MSNBC

MSNBC 24 Mar 2020

Mardis Gras, Coronavirus Make 'Perfect Storm' Crisis In Louisiana

Description:

Dr. Rebekah Gee, CEO of LSU Healthcare Services, talks with Rachel Maddow about how the skyrocketing spread of the coronavirus in Louisiana threatens to overwhelm hospital resources there, not just the bed capacity but the staffing resources as well. Aired on 3/24/20.


Nurses in New Orleans describe the dangers they face as they struggle to care for covid-19 patients in hospitals and assisted living facilities. Coronavirus cases have been reported in more than 60 Louisiana nursing homes as of April 6, and front line health-care workers say they lack basic protective equipment.
Sky's Nick Martin looks at the government's efforts to ease the COVID-19 crisis in care homes as he witnesses first hand how homes are suffering.
Veteran strategist and former Republican Steve Schmidt argues President Trump has exhibited the most inept response of any president to any crisis in history. Schmidt tells MSNBC's Ari Melber that many avoidable problems in the US response to the coronavirus pandemic revealed Trump's failures as a president, and historians will look back on this as a time when a reality show star "New York con man" narrowly ended up as President and was simply not prepared. Aired on 4/16/2020.
Struggling to make ends meet and begging for food. Lebanese people have defied restrictions to contain covid-19, and resumed their protests.
Rallies started in October, but were interrupted by the lockdown. Violence escalated on Tuesday, banks were set on fire and security forces pelted with stones.
One demonstrator was killed and dozens were wounded in riots. Protesters vented their anger at the political elite that's long been in power.
People accuse their leaders of corruption and mismanagement.
Lebanon is suffering its worst economic crisis in decades.
Food prices are soaring and the lebanese pound is in free-fall.
The country's appealed for assistance from the International Monetary Fund.
As the country slips further into crisis, what can be done?
And what will be the fallout, both at home and for the region?

Presenter: Richelle Carey

Guests
Patrick Mardini, President of the Lebanese Institute for Market studies
Ibrahim Mneimneh, civil society activist
Jamil Mouawad, lecturer in Politics at American University of Beirut

… show captions ↓
>>> TWO WEEKS AGO THE GREAT
>>> TWO WEEKS AGO THE GREAT STATE OF LOUISIANA HAD ZERO
STATE OF LOUISIANA HAD ZERO CONFIRMED CASES OF COVID-19.
CONFIRMED CASES OF COVID-19. NOW ACCORDING TO A NEW STUDY BY
NOW ACCORDING TO A NEW STUDY BY THE UNIVERSITY OF LOUISIANA, THE
THE UNIVERSITY OF LOUISIANA, THE NUMBER OF CASES IN THAT STATE
NUMBER OF CASES IN THAT STATE HAS RISEN FASTER THAN ANYWHERE
HAS RISEN FASTER THAN ANYWHERE ELSE KNOWN IN THE WORLD.
ELSE KNOWN IN THE WORLD. LOUISIANA HAS GONE FROM ZERO
LOUISIANA HAS GONE FROM ZERO CASES TO 1,388 CASES IN TWO
CASES TO 1,388 CASES IN TWO WEEKS.
WEEKS. THE NEW ORLEANS METROPOLITAN
THE NEW ORLEANS METROPOLITAN AREA NOW HAS MORE CASES THAN LOS
AREA NOW HAS MORE CASES THAN LOS ANGELES COUNTY, WHICH HAS A
ANGELES COUNTY, WHICH HAS A POPULATION 26 TIMES AS LARGE AS
POPULATION 26 TIMES AS LARGE AS NEW ORLEANS.
NEW ORLEANS. THE GOVERNOR OF LOUISIANA, JOHN
THE GOVERNOR OF LOUISIANA, JOHN BEL EDWARDS, IS ASKING FOR A
BEL EDWARDS, IS ASKING FOR A FEDERAL DISASTER DECLARATION,
FEDERAL DISASTER DECLARATION, WARNING NOW THAT PER STATE
WARNING NOW THAT PER STATE PROJECTIONS IN NEW ORLEANS THE
PROJECTIONS IN NEW ORLEANS THE CURRENT PROJECTIONS OF
CURRENT PROJECTIONS OF HOSPITALIZATION SIGNIFICANTLY
HOSPITALIZATION SIGNIFICANTLY EXCEED CAPACITY BEGINNING ON
EXCEED CAPACITY BEGINNING ON APRIL 4th, WHICH MEANS NEW
APRIL 4th, WHICH MEANS NEW ORLEANS WON’T BE ABLE TO
ORLEANS WON’T BE ABLE TO CONTINUE TO PROVIDE HOSPITAL
CONTINUE TO PROVIDE HOSPITAL CARE AT THE END OF NEXT WEEK.
CARE AT THE END OF NEXT WEEK. SOME LOUISIANA OFFICIALS SAY
SOME LOUISIANA OFFICIALS SAY THAT MARDI GRAS CELEBRATIONS
THAT MARDI GRAS CELEBRATIONS LAST MONTH MAY HAVE BEEN A VEER
LAST MONTH MAY HAVE BEEN A VEER LOGICAL ACCELERANT IN LOUISIANA
LOGICAL ACCELERANT IN LOUISIANA WHEN 1 IF THE 4 MILLION PEOPLE
WHEN 1 IF THE 4 MILLION PEOPLE FLOODED INTO THE CITY TO PARTY
FLOODED INTO THE CITY TO PARTY AND PARADE THROUGH THE STREETS
AND PARADE THROUGH THE STREETS AT A TIME WE NOW KNOW
AT A TIME WE NOW KNOW CORONAVIRUS WAS SPREADING IN THE
CORONAVIRUS WAS SPREADING IN THE UNITED STATES.
UNITED STATES. AMONG DOCTORS WORRIED THAT MARDI
AMONG DOCTORS WORRIED THAT MARDI GRAS IN NEW ORLEANS THIS YEAR
GRAS IN NEW ORLEANS THIS YEAR MAY HAVE BEEN THAT KIND OF A
MAY HAVE BEEN THAT KIND OF A PROBLEM IS DR. REPUBLICAN KA
PROBLEM IS DR. REPUBLICAN KA GATE.
GATE. SHE UNTIL RECENTLY WAS HEAD OF
SHE UNTIL RECENTLY WAS HEAD OF THE STATE’S HEALTH DEPARTMENT.
THE STATE’S HEALTH DEPARTMENT. SHE’S NOW THE CEO OF THE LSU
SHE’S NOW THE CEO OF THE LSU HEALTH SERVICES.
HEALTH SERVICES. SHE JOINS US NOW FROM LOUISIANA.
SHE JOINS US NOW FROM LOUISIANA. DOCTOR, I APPRECIATE YOU MAKING
DOCTOR, I APPRECIATE YOU MAKING TIME TONIGHT.
TIME TONIGHT. THANK YOU.
THANK YOU. >> GOOD TO BE WITH YOU.
>> GOOD TO BE WITH YOU. >> WHAT DO YOU MAKE OF THE
>> WHAT DO YOU MAKE OF THE GOVERNOR’S STARK PROJECTION THAT
GOVERNOR’S STARK PROJECTION THAT IN NEW ORLEANS AT LEAST HOSPITAL
IN NEW ORLEANS AT LEAST HOSPITAL CAPACITY MAY BE OVER-TOPPED BY
CAPACITY MAY BE OVER-TOPPED BY THE END OF NEXT WEEK?
THE END OF NEXT WEEK? >> YEAH, RACHEL, AS YOU JUST
>> YEAH, RACHEL, AS YOU JUST MENTIONED, MARDI GRAS WAS THE
MENTIONED, MARDI GRAS WAS THE PERFECT STORM FOR SPREAD OF THIS
PERFECT STORM FOR SPREAD OF THIS VIRUS.
VIRUS. WE NOW KNOW THAT THIS VIRUS IS
WE NOW KNOW THAT THIS VIRUS IS INCREDIBLY INFECTIOUS.
INCREDIBLY INFECTIOUS. YOU CAN GET IT NOT JUST FROM
YOU CAN GET IT NOT JUST FROM COUGHING OR SNEEZING ON SOMEONE
COUGHING OR SNEEZING ON SOMEONE BUT BREATHING OR STANDING NEXT
BUT BREATHING OR STANDING NEXT TO THEM.
TO THEM. NOT ONLY DID WE HAVE PEOPLE IN
NOT ONLY DID WE HAVE PEOPLE IN FLOATS BUT PEOPLE IN PARTIES,
FLOATS BUT PEOPLE IN PARTIES, PEOPLE FROM ALL OVER THE WORLD
PEOPLE FROM ALL OVER THE WORLD CAME HERE, AND WE NOW KNOW THAT
CAME HERE, AND WE NOW KNOW THAT PEOPLE WHO CAME HERE AND LEFT
PEOPLE WHO CAME HERE AND LEFT FROM HERE HAVE NOW SPREAD THE
FROM HERE HAVE NOW SPREAD THE VIRUS TO OTHER PARTS, SO WE HAVE
VIRUS TO OTHER PARTS, SO WE HAVE DOCUMENTATION THAT THE VIRUS WAS
DOCUMENTATION THAT THE VIRUS WAS HERE AT THAT TIME.
HERE AT THAT TIME. UNFORTUNATELY PEOPLE WERE
UNFORTUNATELY PEOPLE WERE THROWING BEADS, SHARING DRINKS.
THROWING BEADS, SHARING DRINKS. THEY WEREN’T ONLY THROWING
THEY WEREN’T ONLY THROWING BEADS, BUT LIKELY THROWING
BEADS, BUT LIKELY THROWING COVID-19 AND PEOPLE WERE
COVID-19 AND PEOPLE WERE CATCHING THAT AS THEY CAME HERE
CATCHING THAT AS THEY CAME HERE FOR THE CELEBRATION.
FOR THE CELEBRATION. SO BECAUSE OF THAT WE HAVE THE
SO BECAUSE OF THAT WE HAVE THE WORST PROBLEM IN TERMS OF THE
WORST PROBLEM IN TERMS OF THE NUMBER OF CASES MOVING FAST AT
NUMBER OF CASES MOVING FAST AT 68% NEARLY INCREASE IN TWO
68% NEARLY INCREASE IN TWO WEEKS, WHICH IS HIGHER THAN
WEEKS, WHICH IS HIGHER THAN L.A., AND HIGHER THAN ITALY.
L.A., AND HIGHER THAN ITALY. SO THE PROJECTIONS ARE REAL
SO THE PROJECTIONS ARE REAL PROJECTIONS BASED ON THE
PROJECTIONS BASED ON THE EXPERIENCE OF OTHER PLACES, AND
EXPERIENCE OF OTHER PLACES, AND NEED TO BE TAKEN SERIOUSLY.
NEED TO BE TAKEN SERIOUSLY. >> WHAT IS -- HOW WOULD YOU
>> WHAT IS -- HOW WOULD YOU ASSESS THE HOSPITAL CAPACITY IN
ASSESS THE HOSPITAL CAPACITY IN LOUISIANA?
LOUISIANA? LOUISIANA’S NOT A WEALTHY STATE.
LOUISIANA’S NOT A WEALTHY STATE. YOU HEAD UP ONE OF THE FLAGSHIP
YOU HEAD UP ONE OF THE FLAGSHIP -- THE FLAGSHIP UNIVERSITY
-- THE FLAGSHIP UNIVERSITY HEALTH SYSTEM IN THE STATE.
HEALTH SYSTEM IN THE STATE. YOU’RE A FORMER SECRETARY OF
YOU’RE A FORMER SECRETARY OF LOUISIANA HEALTH DEPARTMENT.
LOUISIANA HEALTH DEPARTMENT. WHAT SHOULD WE UNDERSTAND AROUND
WHAT SHOULD WE UNDERSTAND AROUND THE COUNTRY IF LOUISIANA DOES
THE COUNTRY IF LOUISIANA DOES HAVE A RAPIDLY, RAPIDLY
HAVE A RAPIDLY, RAPIDLY INCREASING EPIDEMIC THAT’S
INCREASING EPIDEMIC THAT’S ALREADY OF CONSIDERABLE SIZE,
ALREADY OF CONSIDERABLE SIZE, HOW MUCH CAPACITY IS THERE IN
HOW MUCH CAPACITY IS THERE IN THE STATE TO CONTINUE TO CARE
THE STATE TO CONTINUE TO CARE FOR PEOPLE WHILE THE NUMBER OF
FOR PEOPLE WHILE THE NUMBER OF PATIENTS RISE?
PATIENTS RISE? >> RIGHT NOW OUR HOSPITALS ARE
>> RIGHT NOW OUR HOSPITALS ARE ABOUT 50% CAPACITY.
ABOUT 50% CAPACITY. AND WE ESTIMATE THAT WE HAVE
AND WE ESTIMATE THAT WE HAVE ABOUT 380 ADDITIONAL ICU BEDS.
ABOUT 380 ADDITIONAL ICU BEDS. SYSTEMS ARE TRYING TO BUILD
SYSTEMS ARE TRYING TO BUILD CAPACITY.
CAPACITY. AND CERTAINLY BED CAPACITY AND
AND CERTAINLY BED CAPACITY AND THEN AVAILABILITY OF VENTILATORS
THEN AVAILABILITY OF VENTILATORS IS A PROBLEM, BUT WE’RE ALSO
IS A PROBLEM, BUT WE’RE ALSO REALLY WORRIED ABOUT STAFF.
REALLY WORRIED ABOUT STAFF. WE ONLY HAVE A CERTAIN NUMBER OF
WE ONLY HAVE A CERTAIN NUMBER OF PULMONOLOGISTS, CRITICAL CARE
PULMONOLOGISTS, CRITICAL CARE NURSES, SO ON IN THE STATE OF
NURSES, SO ON IN THE STATE OF LOUISIANA, AND WE DON’T HAVE
LOUISIANA, AND WE DON’T HAVE ENOUGH OF THOSE TO MEET THE NEED
ENOUGH OF THOSE TO MEET THE NEED THAT WE’RE GOING TO HAVE WHEN
THAT WE’RE GOING TO HAVE WHEN THIS SURGES, WHICH WILL BE IN
THIS SURGES, WHICH WILL BE IN APPROXIMATELY TWO WEEKS OR WHEN
APPROXIMATELY TWO WEEKS OR WHEN THE GOVERNOR SAID IN EARLY APRIL
THE GOVERNOR SAID IN EARLY APRIL WHEN WE’RE GOING TO RUN OUT OF
WHEN WE’RE GOING TO RUN OUT OF BED CAPACITY.
BED CAPACITY. SO THAT’S WHY THE MAJOR
SO THAT’S WHY THE MAJOR DECLARATION OF DISASTER IS SO
DECLARATION OF DISASTER IS SO IMPORTANT.
IMPORTANT. THAT CALIFORNIA AND NEW YORK AND
THAT CALIFORNIA AND NEW YORK AND WASHINGTON HAVE RECEIVED.
WASHINGTON HAVE RECEIVED. SO THAT WE CAN START TO GET
SO THAT WE CAN START TO GET FEDERAL ASSETS DEPLOYED HERE.
FEDERAL ASSETS DEPLOYED HERE. WE SIMPLY DON’T HAVE ENOUGH
WE SIMPLY DON’T HAVE ENOUGH HERE.
HERE. NOW, LOUISIANA DOES HAVE A LOT
NOW, LOUISIANA DOES HAVE A LOT OF HEALTH CARE ASSETS.
OF HEALTH CARE ASSETS. THEY’RE MOSTLY IN SOUTHERN
THEY’RE MOSTLY IN SOUTHERN LOUISIANA WHICH IS BAD WHEN YOU
LOUISIANA WHICH IS BAD WHEN YOU HAVE A HURRICANE SEASON AND YOU
HAVE A HURRICANE SEASON AND YOU HAVE A STORM COMING TO HIT YOU,
HAVE A STORM COMING TO HIT YOU, BUT GOOD IN THIS CASE BECAUSE
BUT GOOD IN THIS CASE BECAUSE THEY ARE LOCATED NEAR THE PEOPLE
THEY ARE LOCATED NEAR THE PEOPLE WHO ARE GETTING SICK ARE, WHICH
WHO ARE GETTING SICK ARE, WHICH IS IN THE GREATER NEW ORLEANS
IS IN THE GREATER NEW ORLEANS AREA.
AREA. OF COURSE ELSEWHERE IN LOUISIANA
OF COURSE ELSEWHERE IN LOUISIANA PEOPLE ARE SICK, BUT THE
PEOPLE ARE SICK, BUT THE MAJORITY HERE, AGAIN, BECAUSE OF
MAJORITY HERE, AGAIN, BECAUSE OF MARDI GRAS.
MARDI GRAS. >> IN TERMS OF STAFFING, WE
>> IN TERMS OF STAFFING, WE REACHED OUT TO A NUMBER OF
REACHED OUT TO A NUMBER OF NURSES TODAY IN LOUISIANA,
NURSES TODAY IN LOUISIANA, TRYING TO GET OUR HEADS AROUND
TRYING TO GET OUR HEADS AROUND WHAT’S HAPPENING, WHAT THE
WHAT’S HAPPENING, WHAT THE GROUND TRUTH IS IN NEW ORLEANS
GROUND TRUTH IS IN NEW ORLEANS HOSPITAL.
HOSPITAL. WE STARTED HEARING ANECDOTALLY
WE STARTED HEARING ANECDOTALLY ABOUT REPORTS ALREADY, ABOUT
ABOUT REPORTS ALREADY, ABOUT THERE NOT BEING ENOUGH
THERE NOT BEING ENOUGH PROTECTIVE EQUIPMENT, ABOUT
PROTECTIVE EQUIPMENT, ABOUT NURSES NOT HAVING ACCESS TO
NURSES NOT HAVING ACCESS TO ENOUGH MASKS, NURSES BEING
ENOUGH MASKS, NURSES BEING WORRIED NOT BEING ABLE TO
WORRIED NOT BEING ABLE TO PROTECT THEMSELVES AND
PROTECT THEMSELVES AND POTENTIALLY BRINGING THIS HOME
POTENTIALLY BRINGING THIS HOME TO THEIR FAMILIES.
TO THEIR FAMILIES. DO YOU FEEL THE STATE HAS A
DO YOU FEEL THE STATE HAS A HANDLE ON HOW TO GET AFTER SOME
HANDLE ON HOW TO GET AFTER SOME OF THOSE PROBLEMS THAT ARE
OF THOSE PROBLEMS THAT ARE ALREADY MANIFESTING IN EMERGENCY
ALREADY MANIFESTING IN EMERGENCY ROOMS AND WARDS AROUND THE
ROOMS AND WARDS AROUND THE STATE?
STATE? >> WELL, THIS IS A BIG PROBLEM
>> WELL, THIS IS A BIG PROBLEM AND IT REALLY IS A SUPPLY CHAIN
AND IT REALLY IS A SUPPLY CHAIN ISSUE.
ISSUE. I SPOKE WITH SENATOR CASSIDY
I SPOKE WITH SENATOR CASSIDY ABOUT THIS THIS EVENING.
ABOUT THIS THIS EVENING. YOU KNOW, THE FACT THAT NORMALLY
YOU KNOW, THE FACT THAT NORMALLY YOU HAVE SUPPLY CHAINS FROM
YOU HAVE SUPPLY CHAINS FROM CHINA THAT ALLOWS HOSPITALS TO
CHINA THAT ALLOWS HOSPITALS TO GET WHAT THEY NEED, BUT NOW IS
GET WHAT THEY NEED, BUT NOW IS DISRUPTED BECAUSE YOU HAVE
DISRUPTED BECAUSE YOU HAVE INDIVIDUALS WHO ARE PRICE
INDIVIDUALS WHO ARE PRICE GOUGING, BUYING UP HUNDREDS OF
GOUGING, BUYING UP HUNDREDS OF THOUSANDS OR A MILLION MASKS IN
THOUSANDS OR A MILLION MASKS IN ONE CASE LAST WEEK, MUCH OF
ONE CASE LAST WEEK, MUCH OF WHICH I SPENT SOURCING MASKS,
WHICH I SPENT SOURCING MASKS, AND THAT DISRUPTS THE ABILITY OF
AND THAT DISRUPTS THE ABILITY OF NORMAL SUPPLY CHAIN.
NORMAL SUPPLY CHAIN. THAT BEING SAID, PEOPLE ARE
THAT BEING SAID, PEOPLE ARE RESORTING IN NEW ORLEANS NOW TO
RESORTING IN NEW ORLEANS NOW TO MAKING MASKS IN A FURNITURE
MAKING MASKS IN A FURNITURE STORE.
STORE. GOODWIN FURNITURE USING 3D
GOODWIN FURNITURE USING 3D PRINTERS TO PRINT FACE SCREENS.
PRINTERS TO PRINT FACE SCREENS. RIGHT NOW THINGS ARE OKAY BUT
RIGHT NOW THINGS ARE OKAY BUT THE ESTIMATES ARE WE’RE ABOUT
THE ESTIMATES ARE WE’RE ABOUT FOUR OR FIVE DAYS IN SOME
FOUR OR FIVE DAYS IN SOME SYSTEMS FROM BEING OUT OF
SYSTEMS FROM BEING OUT OF PERSONAL PROTECTIVE EQUIPMENT
PERSONAL PROTECTIVE EQUIPMENT AND TODAY PEOPLE ARE REUSING
AND TODAY PEOPLE ARE REUSING THEIR PERSONAL PROTECTIVE
THEIR PERSONAL PROTECTIVE EQUIPMENT, PPE OR MASKS, BEING
EQUIPMENT, PPE OR MASKS, BEING INSTRUCTED TO IN SOME SETTINGS
INSTRUCTED TO IN SOME SETTINGS PUT THEM IN A PAPER BAG AT THE
PUT THEM IN A PAPER BAG AT THE END OF THE DAY AND REUSE IT THE
END OF THE DAY AND REUSE IT THE NEXT DAY.
NEXT DAY. THAT WOULD NEVER HAPPEN IN
THAT WOULD NEVER HAPPEN IN NORMAL CONDITIONS.
NORMAL CONDITIONS. >> DR. REBEKAH GEE, CEO OF LSU

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