Coronavirus Pandemic (full documentary) | FRONTLINE

00:53:15
https://www.youtube.com/watch?v=4DJtjyB1gvE

الملخص

TLDRThe documentary 'Coronavirus Pandemic' by FRONTLINE reveals the early days of the COVID-19 outbreak in the United States, focusing on Seattle. As the city faced the first confirmed case, officials quickly moved to contain the virus through simulations and contact tracing. The program exposes the tensions between President Trump and state governors like Washington’s Jay Inslee, leading to a 'tale of two Washingtons.' While local governments pushed for scientific-based actions and addressed shortages, the federal response was criticized for downplaying the crisis and lack of coordination, leading to procurement battles for PPE and medical equipment. As the pandemic progressed, the emphasis on testing and medical readiness became crucial, with Seattle setting a precedent for other states. Through interviews with health experts and politicians, the documentary highlights critical decisions and challenges faced in curbing the disease's spread.

الوجبات الجاهزة

  • 😷 Seattle was the first to report a COVID-19 case in the U.S.
  • 🦠 Early containment included simulations and contact tracing.
  • 🗣️ President Trump downplayed the pandemic initially.
  • 🛡️ Shortage of PPE created challenges for healthcare workers.
  • 🧪 Testing was crucial but plagued with delays.
  • 🏛️ State vs. federal tensions over response strategies.
  • 💉 Washington state led early efforts in pandemic planning.
  • 🔬 Remdesivir showed promise in early patient treatment.
  • 🏢 Tech firms rapidly moved to remote work.
  • 🔍 Federal indecision led to chaotic scramble for supplies.

الجدول الزمني

  • 00:00:00 - 00:05:00

    The video explores the tension between state and federal authorities over the coronavirus pandemic in the United States. As the virus began to affect the country, President Trump claimed absolute authority while state leaders voiced frustration. At the center of the situation was the state of Washington, where the first U.S. case was detected. Health officials were ready thanks to prior preparedness and coordination with local, state, and federal agencies, highlighting a tale of two Washingtons between governance strategies.

  • 00:05:00 - 00:10:00

    The video continues to show how Washington's local hospitals, health officials, and government responded swiftly to the first COVID-19 case. Patient one was successfully isolated and treated, due largely to previous pandemic drills conducted by hospitals. Meanwhile, President Trump assured the public that the outbreak was contained. However, discrepancies began to arise with testing capabilities, as the CDC's test kits proved faulty, leading to confusion and frustration at state and local levels. Despite this, Washington was determined to track and contain any potential spread.

  • 00:10:00 - 00:15:00

    Washington state began to realize the severity of the outbreak as more cases emerged, particularly in care facilities. The state's early contact tracing and containment efforts appeared successful at first, but new cases without clear origins indicated the virus's widespread community transmission. Meanwhile, national responses lagged, with limited testing capability delaying crucial data collection. Tensions between state efforts and federal readiness began to brew, revealing administrative challenges in coordination and resource distribution.

  • 00:15:00 - 00:20:00

    Testing shortcomings are further compounded by federal bureaucratic procedures for emergency test authorization and logistic issues. Desperate to expand testing, local labs in Washington explored ways to create and validate their own tests. The slow federal response, combined with the nationwide outbreak's growing impact and lack of guidance, led to severe resource constraints. Washington's local leaders were beginning to view the crisis as increasingly an isolated issue to manage independently from federal directives.

  • 00:20:00 - 00:25:00

    By late February and early March, evidence mounted that COVID-19 was already widely spread in the U.S. President Trump continued to minimize the threat, but the number of cases grew, forcing states and cities like Seattle to take aggressive containment actions. Seattle's mayor and Washington's governors had to make difficult decisions, like shutting down the vibrant local economy, to reduce the virus's spread based on scientific guidance. There was a sound acknowledgment of the economic pain but necessity to act decisively for public health.

  • 00:25:00 - 00:30:00

    As cases rose, medical supplies, particularly personal protective equipment (PPE), became burdensome shortages for healthcare workers. For Providence Hospital in Everett, Washington, the need for PPE was immense and unfulfilled by federal supply chains. Local initiatives started crafting their own protective gear, illustrating both a resilience and a dire level of desperation. The state was left bid against others for resources in a fragmented response, leaving them even more reliant on local ingenuity to meet urgent needs.

  • 00:30:00 - 00:35:00

    The crisis also intensified political and public clashes over managing the balance between public health mandates and economic stability. While the federal administration pushed to quickly reopen the economy, local leaders like Governor Inslee insisted on cautious approaches supported by testing and monitoring. A sharp divide formed across political and governance boundaries over strategies that should guide future actions. As state authorities advocated for centralized support to adequately respond with healthcare and testing capabilities, the inefficiencies continued to challenge collective efforts.

  • 00:35:00 - 00:40:00

    Testing capacity remained a central issue, and local health leaders expressed urgency for mass distribution and federal intervention to enhance production and accessibility. Seattle's own lab teams worked tirelessly to bridge the gaps but faced constant material shortages that hampered efficacy. With transmission still largely uncontrolled, the recurring challenge was securing sufficient supplies without federal coordination. Washington's experience underscored a need for systematic and well-coordinated approaches to nationwide testing initiatives.

  • 00:40:00 - 00:45:00

    As the pandemic continued, social isolation, testing delays, and equipment shortages persisted. Researchers and healthcare providers were anxious to advance testing and develop new treatment strategies, like convalescent plasma therapy. Despite local efforts showing promise, there was broad frustration with federal responses, skepticism about reopening timelines, and concerns over prolonged economic and health repercussions. Health experts warned of potential rebounds without effective national partnership and coordination.

  • 00:45:00 - 00:53:15

    The episode concludes reflecting on the broader implications for America, staring at significant social, political, and economic challenges. Washington state's initial experience with the outbreak demonstrated the importance of timely, coordinated responses to pandemic threats. However, continuing political discord and fragmented strategies underscored the tensions that could hinder future responses. The narrative of Washington embodies broader lessons for national action and resilience in facing emerging crises.

اعرض المزيد

الخريطة الذهنية

Mind Map

الأسئلة الشائعة

  • What was the early response to COVID-19 in Seattle?

    Seattle was one of the first places in the U.S. to report COVID-19 cases. The city and state officials responded quickly by shutting down and implementing early testing and simulations.

  • How did President Trump initially respond to the pandemic?

    President Trump initially downplayed the severity of the pandemic, stating it was under control as early cases appeared in the U.S.

  • What challenges did healthcare workers face during the pandemic?

    Healthcare workers faced a shortage of personal protective equipment (PPE) and testing supplies, which led to stress and improvisation of equipment.

  • How did the federal government handle the distribution of medical supplies?

    There was a lack of coordination, with states bidding against each other for essential supplies, creating a chaotic "Hunger Games" scenario for resources.

  • What role did testing play in the early months of the pandemic?

    Testing was crucial for understanding the spread of COVID-19, but there were shortages and bureaucratic roadblocks that delayed widespread testing.

  • What did Washington state officials do when they identified the first COVID-19 case?

    They quickly isolated the patient and traced contacts, working closely with local health departments and the CDC.

  • What was significant about the first U.S. coronavirus patient?

    The first known case was identified in Seattle after the patient had traveled from Wuhan, China. It highlighted the urgency and need for robust testing.

  • How did Seattle tech companies respond to the pandemic?

    Tech companies like Microsoft quickly transitioned employees to remote work to reduce social interactions as a preventive measure.

  • What are the implications of "a tale of two Washingtons"?

    It refers to the contrasting responses of Washington state and Washington D.C., highlighting differences in urgency and approach to the pandemic.

  • What did researchers in Washington do to combat COVID-19?

    Researchers conducted tests and simulations to prepare for potential outbreaks and explored treatments like Remdesivir for patients.

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التمرير التلقائي:
  • 00:00:02
    >> When somebody is the
  • 00:00:03
    President the authority is
  • 00:00:04
    total.
  • 00:00:04
    >> He's not doing everything
  • 00:00:05
    he can do.
  • 00:00:06
    >> ...bidding against one
  • 00:00:07
    another...
  • 00:00:07
    >> ...can't tell you how
  • 00:00:08
    frustrating it is.
  • 00:00:09
    >> NARRATOR: Amid the escalating
  • 00:00:10
    crisis between the president and
  • 00:00:11
    the states over the coronavirus
  • 00:00:13
    pandemic.
  • 00:00:14
    >> It has nothing to do with the
  • 00:00:15
    president or federal policy or
  • 00:00:17
    anything.
  • 00:00:18
    >> NARRATOR: The inside story of
  • 00:00:19
    how the outbreak began in the
  • 00:00:20
    United States.
  • 00:00:21
    >> The reason Washington State
  • 00:00:23
    found that first case cause we
  • 00:00:25
    were ready for it.
  • 00:00:26
    >> NARRATOR: Correspondent Miles
  • 00:00:27
    O'Brien on the ground with
  • 00:00:30
    those who detected it first.
  • 00:00:32
    >> Within the first five days we
  • 00:00:34
    had 32 positives.
  • 00:00:36
    We then knew that this was a
  • 00:00:38
    much bigger outbreak than you
  • 00:00:39
    could have imagined.
  • 00:00:41
    >> NARRATOR: And, the tale of
  • 00:00:42
    two Washington's.
  • 00:00:43
    >> That governor is a snake.
  • 00:00:45
    Okay.
  • 00:00:46
    Inslee.
  • 00:00:47
    >> We are not going to be
  • 00:00:48
    distracted by any rhetoric that
  • 00:00:50
    the President or anyone else
  • 00:00:51
    uses.
  • 00:00:52
    Facts and science.
  • 00:00:53
    That's the only thing that's
  • 00:00:54
    going to get us through this.
  • 00:00:55
    >> NARRATOR: Now on FRONTLINE,
  • 00:00:58
    “Coronavirus Pandemic”.
  • 00:01:04
    (seagulls squawking, siren
  • 00:01:05
    blaring)
  • 00:01:06
    >> It was one of the most
  • 00:01:07
    vibrant cities in America.
  • 00:01:09
    Our economy was strong, a port
  • 00:01:13
    that was one of the leading
  • 00:01:15
    ports in the country.
  • 00:01:17
    We had one of the most vibrant
  • 00:01:18
    restaurant scenes, small
  • 00:01:20
    businesses flourishing.
  • 00:01:24
    And we went from that to almost
  • 00:01:25
    zero overnight.
  • 00:01:28
    (ship horn blares)
  • 00:01:34
    >> MILES O'BRIEN: I arrived in
  • 00:01:36
    Seattle in mid March, a city and
  • 00:01:38
    state in the process of shutting
  • 00:01:39
    down before that was the norm in
  • 00:01:41
    the rest of the country.
  • 00:01:45
    I've covered science stories for
  • 00:01:46
    nearly 30 years, but this felt
  • 00:01:49
    more like science fiction.
  • 00:01:52
    The deadly disease COVID-19
  • 00:01:55
    was about to bring the country
  • 00:01:57
    and the world to its knees.
  • 00:02:00
    >> It's like watching a
  • 00:02:02
    slow-moving landslide move
  • 00:02:04
    towards you.
  • 00:02:06
    >> O'BRIEN: How did it evade our
  • 00:02:08
    warning systems, our best
  • 00:02:09
    science?
  • 00:02:12
    >> A lot of people died because
  • 00:02:14
    we weren't ready.
  • 00:02:17
    >> O'BRIEN: Why was our
  • 00:02:18
    government so slow to act, so
  • 00:02:20
    unprepared?
  • 00:02:22
    >> I haven't cried ever as much
  • 00:02:26
    as I have in the last week.
  • 00:02:28
    >> O'BRIEN: And what lies ahead?
  • 00:02:31
    ♪ ♪
  • 00:02:45
    ♪ ♪
  • 00:02:50
    I came to Seattle looking for
  • 00:02:51
    answers.
  • 00:02:55
    My first stop...
  • 00:02:56
    How are you?
  • 00:02:57
    ...Providence Regional Medical
  • 00:02:58
    Center in nearby Everett.
  • 00:03:00
    >> And have you traveled outside
  • 00:03:02
    the U.S. in the last 30 days?
  • 00:03:04
    >> I have.
  • 00:03:04
    >> Okay, so we're gonna ask you
  • 00:03:06
    to put on a mask.
  • 00:03:07
    >> O'BRIEN: Okay.
  • 00:03:08
    This is the hospital that
  • 00:03:10
    treated the first known case of
  • 00:03:11
    COVID-19 in the country.
  • 00:03:15
    >> There we go, 97.6.
  • 00:03:17
    >> O'BRIEN: I met Dr. George
  • 00:03:19
    Diaz, an expert in infectious
  • 00:03:20
    diseases who treated patient
  • 00:03:23
    one-- a 35-year-old local
  • 00:03:26
    man who'd flown into Seattle
  • 00:03:28
    on January 15.
  • 00:03:30
    >> He was having a cough, he had
  • 00:03:32
    been having fevers at home, he
  • 00:03:34
    hadn't been eating well, he
  • 00:03:35
    generally felt poorly and he had
  • 00:03:38
    been complaining of diarrhea at
  • 00:03:39
    home.
  • 00:03:40
    >> O'BRIEN: He is 35 years old
  • 00:03:41
    and otherwise healthy.
  • 00:03:43
    >> Totally healthy person.
  • 00:03:44
    He began developing symptoms the
  • 00:03:45
    day after he arrived.
  • 00:03:48
    >> O'BRIEN: He went to this
  • 00:03:49
    walk-in clinic and described his
  • 00:03:51
    symptoms and told them where he
  • 00:03:54
    had been for about six weeks:
  • 00:03:56
    Wuhan, China.
  • 00:03:59
    >> A preliminary investigation
  • 00:04:00
    into a mysterious pneumonia
  • 00:04:01
    outbreak in Wuhan, China, has
  • 00:04:02
    identified...
  • 00:04:03
    >> O'BRIEN: That was a crucial
  • 00:04:04
    detail.
  • 00:04:05
    >> The mysterious new pneumonia
  • 00:04:06
    virus has sickened dozens of
  • 00:04:07
    people...
  • 00:04:08
    >> O'BRIEN: For weeks, Wuhan had
  • 00:04:09
    been the center of a growing
  • 00:04:10
    storm.
  • 00:04:11
    >> Scientists in China trying...
  • 00:04:12
    >> O'BRIEN: ...as news trickled
  • 00:04:14
    out about cases of a strange new
  • 00:04:16
    pneumonia.
  • 00:04:18
    >> Still a lot that is unknown,
  • 00:04:19
    the W.H.O. has said...
  • 00:04:20
    >> O'BRIEN: In Seattle, a city
  • 00:04:22
    known for cutting-edge medicine
  • 00:04:23
    and technology as well as ties
  • 00:04:25
    to Asia, officials told me they
  • 00:04:28
    had been on alert.
  • 00:04:30
    >> It clearly had the attention
  • 00:04:31
    of our public health folks, and
  • 00:04:33
    they in turn were starting to
  • 00:04:36
    line up the other departments,
  • 00:04:38
    starting with Human Services,
  • 00:04:40
    about how we're going to respond
  • 00:04:41
    when and if it arrived on our
  • 00:04:43
    shores.
  • 00:04:44
    >> O'BRIEN: At the clinic where
  • 00:04:46
    the man returning from Wuhan was
  • 00:04:47
    seeking treatment, they took no
  • 00:04:49
    chances.
  • 00:04:50
    >> At that point the clinic
  • 00:04:51
    appropriately isolated him.
  • 00:04:53
    The health district contacted
  • 00:04:54
    the CDC, who advised testing.
  • 00:04:55
    And fortunately that clinic had
  • 00:04:57
    the appropriate gear to be able
  • 00:04:59
    to safely test the patient.
  • 00:05:01
    He was then advised to go home
  • 00:05:02
    and quarantine.
  • 00:05:04
    >> O'BRIEN: The clinic sent a
  • 00:05:05
    nasal swab they'd taken from the
  • 00:05:06
    man to the Centers for Disease
  • 00:05:08
    Control and Prevention in
  • 00:05:09
    Atlanta.
  • 00:05:11
    >> And then, within 24 hours, we
  • 00:05:13
    had a call from the CDC saying
  • 00:05:14
    that the test was positive and
  • 00:05:16
    that they wanted us to admit him
  • 00:05:17
    for observation.
  • 00:05:19
    >> O'BRIEN: The first COVID-19
  • 00:05:21
    patient had been confirmed in
  • 00:05:23
    the United States.
  • 00:05:25
    Around 10:00 p.m. on January
  • 00:05:28
    20, patient one was brought to
  • 00:05:29
    the Providence Regional Medical
  • 00:05:31
    Center.
  • 00:05:33
    This is a photograph of his
  • 00:05:35
    arrival, encased in what's
  • 00:05:36
    called an isopod, designed to
  • 00:05:39
    keep a patient quarantined.
  • 00:05:42
    >> Patient number one
  • 00:05:42
    arrived here in this?
  • 00:05:44
    >> He did.
  • 00:05:45
    When we were going through
  • 00:05:45
    the transportation plan with the
  • 00:05:46
    ambulance company, they wanted
  • 00:05:48
    to keep their staff safe.
  • 00:05:50
    Completely contained,
  • 00:05:51
    doesn't allow any possibility of
  • 00:05:53
    infection.
  • 00:05:54
    So our patient was placed in
  • 00:05:55
    this by EMS and brought to our
  • 00:05:58
    hospital and unloaded in his
  • 00:05:59
    room.
  • 00:06:01
    So, it took us about two hours
  • 00:06:02
    from the time the CDC called
  • 00:06:03
    for us to get all our staff
  • 00:06:05
    personnel, supplies, and the
  • 00:06:07
    facilities all in place to be
  • 00:06:09
    able to give the EMS folks the
  • 00:06:10
    greenlight to come in.
  • 00:06:12
    >> O'BRIEN: You did that in two
  • 00:06:13
    hours?
  • 00:06:14
    >> In two hours.
  • 00:06:15
    We were ready for it.
  • 00:06:16
    >> O'BRIEN: One of the reasons
  • 00:06:17
    they were so ready: less
  • 00:06:19
    than three weeks earlier, Diaz
  • 00:06:21
    and his colleagues had conducted
  • 00:06:23
    an elaborate simulation--
  • 00:06:25
    pandemic training.
  • 00:06:27
    >> We were aware of what was
  • 00:06:29
    going on in Wuhan at that point,
  • 00:06:30
    but it was part of our routine
  • 00:06:32
    structure already to prepare.
  • 00:06:34
    >> O'BRIEN: You really had a
  • 00:06:35
    go-to plan.
  • 00:06:36
    >> We had a game plan in place
  • 00:06:37
    already.
  • 00:06:38
    We had everyone involved,
  • 00:06:40
    including the local EMS,
  • 00:06:42
    those people that bring the
  • 00:06:44
    patients from point A to point
  • 00:06:45
    B, public health officials, and
  • 00:06:47
    other partners we have in the
  • 00:06:48
    community to drill.
  • 00:06:50
    So we had a variety of scenarios
  • 00:06:53
    we went through.
  • 00:06:55
    >> O'BRIEN: By the time patient
  • 00:06:57
    one was hospitalized, local
  • 00:06:58
    public health officials were
  • 00:07:00
    going into high gear.
  • 00:07:02
    >> The reason Washington state
  • 00:07:04
    found that first case 'cause we
  • 00:07:05
    were ready for it.
  • 00:07:07
    The ambulance service was ready,
  • 00:07:08
    they knew the right personal
  • 00:07:10
    protective equipment to wear, it
  • 00:07:12
    was one of those absolute
  • 00:07:15
    coordination between the health
  • 00:07:16
    care, local health, state
  • 00:07:17
    health, and the CDC.
  • 00:07:19
    It went perfectly.
  • 00:07:20
    That's how we were able to find
  • 00:07:21
    the first case in the country.
  • 00:07:25
    >> O'BRIEN: It was a critical
  • 00:07:26
    early warning sign that the
  • 00:07:28
    highly contagious coronavirus
  • 00:07:30
    could be spreading in the U.S.
  • 00:07:33
    But in his first public
  • 00:07:35
    comments, President Trump
  • 00:07:36
    dismissed any threat to the rest
  • 00:07:38
    of the country.
  • 00:07:40
    >> Have you been briefed by the
  • 00:07:41
    CDC?
  • 00:07:42
    >> I have.
  • 00:07:43
    >> Are there worries about a
  • 00:07:44
    pandemic at this point?
  • 00:07:45
    >> No, not at all.
  • 00:07:46
    And we're... we have it totally
  • 00:07:47
    under control.
  • 00:07:48
    It's one person coming in from
  • 00:07:50
    China, and we have it under
  • 00:07:51
    control.
  • 00:07:53
    It's going to be just fine.
  • 00:07:54
    >> All right.
  • 00:07:55
    Safe travels...
  • 00:07:56
    >> Thank you.
  • 00:07:57
    >> ...on your way back.
  • 00:08:00
    >> O'BRIEN: In Seattle, doctors
  • 00:08:01
    and scientists weren't so sure--
  • 00:08:02
    they didn't have a way to test
  • 00:08:04
    for coronavirus on their own.
  • 00:08:07
    And while the CDC had been able
  • 00:08:08
    to test the sample from patient
  • 00:08:10
    one, it didn't yet have a test
  • 00:08:13
    it could deploy on a massive
  • 00:08:14
    scale around the country.
  • 00:08:17
    >> The way to really know the
  • 00:08:19
    burden of disease in your
  • 00:08:21
    community is to be able to test.
  • 00:08:23
    So the testing piece was a huge
  • 00:08:26
    piece of the puzzle that we
  • 00:08:27
    didn't really fully... we
  • 00:08:30
    weren't fully able to address.
  • 00:08:32
    >> O'BRIEN: By early February,
  • 00:08:34
    with the virus spreading around
  • 00:08:35
    the globe, the World Health
  • 00:08:37
    Organization was recommending
  • 00:08:39
    test kits that had been
  • 00:08:40
    developed in Germany.
  • 00:08:43
    But U.S. officials made a
  • 00:08:45
    fateful decision to go their
  • 00:08:47
    own way.
  • 00:08:50
    >> If you look at a moment when
  • 00:08:51
    the United States may have lost
  • 00:08:53
    its ability to control what's
  • 00:08:55
    happening, it begins with the
  • 00:08:58
    decision early on in 2020 by
  • 00:09:00
    the CDC not to utilize the test
  • 00:09:03
    kits and the capabilities that
  • 00:09:05
    were being shared by the World
  • 00:09:06
    Health Organization and other
  • 00:09:08
    nations.
  • 00:09:09
    >> O'BRIEN: The CDC wouldn't
  • 00:09:10
    talk to me on camera, but told
  • 00:09:12
    me they took the swiftest
  • 00:09:13
    path and using another nation's
  • 00:09:15
    test would have caused worse
  • 00:09:17
    delays.
  • 00:09:19
    Former CDC director Tom Frieden
  • 00:09:21
    said the decision made sense.
  • 00:09:24
    >> There's never been a time
  • 00:09:26
    previously when there was a need
  • 00:09:27
    to use a test from outside
  • 00:09:29
    because the CDC system has not
  • 00:09:30
    failed in the past.
  • 00:09:33
    >> O'BRIEN: The CDC began
  • 00:09:34
    shipping its own test kits to
  • 00:09:36
    public health labs around the
  • 00:09:37
    country.
  • 00:09:40
    But in Seattle and elsewhere, it
  • 00:09:42
    was quickly obvious that
  • 00:09:43
    something was wrong.
  • 00:09:46
    One of the three chemical probes
  • 00:09:47
    was faulty, generating
  • 00:09:49
    inconclusive results.
  • 00:09:52
    >> There were checks and
  • 00:09:54
    balances within the test.
  • 00:09:55
    And when we validated can it
  • 00:09:57
    detect the virus and can it not
  • 00:10:00
    overdetect it, that balance was
  • 00:10:03
    not correct.
  • 00:10:05
    >> Research and implementation
  • 00:10:06
    laboratories said, you know,
  • 00:10:07
    "This doesn't work.
  • 00:10:09
    You've given us a bogus kit,
  • 00:10:10
    and we're not going to use it.
  • 00:10:12
    Fix it, fast.
  • 00:10:14
    You know, or give us the right
  • 00:10:15
    to use our own kits."
  • 00:10:19
    >> O'BRIEN: At the University of
  • 00:10:21
    Washington I met virologist
  • 00:10:22
    Alex Greninger, who'd been
  • 00:10:23
    trying to do just that.
  • 00:10:26
    >> You got to have the supply of
  • 00:10:27
    testing, absolutely do.
  • 00:10:29
    We need to be able to detect
  • 00:10:30
    where the virus is and then try
  • 00:10:32
    and snuff it out, I mean, right?
  • 00:10:33
    Prevent its transmission, that's
  • 00:10:36
    the name of the game in the
  • 00:10:38
    coming months.
  • 00:10:39
    >> O'BRIEN: But he ran into a
  • 00:10:40
    bureaucratic brick wall: the
  • 00:10:42
    Food and Drug Administration had
  • 00:10:43
    instituted emergency procedures
  • 00:10:46
    to make sure any new tests were
  • 00:10:48
    accurate.
  • 00:10:50
    >> You can make your own tests,
  • 00:10:51
    but you have to send it to the
  • 00:10:52
    FDA and get it reviewed and then
  • 00:10:54
    authorized.
  • 00:10:55
    And I'll admit, I'm in my first
  • 00:10:57
    couple of years here in this
  • 00:10:59
    particular job, I had not been
  • 00:11:00
    through this process before.
  • 00:11:01
    >> O'BRIEN: The FDA application
  • 00:11:03
    was 28 pages long, and required
  • 00:11:06
    him to run tests that would take
  • 00:11:08
    at least two weeks.
  • 00:11:10
    And that wasn't all.
  • 00:11:11
    >> One of the things is they
  • 00:11:13
    needed a document FedEx-ed
  • 00:11:14
    across the country before they
  • 00:11:15
    could look at the document.
  • 00:11:17
    >> O'BRIEN: You couldn't
  • 00:11:18
    electronically transmit it?
  • 00:11:19
    >> I could electronically
  • 00:11:20
    transmit it, but they couldn't
  • 00:11:21
    look at it until it was
  • 00:11:21
    FedEx-ed.
  • 00:11:22
    And then they changed that
  • 00:11:23
    regulation.
  • 00:11:24
    And so from a couple days after
  • 00:11:25
    February 4 all the way to
  • 00:11:26
    February 26, they didn't have a
  • 00:11:27
    test, they were completely
  • 00:11:28
    blind, too.
  • 00:11:29
    >> O'BRIEN: This had to be
  • 00:11:30
    incredibly frustrating.
  • 00:11:31
    >> It was frustrating, it was.
  • 00:11:34
    So we try to prioritize things
  • 00:11:35
    in the top tier.
  • 00:11:36
    >> O'BRIEN: The FDA told me it
  • 00:11:37
    did review Greninger's
  • 00:11:38
    application but it was
  • 00:11:39
    incomplete.
  • 00:11:41
    They also said they were
  • 00:11:42
    balancing the need for tests
  • 00:11:43
    with concerns about accuracy.
  • 00:11:47
    >> Major developments, a global
  • 00:11:49
    health emergency as the
  • 00:11:50
    coronavirus reaches its 20th
  • 00:11:52
    country.
  • 00:11:54
    >> O'BRIEN: In Seattle and
  • 00:11:55
    and around the world, the clock
  • 00:11:57
    was ticking.
  • 00:11:58
    >> The coronavirus is now
  • 00:11:59
    considered a global health
  • 00:12:00
    emergency and the US is warning
  • 00:12:00
    people not to travel to China.
  • 00:12:02
    >> O'BRIEN: The W.H.O. had
  • 00:12:03
    declared a global emergency, and
  • 00:12:04
    the CDC was beginning to screen
  • 00:12:06
    passengers at U.S. airports,
  • 00:12:08
    including Seattle.
  • 00:12:11
    >> We are coordinating with the
  • 00:12:13
    Chinese government and working
  • 00:12:14
    closely together on the
  • 00:12:17
    coronavirus outbreak in China.
  • 00:12:19
    >> O'BRIEN: President Trump was
  • 00:12:21
    still not raising alarms, though
  • 00:12:22
    he banned foreign travelers from
  • 00:12:24
    China.
  • 00:12:26
    >> My administration will take
  • 00:12:27
    all necessary steps to safeguard
  • 00:12:29
    our citizens from this threat.
  • 00:12:32
    >> O'BRIEN: But, by that time,
  • 00:12:33
    flights from the outbreak zone
  • 00:12:34
    had been landing at U.S.
  • 00:12:36
    airports for weeks.
  • 00:12:41
    >> The travel ban may have
  • 00:12:42
    bought us some time, but in all
  • 00:12:44
    actuality, you know, people
  • 00:12:46
    were leaving Wuhan, going to
  • 00:12:48
    Beijing, traveling to Western
  • 00:12:50
    Europe and ultimately to the
  • 00:12:51
    United States in late 2019 and
  • 00:12:53
    early 2020 anyway.
  • 00:12:56
    >> Chinese health officials
  • 00:12:57
    said today another 46 people
  • 00:12:59
    have died from the coronavirus.
  • 00:13:00
    >> O'BRIEN: In those critical
  • 00:13:01
    first weeks after the arrival of
  • 00:13:03
    the virus in the U.S.,
  • 00:13:04
    administration officials-- and
  • 00:13:06
    the president himself--
  • 00:13:08
    continued to insist that the
  • 00:13:09
    risk was small.
  • 00:13:12
    >> I want to emphasize that this
  • 00:13:13
    is a serious health situation in
  • 00:13:15
    China, but I want to emphasize
  • 00:13:17
    that the risk to the American
  • 00:13:19
    public currently is low.
  • 00:13:22
    >> How concerned are you?
  • 00:13:23
    >> Well, we pretty much shut it
  • 00:13:24
    down coming in from China.
  • 00:13:26
    We've offered China help, but we
  • 00:13:28
    can't have thousands of people
  • 00:13:31
    coming in who may have this
  • 00:13:33
    problem, the coronavirus.
  • 00:13:35
    So we're gonna see what happens,
  • 00:13:37
    but we did shut it down, yes.
  • 00:13:40
    >> O'BRIEN: That attitude didn't
  • 00:13:41
    sit well with Washington's
  • 00:13:42
    senior Democratic senator Patty
  • 00:13:44
    Murray.
  • 00:13:45
    She spoke to me from her home.
  • 00:13:47
    >> I felt like at the time I
  • 00:13:48
    lived in two different worlds.
  • 00:13:50
    I lived here in Washington
  • 00:13:51
    state, where people were going,
  • 00:13:52
    "Oh, my gosh, we have a
  • 00:13:53
    problem," and in Washington
  • 00:13:55
    D.C., where they'd say, "Oh, you
  • 00:13:57
    guys worry too much out in the
  • 00:13:58
    West Coast."
  • 00:13:59
    >> O'BRIEN: A tale of two of
  • 00:14:00
    Washingtons.
  • 00:14:01
    >> Yeah.
  • 00:14:03
    We should have pulled out all
  • 00:14:04
    the stops and checked
  • 00:14:05
    everything, but it was more
  • 00:14:07
    like, "Oh, you guys quit
  • 00:14:08
    worrying out there."
  • 00:14:11
    >> O'BRIEN: There was a lot
  • 00:14:12
    to worry about.
  • 00:14:13
    In isolation at Providence
  • 00:14:15
    Hospital, patient one was
  • 00:14:17
    deteriorating.
  • 00:14:18
    >> He began developing more
  • 00:14:20
    shortness of breath.
  • 00:14:21
    And because of that we got an
  • 00:14:24
    x-ray which looked like he had a
  • 00:14:25
    developing pneumonia.
  • 00:14:27
    His oxygen levels in his blood
  • 00:14:28
    were also decreasing.
  • 00:14:30
    >> O'BRIEN: That worried Dr.
  • 00:14:31
    Diaz, who'd been following the
  • 00:14:33
    dire medical reports out of
  • 00:14:35
    Wuhan.
  • 00:14:36
    >> It appeared, based on their
  • 00:14:38
    data, that once patients begin
  • 00:14:39
    developing pneumonia that many
  • 00:14:40
    of them end up in the ICU on a
  • 00:14:42
    ventilator and die.
  • 00:14:45
    >> O'BRIEN: Patient one was
  • 00:14:46
    slipping fast, and there was no
  • 00:14:48
    known treatment.
  • 00:14:50
    Dr. Diaz told me he'd heard
  • 00:14:52
    about an antiviral drug called
  • 00:14:54
    Remdesivir that some experts
  • 00:14:56
    thought could potentially help.
  • 00:14:59
    It would be an experiment, he
  • 00:15:01
    said, but the patient was
  • 00:15:03
    willing.
  • 00:15:04
    >> At that point, I contacted
  • 00:15:05
    the FDA and Gilead, the
  • 00:15:06
    manufacturer, to see if they
  • 00:15:08
    would approve it.
  • 00:15:10
    So the FDA gave us an approval
  • 00:15:11
    to try it on a compassionate use
  • 00:15:13
    basis, knowing that it had not
  • 00:15:14
    been approved yet and that there
  • 00:15:16
    were no trials available to base
  • 00:15:17
    that decision on.
  • 00:15:19
    We infused it the next day.
  • 00:15:22
    He was still having very high
  • 00:15:23
    fevers and still was requiring
  • 00:15:25
    oxygen the day that we gave it
  • 00:15:26
    to him.
  • 00:15:28
    By the next day, his fevers
  • 00:15:29
    resolved and they stayed gone.
  • 00:15:31
    He felt much better.
  • 00:15:33
    He felt like he had started
  • 00:15:34
    beating the virus.
  • 00:15:36
    >> O'BRIEN: No one knew if the
  • 00:15:38
    drug had an impact, or if the
  • 00:15:39
    virus was taking its natural
  • 00:15:41
    course.
  • 00:15:43
    Here's the thing, you have one
  • 00:15:44
    data point here.
  • 00:15:45
    >> One person in the world.
  • 00:15:47
    >> O'BRIEN: Yeah, in the world.
  • 00:15:48
    >> It was an anecdote, and so we
  • 00:15:51
    were happy that the patient got
  • 00:15:53
    better and was ultimately
  • 00:15:55
    continuing to get better, able
  • 00:15:56
    to go home.
  • 00:15:57
    So that part was fantastic for
  • 00:15:58
    the patient.
  • 00:15:59
    We knew then that we needed to
  • 00:16:00
    study this in a formal clinical
  • 00:16:02
    trial.
  • 00:16:05
    >> O'BRIEN: Although patient one
  • 00:16:06
    was well enough to be sent home,
  • 00:16:08
    for public health officials in
  • 00:16:10
    Washington state, there were
  • 00:16:12
    many more questions to answer.
  • 00:16:16
    They needed to find out who
  • 00:16:17
    patient one might have come in
  • 00:16:19
    contact with after returning
  • 00:16:20
    from China and send samples from
  • 00:16:23
    them to the CDC as well.
  • 00:16:26
    >> So, we find contacts, someone
  • 00:16:28
    that you spend at least ten
  • 00:16:30
    minutes of time talking face to
  • 00:16:32
    face with.
  • 00:16:33
    We identified 60-plus contacts.
  • 00:16:35
    We swab them multiple times to
  • 00:16:37
    see was there a transmission of
  • 00:16:39
    this virus.
  • 00:16:41
    And we found absolutely no
  • 00:16:42
    transfer amongst those contacts
  • 00:16:43
    that this first case had.
  • 00:16:45
    >> O'BRIEN: Washington's
  • 00:16:47
    governor, Jay Inslee, remembers
  • 00:16:48
    this as a brief, optimistic
  • 00:16:50
    moment.
  • 00:16:51
    I interviewed him remotely from
  • 00:16:53
    his office at the state capitol.
  • 00:16:55
    >> What we were thinking is we
  • 00:16:57
    were very much on top of it
  • 00:16:59
    because we did very extensive
  • 00:17:00
    contact tracing with all of the
  • 00:17:02
    contacts that the person had who
  • 00:17:04
    was the first patient and did
  • 00:17:08
    everything epidemiologically
  • 00:17:09
    that you could ask a public
  • 00:17:11
    health system to do.
  • 00:17:15
    >> O'BRIEN: But soon more signs
  • 00:17:17
    of trouble began to appear
  • 00:17:18
    across Lake Washington in the
  • 00:17:20
    city of Kirkland at the Life
  • 00:17:22
    Care skilled nursing and rehab
  • 00:17:24
    center.
  • 00:17:26
    Scott Sedlacek had brought his
  • 00:17:27
    86-year-old father there to
  • 00:17:29
    recover from a bad fall.
  • 00:17:32
    >> So, he hit his head hard
  • 00:17:33
    enough that he had some brain
  • 00:17:35
    trauma and bleeding on the brain
  • 00:17:37
    and he broke his right ankle.
  • 00:17:39
    And the bed that opened up was
  • 00:17:41
    at Life Care.
  • 00:17:42
    And so, on February 20, we
  • 00:17:44
    moved my dad to Life Care.
  • 00:17:47
    And then we started seeing some
  • 00:17:49
    of the staff wearing respiratory
  • 00:17:51
    gear, wearing face masks,
  • 00:17:53
    wearing gloves.
  • 00:17:54
    It's kind of like, "What's going
  • 00:17:55
    on?"
  • 00:17:56
    >> O'BRIEN: Inside Life Care,
  • 00:17:58
    residents had been getting sick
  • 00:17:59
    with an unknown respiratory
  • 00:18:01
    infection.
  • 00:18:03
    The sickest were brought to the
  • 00:18:04
    nearby EvergreenHealth Medical
  • 00:18:06
    Center.
  • 00:18:08
    Dr. Francis Riedo is the medical
  • 00:18:10
    director of infection control
  • 00:18:11
    here.
  • 00:18:14
    >> Remember, this was flu
  • 00:18:15
    season.
  • 00:18:16
    And we'd already had a peak of
  • 00:18:18
    influenza B in December, and now
  • 00:18:21
    we were going through the peak
  • 00:18:22
    of influenza A.
  • 00:18:24
    And so the unit was full of
  • 00:18:27
    individuals with severe
  • 00:18:28
    respiratory infections.
  • 00:18:30
    In the meantime, in the
  • 00:18:31
    background, we're watching these
  • 00:18:33
    events unfold with increasing
  • 00:18:36
    alarm, not only in Wuhan, and
  • 00:18:40
    now spreading across the globe
  • 00:18:42
    and wondering when our turn was
  • 00:18:44
    coming.
  • 00:18:46
    >> O'BRIEN: Until that point,
  • 00:18:47
    federal guidelines for testing
  • 00:18:48
    potential cases were very
  • 00:18:50
    narrow-- patients had to have
  • 00:18:52
    been in a hotspot like China or
  • 00:18:54
    in contact with someone
  • 00:18:56
    infected.
  • 00:18:57
    Then, the rules changed.
  • 00:18:59
    Dr. Riedo wasted no time.
  • 00:19:02
    >> We settled on two individuals
  • 00:19:03
    and we tested them the following
  • 00:19:05
    morning.
  • 00:19:06
    I had a regular day, saw
  • 00:19:07
    patients in clinic, saw patients
  • 00:19:09
    in the hospital, was sitting
  • 00:19:11
    there as I usually do trying to
  • 00:19:12
    complete my notes and received
  • 00:19:14
    a call at 7:40 p.m.
  • 00:19:17
    And both of the tests were
  • 00:19:18
    positive.
  • 00:19:22
    >> O'BRIEN: What goes through
  • 00:19:23
    your mind?
  • 00:19:24
    >> My initial honest response
  • 00:19:27
    was skepticism.
  • 00:19:28
    I thought the odds of both
  • 00:19:30
    tests in two randomly selected
  • 00:19:32
    individuals being positive with
  • 00:19:35
    no history of travel, no history
  • 00:19:37
    of exposure to anybody was
  • 00:19:40
    fairly astronomical.
  • 00:19:43
    This was a huge shift.
  • 00:19:44
    Incident command was activated
  • 00:19:46
    and we made a quick decision to
  • 00:19:48
    test nine additional people that
  • 00:19:50
    night.
  • 00:19:51
    Eight of those nine were
  • 00:19:52
    positive.
  • 00:19:54
    >> O'BRIEN: Wow.
  • 00:19:56
    >> Right.
  • 00:19:57
    >> O'BRIEN: Kind of stunning
  • 00:19:58
    actually, isn't it?
  • 00:19:59
    >> It was, and within the first
  • 00:20:00
    five days, we had 32 positives.
  • 00:20:06
    >> O'BRIEN: Many were from Life
  • 00:20:08
    Care, but crucially, some had no
  • 00:20:10
    connection to the nursing home.
  • 00:20:13
    >> We then knew that this was a
  • 00:20:15
    much bigger outbreak than you
  • 00:20:17
    could have imagined.
  • 00:20:20
    >> O'BRIEN: At least 41
  • 00:20:22
    Life Care residents and
  • 00:20:23
    two visitors would
  • 00:20:25
    eventually die with more
  • 00:20:26
    than a hundred others
  • 00:20:27
    linked to the home testing
  • 00:20:28
    positive, including Scott
  • 00:20:31
    Sedlacek's father, Chuck.
  • 00:20:33
    >> He has never shown symptoms.
  • 00:20:36
    >> O'BRIEN: So, how worried are
  • 00:20:37
    you that symptoms might appear?
  • 00:20:39
    >> Extraordinarily.
  • 00:20:40
    Because we don't know, this is
  • 00:20:43
    new, it's uncharted waters.
  • 00:20:46
    >> O'BRIEN: The Sedlaceks' story
  • 00:20:47
    hit home for me: my 84-year-old
  • 00:20:49
    father is in assisted living in
  • 00:20:51
    Florida.
  • 00:20:53
    Hello there.
  • 00:20:55
    Can you tilt down a little bit?
  • 00:20:56
    >> I'm sorry what?
  • 00:20:57
    >> O'BRIEN: Tilt down, tilt
  • 00:20:58
    down, a little more down.
  • 00:21:00
    There you go, that's good.
  • 00:21:02
    How you feeling?
  • 00:21:03
    >> Well, I'm fine, how are you?
  • 00:21:04
    >> O'BRIEN: No coronavirus so
  • 00:21:05
    far, but he's pretty much in
  • 00:21:07
    isolation, no visitors allowed.
  • 00:21:11
    It's the same at Life Care, but
  • 00:21:13
    the Sedlaceks have found a way
  • 00:21:15
    around that.
  • 00:21:17
    >> My sister is here and we'll
  • 00:21:18
    go up and will say hi through
  • 00:21:20
    the window.
  • 00:21:21
    We brought a big white board
  • 00:21:22
    today so we can actually write
  • 00:21:23
    notes for him because they're
  • 00:21:25
    double pane windows to seal the
  • 00:21:26
    noise out.
  • 00:21:26
    (laughs)
  • 00:21:29
    Can you hear us?
  • 00:21:32
    (laughs)
  • 00:21:36
    >> Okay, we'll let you finish
  • 00:21:38
    that-- love you.
  • 00:21:39
    >> Keep getting better, keep
  • 00:21:40
    listening to the nursing staff.
  • 00:21:42
    They're looking out for you.
  • 00:21:44
    He has to get the love from the
  • 00:21:46
    family to get better.
  • 00:21:48
    Without it, he will become not
  • 00:21:50
    just physically but mentally
  • 00:21:52
    ill.
  • 00:21:53
    >> O'BRIEN: Yeah.
  • 00:21:54
    >> It's the worst thing you can
  • 00:21:55
    do to an older person.
  • 00:21:56
    >> O'BRIEN: Yeah, right.
  • 00:21:57
    >> Yeah, the worst thing you can
  • 00:21:58
    do.
  • 00:22:00
    >> O'BRIEN: Scott himself also
  • 00:22:01
    got the virus.
  • 00:22:02
    Unlike his dad, he got sick.
  • 00:22:06
    >> I was hospitalized through
  • 00:22:09
    the emergency room with the
  • 00:22:11
    full-blown list of symptoms--
  • 00:22:13
    extraordinary difficulty
  • 00:22:15
    breathing, light-headed,
  • 00:22:17
    dizziness-- you name the
  • 00:22:19
    symptom, I had it.
  • 00:22:20
    >> O'BRIEN: What was it like
  • 00:22:21
    being in isolation, sick with
  • 00:22:23
    this disease?
  • 00:22:24
    Were you scared?
  • 00:22:25
    >> Hell yes, I was scared, it's
  • 00:22:27
    an unknown.
  • 00:22:28
    I was hooked up to an IV and
  • 00:22:30
    they started an albuterol
  • 00:22:32
    nebulizer, which they had to
  • 00:22:35
    give two full rounds of it.
  • 00:22:36
    But after those two full rounds,
  • 00:22:38
    I was breathing normally and
  • 00:22:40
    after six hours, they had all my
  • 00:22:42
    symptoms under control.
  • 00:22:43
    Within 12 hours, they moved me
  • 00:22:45
    to a full isolation unit, and
  • 00:22:47
    ten hours later, they released
  • 00:22:49
    me with zero symptoms.
  • 00:22:54
    >> The number of coronavirus
  • 00:22:55
    cases at home and abroad
  • 00:22:57
    continue to climb, the financial
  • 00:22:58
    markets rocked, and more
  • 00:23:00
    aggressive steps to fight the
  • 00:23:01
    spread...
  • 00:23:02
    >> O'BRIEN: By this time in
  • 00:23:03
    early March, COVID-19 cases were
  • 00:23:04
    multiplying here and around the
  • 00:23:06
    country.
  • 00:23:08
    >> Breaking news-- Washington is
  • 00:23:09
    in a state of emergency...
  • 00:23:11
    >> O'BRIEN: Governor Inslee had
  • 00:23:12
    put Washington under a state of
  • 00:23:13
    emergency...
  • 00:23:14
    >> Washington state has declared
  • 00:23:15
    a state of emergency...
  • 00:23:16
    >> O'BRIEN: ...the first
  • 00:23:17
    governor to do so.
  • 00:23:18
    >> The governor declaring a
  • 00:23:19
    state of emergency...
  • 00:23:20
    >> O'BRIEN: But like many here,
  • 00:23:21
    he was increasingly concerned
  • 00:23:23
    that President Trump was
  • 00:23:24
    continuing to downplay the
  • 00:23:25
    threat.
  • 00:23:26
    >> It's going to all work out.
  • 00:23:27
    Everybody has to be calm.
  • 00:23:28
    It's all going to work out.
  • 00:23:29
    >> O'BRIEN: Inslee, a Democrat
  • 00:23:31
    and former presidential
  • 00:23:32
    candidate, tweeted that the
  • 00:23:33
    administration should stick to
  • 00:23:35
    science and tell the truth.
  • 00:23:39
    It would ignite an escalating
  • 00:23:40
    war of words.
  • 00:23:43
    >> O'BRIEN: During a visit to
  • 00:23:44
    the CDC, Trump fired back.
  • 00:23:46
    >> That governor is a snake.
  • 00:23:48
    Okay.
  • 00:23:49
    Inslee.
  • 00:23:50
    Let me just tell you, we have a
  • 00:23:51
    lot of problems with the
  • 00:23:52
    governor and... the governor of
  • 00:23:54
    Washington, that's where you
  • 00:23:56
    have many of your problems.
  • 00:23:57
    I said, no matter how nice you
  • 00:23:58
    are, he's no good.
  • 00:24:00
    That's the way I feel.
  • 00:24:01
    >> O'BRIEN: At that point, did
  • 00:24:03
    you get the sense that you as
  • 00:24:05
    governor and the state of
  • 00:24:07
    Washington was sort of on their
  • 00:24:08
    own and the federal cavalry was
  • 00:24:10
    not coming?
  • 00:24:12
    >> Yes, but we didn't ever
  • 00:24:15
    depend on that leadership coming
  • 00:24:17
    out of the White House, so it's
  • 00:24:19
    not something that we were
  • 00:24:20
    surprised by.
  • 00:24:21
    We always knew that we would
  • 00:24:22
    have to lead the charge, given
  • 00:24:25
    the president's reluctance to
  • 00:24:27
    really exercise leadership on
  • 00:24:29
    this.
  • 00:24:30
    And we sort of knew that he had
  • 00:24:31
    an intent of downplaying what
  • 00:24:34
    was an emerging problem.
  • 00:24:36
    That, you know, could only be
  • 00:24:39
    explained by someone who had
  • 00:24:41
    their eye on the Dow Jones
  • 00:24:43
    rather than an eye on the
  • 00:24:44
    epidemiological curve.
  • 00:24:46
    >> O'BRIEN: Seattle's mayor,
  • 00:24:48
    Jenny Durkan, shared those
  • 00:24:49
    sentiments.
  • 00:24:51
    >> We are not going to be
  • 00:24:52
    distracted by any rhetoric that
  • 00:24:54
    the president or anyone else
  • 00:24:56
    uses.
  • 00:24:57
    We've got to act.
  • 00:24:58
    We've got to act to protect the
  • 00:24:59
    people and I think those actions
  • 00:25:00
    are what matters.
  • 00:25:01
    Facts and science.
  • 00:25:02
    Got to rely on them.
  • 00:25:04
    That's the only thing that's
  • 00:25:05
    going to get us through this,
  • 00:25:06
    and, fortunately, we've got a
  • 00:25:08
    really vibrant health and
  • 00:25:10
    science community here in the
  • 00:25:11
    state of Washington and Seattle
  • 00:25:12
    and we listen to them.
  • 00:25:15
    >> O'BRIEN: She and other
  • 00:25:16
    political leaders here had some
  • 00:25:18
    hard decisions to make after
  • 00:25:19
    hearing grim predictions.
  • 00:25:23
    >> We had researchers here
  • 00:25:24
    telling us that within six
  • 00:25:25
    weeks, we would have over 70,000
  • 00:25:27
    positive cases and hundreds of
  • 00:25:29
    deaths if we didn't act.
  • 00:25:31
    And so we had a choice to make.
  • 00:25:33
    The choice was know that you're
  • 00:25:35
    going to have enormous pain in
  • 00:25:37
    shutting down parts of your
  • 00:25:39
    economy, or have those same
  • 00:25:41
    impacts later and overrun your
  • 00:25:43
    health system.
  • 00:25:46
    As we move forward, it will be
  • 00:25:48
    increasingly necessary and
  • 00:25:50
    important that we are unified in
  • 00:25:53
    our efforts.
  • 00:25:54
    >> O'BRIEN: Seattle was starting
  • 00:25:56
    on a trajectory that the rest of
  • 00:25:57
    the country would soon follow.
  • 00:25:59
    >> There is no magic silver
  • 00:26:01
    bullet at the moment medically,
  • 00:26:04
    but there is a very successful
  • 00:26:05
    effort that we can take to slow
  • 00:26:09
    the spread of this disease and
  • 00:26:10
    that's to reduce the social
  • 00:26:12
    interactions that are not
  • 00:26:14
    necessary in our lives.
  • 00:26:16
    >> O'BRIEN: You, the county
  • 00:26:17
    executive, and the governor,
  • 00:26:18
    were early out of the box on
  • 00:26:20
    taking these actions, pretty
  • 00:26:22
    proactive.
  • 00:26:23
    Did you feel at the time a
  • 00:26:25
    little nervous about all that?
  • 00:26:28
    >> I think it was... all of us
  • 00:26:29
    felt a great deal of... sense of
  • 00:26:32
    obligation and concern because
  • 00:26:34
    we were the first to go.
  • 00:26:37
    >> O'BRIEN: Mayor Durkan
  • 00:26:38
    actually had a pandemic response
  • 00:26:40
    plan on the shelf, which she and
  • 00:26:42
    her cabinet had updated in early
  • 00:26:44
    February.
  • 00:26:45
    >> We pulled out the pandemic
  • 00:26:46
    planning and knew that one of
  • 00:26:48
    the first things we had to do to
  • 00:26:49
    separate people from another
  • 00:26:50
    was have them telecommute, those
  • 00:26:51
    that could.
  • 00:26:52
    So our largest employers acted
  • 00:26:54
    immediately.
  • 00:26:55
    >> O'BRIEN: That included
  • 00:26:56
    Seattle icon Microsoft, with a
  • 00:26:59
    workforce of more than 50,000
  • 00:27:01
    one of the largest private
  • 00:27:03
    sector employers in the region.
  • 00:27:05
    >> So, we had a call on Sunday
  • 00:27:06
    afternoon, March 1.
  • 00:27:08
    We had the business leaders...
  • 00:27:10
    >> O'BRIEN: Microsoft president
  • 00:27:11
    Brad Smith spoke to me from
  • 00:27:13
    his home.
  • 00:27:14
    >> We went from Monday telling
  • 00:27:16
    people they should work from
  • 00:27:17
    home if they were more
  • 00:27:18
    comfortable, Tuesday telling
  • 00:27:20
    people, you know, feel free to
  • 00:27:23
    work from home, it might be
  • 00:27:25
    better, to Wednesday work
  • 00:27:27
    from home unless it's essential
  • 00:27:28
    you come to work.
  • 00:27:30
    >> O'BRIEN: The decision you
  • 00:27:30
    made was a big one.
  • 00:27:31
    Did you hesitate?
  • 00:27:33
    >> No, it was interesting.
  • 00:27:34
    Once we decided at Microsoft
  • 00:27:36
    that we would be decisive and
  • 00:27:38
    base our decisions on public
  • 00:27:40
    health advice, then we knew what
  • 00:27:43
    to do.
  • 00:27:45
    >> It's the hardest decision
  • 00:27:46
    I've ever had to make because
  • 00:27:48
    all of our instincts are to grow
  • 00:27:50
    the whole economy for your city,
  • 00:27:53
    to make a stronger
  • 00:27:54
    community for everyone.
  • 00:27:55
    And what we're saying is we've
  • 00:27:57
    got to stop that kind of
  • 00:27:58
    community and we have to stop
  • 00:27:59
    doing work.
  • 00:28:03
    >> O'BRIEN: Almost overnight,
  • 00:28:06
    the vibrant city shut down--
  • 00:28:09
    businesses closed, storefronts
  • 00:28:12
    boarded up, empty restaurants,
  • 00:28:16
    the famous Pike Place Market
  • 00:28:18
    nearly deserted.
  • 00:28:21
    ♪ ♪
  • 00:28:24
    At a local soccer field usually
  • 00:28:25
    filled with kids and families,
  • 00:28:28
    preparations for a surge of
  • 00:28:30
    COVID patients.
  • 00:28:32
    >> We knew already that one of
  • 00:28:34
    the biggest challenges would be
  • 00:28:35
    having the hospital system
  • 00:28:37
    overwhelmed by a wave of cases.
  • 00:28:40
    We were trying to figure out how
  • 00:28:42
    we could get testing, we were
  • 00:28:45
    trying to figure out whether we
  • 00:28:46
    would receive material help in
  • 00:28:49
    the form of field hospitals or
  • 00:28:51
    large facilities encampments for
  • 00:28:55
    people who were unhoused.
  • 00:28:57
    And there wasn't a lot of
  • 00:29:00
    concrete offers of help coming
  • 00:29:02
    from the federal government.
  • 00:29:03
    So we were left with the reality
  • 00:29:06
    that we're going to have to take
  • 00:29:07
    on a lot of this ourselves.
  • 00:29:09
    >> More than 140 people lost
  • 00:29:10
    their lives yesterday, bringing
  • 00:29:12
    the death toll to over 590 in
  • 00:29:14
    this country.
  • 00:29:16
    >> He's not doing everything he
  • 00:29:17
    can do.
  • 00:29:18
    >> O'BRIEN: As coronavirus was
  • 00:29:19
    sweeping the country throughout
  • 00:29:20
    March...
  • 00:29:21
    >> And I can't tell you how
  • 00:29:22
    frustrating it is...
  • 00:29:23
    >> O'BRIEN: ...so was the
  • 00:29:24
    frustration among governors
  • 00:29:25
    scrambling for resources they
  • 00:29:26
    needed to respond.
  • 00:29:28
    >> We're bidding against one
  • 00:29:29
    another, it's really not a great
  • 00:29:31
    system.
  • 00:29:32
    >> All of the states are taking
  • 00:29:34
    action to try to find these
  • 00:29:35
    things on our own.
  • 00:29:36
    >> O'BRIEN: The president was
  • 00:29:37
    now feuding with multiple
  • 00:29:38
    governors...
  • 00:29:39
    >> 400 ventilators?
  • 00:29:41
    I need 30,000 ventilators.
  • 00:29:43
    >> O'BRIEN: And like he'd done
  • 00:29:44
    with the virus in the
  • 00:29:45
    beginning...
  • 00:29:46
    >> I don't believe you need
  • 00:29:47
    40,000 or 30,000 ventilators.
  • 00:29:49
    >> O'BRIEN: ...he disputed
  • 00:29:50
    there was scarcity of
  • 00:29:51
    crucial medical equipment, like
  • 00:29:53
    masks and ventilators.
  • 00:29:55
    >> Many of the states are
  • 00:29:56
    stocked up.
  • 00:29:58
    Some of them don't admit it, but
  • 00:29:59
    they have, we have sent so many
  • 00:30:01
    things to them, including
  • 00:30:03
    ventilators.
  • 00:30:05
    >> O'BRIEN: Amid the feuding,
  • 00:30:06
    doctors and nurses have
  • 00:30:07
    struggled to get the personal
  • 00:30:08
    protective equipment, PPE,
  • 00:30:11
    they need.
  • 00:30:12
    >> Good morning, and welcome,
  • 00:30:13
    everyone.
  • 00:30:14
    >> O'BRIEN: In Seattle, that's
  • 00:30:15
    been the top issue for Dr. Amy
  • 00:30:17
    Compton-Phillips, the chief
  • 00:30:19
    clinical officer of the
  • 00:30:20
    Providence Hospital Network.
  • 00:30:22
    >> Last year, across all of
  • 00:30:24
    Providence, we used 250,000
  • 00:30:26
    masks.
  • 00:30:27
    In the first three months of
  • 00:30:28
    this at Everett, they've used
  • 00:30:30
    250,000 masks.
  • 00:30:32
    We cannot have our own
  • 00:30:34
    caregivers going down from COVID
  • 00:30:35
    while they're trying to take
  • 00:30:37
    care of the community, because,
  • 00:30:38
    you know, the supply chain is
  • 00:30:39
    just not keeping up with our
  • 00:30:40
    needs.
  • 00:30:42
    >> Amy, I have to say if I can't
  • 00:30:44
    assure them that they are safe
  • 00:30:47
    then I don't think the rest of
  • 00:30:49
    this is worth anything.
  • 00:30:52
    >> O'BRIEN: Inside Providence's
  • 00:30:54
    emergency department, tensions
  • 00:30:55
    around PPE have been high.
  • 00:30:59
    Dr. Ryan Keay is the
  • 00:31:00
    department's medical director.
  • 00:31:03
    >> It's exhausting to constantly
  • 00:31:04
    think about the sequence that
  • 00:31:06
    you put things on and take
  • 00:31:07
    things off and where you're
  • 00:31:08
    sanitizing during that sequence.
  • 00:31:10
    Every nurse, every tech, every
  • 00:31:12
    physician I've talked to has
  • 00:31:13
    said, "I've been working for
  • 00:31:15
    years and I've never been so
  • 00:31:16
    exhausted."
  • 00:31:18
    And it leaves people just on
  • 00:31:21
    edge all the time.
  • 00:31:23
    >> We have enough N-95 masks
  • 00:31:25
    that people should not have to
  • 00:31:26
    be able... should not have to
  • 00:31:27
    bring in their own masks at this
  • 00:31:28
    point in time.
  • 00:31:30
    >> Is the recommendations still
  • 00:31:31
    one N-95 per five patients?
  • 00:31:34
    Or are we using it the whole
  • 00:31:35
    shift now?
  • 00:31:36
    >> We're using them with a face
  • 00:31:37
    shield for as long as you need
  • 00:31:38
    to use them.
  • 00:31:39
    You just store them in a paper
  • 00:31:41
    bag until they become moist
  • 00:31:42
    or soiled.
  • 00:31:43
    >> Okay, so forever?
  • 00:31:44
    >> Well, not forever.
  • 00:31:45
    (chuckles)
  • 00:31:46
    >> O'BRIEN: Reusing masks and
  • 00:31:48
    storing them in paper bags
  • 00:31:49
    wasn't the only DIY workaround I
  • 00:31:52
    saw.
  • 00:31:54
    I caught up with Dr.
  • 00:31:56
    Compton-Phillips at the
  • 00:31:57
    otherwise vacant Providence
  • 00:31:58
    headquarters.
  • 00:31:59
    Inside a large meeting room, she
  • 00:32:01
    and a handful of her team were
  • 00:32:03
    spread out a safe distance,
  • 00:32:05
    cranking out face shields.
  • 00:32:09
    >> Our caregivers would
  • 00:32:10
    normally have protective goggles
  • 00:32:12
    on and a surgical mask
  • 00:32:13
    underneath this and then this
  • 00:32:14
    goes in front and basically
  • 00:32:17
    protects against droplets.
  • 00:32:20
    >> O'BRIEN: They had raided a
  • 00:32:22
    half dozen craft stores to
  • 00:32:23
    scrounge up supplies.
  • 00:32:24
    >> We're at 288 now, we're going
  • 00:32:26
    to get to 1,000 by tomorrow.
  • 00:32:28
    >> We're retooling our resources
  • 00:32:30
    going into war against COVID.
  • 00:32:32
    >> I feel like Rosie the
  • 00:32:33
    riveter.
  • 00:32:34
    >> 499, 500!
  • 00:32:36
    (cheering)
  • 00:32:40
    >> O'BRIEN: On the one hand,
  • 00:32:41
    this is really... it's kind of
  • 00:32:42
    heartwarming.
  • 00:32:43
    But it's also really sad.
  • 00:32:44
    >> Desperation.
  • 00:32:45
    >> O'BRIEN: Yeah, I can't decide
  • 00:32:46
    which way to go in this.
  • 00:32:47
    What are your thoughts?
  • 00:32:48
    >> I would rather offer our
  • 00:32:49
    caregivers something than
  • 00:32:50
    nothing and at the moment, you
  • 00:32:52
    know, if the choice is not
  • 00:32:54
    having PPE or having homemade
  • 00:32:56
    PPE, were going to offer them
  • 00:32:57
    homemade PPE.
  • 00:32:58
    >> O'BRIEN: Right, right.
  • 00:32:59
    >> So...
  • 00:33:03
    >> O'BRIEN: That's what
  • 00:33:05
    motivated Jeff Kaas-- his small
  • 00:33:06
    family business builds and sews
  • 00:33:08
    furniture for aviation and
  • 00:33:10
    retail customers.
  • 00:33:12
    He decided to pitch in and start
  • 00:33:14
    making masks.
  • 00:33:17
    There's not a shortage of the
  • 00:33:18
    raw materials at least, that
  • 00:33:19
    would be... or not yet?
  • 00:33:21
    >> There will be.
  • 00:33:22
    There will be, yeah.
  • 00:33:23
    So, I think we've enough to make
  • 00:33:24
    two million masks.
  • 00:33:25
    >> O'BRIEN: But how long will
  • 00:33:26
    that take you to do?
  • 00:33:27
    >> Well, it depends on how fast
  • 00:33:27
    we want to go.
  • 00:33:28
    >> O'BRIEN: How fast do you want
  • 00:33:29
    to go?
  • 00:33:30
    >> We want to solve the
  • 00:33:31
    problem.
  • 00:33:32
    My assumption is that we will be
  • 00:33:33
    ramping up for several weeks and
  • 00:33:35
    then drop off a cliff.
  • 00:33:37
    Nobody will need me in the
  • 00:33:38
    healthcare business anymore and
  • 00:33:40
    then survival becomes a question
  • 00:33:41
    for my company.
  • 00:33:42
    That's probably the next scary
  • 00:33:43
    thing, which is less scary than
  • 00:33:45
    what our healthcare friends are
  • 00:33:46
    going through right now.
  • 00:33:47
    That's the bigger issue for me.
  • 00:33:50
    >> We knew in January what we
  • 00:33:52
    would need-- we knew.
  • 00:33:55
    We would need gloves and masks
  • 00:33:56
    and respirators, and
  • 00:33:57
    ventilators.
  • 00:33:59
    Two-and-a-half months later,
  • 00:34:00
    we're dependent on sewing
  • 00:34:02
    circles to supply our frontline
  • 00:34:06
    heroes with what they need.
  • 00:34:08
    It may be a nice American story;
  • 00:34:11
    I find it pathetic.
  • 00:34:13
    >> O'BRIEN: Washington state
  • 00:34:15
    officials, like others in the
  • 00:34:16
    country, say this was an
  • 00:34:17
    avoidable crisis.
  • 00:34:20
    >> Because we've lacked the
  • 00:34:22
    federal leadership we needed,
  • 00:34:23
    it's been mayor versus mayor,
  • 00:34:25
    city versus city, state versus
  • 00:34:26
    state, trying to get access
  • 00:34:29
    to the limited resources to
  • 00:34:30
    protect our communities,
  • 00:34:32
    whether it's ventilators or
  • 00:34:34
    masks for our health care
  • 00:34:35
    workers, all of that
  • 00:34:36
    has become this Hunger Games
  • 00:34:38
    process where everyone's trying
  • 00:34:40
    to figure out a way to outbid
  • 00:34:41
    each other.
  • 00:34:43
    Washington state had a line on
  • 00:34:44
    masks that were coming to the
  • 00:34:45
    country and at the port in
  • 00:34:46
    California.
  • 00:34:47
    Suddenly, multiple states were
  • 00:34:48
    bidding on them.
  • 00:34:50
    That shouldn't be the way that
  • 00:34:51
    it happens.
  • 00:34:52
    >> We're searching the world for
  • 00:34:54
    every potential warehouse that
  • 00:34:55
    have any of this personal
  • 00:34:57
    protective equipment.
  • 00:34:58
    That has been a constant
  • 00:35:00
    struggle and we are bidding
  • 00:35:01
    against each other, and I'm
  • 00:35:03
    sure that the suppliers are
  • 00:35:04
    having a field day bidding the
  • 00:35:06
    price up while states are
  • 00:35:08
    bidding against one another.
  • 00:35:09
    It would be much more efficient
  • 00:35:11
    economically and otherwise if
  • 00:35:13
    the federal government was
  • 00:35:14
    playing a more vigorous role in
  • 00:35:16
    that regard.
  • 00:35:18
    >> O'BRIEN: The tensions
  • 00:35:19
    between states and the
  • 00:35:20
    federal government have been
  • 00:35:22
    escalating.
  • 00:35:23
    >> Another five million
  • 00:35:24
    Americans file for unemployment
  • 00:35:25
    benefits last week.
  • 00:35:28
    >> O'BRIEN: Not just over
  • 00:35:29
    the response to the outbreak...
  • 00:35:30
    >> The market down ten percent
  • 00:35:31
    in relatively short order.
  • 00:35:32
    There's a lot of bad news still
  • 00:35:34
    to come.
  • 00:35:35
    >> O'BRIEN: But now over what
  • 00:35:36
    it will take to get the country
  • 00:35:37
    up and running again.
  • 00:35:38
    >> This is a massive meltdown on
  • 00:35:39
    a national scale.
  • 00:35:41
    >> More jobs lost in a matter of
  • 00:35:42
    two weeks than in the entire 18
  • 00:35:44
    months of the Great Recession.
  • 00:35:46
    >> Our team of experts now
  • 00:35:47
    agrees that we can begin the
  • 00:35:48
    next front in our war, which we
  • 00:35:53
    are calling "opening up America
  • 00:35:55
    again."
  • 00:35:57
    >> O'BRIEN: The president has
  • 00:35:58
    been pushing governors to
  • 00:35:59
    re-open, even as soon as May 1.
  • 00:36:02
    >> Or country has to get open.
  • 00:36:04
    And it will get open.
  • 00:36:06
    And it'll get open safely.
  • 00:36:08
    And hopefully quickly.
  • 00:36:10
    >> O'BRIEN: But some of them
  • 00:36:11
    have been pushing back.
  • 00:36:13
    >> We cannot be guided by
  • 00:36:14
    emotion.
  • 00:36:14
    We need to be guided by where
  • 00:36:16
    the facts on the ground, science
  • 00:36:18
    and public health take us.
  • 00:36:20
    >> What's best for the people of
  • 00:36:22
    Illinois, their safety and
  • 00:36:23
    health, and listening to the
  • 00:36:24
    scientists and the doctors.
  • 00:36:25
    >> Because if you do it wrong,
  • 00:36:27
    it can backfire.
  • 00:36:29
    >> O'BRIEN: And many like Inslee
  • 00:36:30
    say it will come down to one
  • 00:36:32
    thing: mass testing.
  • 00:36:35
    >> This is the number one
  • 00:36:36
    challenge for the United States
  • 00:36:37
    right now, is we need a huge
  • 00:36:39
    ramp up of our testing capacity,
  • 00:36:42
    even greater than was needed
  • 00:36:44
    early in the outbreak.
  • 00:36:46
    >> O'BRIEN: To increase
  • 00:36:47
    testing, Inslee says Trump needs
  • 00:36:49
    to order U.S. industry to help
  • 00:36:50
    using the Defense Production Act
  • 00:36:52
    which the President has only
  • 00:36:53
    just begun to do.
  • 00:36:56
    >> We need the president to help
  • 00:36:57
    ignite a national mobilization
  • 00:36:59
    of the manufacturing base of the
  • 00:37:01
    United States, that is
  • 00:37:02
    absolutely imperative so that we
  • 00:37:04
    can restart our economy.
  • 00:37:06
    >> O'BRIEN: But President Trump
  • 00:37:08
    has also thrown this back on the
  • 00:37:09
    states.
  • 00:37:10
    >> The governors are
  • 00:37:11
    responsible, they have to take
  • 00:37:12
    charge.
  • 00:37:13
    They have to do a great job.
  • 00:37:17
    >> O'BRIEN: There are
  • 00:37:18
    limits to what a state can do
  • 00:37:19
    though, as I saw at Washington's
  • 00:37:21
    health department laboratory.
  • 00:37:23
    They can only complete about
  • 00:37:25
    300 tests a day, and that
  • 00:37:27
    requires a mad scramble.
  • 00:37:29
    The raw materials for test kits
  • 00:37:33
    are hard to come by.
  • 00:37:34
    >> We have a lot of testing lab
  • 00:37:35
    capability but we don't have the
  • 00:37:37
    equipment to swab everybody's
  • 00:37:38
    nose.
  • 00:37:40
    I think the current status in
  • 00:37:41
    Washington state is limited by
  • 00:37:45
    the supplies to actually run the
  • 00:37:46
    test.
  • 00:37:47
    >> O'BRIEN: They also don't have
  • 00:37:48
    enough PPE for the health care
  • 00:37:50
    workers administering the tests.
  • 00:37:53
    >> If we don't have enough
  • 00:37:54
    gowns, gloves, masks, to treat
  • 00:37:56
    patients, how are we going to
  • 00:37:59
    prioritize a gown, a glove, and
  • 00:38:01
    a mask to swab somebody?
  • 00:38:02
    Because that is the requirement.
  • 00:38:05
    >> O'BRIEN: The state health
  • 00:38:06
    department isn't alone in
  • 00:38:07
    struggling to meet the demand.
  • 00:38:10
    >> We can't have that level
  • 00:38:11
    of cross-contamination...
  • 00:38:12
    >> O'BRIEN: After getting
  • 00:38:14
    approval for his test from the
  • 00:38:15
    FDA, Alex Greninger has
  • 00:38:17
    dramatically ramped up
  • 00:38:19
    testing at the University of
  • 00:38:20
    Washington School of Medicine
  • 00:38:22
    Virology Lab.
  • 00:38:23
    >> For inpatients, health care
  • 00:38:24
    workers, institutionalized
  • 00:38:26
    populations, but mostly
  • 00:38:27
    inpatients, people who need
  • 00:38:28
    supportive care, we've got to
  • 00:38:30
    get that fast turnaround time
  • 00:38:31
    that reduces the use of
  • 00:38:32
    protective...
  • 00:38:32
    >> O'BRIEN: Because they're in
  • 00:38:33
    the hospital.
  • 00:38:34
    >> Yes.
  • 00:38:35
    >> O'BRIEN: On this day, they
  • 00:38:36
    completed about 3,000 tests.
  • 00:38:38
    >> To get 3,000, 4,000, 5,000
  • 00:38:39
    specimens a day, you know, it
  • 00:38:41
    takes a lot of focus.
  • 00:38:43
    >> O'BRIEN: Just like in the
  • 00:38:44
    state lab, Greninger says it is
  • 00:38:46
    difficult to get the raw
  • 00:38:48
    materials he needs.
  • 00:38:49
    One of the hardest things to
  • 00:38:50
    find: the single use
  • 00:38:52
    plastic tips that contain the
  • 00:38:54
    chemicals and the specimens.
  • 00:38:57
    >> Some automated pipettors use
  • 00:38:59
    four tips a test, and others use
  • 00:39:00
    three and, so, just getting the
  • 00:39:03
    tips into your facility so we
  • 00:39:07
    can run that many tests...
  • 00:39:09
    This is what we're looking for,
  • 00:39:10
    basically.
  • 00:39:11
    We tweeted at Roche and the
  • 00:39:13
    world to get these things in,
  • 00:39:15
    like you would tweet like
  • 00:39:16
    Delta lost your bags or
  • 00:39:17
    something like that, right?
  • 00:39:19
    I mean, we have two people whose
  • 00:39:21
    entire job right now is to
  • 00:39:23
    manage our FedEx shipments.
  • 00:39:25
    Basically, we blow up our
  • 00:39:27
    hallway and it goes down to a
  • 00:39:28
    single file.
  • 00:39:29
    And then it takes over the next
  • 00:39:30
    six to eight hours, we're able
  • 00:39:31
    to actually move those boxes
  • 00:39:32
    into our local warehouses we
  • 00:39:34
    bought other space here in the
  • 00:39:35
    building.
  • 00:39:37
    It's the supply chain has been
  • 00:39:38
    really the number one thing we
  • 00:39:39
    do.
  • 00:39:41
    >> O'BRIEN: Despite the
  • 00:39:42
    problems, they are still
  • 00:39:43
    managing to return results
  • 00:39:45
    the same day in many cases.
  • 00:39:48
    This is crucial to keep up with
  • 00:39:49
    a fast-moving virus and help
  • 00:39:52
    healthcare workers on the
  • 00:39:53
    frontlines reduce their need
  • 00:39:55
    for personal protective
  • 00:39:56
    equipment.
  • 00:39:57
    >> When you send a test for
  • 00:40:00
    COVID-19, you have to treat the
  • 00:40:02
    person as if they are infected
  • 00:40:04
    until we give you a result that
  • 00:40:05
    says they aren't.
  • 00:40:07
    And during that time, you have
  • 00:40:08
    to use all the personal
  • 00:40:09
    protective equipment.
  • 00:40:10
    So, the speed at which we get
  • 00:40:11
    those test results back allows
  • 00:40:13
    us to conserve our personal
  • 00:40:14
    protective equipment.
  • 00:40:15
    It really touches so many
  • 00:40:16
    things.
  • 00:40:17
    >> O'BRIEN: So what do you
  • 00:40:18
    envision the coming months?
  • 00:40:19
    >> I think personally right now,
  • 00:40:21
    this will be with us for some
  • 00:40:23
    time, a long time.
  • 00:40:24
    There's no magic bullet just
  • 00:40:26
    yet.
  • 00:40:28
    >> O'BRIEN: This testing
  • 00:40:29
    marathon could go on for at
  • 00:40:30
    least a year-- that's how long
  • 00:40:33
    experts say it could take to
  • 00:40:34
    develop vaccines.
  • 00:40:38
    In the meantime, researchers are
  • 00:40:40
    racing to finish clinical trials
  • 00:40:42
    of several therapeutic drugs
  • 00:40:44
    including that promising
  • 00:40:45
    antiviral Remdesivir
  • 00:40:48
    The one that seemed to work
  • 00:40:49
    so well on patient one.
  • 00:40:51
    >> On trial?
  • 00:40:53
    >> Yes, he's on trial.
  • 00:40:54
    He started on the 15th.
  • 00:40:56
    >> O'BRIEN: Dr. Diaz is now
  • 00:40:57
    leading one of the trials with
  • 00:40:58
    patients at Providence Hospital.
  • 00:41:02
    >> These are still anecdotes
  • 00:41:03
    because we haven't seen the full
  • 00:41:05
    study being completed, but we're
  • 00:41:07
    certainly very optimistic.
  • 00:41:08
    We want to get these questions
  • 00:41:10
    answered as fast as possible.
  • 00:41:12
    >> O'BRIEN: And there may be
  • 00:41:13
    another way to help people fight
  • 00:41:14
    off the coronavirus-- using the
  • 00:41:17
    blood of COVID survivors
  • 00:41:19
    themselves.
  • 00:41:21
    Hey Elizabeth, looks like you're
  • 00:41:22
    on the mend.
  • 00:41:23
    >> Yeah, I've been recovered now
  • 00:41:24
    for...
  • 00:41:25
    >> O'BRIEN: People like
  • 00:41:26
    Elizabeth Schneider.
  • 00:41:27
    She was getting ready to become
  • 00:41:28
    the first person in Seattle to
  • 00:41:29
    donate her plasma to researchers
  • 00:41:31
    trying to see what natural
  • 00:41:33
    resistance she might have
  • 00:41:34
    developed and whether she can
  • 00:41:36
    share it.
  • 00:41:37
    >> Scientists don't know how
  • 00:41:38
    long we have that immunity for
  • 00:41:40
    this particular virus.
  • 00:41:41
    But signs so far look like, you
  • 00:41:43
    know, we will have immunity.
  • 00:41:45
    >> O'BRIEN: Survivors' blood as
  • 00:41:47
    therapy-- it's not a new idea.
  • 00:41:50
    Doctors used it in 1918 in the
  • 00:41:52
    midst of the Spanish Flu
  • 00:41:54
    pandemic.
  • 00:41:56
    >> I do feel a little more sense
  • 00:41:58
    of security going out and doing
  • 00:42:00
    my day-to-day task because I
  • 00:42:01
    have already had this.
  • 00:42:03
    >> O'BRIEN: She was among the
  • 00:42:04
    first documented COVID-19 cases
  • 00:42:05
    in the U.S.
  • 00:42:08
    A microbiologist who works for a
  • 00:42:09
    biotech company, she came down
  • 00:42:11
    with flu symptoms on February
  • 00:42:13
    25, three days after attending a
  • 00:42:16
    party.
  • 00:42:18
    On Facebook she learned many of
  • 00:42:19
    her friends who were there were
  • 00:42:21
    also sick, 15 in all.
  • 00:42:25
    She told me she and
  • 00:42:25
    seven others ultimately tested
  • 00:42:26
    positive for COVID-19, which
  • 00:42:31
    brought her to this moment on
  • 00:42:32
    this morning to the blood bank
  • 00:42:34
    in downtown Seattle.
  • 00:42:35
    >> Hi, I am here for plasma
  • 00:42:37
    donation.
  • 00:42:40
    >> O'BRIEN: The coronavirus
  • 00:42:41
    antibodies in her plasma may be
  • 00:42:42
    a way for others to fend off the
  • 00:42:44
    virus.
  • 00:42:46
    It's called convalescent plasma
  • 00:42:47
    therapy.
  • 00:42:49
    >> Our goal is to get to 840 mL
  • 00:42:51
    today.
  • 00:42:52
    >> I'm hoping that some of my
  • 00:42:54
    plasma ends up in another
  • 00:42:56
    patient who is suffering from
  • 00:42:58
    COVID-19 and this could
  • 00:43:01
    potentially save their life.
  • 00:43:04
    ♪ ♪
  • 00:43:14
    >> O'BRIEN: There are now signs
  • 00:43:15
    that COVID cases may be
  • 00:43:17
    plateauing in some places, like
  • 00:43:19
    here.
  • 00:43:20
    >> We have had some success
  • 00:43:21
    flattening the curve, that has
  • 00:43:22
    taken place...
  • 00:43:24
    >> O'BRIEN: ...but also
  • 00:43:25
    spreading to new areas of the
  • 00:43:26
    country.
  • 00:43:27
    Washington state recently
  • 00:43:28
    returned more than 400
  • 00:43:30
    ventilators it received from the
  • 00:43:32
    national stockpile so they could
  • 00:43:33
    be used where they're needed
  • 00:43:34
    more.
  • 00:43:35
    >> Governor Inslee today
  • 00:43:36
    announced that 400 ventilators
  • 00:43:38
    would be leaving the state of
  • 00:43:39
    Washington.
  • 00:43:41
    >> O'BRIEN: But in recent
  • 00:43:42
    days...
  • 00:43:42
    >> Trump's back and forth...
  • 00:43:44
    >> O'BRIEN: President Trump's
  • 00:43:45
    feud with governors has become
  • 00:43:46
    an all-out war.
  • 00:43:48
    >> In a series of tweets he
  • 00:43:49
    exclaimed "liberate Minnesota,
  • 00:43:51
    Michigan, and Virginia."
  • 00:43:52
    >> O'BRIEN: Encouraging protests
  • 00:43:54
    against social distancing
  • 00:43:55
    restrictions...
  • 00:43:56
    >> Seeing these protests at
  • 00:43:56
    state capitols...
  • 00:43:57
    >> O'BRIEN: ...even in
  • 00:43:58
    Washington State.
  • 00:43:59
    >> ...protesters gather
  • 00:44:00
    today in Olympia
  • 00:44:01
    demanding that the governor
  • 00:44:02
    act now.
  • 00:44:04
    >> Sunday's protests in Olympia
  • 00:44:05
    is the latest in a wave of
  • 00:44:06
    demonstrations.
  • 00:44:07
    >> These are people expressing
  • 00:44:08
    their views, I see where they
  • 00:44:09
    are, and I see the way they're
  • 00:44:10
    working, they seem to be
  • 00:44:12
    very responsible people to me.
  • 00:44:14
    >> The governor of
  • 00:44:15
    Washington state says the
  • 00:44:17
    president may be inciting
  • 00:44:18
    violence.
  • 00:44:20
    >> O'BRIEN: In his own tweets,
  • 00:44:21
    Governor Inslee said Trump was
  • 00:44:23
    "unhinged," "off the rails," and
  • 00:44:27
    "fomenting domestic rebellion."
  • 00:44:34
    When I talked to Governor
  • 00:44:35
    Inslee, he told me it's no time
  • 00:44:37
    to be rushing to re-open.
  • 00:44:39
    >> All leaders have the biggest
  • 00:44:40
    challenge to make sure people
  • 00:44:42
    understand that as the sun
  • 00:44:44
    comes up and the daffodils come
  • 00:44:45
    out, we've got to double our
  • 00:44:47
    efforts.
  • 00:44:48
    Because if you relax too soon
  • 00:44:49
    the curve just can rebound
  • 00:44:51
    and start right back up
  • 00:44:53
    again.
  • 00:44:54
    The most dangerous element in my
  • 00:44:57
    state today is the virus of
  • 00:45:00
    complacency because we have to
  • 00:45:02
    be just as diligent for the next
  • 00:45:04
    several weeks as we were the
  • 00:45:05
    last several weeks.
  • 00:45:07
    >> O'BRIEN: I wanted to know
  • 00:45:08
    what pandemic modeler Chris
  • 00:45:10
    Murray thought of all of this.
  • 00:45:12
    He runs the Institute for Health
  • 00:45:14
    Metrics and Evaluation at the
  • 00:45:15
    University of Washington.
  • 00:45:17
    >> If you ask Chris Murray...
  • 00:45:18
    >> O'BRIEN: Its models are often
  • 00:45:20
    cited by President Trump's
  • 00:45:21
    coronavirus task force.
  • 00:45:23
    So, really, when you think about
  • 00:45:24
    it, Chris, there's no scenario
  • 00:45:26
    going forward that you can
  • 00:45:27
    envision that doesn't demand
  • 00:45:29
    mass testing, if not testing for
  • 00:45:32
    everyone?
  • 00:45:33
    >> The issue will be, you know,
  • 00:45:36
    the capacity to test.
  • 00:45:38
    Right, how many tests are
  • 00:45:40
    practically feasible come June,
  • 00:45:44
    state by state?
  • 00:45:46
    And it may not be anywhere near
  • 00:45:49
    enough to be able to do
  • 00:45:51
    full-scale mass testing.
  • 00:45:53
    So then if you take measures
  • 00:45:54
    off May 1, and there's a pretty
  • 00:45:56
    quick rebound, so by mid-July,
  • 00:45:58
    we'd be right back to where we
  • 00:45:59
    are now.
  • 00:46:01
    >> O'BRIEN: Really?
  • 00:46:02
    Exactly the rate of death and
  • 00:46:04
    hospitalization that we're
  • 00:46:05
    dealing with?
  • 00:46:06
    >> Pretty much, yeah.
  • 00:46:08
    So, we're not going to want to
  • 00:46:09
    take off measures May 1, let's
  • 00:46:11
    put it that way.
  • 00:46:12
    >> And the second wave won't be
  • 00:46:13
    like the first wave.
  • 00:46:14
    >> O'BRIEN: That the president
  • 00:46:16
    isn't heeding scientific
  • 00:46:17
    warnings, once again, is causing
  • 00:46:19
    alarm among those who've been
  • 00:46:21
    dealing with the outbreak since
  • 00:46:22
    the beginning.
  • 00:46:24
    >> I am pessimistic about the
  • 00:46:25
    next few months.
  • 00:46:27
    I think it's going to be really
  • 00:46:28
    hard and we need to ramp up.
  • 00:46:30
    Ramp up, hurry, we need a
  • 00:46:32
    leader at the top who's willing
  • 00:46:34
    to go well beyond where he is
  • 00:46:36
    right now in saying, "Here's
  • 00:46:37
    what we need to do in terms of
  • 00:46:38
    testing" and giving people the
  • 00:46:40
    information they need to get
  • 00:46:41
    the economy going.
  • 00:46:43
    Long term, I'm optimistic, but
  • 00:46:45
    it's a long ways between here
  • 00:46:47
    and there.
  • 00:46:48
    ♪ ♪
  • 00:46:52
    >> O'BRIEN: I went back one last
  • 00:46:53
    time to where the outbreak took
  • 00:46:55
    hold here, Evergreen Hospital,
  • 00:46:58
    where those patients from the
  • 00:47:00
    nursing home were treated in
  • 00:47:01
    February.
  • 00:47:03
    It is an apt window into where
  • 00:47:05
    Seattle and the country are
  • 00:47:06
    right now.
  • 00:47:09
    I met a woman who was recovering
  • 00:47:11
    from COVID-19, Rosanne Eskenazi.
  • 00:47:16
    >> I want to give you a kiss
  • 00:47:18
    and stuff but I can't.
  • 00:47:19
    >> Nope.
  • 00:47:20
    >> O'BRIEN: At 63, with an
  • 00:47:21
    immune system disease, her
  • 00:47:23
    chances of living to see her
  • 00:47:24
    husband Maury again were not
  • 00:47:27
    good.
  • 00:47:28
    >> When they put her on the
  • 00:47:29
    ventilator, I never thought I'd
  • 00:47:31
    see her again.
  • 00:47:31
    And I wasn't reading about
  • 00:47:34
    people that were surviving this
  • 00:47:36
    and coming out of this, so
  • 00:47:37
    I was... you know, it was over.
  • 00:47:40
    >> I don't even know how many
  • 00:47:41
    weeks it was, but I don't
  • 00:47:42
    remember a lot.
  • 00:47:43
    >> When we brought her, when the
  • 00:47:45
    day came that... she looked
  • 00:47:48
    horrible.
  • 00:47:49
    Her temperature was horrible.
  • 00:47:50
    >> It was like 105?
  • 00:47:52
    >> O'BRIEN: Oh, my God, really?
  • 00:47:53
    >> It was 105 and she was like
  • 00:47:54
    coughing and we had the
  • 00:47:55
    ambulance come.
  • 00:47:56
    They sent two ambulances.
  • 00:47:57
    This was the beginning of the
  • 00:47:58
    COVID, you know?
  • 00:48:00
    >> O'BRIEN: You didn't really
  • 00:48:02
    fully appreciate how bad it was,
  • 00:48:03
    did you, because you were kind
  • 00:48:04
    of out of it?
  • 00:48:05
    >> Yeah, I was out of it.
  • 00:48:06
    I saw my parents, my dead
  • 00:48:07
    parents, when I was here.
  • 00:48:09
    I don't know whether...
  • 00:48:10
    I was saying I don't know
  • 00:48:11
    whether it was a dream or a
  • 00:48:12
    hallucination.
  • 00:48:13
    My parents were here and they
  • 00:48:14
    were sitting across from me and
  • 00:48:16
    they all said, you know, "You're
  • 00:48:18
    going to be okay.
  • 00:48:19
    Everything's going to be okay.
  • 00:48:21
    You're going to be okay and
  • 00:48:22
    if something happens, your
  • 00:48:25
    children will be fine.
  • 00:48:26
    Everything's going to be great.
  • 00:48:28
    You have all this family and
  • 00:48:29
    stuff, so don't worry."
  • 00:48:31
    So... and it really helped me
  • 00:48:34
    not worry.
  • 00:48:37
    Oh, there, it says that way.
  • 00:48:39
    >> Yeah, sorry.
  • 00:48:41
    >> O'BRIEN: Rosanne was on her
  • 00:48:42
    way home...
  • 00:48:43
    >> Bye!
  • 00:48:48
    >> O'BRIEN: But there were
  • 00:48:50
    others still coming in, needing
  • 00:48:51
    urgent attention.
  • 00:48:52
    (people chattering)
  • 00:48:58
    I met critical care and
  • 00:49:00
    pulmonary physician Michael
  • 00:49:02
    Bundesmann, who was focused on
  • 00:49:04
    one particular patient.
  • 00:49:05
    >> This is a person who has
  • 00:49:07
    multi-organ failure and
  • 00:49:08
    ultimately required mechanical
  • 00:49:09
    ventilation and now needs
  • 00:49:12
    dialysis, kidney replacement
  • 00:49:14
    therapy, they're in shock.
  • 00:49:16
    >> O'BRIEN: Three days earlier,
  • 00:49:18
    he'd been awake, alert,
  • 00:49:20
    joking with his doctors.
  • 00:49:22
    >> Patients come in and they
  • 00:49:23
    look okay on one day, and some
  • 00:49:25
    of them are kind of okay to be
  • 00:49:26
    discharged from the emergency
  • 00:49:27
    room, and come back a few days
  • 00:49:28
    later much more sick.
  • 00:49:30
    That degree of unpredictability
  • 00:49:32
    I think is very unsettling for
  • 00:49:33
    everybody.
  • 00:49:34
    >> O'BRIEN: Dr. Bundesmann says
  • 00:49:36
    the pace has slackened some
  • 00:49:37
    since the darkest days.
  • 00:49:39
    >> We could feel the curve
  • 00:49:40
    flatten a few days ago, probably
  • 00:49:42
    even last week.
  • 00:49:43
    It has allowed us to be able to
  • 00:49:44
    see patients and to take care of
  • 00:49:48
    them at a pace that's a little
  • 00:49:49
    more used to what our ICU can
  • 00:49:51
    handle, volume-wise.
  • 00:49:53
    And it's certainly made a big
  • 00:49:54
    difference.
  • 00:49:57
    >> We are now I think at a stage
  • 00:49:59
    where I think we can keep this
  • 00:50:00
    pace that we have going and
  • 00:50:02
    that's a good thing because how
  • 00:50:04
    many people are still
  • 00:50:05
    susceptible to this infection.
  • 00:50:07
    It's going to be a long haul, I
  • 00:50:08
    think.
  • 00:50:09
    Some of the things that worry us
  • 00:50:11
    are, you know, what happens when
  • 00:50:12
    there's a next large outbreak in
  • 00:50:14
    a skilled nursing facility, the
  • 00:50:15
    next time a susceptible
  • 00:50:16
    population gets hit within a
  • 00:50:18
    tight community.
  • 00:50:21
    I don't know when that's going
  • 00:50:23
    to happen, I think that until
  • 00:50:25
    there is some degree of herd
  • 00:50:27
    immunity, there are going
  • 00:50:29
    to be people out there who have
  • 00:50:30
    to be planning this out very
  • 00:50:31
    carefully and cautiously, when
  • 00:50:32
    people can start returning to
  • 00:50:33
    work, who can start returning to
  • 00:50:35
    work, and what time frame.
  • 00:50:37
    Because as that happens,
  • 00:50:39
    the cases are going to start to
  • 00:50:41
    pick up again, and we have to be
  • 00:50:43
    there and be able to support
  • 00:50:44
    them as best as possible without
  • 00:50:46
    stretching the capacity of our
  • 00:50:47
    health care system.
  • 00:50:48
    Tough decisions for those people
  • 00:50:49
    who have to make them.
  • 00:50:53
    >> O'BRIEN: There have now been
  • 00:50:54
    more than three quarters of
  • 00:50:55
    a million confirmed
  • 00:50:57
    COVID cases in the U.S., more
  • 00:51:00
    than 40,000 deaths.
  • 00:51:03
    What began as a public health
  • 00:51:05
    crisis here with patient one has
  • 00:51:08
    become a national crisis over
  • 00:51:10
    response, over science and
  • 00:51:12
    politics and decisions with
  • 00:51:14
    devastating consequences.
  • 00:51:18
    (siren wailing)
  • 00:51:22
    It's still a tale of two
  • 00:51:24
    Washingtons, the story that I
  • 00:51:26
    found when I arrived.
  • 00:51:29
    But it's also a tale of
  • 00:51:30
    Washington and the states, and
  • 00:51:34
    how the country will emerge
  • 00:51:36
    from the crisis.
  • 00:52:15
    Captioned by
  • 00:52:15
    Media Access Group at WGBH
  • 00:52:16
    access.wgbh.org
  • 00:52:23
    >> For more on this and other
  • 00:52:24
    "Frontline" programs, visit our
  • 00:52:26
    website at pbs.org/frontline.
  • 00:52:33
    ♪ ♪
  • 00:52:38
    FRONTLINE's,
  • 00:52:39
    "Coronavirus Pandemic" is
  • 00:52:41
    available on Amazon
  • 00:52:41
    Prime Video.
  • 00:52:56
    ♪ ♪
الوسوم
  • COVID-19
  • Seattle
  • pandemic
  • federal response
  • public health
  • testing
  • PPE shortage
  • Trump administration
  • virus outbreak
  • Washington state