Surgeon General Jerome Adams Jerome AdamsTop health officials pledge to keep politics out of COVID-19 vaccine process The Hill's 12:30 Report — Presented by Facebook — Trump, Biden duel in final stretch | Vaccine trial on pause after recipient's 'potentially unexplained illness' | Biden visits Michigan | Trump campaign has 18 events in 11 states planned in the next week Watch live: Senate hearing on vaccines MORE said Wednesday that the White House coronavirus guidelines should be interpreted as a national stay-at-home order.

“My advice to America would be that these guidelines are a national stay-at-home order,” he said on NBC's "Today."

"Shouldn't every state in this country have a stay at home order?" -@SavannahGuthrie asks U.S. Surgeon General Jerome Adams pic.twitter.com/4cgFcEMVu8 — TODAY (@TODAYshow) April 1, 2020

His comment was in response to a question about Florida Gov. Ron DeSantis Ron DeSantisFirst death reported from Hurricane Sally in Alabama Trump tells Gulf Coast residents to prepare for 'extremely dangerous' Hurricane Sally Polls show trust in scientific, political institutions eroding MORE (R), who has said he was waiting for a directive from the White House to initiate a stay-at-home order for his state.

“Governors have tough choices to make. They have to decide whether or not they feel their citizens will listen to them without a stay-at-home order,” Adams said.

When asked if there’s a good reason for any governor to not have a stay-at-home order, he responded: “That’s the whole point of these guidelines that we put out. We want, nationally, people to understand the importance of social distancing."

“We live in a nation that has a system of federalism and the governors get to make the decision, but we’re going to give them the best possible guidance we can,” Adams added.

As of Wednesday, at least 30 states and Washington, D.C., have issued stay-at-home orders. Those states have a combined population of 225 million people, which accounts for more than two-thirds of the country's population.

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Former Food and Drug Administration Commissioner Scott Gottlieb said Wednesday that Texas and Florida — two of the largest states not to issue a stay-at-home order — are a “wild card” that could determine how the virus spreads across the country.

On Tuesday, Texas Gov. Greg Abbott (R) issued an executive order asking citizens to remain at home for all of April except for essential travel, though he declined to label it a stay-at-home order.

In Italy, which has fewer cases but a higher mortality rate than the U.S., the country has been under a nationwide lockdown since March 9. Health officials on Tuesday extended the lockdown to April 12.

On March 24, India became the largest country to order a lockdown.

Updated at 11:03 a.m.