Sunday, May 24, 2020

Proclamation on Suspension of Entry as Immigrants and Nonimmigrants of Certain Additional Persons Who Pose a Risk of Transmitting Novel Coronavirus

Office of the Press Secretary
SUSPENSION OF ENTRY AS IMMIGRANTS AND NONIMMIGRANTS OF CERTAIN ADDITIONAL PERSONS WHO POSE A RISK OF TRANSMITTING 2019 NOVEL CORONAVIRUS

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BY THE PRESIDENT OF THE UNITED STATES OF AMERICA

A PROCLAMATION
 

     In Proclamation 9994 of March 13, 2020 (Declaring a National Emergency Concerning the Novel Coronavirus Disease (COVID-19) Outbreak), I declared a national emergency recognizing the threat that the novel (new) coronavirus known as SARS-CoV-2 poses to our Nation's healthcare systems.  It is the policy of the United States to respond to the ongoing, unprecedented outbreak of COVID-19 (the disease caused by SARS‑CoV-2) with every tool and resource available to the United States Government.  Consistent with this policy, I have suspended and limited the entry of aliens recently present in certain foreign jurisdictions where significant COVID-19 outbreaks have occurred.  These jurisdictions include the People's Republic of China (excluding the Special Administrative Regions of Hong Kong and Macau), the Islamic Republic of Iran, the Schengen Area, the United Kingdom (excluding overseas territories outside of Europe), and the Republic of Ireland.

     The Centers for Disease Control and Prevention (CDC), a component of the Department of Health and Human Services, working in close coordination with the Department of Homeland Security, has determined that the Federative Republic of Brazil is experiencing widespread, ongoing person-to-person transmission of SARS-CoV-2.  As of May 23, 2020, the World Health Organization reported that the Federative Republic of Brazil had 310,087 confirmed cases of COVID-19, which is the third highest number of confirmed cases in the world.

     The potential for undetected transmission of the virus by infected individuals seeking to enter the United States from the Federative Republic of Brazil threatens the security of our transportation system and infrastructure and the national security, and I have determined that it is in the interests of the United States to take action to restrict and suspend the entry into the United States, as immigrants or nonimmigrants, of all aliens who were physically present within the Federative Republic of Brazil during the 14-day period preceding their entry or attempted entry into the United States.  The free flow of commerce between the United States and the Federative Republic of Brazil remains an economic priority for the United States, and I remain committed to facilitating trade between our nations.

     NOW, THEREFORE, I, DONALD J. TRUMP, President of the United States, by the authority vested in me by the Constitution and the laws of the United States of America, including sections 212(f) and 215(a) of the Immigration and Nationality Act, 8 U.S.C. 1182(f) and 1185(a), and section 301 of title 3, United States Code, hereby find that the unrestricted entry into the United States of persons described in section 1 of this proclamation would, except as provided for in section 2 of this proclamation, be detrimental to the interests of the United States, and that their entry should be subject to certain restrictions, limitations, and exceptions.  I therefore hereby proclaim the following:

     Section 1.  Suspension and Limitation on Entry.  The entry into the United States, as immigrants or nonimmigrants, of all aliens who were physically present within the Federative Republic of Brazil during the 14-day period preceding their entry or attempted entry into the United States is hereby suspended and limited subject to section 2 of this proclamation.

     Sec2.  Scope of Suspension and Limitation on Entry.
(a)  Section 1 of this proclamation shall not apply to:

          (i)     any lawful permanent resident of the United States;

          (ii)    any alien who is the spouse of a U.S. citizen or lawful permanent resident;

          (iii)   any alien who is the parent or legal guardian of a U.S. citizen or lawful permanent resident, provided that the U.S. citizen or lawful permanent resident is unmarried and under the age of 21;

          (iv)    any alien who is the sibling of a U.S. citizen or lawful permanent resident, provided that both are unmarried and under the age of 21;

          (v)     any alien who is the child, foster child, or ward of a U.S. citizen or lawful permanent resident, or who is a prospective adoptee seeking to enter the United States pursuant to the IR-4 or IH-4 visa classifications;

          (vi)    any alien traveling at the invitation of the United States Government for a purpose related to containment or mitigation of the virus;

          (vii)   any alien traveling as a nonimmigrant pursuant to a C-1, D, or C-1/D nonimmigrant visa as a crewmember or any alien otherwise traveling to the United States as air or sea crew;

          (viii)  any alien
               (A)  seeking entry into or transiting the United States pursuant to one of the following visas:  A-1, A-2, C-2, C-3 (as a foreign government official or immediate family member of an official), E-1 (as an employee of TECRO or TECO or the employee's immediate family members), G-1, G-2, G-3, G-4, NATO-1 through NATO-4, or NATO-6 (or seeking to enter as a nonimmigrant in one of those NATO categories); or

               (B)  whose travel falls within the scope of section 11 of the United Nations Headquarters Agreement;

          (ix)    any alien who is a member of the U.S. Armed Forces and any alien who is a spouse or child of a member of the U.S. Armed Forces;
          (x)     any alien whose entry would not pose a significant risk of introducing, transmitting, or spreading the virus, as determined by the Secretary of Health and Human Services, through the CDC Director or his designee;

          (xi)    any alien whose entry would further important United States law enforcement objectives, as determined by the Secretary of State, the Secretary of Homeland Security, or their respective designees, based on a recommendation of the Attorney General or his designee; or

          (xii)   any alien whose entry would be in the national interest, as determined by the Secretary of State, the Secretary of Homeland Security, or their designees.

     (b)  Nothing in this proclamation shall be construed to affect any individual's eligibility for asylum, withholding of removal, or protection under the regulations issued pursuant to the legislation implementing the Convention Against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment, consistent with the laws and regulations of the United States.

     Sec3.  Implementation and Enforcement.  (a)  The Secretary of State shall implement this proclamation as it applies to visas pursuant to such procedures as the Secretary of State, in consultation with the Secretary of Homeland Security, may establish.  The Secretary of Homeland Security shall implement this proclamation as it applies to the entry of aliens pursuant to such procedures as the Secretary of Homeland Security, in consultation with the Secretary of State, may establish.

     (b)  Consistent with applicable law, the Secretary of State, the Secretary of Transportation, and the Secretary of Homeland Security shall ensure that any alien subject to this proclamation does not board an aircraft traveling to the United States.

     (c)  The Secretary of Homeland Security may establish standards and procedures to ensure the application of this proclamation at and between all United States ports of entry.

     (d)  An alien who circumvents the application of this proclamation through fraud, willful misrepresentation of a material fact, or illegal entry shall be a priority for removal by the Department of Homeland Security.

     Sec4.  Termination.  This proclamation shall remain in effect until terminated by the President.  The Secretary of Health and Human Services shall recommend that the President continue, modify, or terminate this proclamation as described in section 5 of Proclamation 9984, as amended.

     Sec5.  Effective Date.  This proclamation is effective at 11:59 p.m. eastern daylight time on May 28, 2020.  This proclamation does not apply to persons aboard a flight scheduled to arrive in the United States that departed prior to 11:59 p.m. eastern daylight time on May 28, 2020.

     Sec6.  Severability.  It is the policy of the United States to enforce this proclamation to the maximum extent possible to advance the national security, public safety, and foreign policy interests of the United States.  Accordingly:

     (a)  if any provision of this proclamation, or the application of any provision to any person or circumstance, is held to be invalid, the remainder of this proclamation and the application of its provisions to any other persons or circumstances shall not be affected thereby; and

     (b)  if any provision of this proclamation, or the application of any provision to any person or circumstance, is held to be invalid because of the lack of certain procedural requirements, the relevant executive branch officials shall implement those procedural requirements to conform with existing law and with any applicable court orders.

     Sec7.  General Provisions.  (a)  Nothing in this proclamation shall be construed to impair or otherwise affect:

          (i)   the authority granted by law to an executive department or agency, or the head thereof; or

          (ii)  the functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.

     (b)  This proclamation shall be implemented consistent with applicable law and subject to the availability of appropriations.

     (c)  This proclamation is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.

     IN WITNESS WHEREOF, I have hereunto set my hand this
twenty-fourth day of May, in the year of our Lord two thousand twenty, and of the Independence of the United States of America the two hundred and forty-fourth.

                              DONALD J. TRUMP

PRESS BRIEFING BY PRESS SECRETARY KAYLEIGH MCENANY James S. Brady Press Briefing Room May 22, 2020

Office of the Press Secretary
PRESS BRIEFING
BY PRESS SECRETARY KAYLEIGH MCENANY

James S. Brady Press Briefing Room

May 22, 2020


1:48 P.M. EDT

THE PRESIDENT:  Thank you very much.  At my direction, the Centers for Disease Control and Prevention is issuing guidance for communities of faith.  I want to thank Dr. Redfield and the CDC for their work on this matter and all the other work they’ve been doing over the past what now seems like a long period of time.

Today, I’m identifying houses of worship -- churches, synagogue, and mosques -- as essential places that provide essential services.

Some governors have deemed liquor stores and abortion clinics as essential but have left out churches and other houses of worship.  It’s not right.  So I’m correcting this injustice and calling houses of worship essential.

I call upon governors to allow our churches and places of worship to open right now.  If there’s any question, they’re going to have to call me, but they’re not going to be successful in that call.

These are places that hold our society together and keep our people united.  The people are demanding to go to church and synagogue, go to their mosque.  Many millions of Americans embrace worship as an essential part of life.

The ministers, pastors, rabbis, imams, and other faith leaders will make sure that their congregations are safe as they gather and pray.  I know them well.  They love their congregations.  They love their people.  They don't want anything bad to happen to them or to anybody else.

The governors need to do the right thing and allow these very important, essential places of faith to open right now, for this weekend.  If they don't do it, I will override the governors.  In America, we need more prayer, not less.

Thank you very much.  Thank you.

MS. MCENANY:  All right, everyone.  It's a pleasure to join you today.  That was a great announcement from President Trump.  I'd like to introduce Dr. Birx right now.  She has a wonderful presentation pursuant to reopening America, and some great data to share with you.

So I'll let her kick this off.

DR. BIRX:  Thank you, Kayleigh.  If we can have the first slide, please.

I wanted to start out with a summary of the number of Americans we have lost to date.  But the exciting thing for all of us is the decreasing mortality over time, and I think it both is a real aspect of the amazing healthcare workers on the frontline, the ability of people to share at the frontline how best to care for the patients and the continuous decrease in mortality over time.

Next slide.

The other thing that has decreased significantly over the last month is new hospitalizations.  We can see now that there's over a 50 percent decline in new hospitalizations.  Although every region of the country is different, we are encouraged to see these new hospitalizations declining.

Next slide.

I've talked before about the extensive surveillance that CDC has made available to this country.  This is looking at their syndromic surveillance from emergency rooms.  You can see that both COVID-like illnesses shown in the orange, and shown in the blue, influenza-like illness -- taking up both of those cases together -- you can see significant declines week over week of number of people coming to the emergency room with these illnesses.  That goes along with our new hospitalizations.

What we like to do is triangulate data, put data together from multiple sources, to see if we're seeing the same trends so that we can ensure that we're making progress together.

Next slide.

This is their influenza-like illness surveillance system that has been up and running for more than a decade now.  You can see each of the influenza peaks of this last year.  I think that's very important to remind people of because we had influenza A, influenza B, and then we had COVID-like illness.  And while we know it's COVID -- that's the last orange peak -- what we really find encouraging is, across the country, we are below baseline.  Why is that particularly important?  Now, these are reported state by state, county by county.  So each county will be able to see precisely where they are.  And then if there is changes in this, it becomes yet again an early alert system.

So I've showed you two early alert systems: one of them emergency rooms visits based on our syndromic illness qualifications that the CDC has up on their website, and then the influenza-like illness.  And again, to the American people, all of these are available on the CDC website under “COVID-19 Cases and Surveillance.”

Next slide.

Now, I want to show you -- I'm going to go through these very quickly.  This is where we started; this is influenza-like illness, the red.  And the darker the red, the more significant the influenza-like illness is in that state.  So you want to get to green.

So this is the week ending March 28th.  I think many of us can remember what that week was, and this was when we were at the very beginning of our acceleration into logarithmic phase.

Next slide.

This is April 4th.  You're starting to see some of the states already turn green.

Next slide.  April 11th, more of the country.  Next slide.  April 18th.  Next slide.  April 25th.

Next slide.  May 2nd.  And you can see -- and I really call your attention to -- there's a orange area on this slide, and you can see that it's the Maryland area, and we've been calling that out for a while, the high plateau in Maryland.  You can also see Minnesota and Wisconsin.

Next slide.

And then you can see Wisconsin still.  You can see Maryland is yellow.

Next slide.

And I want to turn just a moment, and I know that took you through a lot of slides quickly, but I think we can see, as a country, we have decreasing amount of illness, both at the emergency room and reported through the influenza-like illness.  Two of the surveillance systems at the CDC has up and running.  These come from the states; they come from the counties.  And many of the states have these also on their websites.

We talked earlier about how we had prioritized testing to the area that had the most significant disease.  And you can see now Rhode Island has led all of the states.  It's almost up to testing 12 percent of all of their citizens.  It's followed by New York, and you can't see New York, but that's the very next one.  New York and then North Dakota.  And so you can see that.  Well, you could.

Yeah, you could see that most of the high-burden areas of the United States had more than 6 percent testing.  That's when I think you heard from Admiral Giroir we wanted every state to test at least 2 percent of their population during May.  You can see 100 percent of the states now are over 2 percent of their population.  And we'll fix this slide so you can see every state, but many of the states now are over 4 percent.  And this is just after getting all the materials to ensure that they have adequate transport media and swabs.

So we're encouraged by the progress that many of the governors and states have made in their testing of their population.  It is also why we took the opportunity to really encourage governors, and it was to encourage governors to test 100 percent of the nursing home residents and staff, because many of our outbreaks that we have seen over the last two months have started in nursing homes.

Next slide.

Now, this is a complicated slide, but this is trying to show you how we triangulate data.  So I took you through our surveillance systems.  I'm taking you now into the start of how we use laboratory data to really understand what's happening, both in the metros and at the state level.

This is every single state.  And you can see the triangles -- the top part that you can see, the little triangle-ly pieces or the diamonds -- that is where the states were in the number of positive tests.  This is the nucleic acid test.  This is diagnosing virus in your nose.  You can see where it was 30 days ago and where it is now, by the red squares.

You can see a dramatic decline across the states.  And indeed, New York City, just six weeks ago, was almost 40 percent.  It is now, for the first time, as a New York -- as a New York State, under 10 percent.

And so this is the progress that we're making in both expanding testing, finding more people, but ensuring that we're getting testing rates of about 10 percent.  This line is 10 percent.  So 42 states are -- now have less than 10 percent test positive on a rolling seven-day average.

Now, again, I'm going to call your attention to the top three states -- the top three states with the largest percent.  And this is so you can all make your decisions about going outside and social distancing, potentially playing golf, if you're very careful and you don't touch the flags and all of those issues; playing tennis with marked balls with just one other person so you're only touching your ball.  We found, really, people who enjoy sports have been able to really adjust to social distancing.

But you can see the top three states are Maryland, the District, and Virginia.  And so there is still significant virus circulating here.  That is followed by Nebraska, Illinois -- because of Chicago -- and what we've talked about before about Minnesota.  So those are our top states as far as still having high number of test positives.

When I say high number of test positives, they're all under 20 percent.  If I had shown you this slide four weeks ago, half of the country would have been over 20 percent.  So this also shows progress, but also very clearly about the region we're living in right now with disease.

Next slide.

Now, I wanted you to see this as a metro, because that's as a state level.  So we look at this in multiple different ways.  The number one metro with the highest positivity rate is the District of Columbia, which includes Northern Virginia and Maryland -- Montgomery County and PG County.  That is followed by Baltimore, Chicago, and Minneapolis.  And so these are the places where we have seen really a stalling or an increase of cases, as in Minneapolis.

You can see all the other metros -- all the other metros are almost all exclusively below 10 percent.  So we see this as great progress across the board in the metro areas.

Next slide.

So we also look at daily cases and daily case numbers.  And I know that you all know that that's a very erratic -- and it depends sometimes on how the tests were reported, how the cases were reported, and so you often have to look at it over a three- or seven-day period.  This is looking at daily cases on a seven-day rolling average.  You can see the number one -- the top peak that has now come down dramatically -- is the New York metro area.

Underneath that, you can see our concerns about Chicago and our concern in the yellow line of the Washington, D.C. area, because these are two areas that went through the logarithmic  phase and are now at a high plateau with an unchanging number of cases day over day.  That's the orange line and the yellow line.

You can see that the daily case numbers, per hundred thousand, are below the yellow line and the orange line of Washington, D.C. and Chicago.  And that's New York, Boston, and many of the others.  Providence is also up as a per hundred thousand.  And that's the way we like to look at it, because we can really then understand it in relationship to population.

The other groups that have very low levels that once had a peak -- this is Detroit, a very low level now.  This is Boston in the gray, which has come way down also.  And you can see down here is Atlanta and Miami.

Next slide.

Now, sometimes, and I think recently, there have been publications about where the world was before we started the Stop the Spread and before many states shut down.  And to just to take you back to that moment: On March 14th, before Stop the Spread, this is showing New York.  I didn't even put March 14th on there because New York, on March 14th, had less than 50 cases reported.  Chicago had less than 10.  Washington had less than 10.  LA had less than 20.  The large state, at that time, that had a significant number of cases was the Washington area -- Washington State, which had 100 cases.

On March 14th, we had about 500 cases distributed around the United States, not in any dramatic hotspot per se, but the majority of those cases and the hotspot at that moment was Washington State.  This is how the New York metro area, which includes obviously northern New Jersey, northern parts of Pennsylvania, parts of Connecticut and Rhode Island, and the dramatic decline that they've had in the number of cases.  And I know you know that also mortality has started to decrease in that northern New Jersey and New York area.

Next slide.

But I wanted you to see how we bring all this information together on a daily basis.  The red line in this graphic are the emergency room visits.  So those are the syndromic visits that I discussed with you at the beginning.  The blue line is the test positive.  And again, it's very erratic because of the reporting of when cases sometimes from the entire weekend are added on a Monday morning.  And then you can see the actual case numbers in the black bars.

And so that's how we bring everything together.  And what we want to see is all of the -- all of the items trending down.  We want to see the number of positives that you find, because we really have states now looking for asymptomatic cases.  So we want to ensure that both asymptomatic cases, symptomatic cases are all declining as shown in the blue line; that emergency room visits are declining; and the actual case numbers are declining together.  And of course, then there's mortality behind that in the green lines that are -- green bars that are hard for you to see.

Next slide.

But this is the Washington area.  And so that's why I wanted you to see that contrast.  You can see there's not been that dramatic decline in the blue line.  There's not been that dramatic decline in the black bars of cases.  And there's not been a dramatic decline in the emergency room visits with COVID-like illnesses.

So even though Washington has remained closed, LA has remained closed, Chicago has remained closed, we still see these ongoing cases.  And I've asked the CDC, and the CDC is working with the local areas in Chicago, in this area, and LA to really understand where are these new cases coming from and what do we need to do to prevent them in the future.

Next slide.

This is Chicago.  Again, just to show you going up into this high plateau that has been fairly persistent.

Next slide.

And this is Los Angeles.  So you can get a flavor of where we have concerns, of where cities have remained closed and metros that have remained closed but have still persistent high number of cases.

Next slide.

So then I wanted to talk to you about outbreaks, because throughout this all, there's been a large part of America that has been -- and many states -- that have been really finding their outbreaks, containing those outbreaks by testing everyone, and doing contact tracing, and then stopping them and stopping those outbreaks in their tracks, what we have been talking about everybody being able to do across the United States.

And so this illustrates the counties that have had 100 percent increase in new cases over the last few days -- over the last three days.

Now, the reason I wanted to show this is because I see more and more graphics out there that talk about cases going up versus cases going down.

Just to give you an example of Wyoming -- and I think many of the groups now have Wyoming as a red state of cases going up.  Wyoming, three days ago, had five cases confirmed and today had -- yesterday had nine.  So they qualify, almost, and show up as this large increase.  We -- it's a good alert for us.  We immediately look and look and see what exactly is happening at the state website.

But you can see, when you have very low number of cases, you can have a doubling from 5 to 10 number of cases and show up as 100 percent increase.  And so each of these have to be investigated separately to really understand what this is.  It is the way we find outbreaks in prisons.  It's the way we have been finding outbreaks in nursing homes.  And we have this graphic.  It goes through all of the counties as well as -- next slide.

So this is one state's analysis.  And what they have shown -- and they have been able to find each of their outbreaks, contain every one of their outbreaks, close those outbreaks, and call them closed cases.

In this case, the dark blue is community spread.  The rest of it, 50 percent of their cases, have been coming from outbreaks that they've been able to contain.

The largest group in this is meatpacking plants.  And what they've been doing is going in and testing 100 percent of the individuals in the meatpacking plant, and also finding 100 percent of the individuals that are associated with those individuals in the meatpacking plant.  They've been able to go into group housing, social gatherings.

So just as we discuss all of this, and when you go out for this weekend, Memorial Day, and you want to do some kind of social gathering, it's very important to maintain that six-feet distance and very important to have your mask with you in case that six feet distance cannot be maintained.

But it also talks about long-term care facilities.  Now, interestingly enough, 50 percent of their total cases, since they've been tracking, came from these outbreaks.  Almost 70- plus percent -- 76 of all their mortality, though, came from these outbreaks.

And this is why we have been really pushing both in the original Opening up America Again, in the testing blueprint.  We talk about proactive surveillance, proactive monitoring and testing in areas that you know are particularly susceptible to outbreaks.

Every state has this knowledge now and this type of analysis.  And so when they have these kinds of analysis, what we're asking them to do is proactively go and test everyone in meatpacking plants, to proactively go and test 100 percent of the residents and workers, and then a follow-up of the workers in every single long-term care facility.

And this is to find the asymptomatic cases.  I know CDC yesterday released that they thought 35 percent.  We started with the understanding that we thought it was around 11 to 15 percent, based on the experience with one of the Princesses.  But now we know it's at least 35.  It may be greater than that because it may be so age dependent that there may be a lot of people under 30 that have the virus and are shedding the virus and aren't aware that they have the virus.  And so, proactive monitoring, proactive testing will become absolutely critical to find these asymptomatic cases.

Next slide.

So this is my last slide.  And this is just to show you what an outbreak looks like.  So if you look at this axis, it's normalized through 100,000 population.  But you can see -- this is what we want to see.  We want to see very low case number.  We want to see that they've identified an outbreak, they tested 100 percent, they’ve contained 100 percent, and then they don't find any more cases.

And so this is what's happening across the country, county by county -- this is a county map -- to really show you the work that's going on.  And since the last two months, we've gone from, I think, less than 4,000 contact tracers to nearly 50,000 contact tracers.  And this is what's been happening behind the scenes.

But I really want to applaud the governors and state and health and local -- the health -- the health commissioners and the local health departments who have really been working quietly, in an unassuming way, to really find these cases, track these cases, isolate these cases, and ensure there's no additional spread.  And you can see, in many of these instances, they've gone more than two weeks without any additional spread.

And so this is what we are hoping goes across the United States.  Now, we all have to admit, it's going to be much more difficult in metro areas because you have to really identify where are those asymptomatic cases and how will you find them.  And it's why there's been a lot of additional resources go in -- going into disadvantaged areas, into the federal community clinics to be able to proactively be able to test for this virus and find asymptomatic individuals.

When someone gets sick with COVID -- excuse me -- when someone gets sick with COVID, you’ve -- you've heard the cases; some of them have very high fevers, and so they're not out walking around.  So they may have been shedding virus for one or two days before they got significantly ill and they had to be in bed because they felt so terrible.

Now, think of that.  They were maybe out two days.  And so if they're 50 percent of the cases, they're only out for two of the days that they may be spreading virus.  An asymptomatic individual that doesn't know they have COVID, they may be spreading and shedding the entire time that they're in the community.  So instead of two days, it may be six days or it may be seven days.

And so when we talk about proportions, 35 percent that are asymptomatic, that are out in the community, is very -- is much more opportunity for transmission than someone who is getting sick and is only out in the community for two days.  And so we know we have to find both, and we've been working with states about what proactive surveillance would look like in this case to find people who are asymptomatic.

But it's also why we continue to recommend to the public, very clearly, that you can't tell who's infected.  And so that's why you have to continue to social distance, that why -- that's why you need to continue to maintain six feet apart.

I remember in the early days of HIV, people told me all the time that they could -- they knew who was infected.  And I would say, “You don't know who's infected.  I could be infected.  You're just saying you don't think I'm infected because I look healthy.”  There's a lot of healthy people out there with COVID that look healthy.

And so we're asking continuously for you all to be outside, to enjoy your Memorial Day weekend, to play golf, to hike, as Dr. Fauci said, to play tennis with marked balls, and to be out with your families that you have been in the household with, and to even consider sharing social distance space, as long as you have utensils that are -- belong to individuals and that maybe can be thrown out immediately.  There's a lot of things to think through.  I know you can do this.  I know the American people can do it.

And so, please, as you go out this weekend, understand you can go out.  You can be outside.  You can play golf.  You can play tennis with marked balls.  You can go to the beaches if you stay six feet apart.  But remember that that is your space, and that's the space that you need to protect and ensure that your social distanced from others.  Thank you.

Q    Dr. Birx?

MS. MCENANY:  I want to start by -- Dr. Birx, if I could have you stay here for just a moment or two.  Zeke, I believe you emailed me a question about nursing homes and testing this morning.  If you want to ask it, I'll have Dr. Birx give you an answer.

Q    Kayleigh, that would be great.  Thank you.  Dr. Birx, last week -- or two weeks ago, you and the Vice President told governors you wanted 100 percent of nursing home residents and staff tested within two weeks.  Most states aren’t going to meet that.  Some, two weeks later, haven’t even started to try, saying it’s impractical and unfeasible.  Are you disappointed?  And also, what are the consequences of that inaction?

DR. BIRX:  No -- I know many of you don't know me.  I'm a very aspirational and hopeful person that likes to put out challenges, because I think that's what needs to be done.  You know we've had it in the Open Up America guidance where we asked them to test all the nursing homes and nursing home residents and workers.  We know that that group is very susceptible and has significant mortality.  And so we continue to ask the -- ask the states.

We always look at the side of the ones who haven't been able to get it done.  There are some that are getting it done.  And I think what we will learn is, from those who are able to get it done, how to do this more efficiently and effectively so that we can work together to ensure that not only we have the baseline testing, but we continuously test the workers within the homes to prevent any asymptomatic spread back to the residents once we show they’re negative.

We only have a million nursing home residents.  We're testing way over a million people per week, getting closer to two -- over 2 million people a week.  So over that 4 million per two weeks, I was hoping that a million of those could be our nursing home residents.

I think week over week, as we see testing expand, it's not going to just be -- and it's why I keep coming back to this -- it's not -- it's not the number of people you have tested.  We see this all the time with other diseases.  We have a lot of worried well that will come back frequently to get tested.

We want to test, and we want states testing in areas where we know there's higher vulnerability to, susceptibility to worse outcomes, like our nursing homes; areas where we know there have been outbreaks, such as prisons, meatpacking plants, particularly areas where people are transported to plants together or live together in a single residence or multiple residents, but there's multiple group home kind of housing situations; and among our inner cities, where we know people may have not as much access to testing.  It's why money has gone to the federal clinics for testing.  It's why money, and working with others, have really improved testing through the pharmacies and ensuring more accessibility.

I know it's a long answer, but we should never be discouraged by those who can't get it done.  We should be encouraged by those who have shown us that it can be done.

And then on the governors calls: We have those governors present to the other governors how they did it.

Q    And following up on the President’s announcement regarding places of worship deemed as essential and then having them all reopen: What guidelines and encouragement do you have for pastors, rabbis, imams, as they prepare to reopen?  Should -- is that appropriate nationwide right now?  And what precautions do they need to follow if they’re going to reopen their houses of worship?

DR. BIRX:  So we -- and I’ve checked all 50 states have -- I’ve been on their website -- what their new cases were over the last 24 or 48 hours.  We’re trying to get every state to do by community, by zip code.  So -- because I really, firmly believe a knowledgeable community can really make judgments for themselves.

I think each one of the leaders in the faith community should be in touch with their local health departments so that they can communicate to their congregants.  Certainly, people that have significant comorbidities, we want them protected.  I know those houses of worship want to protect them.  And so really ensuring that maybe items -- maybe they can't go this week if there's high number of COVID cases.  Maybe they wait another week.

But there is a way to social distance, like you are here, in places of worship.  And I think what we're trying to say with the CDC guidance is there is a way for us to work together to have social distancing and safety for people so that we decrease the amount of exposure that anyone would have to an asymptomatic.  And I say it that way because I know all of you, and all of Americans, if they didn't feel well, they wouldn't go to church that day.

Q    Dr. Birx?

Q    Dr. Birx?

MS. MCENANY:  One more for Dr. Birx.  Jon.

Q    Dr. Birx, could you -- could you comment on the latest study on hydroxychloroquine?  There's this Lancet study that suggests, again, that the drug could cause heart problems and even increased mortality.  The President has obviously said that he's been taking it.  What's your recommendation?  And what's your recommendation on using that drug as a prophylactic?

DR. BIRX:  Well, first, I think the FDA has been very clear on their website about their concerns about hydroxychloroquine, particularly when it's combined with a macrolide.  And I think you see that in the study, and I think the study -- although it is open label and it is -- I tell you what I take home from the Lancet study, and I hope everyone here does, in addition to what you just commented on: It clearly shows that comorbidity that puts individuals at more risk.

And I think it's one of our clearest study, because there were so many thousands -- tens of thousands of individuals involved, that the doctors clearly annotated who had heart disease and who had obesity.  And you can see dramatically the increased risk for that.

There are still controlled trials going on, both for prophylaxis and pre-exposure prophylaxis, and as well as controlled trials looking at, in a hospital setting, how these drugs do.  And I think those are still pending.  But I hope everyone looks at those comorbidities.

And for all of our millennials out there, they get data like this -- look at that.  Go through and see if your parents or your grandparents have any of those things and make sure you're helping protect them.  I'm really worried about people in my generation because we're very social at times, and we have a habit of forgetting social distancing or forgetting that glasses, and when you’re eating you can’t eat in a mask.  So even if you’re far enough apart, you have to wash every utensil, everything you touch.

I really am asking our great generation of millennials to get some YouTube videos about how to do picnics outside with your friends and still protect everyone and still ensure that there's no co-contamination of food and utensils.  I think there's a way to do it, but I want it explained in a YouTube video for all of us.

Q    Dr. Birx?  Can I do a follow-up for Dr. Birx?

MS. MCENANY:  Thank you very much, Dr. Birx.  I know you need to get back work.  So thank you very much.

Q    Can I do a follow-up for Dr. Birx?

MS. MCENANY:  You can do a follow-up with me.  And -

Q    Dr. Birx, is it possible to do a quick follow-up?

MS. MCENANY:  Okay, you can go ahead.

But before I start my portion of the briefing, there were just a few things I wanted to note for you all, pursuant to those -- some of those very encouraging graphs we saw where the states move from red and orange to green, and we saw the United States increasingly become green.

It's encouraging to see that America is reopening alongside that with Homebase data from Homebase, noting that two thirds of America's small businesses are opening.  An OpenTable study said Americans are now starting to dine out again.  Another Homebase study: 67 percent of local food and drink businesses are open.  Apple is saying Americans are driving and walking at near-normal levels.  And Google Mobility data reflects the same.

So it's encouraging to see America start to reopen and the great work President Trump has done for the faith community going into this weekend.  We have a First Amendment.  It's very important that we protect that in these -- these churches, these synagogues, these mosques.  They are essential.  And President Trump underscored that.

And finally, before getting started, I wanted to note that the President, as you all are well aware, donates his salary to various initiatives and parts across the federal government.  And this quarter he will be donating his salary to HHS, Health and Human Services, to develop new therapies for treating and preventing COVID-19 so that we can safely reopen.

Here's the check, amounted to $100,000 that will go directly from President Trump and his paycheck that he does not take, but rather donates it to various noble initiatives, including - in honor of COVID this time, and those who have passed and the studies underway, he'll be donating it to HHS.

And with that, I will take questions from you all.

Q    Kayleigh?

MS. MCENANY:  Yes.

Q    Kayleigh, a couple of questions to follow up on the President's announcement.  First, just to clarify, he came out and said, “I'm calling upon governors to allow churches and places of worship to open up right now.”  Dr. Birx just said in areas where they have high cases of COVID-19, maybe they should think about waiting a week.  So which is it?  And why the mixed messaging?

MS. MCENANY:  That's up to the governors.  As it said in our guidance, we note that while many types of gatherings are important for civic and economic wellbeing, religious worship has particularly profound significance to communities and individuals, including as a right protected by the First Amendment.

The President wants to see these communities open.  Dr. Birx was integral to making these guidelines, and they lay out a pretty clear path for faith communities to reopen.

Q    But, Kayleigh, the President said he's going to override the governors.  Under what authority would he do that?  And to your point, he said, several weeks ago, this is all up to the governors.

MS. MCENANY:  Well, I think you're posing a hypothetical.  And I think we can all hope that we see governors --

Q    No, he said he would override the governors.

MS. MCENANY:  You're posing a hypothetical though.  You're assuming that governors are going to keep churches shut down, and keep mosques shut down, and keep synagogues shut down.  That is a hypothetical question, and we will leave it to those faith communities to reopen.

Q    The President stood there and said if governors don’t listen to him, he's going to override their authority.

MS. MCENANY:  And, Kristen, I think we can all -- we can all hope that, this Sunday, people are allowed to pray to their gods across this country.  That’s a good thing.

Q    But what authority would he use to override governors?

MS. MCENANY:  And I'd also note there's detailed guidance in here about the way that you can clean your facilities, promote social distancing.  So this is something that we should all look at and be thankful that we are encouraging these faith communities to reopen and do so in a safe way.  And we'll leave it to parishes to open in a safe fashion.

Q    But just what authority was the President referencing?

MS. MCENANY:   Yes.

Q    Kayleigh, does the White House now support these churches that are defying governors' orders and opening up?

MS. MCENANY:  The President has been very clear he wants churches to reopen.  He wants them to do it safely.  He wants them to do it in accordance with our guidance.  It's laid out and very detailed.  It's posted now, so you can all take a look through it.  And he wants to see all of those churches open in a safe fashion.

Q    But if a governor does not allow that, does the White House support churches defying these executive orders?

MS. MCENANY:  The President has been very clear he wants to see churches reopen in accordance with his guidelines.

Q    So the answer is yes?

MS. MCENANY:  I just gave you an answer.  The President would like churches to reopen and do it in accordance with the guidelines.

Q    But just to follow up what Kristen asked, what specific provision of federal law allows the President to override a governor's decision?

MS. MCENANY:  The President will strongly encourage every governor to allow their churches to reopen.  And, boy, it's interesting to be in a room that desperately wants to seem to see these churches and houses of worship stay closed.

Q    No, but the President said that he has that authority.

MS. MCENANY:  Yes, Jeff.

Q    Kayleigh, I object to that.  I mean, I go to church.  I'm dying to go back to church.  The question that we're asking you and would like to have asked the President and Dr. Birx is: Is it safe?  And if it's not safe, is the President trying to encourage that, or does the President agree with Dr. Birx that people should wait?

MS. MCENANY:  Jeff, it is safe to reopen your churches if you do so in accordance with the guidelines, which are laid out in very stringent detail here about promoting hygiene practices -- and there are five bullet points -- and cloth face coverings, if social distancing is not possible.  It's recommended intensifying cleanings, promoting social distance.  We lay them out meticulously.

So I am thankful that we have a President that celebrates the First Amendment.  The same amendment that gives you all the ability to ask me questions is there to have the freedom of worship so imams and pastors can go to their churches, can go to their places of worship, and can celebrate what is a First Amendment right in this country, which is to pray to your God and to practice your faith.

Chanel.

Q    And we celebrate that too.  I just want to follow up by saying: We celebrate that too.  Certainly First Amendment, but we're not -- but were not asking --

MS. MCENANY:  And so we should be thankful that there are guidelines to allow us to reengage in that behavior.

Q    We're not asking you if the President or people are allowing Americans to pray.  That's not the question that people are asking here.

MS. MCENANY:  To gather in their places of worship, to attend church services, to pray together.  And the President has laid out a clear path.  The CDC has laid out a clear path for this to take place, for our First Amendment to be exercised in a way that is safe and robust.  And that is something that is a good thing, and I'm thankful that we have a President who celebrates the First Amendment and helps it to be celebrated in its fullest and most robust way possible.

Chanel.

Q    Thank you, Kayleigh.  I’d like to switch
gears, asking about President Obama.  We had a -- does the President -- would -- we had an interesting article from Joel Pollak this morning.  And I would like to ask you if the President has considered pardoning President Obama for illegally wiretapping on Trump Towers, illegally spying on U.S. citizens, and other potential crimes out there.  Has he considered that?

MS. MCENANY:  So I have not spoken to the President about that.  But who I did speak to about President Obama and unmasking Michael Flynn were the men and women in this room.  I haven't spoken to him on that specific point.  I have spoken to him about the matter generally.  And I laid out a series of questions that any good journalist would want to answer about why people were unmasked, and all sorts of questions.

And I just wanted to follow up with you guys on that.  Did anyone take it upon themselves to pose any questions about Michael Flynn and unmasking the President Obama spokesperson?

Oh, not a single journalist has posed that question.  Okay.

Q    But Michael Flynn’s named wasn’t masked.

MS. MCENANY:  So I would like to --

Q    Kayleigh.  Kayleigh.

MS. MCENANY:  -- lay out a series of questions and perhaps, if I write them out in a slide format -- maybe we're visual learners and you guys will follow up with journalistic curiosity.

So, number one, why did the Obama administration use opposition research, funded by a political organization and filled with foreign dirt, to surveil members of the Trump campaign?

Number two, why was Lieutenant General Michael Flynn unmasked -- not by the intel community entirely, but by Obama's chief of staff; by the former Vice President, Joe Biden; by Susan Rice; by the Treasury Secretary?  I mean, this is extraordinary.  And, you know, if they were political appointees in the Trump administration, I can guarantee you I'd have questions in my inbox right now, but apparently Obama's spokesperson does not.

Why was Flynn's identity leaked in a criminal act?  It is a criminal act to leak the identity of Michael Flynn to the press, but it happened.  Where are the questions to Obama's spokesperson?  Because my team would be running around this building should this have happened under the Trump administration.

Why did the DOJ, Sally Yates, learn about the unmasking from President Obama?  So much for going by the book, as Susan Rice said three times.  “Thou doth protest too much,” Susan Rice.

And then, finally, question number five: Why did James Clapper, John Brennan, Samantha Power, and Susan Rice privately admit under oath they had no evidence of collusion, while saying the opposite publicly?

It's a long weekend.  You guys have three days to follow up on those questions.  And I certainly hope the next time I ask, some hands go up, because Obama's spokesperson should be asked those questions because President Trump's spokespeople certainly would be.
                       
                            END                   2:29 P.M. EDT