Dr. Gottlieb's full transcript:
"DR. GOTTLIEB: Well, I think right now we're where we were when New York City was having its peak epidemic. If you look back, when New York City peaked we had about 34,000 cases a day. At the time, we were probably diagnosing one in 20 infections. So that meant we were having 700,000 new infections a day. Right now, we're gonna have about 60,000 infections a day. This week, maybe we'll reach 75,000 or get close to it. We're probably diagnosing one in 12 infections. CDC said one in 10 a few weeks ago. It's probably one in 12 now because we're falling behind. That means we have about 700,000 infections a day nationally. So we're right back where we were at the peak of the epidemic during the New York outbreak. The difference now is that we really had one epicenter of- of spread when New York was going through its hardship, now we really have four major epicenters of spread: Los Angeles, cities in Texas, cities in Florida, and Arizona. And Florida looks to be in the worst shape. And Georgia is heating up as well, and that's concerning.
MARGARET BRENNAN: The president has tweeted yesterday that the media is focused too much on these growing number of cases, and he is making the point that deaths and the all important mortality rate is going down, and we're not hearing enough about that. How do you understand what is happening with deaths and mortality?
DR. GOTTLIEB: Well, we need to separate the number of deaths going down from the actual case fatality rate, how lethal is this? The case fatality rate is going down, although we're not able to measure it right now because we're able to save more people who are hospitalized and get critically ill because of advances in care. The number of deaths has gone down because the number of infections went down for a period of time. And more of the new infections right now are in younger people. And we're protecting more vulnerable populations like people in nursing homes. But the total number of deaths is going to start going up again as the number of hospitalizations starts to spike again. So we're going to see deaths creep up. And I wouldn't be surprised in the next two weeks to see deaths go over a thousand. That doesn't mean the case fatality rate, the actual death rate isn't declining. But when you have more infections, even if the death rate is declining, you're going to get more deaths tragically. So if we cut the death rate in half, if we make this half less lethal than it was, but we double the number of infections, we're going to get more deaths. And I think we're going to start to see that. So we shouldn't just focus on the crude mortality rate, the number of deaths to tell the story of what's happening medically. Medically, we are improving. But we just have so much infection around this country, we're going to see, unfortunately, a lot of lethality.
MARGARET BRENNAN: So when the president said of the increase in cases that 99% of which are totally harmless, is he confused?
DR. GOTTLIEB: Well, I'm not really sure what he's referring to. He might be referring to the number of people who get hospitalized based on the number of people who get infected, which is probably less than five percent when you count all the asymptomatic infection and infection in young people that might not be- be getting diagnosed. But certainly more than 1% of people get serious illness from this. About 60% of people who get infected become symptomatic. About 10 to 15% of them will develop some form of COVID pneumonia and somewhere around two to 5% might get hospitalized, depending on what the age mix is of- of the people who are getting infected. So this is still a pretty bad virus. What we're able to do is when people do get hospitalized and get into the ICU, we're able to save more lives with treatments like remdesivir, with steroids now, which has a big impact on mortality, and innovations in care like using blood thinners on patients and not incubating them as aggressively.
DR. GOTTLIEB: So that is going to cut the death rate."