Any coverage modifications that sizzling spot states like Texas and Florida resolve to implement now seemingly will not have an effect on the unfold of the coronavirus for weeks to return, former Meals and Drug Administration Commissioner Dr. Scott Gottlieb instructed CNBC on Thursday.Because of the lag in how lengthy it takes as soon as somebody is contaminated to develop signs, get examined and obtain outcomes, a confirmed case immediately might mirror an an infection that occurred as much as three weeks in the past, Gottlieb stated. He added that even when states presently combating outbreaks carried out extra stringent measures, instances would proceed to rise for a while.”I feel it will be tough now to get this below management,” Gottlieb stated on “Squawk Field.” “No matter these states do proper now’s actually going to assist them in about two weeks, perhaps a bit of bit longer than that. No matter coverage selections they made per week or two in the past, that is what we’re seeing movement via proper now.”California, Florida and Texas all reported report excessive single-day jumps in new instances on Wednesday. California reported 7,149 new instances on Wednesday, bringing the state’s whole to 190,222, based on the state’s well being division. Florida reported 5,508 new instances Wednesday, shattering the earlier report single-day enhance and bringing the state’s whole to 109,014, based on the state’s well being division. And Texas reported 5,551 new instances Wednesday, bringing its whole to 125,921 confirmed instances.In New York Metropolis, which had been the epicenter of the U.S. outbreak, officers issued a stay-at-home order on March 20. However each day new instances didn’t peak till April 6, when the town reported 6,376 new instances, based on the town’s well being division. “So we all know that there is a delay between the implementation of coverage and truly affecting the scope of the epidemic,” Gottlieb stated. “The following week or two is essentially baked when it comes to what influence you’ll be able to have on it from coverage, so they should begin pondering a bit of bit long term, the place they suppose they are going to be in two weeks based mostly on the present trajectory and begin implementing coverage to attempt to have an effect on that.”Governors in Florida and Texas, in addition to another states which have reported indicators of an increasing epidemic, have expressed doubt about ordering companies to shut once more or inserting extra restrictions on people. Neither Texas nor Florida has carried out statewide masks mandates, however each not too long ago allowed native and metropolis officers to subject such orders for his or her residents. “They are not going to close down their economies. It is very clear,” Gottlieb stated. “They’ll climate this, however they want to have a look at some chosen shut downs of congregate settings like, maybe, bars.”Whereas nationwide consideration stays on the states reporting the most important spikes in new instances, Gottlieb stated outbreaks now look like worsening in a number of different states as effectively, together with Georgia, Alabama and Arkansas. Officers in these states would possibly start to implement restrictions once more if their hospital techniques start to face strain, Gottlieb stated.”This is not simply confined to a handful of states anymore,” he stated. “When the hospitals begin to get pressed, they are going to press policymakers to attempt to take steps to mitigate the burden on the health-care techniques.”Whereas governors in Florida and Texas have stated there may be loads of statewide hospital capability, some significantly hard-hit elements of these states are starting to method capability. In Houston, for instance, Texas Youngsters’s Hospital stated this week it is going to start to confess grownup sufferers to alleviate burdened hospitals.Testing continues to extend in most states, Gottlieb famous, which helps well being officers detect new instances and probably intervene early by asking contaminated folks to stay house whereas they get well. Nonetheless, he added that in some states, together with Florida, testing has truly decreased in latest weeks.”In the event you do not need to shut down the financial system, you have to resolve what you are for and if you are going to be towards common masking, and towards testing, towards tracing and you do not need to shut down the financial system, you are simply going to should tolerate then a really giant epidemic,” Gottlieb stated.Disclosure: Scott Gottlieb is a CNBC contributor and is a member of the boards of Pfizer, genetic-testing start-up Tempus and biotech firm Illumina.