Coronavirus Pandemic (full documentary) | FRONTLINE
概要
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.
収穫
- 😷 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.
タイムライン
- 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.
マインドマップ
よくある質問
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.
ビデオをもっと見る
- 00:00:02>> When somebody is the
- 00:00:03President the authority is
- 00:00:04total.
- 00:00:04>> He's not doing everything
- 00:00:05he can do.
- 00:00:06>> ...bidding against one
- 00:00:07another...
- 00:00:07>> ...can't tell you how
- 00:00:08frustrating it is.
- 00:00:09>> NARRATOR: Amid the escalating
- 00:00:10crisis between the president and
- 00:00:11the states over the coronavirus
- 00:00:13pandemic.
- 00:00:14>> It has nothing to do with the
- 00:00:15president or federal policy or
- 00:00:17anything.
- 00:00:18>> NARRATOR: The inside story of
- 00:00:19how the outbreak began in the
- 00:00:20United States.
- 00:00:21>> The reason Washington State
- 00:00:23found that first case cause we
- 00:00:25were ready for it.
- 00:00:26>> NARRATOR: Correspondent Miles
- 00:00:27O'Brien on the ground with
- 00:00:30those who detected it first.
- 00:00:32>> Within the first five days we
- 00:00:34had 32 positives.
- 00:00:36We then knew that this was a
- 00:00:38much bigger outbreak than you
- 00:00:39could have imagined.
- 00:00:41>> NARRATOR: And, the tale of
- 00:00:42two Washington's.
- 00:00:43>> That governor is a snake.
- 00:00:45Okay.
- 00:00:46Inslee.
- 00:00:47>> We are not going to be
- 00:00:48distracted by any rhetoric that
- 00:00:50the President or anyone else
- 00:00:51uses.
- 00:00:52Facts and science.
- 00:00:53That's the only thing that's
- 00:00:54going to get us through this.
- 00:00:55>> NARRATOR: Now on FRONTLINE,
- 00:00:58“Coronavirus Pandemic”.
- 00:01:04(seagulls squawking, siren
- 00:01:05blaring)
- 00:01:06>> It was one of the most
- 00:01:07vibrant cities in America.
- 00:01:09Our economy was strong, a port
- 00:01:13that was one of the leading
- 00:01:15ports in the country.
- 00:01:17We had one of the most vibrant
- 00:01:18restaurant scenes, small
- 00:01:20businesses flourishing.
- 00:01:24And we went from that to almost
- 00:01:25zero overnight.
- 00:01:28(ship horn blares)
- 00:01:34>> MILES O'BRIEN: I arrived in
- 00:01:36Seattle in mid March, a city and
- 00:01:38state in the process of shutting
- 00:01:39down before that was the norm in
- 00:01:41the rest of the country.
- 00:01:45I've covered science stories for
- 00:01:46nearly 30 years, but this felt
- 00:01:49more like science fiction.
- 00:01:52The deadly disease COVID-19
- 00:01:55was about to bring the country
- 00:01:57and the world to its knees.
- 00:02:00>> It's like watching a
- 00:02:02slow-moving landslide move
- 00:02:04towards you.
- 00:02:06>> O'BRIEN: How did it evade our
- 00:02:08warning systems, our best
- 00:02:09science?
- 00:02:12>> A lot of people died because
- 00:02:14we weren't ready.
- 00:02:17>> O'BRIEN: Why was our
- 00:02:18government so slow to act, so
- 00:02:20unprepared?
- 00:02:22>> I haven't cried ever as much
- 00:02:26as I have in the last week.
- 00:02:28>> O'BRIEN: And what lies ahead?
- 00:02:31♪ ♪
- 00:02:45♪ ♪
- 00:02:50I came to Seattle looking for
- 00:02:51answers.
- 00:02:55My first stop...
- 00:02:56How are you?
- 00:02:57...Providence Regional Medical
- 00:02:58Center in nearby Everett.
- 00:03:00>> And have you traveled outside
- 00:03:02the U.S. in the last 30 days?
- 00:03:04>> I have.
- 00:03:04>> Okay, so we're gonna ask you
- 00:03:06to put on a mask.
- 00:03:07>> O'BRIEN: Okay.
- 00:03:08This is the hospital that
- 00:03:10treated the first known case of
- 00:03:11COVID-19 in the country.
- 00:03:15>> There we go, 97.6.
- 00:03:17>> O'BRIEN: I met Dr. George
- 00:03:19Diaz, an expert in infectious
- 00:03:20diseases who treated patient
- 00:03:23one-- a 35-year-old local
- 00:03:26man who'd flown into Seattle
- 00:03:28on January 15.
- 00:03:30>> He was having a cough, he had
- 00:03:32been having fevers at home, he
- 00:03:34hadn't been eating well, he
- 00:03:35generally felt poorly and he had
- 00:03:38been complaining of diarrhea at
- 00:03:39home.
- 00:03:40>> O'BRIEN: He is 35 years old
- 00:03:41and otherwise healthy.
- 00:03:43>> Totally healthy person.
- 00:03:44He began developing symptoms the
- 00:03:45day after he arrived.
- 00:03:48>> O'BRIEN: He went to this
- 00:03:49walk-in clinic and described his
- 00:03:51symptoms and told them where he
- 00:03:54had been for about six weeks:
- 00:03:56Wuhan, China.
- 00:03:59>> A preliminary investigation
- 00:04:00into a mysterious pneumonia
- 00:04:01outbreak in Wuhan, China, has
- 00:04:02identified...
- 00:04:03>> O'BRIEN: That was a crucial
- 00:04:04detail.
- 00:04:05>> The mysterious new pneumonia
- 00:04:06virus has sickened dozens of
- 00:04:07people...
- 00:04:08>> O'BRIEN: For weeks, Wuhan had
- 00:04:09been the center of a growing
- 00:04:10storm.
- 00:04:11>> Scientists in China trying...
- 00:04:12>> O'BRIEN: ...as news trickled
- 00:04:14out about cases of a strange new
- 00:04:16pneumonia.
- 00:04:18>> Still a lot that is unknown,
- 00:04:19the W.H.O. has said...
- 00:04:20>> O'BRIEN: In Seattle, a city
- 00:04:22known for cutting-edge medicine
- 00:04:23and technology as well as ties
- 00:04:25to Asia, officials told me they
- 00:04:28had been on alert.
- 00:04:30>> It clearly had the attention
- 00:04:31of our public health folks, and
- 00:04:33they in turn were starting to
- 00:04:36line up the other departments,
- 00:04:38starting with Human Services,
- 00:04:40about how we're going to respond
- 00:04:41when and if it arrived on our
- 00:04:43shores.
- 00:04:44>> O'BRIEN: At the clinic where
- 00:04:46the man returning from Wuhan was
- 00:04:47seeking treatment, they took no
- 00:04:49chances.
- 00:04:50>> At that point the clinic
- 00:04:51appropriately isolated him.
- 00:04:53The health district contacted
- 00:04:54the CDC, who advised testing.
- 00:04:55And fortunately that clinic had
- 00:04:57the appropriate gear to be able
- 00:04:59to safely test the patient.
- 00:05:01He was then advised to go home
- 00:05:02and quarantine.
- 00:05:04>> O'BRIEN: The clinic sent a
- 00:05:05nasal swab they'd taken from the
- 00:05:06man to the Centers for Disease
- 00:05:08Control and Prevention in
- 00:05:09Atlanta.
- 00:05:11>> And then, within 24 hours, we
- 00:05:13had a call from the CDC saying
- 00:05:14that the test was positive and
- 00:05:16that they wanted us to admit him
- 00:05:17for observation.
- 00:05:19>> O'BRIEN: The first COVID-19
- 00:05:21patient had been confirmed in
- 00:05:23the United States.
- 00:05:25Around 10:00 p.m. on January
- 00:05:2820, patient one was brought to
- 00:05:29the Providence Regional Medical
- 00:05:31Center.
- 00:05:33This is a photograph of his
- 00:05:35arrival, encased in what's
- 00:05:36called an isopod, designed to
- 00:05:39keep a patient quarantined.
- 00:05:42>> Patient number one
- 00:05:42arrived here in this?
- 00:05:44>> He did.
- 00:05:45When we were going through
- 00:05:45the transportation plan with the
- 00:05:46ambulance company, they wanted
- 00:05:48to keep their staff safe.
- 00:05:50Completely contained,
- 00:05:51doesn't allow any possibility of
- 00:05:53infection.
- 00:05:54So our patient was placed in
- 00:05:55this by EMS and brought to our
- 00:05:58hospital and unloaded in his
- 00:05:59room.
- 00:06:01So, it took us about two hours
- 00:06:02from the time the CDC called
- 00:06:03for us to get all our staff
- 00:06:05personnel, supplies, and the
- 00:06:07facilities all in place to be
- 00:06:09able to give the EMS folks the
- 00:06:10greenlight to come in.
- 00:06:12>> O'BRIEN: You did that in two
- 00:06:13hours?
- 00:06:14>> In two hours.
- 00:06:15We were ready for it.
- 00:06:16>> O'BRIEN: One of the reasons
- 00:06:17they were so ready: less
- 00:06:19than three weeks earlier, Diaz
- 00:06:21and his colleagues had conducted
- 00:06:23an elaborate simulation--
- 00:06:25pandemic training.
- 00:06:27>> We were aware of what was
- 00:06:29going on in Wuhan at that point,
- 00:06:30but it was part of our routine
- 00:06:32structure already to prepare.
- 00:06:34>> O'BRIEN: You really had a
- 00:06:35go-to plan.
- 00:06:36>> We had a game plan in place
- 00:06:37already.
- 00:06:38We had everyone involved,
- 00:06:40including the local EMS,
- 00:06:42those people that bring the
- 00:06:44patients from point A to point
- 00:06:45B, public health officials, and
- 00:06:47other partners we have in the
- 00:06:48community to drill.
- 00:06:50So we had a variety of scenarios
- 00:06:53we went through.
- 00:06:55>> O'BRIEN: By the time patient
- 00:06:57one was hospitalized, local
- 00:06:58public health officials were
- 00:07:00going into high gear.
- 00:07:02>> The reason Washington state
- 00:07:04found that first case 'cause we
- 00:07:05were ready for it.
- 00:07:07The ambulance service was ready,
- 00:07:08they knew the right personal
- 00:07:10protective equipment to wear, it
- 00:07:12was one of those absolute
- 00:07:15coordination between the health
- 00:07:16care, local health, state
- 00:07:17health, and the CDC.
- 00:07:19It went perfectly.
- 00:07:20That's how we were able to find
- 00:07:21the first case in the country.
- 00:07:25>> O'BRIEN: It was a critical
- 00:07:26early warning sign that the
- 00:07:28highly contagious coronavirus
- 00:07:30could be spreading in the U.S.
- 00:07:33But in his first public
- 00:07:35comments, President Trump
- 00:07:36dismissed any threat to the rest
- 00:07:38of the country.
- 00:07:40>> Have you been briefed by the
- 00:07:41CDC?
- 00:07:42>> I have.
- 00:07:43>> Are there worries about a
- 00:07:44pandemic at this point?
- 00:07:45>> No, not at all.
- 00:07:46And we're... we have it totally
- 00:07:47under control.
- 00:07:48It's one person coming in from
- 00:07:50China, and we have it under
- 00:07:51control.
- 00:07:53It's going to be just fine.
- 00:07:54>> All right.
- 00:07:55Safe travels...
- 00:07:56>> Thank you.
- 00:07:57>> ...on your way back.
- 00:08:00>> O'BRIEN: In Seattle, doctors
- 00:08:01and scientists weren't so sure--
- 00:08:02they didn't have a way to test
- 00:08:04for coronavirus on their own.
- 00:08:07And while the CDC had been able
- 00:08:08to test the sample from patient
- 00:08:10one, it didn't yet have a test
- 00:08:13it could deploy on a massive
- 00:08:14scale around the country.
- 00:08:17>> The way to really know the
- 00:08:19burden of disease in your
- 00:08:21community is to be able to test.
- 00:08:23So the testing piece was a huge
- 00:08:26piece of the puzzle that we
- 00:08:27didn't really fully... we
- 00:08:30weren't fully able to address.
- 00:08:32>> O'BRIEN: By early February,
- 00:08:34with the virus spreading around
- 00:08:35the globe, the World Health
- 00:08:37Organization was recommending
- 00:08:39test kits that had been
- 00:08:40developed in Germany.
- 00:08:43But U.S. officials made a
- 00:08:45fateful decision to go their
- 00:08:47own way.
- 00:08:50>> If you look at a moment when
- 00:08:51the United States may have lost
- 00:08:53its ability to control what's
- 00:08:55happening, it begins with the
- 00:08:58decision early on in 2020 by
- 00:09:00the CDC not to utilize the test
- 00:09:03kits and the capabilities that
- 00:09:05were being shared by the World
- 00:09:06Health Organization and other
- 00:09:08nations.
- 00:09:09>> O'BRIEN: The CDC wouldn't
- 00:09:10talk to me on camera, but told
- 00:09:12me they took the swiftest
- 00:09:13path and using another nation's
- 00:09:15test would have caused worse
- 00:09:17delays.
- 00:09:19Former CDC director Tom Frieden
- 00:09:21said the decision made sense.
- 00:09:24>> There's never been a time
- 00:09:26previously when there was a need
- 00:09:27to use a test from outside
- 00:09:29because the CDC system has not
- 00:09:30failed in the past.
- 00:09:33>> O'BRIEN: The CDC began
- 00:09:34shipping its own test kits to
- 00:09:36public health labs around the
- 00:09:37country.
- 00:09:40But in Seattle and elsewhere, it
- 00:09:42was quickly obvious that
- 00:09:43something was wrong.
- 00:09:46One of the three chemical probes
- 00:09:47was faulty, generating
- 00:09:49inconclusive results.
- 00:09:52>> There were checks and
- 00:09:54balances within the test.
- 00:09:55And when we validated can it
- 00:09:57detect the virus and can it not
- 00:10:00overdetect it, that balance was
- 00:10:03not correct.
- 00:10:05>> Research and implementation
- 00:10:06laboratories said, you know,
- 00:10:07"This doesn't work.
- 00:10:09You've given us a bogus kit,
- 00:10:10and we're not going to use it.
- 00:10:12Fix it, fast.
- 00:10:14You know, or give us the right
- 00:10:15to use our own kits."
- 00:10:19>> O'BRIEN: At the University of
- 00:10:21Washington I met virologist
- 00:10:22Alex Greninger, who'd been
- 00:10:23trying to do just that.
- 00:10:26>> You got to have the supply of
- 00:10:27testing, absolutely do.
- 00:10:29We need to be able to detect
- 00:10:30where the virus is and then try
- 00:10:32and snuff it out, I mean, right?
- 00:10:33Prevent its transmission, that's
- 00:10:36the name of the game in the
- 00:10:38coming months.
- 00:10:39>> O'BRIEN: But he ran into a
- 00:10:40bureaucratic brick wall: the
- 00:10:42Food and Drug Administration had
- 00:10:43instituted emergency procedures
- 00:10:46to make sure any new tests were
- 00:10:48accurate.
- 00:10:50>> You can make your own tests,
- 00:10:51but you have to send it to the
- 00:10:52FDA and get it reviewed and then
- 00:10:54authorized.
- 00:10:55And I'll admit, I'm in my first
- 00:10:57couple of years here in this
- 00:10:59particular job, I had not been
- 00:11:00through this process before.
- 00:11:01>> O'BRIEN: The FDA application
- 00:11:03was 28 pages long, and required
- 00:11:06him to run tests that would take
- 00:11:08at least two weeks.
- 00:11:10And that wasn't all.
- 00:11:11>> One of the things is they
- 00:11:13needed a document FedEx-ed
- 00:11:14across the country before they
- 00:11:15could look at the document.
- 00:11:17>> O'BRIEN: You couldn't
- 00:11:18electronically transmit it?
- 00:11:19>> I could electronically
- 00:11:20transmit it, but they couldn't
- 00:11:21look at it until it was
- 00:11:21FedEx-ed.
- 00:11:22And then they changed that
- 00:11:23regulation.
- 00:11:24And so from a couple days after
- 00:11:25February 4 all the way to
- 00:11:26February 26, they didn't have a
- 00:11:27test, they were completely
- 00:11:28blind, too.
- 00:11:29>> O'BRIEN: This had to be
- 00:11:30incredibly frustrating.
- 00:11:31>> It was frustrating, it was.
- 00:11:34So we try to prioritize things
- 00:11:35in the top tier.
- 00:11:36>> O'BRIEN: The FDA told me it
- 00:11:37did review Greninger's
- 00:11:38application but it was
- 00:11:39incomplete.
- 00:11:41They also said they were
- 00:11:42balancing the need for tests
- 00:11:43with concerns about accuracy.
- 00:11:47>> Major developments, a global
- 00:11:49health emergency as the
- 00:11:50coronavirus reaches its 20th
- 00:11:52country.
- 00:11:54>> O'BRIEN: In Seattle and
- 00:11:55and around the world, the clock
- 00:11:57was ticking.
- 00:11:58>> The coronavirus is now
- 00:11:59considered a global health
- 00:12:00emergency and the US is warning
- 00:12:00people not to travel to China.
- 00:12:02>> O'BRIEN: The W.H.O. had
- 00:12:03declared a global emergency, and
- 00:12:04the CDC was beginning to screen
- 00:12:06passengers at U.S. airports,
- 00:12:08including Seattle.
- 00:12:11>> We are coordinating with the
- 00:12:13Chinese government and working
- 00:12:14closely together on the
- 00:12:17coronavirus outbreak in China.
- 00:12:19>> O'BRIEN: President Trump was
- 00:12:21still not raising alarms, though
- 00:12:22he banned foreign travelers from
- 00:12:24China.
- 00:12:26>> My administration will take
- 00:12:27all necessary steps to safeguard
- 00:12:29our citizens from this threat.
- 00:12:32>> O'BRIEN: But, by that time,
- 00:12:33flights from the outbreak zone
- 00:12:34had been landing at U.S.
- 00:12:36airports for weeks.
- 00:12:41>> The travel ban may have
- 00:12:42bought us some time, but in all
- 00:12:44actuality, you know, people
- 00:12:46were leaving Wuhan, going to
- 00:12:48Beijing, traveling to Western
- 00:12:50Europe and ultimately to the
- 00:12:51United States in late 2019 and
- 00:12:53early 2020 anyway.
- 00:12:56>> Chinese health officials
- 00:12:57said today another 46 people
- 00:12:59have died from the coronavirus.
- 00:13:00>> O'BRIEN: In those critical
- 00:13:01first weeks after the arrival of
- 00:13:03the virus in the U.S.,
- 00:13:04administration officials-- and
- 00:13:06the president himself--
- 00:13:08continued to insist that the
- 00:13:09risk was small.
- 00:13:12>> I want to emphasize that this
- 00:13:13is a serious health situation in
- 00:13:15China, but I want to emphasize
- 00:13:17that the risk to the American
- 00:13:19public currently is low.
- 00:13:22>> How concerned are you?
- 00:13:23>> Well, we pretty much shut it
- 00:13:24down coming in from China.
- 00:13:26We've offered China help, but we
- 00:13:28can't have thousands of people
- 00:13:31coming in who may have this
- 00:13:33problem, the coronavirus.
- 00:13:35So we're gonna see what happens,
- 00:13:37but we did shut it down, yes.
- 00:13:40>> O'BRIEN: That attitude didn't
- 00:13:41sit well with Washington's
- 00:13:42senior Democratic senator Patty
- 00:13:44Murray.
- 00:13:45She spoke to me from her home.
- 00:13:47>> I felt like at the time I
- 00:13:48lived in two different worlds.
- 00:13:50I lived here in Washington
- 00:13:51state, where people were going,
- 00:13:52"Oh, my gosh, we have a
- 00:13:53problem," and in Washington
- 00:13:55D.C., where they'd say, "Oh, you
- 00:13:57guys worry too much out in the
- 00:13:58West Coast."
- 00:13:59>> O'BRIEN: A tale of two of
- 00:14:00Washingtons.
- 00:14:01>> Yeah.
- 00:14:03We should have pulled out all
- 00:14:04the stops and checked
- 00:14:05everything, but it was more
- 00:14:07like, "Oh, you guys quit
- 00:14:08worrying out there."
- 00:14:11>> O'BRIEN: There was a lot
- 00:14:12to worry about.
- 00:14:13In isolation at Providence
- 00:14:15Hospital, patient one was
- 00:14:17deteriorating.
- 00:14:18>> He began developing more
- 00:14:20shortness of breath.
- 00:14:21And because of that we got an
- 00:14:24x-ray which looked like he had a
- 00:14:25developing pneumonia.
- 00:14:27His oxygen levels in his blood
- 00:14:28were also decreasing.
- 00:14:30>> O'BRIEN: That worried Dr.
- 00:14:31Diaz, who'd been following the
- 00:14:33dire medical reports out of
- 00:14:35Wuhan.
- 00:14:36>> It appeared, based on their
- 00:14:38data, that once patients begin
- 00:14:39developing pneumonia that many
- 00:14:40of them end up in the ICU on a
- 00:14:42ventilator and die.
- 00:14:45>> O'BRIEN: Patient one was
- 00:14:46slipping fast, and there was no
- 00:14:48known treatment.
- 00:14:50Dr. Diaz told me he'd heard
- 00:14:52about an antiviral drug called
- 00:14:54Remdesivir that some experts
- 00:14:56thought could potentially help.
- 00:14:59It would be an experiment, he
- 00:15:01said, but the patient was
- 00:15:03willing.
- 00:15:04>> At that point, I contacted
- 00:15:05the FDA and Gilead, the
- 00:15:06manufacturer, to see if they
- 00:15:08would approve it.
- 00:15:10So the FDA gave us an approval
- 00:15:11to try it on a compassionate use
- 00:15:13basis, knowing that it had not
- 00:15:14been approved yet and that there
- 00:15:16were no trials available to base
- 00:15:17that decision on.
- 00:15:19We infused it the next day.
- 00:15:22He was still having very high
- 00:15:23fevers and still was requiring
- 00:15:25oxygen the day that we gave it
- 00:15:26to him.
- 00:15:28By the next day, his fevers
- 00:15:29resolved and they stayed gone.
- 00:15:31He felt much better.
- 00:15:33He felt like he had started
- 00:15:34beating the virus.
- 00:15:36>> O'BRIEN: No one knew if the
- 00:15:38drug had an impact, or if the
- 00:15:39virus was taking its natural
- 00:15:41course.
- 00:15:43Here's the thing, you have one
- 00:15:44data 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
- 00:15:51were happy that the patient got
- 00:15:53better and was ultimately
- 00:15:55continuing to get better, able
- 00:15:56to go home.
- 00:15:57So that part was fantastic for
- 00:15:58the patient.
- 00:15:59We knew then that we needed to
- 00:16:00study this in a formal clinical
- 00:16:02trial.
- 00:16:05>> O'BRIEN: Although patient one
- 00:16:06was well enough to be sent home,
- 00:16:08for public health officials in
- 00:16:10Washington state, there were
- 00:16:12many more questions to answer.
- 00:16:16They needed to find out who
- 00:16:17patient one might have come in
- 00:16:19contact with after returning
- 00:16:20from China and send samples from
- 00:16:23them to the CDC as well.
- 00:16:26>> So, we find contacts, someone
- 00:16:28that you spend at least ten
- 00:16:30minutes of time talking face to
- 00:16:32face with.
- 00:16:33We identified 60-plus contacts.
- 00:16:35We swab them multiple times to
- 00:16:37see was there a transmission of
- 00:16:39this virus.
- 00:16:41And we found absolutely no
- 00:16:42transfer amongst those contacts
- 00:16:43that this first case had.
- 00:16:45>> O'BRIEN: Washington's
- 00:16:47governor, Jay Inslee, remembers
- 00:16:48this as a brief, optimistic
- 00:16:50moment.
- 00:16:51I interviewed him remotely from
- 00:16:53his office at the state capitol.
- 00:16:55>> What we were thinking is we
- 00:16:57were very much on top of it
- 00:16:59because we did very extensive
- 00:17:00contact tracing with all of the
- 00:17:02contacts that the person had who
- 00:17:04was the first patient and did
- 00:17:08everything epidemiologically
- 00:17:09that you could ask a public
- 00:17:11health system to do.
- 00:17:15>> O'BRIEN: But soon more signs
- 00:17:17of trouble began to appear
- 00:17:18across Lake Washington in the
- 00:17:20city of Kirkland at the Life
- 00:17:22Care skilled nursing and rehab
- 00:17:24center.
- 00:17:26Scott Sedlacek had brought his
- 00:17:2786-year-old father there to
- 00:17:29recover from a bad fall.
- 00:17:32>> So, he hit his head hard
- 00:17:33enough that he had some brain
- 00:17:35trauma and bleeding on the brain
- 00:17:37and he broke his right ankle.
- 00:17:39And the bed that opened up was
- 00:17:41at Life Care.
- 00:17:42And so, on February 20, we
- 00:17:44moved my dad to Life Care.
- 00:17:47And then we started seeing some
- 00:17:49of the staff wearing respiratory
- 00:17:51gear, wearing face masks,
- 00:17:53wearing gloves.
- 00:17:54It's kind of like, "What's going
- 00:17:55on?"
- 00:17:56>> O'BRIEN: Inside Life Care,
- 00:17:58residents had been getting sick
- 00:17:59with an unknown respiratory
- 00:18:01infection.
- 00:18:03The sickest were brought to the
- 00:18:04nearby EvergreenHealth Medical
- 00:18:06Center.
- 00:18:08Dr. Francis Riedo is the medical
- 00:18:10director of infection control
- 00:18:11here.
- 00:18:14>> Remember, this was flu
- 00:18:15season.
- 00:18:16And we'd already had a peak of
- 00:18:18influenza B in December, and now
- 00:18:21we were going through the peak
- 00:18:22of influenza A.
- 00:18:24And so the unit was full of
- 00:18:27individuals with severe
- 00:18:28respiratory infections.
- 00:18:30In the meantime, in the
- 00:18:31background, we're watching these
- 00:18:33events unfold with increasing
- 00:18:36alarm, not only in Wuhan, and
- 00:18:40now spreading across the globe
- 00:18:42and wondering when our turn was
- 00:18:44coming.
- 00:18:46>> O'BRIEN: Until that point,
- 00:18:47federal guidelines for testing
- 00:18:48potential cases were very
- 00:18:50narrow-- patients had to have
- 00:18:52been in a hotspot like China or
- 00:18:54in contact with someone
- 00:18:56infected.
- 00:18:57Then, the rules changed.
- 00:18:59Dr. Riedo wasted no time.
- 00:19:02>> We settled on two individuals
- 00:19:03and we tested them the following
- 00:19:05morning.
- 00:19:06I had a regular day, saw
- 00:19:07patients in clinic, saw patients
- 00:19:09in the hospital, was sitting
- 00:19:11there as I usually do trying to
- 00:19:12complete my notes and received
- 00:19:14a call at 7:40 p.m.
- 00:19:17And both of the tests were
- 00:19:18positive.
- 00:19:22>> O'BRIEN: What goes through
- 00:19:23your mind?
- 00:19:24>> My initial honest response
- 00:19:27was skepticism.
- 00:19:28I thought the odds of both
- 00:19:30tests in two randomly selected
- 00:19:32individuals being positive with
- 00:19:35no history of travel, no history
- 00:19:37of exposure to anybody was
- 00:19:40fairly astronomical.
- 00:19:43This was a huge shift.
- 00:19:44Incident command was activated
- 00:19:46and we made a quick decision to
- 00:19:48test nine additional people that
- 00:19:50night.
- 00:19:51Eight of those nine were
- 00:19:52positive.
- 00:19:54>> O'BRIEN: Wow.
- 00:19:56>> Right.
- 00:19:57>> O'BRIEN: Kind of stunning
- 00:19:58actually, isn't it?
- 00:19:59>> It was, and within the first
- 00:20:00five days, we had 32 positives.
- 00:20:06>> O'BRIEN: Many were from Life
- 00:20:08Care, but crucially, some had no
- 00:20:10connection to the nursing home.
- 00:20:13>> We then knew that this was a
- 00:20:15much bigger outbreak than you
- 00:20:17could have imagined.
- 00:20:20>> O'BRIEN: At least 41
- 00:20:22Life Care residents and
- 00:20:23two visitors would
- 00:20:25eventually die with more
- 00:20:26than a hundred others
- 00:20:27linked to the home testing
- 00:20:28positive, including Scott
- 00:20:31Sedlacek's father, Chuck.
- 00:20:33>> He has never shown symptoms.
- 00:20:36>> O'BRIEN: So, how worried are
- 00:20:37you that symptoms might appear?
- 00:20:39>> Extraordinarily.
- 00:20:40Because we don't know, this is
- 00:20:43new, it's uncharted waters.
- 00:20:46>> O'BRIEN: The Sedlaceks' story
- 00:20:47hit home for me: my 84-year-old
- 00:20:49father is in assisted living in
- 00:20:51Florida.
- 00:20:53Hello there.
- 00:20:55Can you tilt down a little bit?
- 00:20:56>> I'm sorry what?
- 00:20:57>> O'BRIEN: Tilt down, tilt
- 00:20:58down, a little more down.
- 00:21:00There you go, that's good.
- 00:21:02How you feeling?
- 00:21:03>> Well, I'm fine, how are you?
- 00:21:04>> O'BRIEN: No coronavirus so
- 00:21:05far, but he's pretty much in
- 00:21:07isolation, no visitors allowed.
- 00:21:11It's the same at Life Care, but
- 00:21:13the Sedlaceks have found a way
- 00:21:15around that.
- 00:21:17>> My sister is here and we'll
- 00:21:18go up and will say hi through
- 00:21:20the window.
- 00:21:21We brought a big white board
- 00:21:22today so we can actually write
- 00:21:23notes for him because they're
- 00:21:25double pane windows to seal the
- 00:21:26noise out.
- 00:21:26(laughs)
- 00:21:29Can you hear us?
- 00:21:32(laughs)
- 00:21:36>> Okay, we'll let you finish
- 00:21:38that-- love you.
- 00:21:39>> Keep getting better, keep
- 00:21:40listening to the nursing staff.
- 00:21:42They're looking out for you.
- 00:21:44He has to get the love from the
- 00:21:46family to get better.
- 00:21:48Without it, he will become not
- 00:21:50just physically but mentally
- 00:21:52ill.
- 00:21:53>> O'BRIEN: Yeah.
- 00:21:54>> It's the worst thing you can
- 00:21:55do to an older person.
- 00:21:56>> O'BRIEN: Yeah, right.
- 00:21:57>> Yeah, the worst thing you can
- 00:21:58do.
- 00:22:00>> O'BRIEN: Scott himself also
- 00:22:01got the virus.
- 00:22:02Unlike his dad, he got sick.
- 00:22:06>> I was hospitalized through
- 00:22:09the emergency room with the
- 00:22:11full-blown list of symptoms--
- 00:22:13extraordinary difficulty
- 00:22:15breathing, light-headed,
- 00:22:17dizziness-- you name the
- 00:22:19symptom, I had it.
- 00:22:20>> O'BRIEN: What was it like
- 00:22:21being in isolation, sick with
- 00:22:23this disease?
- 00:22:24Were you scared?
- 00:22:25>> Hell yes, I was scared, it's
- 00:22:27an unknown.
- 00:22:28I was hooked up to an IV and
- 00:22:30they started an albuterol
- 00:22:32nebulizer, which they had to
- 00:22:35give two full rounds of it.
- 00:22:36But after those two full rounds,
- 00:22:38I was breathing normally and
- 00:22:40after six hours, they had all my
- 00:22:42symptoms under control.
- 00:22:43Within 12 hours, they moved me
- 00:22:45to a full isolation unit, and
- 00:22:47ten hours later, they released
- 00:22:49me with zero symptoms.
- 00:22:54>> The number of coronavirus
- 00:22:55cases at home and abroad
- 00:22:57continue to climb, the financial
- 00:22:58markets rocked, and more
- 00:23:00aggressive steps to fight the
- 00:23:01spread...
- 00:23:02>> O'BRIEN: By this time in
- 00:23:03early March, COVID-19 cases were
- 00:23:04multiplying here and around the
- 00:23:06country.
- 00:23:08>> Breaking news-- Washington is
- 00:23:09in a state of emergency...
- 00:23:11>> O'BRIEN: Governor Inslee had
- 00:23:12put Washington under a state of
- 00:23:13emergency...
- 00:23:14>> Washington state has declared
- 00:23:15a state of emergency...
- 00:23:16>> O'BRIEN: ...the first
- 00:23:17governor to do so.
- 00:23:18>> The governor declaring a
- 00:23:19state of emergency...
- 00:23:20>> O'BRIEN: But like many here,
- 00:23:21he was increasingly concerned
- 00:23:23that President Trump was
- 00:23:24continuing to downplay the
- 00:23:25threat.
- 00:23:26>> It's going to all work out.
- 00:23:27Everybody has to be calm.
- 00:23:28It's all going to work out.
- 00:23:29>> O'BRIEN: Inslee, a Democrat
- 00:23:31and former presidential
- 00:23:32candidate, tweeted that the
- 00:23:33administration should stick to
- 00:23:35science and tell the truth.
- 00:23:39It would ignite an escalating
- 00:23:40war of words.
- 00:23:43>> O'BRIEN: During a visit to
- 00:23:44the CDC, Trump fired back.
- 00:23:46>> That governor is a snake.
- 00:23:48Okay.
- 00:23:49Inslee.
- 00:23:50Let me just tell you, we have a
- 00:23:51lot of problems with the
- 00:23:52governor and... the governor of
- 00:23:54Washington, that's where you
- 00:23:56have many of your problems.
- 00:23:57I said, no matter how nice you
- 00:23:58are, he's no good.
- 00:24:00That's the way I feel.
- 00:24:01>> O'BRIEN: At that point, did
- 00:24:03you get the sense that you as
- 00:24:05governor and the state of
- 00:24:07Washington was sort of on their
- 00:24:08own and the federal cavalry was
- 00:24:10not coming?
- 00:24:12>> Yes, but we didn't ever
- 00:24:15depend on that leadership coming
- 00:24:17out of the White House, so it's
- 00:24:19not something that we were
- 00:24:20surprised by.
- 00:24:21We always knew that we would
- 00:24:22have to lead the charge, given
- 00:24:25the president's reluctance to
- 00:24:27really exercise leadership on
- 00:24:29this.
- 00:24:30And we sort of knew that he had
- 00:24:31an intent of downplaying what
- 00:24:34was an emerging problem.
- 00:24:36That, you know, could only be
- 00:24:39explained by someone who had
- 00:24:41their eye on the Dow Jones
- 00:24:43rather than an eye on the
- 00:24:44epidemiological curve.
- 00:24:46>> O'BRIEN: Seattle's mayor,
- 00:24:48Jenny Durkan, shared those
- 00:24:49sentiments.
- 00:24:51>> We are not going to be
- 00:24:52distracted by any rhetoric that
- 00:24:54the president or anyone else
- 00:24:56uses.
- 00:24:57We've got to act.
- 00:24:58We've got to act to protect the
- 00:24:59people and I think those actions
- 00:25:00are what matters.
- 00:25:01Facts and science.
- 00:25:02Got to rely on them.
- 00:25:04That's the only thing that's
- 00:25:05going to get us through this,
- 00:25:06and, fortunately, we've got a
- 00:25:08really vibrant health and
- 00:25:10science community here in the
- 00:25:11state of Washington and Seattle
- 00:25:12and we listen to them.
- 00:25:15>> O'BRIEN: She and other
- 00:25:16political leaders here had some
- 00:25:18hard decisions to make after
- 00:25:19hearing grim predictions.
- 00:25:23>> We had researchers here
- 00:25:24telling us that within six
- 00:25:25weeks, we would have over 70,000
- 00:25:27positive cases and hundreds of
- 00:25:29deaths if we didn't act.
- 00:25:31And so we had a choice to make.
- 00:25:33The choice was know that you're
- 00:25:35going to have enormous pain in
- 00:25:37shutting down parts of your
- 00:25:39economy, or have those same
- 00:25:41impacts later and overrun your
- 00:25:43health system.
- 00:25:46As we move forward, it will be
- 00:25:48increasingly necessary and
- 00:25:50important that we are unified in
- 00:25:53our efforts.
- 00:25:54>> O'BRIEN: Seattle was starting
- 00:25:56on a trajectory that the rest of
- 00:25:57the country would soon follow.
- 00:25:59>> There is no magic silver
- 00:26:01bullet at the moment medically,
- 00:26:04but there is a very successful
- 00:26:05effort that we can take to slow
- 00:26:09the spread of this disease and
- 00:26:10that's to reduce the social
- 00:26:12interactions that are not
- 00:26:14necessary in our lives.
- 00:26:16>> O'BRIEN: You, the county
- 00:26:17executive, and the governor,
- 00:26:18were early out of the box on
- 00:26:20taking these actions, pretty
- 00:26:22proactive.
- 00:26:23Did you feel at the time a
- 00:26:25little nervous about all that?
- 00:26:28>> I think it was... all of us
- 00:26:29felt a great deal of... sense of
- 00:26:32obligation and concern because
- 00:26:34we were the first to go.
- 00:26:37>> O'BRIEN: Mayor Durkan
- 00:26:38actually had a pandemic response
- 00:26:40plan on the shelf, which she and
- 00:26:42her cabinet had updated in early
- 00:26:44February.
- 00:26:45>> We pulled out the pandemic
- 00:26:46planning and knew that one of
- 00:26:48the first things we had to do to
- 00:26:49separate people from another
- 00:26:50was have them telecommute, those
- 00:26:51that could.
- 00:26:52So our largest employers acted
- 00:26:54immediately.
- 00:26:55>> O'BRIEN: That included
- 00:26:56Seattle icon Microsoft, with a
- 00:26:59workforce of more than 50,000
- 00:27:01one of the largest private
- 00:27:03sector employers in the region.
- 00:27:05>> So, we had a call on Sunday
- 00:27:06afternoon, March 1.
- 00:27:08We had the business leaders...
- 00:27:10>> O'BRIEN: Microsoft president
- 00:27:11Brad Smith spoke to me from
- 00:27:13his home.
- 00:27:14>> We went from Monday telling
- 00:27:16people they should work from
- 00:27:17home if they were more
- 00:27:18comfortable, Tuesday telling
- 00:27:20people, you know, feel free to
- 00:27:23work from home, it might be
- 00:27:25better, to Wednesday work
- 00:27:27from home unless it's essential
- 00:27:28you come to work.
- 00:27:30>> O'BRIEN: The decision you
- 00:27:30made was a big one.
- 00:27:31Did you hesitate?
- 00:27:33>> No, it was interesting.
- 00:27:34Once we decided at Microsoft
- 00:27:36that we would be decisive and
- 00:27:38base our decisions on public
- 00:27:40health advice, then we knew what
- 00:27:43to do.
- 00:27:45>> It's the hardest decision
- 00:27:46I've ever had to make because
- 00:27:48all of our instincts are to grow
- 00:27:50the whole economy for your city,
- 00:27:53to make a stronger
- 00:27:54community for everyone.
- 00:27:55And what we're saying is we've
- 00:27:57got to stop that kind of
- 00:27:58community and we have to stop
- 00:27:59doing work.
- 00:28:03>> O'BRIEN: Almost overnight,
- 00:28:06the vibrant city shut down--
- 00:28:09businesses closed, storefronts
- 00:28:12boarded up, empty restaurants,
- 00:28:16the famous Pike Place Market
- 00:28:18nearly deserted.
- 00:28:21♪ ♪
- 00:28:24At a local soccer field usually
- 00:28:25filled with kids and families,
- 00:28:28preparations for a surge of
- 00:28:30COVID patients.
- 00:28:32>> We knew already that one of
- 00:28:34the biggest challenges would be
- 00:28:35having the hospital system
- 00:28:37overwhelmed by a wave of cases.
- 00:28:40We were trying to figure out how
- 00:28:42we could get testing, we were
- 00:28:45trying to figure out whether we
- 00:28:46would receive material help in
- 00:28:49the form of field hospitals or
- 00:28:51large facilities encampments for
- 00:28:55people who were unhoused.
- 00:28:57And there wasn't a lot of
- 00:29:00concrete offers of help coming
- 00:29:02from the federal government.
- 00:29:03So we were left with the reality
- 00:29:06that we're going to have to take
- 00:29:07on a lot of this ourselves.
- 00:29:09>> More than 140 people lost
- 00:29:10their lives yesterday, bringing
- 00:29:12the death toll to over 590 in
- 00:29:14this country.
- 00:29:16>> He's not doing everything he
- 00:29:17can do.
- 00:29:18>> O'BRIEN: As coronavirus was
- 00:29:19sweeping the country throughout
- 00:29:20March...
- 00:29:21>> And I can't tell you how
- 00:29:22frustrating it is...
- 00:29:23>> O'BRIEN: ...so was the
- 00:29:24frustration among governors
- 00:29:25scrambling for resources they
- 00:29:26needed to respond.
- 00:29:28>> We're bidding against one
- 00:29:29another, it's really not a great
- 00:29:31system.
- 00:29:32>> All of the states are taking
- 00:29:34action to try to find these
- 00:29:35things on our own.
- 00:29:36>> O'BRIEN: The president was
- 00:29:37now feuding with multiple
- 00:29:38governors...
- 00:29:39>> 400 ventilators?
- 00:29:41I need 30,000 ventilators.
- 00:29:43>> O'BRIEN: And like he'd done
- 00:29:44with the virus in the
- 00:29:45beginning...
- 00:29:46>> I don't believe you need
- 00:29:4740,000 or 30,000 ventilators.
- 00:29:49>> O'BRIEN: ...he disputed
- 00:29:50there was scarcity of
- 00:29:51crucial medical equipment, like
- 00:29:53masks and ventilators.
- 00:29:55>> Many of the states are
- 00:29:56stocked up.
- 00:29:58Some of them don't admit it, but
- 00:29:59they have, we have sent so many
- 00:30:01things to them, including
- 00:30:03ventilators.
- 00:30:05>> O'BRIEN: Amid the feuding,
- 00:30:06doctors and nurses have
- 00:30:07struggled to get the personal
- 00:30:08protective equipment, PPE,
- 00:30:11they need.
- 00:30:12>> Good morning, and welcome,
- 00:30:13everyone.
- 00:30:14>> O'BRIEN: In Seattle, that's
- 00:30:15been the top issue for Dr. Amy
- 00:30:17Compton-Phillips, the chief
- 00:30:19clinical officer of the
- 00:30:20Providence Hospital Network.
- 00:30:22>> Last year, across all of
- 00:30:24Providence, we used 250,000
- 00:30:26masks.
- 00:30:27In the first three months of
- 00:30:28this at Everett, they've used
- 00:30:30250,000 masks.
- 00:30:32We cannot have our own
- 00:30:34caregivers going down from COVID
- 00:30:35while they're trying to take
- 00:30:37care of the community, because,
- 00:30:38you know, the supply chain is
- 00:30:39just not keeping up with our
- 00:30:40needs.
- 00:30:42>> Amy, I have to say if I can't
- 00:30:44assure them that they are safe
- 00:30:47then I don't think the rest of
- 00:30:49this is worth anything.
- 00:30:52>> O'BRIEN: Inside Providence's
- 00:30:54emergency department, tensions
- 00:30:55around PPE have been high.
- 00:30:59Dr. Ryan Keay is the
- 00:31:00department's medical director.
- 00:31:03>> It's exhausting to constantly
- 00:31:04think about the sequence that
- 00:31:06you put things on and take
- 00:31:07things off and where you're
- 00:31:08sanitizing during that sequence.
- 00:31:10Every nurse, every tech, every
- 00:31:12physician I've talked to has
- 00:31:13said, "I've been working for
- 00:31:15years and I've never been so
- 00:31:16exhausted."
- 00:31:18And it leaves people just on
- 00:31:21edge all the time.
- 00:31:23>> We have enough N-95 masks
- 00:31:25that people should not have to
- 00:31:26be able... should not have to
- 00:31:27bring in their own masks at this
- 00:31:28point in time.
- 00:31:30>> Is the recommendations still
- 00:31:31one N-95 per five patients?
- 00:31:34Or are we using it the whole
- 00:31:35shift now?
- 00:31:36>> We're using them with a face
- 00:31:37shield for as long as you need
- 00:31:38to use them.
- 00:31:39You just store them in a paper
- 00:31:41bag until they become moist
- 00:31:42or 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
- 00:31:48storing them in paper bags
- 00:31:49wasn't the only DIY workaround I
- 00:31:52saw.
- 00:31:54I caught up with Dr.
- 00:31:56Compton-Phillips at the
- 00:31:57otherwise vacant Providence
- 00:31:58headquarters.
- 00:31:59Inside a large meeting room, she
- 00:32:01and a handful of her team were
- 00:32:03spread out a safe distance,
- 00:32:05cranking out face shields.
- 00:32:09>> Our caregivers would
- 00:32:10normally have protective goggles
- 00:32:12on and a surgical mask
- 00:32:13underneath this and then this
- 00:32:14goes in front and basically
- 00:32:17protects against droplets.
- 00:32:20>> O'BRIEN: They had raided a
- 00:32:22half dozen craft stores to
- 00:32:23scrounge up supplies.
- 00:32:24>> We're at 288 now, we're going
- 00:32:26to get to 1,000 by tomorrow.
- 00:32:28>> We're retooling our resources
- 00:32:30going into war against COVID.
- 00:32:32>> I feel like Rosie the
- 00:32:33riveter.
- 00:32:34>> 499, 500!
- 00:32:36(cheering)
- 00:32:40>> O'BRIEN: On the one hand,
- 00:32:41this is really... it's kind of
- 00:32:42heartwarming.
- 00:32:43But it's also really sad.
- 00:32:44>> Desperation.
- 00:32:45>> O'BRIEN: Yeah, I can't decide
- 00:32:46which way to go in this.
- 00:32:47What are your thoughts?
- 00:32:48>> I would rather offer our
- 00:32:49caregivers something than
- 00:32:50nothing and at the moment, you
- 00:32:52know, if the choice is not
- 00:32:54having PPE or having homemade
- 00:32:56PPE, were going to offer them
- 00:32:57homemade PPE.
- 00:32:58>> O'BRIEN: Right, right.
- 00:32:59>> So...
- 00:33:03>> O'BRIEN: That's what
- 00:33:05motivated Jeff Kaas-- his small
- 00:33:06family business builds and sews
- 00:33:08furniture for aviation and
- 00:33:10retail customers.
- 00:33:12He decided to pitch in and start
- 00:33:14making masks.
- 00:33:17There's not a shortage of the
- 00:33:18raw materials at least, that
- 00:33:19would be... or not yet?
- 00:33:21>> There will be.
- 00:33:22There will be, yeah.
- 00:33:23So, I think we've enough to make
- 00:33:24two million masks.
- 00:33:25>> O'BRIEN: But how long will
- 00:33:26that take you to do?
- 00:33:27>> Well, it depends on how fast
- 00:33:27we want to go.
- 00:33:28>> O'BRIEN: How fast do you want
- 00:33:29to go?
- 00:33:30>> We want to solve the
- 00:33:31problem.
- 00:33:32My assumption is that we will be
- 00:33:33ramping up for several weeks and
- 00:33:35then drop off a cliff.
- 00:33:37Nobody will need me in the
- 00:33:38healthcare business anymore and
- 00:33:40then survival becomes a question
- 00:33:41for my company.
- 00:33:42That's probably the next scary
- 00:33:43thing, which is less scary than
- 00:33:45what our healthcare friends are
- 00:33:46going through right now.
- 00:33:47That's the bigger issue for me.
- 00:33:50>> We knew in January what we
- 00:33:52would need-- we knew.
- 00:33:55We would need gloves and masks
- 00:33:56and respirators, and
- 00:33:57ventilators.
- 00:33:59Two-and-a-half months later,
- 00:34:00we're dependent on sewing
- 00:34:02circles to supply our frontline
- 00:34:06heroes with what they need.
- 00:34:08It may be a nice American story;
- 00:34:11I find it pathetic.
- 00:34:13>> O'BRIEN: Washington state
- 00:34:15officials, like others in the
- 00:34:16country, say this was an
- 00:34:17avoidable crisis.
- 00:34:20>> Because we've lacked the
- 00:34:22federal leadership we needed,
- 00:34:23it's been mayor versus mayor,
- 00:34:25city versus city, state versus
- 00:34:26state, trying to get access
- 00:34:29to the limited resources to
- 00:34:30protect our communities,
- 00:34:32whether it's ventilators or
- 00:34:34masks for our health care
- 00:34:35workers, all of that
- 00:34:36has become this Hunger Games
- 00:34:38process where everyone's trying
- 00:34:40to figure out a way to outbid
- 00:34:41each other.
- 00:34:43Washington state had a line on
- 00:34:44masks that were coming to the
- 00:34:45country and at the port in
- 00:34:46California.
- 00:34:47Suddenly, multiple states were
- 00:34:48bidding on them.
- 00:34:50That shouldn't be the way that
- 00:34:51it happens.
- 00:34:52>> We're searching the world for
- 00:34:54every potential warehouse that
- 00:34:55have any of this personal
- 00:34:57protective equipment.
- 00:34:58That has been a constant
- 00:35:00struggle and we are bidding
- 00:35:01against each other, and I'm
- 00:35:03sure that the suppliers are
- 00:35:04having a field day bidding the
- 00:35:06price up while states are
- 00:35:08bidding against one another.
- 00:35:09It would be much more efficient
- 00:35:11economically and otherwise if
- 00:35:13the federal government was
- 00:35:14playing a more vigorous role in
- 00:35:16that regard.
- 00:35:18>> O'BRIEN: The tensions
- 00:35:19between states and the
- 00:35:20federal government have been
- 00:35:22escalating.
- 00:35:23>> Another five million
- 00:35:24Americans file for unemployment
- 00:35:25benefits last week.
- 00:35:28>> O'BRIEN: Not just over
- 00:35:29the response to the outbreak...
- 00:35:30>> The market down ten percent
- 00:35:31in relatively short order.
- 00:35:32There's a lot of bad news still
- 00:35:34to come.
- 00:35:35>> O'BRIEN: But now over what
- 00:35:36it will take to get the country
- 00:35:37up and running again.
- 00:35:38>> This is a massive meltdown on
- 00:35:39a national scale.
- 00:35:41>> More jobs lost in a matter of
- 00:35:42two weeks than in the entire 18
- 00:35:44months of the Great Recession.
- 00:35:46>> Our team of experts now
- 00:35:47agrees that we can begin the
- 00:35:48next front in our war, which we
- 00:35:53are calling "opening up America
- 00:35:55again."
- 00:35:57>> O'BRIEN: The president has
- 00:35:58been pushing governors to
- 00:35:59re-open, even as soon as May 1.
- 00:36:02>> Or country has to get open.
- 00:36:04And it will get open.
- 00:36:06And it'll get open safely.
- 00:36:08And hopefully quickly.
- 00:36:10>> O'BRIEN: But some of them
- 00:36:11have been pushing back.
- 00:36:13>> We cannot be guided by
- 00:36:14emotion.
- 00:36:14We need to be guided by where
- 00:36:16the facts on the ground, science
- 00:36:18and public health take us.
- 00:36:20>> What's best for the people of
- 00:36:22Illinois, their safety and
- 00:36:23health, and listening to the
- 00:36:24scientists and the doctors.
- 00:36:25>> Because if you do it wrong,
- 00:36:27it can backfire.
- 00:36:29>> O'BRIEN: And many like Inslee
- 00:36:30say it will come down to one
- 00:36:32thing: mass testing.
- 00:36:35>> This is the number one
- 00:36:36challenge for the United States
- 00:36:37right now, is we need a huge
- 00:36:39ramp up of our testing capacity,
- 00:36:42even greater than was needed
- 00:36:44early in the outbreak.
- 00:36:46>> O'BRIEN: To increase
- 00:36:47testing, Inslee says Trump needs
- 00:36:49to order U.S. industry to help
- 00:36:50using the Defense Production Act
- 00:36:52which the President has only
- 00:36:53just begun to do.
- 00:36:56>> We need the president to help
- 00:36:57ignite a national mobilization
- 00:36:59of the manufacturing base of the
- 00:37:01United States, that is
- 00:37:02absolutely imperative so that we
- 00:37:04can restart our economy.
- 00:37:06>> O'BRIEN: But President Trump
- 00:37:08has also thrown this back on the
- 00:37:09states.
- 00:37:10>> The governors are
- 00:37:11responsible, they have to take
- 00:37:12charge.
- 00:37:13They have to do a great job.
- 00:37:17>> O'BRIEN: There are
- 00:37:18limits to what a state can do
- 00:37:19though, as I saw at Washington's
- 00:37:21health department laboratory.
- 00:37:23They can only complete about
- 00:37:25300 tests a day, and that
- 00:37:27requires a mad scramble.
- 00:37:29The raw materials for test kits
- 00:37:33are hard to come by.
- 00:37:34>> We have a lot of testing lab
- 00:37:35capability but we don't have the
- 00:37:37equipment to swab everybody's
- 00:37:38nose.
- 00:37:40I think the current status in
- 00:37:41Washington state is limited by
- 00:37:45the supplies to actually run the
- 00:37:46test.
- 00:37:47>> O'BRIEN: They also don't have
- 00:37:48enough PPE for the health care
- 00:37:50workers administering the tests.
- 00:37:53>> If we don't have enough
- 00:37:54gowns, gloves, masks, to treat
- 00:37:56patients, how are we going to
- 00:37:59prioritize a gown, a glove, and
- 00:38:01a mask to swab somebody?
- 00:38:02Because that is the requirement.
- 00:38:05>> O'BRIEN: The state health
- 00:38:06department isn't alone in
- 00:38:07struggling to meet the demand.
- 00:38:10>> We can't have that level
- 00:38:11of cross-contamination...
- 00:38:12>> O'BRIEN: After getting
- 00:38:14approval for his test from the
- 00:38:15FDA, Alex Greninger has
- 00:38:17dramatically ramped up
- 00:38:19testing at the University of
- 00:38:20Washington School of Medicine
- 00:38:22Virology Lab.
- 00:38:23>> For inpatients, health care
- 00:38:24workers, institutionalized
- 00:38:26populations, but mostly
- 00:38:27inpatients, people who need
- 00:38:28supportive care, we've got to
- 00:38:30get that fast turnaround time
- 00:38:31that reduces the use of
- 00:38:32protective...
- 00:38:32>> O'BRIEN: Because they're in
- 00:38:33the hospital.
- 00:38:34>> Yes.
- 00:38:35>> O'BRIEN: On this day, they
- 00:38:36completed about 3,000 tests.
- 00:38:38>> To get 3,000, 4,000, 5,000
- 00:38:39specimens a day, you know, it
- 00:38:41takes a lot of focus.
- 00:38:43>> O'BRIEN: Just like in the
- 00:38:44state lab, Greninger says it is
- 00:38:46difficult to get the raw
- 00:38:48materials he needs.
- 00:38:49One of the hardest things to
- 00:38:50find: the single use
- 00:38:52plastic tips that contain the
- 00:38:54chemicals and the specimens.
- 00:38:57>> Some automated pipettors use
- 00:38:59four tips a test, and others use
- 00:39:00three and, so, just getting the
- 00:39:03tips into your facility so we
- 00:39:07can run that many tests...
- 00:39:09This is what we're looking for,
- 00:39:10basically.
- 00:39:11We tweeted at Roche and the
- 00:39:13world to get these things in,
- 00:39:15like you would tweet like
- 00:39:16Delta lost your bags or
- 00:39:17something like that, right?
- 00:39:19I mean, we have two people whose
- 00:39:21entire job right now is to
- 00:39:23manage our FedEx shipments.
- 00:39:25Basically, we blow up our
- 00:39:27hallway and it goes down to a
- 00:39:28single file.
- 00:39:29And then it takes over the next
- 00:39:30six to eight hours, we're able
- 00:39:31to actually move those boxes
- 00:39:32into our local warehouses we
- 00:39:34bought other space here in the
- 00:39:35building.
- 00:39:37It's the supply chain has been
- 00:39:38really the number one thing we
- 00:39:39do.
- 00:39:41>> O'BRIEN: Despite the
- 00:39:42problems, they are still
- 00:39:43managing to return results
- 00:39:45the same day in many cases.
- 00:39:48This is crucial to keep up with
- 00:39:49a fast-moving virus and help
- 00:39:52healthcare workers on the
- 00:39:53frontlines reduce their need
- 00:39:55for personal protective
- 00:39:56equipment.
- 00:39:57>> When you send a test for
- 00:40:00COVID-19, you have to treat the
- 00:40:02person as if they are infected
- 00:40:04until we give you a result that
- 00:40:05says they aren't.
- 00:40:07And during that time, you have
- 00:40:08to use all the personal
- 00:40:09protective equipment.
- 00:40:10So, the speed at which we get
- 00:40:11those test results back allows
- 00:40:13us to conserve our personal
- 00:40:14protective equipment.
- 00:40:15It really touches so many
- 00:40:16things.
- 00:40:17>> O'BRIEN: So what do you
- 00:40:18envision the coming months?
- 00:40:19>> I think personally right now,
- 00:40:21this will be with us for some
- 00:40:23time, a long time.
- 00:40:24There's no magic bullet just
- 00:40:26yet.
- 00:40:28>> O'BRIEN: This testing
- 00:40:29marathon could go on for at
- 00:40:30least a year-- that's how long
- 00:40:33experts say it could take to
- 00:40:34develop vaccines.
- 00:40:38In the meantime, researchers are
- 00:40:40racing to finish clinical trials
- 00:40:42of several therapeutic drugs
- 00:40:44including that promising
- 00:40:45antiviral Remdesivir
- 00:40:48The one that seemed to work
- 00:40:49so well on patient one.
- 00:40:51>> On trial?
- 00:40:53>> Yes, he's on trial.
- 00:40:54He started on the 15th.
- 00:40:56>> O'BRIEN: Dr. Diaz is now
- 00:40:57leading one of the trials with
- 00:40:58patients at Providence Hospital.
- 00:41:02>> These are still anecdotes
- 00:41:03because we haven't seen the full
- 00:41:05study being completed, but we're
- 00:41:07certainly very optimistic.
- 00:41:08We want to get these questions
- 00:41:10answered as fast as possible.
- 00:41:12>> O'BRIEN: And there may be
- 00:41:13another way to help people fight
- 00:41:14off the coronavirus-- using the
- 00:41:17blood of COVID survivors
- 00:41:19themselves.
- 00:41:21Hey Elizabeth, looks like you're
- 00:41:22on the mend.
- 00:41:23>> Yeah, I've been recovered now
- 00:41:24for...
- 00:41:25>> O'BRIEN: People like
- 00:41:26Elizabeth Schneider.
- 00:41:27She was getting ready to become
- 00:41:28the first person in Seattle to
- 00:41:29donate her plasma to researchers
- 00:41:31trying to see what natural
- 00:41:33resistance she might have
- 00:41:34developed and whether she can
- 00:41:36share it.
- 00:41:37>> Scientists don't know how
- 00:41:38long we have that immunity for
- 00:41:40this particular virus.
- 00:41:41But signs so far look like, you
- 00:41:43know, we will have immunity.
- 00:41:45>> O'BRIEN: Survivors' blood as
- 00:41:47therapy-- it's not a new idea.
- 00:41:50Doctors used it in 1918 in the
- 00:41:52midst of the Spanish Flu
- 00:41:54pandemic.
- 00:41:56>> I do feel a little more sense
- 00:41:58of security going out and doing
- 00:42:00my day-to-day task because I
- 00:42:01have already had this.
- 00:42:03>> O'BRIEN: She was among the
- 00:42:04first documented COVID-19 cases
- 00:42:05in the U.S.
- 00:42:08A microbiologist who works for a
- 00:42:09biotech company, she came down
- 00:42:11with flu symptoms on February
- 00:42:1325, three days after attending a
- 00:42:16party.
- 00:42:18On Facebook she learned many of
- 00:42:19her friends who were there were
- 00:42:21also sick, 15 in all.
- 00:42:25She told me she and
- 00:42:25seven others ultimately tested
- 00:42:26positive for COVID-19, which
- 00:42:31brought her to this moment on
- 00:42:32this morning to the blood bank
- 00:42:34in downtown Seattle.
- 00:42:35>> Hi, I am here for plasma
- 00:42:37donation.
- 00:42:40>> O'BRIEN: The coronavirus
- 00:42:41antibodies in her plasma may be
- 00:42:42a way for others to fend off the
- 00:42:44virus.
- 00:42:46It's called convalescent plasma
- 00:42:47therapy.
- 00:42:49>> Our goal is to get to 840 mL
- 00:42:51today.
- 00:42:52>> I'm hoping that some of my
- 00:42:54plasma ends up in another
- 00:42:56patient who is suffering from
- 00:42:58COVID-19 and this could
- 00:43:01potentially save their life.
- 00:43:04♪ ♪
- 00:43:14>> O'BRIEN: There are now signs
- 00:43:15that COVID cases may be
- 00:43:17plateauing in some places, like
- 00:43:19here.
- 00:43:20>> We have had some success
- 00:43:21flattening the curve, that has
- 00:43:22taken place...
- 00:43:24>> O'BRIEN: ...but also
- 00:43:25spreading to new areas of the
- 00:43:26country.
- 00:43:27Washington state recently
- 00:43:28returned more than 400
- 00:43:30ventilators it received from the
- 00:43:32national stockpile so they could
- 00:43:33be used where they're needed
- 00:43:34more.
- 00:43:35>> Governor Inslee today
- 00:43:36announced that 400 ventilators
- 00:43:38would be leaving the state of
- 00:43:39Washington.
- 00:43:41>> O'BRIEN: But in recent
- 00:43:42days...
- 00:43:42>> Trump's back and forth...
- 00:43:44>> O'BRIEN: President Trump's
- 00:43:45feud with governors has become
- 00:43:46an all-out war.
- 00:43:48>> In a series of tweets he
- 00:43:49exclaimed "liberate Minnesota,
- 00:43:51Michigan, and Virginia."
- 00:43:52>> O'BRIEN: Encouraging protests
- 00:43:54against social distancing
- 00:43:55restrictions...
- 00:43:56>> Seeing these protests at
- 00:43:56state capitols...
- 00:43:57>> O'BRIEN: ...even in
- 00:43:58Washington State.
- 00:43:59>> ...protesters gather
- 00:44:00today in Olympia
- 00:44:01demanding that the governor
- 00:44:02act now.
- 00:44:04>> Sunday's protests in Olympia
- 00:44:05is the latest in a wave of
- 00:44:06demonstrations.
- 00:44:07>> These are people expressing
- 00:44:08their views, I see where they
- 00:44:09are, and I see the way they're
- 00:44:10working, they seem to be
- 00:44:12very responsible people to me.
- 00:44:14>> The governor of
- 00:44:15Washington state says the
- 00:44:17president may be inciting
- 00:44:18violence.
- 00:44:20>> O'BRIEN: In his own tweets,
- 00:44:21Governor Inslee said Trump was
- 00:44:23"unhinged," "off the rails," and
- 00:44:27"fomenting domestic rebellion."
- 00:44:34When I talked to Governor
- 00:44:35Inslee, he told me it's no time
- 00:44:37to be rushing to re-open.
- 00:44:39>> All leaders have the biggest
- 00:44:40challenge to make sure people
- 00:44:42understand that as the sun
- 00:44:44comes up and the daffodils come
- 00:44:45out, we've got to double our
- 00:44:47efforts.
- 00:44:48Because if you relax too soon
- 00:44:49the curve just can rebound
- 00:44:51and start right back up
- 00:44:53again.
- 00:44:54The most dangerous element in my
- 00:44:57state today is the virus of
- 00:45:00complacency because we have to
- 00:45:02be just as diligent for the next
- 00:45:04several weeks as we were the
- 00:45:05last several weeks.
- 00:45:07>> O'BRIEN: I wanted to know
- 00:45:08what pandemic modeler Chris
- 00:45:10Murray thought of all of this.
- 00:45:12He runs the Institute for Health
- 00:45:14Metrics and Evaluation at the
- 00:45:15University of Washington.
- 00:45:17>> If you ask Chris Murray...
- 00:45:18>> O'BRIEN: Its models are often
- 00:45:20cited by President Trump's
- 00:45:21coronavirus task force.
- 00:45:23So, really, when you think about
- 00:45:24it, Chris, there's no scenario
- 00:45:26going forward that you can
- 00:45:27envision that doesn't demand
- 00:45:29mass testing, if not testing for
- 00:45:32everyone?
- 00:45:33>> The issue will be, you know,
- 00:45:36the capacity to test.
- 00:45:38Right, how many tests are
- 00:45:40practically feasible come June,
- 00:45:44state by state?
- 00:45:46And it may not be anywhere near
- 00:45:49enough to be able to do
- 00:45:51full-scale mass testing.
- 00:45:53So then if you take measures
- 00:45:54off May 1, and there's a pretty
- 00:45:56quick rebound, so by mid-July,
- 00:45:58we'd be right back to where we
- 00:45:59are now.
- 00:46:01>> O'BRIEN: Really?
- 00:46:02Exactly the rate of death and
- 00:46:04hospitalization that we're
- 00:46:05dealing with?
- 00:46:06>> Pretty much, yeah.
- 00:46:08So, we're not going to want to
- 00:46:09take off measures May 1, let's
- 00:46:11put it that way.
- 00:46:12>> And the second wave won't be
- 00:46:13like the first wave.
- 00:46:14>> O'BRIEN: That the president
- 00:46:16isn't heeding scientific
- 00:46:17warnings, once again, is causing
- 00:46:19alarm among those who've been
- 00:46:21dealing with the outbreak since
- 00:46:22the beginning.
- 00:46:24>> I am pessimistic about the
- 00:46:25next few months.
- 00:46:27I think it's going to be really
- 00:46:28hard and we need to ramp up.
- 00:46:30Ramp up, hurry, we need a
- 00:46:32leader at the top who's willing
- 00:46:34to go well beyond where he is
- 00:46:36right now in saying, "Here's
- 00:46:37what we need to do in terms of
- 00:46:38testing" and giving people the
- 00:46:40information they need to get
- 00:46:41the economy going.
- 00:46:43Long term, I'm optimistic, but
- 00:46:45it's a long ways between here
- 00:46:47and there.
- 00:46:48♪ ♪
- 00:46:52>> O'BRIEN: I went back one last
- 00:46:53time to where the outbreak took
- 00:46:55hold here, Evergreen Hospital,
- 00:46:58where those patients from the
- 00:47:00nursing home were treated in
- 00:47:01February.
- 00:47:03It is an apt window into where
- 00:47:05Seattle and the country are
- 00:47:06right now.
- 00:47:09I met a woman who was recovering
- 00:47:11from COVID-19, Rosanne Eskenazi.
- 00:47:16>> I want to give you a kiss
- 00:47:18and stuff but I can't.
- 00:47:19>> Nope.
- 00:47:20>> O'BRIEN: At 63, with an
- 00:47:21immune system disease, her
- 00:47:23chances of living to see her
- 00:47:24husband Maury again were not
- 00:47:27good.
- 00:47:28>> When they put her on the
- 00:47:29ventilator, I never thought I'd
- 00:47:31see her again.
- 00:47:31And I wasn't reading about
- 00:47:34people that were surviving this
- 00:47:36and coming out of this, so
- 00:47:37I was... you know, it was over.
- 00:47:40>> I don't even know how many
- 00:47:41weeks it was, but I don't
- 00:47:42remember a lot.
- 00:47:43>> When we brought her, when the
- 00:47:45day came that... she looked
- 00:47:48horrible.
- 00:47:49Her 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
- 00:47:54coughing and we had the
- 00:47:55ambulance come.
- 00:47:56They sent two ambulances.
- 00:47:57This was the beginning of the
- 00:47:58COVID, you know?
- 00:48:00>> O'BRIEN: You didn't really
- 00:48:02fully appreciate how bad it was,
- 00:48:03did you, because you were kind
- 00:48:04of out of it?
- 00:48:05>> Yeah, I was out of it.
- 00:48:06I saw my parents, my dead
- 00:48:07parents, when I was here.
- 00:48:09I don't know whether...
- 00:48:10I was saying I don't know
- 00:48:11whether it was a dream or a
- 00:48:12hallucination.
- 00:48:13My parents were here and they
- 00:48:14were sitting across from me and
- 00:48:16they all said, you know, "You're
- 00:48:18going to be okay.
- 00:48:19Everything's going to be okay.
- 00:48:21You're going to be okay and
- 00:48:22if something happens, your
- 00:48:25children will be fine.
- 00:48:26Everything's going to be great.
- 00:48:28You have all this family and
- 00:48:29stuff, so don't worry."
- 00:48:31So... and it really helped me
- 00:48:34not worry.
- 00:48:37Oh, there, it says that way.
- 00:48:39>> Yeah, sorry.
- 00:48:41>> O'BRIEN: Rosanne was on her
- 00:48:42way home...
- 00:48:43>> Bye!
- 00:48:48>> O'BRIEN: But there were
- 00:48:50others still coming in, needing
- 00:48:51urgent attention.
- 00:48:52(people chattering)
- 00:48:58I met critical care and
- 00:49:00pulmonary physician Michael
- 00:49:02Bundesmann, who was focused on
- 00:49:04one particular patient.
- 00:49:05>> This is a person who has
- 00:49:07multi-organ failure and
- 00:49:08ultimately required mechanical
- 00:49:09ventilation and now needs
- 00:49:12dialysis, kidney replacement
- 00:49:14therapy, they're in shock.
- 00:49:16>> O'BRIEN: Three days earlier,
- 00:49:18he'd been awake, alert,
- 00:49:20joking with his doctors.
- 00:49:22>> Patients come in and they
- 00:49:23look okay on one day, and some
- 00:49:25of them are kind of okay to be
- 00:49:26discharged from the emergency
- 00:49:27room, and come back a few days
- 00:49:28later much more sick.
- 00:49:30That degree of unpredictability
- 00:49:32I think is very unsettling for
- 00:49:33everybody.
- 00:49:34>> O'BRIEN: Dr. Bundesmann says
- 00:49:36the pace has slackened some
- 00:49:37since the darkest days.
- 00:49:39>> We could feel the curve
- 00:49:40flatten a few days ago, probably
- 00:49:42even last week.
- 00:49:43It has allowed us to be able to
- 00:49:44see patients and to take care of
- 00:49:48them at a pace that's a little
- 00:49:49more used to what our ICU can
- 00:49:51handle, volume-wise.
- 00:49:53And it's certainly made a big
- 00:49:54difference.
- 00:49:57>> We are now I think at a stage
- 00:49:59where I think we can keep this
- 00:50:00pace that we have going and
- 00:50:02that's a good thing because how
- 00:50:04many people are still
- 00:50:05susceptible to this infection.
- 00:50:07It's going to be a long haul, I
- 00:50:08think.
- 00:50:09Some of the things that worry us
- 00:50:11are, you know, what happens when
- 00:50:12there's a next large outbreak in
- 00:50:14a skilled nursing facility, the
- 00:50:15next time a susceptible
- 00:50:16population gets hit within a
- 00:50:18tight community.
- 00:50:21I don't know when that's going
- 00:50:23to happen, I think that until
- 00:50:25there is some degree of herd
- 00:50:27immunity, there are going
- 00:50:29to be people out there who have
- 00:50:30to be planning this out very
- 00:50:31carefully and cautiously, when
- 00:50:32people can start returning to
- 00:50:33work, who can start returning to
- 00:50:35work, and what time frame.
- 00:50:37Because as that happens,
- 00:50:39the cases are going to start to
- 00:50:41pick up again, and we have to be
- 00:50:43there and be able to support
- 00:50:44them as best as possible without
- 00:50:46stretching the capacity of our
- 00:50:47health care system.
- 00:50:48Tough decisions for those people
- 00:50:49who have to make them.
- 00:50:53>> O'BRIEN: There have now been
- 00:50:54more than three quarters of
- 00:50:55a million confirmed
- 00:50:57COVID cases in the U.S., more
- 00:51:00than 40,000 deaths.
- 00:51:03What began as a public health
- 00:51:05crisis here with patient one has
- 00:51:08become a national crisis over
- 00:51:10response, over science and
- 00:51:12politics and decisions with
- 00:51:14devastating consequences.
- 00:51:18(siren wailing)
- 00:51:22It's still a tale of two
- 00:51:24Washingtons, the story that I
- 00:51:26found when I arrived.
- 00:51:29But it's also a tale of
- 00:51:30Washington and the states, and
- 00:51:34how the country will emerge
- 00:51:36from the crisis.
- 00:52:15Captioned by
- 00:52:15Media Access Group at WGBH
- 00:52:16access.wgbh.org
- 00:52:23>> For more on this and other
- 00:52:24"Frontline" programs, visit our
- 00:52:26website at pbs.org/frontline.
- 00:52:33♪ ♪
- 00:52:38FRONTLINE's,
- 00:52:39"Coronavirus Pandemic" is
- 00:52:41available on Amazon
- 00:52:41Prime Video.
- 00:52:56♪ ♪
- COVID-19
- Seattle
- pandemic
- federal response
- public health
- testing
- PPE shortage
- Trump administration
- virus outbreak
- Washington state