nuestras instituciones de
atención médica en todo el país.
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00:08:11,924 --> 00:08:15,795
Por lo tanto, no solo
brindamos cobertura
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00:08:15,862 --> 00:08:19,265
a más de 130 millones de personas en el país,
sino que también supervisamos
167
00:08:19,332 --> 00:08:21,033
algunas de nuestras instituciones
de atención médica.
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00:08:21,100 --> 00:08:23,903
Entonces, permítanme comenzar con
la pregunta del Dr. Giroir sobre
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00:08:23,970 --> 00:08:26,505
lo que está sucediendo en
Medicare, qué puede esperar ver
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00:08:26,572 --> 00:08:29,442
en su cobertura.
171
00:08:29,508 --> 00:08:32,278
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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00:08:36,215 --> 00:08:37,683
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,
175
00:08:40,820 --> 00:08:44,557
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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00:08:47,493 --> 00:08:49,495
y el vicepresidente, y estaban hablando
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00:08:49,562 --> 00:08:51,197
con las compañías de seguros y
lograron un compromiso
179
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,
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00:09:02,441 --> 00:09:05,678
y también los servicios relacionados.
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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.
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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,
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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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00:09:25,498 --> 00:09:28,200
Medicare comenzó a pagar
los servicios de telesalud
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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
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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.
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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.
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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
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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.
- May 5 - Coronavirus: Life Beyond the Pandemic
- April 14 - Coronavirus: Boosters, Testing and Nursing Home Safety
- March 24 - Coronavirus: Impact on Older Adults and Looking Ahead
- March 10 - Coronavirus: What We’ve Learned and Moving Forward
- February 24 - Coronavirus: Current State, What to Expect, and Heart Health
- February 10 - Coronavirus: Omicron, Vaccines and Mental Wellness
- January 27 - Coronavirus: Omicron, Looking Ahead, and the Impact on Nursing Homes
- January 13 - Coronavirus: Staying Safe During Changing Times
- December 16 - Coronavirus: What You Need to Know About Boosters, Vaccines & Variants
- December 9 - Coronavirus: Boosters, Vaccines and Your Health
- November 18 - Coronavirus: Your Questions Answered — Vaccines, Misinformation & Mental Wellness
- November 4 - Coronavirus: Boosters, Health & Wellness
- October 21 - Coronavirus: Protecting Your Health & Caring for Loved Ones
- October 7 - Coronavirus: Boosters, Flu Vaccines and Wellness Visits
- September 23 - Coronavirus: Delta Variant, Boosters & Self Care
- September 9 - Coronavirus: Staying Safe, Caring for Loved Ones & New Work Realities
- August 26 - Coronavirus: Staying Safe, New Work Realities & Managing Finances
- August 12 - Coronavirus: Staying Safe in Changing Times
- June 24 - The State of LGBTQ Equality in the COVID Era
- June 17 - Coronavirus: Vaccines And Staying Safe During “Reopening”
- June 3 - Coronavirus: Your Health, Finances & Housing
- May 20 - Coronavirus: Vaccines, Variants and Coping
- May 6 - Coronavirus: Vaccines, Variants and Coping
- April 22 - Your Vaccine Questions Answered and Coronavirus: Vaccines and Asian American and Pacific Islanders
- April 8 - Coronavirus and Latinos: Safety, Protection and Prevention and Vaccines and Caring for Grandkids and Loved Ones
- April 1 - Coronavirus and The Black Community: Your Vaccine Questions Answered
- March 25 - Coronavirus: The Stimulus, Taxes and Vaccine
- March 11 - One Year of the Pandemic and Managing Personal Finances and Taxes
- February 25 - Coronavirus Vaccines and You
- February 11 - Coronavirus Vaccines: Your Questions Answered
- January 28 - Coronavirus: Vaccine Distribution and Protecting Yourself
& A Virtual World Awaits: Finding Fun, Community and Connections - January 14 - Coronavirus: Vaccines, Staying Safe & Coping and Prevention, Vaccines & the Black Community
- January 7 - Coronavirus: Vaccines, Stimulus & Staying Safe
- Dec 3 - Coronavirus: Staying Safe & Coping This Winter
- Nov 19 - Coronavirus: Vaccines, Staying and A Caregiver's Thanksgiving
- Nov 12 - Coronavirus: Coping and Maintaining Your Well-Being
- Oct 1 - Coronavirus: Vaccines & Coping During the Pandemic
- Sept 17 - Coronavirus: Prevention, Treatments, Vaccines & Avoiding Scams
- Sept 3 - Coronavirus: Your Finances, Health & Family (6 months in)
- Aug 20 - Your Health and Staying Protected
- Aug 6 - Coronavirus: Answering Your Most Frequent Questions
- July 23 - Coronavirus: Navigating the New Normal
- July 16 - The Health and Financial Security of Latinos
- July 9 - Coronavirus: Your Most Frequently Asked Questions
- June 18 and 20 - Strengthening Relationships Over Time and LGBTQ Non-Discrimination Protections
- June 11 – Coronavirus: Personal Resilience in the New Normal